Intimate partner violence: prevalence and risk factors for men in Cape Town, South Africa

This study examined the prevalence of and risk factors for intimate partner physical violence against women. Interviews were conducted with a sample of 1,378 men working in Cape Town municipalities. An average of 42.3% (95% CI: 39.6, 44.8) reported physical violence against a partner of the last 10 years, and 8.8% (95% CI: 7.3, 10.3) reported physical violence in the past year. After adjustment for age, occupational group, and race, the factors associated with use of violence against partners of the last 10 years were having no post-school training (OR = 2.10), witnessing parental violence in childhood (OR = 1.87), involvement in fights at work (OR = 2.73) and in communities (OR = 1.54), drug use (OR = 1.99), problem alcohol use (OR = 1.98), perceiving hitting women to be acceptable (OR = 4.54), frequent conflict (OR = 2.40), women's alcohol use (OR = 2.25), conflict about sex (OR = 2.16), and conflict about his infidelity (OR = 2.81). The study shows that ideas supportive of gender inequality and normative use of violence in different settings are major underlying factors for men's violence against partners.     

Physical abuse in early childhood and transition to first sexual intercourse among youth in Cape Town, South Africa

This study examined the relationship of physical abuse in early childhood and timing of first sexual intercourse among young South Africans aged 14 to 22 in Cape Town. Using the Cape area panel survey and applying log-normal models, time ratios were estimated to show how rapidly or slowly youth experience first sexual intercourse. Results indicated that boys who experienced physical abuse in early childhood had faster timing to first sex. Boys and girls with violent school environments had faster timing to first sex. Race moderated the effects of physical abuse. Compared to Blacks, Coloreds who experienced higher levels of physical abuse in early childhood had faster timing to first sex. Youth with greater knowledge about HIV/AIDS and those with greater risk perception of contracting HIV/AIDS delayed first sex. On the basis of these findings, policy makers are encouraged to consider the early childhood experiences of youth when designing policies toward HIV/AIDS prevention in South Africa.     

Family Ties and Young Fathers' Engagement in Cape Town,South Africa

Young South African fathers are often engaged in their children's lives even if they do not live together. Using longitudinal data on children (n = 1,209) from the Cape Town area, the authors show that although only 26% of young fathers live with their children, 66% of nonresidential fathers maintain regular contact, and 61% provide financial support. The father–child relationship, however, is embedded in broader family ties. The type of father–mother relationship is strongly associated with whether fathers coreside with their children but not with fathers' contact with nonresidential children. Close mother and maternal grandmother bonds reduce the likelihood that fathers live with their children, whereas close ties between fathers and paternal grandmothers increase the chance that fathers visit nonresidential children. Family ties do not affect fathers' financial contributions, which are driven by men's current economic situation. These findings illustrate that father–child relationships are best understood in the context of interacting family systems.     

Physical Abuse in Early Childhood and Transition to First Sexual Intercourse among Youth in Cape Town,South Africa

This study examined the relationship of physical abuse in early childhood and timing of first sexual intercourse among young South Africans aged 14 to 22 in Cape Town. Using the Cape Area Panel Survey and applying log-normal models, time ratios were estimated to show how rapidly or slowly youth experience first sexual intercourse. Results indicated that boys who experienced physical abuse in early childhood had faster timing to first sex. Boys and girls with violent school environments had faster timing to first sex. Race moderated the effects of physical abuse. Compared to Blacks, Coloreds who experienced higher levels of physical abuse in early childhood had faster timing to first sex. Youth with greater knowledge about HIV/AIDS and those with greater risk perception of contracting HIV/AIDS delayed first sex. On the basis of these findings, policy makers are encouraged to consider the early childhood experiences of youth when designing policies toward HIV/AIDS prevention in South Africa.     

Trauma symptoms, sexual behaviors, and substance abuse: correlates of childhood sexual abuse and HIV risks among men who have sex with men

Childhood sexual abuse is associated with high-risk sexual behavior in men who have sex with men. This study examined psychological and behavioral correlates of HIV risk behavior associated with childhood sexual abuse in a sample of men who have sex with men. Men attending a large gay pride event (N = 647) completed anonymous surveys that assessed demographic characteristics, childhood sexual abuse history, symptoms of dissociation and trauma-related anxiety, borderline personality characteristics, substance use, and sexual risk behavior. Results indicated that men who have a history of childhood sexual abuse were more likely to: engage in high-risk sexual behavior (i.e., unprotected receptive anal intercourse), trade sex for money or drugs, report being HIV positive, and experience non-sexual relationship violence. Results of this study extend previous research to show that men who have sex with men and who have a history of child sexual abuse are more likely to be at high risk for HIV infection.     

Reasons for the adoption of celibacy among older men and women living with HIV/AIDS

The reasons for becoming celibate following diagnosis with HIV/AIDS were examined using focused interviews with 63 infected older adults (ages 50-68). Forty-eight percent reported they were currently celibate or had been celibate following diagnosis with HIV/AIDS. Women reported celibacy (78%) more than men (36%). Although men and women reported some similar reasons for celibacy, most notably fear of infecting others and fear of reinfection, we also found gender differences in the reasons for celibacy. Additional reasons offered by women included loss of interest in sex, anger and distrust of men, and desire to focus on themselves rather than men. Other reasons offered by men included fear of rejection or stigmatization, difficulty with sexual performance, and negative body image. The prevalence of celibacy and the finding that many reasons for celibacy are related to fear, anger, and distrust suggests that older adults may have difficulty resuming healthy sexual relationships following diagnosis with HIV/AIDS.     

Youth violence in South Africa: exposure, attitudes, and resilience in Zulu adolescents

Exposure to violence is common in South Africa. Yet, few studies examine how violence exposure contributes to South African adolescents' participation in youth violence. The aims of this study were to examine effects of different violence exposures on violent attitudes and behavior, to test whether attitudes mediated effects of violence exposures on violent behavior, and to test whether adult involvement had protective or promotive effects. Questionnaires were administered to 424 Zulu adolescents in township high schools around Durban, South Africa. Structural equation modeling (SEM) was used to test associations among violence exposures and both violent attitudes and behavior. Victimization, witnessing violence, and friends' violent behavior contributed directly to violent behavior. Only family conflict and friends' violence influenced violent attitudes. Attitudes mediated effects of friends' violence on violent behavior. Multiple-group SEM indicated that adult involvement fit a protective model of resilience. These findings are discussed regarding their implications for prevention.     

Reasons for the adoption of celibacy among older men and women living with HIV/AIDS

The reasons for becoming celibate following diagnosis with HIV/AIDS were examined using focused interviews with 63 infected older adults (ages 50 ‐ 68). Forty‐eight percent reported they were currently celibate or had been celibate following diagnosis with HIV/AIDS. Women reported celibacy (78%) more than men (36%). Although men and women reported some similar reasons for celibacy, most notably fear of infecting others and fear of reinfection, we also found gender differences in the reasons for celibacy. Additional reasons offered by women included loss of interest in sex, anger and distrust of men, and desire to focus on themselves rather than men. Other reasons offered by men included fear of rejection or stigma‐tization, difficulty with sexual performance, and negative body image. The prevalence of celibacy and the finding that many reasons for celibacy are related to fear, anger, and distrust suggests that older adults may have difficulty resuming healthy sexual relationships following diagnosis with HIV/AIDS.     

Substance Use and Psychosocial Predictors of High School Dropout in Cape Town, South Africa

The aims of this study were to examine whether use of tobacco, alcohol, and illicit drugs predicts dropout among secondary school students in Cape Town, South Africa. A self-report instrument was administered to 1,470 Grade 8 students. The proportion of students that dropped out of school between the onset of the study and 4 years later was 54.9%. After adjusting for a range of confounders, dropout was significantly predicted by absenteeism, poverty (as assessed by a possession index), and past month cigarette use, but not by past month alcohol use and lifetime illicit drug use. Contrary to findings from developed countries, alcohol and illicit drug use did not predict dropout. It is possible that predictors of dropout documented elsewhere may not be pertinent in developing countries.     

Greater involvement of people living with HIV/AIDS in South Africa

This study reports on a pilot project, the greater involvement of people living with HIV/AIDS Workplace Model, which places trained fieldworkers living openly with HIV/AIDS in selected partner organisations sectors, where they set up, review or enrich workplace policies and programmes. The project adds credibility to partners' HIV/AIDS programmes and creates a supportive environment for people living with HIV/AIDS (PLWHA) and others to speak about HIV/AIDS. Eleven men and women living with HIV, aged between 30 and 45, and with varied life experiences and education levels, shared a willingness to speak about their HIV status in their workplace. They worked in very different environments but their collective experiences showed that PLWHA can add value to workplace HIV/AIDS programmes in a way that is relevant, effective, efficient, sustainable and ethical. They made companies and communities more aware of the intense need for HIV/AIDS policies and encouraged care and support for infected and affected people.     

No African renaissance without disabled women: a communal approach to human development in Cape Town South Africa

The African Renaissance is upon us. Those who have eyes to see, let them see.

Disabled women who live in wooden shacks in the peri-urban areas of Khayelitsha in Cape Town, South Africa, participated in storytelling workshops over a two-and-a-half-year period. They shared experiences of what helped or hindered their social and economic development since becoming disabled. The workshops were part of a participatory action research (PAR) study of the Division of Occupational Therapy, University of Cape Town, together with Disabled People South Africa (DPSA) and the Zanempilo Health Trust [formerly South African Christian Leadership Assembly (SACLA) Primary Health Care Project].

The findings revealed the struggles and sadness, as well as the strengths and spirit that the women experienced within their every day context at an individual, family and community level. The women spoke strongly about meeting physical, emotional, and spiritual needs (human development) as the means to social and economic development.

The discussion reflects on the many paradoxes of disability encapsulated in the essence of interdependence of Ubuntu. Three themes discussed are building emotional resourcefulness: nurturing children and families in disability issues; and renewing spirituality and Ubuntu in disability and development programmes. In conclusion, managing the paradoxes of disability, the creation of a new individual and collective identity, and the capacity to change are proposed as the way forward.     

Patterns in macroinvertebrate taxonomic richness and community assembly among urban wetlands in Cape Town,South Africa: implications for wetland management

Urbanization has significantly increased globally during the last century and has far-reaching consequences for biodiversity and their associated habitats, particularly wetland ecosystems. Previous studies have focused primarily on wetlands in non-urban areas, and urban wetland biodiversity patterns are currently not well understood, particularly across Africa. Here, we investigate two highly transformed urban wetlands in Cape Town, South Africa, and determine the relative importance and influence of local environmental variables as drivers of macroinvertebrate richness and community structuring. We also determine the influence of local environmental variables for patterns of species turnover and nestedness within and among these wetlands, and provide management recommendations based on our findings. We found that few macroinvertebrate species were associated with these wetlands, yet community variation was driven by a combination of local environmental variables. Our results also indicate that the turnover component of beta diversity, rather than nestedness, was responsible for most of the variation in the overall macroinvertebrate community. We identified two major problems regarding the current ecological state of the investigated wetlands. Firstly, high nutrient loads originating from the surrounding land uses which reduced wetland biodiversity, and secondly, the transformation of these wetlands from seasonal to perennial water bodies. We recommend local and regional scale approaches to limit urban waste from entering these systems, and management of water levels simulating natural Mediterranean-type climate dynamics more closely are required to ensure that the maximum possible diversity can be supported in these wetlands.

     

Tackling HIV and AIDS with faith-based communities: learning from attitudes on gender relations and sexual rights within local evangelical churches in Burkina Faso,Zimbabwe, and South Africa

The AIDS pandemic in Africa is devastating the continent. The institution of marriage does not appear to be protecting women – in some countries rates of infection among married women are higher than those among unmarried, sexually active women. Recognising that unequal gender relations are a driving force behind the AIDS pandemic, this article explores the position of local evangelical churches in Africa with respect to gender relations and sex, and the implications for HIV and AIDS. Based on desk and field research carried out by the UK-based NGO Tearfund, the findings indicate that these churches were largely silent on the issue of gender and sex, or were reinforcing traditional values which contribute to HIV infection. In a number of countries, the church seems to have failed to provide leadership to young people, especially young women, facing huge pressure to be sexually active. Strategies for responding are outlined.

In some heavily affected countries, married women have higher rates of HIV infection than their unmarried, sexually active peers. Kofi Annan, UN Secretary General, World AIDS Day 2004.

Adhering to the teachings of the Church, we determined to engage more deeply in challenging cultures and traditions which stifle the humanity of women and deprive them of equal rights. We agreed that our greatest challenge is to nurture and equip our children to protect themselves from HIV, so that we can fulfil the vision of building a generation without AIDS. Pastoral Letter from the Primates of the Anglican Communion, 27 May 2003.

All the pastors’ wives had never seen a condom as it is seen as a tool for unfaithful wives. NGO worker, Burkina Faso.     

Using life histories to explore change: women's urban struggles in Cape Town,South Africa

This article shows how life histories can be useful in analyzing the impact of political and economic change on the lives of individuals and social groups in South Africa. Four case studies are presented to highlight the shared and individual experiences of four women who arrived in Cape Town in defiance of the pass laws, which prohibited such migration. Comparing the four stories, it is clear that certain aspects of South Africa's influx controls affected all the women as women. Women were the targets of most pass raids in the townships, hostels, squatter camps and held a much more precarious position in the city. Also, the age and stage in the life cycle determined their ability to make a living in their town in order to survive shocking outbreaks of violence in the Crossroads squatter camp in 1983 and to avoid arrest under the "pass laws" of the apartheid era.     

Political transition and sexual and gender-based violence in South Africa,Kenya, and Zimbabwe: a comparative analysis

This article draws on research conducted in Kenya, South Africa, and Zimbabwe that focused on violence in the context of political transition. The paper examines the relation between political transition and sexual and gender-based violence in the three countries. The paper argues that it is critical to recognise sexual and gender-based violence as bound to systemic gendered inequality if such forms of violence are to be addressed and mitigated when periods of violent conflict end.     

Unwanted sexual experiences and sexual risks in gay and bisexual men: Associations among revictimization,substance use,and psychiatric symptoms

The data set of 2,182 gay/bisexual men's month‐long sexual diaries collected by the United Kingdom Socio‐sexual Investigations of Gay Men and Aids (Project SIGMA) was used to analyse the extent to which acts of anal intercourse (AI) are distributed among gay men, using the Lorenz/Gini methodology for measuring concentration. Most individuals (60%) who engage in AI do so only once or twice a month, but there is a long tail of those who do it much more. In terms of the amount of AI acts, one tenth of the individuals are performing half of the acts of AI. The Gini coefficient of concentration is high (0.55). Factors most affecting rates and concentration of risk behaviour include relationship status, HIV sero‐status and concordant/discordant partner status.     

Gender attitudes,sexual meanings,and interactional patterns in heterosexual encounters among college students in the Netherlands

This study examines the utility of internet banner ads for recruiting rural MSM and identifies correlates of internet HIV risk survey initiation and completion. Banner ads were shown on a popular internet dating site for one month and resulted in 1,045 rural MSM, from 49 States, Canada, Australia/New Zealand, and 5 from other countries initiating the questionnaire. Logistic regression indicated that progression beyond screening questions was negatively related to “expecting pay, but not being paid” and positively related to “using chat rooms to find friends” and identifying as gay. Linear regression indicated that the absolute number of responses by consenting participants was positively correlated with reimbursement, number of sexual partners, motivated by money, and having been HIV tested. Overall, this sample represents one of the largest rural MSM samples; survey completion was high and strengthened by reimbursement and possibly by awareness of HIV risk. Generalizability was limited by low participation of minority and non‐gay identified MSM.     

Typology of reactions to intimate partner violence among men and women arrested for partner violence

This study examined behavioral and emotional responses to partner-initiated violence reported by men and women court-ordered to domestic violence counseling. Respondents provided Likert-type ratings of behavioral and emotional responses to their partners' initiated violence. Cluster analysis to determine heterogeneity of emotional and behavioral responses resulted in a three-cluster solution. The profile for Cluster 1, predominantly male, showed no specific behavioral or emotional reaction pattern. Cluster 2 respondents, evenly split between males and females, but comprising a high proportion of all of the female participants, reported frequently doing what the partner wanted and attempting to escape. Emotional responses experienced by Cluster 2 respondents were anger, insult, and fear. Cluster 3, predominantly male, reported a frequent tendency to use force in response and escape when their partners initiated physical violence. Emotionally, Cluster 3 participants reported experiencing high levels of anger and insult, and relatively low levels of fear and low levels of amusement. Implications of these findings for development of gender-based intervention strategies will be discussed.     

Barriers to accessing HIV and sexual health services among gay men in Tasmania,Australia

We examined barriers to accessing HIV and sexual health services among gay and bisexual men (GBM) in Tasmania, Australia, using in-depth interviews. Most participants were satisfied with the care they had received at public sexual health services. Barriers included the limited number of services, concerns about anonymity and privacy in small communities, difficulties accessing services via a general practitioner, and perceived stigma and discrimination. Improving the accessibility and availability of HIV and sexual health services in Tasmania is crucial to promote the engagement of GBM, which could be achieved via combined efforts of government services and community organizations.