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Amoateng, A.Y., Kalule-Sabiti, I. & Narayanan, P. (2007) Substance use and sexual behaviour among African adolescents in the North West province of South Africa. African Journal of Drug and Alcohol Studies. 6(1):27-38.
The relationship between substance use and sexual behaviour is examined using a sample of African high school students in the North West Province of South Africa. Even though the rate of substance use was generally low compared to other groups that have been studied elsewhere in the country, male and older adolescents were much more likely than female and younger adolescents to use alcohol and...
Avalos, L.A., Mertens, J.R., Ward, C.L., Flisher, A.J., Bresick, G.F. & Weisner, C.M. (2009) Stress, substance use and sexual risk behaviors among primary care patients in Cape Town, South Africa. AIDS and Behavior. Online:
We assessed the relationship between stress, substance use and sexual risk behaviors in a primary care population in Cape Town, South Africa. A random sample of participants (and over-sampled 18-24-year-olds) from 14 of the 49 clinics in Cape Town's public health sector using stratified random sampling (n = 2,618), was selected. We evaluated current hazardous drug and alcohol use and three doma...
Bell, C., Bhana, A., McKay, M. & Petersen, I. (2007) Building protective factors to offset sexually risky behaviors among black South African youth: a randomized control trial.
Bell, C.C., Bhana, A., Petersen, I., McKay, M.M., Gibbons, R., Bannon, W. & Amatya, A. (2008) Building protective factors to offset sexually risky behaviors among black youths: a randomized control trial. Journal of the National Medical Association. 100(8):936-944.
The objective of this study was to test the effectiveness of the CHAMP among black South Africans in KwaZulu-Natal, South Africa. A randomized control trial was conducted in KwaDedangendlale, South Africa, among youths (ages 9-13) and their families (245 intervention families rearing 281 children and 233 control families rearing 298 children). The CHAMPSA intervention targeted HIV risk behavi...
Bennett, J. & Reddy, V. (2010) Investigar pedagogias sobre sexualidades en la educacion superior en Sudafrica. In: Ortiz-Ortega, A. & Pecheny, M. (eds). Ensenanza universitaria sobre genero y sexualidades en Argentina, Chile, China, Mexico y Sudafrica. Buenos Aires: Teseo. 37-67.
Bennett, J. & Reddy, V. (2009) Researching the pedagogies of sexualities in South African higher education. International Journal of Sexual Health. 21(4):239-252.
The article explores the approaches taken by South African institutions of higher education to the teaching of sexualities and gender. In a national context in which issues of human immunodeficiency virus and acquired immunodeficiency syndrome, legal reforms around reproductive and sexual rights, and critical discussions around the meanings of culture and sexuality abound, one might expect that...
Bennett, J. & Reddy, V. (2007) "Feeling the disconnect": teaching sexualities and gender in South African higher education. Feminist Africa. 9:43-62.
The article explores how, where, and why teaching occurs in the areas of gender and sexualities in South African Higher Education sites. The article maps the terrain of disciplinary engagement with sexualities and gender in South African Higher Education, with introductory research into the teaching of sexualities and gender in higher education institutions in South Africa. Central to the artic...
Bennett, J., Reddy, V. & Bardill, L. (2006) International research project on pedagogies of gender & sexuality in higher education: South Africa. (Paper presented at the 2nd International Meeting: Researching the Incorporation of Sexualities in the Academic Curricula of Universalities in Asia, Africa & Latin America Project, November).
Bhana, A., Peltzer, K., Phaswana-Mafuya, N., Makiwane, M., Davids, A., Mlambo, G., Bachoo, S. & Vawda, M.Y. (2011) Regional baseline survey to establish children's KAPB in relation to sexuality and gender, access to sexuality and HIV information and sexual and reproductive health services in Zambia and South Africa. (Commissioned by UNICEF Save the Children Sweden, October).
The overall aim of the project is to establish a baseline of knowledge, attitudes, perceptions and behaviours (KABP) of children between 5 and 17 years in relation to their experiences of sexuality, sexuality information and education and sexuality reproductive health services (SRHS) available to them in four South African and two Zambian designated project areas. This information will be used...
Bhana, A., Swartz, S. & Davids, A. (2010) Standards for the reporting of sex/sexual activity of minors in a research context. South African Medical Journal. 100(10):642-644.
Bhana, A. & Petersen, I. (2009) HIV and youth: a behavioural perspective. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 55-68.
This chapter highlights the critical importance of a continued focus on youth given the large spikes in HIV incidence in this age cohort, and also because youth continue to offer the best opportunities for prevention intervention efforts, as anti-retroviral treatment cannot succeed on its own, and which will begin to make an impact on the scourge of HIV and AIDS.
Bhana, A., Zimmerman, R. & Cupp, P. (2008) Gender role attitudes and sexual risk among adolescents in South Africa. Vulnerable Children and Youth Studies. 3(2):112-119.
Adolescents remain the most critical group to target for reducing human immunodeficiency virus (HIV) infection, as most infections occur during this period. However, given that the rates of HIV infection continue to rise, South African youth would appear to be unable to protect themselves as well as they should. Gender role attitudes have been implicated in adolescent boys having multiple par...
Bhana, A., Zimmerman, R., Cupp, P. & Feist-Price, S. (2007) Gender role attitudes and sexual risk. (Paper presented at the 8th AIDS Impact International Conference on Biopsychosocial Aspects of HIV Infection, Marseille, France, 1-4 July).
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Bhana, D., Morrell, R., Hearn, J. & Moletsane, R. (2007) Power and identity: an introduction to sexualities in southern Africa. Sexualities. 10(2):131-138.
This introduction to the Special issue of Sexualities (Sexualities in Southern Africa) engages with the challenge of re-thinking sexualities in Africa? (Arnfred, 2004: 7), which emerged out of two conferences ? `Writing African Women ? Poetics and Politics of African Gender Research?; and `From Boys to Men: Masculinities and Risk Conference? ? both held at the University of Western Cape, Cape T...
Buthelezi, T., Mitchell, C., Moletsane, R., De Lange, N., Taylor, M. & Stuart, J. (2007) Youth voices about sex and AIDS: implications for life skills education through the 'Learning Together' project in KwaZulu-Natal, South Africa. International Journal of Inclusive Education. 11(4):445-459.
The article focuses on youth voices about sex and AIDS, revealing significant discrepancies between the `ideal adult worldview? and the `practical youth worldview? on sexual matters. Drawing on theories of childhood development and student development, the article argues that effective life skills curricula, with a rights-based approach, and maximum youth engagement achieved through participato...
Carey, K.B., Scott-Sheldon, L.A.J., Carey, M.P., Cain, D., Mlobeli, R., Vermaak, R., Mthembu, J., Simbayi, L.C. & Kalichman, S.C. (2011) Community norms for HIV risk behaviors among men in a South African township. Journal of Behavioral Medicine. 34:32-40.
We investigated alcohol-related sexual risk behavior from the perspective of social norms theory. Adults (N = 895, 62% men) residing in a South African township completed street-intercept surveys that assessed risk and protective behaviors (e.g., multiple partners, drinking before sex, meeting sex partners in shebeens, condom use) and corresponding norms. Men consistently overestimated the ac...
Chikovore, J. (2011) Abortion & contraceptive use: sites of struggle for African men. HSRC Review. 9(1):18-19.
In examining men's perspectives of contraceptive use and abortion, JEREMIAH CHIKOVORE identifies contradictions and multiplicities within gender relations and dynamics that are influenced by, among other factors, colonial-era labour mobilisation practices and socio-political dynamics.
Chikovore, J., Nystrom, L., Lindmark, G. & Ahlberg, B.M. (2009) HIV/AIDS and sexuality: concerns of youths in rural Zimbabwe. African Journal of AIDS Research. 8(4):503-513.
Concerns regarding HIV and AIDS were elicited from 546 school youths (51% female, age range 9-25 years) in a Zimbabwean rural district, through a self-generated question-writing process. Concerns emerged around how to avoid HIV infection at a time when they were undergoing secondary sexual development, had growing feelings of love, and were even engaging in sexual activity, while they had limit...
Chimere-Dan, G.C. & Makiwane, M.B. (2009) The state of youth in South Africa: is the health status of youth improving?. (Commissioned by the Department of Social Development, December).
This paper examines the health status of South African youth in the past fifteen years using available quantitative data. Specific areas of interest here include youth disability, substance abuse, sexual and reproductive behaviour and HIV and AIDS. We also assess the pattern of health status implied in official statistics on mortality and causes of death among the youth.
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Cloete, A. (2011) Gayspeak: performing the rainbow nation?. (Paper presented at Anthropology Southern Africa, The University of Stellenbosch, Cape Town, South Africa, 3-6 September).
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Cloete, A., Simbayi, L., Henda, N. & Kalichman, S. (2011) Pride and prejudice: gay men who are HIV-positive fear 'double discrimination'. HSRC Review. 9(3):8.
South Africa's Constitutional protections against discrimination for sexual orientation afford countless opportunities to bring men who have sex with men (MSM) out of the shadows and into the reach of public health interventions. Fear of disclosing sexual orientation remains commonplace, with MSM experiencing a sense of vulnerability that they could fall victim to stigmatisation and discriminat...
Cloete, A., Sanger, N. & Simbayi, L.C. (2010) Are HIV positive women who have sex with women (WSW) an unrecognized and neglected HIV risk group in South Africa?. Journal of AIDS and HIV Research. 2(8):Online.
South Africa is home to the largest population of people living with HIV/AIDS (PLWHA). Of this population gender non-conforming women like women who have sex with women (WSW) remain undocumented. This study is an attempt to fill this information gap as it describes the demographic, health and sexual behaviours of 72 HIV positive WSW. The data indicate that WSW are not protected from HIV because...
Cloete, A., Rispel, L., Metcalf, C. & Reddy, V. (2010) Being straight and being gay: identity or multiple desire: the case of South Africa. Sexuality in Africa. 6(1):9-10.
Constitution prohibits discrimination on the basis of sexual orientation. In December 2006, South Africa became the fifth country in the world and the first in Africa to legalise same-sex marriage (Calitz, 2009). In the light of this legal equality, gay men and women have become more visible in South Africa and have made their voices heard in the public sphere (Graziano, 2004 a, b). Terms li...
Cloete, A., Strebel, A., Simbayi, L., Van Wyk, B., Henda, N. & Nqeketo, A. (2010) Challenges faced by people living with HIV/AIDS in Cape Town, South Africa: issues for group risk reduction interventions. AIDS Research and Treatment. July:Online.
This paper presents the findings of an exploratory study to investigate the challenges faced by people living with HIV/AIDS (PLWHA) in communities in Cape Town, South Africa. The primary goal of the study was to gather data to inform the adaptation of a group risk reduction intervention to the South African context. Qualitative methods were used to examine the experiences of PLWHA. Eight foc...
Cloete, A., Rispel, L., Reddy, V. & Metcalf, C. (2010) Constructs of identity and HIV risk behaviours among men who have sex with men (MSM) in two South African cities. (Paper presented at the Third Annual International Colloquium: Gender, Sexuality, History and Culture in Africa, University of Lagos, Nigeria, 19-20 June).
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Cloete, A., Rispel, L., Metcalf, C. & Reddy, V. (2009) "Get sick first, test later": HIV testing practices of men who have sex with men (MSM) in the Johannesburg/Ethekwini Men's Study (JEMS). (Poster presented at the AIDS Impact Conference, Gaborone, Botswana, 22-25 September).
Cloete, A. (2009) Missing women who have sex with women in national HIV surveys. (Paper presented at the Lesbians and HIV/AIDS: "The silence is political" Symposium, Cape Town, 19-20 October).
Cloete, A., Simbayi, L.C. & Kalichman, S.C. (2006) Stigma and discrimination experiences of HIV positive men who have sex with men (MSM) and heterosexual men in Cape Town, South Africa. (Poster presented to the XVI International AIDS Conference, Toronto, Canada, 13-18 August).
Cloete, A., Simbayi, L.C. & Kalichman, S.C. (2008) Disclosure decisions and HIV positive men who have sex with men (MSM) in Cape Town, South Africa. (Paper presented at the AIDS Conference, Mexico City, 7 August).
Objectives: Secrecy and concealment of either sexual orientation or HIV positive status characterizes many gay relationships in the context of homosexuality's taboo nature in many African societies. Both these characteristics have implications on safer sex behaviour. Therefore research focusing on disclosure of HIV positive status for MSM becomes important in the context of the prevention of t...
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Cloete, A., Simbayi, L.C., Kalichman, S.C., Strebel, A. & Henda, N. (2008) Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa. AIDS Care. 20(9):1105-1110.
Since the primary mode of HIV transmission in sub-Saharan Africa is heterosexual, research focusing on the sexual behaviour of men who have sex with men (MSM) is scant. Currently it is unknown how many people living with HIV in South Africa are MSM and there is even less known about the stigmatisation and discrimination of HIV-positive MSM. The current study examined the stigma and discriminati...
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Cloete, A. (2007) Disclosure decisions and HIV transmission risk behaviour of HIV positive men who have sex with men (MSM) in Cape Town, South Africa. (Paper presented at the HSRC Research Conference, Birchwood Conference Centre, Benoni, 27-28 September).
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Conradie, D.P. (2000) Research on TV violence and sex in SABC programmes. (SABC Board and Management workshop, Johannesburg 12 February 2000).
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Davids, A., Phaswana-Mafuya, N., Tabane, C., Mbelle, N., Kekana, Q. & Matseke, G. (2009) "Funa igazi lo mfana" - why older women have sex with younger men. (Paper presented at the NMMU, 3 October).
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Davids, A. (2009) Just between the 2 of us: how communities perceive sexual abuse and the risk of HIV infection. HSRC Review. 7(4):26-27.
How do communities that should be able to protect children against sexual abuse perceive this crime and the resultant threat to the mental and physical health of their children? Do they just turn a blind eye? And what can be done about it? Alicia Davids presented findings of an HSRC study on community perceptions of the risk factors of children who are sexually abused at the AIDS Impact Confere...
Davids, A. (2008) HSRC's focus groups study on social values and norms: research methodology. (Paper presented to SABSSM3 Advisory Board Meeting, 8 October).
A presentation on the study to identify and understand the social values and cultural norms that influence sexual behaviour in various settings or situations.
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Dayal, H. (2008) Unpacking issues of adherence: moving beyond access. (Paper presented at the International Scientific Conference on HIV/AIDS, Abidjan, 6-9 October).
With HIV/AIDS being recognised as a chronic disease, the success of treatment depends on at least 95% adherence rates. In addition, as efforts are implemented to improve comprehensive access to care, treatment and management of the disease, factors influencing adherence play a crucial role in preventing drug resistance. One of the objectives of an overall study on ARV delivery models in SA was ...
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Dewing, S., Mathews, C., Schaay, N., Cloete, A., Simbayi, L. & Chopra, M. (2010) The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: a case study. AIDS and Behavior. June:Online.
This case study with one lay adherence counsellor assessed the implementation of Options for Health, a sexual risk-reduction intervention based on Motivational Interviewing (MI), in an antiretroviral clinic in Cape Town, South Africa. In most cases Options was not delivered with fidelity and less than one-third of intended recipients received it; the counsellor often forgot to do Options, was u...
Dewing, S., Ramachandran, R., Schaay, N., Cloete, A., Mathews, C., Chopra, M. & Simbayi, L. (2009) The feasibility of implementing a sexual risk reduction intervention in routine clinical practice at an ARV clinic in Cape Town: results of a pilot study. (Poster presented at the 4th South African AIDS Conference, Durban, 31 March-3 April).
Dwadwa-Henda, N.V., Simbayi, L.C., Strebel, A., Cloete, A. & Lewa, N. (2007) Development of HIV behavioural risk reduction intervention programmes for people living with HIV/AIDS in support groups. (Paper presented at 5th European Congress on Tropical Medicine and International Health, Netherlands, 24-28 May).
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Garnett, G.P., Garcia-Calleja, J.M., Rehle, T. & Gregson, S. (2006) Behavioural data as an adjunct to HIV surveillance data. Sexually transmitted infections. 82(1):57-62.
Gqola, P.D. (2005) Editorial: Yindaba kaban'u'ba ndilahl' umlenze?: sexuality and body image. Agenda: empowering women for gender equity. 63:3-9.
Henderson, J., Cloete, A. & Van Zyl, M. (2011) "We women are women with a different manner": sexual health of WSW in four Western Cape communities. (Commissioned by Triangle Project, December).
This research was initiated by Triangle Project and was funded by a grant from Schorer as part of the organisation's ongoing work to promote the sexual and reproductive health and rights of lesbian and bisexual women and other wsw. Triangle Project is an NGO situated in Cape Town and focuses on the rights and interests of the lesbian-gay-bisexual-transgendered-intersex (lgbti) community through...
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Johnson, L.F., Hallett, T.B., Rehle, T.M. & Dorrington, R.E. (2012) The effect of changes in condom usage and antiretroviral treatment coverage on human immunodeficiency virus incidence in South Africa: a model-based analysis. Journal of the Royal Society Interface. Online:January.
This study aims to assess trends in human immunodeficiency virus (HIV) incidence in South Africa, and to assess the extent to which prevention and treatment programmes have reduced HIV incidence. Two models of the South African HIV epidemic, the STI (sexually transmitted infection) HIV Interaction model and the ASSA2003 AIDS and Demographic model, were adapted. Both models were fitted to age-sp...
Johnson, L.F., Dorrington, R.E., Bradshaw, D., Pillay-Van Wyk, V. & Rehle, T.M. (2009) Sexual behaviour patterns in South Africa and their association with the spread of HIV: insights from a mathematical model. Demographic Research. 21:289-340.
This paper aims to quantify the effects of different types of sexual risk behaviour on the spread of HIV in South Africa. A mathematical model is developed to simulate changes in numbers of sexual partners, changes in marital status, changes in commercial sex activity, and changes in the frequency of unprotected sex over the life course. This is extended to allow for the transmission of HIV, an...
Jooste, S., Simbayi, L., Kalichman, S. & Cain, D. (2010) Heterosexual anal intercourse among community and clinical settings in Cape Town, South Africa. (Poster presented at the XVIII International AIDS Conference, July).
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Judge, M. & Sanger, N. (2011) She's my man: some reflections on female masculinities. (Paper presented to: Fashioning Masculinity: Programme of Traditions and Transformation, Medical Research Council, Cape Town, 16 August).
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Kalichman, S.C., Pinkerton, S.D., Carey, M.P., Cain, D., Mehlomakulu, V., Carey, K.B., Simbayi, L.C., Mwaba, K. & Harel, O. (2011) Heterosexual anal intercourse and HIV infection risks in the context of alcohol serving venues, Cape Town, South Africa. BMC Public Health. 11:Online.
The most efficient sexual behavior for HIV transmission is unprotected receptive anal intercourse. However, it is unclear what role heterosexual unprotected anal sex is playing in the worlds worst HIV epidemics of southern Africa. The objective is to examine the prevalence of heterosexual unprotected anal intercourse among men and women who drink at informal alcohol serving establishments (she...
Kalichman, S.C., Simbayi, L.C., Cain, D. & Jooste, S. (2009) Condom failure among men receiving sexually transmissible infection clinic services, Cape Town, South Africa. Sexual Health. 6(4):300-304.
Condoms offer the most realistic and available protection against sexually transmissible infections (STIs), including HIV infection. The protective benefits of condoms are, however compromised by breaks and tears. Condom failure was associated with sexual exchange, alcohol and other drug use, and higher rates of unprotected vaginal intercourse. Men with a history of condom failure were signi...
Kalichman, S.C. & Simbayi, L.C. (2009) Positive prevention: HIV risk reduction for people living with HIV/AIDS. In: Rohleder, P., Swartz, L., Kalichman, S.C. & Simbayi, L.C. (eds). HIV/AIDS in South Africa 25 years on: psychosocial perspectives. New York: Springer. 273-288.
This chapter discussed the rationale for positive prevention and define its parameters, namely what positive prevention is and what it is not. We also discuss the principles derived from the evidence-based literature that can be used to guide the adaptation of effective positive prevention interventions. Looking ahead to future positive prevention efforts in South Africa, we highlight why pos...
Kalichman, S.C., Simbayi, L., Jooste, S., Vermaak, R. & Cain, D. (2008) Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa. Addictive Behaviors. 33:1630-1633.
Alcohol is related to HIV risk behaviors in southern Africa and these behaviors are correlated with sensation seeking personality and alcohol outcome expectancies. Here we report for the first time the associations among sensation seeking, substance use, and sexual risks in a prospective study in Africa. Sexually transmitted infection clinic patients in Cape Town South Africa (157 men and 64 wo...
Kalichman, S.C., Simbayi, L.C., Cain, D. & Jooste, S.E. (2007) Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa. Addictive Behaviors. 32(10):2304-2310.
This study examined the differential patterns of alcohol outcome expectancies in relation to drinking before sex and having sex partners who drink before sex among men (N = 614) and women (N = 158) sexually transmitted infections clinic patients in Cape Town South Africa. Hierarchical regressions, controlling for age, education, and alcohol use showed that men's sexual enhancement alcohol expe...
Kalichman, S.C., Simbayi, L.C., Kaufman, M, Cain, D & Jooste, S. (2007) Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings. Prevention science: the official journal of the Society for Prevention Research. 8(2):141-151.
Alcohol consumption is associated with risks for sexually transmitted infections (STI), including HIV/AIDS. In this paper, we systematically review the literature on alcohol use and sexual risk behavior in southern Africa, the region of the world with the greatest HIV/AIDS burden. Studies show a consistent association between alcohol use and sexual risks for HIV infection. Among people who d...
Kalichman, S.C., Ntseane, D., Nthomang, K., Segwabe, M., Phorano, O. & Simbayi, L.C. (2007) Recent multiple sexual partners and HIV transmission risks among people living with HIV/AIDS in Botswana. Sexually Transmitted Infections. 83(5):371-375.
Kalichman, S.C., Simbayi, L.C., Cain, D, Cherry, C & Jooste, S.E. (2006) Coital bleeding and HIV risks among men and women in Cape Town, South Africa. Sexually transmitted diseases. 33(9):551-557.
South Africa has one of the world's fastest growing HIV epidemics. Genital bleeding during sexual intercourse may play a role in facilitating HIV transmission in South Africa. The purpose of this study was to examine the prevalence and sources of coital bleeding among men and women living in a Cape Town South Africa township.
Kalichman, S.C., Simbayi, L.C., Cain, D., Jooste, S., Skinner, D. & Cherry, C. (2006) Generalizing a model of health behaviour change and AIDS stigma for use with sexually transmitted infection clinic patients in Cape Town, South Africa. AIDS care. 18(3):178-182.
We tested the Information/Motivation/Behavioural Skills (IMB) model of AIDS preventive behaviour in South Africa. Prospective path analyses were performed on measures collected from 131 men and 60 women with sexually transmitted infections (STI) in Cape Town. Results showed that IMB constructs collected at baseline predicted risk reduction behaviour 3 months later. Risk reduction intentions w...
Kalichman, S.C., Simbayi, L.C., Jooste, S.E., Cain, D & Cherry, C (2006) Sensation seeking, alcohol use, and sexual behaviours among sexually transmitted infection clinic patients in Cape Town, South Africa. Psychology of addictive behaviors. 20(3):298-304.
Alcohol use is associated with risks for HIV/AIDS. The association between alcohol and sexual risk may be accounted for by sensation seeking personality. However, sensation seeking in relation to substance use and HIV risk has not been examined in Africa. In this study, 292 men and 219 women receiving sexually transmitted infection (STI) diagnostic and treatment services in Cape Town, South ...
Kalichman, S.C., Simbayi, L.C., Kaufman, M., Cain, D., Cherry, C., Jooste, S. & Mathiti, V. (2005) Gender attitudes, sexual violence, and HIV/AIDS risks among men and women in Cape Town, South Africa. The journal of sex research. 42(4):299-305.
Kalichman, S.C. & Simbayi, L.C. (2005) Sexual exposure to blood and behavioural risks among STI clinic patients in Cape Town, South Africa. Sexual health. 2:85-88.
Kalichman, S.C. & Simbayi, L.C. (2004) Sexual exposure to blood and increased risks for heterosexual HIV transmission in Cape Town, South Africa. African journal of reproductive health. 8:55-58.
Kaufman, M.R., Shefer, T., Crawford, M., Simbayi, L.C. & Kalichman, S.C. (2008) Gender attitudes, sexual power, HIV risk: a model for understanding HIV risk behavior of South African men. AIDS Care. 20(4):434-441.
The Gender Attitudes-Power-Risk (GAPR) model of HIV risk behavior was tested using survey data collected from among 309 men who were attending STI services in a primary health care clinic in Cape Town, South Africa. Results showed that negative attitudes towards women were significantly positively associated with a high level of HIV risk behavior, and that endorsement of traditional male roles ...
Kekana, Q., Banyini, M., Jooste, S., Simbayi, L. & Peltzer, K. (2011) Adaptation of an HIV behavioural disinhibition risk reduction intervention for recently circumcised South African men. Gender and Behaviour. 9(1):3479-3494.
South Africa urgently needs HIV behavioural disinhibition risk reduction interventions for recently circumcised men for use in clinic and community settings. A theory-based HIV behavioural disinhibition risk reduction counselling intervention has recently been adapted for use in a South African traditional and medical circumcision setting. The 3 hours behavioural disinhibition risk reduction...
Kiene, S.M., Simbayi, L.C., Abrams, A., Cloete, A., Tennen, H. & Fisher, J.D. (2008) High rates of unprotected sex occurring among HIV-positive individuals in a daily diary study in South Africa: the role of alcohol use. JAIDS - Journal of Acquired Immune Deficiency Syndromes. 49(2):219-226.
Objectives: The objectives of this study were to assess the prevalence of unprotected sex and to examine the association betweenalcohol consumption before sex and unprotected sex among HIVpositive individuals in Cape Town, South Africa.Methods: For 42 days, daily phone interviews assessed daily sexual behavior and alcohol consumption. Logistic and Poisson generalized estimating equation models ...
Knox, J., Sandfort, T., Yi, H., Reddy, V. & Maimane, S. (2011) Social vulnerability and HIV testing among South African men who have sex with men. International Journal of STD & AIDS. 22:709-713.
This study examined whether social vulnerability is associated with HIV testing among South African men who have sex with men (MSM). A community-based survey was conducted with 300 MSM in Pretoria in 2008. The sample was stratified by age, race and residential status. Social vulnerability was assessed using measures of demographic characteristics, psychosocial determinants and indicators of ...
Knox, J., Yi, H., Reddy, V., Maimane, S. & Sandfort, T. (2010) The fallacy of intimacy: sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa. Psychology, Health & Medicine. 15(6):660-671.
The objective of this study is to assess (1) whether beliefs about trust and condom use affect sexual risk behaviour, and (2) if beliefs about trust and condom use impact sexual risk behaviour directly or if this relationship is mediated by other determinants. The Information-Motivation-Behavioural Skills model was used as a framework for the mediation analysis. A diverse cohort of three hundre...
Leclerc-Madlala, S. (2008) Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability. AIDS. 22(4):S17-S25.
This paper reviews the current state of knowledge on age-disparate sexual relationships in the context of the southern African HIV/AIDS hyperepidemic. Disproportionately high HIV infection rates among young women aged 15-24 years have been attributed to their greater involvement in relationships with older-aged partners. Whereas early studies emphasized economic concerns in the context of pover...
Leclerc-Madlala, S. & Naidoo, D. (2008) Designing behavioural interventions: from planning to action. (Paper presented at the Capacity Building Workshop, Johannesburg, 24-26 November).
Leclerc-Madlala, S. (2008) Intergenerational/age-disparate sex and young women's vulnerability in southern Africa. (Paper presented at a Technical Meeting on Young Women in HIV Hyper-endemic Countries of Southern Africa, Muldersdrift, 18-19 June).
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Leclerc-Madlala, S. (2008) Sugar daddies' and HIV: is it really about money, money, money?. HSRC Review. 6(3):11-12.
Statistics on the HIV pandemic in southern Africa show that young women are much more likely to be HIV-positive than their male counterparts. In some places in Botswana, for example, HIV-rates in girls between the ages of 15 and 19 are nine times more than that of boys of the same age. Apart from the physiological reasons that make women more susceptible to HIV, scientists often blame sugar...
Louw, J., Peltzer, K. & Matseke, G. (2011) Prevalence of alcohol use and associated factors in pregnant antenatal care attendees in Mpumalanga, South Africa. Journal of Psychology in Africa. 21(4):567-572.
We sought to identify the prevalence of alcohol use and associated factors among pregnant women who were patients at antenatal primary care clinics in a South Africa health district. A cross-sectional study using systematic sampling was conducted among 1497 pregnant women (age range=18 to 47 years; mean age=26.6 years, SD=6.1; Black African=98%), with a mean gestational age of 6.5 months (SD=1....
Majaja, M. (2009) Intergenerational sex relationships: community views, feelings and response in South Africa. (Paper presented at the 5th SAHARA Conference, 3 December).
Makiwane, M. & Mokomane, Z. (2010) South Africa youths' higher-risk sexual behaviour: an eco-developmental analysis. African Journal of AIDS Research. 9(1):17-24.
Despite their high levels of knowledge about HIV and AIDS, young people ages 15-24 years in South Africa remain disproportionately affected by the epidemic. Young people's continued susceptibility to HIV infection has been consistently linked to intractable higher-risk sexual behaviours. This paper uses multivariate techniques and secondary data from two nationally representative surveys to ill...
Makiwane, M. (2010) Warum Teenager Kinder bekommen. Moneta: Zeitung fur Geld und Geist. 4:15.
Mankayi, N. (2011) Cultural understanding of sexuality among a group of male soldiers: social constructionist approach. (Paper presented at the 1st Global Conference: Femininity and Masculinity, 16 to 18 May 2011, Warsaw, Poland).
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Mankayi, N. & Naidoo, A.V. (2011) Masculinity and sexual practices in the military: a South African study. African Journal of AIDS Research. 10(1):43-50.
The military's organisational culture tends to condone or encourage risk-taking behaviour. Willingness to accept and engage in risk-taking behaviour is central to good soldiering and is strongly associated with readiness for combat. This core attribute of military culture might predispose soldiers to engage in other higher-risk behaviours, such as unprotected sex. Soldiers' working and living c...
Mankayi, N. (2011) On sex, violence & being macho in the army: male soldiers and sexual violence. HSRC Review. 9(1):28-29.
Nyameka Mankayi interviewed 14 male soldiers in the South African National Defence Force between the ages of 23 and 33, looking at how masculinity, sexuality and sexual violence is expressed in a military context. Articles flowing from these qualitative interviews appeared in two journals.
Mankayi, N. (2010) Male soldiers' constructions of masculinity, sexuality and sexual violence. Journal of Psychology in Africa. 20(4):591-600.
This article explores soldiers' constructions of masculinity, sexual practices and gender-based violence, in particular sexual violence towards women. Fourteen male soldiers in the South African National Defence Force between the ages of 23 and 33 years old participated. A discourse analysis was carried out on the individual interview transcripts. This analysis highlights the pervasiveness of c...
Mankayi, N. (2010) Masculinity, the body & power relations. (Paper presented at a seminar on Multicultural and Human Rights, for International students, University of Stellenbosch, 25 March).
Mankayi, N. (2010) Race and masculinities in the South African military. Scientia Militaria: South African Journal of Military Studies. 38(2):22-43.
Generally, the military and masculinity are confirmed as harmonious and mutual. For many countries, military service assumes the status of initiation into manhood. In South Africa, for example, in the past, young white men were legally obliged to do military service. This emphasises the importance of focusing on white masculinities within the South African military in this article. Strong paral...
Mashegoane, S., Moalusi, K.P., Ngoepe, M.A. & Peltzer, K. (2004) The prediction of condom use intention among South African university students. Psychological reports. 95:407-417.
Mathambo, V. (2007) The art of safe sex. HSRC Review. 5(3):3.
A small study exploring perceptions of risk, safe sex and the severity of HIV and AIDS showed that people on antiretroviral therapy (ART ) were less careful in practising safe sex. The study showed a need to communicate appropriate HIV-prevention messages to those on treatment, says study leader, VUYISWA MATHAMBO.
McGrath, N., Hosegood, V., Chirowodza, A., Joseph, P., Darbes, L., Boettiger, M. & Van Rooyen, H. (2010) Recruiting heterosexual couples from the general population for studies in rural South Africa - challenges and lessons (Project Accept, HPTN 043). South African Medical Journal. 100(10):658-660.
Couples should be included in HIV prevention research, but their recruitment in southern Africa is challenging given high levels of migration and non-cohabitation. We describe the recruitment strategies and experiences of a pilot study in rural South Africa. With the aim of recruiting 20 couples at mobile voluntary counselling and testing (VCT) caravans and community venues, 75 index partners w...
McLaughlin, C., Swartz, S., Kiragu, S., Walli, S. & Mohammed, M. (2012) Old enough to know: consulting children about sex and AIDS education in Africa. Cape Town: HSRC Press.
Mehlomakulu, V. (2008) Constructions of masculine sexuality, high risk sex and HIV/AIDS amongst young Xhosa men in South Africa. (Paper presented at the AIDS Conference, Mexico City, 3-8 August).
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Metcalf, C., Rispel, L., Cloete, A. & Reddy, V. (2009) "If you talk about a window period of two weeks, it is worse": HIV testing among men who have sex with men (MSM) in Johannesburg and Durban, South Africa. (Poster presentation at the 5th IAS Conference on HIV Pathogenesis, Treatment and Prevention, Cape Town, 19 - 22 July).
Background: The Johannesburg/eThekwini Men's Study (JEMS) was conducted to provide information on HIV among men who have sex with men (MSM) in Johannesburg and Durban, South Africa, in response to reports that MSM in South Africa are disproportionately at risk of HIV infection. The study also assessed the availability and use of health services for MSM. HIV testing services are widely available...
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Metcalf, C., Rispel, L., Cloete, A. & Reddy, V. (2009) "You become afraid to tell them that you are gay": availability and utilisation of health services by men who have sex with men (MSM) in the Johannesburg/eThekwini men's study. (Poster presentation at the 5th IAS Conference on HIV Pathogenesis, Treatment and Prevention, Cape Town, 19 - 22 July).
Background: The Johannesburg/eThekwini Men's Study (JEMS) was conducted to provide information on HIV among men who have sex with men (MSM) in two South African cities (Johannesburg and Durban) and to assess the availability of programmes and health services for MSM, in response to the stated commitments of the South African National Strategic Plan on HIV & AIDS and STIs, 2007-2011. Methods: ...
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Metcalf, C. & Rispel, L. (2009) Exposing a hidden HIV epidemic among men who have sex with men. HSRC Review. 7(2):4-5.
One of the first studies among men who have sex with men (MSM) found a 'hidden epidemic' of HIV among MSM in South Africa in keeping with findings in other countries with generalised HIV epidemics. The results also suggest that South Africa may be experiencing parallel heterosexual and homosexual HIV epidemics with limited bridging between the two. CAROL METCALF and LAETITIA RISPEL, who presen...
Mindry, D., Maman, S., Chirowodza, A., Muravha, T., Van Rooyen, H. & Coates, T. (2011) Looking to the future: South African men and women negotiating HIV risk and relationship intimacy. Culture, Health & Sexuality. 13(5):589-602.
This paper examines the approaches heterosexual men and women in South Africa use to engage their partners in discussions of HIV and risk factors in their relationships. These strategies entail balancing the risks of infection while managing the challenges of maintaining a relationship. In a context in which there is a great deal of insecurity in relationships it is especially challenging to di...
Mkhize, N., Bennett, J., Reddy, V. & Moletsane, R. (2010) The country we want to live in: hate crimes and homophobia in the lives of black lesbian South Africans. Cape Town: HSRC Press.
The country we want to live in: Hate crimes and homophobia in the lives of black lesbian South Africans offers a refreshing perspective on violence perpetrated against black lesbians. Based on a Roundtable seminar, held during the 2006 16 Days of Activism for no Violence against Women and Children, the text engages the heteronormative focus of the campaign, profiles aspects of the dynamic conve...
Morrell, R. & Richter, L. (2004) The fatherhood project: confronting issues of masculinity and sexuality. Agenda: empowering women for gender equity. 62:36-44.
The fatherhood project is a research and advocacy intervention. Its goals include promoting the concept of fatherhood, initiating debate about how fathers might relate better to their children and researching how South African men historically discharged and currently discharge the fatherhood role. Being a father is related to a man's sense of his masculinity. This article discusses some of ...
Munthree, C. (2008) Life transitions of young women and the influence of older sisters: adolescent sexual behavior and childbearing in South Africa. (Paper presented at the 1st Africa Conference of Young Staticians, Pretoria, 1-3 July).
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Mwaba, K., Simbayi, L.C. & Kalichman, S.C. (2008) Perceptions of high-risk sex among men and women attending an STI clinic in Cape Town, South Africa. Journal of Psychology in Africa. 18(4):621-624.
The widespread occurrence of sexually transmitted infections (STI's) among young adults in South Africa suggests that there is a need to increase safe sex practices among those who are sexually active. Given the high rate of HIV infection in the country, individuals who have contracted an STI may be at greatest risk of HIV. The present study sought to establish the perceptions of men and women ...
Naidoo, D. (2010) Book review: Reddy, V., Sandfort, T., Rispel, L. (eds). 2009. From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press. 252 pp. ISBN: 978-0-7969-2276-2. Sahara J: Journal of Social Aspects of HIV/AIDS. 7(2):85-86.
Ndinda, C., Uzodike, U.O., Chimbwete, C. & Mgeyana, M.T.M. (2011) Gendered perceptions of sexual behaviour in rural South Africa. International Journal of Family Medicine. April:Online.
This paper discusses sexual behaviour findings collected through eleven homogenous focus group discussions conducted among women and men in a predominantly Zulu population in rural KwaZulu-Natal, South Africa. The objective of this paper is to shed light on sexual behaviour in a rural community. The findings suggest that sex is a taboo subject and the discussion around it is concealed in the...
Ngubane, T., Van Rooyen, H., Richter, L. & Coates, T. (2008) Innovative mobilization strategies for attracting at risk youth and young adults to participate in community-based voluntary counselling and testing in rural Kwa-Zulu Natal, South Africa (Project Accept - HPTN 043). (Poster presented at the XVII International AIDS Conference, Mexico City, 3-8 August).
Onoya, D., Reddy, P., Ruiter, R., Sifunda, S., Wingood, G. & Van den Borne, B. (2011) Psychosocial correlates of condom use consistency among isixhosa-speaking women living with HIV in the western Cape province of South Africa. Journal of Health Psychology. June:Online.
Many HIV-positive South African women continue to have unprotected sex. The aim of this cross-sectional study was to assess correlates of condom use consistency among Xhosa-speaking HIV-positive women in South Africa. One hundred and twenty women were recruited from five primary care clinics and completed a questionnaire. Regression analyses indicated that assertive negotiation and self efficac...
Onoya, D., Reddy, P., Sifunda, S., Wingwood, G.M., Van den Borne, B. & Ruiter, R.A.C. (2010) Barriers to recruitment and retention of HIV negative black South African women into behavioural HIV prevention programs. (Poster presented at the 6th PHASA 2010 Conference, 29 November-1 December).
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Onoya, D., Reddy, P., Sifunda, S., Lang, D., Wingwood, G., Van den Borne, B. & Ruiter, R. (2010) Comparing STI risk and sexual behaviour profiles of pregnant versus non-pregnant, HIV negative black South African women. WebmedCentral Public Health. 1(11):Online.
Background: In South Africa more HIV prevention efforts are focused on HIV positive and particularly pregnant women compared HIV negative and non pregnant woman. The objective of this cross-sectional study was to compare the STI prevalence and sexual behaviours between HIV negative black women who attend HIV VCT services during antenatal care and their non pregnant counterparts. Methods: A ...
Parker, S. (2010) Risk group or group at risk. Lambert Academic Publishing.
Young adults are at growing risk of HIV/AIDS and other sexually transmitted diseases in South Africa. This study aimed to ascertain the general prevalence of risk behavior practices among younger members of the high school community in the greater Cape Town area. Behaviors were assessed along 3 areas of risk: alcohol use, narcotic use and sexual contact. The study consisted of 475 grades 8, 9 a...
Peltzer, K., Vallieres, E.F. & Tabane, C. (2011) HIV knowledge, risk perception and risk behaviour among male ex-offenders in Mpumalanga, South Africa. Gender and Behaviour. 9(2):3870-3885.
The aim of this study is to investigate HIV knowledge, beliefs and HIV risk behaviours among ex-offenders in Mpumalanga Province, South Africa. A sample of 85 male ex-offenders conveniently selected from an ex-offenders organization were interviewed with a structured and open-ended questionnaire. Results indicate good overall HIV knowledge but also significant misconceptions such as 45.9% belie...
Peltzer, K., Simbayi, L., Banyini, M. & Kekana, Q. (2011) HIV risk reduction intervention among medically circumcised young men in South Africa: a randomized controlled trial. International Journal of Behavioral Medicine. June:Online.
Medical male circumcision (MMC) is now considered one of the best available evidence-based biomedical HIV prevention interventions. However, there is some concern about risks for behavioural disinhibition, or risk compensation, following MMC. The aim of this study was to test a brief one-session (180 min) group culturally tailored HIV risk reduction counselling intervention among men undergoing...
Peltzer, K., Simbayi, L., Banyini, M. & Kekana, Q. (2011) HIV risk reduction intervention among traditionally circumcised young men in South Africa: a cluster randomized control trial. Journal of the Association of Nurses in AIDS Care. March:Online.
The aim of this study was to test a 180-minute group HIV risk-reduction counseling intervention trial with men undergoing traditional circumcision in South Africa to reduce behavioral disinhibition (false security) as a result of the procedure. A cluster randomized controlled trial design was employed using a sample of 160 men, 80 in the experimental group and 80 in the control group. Compariso...
Peltzer, K. & Pengpid, S. (2011) Prevalence and social correlates of sexual intercourse among school-going adolescents in Thailand. The Scientific World Journal. 11:1812-1820.
Adolescent sexuality is a relevant public health issue, as it affects risk to contract HIV and other sexually transmitted infections. The assessment of prevalence of sexual intercourse among adolescents may guide policies and programmes aimed at reducing the transmission of sexually transmitted infections among this age group. Using data from the Thailand Global School-Based Student Health Sur...
Peltzer, K., Shikwane, E. & Matseke, G. (2011) Psychological distress and associated factors among a sample of pregnant women in South Africa. Journal of Psychology in Africa. 21(3):495-500.
We sought to identify the prevalence of psychological distress and associated factors among pregnant women who were patients at antenatal primary care clinics in a South Africa district. A cross-sectional study using systematic sampling was conducted among 1497 pregnant women (age range=18 to 47 years; mean age=26.6 years, SD=6.1; Black African=98%), with a mean gestational age of 6.5 months (S...
Peltzer, K., Simbayi, L., Banyini, M. & Kekana, Q. (2011) Safe snipping: medical vs traditional circumcision: changing risky sexual habits. HSRC Review. 9(3):18-19.
It is now indisputable that male circumcision performed in a medical facility protects against HIV. But there is also evidence that the protective benefits of male circumcision are undermined by 'risk compensation', or a lack of restraint when it comes to sexual behaviour. KARL PELTZER, LEICKNESS SIMBAYI, MERCY BANYINI and QUEEN KEKANA undertook two studies - among the first of their kind - to ...
Peltzer, K. (2011) Sexual dissatisfaction and associated factors in a sample of patients on antiretroviral treatment in KwaZulu-Natal, South Africa. South African Journal of Psychiatry. 17(3):2-7.
Sexual expression affects physical, mental and social well-being. There is a lack of understanding on sexual dissatisfaction among patients on antiretroviral treatment in Africa. Using systematic sampling, HIV-positive patients were selected from outpatient departments from three hospitals before commencing antiretroviral therapy (ART), followed up for 20 months (N=495) and interviewed with a q...
Peltzer, K. (2010) Early sexual debut and associated factors among in-school adolescents in eight African countries. Acta Paediatrica. 99:1242-1247.
Objective: This report examines early sexual debut (
Peltzer, K. (2010) Early sexual debut and associated factors among in-school adolescents in eight African countries. (Paper presented at the XXth Congress of the International Association for Cross-Cultural Psychology (IACCP), Melbourne, 7-10 July).
Peltzer, K. (2010) Health behaviour interventions in developing countries. (Paper presented at ICAP, Melbourne).
Peltzer, K., Tabane, C., Matseke, G. & Simbayi, L. (2010) Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa*. Evaluation and Program Planning. 33:379-385.
Objective: To evaluate the feasibility, fidelity, and effect of a human immunodeficiency virus (HIV) risk reduction intervention delivered to HIV-infected patients by lay counsellors during routine HIV counselling and testing (HCT) public service in Mpumalanga, South Africa. Methods: A total of 488 HIV infected patients, aged 18 years and older, receiving HCT service at clinics in Mpumalanga, r...
Peltzer, K., Tabane, C., Matseke, G. & Simbayi, L. (2010) Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa. (Paper presented at the 27th International Congress of Applied Psychology (ICAP), Melbourne, 11-16 July).
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Peltzer, K. & Ramlagan, S. (2010) Safer sexual behaviours after 1 year of antiretroviral treatment in KwaZulu-Natal, South Africa: a prospective cohort study. Sexual Health. 7:135-141.
Abstract. Background: As antiretroviral treatment (ART) becomes more widely available in low and middle income countries, the relationship between treatment and sexual risk behaviour in these countries has also become more important. Methods: This is a prospective study of all treatment-naive patients (n = 735) recruited from all three public hospitals in Uthukela health district in KwaZulu-Nat...
Peltzer, K., Phaswana-Mafuya, N., Mzolo, T., Tabane, C. & Zuma, K. (2010) Sexual behaviour, HIV status, and HIV risk among older South Africans. Studies on Ethno-medicine. 4(3):163-172.
The aim of this study was to conduct a secondary analysis on sexual behaviour, HIV status and HIV risk and co-morbidity among older South Africans using the South African 2005 HIV prevalence and behaviour survey. A multistage probability nationally representative sample involving 3795 male and female respondents, aged 50 years or older was selected. About 41.1% had been sexually active in the ...
Peltzer, K., Promtussananon, S. & Mashego, T-A.B. (2010) Youth sexuality in the context of HIV/AIDS in South Africa. In: Libshitz, M. (ed). Domestic violence and its reverberations. New York: Nova Science Publishers. 113-197.
The vast majority of non-biomedical research on HIV/AIDS has been behavioural research, usually by survey methods, counting people's sex acts, partners, preferences, places times and reasons for sex, and assessing levels of risk for HIV infection, revealing the dominance of seeing sex largely as behaviours. The notion of behaviours denudes sex of all meaning and pleasure. It neglects how mean...
Peltzer, K., Promtussananon, S. & Mashego, T-A.B. (2010) Youth sexuality in the context of HIV/AIDS in South Africa. In: Kendow, L.B. (ed). AIDS vaccines, HIV receptors, and AIDS research. New York: Nova Science Publishers. 153-239.
Peltzer, K., Nqeketo, A., Petros, G. & Kanta, X. (2008) Attitudes of preinitiates towards traditional male circumcision in the context of HIV in the Eastern Cape, South Africa. Social Behavior and Personality. 36(8):1023-1034.
The aim of this study was to assess attitudes of preinitiates towards traditional Male Circumcision (MC) in the context of HIV. The sample included 350 Xhosa preinitiates recruited from 3 different recruitment sites during the preparation prior to MC in the Eastern Cape province. Results indicated that: 10% were to be circumcised before their sexual debut and reported a great deal of sexual ri...
Peltzer, K. (2006) Sexuality among adolescents in rural and urban South Africa. South African review of sociology. 37(2):189-199.
The aim of this article is to better understand the sexuality and social change of adolescents in the context of HIV/AIDS in South Africa. By better linking HIV prevention to research on human sexuality and social change it should prove possible to advance the effectiveness of HIV/AIDS prevention efforts.
Peltzer, K. & Pengpid, S. (2006) Sexuality of 16- to 17- year-old South Africans in the contexts of HIV/AIDS. Social behavior and personality. 34(3):239-256.
The aim of this study was to better understand the sexuality of youth in the context of HIV/AIDS in South Africa. Participants (400 male and 400 female 16- and 17- year-olds) 400 were from rural and 400 from urban areas, and almost all were of African descent. Results indicate that two-thirds of the girls and more than half of the boys had had sexual intercourse and had petted. Almost half of t...
Peltzer, K. & Promtussananon, S. (2005) HIV/AIDS knowledge and sexual behavior among junior secondary school students in South Africa. Journal of social sciences. 1(1):1-8.
Peltzer, K. (2005) Sexuality of black South African university students in the context of HIV/AIDS. Journal of psychology in Africa. 15(1):17-24.
Peltzer, K. & Seoka, P. (2004) Evaluation of HIV/AIDS prevention intervention messages on a rural sample of South African youth's knowledge, attitudes, beliefs and behaviours over a period of 15 months. Journal of child and adolescent mental health. 16(2):93-102.
The aim of this study is to evaluate HIV/AIDS prevention intervention messages in a large rural youth population (15-24 years) in South Africa over a period of 15 months. A representative community sample of 421 youth at time one and 416 at time two participated in the study using a three-stage cluster sampling method for a household survey. Results show that over a period of 15 months sexual...
Peterman, T.A., Tian, L.H., Warner, L., Satterwhite, C.L., Metcalf, C.A., Malotte, K.C., Paul, S.M., Douglas, J.M. & Respect -2 Study Group, (2009) Condom use in the year following a sexually transmitted disease clinic visit. International Journal of STD & AIDS. 20:9-13.
Consistent condom use can prevent sexually transmitted infections (STIs), but few studies have measured how the prevalence of consistent use changes over time. We measured the prevalence and correlates of consistent condom use over the course of a year. We did a secondary analysis of data from an HIV prevention trial in three sexually transmitted disease clinics. We assessed condom use durin...
Peterman, T.A., Tian, L.H., Metcalf, C.A., Malotte, C.K., Paul, S.M. & Douglas, J.M. (2009) Persistent, undetected Trichomonas vaginalis infections?. Clinical Infectious Diseases. 48:259-260.
In a recent large, randomized, controlled trial , 64 participants received a diagnosis of infection with Neisseria gonorrhoeae, Chlamydia trachomatis, or Trichomonas vaginalis during intervals in which they reported not having sex. We considered the problems that might lead to this paradoxical situation, including errors in laboratory testing and patient reporting and treatment failure. Our ...
Peterman, T.A., Tian, L.H., Metcalf, C.A., Malotte, C.K., Paul, S.M. & Douglas, J.M. (2007) Sexually transmitted infections among persons who did not have sex: possible sources of error in a controlled trial. (Paper presented at the 17th International Society for Sexually Transmitted Disease Research (ISSTDR) Meeting, Seattle, Washington, USA, 27 July - 1 August).
Petersen, I., Bhana, A. & McKay, M. (2005) Sexual violence and youth in South Africa: the need for community-based prevention interventions. Child abuse & neglect. 29(11):1233-1248.
South Africa is reported to have one of the highest rates of sexual violence in the world, with adolescent girls between the ages of 12 and 17 being particularly at risk. Given that adolescence is considered a critical developmental period for establishing normative sexual behavior, this study explored multiple levels of risk influences that render adolescent girls vulnerable to becoming victim...
Phaswana-Mafuya, N., Hoosain, E.Y., Davids, A., Chirinda, W., Swana, Z., Mlambo, G., Guquka, L. & Rogers, S.J. (2012) Community dialogues as a method to discuss and reduce multiple concurrent partnerships in Lesotho: executive summary. (Commissioned by USAID and C-Change, January).
HIV prevalence among adults ages 15-9 in Lesotho was estimated at 23.2 percent in 2008, the third highest in the world. That year, an estimated 270,000 people were living with HIV in the country, and 60 died each day from AIDS complications. The practice of concurrent sexual partnerships or 'concurrency' (UNAIDS 2009) is considered to be linked to between 32 percent and 59 percent of all new HI...
Phaswana-Mafuya, N., Hoosain, E., Davids, A., Chirinda, W., Swana, Z., Mlambo, G., Guquka, L. & Rogers, S. (2012) Mid-term qualitative assessment of participants' experiences and perceptions of community dialogues as a way to discuss and affect concurrent sexual partnership practices in Lesotho: an executive summary. (Commissioned by USAID, March).
The HIV prevalence rate among adults aged 15-49 in Lesotho was estimated at 23.2% in 2008 (Khobotle et al, 2009), making it the third highest in the world. It is estimated that there are around 270,000 people living with HIV/AIDS in the country, with 60 people dying every day from AIDS complications. Evidence suggests that Multiple Concurrent Partnerships (MCP) constitute a significant driver ...
Phaswana-Mafuya, N., Peltzer, K. & Davids, A. (2009) Intimate partner violence and HIV risk among women in primary health care delivery services in a South African setting. Journal of Psychology in Africa. 19(3):379-386.
The aim of this study is to investigate intimate partner violence and HIV risk among antenatal care attendees at primary health care facilities in a South African setting.
Phaswana-Mafuya, N. (2009) MCP as a driver of HIV epidemic. (Paper presented at the MCP (Multiple Concurrent Sexual Partnerships) workshop at the SAHARA Conference, Johannesburg, 30 November to 3 December).
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Pillay, V., Phaswana-Mafuya, N., van Wyk, B.E., Simbayi, L. & Rehle, T. (2006) National household survey 2005: HIV prevalence and risky sexual behavior among South African youth. (Paper presented at the 15th Meeting of the Australasian Epidemiological Association, Melbourne).
Potgieter, C. & Reddy, V. (2009) Contesting the "private" and "public": the representation of sex, politics and culture in the event(s) of the Jacob Zuma versus Kwezi rape trial in South Africa. In: Festic, F. (ed). Betraying the event: constructions of victimhood in comtemporary cultures. Newcastle upon Tyne: Cambridge Scholars. 87-116.
The chapter provides a perspective on the meanings of the Jacob Zuma versus Kwezi Rape Trial in South Africa. The chapter looks at the various meanings of "private" versus "public" by close reading the events surrounding the trial, both in relation to the legal proceedings within the court and the public protests outside the courtroom. The chapter offers a close reading of the judgment not in a...
Potgieter, C. (2006) The imagined future for gays and lesbians in South Africa: is this it?. Agenda: empowering women for gender equity. 67:4-8.
Potgieter, C. (2006) Masculine bodies, feminine symbols: challenging gendered identities or compulsory femininity?. Agenda: empowering women for gender equity. 67:116-127.
Potgieter, C. & Khan, G. (2005) Sexual self-esteem and body image of South African spinal cord injured adolescents. Sexuality and disability. 23 (1):1-20.
Potgieter, C.A. (2005) Sexualities? hey, this is what black, South African lesbians have to say about relationships with men, the family, heterosexual women and culture. In Performing queer: shaping sexualities 1994-2004. (Social identities South Africa series). Van Zyl, M. & Steyn, M. (eds). Roggebaai: Kwela Books. 177-192.
Reddy, V. (2011) Corrective rape: the plight of black lesbians as victims and survivors of sexual violence. (Paper presented to the National Department of Social Development, 5 August).
Reddy, V. (2011) Corrective rape: the plight of black lesbians as victims and survivors of sexual violence. (Paper presented at the 4th Sexual Offences Indaba, National Prosecuting Authority, 5 July).
Reddy, V. (2011) Raising visibility of lesbian, bisexual and other women who have sex with women (WSW) in relation to HIV and AIDS in southern Africa: a cross-country project addressing health and community-building for advocacy. (Paper presented at the 5th SA AIDS Conference, Durban, 8 June).
Reddy, V. & Sandfort, T.G.M. (2011) Securing the voice of African men who have sex with men (MSM) within HIV & AIDS development policy and programming in eastern and southern Africa: country level reports. (Submitted to the United Nations Development Programme/United Nations Joint Programme on AIDS).
The study provides information about male same-sex sexuality for different countries in eastern and southern Africa.
Reddy, V. (2010) Identity, law, justice: thinking about sexual rights and citizenship in post-apartheid South Africa. Perspectives: Political Analysis and Commentary from Africa. 4:18-23.
South Africa's hard won gains are notable and has received global acclamation. However, on closer inspection, a more nuanced picture is evident. The translation of law into tangible and accessible justice for homosexuals indicates that dignity, equality, and respect are a struggle still being waged. At the receiving end of homophobia and bigotry are black women in particular, confirming that m...
Reddy, V. & Sandfort, T. (2009) Barriers to HIV/AIDS prevention, care, and treatment for men who have sex with men. In: Marlink, R.G. & Teitelman, S.J. (eds). From the ground up: building comprehensive HIV/AIDS care programs in resource-limited settings. Washington, DC: Elizabeth Glaser Pediatric AIDS Foundation. 413-420.
The chapter focuses on barriers addressing prevention, care, treatment for MSM. Structured around the terminology in current use, the chapter explicates key conceptual issues (sex, sexuality, disease and category formations), thereafter proceeding to research on MSM in sub-Saharan Africa that identifies the barriers in question, after which a perspective is offered on prevalence of HIV infecti...
Reddy, V. (2009) Queer marriage: sexualising citizenship and the development of freedoms in South Africa. In: Steyn, M. & Van Zyl, M. (eds). The prize and the price: shaping sexualities in South Africa. Cape Town: HSRC Press. 341-363.
The chapter offers a queer theoretical reading and analysis of same-sex marriage in South Africa. The core argument situates marriage in terms of the unfolding jurisprudence that decriminalized same-sex sexuality in South Africa, and outlines meanings of same-sex marriage in the broader national debate about identity, sexuality, gender in a human rights context. The conclusions highlight the re...
Reddy, V. & Cakata, Z. (2008) Marriage, citizenship and contested meanings. In: Judge, M., Manion, A. & De Waal, S. (eds). To have & to hold: the making of same-sex marriage in South Africa. Johannesburg: Fanele. 274-277.
The chapter explores the contested meanings of same-sex marriage in the broader national debate about identity, sexuality, gender in a human rights context. The chapter highlights the gendered dimension of marriage in relation to same-sex marriage and the legal, social and political meanings that accrue within this debate.
Reddy, V. & Sandfort, T. (2008) Researching MSM in South Africa: some preliminary notes from the frontlines of a hidden epidemic. Feminist Africa. 11:29-54.
This article outlines some views on researching MSM (men who have sex with men) in South Africa based, in part, on insights gleaned from a recent working conference on gender, same-sex sexuality and HIV/AIDS in South Africa. The core concern is understanding what research processes should consider in future MSM research in relation to community knowledge, community participation and the desig...
Reddy, V. (2006) Editorial. Agenda: empowering women for gender equity. 67:2.
Rehle, T., Shisana, O., Pillay, V., Zuma, K., Puren, A. & Parker, W. (2007) National HIV incidence measures - new insights into the South African epidemic. South African medical journal. 97(3):194-199.
Currently South Africa does not have national HIV incidence data based on laboratory testing of blood specimens. The 2005 South African National household survey was analysed to generate national incidence estimates stratifies by age, sex, race, province and locality type, to compare the HIV incidence and HIV prevalence profiles by sex, and to examine the relationship between HIV prevalence, H...
Rispel, L. & Metcalf, C. (2009) Are South African HIV policies and programmes meeting the needs of same-sex practising individuals?. In: Reddy, V., Sandfort, T. & Rispel, L. (eds). From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press.
This chapter provides an assessment of how well existing HIV policies and programmes meet the need of same-sex practising individuals and is based primarily on a review of relevant literature. For the purposes of this chapter, same-sex practising individuals include lesbians, and /or women who have sexual relations with women, gay men and/or MSN; bisexuals; and transgendered individuals.
Rispel, L., Cloete, A., Metcalf, C. & Moody, K. (2009) Exploring coping strategies and life choices made by HIV-discordant couples in long-term relationships: insights from South Africa, Tanzania and the Ukraine: full report. (Funded by the World Health Organisation, via the Global Network of People Living with HIV/AIDS (GNP+), June).
Globally, HIV prevention and treatment programmes have tended to focus on individuals and HIV prevention programmes have focused mostly on HIV-negative individuals. In recent years, an increasing number of HIV prevention programmes have been established that target HIV-positive individuals to prevent them from becoming re-infected with additional HIV strains, and to prevent HIV transmission to ...
Rispel, L., Metcalf, C., Cloete, A., Reddy, V., Townsend, L. & Zembe, Y. (2009) A hidden HIV epidemic among men who have sex with men (MSM)?: preliminary findings from the Johannesburg/eThekwini Men's Study (JEMS). (Paper presented at the 4th SA AIDS Conference, Durban, 31 March to 3 April).
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Rispel, L., Metcalf, C., Cloete, A. & Reddy, V. (2009) HIV, transactional sex & experiences of sexual coercion among men who have sex with men (MSM) in the Johannesburg/eThekwini Men's Study (JEMS). (Paper presented to the Public Health Association of South Africa (PHASA), Durban, KwaZulu-Natal, 30 November to 2 December).
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Rispel, L., Metcalf, C., Cloete, A., Reddy, V., Townsend, L. & Zembe, Y. (2009) The Johannesburg/eThewkini Men's Study (JEMS): a rapid assessment of the HIV epidemic among men who have sex with men (MSM) in South Africa: technical report. (Commissioned by the United Kingdom Department for International Development (DFID), February).
Because of the highly confidential status of this report no abstract is available.
Rispel, L., Metcalf, C., Cloete, A., Townsend, L. & Zembe, Y. (2008) Methodological and ethical challenges in conducting behavioural and HIV surveillance among men who have sex with men (MSM) in South Africa: lessons learned and future pointers. (Paper presented on 31 October).
Rispel, L., Metcalf, C., Cloete, A., Townsend, L. & Zembe, Y. (2008) Methodological and ethical challenges in conducting behavioural and HIV surveillance among men who have sex with men (MSM) in South Africa. (Paper presented at NICD epi-discussion forum, 9 September).
Rispel, L.C., Metcalf, C.A., Cloete, A., Reddy, V. & Lombard, C. (2011) HIV prevalence and risk practices among men who have sex with men in two South African cities. JAIDS - Journal of Acquired Immune Deficiency Syndromes. 57(1):69-76.
Background: In South Africa, information on HIV among men who have sex with men (MSM) is limited, and HIV prevention programs for men MSM are not widely available, despite global evidence that MSM are at substantial risk for HIV infection. The Johannesburg/eThekwini Men's Study was conducted during 2008 to provide information on HIV among MSM in Johannesburg and Durban. Methods: MSM aged 18 y...
Rispel, L.C., Metcalf, C.A., Moody, K., Cloete, A. & Caswell, G. (2011) Sexual relations and childbearing decisions of HIV-discordant couples: an exploratory study in South Africa and Tanzania. Reproductive Health Matters. 19(37):184-193.
This article reports on the influence of HIV on sexual relations and childbearing decisions of 36 HIV-discordant couples, 26 in South Africa and 10 in Tanzania, recruited into an exploratory study through hospital antiretroviral treatment clinics and civil society organisations working with people living with HIV. Self-administered questionnaires were used to obtain social and demographic infor...
Rispel, L.C., Metcalf, C.A., Cloete, A., Moorman, J. & Reddy, V. (2011) You became afraid to tell them that you are gay: health service utilization by men who have sex with men in South African cities. Journal of Public Health Policy. 32(S1):S137-S151.
We describe the utilization of health services by men who have sex with men (MSM) in South African cities, their perceptions of available health services, and their service preferences. We triangulated data from 32 key informant interviews (KIIs), 18 focus group discussions (FGDs) with MSM in four cities, and a survey of 285 MSM in two cities, recruited through respondentdriven sampling in 200...
Roberts, B. & Reddy, V. (2008) Pride and prejudice: public attitudes toward homosexuality. HSRC Review. 6(4):9-11.
South Africa is characterised by the co-existence of progressive legislation upholding the rights of lesbians and gay men, and discrimination and violent hate crimes perpetrated against them. By analysing attitudes to homosexual behaviour over the last five years, derived from the South African Social Attitudes Survey (SASAS), the authors provide evidence on the changing direction and intensity...
Rule, S.P. (2004) Moral geographies in the post-apartheid era: attitudinal variations in relation to abortion, same sex sexual relationships and capital punishment. (30th Congress of the International Geographical Union from 15 - 20 August 2004 in Glasgow, United Kingdom).
Sandfort, T., Reddy, V. & Rispel, L. (2009) Taking research and prevention forward. In: Reddy, V., Sandfort, T. & Rispel, L. (eds). From social silence to social science: same-sex sexuality, HIV & AIDS and gender in South Africa: conference proceedings. Cape Town: HSRC Press. 228-241.
In this conclusion the authors briefly summarise what is known about same-sex sexuality in the South African HIV/AIDS epidemic. Based on the perspectives contained in the various chapters, they outline what the next steps should be and address ethical aspects and issues of relevance.
Sandfort, T.G.M., Nel, J., Rich, E., Reddy, V. & Yi, H. (2008) HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey. Sexually Transmitted Infections. 84:425-429.
Objective: To investigate the characteristics of South African men who have sex with men (MSM) who (1) have been tested for HIV and (2) are HIV positive. Methods: Data were collected from 1045 MSM in community surveys using questionnaires that were administered either face-to-face, by mail or on the internet. The mean age of the men was 29.9 years. The race distribution was 35.3% black, 17.0%...
Sanger, N. (2010) 'The real problems need to be fixed first': public discourses on sexuality and gender in South Africa. Agenda: Empowering Women for Gender Equity. 83:114-125.
An underlying premise of a 'democracy' is that a sense of well-being exists for the individuals who make up that democracy. In South Africa the more popular meaning of a developing democracy is a Constitution that protects people from discrimination on the basis of, among other factors, race, gender, sexual orientation, disability, class and religion. Despite this progressive Constitution, t...
Sanger, N. (2010) Women's rights and lesbian rights. Perspectives: Political Analysis and Commentary from Africa. 4:24-28.
A belief among some is that the South African women's movement is fragmented and weak. Gouws notes for instance that a demobilised women's movement cannot hold the state to account, or enforce a feminist-centred discourse into state politics. This article, while not focused on engaging the state, explores the dynamics of this 'fragmented' women's movement; the 'politics' and philosophies that ...
Sanger, N. (2009) New women, old messages?: constructions of femininities, race and hypersexualised bodies in selected South African magazines, 2003-2006. Social Dynamics. 35(1):137-148.
This article discusses the ways in which racialised femininities are differently presented as hyper(hetero)sexual in three South African magazines targeting female readers - Femina, Fair Lady and True Love - between 2003 and 2006. I argue that the bodily work women are expected to perform is determined by constructs of race, where women are advised to regulate and control their physical bodie...
Sanger, N. (2009) Xenophobic attitudes, gender and sexuality. HSRC Review. 7(2):24-25.
'Foreigners are stealing our women', was one of the justifications provided for the xenophobic attacks on foreigners in South Africa last year. A small pilot study revealed strong xenophobic hostility towards foreigners and uncovered disturbing patterns in male thinking about gender and human rights. Nadia Sanger reports.
Sanger, N. (2008) 'There's got to be a man in there': reading intersections between gender, race and sexuality in South African magazines. African Identities. 6(3):275-291.
The aim of this article is to interrogate the ways that compulsory heteropatriarchy establishes women's representation as hyper(hetero)sexual in a select group of South African mainstream magazines. In men's magazines targeting both black and white male readers, women are depicted as objects for an unnamed and unmarked, but clearly, masculine audience. In contrast, women's magazines with a dom...
Sanger, N. (2007) Scripts of Western heteronormativity: South African 'lifestyle' magazines and (hetero) socialization. Sexuality in Africa. 4(2):Online.
The focus of this article is how western notions of heterosexual femininities and masculinities are represented as normative in South African editions of magazines such as True Love, Femina, Fair Lady, Men's Health, Blink and For Him Magazine. Through constant reiteration, magazines play a critical and influential rile in defining a particular kind of heterosexuality as the only acceptable sex...
Sanger, N. (2006) Feminist intellectual activism: within and beyond the academy: constructions of 'whiteness', gender and sexuality in South African magazines.
This presentation aims to explore the ways in which whiteness, gender and sexuality are represented through a select group of South African magazines. By looking at magazines such as Men?s Health, GQ, FHM, True Love, Femina and Fair Lady, I intend to explore how these magazines as a medium of communication construct whiteness, gender and sexuality to their imagined readerships constituted of va...
Sanger, N. & Clowes, L. (2006) Marginalised and demonised: lesbians and equality - perceptions of people in a local Western Cape community. Agenda: empowering women for gender equity. 67(2/3):36-47.
Sanger, N. (2005) Constructions of whiteness, gender, class and sexuality in South African English-medius men's and women's magazines. (Paper presented at the Feminist Intellectual Activism: Within and Beyond the Academy Conference, University of the Western Cape, 14-16 September).
Satterwhite, C.L., Lamb, M.L., Metcalf, C., Douglas, J.M., Malotte, C.K., Paul, S. & Peterman, T.A. (2007) Changes in sexual behavior and STD prevalence among heterosexual STD clinic attendees: 1993-1995 versus 1999-2000. Sexually Transmitted Diseases. 34(10):815-819.
Sethosa, E. & Peltzer, K. (2005) Evaluation of HIV counselling and testing, self-disclosure, social support and sexual behaviour change among a rural sample of HIV reactive patients in South Africa. Curationis. 28(1):29-41.
The aim of this study was to evaluate HIV counselling and testing, self-disclosure, social support and sexual behaviour change among HIV reactive patients among a rural sample of HIV reactive patients in South Africa. The sample consisted at the post-test counselling exit interview of 55 participants (41 women and 14 men) who tested HIV-positive conveniently selected from a rural hospital and a...
Setswe, G. (2009) Behavior change theories and models. (Paper presented at the SBI Workshop, 29 March).
Setswe, G. (2009) Evidence that behavioural interventions work. (Paper presented at the SBI Workshop, Durban, 31 March).
Setswe, G. (2009) Review of behavioural interventions and strategies for changing HIV-related behaviours. (Paper presented at the SBI Workshop, 29 March).
Setswe, G., Johannes, M. & Kgoroeadira, M. (2009) Role of parents in supporting youth who participate in abstinence and be faithful (AB) interventions in South Africa. Gender and Behaviour. 7(1):2212-2230.
Most programs intended to prevent or reduce HIV/AIDS have focused on "safer sex" and the use of condoms, both in South Africa and many other countries affected by the HIV/AIDS epidemic. The use of condoms and other contraceptives have also been central to many campaigns to reduce unwanted pregnancies, particularly among teenage girls. However, some parents, conservatives and religious critics o...
Setswe, G., Nkomo, N., Friedman, I., Magezi, V., Nyuswa, M. & Majola, N. (2009) Strategies for dealing with problems faced by men participating in men's empowerment project in Umkhanyakude, South Africa. Gender and Behaviour. 7(1):2197-2211.
South Africa has amongst the world's highest levels of sexual and domestic violence and an interrelated HIV/AIDS epidemic driven in significant part by gender roles that encourage men to equate manhood with dominance over women, sexual conquest and a range of risky behaviours. Women's greater vulnerability to HIV/AIDS is in part explained by the very high levels of sexual and domestic violence...
Setswe, G. (2008) Behavior change theories and models. (Paper presented at the SBI Workshop, 24 November).
Setswe, G. (2008) Evidence that behavioural interventions work. (Paper presented at the SBI Workshop, 26 November).
Setswe, G. (2008) Theoretical basis for behavioural interventions and strategies to change HIV-related behaviours. (Paper presented at SBI Workshop, 24 November).
Setswe, G. (2008) Why is MCP important in HIV prevention?. (Paper presented at the UNAIDS Consultation on MCP Campaigns and Communications Towards a Coordinated Regional Response, Soul City, 17 September).
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Setswe, G. (2007) Program for abstinence, faithfulness and the reduction of harmful sexual behaviors for youth and other groups (ABY) in South Africa: results of a baseline evaluation. (Commissioned by HOPE Worldwide, January).
The goal of the abstinence and be faithful among youth (ABY) project at Hope Worldwide was to enhance local responses to HIV and AIDS among youth in South Africa and to prevent HIV infection through encouraging abstinence, faithfulness and avoidance of unhealthy sexual behaviors affecting youth. The goal of the evaluation survey was to obtain baseline levels of awareness, knowledge, attitud...
Setswe, K.G. & Zuma, K. (2011) Abstinence among SA youth: is there buy-in?. HSRC Review. 9(1):13-14.
The goals of the five-year Abstinence and Be Faithful Among Youth (ABY) project were to bolster abstinence, faithfulness and the avoidance of unhealthy sexual behaviour among youths. KEITSHEPILE GEOFFREY SETSWE and KHANGELANI ZUMA conducted a quantitative baseline evaluation of the ABY project in five South African cities, with data collected from 1 620 respondents just before the ABY intervent...
Setswe, K.G. & Zuma, K. (2010) Young South Africans' views on, and perceptions of, abstinence and faithfulness. Health SA Gesondheid. 15(1):Online.
The goals of the Abstinence and Be Faithful Among Youth (ABY) project were to enhance local responses among the youth in South Africa to prevent HIV infection through encouraging abstinence, faithfulness and avoidance of unhealthy sexual behaviour among youths over a five-year period. A quantitative baseline evaluation of the ABY project was conducted in five cities in South Africa. Data were c...
Shefer, T., Crawford, M., Strebel, A., Simbayi, L.C., Dwadwa-Henda, N., Cloete, A., Kaufman, M.R. & Kalichman, S.C. (2008) Gender, power and resistance to change among two communities in the Western Cape, South Africa. Feminism & Psychology. 18(2):157-182.
This study investigates how women and men in the Western Cape, South Africa, construct their gender identities and roles. As part of the development of an HIV prevention intervention for men, key informant interviews and focus group discussions were conducted. Several themes regarding the construction of gender were identified. First, participants reported that traditional gender relations o...
Shefer, T. & Potgieter, C. (2006) Sexualities. In The gender of psychology. Shefer, T., Boonzaier, F. & Kiguwa, P. (eds). Lansdowne: UCT Press. 103-120.
Shisana, O., Rehle, T., Simbayi, L.C., Zuma, K., Jooste, S., Pillay-Van Wyk, V., Mbelle, N., Van Zyl, J., Parker, W., Zungu, N.P., Pezi, S. & SABSSM III Implementation Team, (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. Cape Town: HSRC Press.
South Africa's first national, household sero-prevalence survey of HIV and AIDS was conducted in 2002. A second survey was completed in 2005 and this, the third, in 2008. This report provides an analysis of trends across the three surveys and begins to map the ways in which the shape of the pandemic in South Africa has changed since 2002. Indicators for assessing mid-term progress made in i...
Shisana, O., Rehle, T., Simbayi, L.C., Parker, W., Zuma, K., Bhana, A., Connoly, C., Jooste, S. & Piillay, V. (2005) South African national HIV prevalence, HIV incidence, behaviour and communication survey, 2005. Cape Town: HSRC Press.
The Nelson Mandela Foundation (NMF) commissioned the first national, household sero-prevalence survey of HIV/AIDS in 2002. That study had significant impact nationally, in the sub-region and internationally. The report received widespread attention, has been used to build the capacity of other Southern African Development Community (SADC) countries in implementing similar studies, and has impac...
Simbayi, L., Peltzer, K., Banyini, M. & Kekana, Q. (2011) Phaphama male circumcision yizo HIV risk reduction intervention among medically circumcised young men in South Africa: a randomized control trial. (Paper presented at the 10th AIDS Impact Conference, Sante Fe, New Mexico, 12-15 September).
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Simbayi, L. (2009) The challenges of MCP prevention in South Africa. (Paper presented to a roundtable discussion on Sex, soaps and sensationalism!: Multiple and Concurrent Partnerships in the Popular Media, Goethe-Institut, Johannesburg, 4 March).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented to the Assessment and Management of the Mental Health Consequences of Trauma in South Africa: a research perspective, Breakwater Lodge, V&A Waterfront, 26-27 June).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented at UCT Business School at the Breakwater Lodge, 8 July).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented at the Villa Via, Gordons Bay, 24 June).
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Simbayi, L. (2009) South African national HIV prevalence, incidence, behaviour and communication survey, 2008: a turning tide among teenagers?. (Paper presented at the AIDS Impact Conference, Gaborone, Botswana, September).
Simbayi, L., Shisana, O., Chauveau, J. & Ramlagan, S. (2003) Abstract: Determinants of the use of voluntary counselling and testing services among the sexually active adult population of South Africa. Antiviral therapy. 8 (1):223-224.
Simbayi, L.C. (2009) Behaviour changes in sexual behavioural practices among South African youth. (Paper presented at the AIDS Impact Conference, Gaborone, Botswana, September).
Simbayi, L.C. (2007) Behavioural change interventions including positive prevention for reducing the risk of HIV infection in South Africa. (Paper presented at the NSP Civil Society Conference, held at the Emperor's Palace in Ekurhuleni on 26-27 November).
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Simbayi, L.C. (2007) Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town.
Simbayi, L.C., Kalichman, S.C., Strebel, A., Cloete, A., Henda, N. & Mqeketo, A. (2007) Disclosure of HIV status to sex partners and sexual risk behaviours amongh HIV-positive men and women, Cape Town, South Africa. Sexually transmitted infections. 83:29-34.
The HIV epidemic continues to amplify in southern Africa and there is a growing need for HIV prevention interventions among people who have tested HIV positive.
Simbayi, L.C. (2007) Introduction to the South African Human Sciences Research Council's (HSRC) and its Social Aspects of HIV/AIDS and Health (SAHA) research Programme and the South African HIV prevalence, incidence, behaviour and communication survey 2005. (Paper presented to the Australian Research Centre on Sex, Health and Society, LaTrobe University, Melbourne, 27 July).
Simbayi, L.C. (2007) Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa. (Paper presented at the 4th IAS Conference on HIV Pathenogeneis, Treatment and Prevention, Sydney, Australia, 22-25 July).
Simbayi, L.C. (2007) Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa. (Paper presented to the UCT School of Public Health & Family Medicine Noon Meeting, UCT Medical School).
Simbayi, L.C., Jooste, S., Mwaba, K., Managa, A., Zuma, K. & Mbelle, N.M. (2006) Behaviourial risks and HIV sero-status household survey in the Klerksdorp district of South Africa: a baseline study. Cape Town: HSRC Press.
Simbayi, L.C., Kalichman, S.C., Jooste, S., Mathiti, V., Cain, D. & Cherry, C. (2006) HIV/AIDS risks among South African men who report sexually assaulting women. American journal of health behavior. 30(2):158-166.
To examine HIV risks among South African men who report having been sexually assaultive. METHODS: Men (N = 412) in Cape Town completed anonymous surveys. RESULTS: Twenty-three percent reported a history of sexual assault. Men who had been sexually assaultive were younger, reported more sex partners, were more likely to have a history of genital ulcers, and more likely to have exchanged money fo...
Simbayi, L.C., Kalichman, S.C., Cain, D., Cherry, C., Henda, N. & Cloete, A. (2006) Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa. Journal of substance use. 11(4):291-300.
The current study examined the use of methamphetamine (Meth) in relation to HIV risks in a South African community sample. Design and setting: Street intercept methods were used to collect surveys of substance use and sexual behavior from 441 men and 521 women living in a racially mixed township in Cape Town South Africa. Findings: Results showed that 78 (18%) men and 63 (12%) women had used Me...
Tabane, C., Phaswana-Mafuya, N., Davids, A.S. & Mbelle, N. (2009) 'Die mense sal dit nog aanvaar': perceptions of teenage pregnancy in South Africa. (Paper presented at the HSRC Social Sciences Research Conference, Birchwood Conference Centre, Benoni, 16 -17 September).
Tajudeen, L.O., Pengpid, S. & Peltzer, K. (2011) HIV knowledge, attitudes, and sexual behaviour among tourism workers in Gauteng province, South Africa. Journal of Human Ecology. 36(2):103-110.
The aim of this study was to determine tourism workers' knowledge, attitudes, and sexual behaviour related to HIV and AIDS. A survey was administered to tourism workers (n=338) from all the hotels and resorts randomly sampled in Gauteng Province, South Africa. Results indicate a medium level of HIV transmission knowledge and high HIV risk behaviour (lack of condom use, casual and multiple sexua...
Thurman, T.R., Brown, L., Richter, L., Maharaj, P. & Magnani, R. (2006) Sexual risk behaviour among South African adolescents: is orphan status a factor?. AIDS and Behavior. 10(6):627-635.
Tian, L.H., Peterman, T.A., Tao, G., Brooks, L.C., Metcalf, C., Malotte, C.K., Paul, S.M., Douglas, J.M. & Respect-2 Study Group, (2008) Heterosexual anal sex activity in the year after an STD clinic visit. Sexually Transmitted Diseases. 35(11):905-909.
Objectives: To describe heterosexual anal sex activity during a year and to identify factors associated with heterosexual anal sex and condom use during anal sex. Methods: Secondary analysis of data from a trial conducted in 3 public sexually transmitted disease (STD) clinics. Patients described sexual behaviors every 3-months for the year. Logistic regression models with generalized estimating...
Tian, L.H., Peterman, T.A., Tao, G., Metcalf, C.A., Malotte, C.K., Paul, S.M. & Douglas, J.M. (2007) Heterosexual anal sex during the year after the STD clinic visit. (Poster presented at the 17th International Society for Sexually Transmitted Disease Research (ISSTDR) Meeting, Seattle, Washington, USA, 27 July - 1 August).
Van Rooyen, H., Durrheim, K. & Lindegger, G. (2011) Advice-giving difficulties in voluntary counselling and testing: a distinctly moral activity. AIDS Care. 23(3):281-286.
Advice-giving in voluntary counselling and testing (VCT) is demanding as it involves the discussion of difficult topics such as the morality of sexual risk and behaviour. We conducted a detailed exploration of how the giving and receiving of advice is managed in VCT, and how this is achieved against the backdrop of the competing public health and counselling imperatives that shape VCT practice....
Van Wyk, B., Kleintjes, S., Ramlagan, S. & Peltzer, K. (2007) Rapid appraisal of substance abuse and HIV awareness messages in poster communication to disadvantaged youth in South Africa. African Journal for Physical, Health Education, Recreation and Dance (AJPHERD). 13(3):341-356.
In this study the authors explore the responses of youth from selected disadvantaged urban communities in Gauteng province, South Africa, to a poster dealing with the topic of substance abuse and HIV/AIDS. The study involved focus group discussions with 73, 10-18 year olds chosen by quota sampling from a high school, primary school, secure youth care centre and two homes for safety. The parti...
Varga, C.A. (2001) The forgotten fifty percent: a review of sexual and reproductive health research and programs focused on boys and young men in Sub-Saharan Africa. African journal of reproductive health. 5(3):175-195.
This paper reviews existing literature on sexual and reproductive health research and programming among boys and young men in sub-Saharan Africa. While there is growing body literature on adolescent and young adult women, much less is known about male sexual and reproductive health and its potential connection to well being, and in particular the risk of contracting and spreading HIV/AIDS infe...
Zuma, K., Mzolo, T. & Makonko, E. (2011) Determinants of age at sexual debut and associated risks among South African youths. African Journal of AIDS Research. 10(3):189-194.
The research uses data from a representative national survey to explore the determinants of age at sexual debut among South African youths in the age group 15-24 years. A random sample of 5 708 youths were interviewed and 92% responded to questions on whether or not they had ever had sex and their age at first sex for those who had. The research used survival analyses techniques to combine 'cu...
Zuma, K., Setswe, G., Ketye, T., Mzolo, T., Rehle, T. & Mbelle, N. (2010) Age at sexual debut: a determinant of multiple partnership among South African youth. African Journal of Reproductive Health. 14(2):47-54.
Age at sexual debut is an important determinant of HIV infection. The paper investigates the effects of age at sexual debut on sexual behaviour among South African youth. Among 2 875 respondents who ever had sexual intercourse, 39% had early sexual debut (sexual debut at age 16 years and below). Males (44.6%) were significantly more likely than females (35.1%) to report early sexual debut (odds...
Zuma, K., Lurie, M. & Jorgensen, M. (2007) Analysis of interval-censored data from circular migrant and non-migrant sexual partnerships using the EM algorithm. Statistics in medicine. 26:309-319.
In epidemiological studies where subjects are seen periodically on follow-up visits, interval-censored data occur naturally. The exact time the change of state (such as HIV seroconversion) occurs is not known exactly, only that it occurred sometime within a specic time interval. Methods of estimation for intervalcensored data are readily available when data are independent. However, methods fo...
Zuma, K. & Lurie, M.N. (2005) Application and comparison of methods for analysing correlated interval-censored data from sexual partnerships. Journal of data science. 3:241-256.
In epidemiological studies where subjects are seen periodically on follow-up visits, interval-censored data occur naturally. The exact time the change of state (such as HIV seroconversion) occurs is not known exactly, only that it occurred sometime within a specific time interval. This paper considers estimation of parameters when HIV infection times are intervalcensored and correlated. It is a...