South African Medical Research Council (SAMRC) Repository
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Gender-based violence and mental ill-health are associated with alcohol use
No full textPresented at Sexual Violence Research Initiative (SVRI) Forum in Cacun, Mexico (SVRI, 19-23 September 2022).Background: Few studies examined the associations of multiple abuse exposures including cumulative abuse exposures with alcohol use. Neither have studies examined the intersection of these associations with mental health. This study describes the associations of exposures to abuses in childhood (CA) and adulthood [intimate partner violence (IPV), non-partner sexual violence (NPSV), sexual harassment (SH)], to other trauma events (TE) and mental disorders with alcohol use, and mediating effects of mental disorders on these associations in 16-40-year-old South African women. Methods: Baseline data from the Rape Impact Cohort Evaluation study including histories of exposures to sexual, physical and emotional CA and parental neglect; sexual, physical, emotional and economic IPV, NPSV, SH, other TE, and the presence of mental disorders [depression symptoms (DS), post-traumatic stress symptoms (PTSS), suicidal attempt/ideation] were examined. Current alcohol use (CAU) and binge drinking (consumed ≥6 alcoholic drinks on one occasion in the past 12 months) were self-reported. Logistic regressions adjusted for age, education, employment, residence; multiple mediation models tested mediating effects of DS and PTSS on the associations. Results: Among 1615 women, 52.5% and 23.9% reported CAU and binge-drinking, respectively. CAU rates were higher in women with, compared to women without, exposures to any CA (59% vs. 44%); any IPV (62% vs. 39%); NPSV (33% vs. 22%) and SH (59% vs. 50%, p=0.135). All CA types, IPV types, NPSV, other TE and mental disorders were positively associated with CAU. The highest odds were for any IPV (aOR: 2.58; 95%CI: 2.09-3.20) and physical IPV (2.25; 1.83-2.77). The direct effects of any CA, IPV, NPSV and other TE exposures on CAU were partially mediated by DS (all p-values≤0.045 for indirect effects) and PTSS (all p-values≤0.013 for indirect effects); all p-values≤0.030 for direct effects). The same patterns were significant for the associations with binge-drinking, except for physical and emotional CA, and economic IPV. Conclusions: The findings highlight the need for psychological interventions and support services to prevent or reduce alcohol misuse in women exposed to abuse or trauma. Women diagnosed with alcohol misuse should be screened for exposures to abuse and managed appropriately
Report on weekly deaths in South Africa: Week 2
No full textThis report provides estimates of the weekly number of deaths of all persons in South Africa for epidemiological Week 2 of 2022, covering the period 9 – 15 Jan 2022
Reflections on delivering group-based discussions via WhatsApp: Experiences with young people in south Africa
No full textPresented on the 11-14 September 2022, Durban, South Africa
Experiencing abuse and trauma are associated with alcohol use in South African women
No full textSVRI Forum September 19-23 2022 September Cancun, Mexico
Gender and disability dimensions of the COVID-19 crisis: SRHR and CSE for young people with disabilities under COVID-19
No full textUNFPA and Women Enabled Presentation (Online) June 2022
“How robust or vulnerable is the South African Healthcare System in times of a pandemic and/or economic distress, and what roadmap is needed for delivering quality healthcare to all, consistently?”
No full textHQA’S 17TH Annual Industry Results Presentation and Clinical Quality Conference
Alcohol, substance use and gender based violence and femicide, clinic workshop
No full textPresidential Summit on Gender-Based Violence and Femicide, 1-2 November 2022
Forgotten agenda: Sexual and reproductive health and rights and young women with disabilities under COVID-19 in South Africa, a longitudinal cohort study
No full textPresented at International AIDS Conference, Montreal 25 August 2022
Report on weekly deaths in South Africa: Week 4
No full texthis report provides estimates of the weekly number of deaths of all persons in South Africa for epidemiological Week 4 of 2022, covering the period 23 - 29 Jan 2022