Gendered syndemic of intimate partner violence, alcohol misuse, and HIV risk among peri-urban, heterosexual men in South Africa

Hatcher, Abigail M.; Gibbs, Andrew; McBride, Ruari‐Santiago; Rebombo, Dumisani; Khumalo, Mzwakhe; Christofides, Nicola

doi:10.1016/j.socscimed.2019.112637

Cited by 60 publications

(50 citation statements)

References 53 publications

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“…This provides some quantitative support for the arguments made from ethnographic research of Phillipe Bourgois, and reflected by other authors, that in contexts of poverty and when men feel unable to occupy positions as successful men they direct their more energies to asserting power and control over women [ 20 , 40 , 41 ]. It also is supported by analyses from variated settings linking men’s poverty and perpetration of IPV [ 1 , 10 , 26 ]. For all classes, compared to the least violent men, there was an association with more hazardous alcohol use and depression.…”

Section: Discussionmentioning

confidence: 90%

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Masculinities and violence: using latent class analysis to investigate the origins and correlates of differences between men in the cross-sectional UN Multi-country Study on men and violence in Asia and the Pacific

Jewkes

Jordaan

Myrttinen³

et al. 2020

Journal of Global Health

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Section: Discussionmentioning

confidence: 90%

“…Men’s perpetration of violence against women, violence against other men and sexually risky practices track together [ 1 - 4 ]. Gender activists and scholars have argued that this stems from particular constructions of masculinity that arise within the global system of patriarchy, structurally positioning men as superior to women.…”

mentioning

confidence: 99%

Masculinities and violence: using latent class analysis to investigate the origins and correlates of differences between men in the cross-sectional UN Multi-country Study on men and violence in Asia and the Pacific

Jewkes

Jordaan

Myrttinen³

et al. 2020

Journal of Global Health

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“…The low prevalence in our study is possibly due to the alcohol ban, implemented during Alert Level-4 and Level-5, 18 which resulted in a 69% drop in the number of domestic violence cases being reported during that period. 52 Several studies have demonstrated that alcohol abuse increases the risk of intimate partner violence (IPV), [53][54][55] and that IPV increases the risk of CMDs. 56 57 Our study has a number of limitations.…”

Section: Discussionmentioning

confidence: 99%

Domestic violence, food insecurity and mental health of pregnant women in the COVID-19 lockdown in Cape Town, South Africa

Abrahams

Boisits

Schneider

et al. 2020

Preprint

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Introduction Common mental disorders (CMD) such as depression and anxiety are associated with low household income, food insecurity and intimate partner violence in perinatal women. The national COVID-19 lockdown in South Africa resulted in increased levels of poverty and food insecurity. We aimed to explore the relationship between CMDs, food insecurity and experiences of violence among pregnant women during the COVID-19 lockdown.Methods Perinatal women, attending 14 healthcare facilities in Cape Town, were enrolled in the study during baseline data collection before the COVID-19 lockdown. During the lockdown period, fieldworkers telephonically contacted the perinatal women who were enrolled in the study and had provided contact details. The following data was collected from those who consented to the study: socio-demographic information, mental health assessment, food insecurity status and experiences of abuse. Poisson regression was used to model the associations of a number of risk factors with the occurrence of CMDs.Results Of the 2149 women enrolled in the ASSET study, 885 consented to the telephonic interviews. We found that 12.5% of women had probable CMDs and 43% were severely food insecure. Psychological distress increased significantly during the lockdown period, compared to before the COVID-19 outbreak. The strength of the association between key risk factors measured during the lockdown and psychological distress increased during the COVID-19 lockdown. Using multivariate Poisson regression modelling, we showed that the risk of CMDs was almost three times more likely in women who were severely food insecure or who experienced psychological or sexual abuse. Conclusions This study provides evidence of the effect of the COVID-19 lockdown on the mental health status of perinatal women living in low resource settings in Cape Town, and highlights how a crisis such as the COVID-19 lockdown amplifies the psycho-social risk factors associated with CMDs in perinatal women.

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“…Such interactions may explain some of the heterogeneity found in the alcohol-IPV association, providing critical understanding on how to effectively intervene and reduce IPV perpetration among men. As both IPV and alcohol use lead to numerous health consequences, including HIV/STI infection, depression, physical injury, and death, IPV and alcohol interventions are urgently needed to improve the health and well-being of men and women at-risk for IPV [13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…The influence of depressive symptoms on the alcohol-IPV relationship is unexplored among men with HIV, a group at high risk for hazardous alcohol use, IPV perpetration, and forward HIV transmission [ 16 , 17 , 28 – 30 ]. In Vietnam, depressive symptoms are highly prevalent and a known correlate of IPV perpetration among men with HIV [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

Alcohol use, depressive symptoms, and intimate partner violence perpetration: A longitudinal analysis among men with HIV in northern Vietnam

Hershow

Reyes

Ha³

et al. 2020

PLoS ONE

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Background While the link between alcohol use and male-perpetrated intimate partner violence (IPV) has been well-established, research is needed to test whether psychosocial factors interact with alcohol use to exacerbate IPV perpetration. We tested whether depressive symptoms influenced the strength and/or direction of the alcohol-IPV relationship among men with HIV in Vietnam. Methods This study is a secondary analysis using data from a randomized controlled trial conducted in Thai Nguyen, Vietnam. Participants were clinic patients with HIV and hazardous alcohol use. Questionnaires were administered at baseline, three, six, and 12 months. Alcohol use was assessed as proportion of days alcohol abstinent. Analyses were restricted to males who reported being married/cohabitating at baseline (N = 313). Multilevel growth models were used to test whether time-varying depressive symptoms modified the time-varying effect of alcohol use on IPV perpetration. Results Time-varying depressive symptoms modified the effect of proportion of days alcohol abstinent on IPV perpetration. However, the pattern of effect modification was not as expected,

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Gendered syndemic of intimate partner violence, alcohol misuse, and HIV risk among peri-urban, heterosexual men in South Africa

Cited by 60 publications

References 53 publications

Masculinities and violence: using latent class analysis to investigate the origins and correlates of differences between men in the cross-sectional UN Multi-country Study on men and violence in Asia and the Pacific

Masculinities and violence: using latent class analysis to investigate the origins and correlates of differences between men in the cross-sectional UN Multi-country Study on men and violence in Asia and the Pacific

Domestic violence, food insecurity and mental health of pregnant women in the COVID-19 lockdown in Cape Town, South Africa

Alcohol use, depressive symptoms, and intimate partner violence perpetration: A longitudinal analysis among men with HIV in northern Vietnam

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