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Chimbindi N, Zuma T, Gibbs A, Bernays S, Seeley J. Editorial: Understandings and conceptualizations of hope and how it influences engagement with sexual and reproductive health (SRH) services among adolescents in LMICs. FRONTIERS IN REPRODUCTIVE HEALTH 2023; 5:1285313. [PMID: 37927352 PMCID: PMC10623413 DOI: 10.3389/frph.2023.1285313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 10/02/2023] [Indexed: 11/07/2023] Open
Affiliation(s)
- Natsayi Chimbindi
- Africa Health Research Institute, KwaZulu-Natal, South Africa
- Institute of Global Health (IGH), University College London, London, United Kingdom
- Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Thembelihle Zuma
- Africa Health Research Institute, KwaZulu-Natal, South Africa
- Institute of Global Health (IGH), University College London, London, United Kingdom
- Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Andrew Gibbs
- Gender and Health Research Unit, South African Medical Research Council, Pretoria, South Africa
- Department of Psychology, University of Exeter, Exeter, United Kingdom
| | - Sarah Bernays
- School of Public Health, University of Sydney, Sydney, NSW, Australia
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Janet Seeley
- Africa Health Research Institute, KwaZulu-Natal, South Africa
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom
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Gibbs A, Desmond C, Barnett T, Shahmanesh M, Seeley J. Is hope associated with HIV-acquisition risk and intimate partner violence amongst young women and men? A cross-sectional study in urban informal settlements in South Africa. AIDS Care 2023; 35:833-840. [PMID: 36435964 DOI: 10.1080/09540121.2022.2143470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Accepted: 10/31/2022] [Indexed: 11/28/2022]
Abstract
Hope is a concept that may mediate between the structural constraints people live under and their HIV-acquisition risk behaviours/experiences. Drawing on data collected as the baseline for an intervention trial between September 2015 and September 2016, among young (18-30-year-old), out-of-school women and men in urban informal settlements in Durban, South Africa, we assess whether hope, assessed by the Snyder Hope Scale, is associated with HIV-risk behaviours/experiences. 677 women (35.5%; 33.7%; 30.9%; low, medium, and high hope scores respectively) and 668 men (40.6%; 32.8%; 26.7%; low, medium, and high hope scores respectively) were included. Among women, adjusted analyses showed high levels of hope, compared to low levels, were associated with greater modern contraceptive use (aOR1.57, 1.04-2.37). For men, medium or high levels of hope, compared to low levels, were associated with reduced physical and/or sexual IPV perpetration (med: aOR0.55, 0.38-0.81, high: 0.38, 0.25-0.57), emotional IPV perpetration (med: aOR0.54, 0.36-0.80, high: aOR0.62, 0.41-0.94) and transactional sex (med: 0.57, 0.38-0.84, high: aOR0.57, 0.39-0.86) respectively. For men, hope potentially captured a pathway between an individual's structural context and their HIV-risk behaviour. Yet this was not the case for women. It may be the Snyder Hope Scale does not adequately capture localised meanings of hope.
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Affiliation(s)
- Andrew Gibbs
- Department of Psychology, University of Exeter, Exeter, UK
- Gender and Health Research Unit, South African Medical Research Council, Durban, South Africa
- School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
- Institute for Global Health, University College London, London, UK
| | - Chris Desmond
- School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Tony Barnett
- Pathobiology and Population Sciences, Royal Veterinary College, London, UK
- Firoz Lalji Institute for Africa, London School of Economics, London, UK
| | - Maryam Shahmanesh
- School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
- Africa Health Research Institute, KwaZulu-Natal, South Africa
| | - Janet Seeley
- School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
- Africa Health Research Institute, KwaZulu-Natal, South Africa
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK
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Groenewald C, Isaacs N, Qoza P. Hope, agency, and adolescents' sexual and reproductive health: A mini review. FRONTIERS IN REPRODUCTIVE HEALTH 2023; 5:1007005. [PMID: 36874262 PMCID: PMC9982081 DOI: 10.3389/frph.2023.1007005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Accepted: 01/30/2023] [Indexed: 02/19/2023] Open
Abstract
Availability of and access to services that promote sexual and reproductive health (SRH) amongst adolescent girls have become a global priority. Yet, while researchers have explored factors that influence the uptake of SRH services in low-and-middle income countries, the roles that "agency" and "hope" play in adolescent SRH is less understood. To study this, this mini review systematically reviewed the literature across three databases, EBSCO-host web, Pubmed and South Africa (SA) epublications, for the period of January 2012 to January 2022. Findings showed that a paucity of studies identified the link between agency, hope and adolescent SRH respectively. Our review included 12 articles and found no studies that focused on hope and its role in adolescent SRH or seeking SRH services. However, the literature revealed the complexities of adolescent SRH agency and autonomy where female adolescents had limited autonomy to make SRH decisions. Limited access to adolescent friendly SRH services was also found to restrict girls' agency to prevent unintended pregnancies or to take up SRH support. Given the paucity of research, empirical studies are needed to further understand the extent to which hope, agency and other subjective factors implicate adolescent SRH in the African context.
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Affiliation(s)
- Candice Groenewald
- Centre for Community-Based Research, Human Sciences Research Council, Pretoria, South Africa.,Psychology Department, Rhodes University, Grahamstown, South Africa
| | - Nazeema Isaacs
- Impact Centre, Human Sciences Research Council, Cape Town, South Africa
| | - Phiwokazi Qoza
- Centre for Community-Based Research, Human Sciences Research Council, Pretoria, South Africa
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Peek CJ, Westfall JM, Stange KC, Liaw W, Ewigman B, DeVoe JE, Green LA, Polverento ME, Bora N, deGruy FV, Harper PG, Baker NJ. Shared Language for Shared Work in Population Health. Ann Fam Med 2021; 19:450-457. [PMID: 34546952 PMCID: PMC8437558 DOI: 10.1370/afm.2708] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 01/11/2021] [Accepted: 01/25/2021] [Indexed: 11/09/2022] Open
Abstract
People working on behalf of population health, community health, or public health often experience confusion or ambiguity in the meaning of these and other common terms-the similarities and differences and how they bear on the tasks and division of labor for care delivery and public health. Shared language must be clear enough to help, not hinder people working together as they ultimately come to mutual understanding of roles, responsibilities, and actions in their joint work. Based on an iterative lexicon development process, the authors developed and propose a definitional framework as an aid to navigating among related population and community health terms. These terms are defined, similarities and differences clarified, and then organized into 3 categories that reflect goals, realities, and ways to get the job done. Goals include (a) health as well-being for persons, (b) population health as that goal expressed in measurable terms for groups, and (c) community health as population health for particular communities of interest, geography, or other defining characteristic-groups with shared identity and particular systemic influences on health. Realities are social determinants as influences, health disparities as effects, and health equity as both a goal and a design principle. Ways to get the job done include health care delivery systems for enrollees and public health in population-based civic activities-with a broad zone of collaboration where streams of effort converge in partnership with served communities. This map of terms can enable people to move forward together in a broad zone of collaboration for health with less confusion, ambiguity, and conflict.
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Affiliation(s)
- C J Peek
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota
| | | | - Kurt C Stange
- Case Western Reserve University Center for Community Health Integration, Cleveland, Ohio
| | - Winston Liaw
- Health Systems and Population Health Sciences, University of Houston College of Medicine, Houston, Texas
| | - Bernard Ewigman
- Department of Family Medicine, North-Shore University Health System & the Pritzker School of Medicine, University of Chicago, Chicago, Illinois
| | - Jennifer E DeVoe
- Department of Family Medicine, Oregon Health & Science University, Portland, Oregon
| | - Larry A Green
- Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado
| | - Molly E Polverento
- Department of Family Medicine, College of Human Medicine, Michigan State University, East Lansing, Michigan
| | - Nirali Bora
- Kent County Health Department, Grand Rapids, Michigan
| | - Frank V deGruy
- Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado
| | - Peter G Harper
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota
| | - Nancy J Baker
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, Minnesota
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