This literature review investigated gender differentials in HIV/AIDS in Cameroon and to which extent gender was taken into account in the country's current policy on HIV/AIDS. The review found that in Cameroon women were at increased risk of being infected with HIV/AIDS compared to men and that apart from biological vulnerability, socio-cultural as well as economic factors accounted for those differences. In addition, the review found that at the policy level, the government has drawn up plans to reduce the high prevalence of HIV/AIDS among women. However, although the current policy acknowledged the need for tackling gender differentials in HIV/AIDS transmission; little has been done at the level of implementation. The current policy needs to be implemented in a more effective manner and a multisectorial approach should be explored in order to curb the current trend of the feminization of HIV/AIDS in Cameroon.
PurposeThe purpose of this paper is to investigate differences in victimization among single and married mothers using data (n=6,388 women) from the 2006 Stockholm County Public Health Survey (SCPHS), a cross‐sectional survey based on a self‐administered postal questionnaire.Design/methodology/approachResults showed higher odds of victimization among lone mothers compared to married ones. Additionally, the greatest odds of victimization were observed among those with low education, low income, and decreased social and practical support.FindingsIn Sweden, particularly in Stockholm, there is a need for future population‐based surveys regarding the prevalence of violence and to identify high risk groups. Furthermore, it is crucial that these surveys include items that will enable investigation of direct links between violence and health effects, and the utilization of health care for these women.Originality/valueThis paper is original and it addresses for the first time violence among single mothers within a social epidemiology perspective.
In recent years, there has been a revival of the term "structural violence (SV)" which was coined by Johan Galtung in the 1960s in the context of Peace Studies. "Structural violence" refers to social structures—economic, legal, political, religious, and cultural—that prevent individuals, groups and societies from reaching their full potential. In the European context, very few studies have investigated health and well-being using an SV perspective. Therefore, this paper sought to systematically and descriptively review studies that used an SV framework to examine health-related outcomes across European countries. The review included two studies each from Spain and France, one each from the UK, Ukraine and Russia, and another study including the three countries Sweden, Portugal and Germany. With the exception of one mixed-method study, the studies used a qualitative design. Furthermore, the eight studies in the review used different conceptualizations of SV, which indicates the complexity of using SV as a concept in public health in the European context. Future research that attempts to identify and standardize measures of SV is needed; the knowledge gained is hoped to inform appropriate interventions aiming to reduce the effects of SV on population health.
In recent years, there has been a revival of the term "structural violence (SV)" which was coined by Johan Galtung in the 1960s in the context of Peace Studies. "Structural violence" refers to social structures—economic, legal, political, religious, and cultural—that prevent individuals, groups and societies from reaching their full potential. In the European context, very few studies have investigated health and well-being using an SV perspective. Therefore, this paper sought to systematically and descriptively review studies that used an SV framework to examine health-related outcomes across European countries. The review included two studies each from Spain and France, one each from the UK, Ukraine and Russia, and another study including the three countries Sweden, Portugal and Germany. With the exception of one mixed-method study, the studies used a qualitative design. Furthermore, the eight studies in the review used different conceptualizations of SV, which indicates the complexity of using SV as a concept in public health in the European context. Future research that attempts to identify and standardize measures of SV is needed; the knowledge gained is hoped to inform appropriate interventions aiming to reduce the effects of SV on population health.
In recent years, there has been a revival of the term "structural violence (SV)" which was coined by Johan Galtung in the 1960s in the context of Peace Studies. "Structural violence" refers to social structures—economic, legal, political, religious, and cultural—that prevent individuals, groups and societies from reaching their full potential. In the European context, very few studies have investigated health and well-being using an SV perspective. Therefore, this paper sought to systematically and descriptively review studies that used an SV framework to examine health-related outcomes across European countries. The review included two studies each from Spain and France, one each from the UK, Ukraine and Russia, and another study including the three countries Sweden, Portugal and Germany. With the exception of one mixed-method study, the studies used a qualitative design. Furthermore, the eight studies in the review used different conceptualizations of SV, which indicates the complexity of using SV as a concept in public health in the European context. Future research that attempts to identify and standardize measures of SV is needed; the knowledge gained is hoped to inform appropriate interventions aiming to reduce the effects of SV on population health.
PurposeThe purpose of this study is to examine the occurrence, severity, chronicity, and predictors of inflicted IPV among women visiting the Forensic Services in Maputo city (Mozambique) as victims of IPV by their partner.Design/methodology/approachThe study was cross‐sectional: the data were collected from 1,442 women over 12 months (consecutive cases) and were analysed with bivariate and multivariate methods.FindingsThe overall occurrence of inflicted IPV across severity (one or more types) was 69.4 percent (chronicity, mean/SD 44.8±65.8). Psychological aggression was reported by 64 percent of women (chronicity, mean/SD 23.1±32.4); physical assault by 38.2 percent (chronicity, mean/SD 10.3±24.6); sexual coercion by 39.1 percent (chronicity, mean/SD 7.2±16.2); and injuries by 22.6 percent (chronicity, mean/SD 4.2±12.4). Further, 14.5 percent (chronicity, mean/SD 140.2±86.3) of the women used all abuse types against their partners: 18.2 percent (chronicity, mean/SD 113.1±75.9) injury, and psychological and physical abuse; 14.7 percent (chronicity, mean/SD 64.9±64.3) injury, and physical and sexual abuse; 16.3 percent (chronicity, mean/SD 94.1±57.2) injury, and psychological and sexual abuse; and 24.9 percent (chronicity, mean/SD 99.5±72) psychological, physical, and sexual abuse. Controlling behaviours, co‐occurring perpetration, abuse as a child, and certain types of own victimization were the more important factors associated with the inflicted abuse.Research limitations/implicationsMore research into women's experiences of IPV as perpetrators, particularly in relation to co‐occurring inflicted abuse, control, and abuse as a child, is warranted in Sub‐Saharan Africa. An important limitation here is the lack of a control group (e.g. general population).Practical implicationsThe present findings may be useful for the development of strategies to prevent/treat IPV in Mozambique.Originality/valueIn spite of its limitations, the current study may have provided new insights into women's use of violence against their partners.
Purpose -- The purpose of this study is to examine the occurrence, severity, chronicity, and predictors of inflicted IPV among women visiting the Forensic Services in Maputo city (Mozambique) as victims of IPV by their partner. Design/methodology/approach -- The study was cross-sectional: the data were collected from 1,442 women over 12 months (consecutive cases) and were analysed with bivariate and multivariate methods. Findings -- The overall occurrence of inflicted IPV across severity (one or more types) was 69.4 percent (chronicity, mean/SD 44.8 +/- 65.8). Psychological aggression was reported by 64 percent of women (chronicity, mean/SD 23.1 +/- 32.4); physical assault by 38.2 percent (chronicity, mean/SD 10.3 +/- 24.6); sexual coercion by 39.1 percent (chronicity, mean/SD 7.2 +/- 16.2); and injuries by 22.6 percent (chronicity, mean/SD 4.2 +/- 12.4). Further, 14.5 percent (chronicity, mean/SD 140.2 +/- 86.3) of the women used all abuse types against their partners: 18.2 percent (chronicity, mean/SD 113.1 +/- 75.9) injury, and psychological and physical abuse; 14.7 percent (chronicity, mean/SD 64.9 +/- 64.3) injury, and physical and sexual abuse; 16.3 percent (chronicity, mean/SD 94.1 +/- 57.2) injury, and psychological and sexual abuse; and 24.9 percent (chronicity, mean/SD 99.5 +/- 72) psychological, physical, and sexual abuse. Controlling behaviours, co-occurring perpetration, abuse as a child, and certain types of own victimization were the more important factors associated with the inflicted abuse. Research limitations/implications -- More research into women's experiences of IPV as perpetrators, particularly in relation to co-occurring inflicted abuse, control, and abuse as a child, is warranted in Sub-Saharan Africa. An important limitation here is the lack of a control group (e.g. general population). Practical implications -- The present findings may be useful for the development of strategies to prevent/treat IPV in Mozambique. Originality/value -- In spite of its limitations, the current study may have provided new insights into women's use of violence against their partners. Adapted from the source document.
In view of global population ageing and of policies that support longer working lives, especially in developed countries, it is important to achieve diversity in organisations through age management. Age management is the "management of human resources, [often] with an explicit focus on the requirements of an ageing workforce." Through age management practices, organisations will be better able to change their human resource management policies and practices towards accommodating their ageing workforce. Little is known about age management practices in Scandinavian organisations, considering the region's high prevalence of workers beyond the age of 50 across both private and public organisations. There are indications that Scandinavian business organisations are already practicing age management for all ages, including older workers. Their age management practices include the dimensions of job recruitment, training, lifelong learning, development, and promotion. However, there is a dearth of knowledge on how the health and well-being of workers is ensured in the context of age management practices in these organisations. Given the current and future importance of age management for all organisations globally, public health and other health science professionals need to collaborate with other disciplines, such as management and sustainability science, to better understand how they can contribute to an aged and healthier workforce as well as workplace health promotion. This paper aims to contribute to the discussion concerning age management in public and private institutions in Scandinavia through the public health lens.
Food insecurity and intimate partner violence are important determinants of health and wellbeing in southern Africa. However, very little research has attempted to investigate the association between them even though food insecurity is anticipated to increase in the region, mostly owing to climate change. The objective of this paper was to descriptively review peer reviewed studies that investigated the relationship between food insecurity and intimate partner violence in southern Africa. Literature searches were carried out in Scopus, Web of Science and PubMed databases without any time restriction. A total of five studies that investigated the association between food insecurity and intimate partner violence were identified in South Africa and Swaziland. Of these four studies used a cross-sectional design, and one employed a longitudinal design. Samples varied from 406 to 2479 individuals. No empirical studies were found for the remaining southern African countries of Angola, Botswana, Malawi, Namibia, Zambia, Zimbabwe, Lesotho, and Mozambique. Moreover, the reported findings indicated that there was an association between food insecurity and interpersonal violence (i.e., physical, psychological, and emotional) in the sub-region regardless the fact that the five studies used diverse measurements of both food insecurity and intimate partner violence.
BACKGROUND: Childhood sexual abuse (CSA) is a substantial global health and human rights problem and consequently a growing concern in sub-Saharan Africa. We examined the association between individual and community-level socioeconomic status (SES) and the likelihood of reporting CSA. METHODS: We applied multiple multilevel logistic regression analysis on Demographic and Health Survey data for 6,351female adolescents between the ages of 15 and 18 years from six countries in sub-Saharan Africa, between 2006 and 2008. RESULTS: About 70% of the reported cases of CSA were between 14 and 17 years. Zambia had the highest proportion of reported cases of CSA (5.8%). At the individual and community level, we found that there was no association between CSA and socioeconomic position. This study provides evidence that the likelihood of reporting CSA cut across all individual SES as well as all community socioeconomic strata. CONCLUSIONS: We found no evidence of socioeconomic differentials in adolescents' experience of CSA, suggesting that adolescents from the six countries studied experienced CSA regardless of their individual- and community-level socioeconomic position. However, we found some evidence of geographical clustering, adolescents in the same community are subject to common contextual influences. Further studies are needed to explore possible effects of countries' political, social, economic, legal, and cultural impact on Childhood sexual abuse.
BACKGROUND: Childhood sexual abuse (CSA) is a substantial global health and human rights problem and consequently a growing concern in sub-Saharan Africa. We examined the association between individual and community-level socioeconomic status (SES) and the likelihood of reporting CSA. METHODS: We applied multiple multilevel logistic regression analysis on Demographic and Health Survey data for 6,351female adolescents between the ages of 15 and 18 years from six countries in sub-Saharan Africa, between 2006 and 2008. RESULTS: About 70% of the reported cases of CSA were between 14 and 17 years. Zambia had the highest proportion of reported cases of CSA (5.8%). At the individual and community level, we found that there was no association between CSA and socioeconomic position. This study provides evidence that the likelihood of reporting CSA cut across all individual SES as well as all community socioeconomic strata. CONCLUSIONS: We found no evidence of socioeconomic differentials in adolescents' experience of CSA, suggesting that adolescents from the six countries studied experienced CSA regardless of their individual- and community-level socioeconomic position. However, we found some evidence of geographical clustering, adolescents in the same community are subject to common contextual influences. Further studies are needed to explore possible effects of countries' political, social, economic, legal, and cultural impact on Childhood sexual abuse.
Purpose – The purpose of this paper is to investigate the relationship between child sexual abuse and sexual risk behaviours as well as its potential mediators.
Design/methodology/approach – This cross-sectional study used data from a cross-sectional study from 12,800 women between 15 and 49 years of age included in the 2008 Nigerian Demographic and Health Survey. Structural equation modelling (SEM) was applied to assess the association between childhood sexual abuse (CSA) and sexual risk behaviours.
Findings – The authors found that CSA was directly associated with sexual risk behaviours. In addition, the association between CSA and sexual risk behaviour was also partially mediated by alcohol and cigarette use.
Research limitations/implications – The results show that being abused in childhood is important for the subsequent development of sexual risk behaviours in adulthood and the association is mediated by alcohol and cigarette use.
Practical implications – The results may be helpful for policy makers and health care planners in designing cultural sensitive public health intervention that will reduce the burden of CSA, its long-term effects (sexual risk behaviours) and intervening mediators that increase the risks.
Social implications – These findings suggest that to reduce sexual risks, interventions to address sexual abuse needs to include other social problems (smoking, alcohol) that victims result to when faced with trauma.
Originality/value – The current study is the only one so far in sub-Saharan Africa to have explored the relation between CSA and sexual risk behaviours using SEM.
Purpose - The purpose of this paper is to investigate the relationship between child sexual abuse and sexual risk behaviours as well as its potential mediators. Design/methodology/approach - This cross-sectional study used data from a cross-sectional study from 12,800 women between 15 and 49 years of age included in the 2008 Nigerian Demographic and Health Survey. Structural equation modelling (SEM) was applied to assess the association between childhood sexual abuse (CSA) and sexual risk behaviours. Findings - The authors found that CSA was directly associated with sexual risk behaviours. In addition, the association between CSA and sexual risk behaviour was also partially mediated by alcohol and cigarette use. Research limitations/implications - The results show that being abused in childhood is important for the subsequent development of sexual risk behaviours in adulthood and the association is mediated by alcohol and cigarette use. Practical implications - The results may be helpful for policy makers and health care planners in designing cultural sensitive public health intervention that will reduce the burden of CSA, its long-term effects (sexual risk behaviours) and intervening mediators that increase the risks. Social implications - These findings suggest that to reduce sexual risks, interventions to address sexual abuse needs to include other social problems (smoking, alcohol) that victims result to when faced with trauma. Originality/value - The current study is the only one so far in sub-Saharan Africa to have explored the relation between CSA and sexual risk behaviours using SEM. Adapted from the source document.
