Alcohol use during pregnancy: prevalence and patterns in selected Buffalo City areas, South Africa
- Macleod, Catriona I, Young, Charles S, Molokoe, Katlego C
- Authors: Macleod, Catriona I , Young, Charles S , Molokoe, Katlego C
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443611 , vital:74137 , xlink:href="https://www.ajol.info/index.php/ajrh/article/view/205539"
- Description: The high rate of foetal alcohol spectrum disorders, which results from alcohol consumption during pregnancy, is of concern in South Africa. The aims of this research were to establish the prevalence, patterns and factors associated with alcohol use amongst pregnant women attending antenatal clinics in two former township areas of Buffalo City, South Africa. A survey was conducted using a structured questionnaire that included socio-demographic questions, and the Alcohol Use Test (AUDIT). The questionnaire was administered in English, Afrikaans or isiXhosa by healthcare providers trained in its administration. Consecutive sampling was used, with all willing women presenting at public clinics offering antenatal care in the two townships being invited to participate. Of the 18 clinics operating in the two townships, 16 were willing to participate, resulting in a sample of 1028 women over a nine-month period. Data were analysed in Medcalc using descriptive statistics, one-way analysis of variance, independent samples t-test and a multivariable binary logistic regression analysis. Two-thirds of the sample did not drink alcohol, but results showed high levels of risky alcohol use: 20.1% on the total AUDIT scale, and 16.8% on the AUDIT-C scale. The following variables were found to be significantly associated with risky drinking: age; race; report of intimate partner violence (IPV); and other regular drinker in the home. Employment status, education status, relationship status, parity and gestation were not associated with risky drinking. Interventions aimed at reducing alcohol use during pregnancy should address: drinking youth cultures; drinking norms within the home; and intimate partner violence. Future studies should include additional mental and physical health variables.
- Full Text:
- Date Issued: 2021
- Authors: Macleod, Catriona I , Young, Charles S , Molokoe, Katlego C
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/443611 , vital:74137 , xlink:href="https://www.ajol.info/index.php/ajrh/article/view/205539"
- Description: The high rate of foetal alcohol spectrum disorders, which results from alcohol consumption during pregnancy, is of concern in South Africa. The aims of this research were to establish the prevalence, patterns and factors associated with alcohol use amongst pregnant women attending antenatal clinics in two former township areas of Buffalo City, South Africa. A survey was conducted using a structured questionnaire that included socio-demographic questions, and the Alcohol Use Test (AUDIT). The questionnaire was administered in English, Afrikaans or isiXhosa by healthcare providers trained in its administration. Consecutive sampling was used, with all willing women presenting at public clinics offering antenatal care in the two townships being invited to participate. Of the 18 clinics operating in the two townships, 16 were willing to participate, resulting in a sample of 1028 women over a nine-month period. Data were analysed in Medcalc using descriptive statistics, one-way analysis of variance, independent samples t-test and a multivariable binary logistic regression analysis. Two-thirds of the sample did not drink alcohol, but results showed high levels of risky alcohol use: 20.1% on the total AUDIT scale, and 16.8% on the AUDIT-C scale. The following variables were found to be significantly associated with risky drinking: age; race; report of intimate partner violence (IPV); and other regular drinker in the home. Employment status, education status, relationship status, parity and gestation were not associated with risky drinking. Interventions aimed at reducing alcohol use during pregnancy should address: drinking youth cultures; drinking norms within the home; and intimate partner violence. Future studies should include additional mental and physical health variables.
- Full Text:
- Date Issued: 2021
Human Papilloma Virus infection and cervical cancer among women who sell sex in Eastern and Southern Africa: A scoping review
- Macleod, Catriona I, Reynolds, John H
- Authors: Macleod, Catriona I , Reynolds, John H
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441228 , vital:73868 , xlink:href="https://doi.org/10.1177/17455065211058349"
- Description: Women who sell sex have a high prevalence of human papilloma virus, which may cause cervical cancer. The objective of this review was to collate findings on prevalence, associated factors, screening, service provision and utilization of services in relation to human papilloma virus and cervical cancer among women who sell sex in Eastern and Southern Africa.
- Full Text:
- Date Issued: 2021
- Authors: Macleod, Catriona I , Reynolds, John H
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441228 , vital:73868 , xlink:href="https://doi.org/10.1177/17455065211058349"
- Description: Women who sell sex have a high prevalence of human papilloma virus, which may cause cervical cancer. The objective of this review was to collate findings on prevalence, associated factors, screening, service provision and utilization of services in relation to human papilloma virus and cervical cancer among women who sell sex in Eastern and Southern Africa.
- Full Text:
- Date Issued: 2021
The shame of drinking alcohol while pregnant: The production of avoidance and ill-health
- Matebese, Sibongile, Macleod, Catriona I, Tsetse, A Nontozamo
- Authors: Matebese, Sibongile , Macleod, Catriona I , Tsetse, A Nontozamo
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441360 , vital:73880 , xlink:href="https://doi.org/10.1177/0886109920985139"
- Description: In this article, we examine the operation of shame in the alcohol use habits of pregnant women and the responses of their families and associated institutions. Using a narrative–discursive approach, we interviewed 13 women, living in a low-resource setting in South Africa, who had consumed alcohol while pregnant. Narratives showed how both the act of drinking and “inappropriately” timed pregnancy (early and out of wedlock) were judged to be unacceptable. Women who engaged in these activities were positioned as bad mothers or promiscuous. Their actions were seen as resulting in the suffering of others—the future child, the family, and even the community. These narratives were underpinned by cultural and religious discourses. Women managed the shame accruing to them through avoidance and concealment; families instructed women to self-exclude or distanced themselves from the women’s behavior; and institutions subtly or overtly excluded women. The shaming of these women, and the mechanisms by which such shame was managed, did little to decrease drinking or to increase maternal health and welfare. Overall, this article demonstrates how the shame of drinking alcohol during pregnancy produces avoidance behavior, concealment, and exclusion, which are not constructive in terms of maternal health and well-being. The implications for a feminist narrative approach to drinking during pregnancy are outlined: moving beyond a focus on individual behavior change to locating personal stories within the meta-narratives and social discourses that shape pregnant women’s lives.
- Full Text:
- Date Issued: 2021
- Authors: Matebese, Sibongile , Macleod, Catriona I , Tsetse, A Nontozamo
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/441360 , vital:73880 , xlink:href="https://doi.org/10.1177/0886109920985139"
- Description: In this article, we examine the operation of shame in the alcohol use habits of pregnant women and the responses of their families and associated institutions. Using a narrative–discursive approach, we interviewed 13 women, living in a low-resource setting in South Africa, who had consumed alcohol while pregnant. Narratives showed how both the act of drinking and “inappropriately” timed pregnancy (early and out of wedlock) were judged to be unacceptable. Women who engaged in these activities were positioned as bad mothers or promiscuous. Their actions were seen as resulting in the suffering of others—the future child, the family, and even the community. These narratives were underpinned by cultural and religious discourses. Women managed the shame accruing to them through avoidance and concealment; families instructed women to self-exclude or distanced themselves from the women’s behavior; and institutions subtly or overtly excluded women. The shaming of these women, and the mechanisms by which such shame was managed, did little to decrease drinking or to increase maternal health and welfare. Overall, this article demonstrates how the shame of drinking alcohol during pregnancy produces avoidance behavior, concealment, and exclusion, which are not constructive in terms of maternal health and well-being. The implications for a feminist narrative approach to drinking during pregnancy are outlined: moving beyond a focus on individual behavior change to locating personal stories within the meta-narratives and social discourses that shape pregnant women’s lives.
- Full Text:
- Date Issued: 2021
Why decolonialising feminist psychology may fail, and why it mustn't: The politics of signification and the case of' teenage pregnancy'
- Macleod, Catriona I, Masuko, Diemo, Feltham-King, Tracey
- Authors: Macleod, Catriona I , Masuko, Diemo , Feltham-King, Tracey
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446327 , vital:74490
- Description: The calls to decolonise psychology and feminisms are a demand for action in overcoming past and current (neo) colonial injustices. Decolonisation has, however, been complex owing to the plurality, mutation, and masking of (neo)colonial systems. Within this context, decolonialising feminist psychology may fail. Homing in on the politics of signification, we argue that the colonial roots of many signifiers that serve to perpetuate gendered power relations are masked through their taken-for-granted status within psychology. We illustrate the latter through discussion of "adolescence", a signifier premised on colonialist thinking regarding individual and societal development. While gross forms of colonialist thinking regarding adolescence have disappeared, the "threat of degeneration" implicit in the concept remains. Drawing on critical work on "teenage pregnancy" in South Africa, we show how young womxn's reproductive health is impacted by the entrenchment of the threat of degeneration in educational and health responses. This discussion illustrates why decolonising feminist psychology must not fail. Alternative signifiers that serve the purpose of social justice and care should be foregrounded. These joint tasks (critique of (neo)colonialist signifiers and the enactment of transformation through foregrounding alternative signifiers) should underpin decolonising feminist psychology praxis.
- Full Text:
- Date Issued: 2021
- Authors: Macleod, Catriona I , Masuko, Diemo , Feltham-King, Tracey
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/446327 , vital:74490
- Description: The calls to decolonise psychology and feminisms are a demand for action in overcoming past and current (neo) colonial injustices. Decolonisation has, however, been complex owing to the plurality, mutation, and masking of (neo)colonial systems. Within this context, decolonialising feminist psychology may fail. Homing in on the politics of signification, we argue that the colonial roots of many signifiers that serve to perpetuate gendered power relations are masked through their taken-for-granted status within psychology. We illustrate the latter through discussion of "adolescence", a signifier premised on colonialist thinking regarding individual and societal development. While gross forms of colonialist thinking regarding adolescence have disappeared, the "threat of degeneration" implicit in the concept remains. Drawing on critical work on "teenage pregnancy" in South Africa, we show how young womxn's reproductive health is impacted by the entrenchment of the threat of degeneration in educational and health responses. This discussion illustrates why decolonising feminist psychology must not fail. Alternative signifiers that serve the purpose of social justice and care should be foregrounded. These joint tasks (critique of (neo)colonialist signifiers and the enactment of transformation through foregrounding alternative signifiers) should underpin decolonising feminist psychology praxis.
- Full Text:
- Date Issued: 2021
‘Bad choices’: Unintended pregnancy and abortion in nurses’ and counsellors’ accounts of providing pre-abortion counselling
- Mavuso, Jabulile M-J J, Macleod, Catriona I
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444139 , vital:74195 , xlink:href="https://doi.org/10.1177/1363459320988873"
- Description: Little research tackles healthcare providers’ experiences in conducting pre-abortion counselling sessions in circumstances where pregnant persons may request an abortion. We report on a study conducted in South Africa, in which two nurses and two counsellors were asked about how they conduct these counselling sessions. Using a synthetic narrative approach, we present these health workers’ micro-narratives about their motivations for providing abortion services, the purpose of the counselling, their information-giving practices, and whether and how third parties are included in the counselling. We highlight how these micro-narratives are premised on discursive resources that problematise unintended pregnancy and abortion. These resources enable and justify directive counselling that undermines pregnant peoples’ reproductive autonomy. We locate such directiveness within dominant anti-abortion discourse and call for training to reframe normative understandings of abortion.
- Full Text:
- Date Issued: 2021
- Authors: Mavuso, Jabulile M-J J , Macleod, Catriona I
- Date: 2021
- Subjects: To be catalogued
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/444139 , vital:74195 , xlink:href="https://doi.org/10.1177/1363459320988873"
- Description: Little research tackles healthcare providers’ experiences in conducting pre-abortion counselling sessions in circumstances where pregnant persons may request an abortion. We report on a study conducted in South Africa, in which two nurses and two counsellors were asked about how they conduct these counselling sessions. Using a synthetic narrative approach, we present these health workers’ micro-narratives about their motivations for providing abortion services, the purpose of the counselling, their information-giving practices, and whether and how third parties are included in the counselling. We highlight how these micro-narratives are premised on discursive resources that problematise unintended pregnancy and abortion. These resources enable and justify directive counselling that undermines pregnant peoples’ reproductive autonomy. We locate such directiveness within dominant anti-abortion discourse and call for training to reframe normative understandings of abortion.
- Full Text:
- Date Issued: 2021
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