scholarly journals Investigating spatial disparities in high-risk women and HIV infections using generalized additive models: Results from a cohort of South African women

2019 ◽  
Vol 30 ◽  
pp. 100283
Author(s):  
Handan Wand ◽  
Tarylee Reddy ◽  
Gita Ramjee
PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0120207 ◽  
Author(s):  
Irith De Baetselier ◽  
Joris Menten ◽  
Vicky Cuylaerts ◽  
Khatija Ahmed ◽  
Jennifer Deese ◽  
...  

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Florence E. Davidson ◽  
Tandi E. Matsha ◽  
Rajiv T. Erasmus ◽  
Andre Pascal Kengne ◽  
Julia H. Goedecke

Abstract Background A number of studies have shown central adiposity, in particular visceral adipose tissue (VAT) accumulation to be a hallmark of metabolic syndrome (MetS). In clinical practice, waist circumference (WC) is used as a proxy for VAT. Aim To compare the ability of dual energy x-ray absorptiometry (DXA)-derived VAT area and anthropometric measures of adiposity for diagnosing MetS in a sample of high risk South African women. Methods MetS was quantified using the Joint Interim Statement (JIS) criteria. Fasting glucose, insulin and lipid profile were measured in 204 post-menopausal women. Anthropometry measures included body mass index (BMI), WC, waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and a body shape index (ABSI). The area under the curve (AUC) was used to assess their performance in detecting any two components of MetS (excluding WC). Optimal WC and VAT area cut-points were derived to compare their performance for diagnosing MetS and to compare to internationally recognised cut-points. Results The highest AUC for the prediction of MetS was recorded for VAT, followed by WHtR and WC (AUC, 0.767, 0.747 and 0.738 respectively), but these did not differ significantly (all p ≥ 0.192). In contrast, VAT was significantly better than BMI (p = 0.028), hip (p = 0.0004) and ABSI (p < 0.0001). The optimal WC (94.4 cm) and VAT area (174 cm2 based on the Youden’s index method and 175.50 cm2 based on the CTL approach) cut-points performed similarly in detecting MetS. Conclusion DXA-derived VAT and WC had the same overall performance in discriminating the presence of any 2 MetS components in high risk South African women. These findings support the current recommendations of using WC rather than VAT for MetS risk screening, as it is cheap, accessible and easy to measure.


2021 ◽  
Vol 25 (spe) ◽  
pp. 1-23
Author(s):  
Omololu Fagbadebo

An upsurge in the rate of violence against women has an adverse effect on women in South Africa. Sadly, many South African women who are the victims of violent sexual conduct, such as, rape and other forms of violent sexual abuse, have in part contributed to the prevalence of HIV/AIDS infection among women. Of the 7,7 million South African living with HIV/AIDS in 2018, 4,7 million were women, while another 69 000 were among the new infections. They are more vulnerable to HIV infections with 21,17 percent of women living with the disease. Using personal conversations, literature searches and documents for primary and secondary data, this article argues that value orientation that ascribes superiority to men has damaging consequences on the status of women. South African women are exposed to violent habitual actions of men that denigrate their womanhood. The article, therefore, submits that there is a need to reinforce civil society and strengthen the justice system for the protection and promotion of the rights and freedom of women. Aside from this, the government should increase its commitment to the enforcement of requisite legislative frameworks that safeguard the rights and freedom of women, and review punishments for any acts of violence against women.


2015 ◽  
Vol 213 (10) ◽  
pp. 1523-1531 ◽  
Author(s):  
Rochelle P. Walensky ◽  
Margo M. Jacobsen ◽  
Linda-Gail Bekker ◽  
Robert A. Parker ◽  
Robin Wood ◽  
...  

2020 ◽  
Vol 24 (7) ◽  
pp. 2178-2187
Author(s):  
Jennifer Velloza ◽  
◽  
Renee Heffron ◽  
K. Rivet Amico ◽  
Ali Rowhani-Rahbar ◽  
...  

2017 ◽  
Vol 14 (2) ◽  
pp. 57-70 ◽  
Author(s):  
Lyn Snodgrass

This article explores the complexities of gender-based violence in post-apartheid South Africa and interrogates the socio-political issues at the intersection of class, ‘race’ and gender, which impact South African women. Gender equality is up against a powerful enemy in societies with strong patriarchal traditions such as South Africa, where women of all ‘races’ and cultures have been oppressed, exploited and kept in positions of subservience for generations. In South Africa, where sexism and racism intersect, black women as a group have suffered the major brunt of this discrimination and are at the receiving end of extreme violence. South Africa’s gender-based violence is fuelled historically by the ideologies of apartheid (racism) and patriarchy (sexism), which are symbiotically premised on systemic humiliation that devalues and debases whole groups of people and renders them inferior. It is further argued that the current neo-patriarchal backlash in South Africa foments and sustains the subjugation of women and casts them as both victims and perpetuators of pervasive patriarchal values.


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