scholarly journals A scoping review of the determinants of foetal alcohol spectrum disorder in South Africa: an intersectional perspective

Author(s):  
Michelle De Jong ◽  
Asha George ◽  
Tanya Jacobs

Abstract Foetal alcohol spectrum disorder (FASD) affects babies born to mothers who consume alcohol while pregnant. South Africa has the highest prevalence of FASD in the world. We review the social determinants underpinning FASD in South Africa and add critical insight from an intersectional feminist perspective. We undertook a scoping review, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews guidelines. Drawing from EBSCOhost and PubMed, 95 articles were screened, with 21 selected for analysis. We used the intersectionality wheel to conceptualize how the social and structural determinants of FASD identified by the literature are interconnected and indicative of broader inequalities shaping the women and children affected. Key intersecting social determinants that facilitate drinking during pregnancy among marginalized populations in South Africa documented in the existing literature include social norms and knowledge around drinking and drinking during pregnancy, alcohol addiction and biological dependence, gender-based violence, inadequate access to contraception and abortion services, trauma and mental health, and moralization and stigma. Most of the studies found were quantitative. From an intersectional perspective, there was limited analysis of how the determinants identified intersect with one another in ways that exacerbate inequalities and how they relate to the broader structural and systemic factors undermining healthy pregnancies. There was also little representation of pregnant women’s own perspectives or discussion about the power dynamics involved. While social determinants are noted in the literature on FASD in South Africa, much more is needed from an intersectionality lens to understand the perspectives of affected women, their social contexts and the nature of the power relations involved. A critical stance towards the victim/active agent dichotomy that often frames women who drink during pregnancy opens up space to understand the nuances needed to support the women involved while also illustrating the contextual barriers to drinking cessation that need to be addressed through holistic approaches.

2021 ◽  
Vol 30 (2) ◽  
pp. 817-832
Author(s):  
Kirsty Bastable ◽  
Sandra Klopper ◽  
Alecia Samuels ◽  
Shakila Dada

Introduction Social validation or the inclusion of stakeholders in the research process is beneficial, as it may decrease bias, increases efficacy, and prevents harm. For direct stakeholders such as individuals with autism spectrum disorder (ASD), social validation has mostly included participants who do not experience significant speech, language, and communication limitations while frequently omitting individuals with ASD who have complex communication needs (CCN). The presence of CCN indicates that augmentative and alternative communication (AAC) strategies are needed for individuals to express themselves. Social validation should not be limited to being participants in an intervention but should include involvement in the research process. This requires an understanding of the current trends, levels, and mechanisms of involvement in AAC research. Purpose This review aimed to identify and describe the inclusion of direct stakeholders with ASD in the social validation of AAC research. Method A scoping review was conducted following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews) methodology to identify AAC research that included stakeholders with ASD (direct and indirect) for social validation and to evaluate their level of involvement using the Typology of Youth Participation and Empowerment pyramid framework. Results Twenty-four studies were identified. Studies primarily included indirect stakeholders (e.g., caregivers) giving in-depth perspectives, while direct stakeholders were limited to being intervention participants. Conclusions Voices of direct stakeholders with ASD and CCN remain limited or excluded in research. Reasons for the exclusion of individuals with ASD and CCN from research and strategies for future inclusion are raised and discussed.


2021 ◽  
Author(s):  
Gregory Greenwood ◽  
Paul Gaist ◽  
Ann Namkung ◽  
Dianne Rausch

AbstractSocial determinants are increasingly understood as key contributors to patterns of heightened risk for HIV acquisition and suboptimal care and treatment outcomes. Yet, the ability to rigorously model, map and measure these nuanced social dynamics has been a challenge, resulting in limited examples of effective interventions and resource allocation. In 2016, the United States National Institute of Mental Health (NIMH) and the National Institute of Allergy and Infectious Diseases (NIAID) issued a Request for Applications calling for methodological innovations around the social determinants of HIV. In May of 2019, NIMH, in collaboration with American University’s Center on Health, Risk and Society and the DC Center for AIDS Research, sponsored a symposium to bring together the funded teams to share accomplishments, distill lessons learned and reflect on the state of the science with other key stakeholders. Presentations focused on causal inference, multi-level analysis and mathematical modeling (Models); geospatial analytics and ecological momentary assessments (Maps); and measurement of social and structural determinants including inequalities and stigmas (Measures). Cross-cutting and higher-level themes were discussed and largely focused on the importance of critical and careful integration of social theory, community engagement and mixed methodologies into research on the social determinants of HIV.


2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Edna Johana Mondragón-Sánchez ◽  
Reinaldo Gutiérrez Barreiro ◽  
Marcos Venícios de Oliveira Lopes ◽  
Ana Karina Bezerra Pinheiro ◽  
Priscila de Souza Aquino ◽  
...  

ABSTRACT Objectives: to analyze the impact of the Colombian Peace Agreement on the structural social determinants of health. Methods: a descriptive, ecological study, based on documentary data from 2008 to 2018. The records of victims, epidemiological indicators, and structural social determinants of health in Colombia were analyzed. Results: there was a correlation between the period in which the Peace Agreement process was developed and the indicators of structural determinants in health with p<0.05. With the Poisson regression analysis, the favorable correlations between the peace process and the determinants were confirmed, besides allowing the understanding of the changes in these indicators before the Peace Agreement. Conclusions: the implementation of the peace process has a positive impact on structural social determinants of health, which is observed by the beginning of the decrease of economic, educational, health, and social inequalities and inequities, a fact that offers the possibility of living in peace.


2018 ◽  
Vol 19 (2) ◽  
pp. 179-196
Author(s):  
Theodore Petrus ◽  
Irvin Kinnes

Gang violence has been extensively highlighted as an issue of national concern in South Africa. Gangs also pose concerns about the social contexts of the communities in which they are found. The Western Cape and Eastern Cape provinces have had the most prolific occurrences of gangsterism. Here gangs have demonstrated unique characteristics that set them apart from gangs in other areas. This article examines the context of gangsterism in the selected provinces by means of a comparative analysis. The purpose is to provide some strategies for effective intervention. The discussion also interrogates how or why intervention efforts may have failed and what could be improved in order to strengthen the chances of success of future interventions in affected communities.


2019 ◽  
Vol 34 (5) ◽  
pp. 720-730 ◽  
Author(s):  
Ashti Doobay-Persaud ◽  
Mark D. Adler ◽  
Tami R. Bartell ◽  
Natalie E. Sheneman ◽  
Mayra D. Martinez ◽  
...  

2018 ◽  
Vol 38 (4) ◽  
pp. 225-234
Author(s):  
Lindsay Rosenfeld ◽  
Jessica M. Kramer ◽  
Melissa Levin ◽  
Kimberly Barrett ◽  
Dolores Acevedo-Garcia

Optimal child development is supported by services, policies, a social determinants of health (SDOH) frame, and meaningful participation (as defined by the International Classification of Functioning, Disability, and Health–Children and Youth [ICF-CY]). This scoping review describes the social determinants that may affect the participation of young children aged 0 to 3 years with developmental disabilities (DD) in the United States. Scoping review of studies including U.S. children with DD aged 0 to 3 years, from 2000 to 2016, were used. 5/979 studies met inclusion criteria. Two researchers independently coded studies to align them with both ICF-CY and SDOH. Studies found determinants of participation stemming from the child (e.g., individual) and multiple contexts: immediate, community, and policy. The emergent literature continues to primarily focus on child determinants but suggests participation of young children with DD is affected by social determinants stemming from the community and policy contexts. The literature underrepresents children from racial/ethnic minority backgrounds.


2010 ◽  
Vol 39 (3) ◽  
pp. 211-228 ◽  
Author(s):  
Michele S. Moses

The author’s primary aims are to clarify the differing rationales for affirmative action that have emerged in five nations—France, India, South Africa, the United States, and Brazil—and to make the case for the most compelling rationales, whether instrumentally or morally based. She examines the different social contexts surrounding the establishment and public discussion of each nation’s policy. Next, she examines four justifications for affirmative action in these nations: remediation, economics, diversity, and social justice. She offers philosophical analysis of the justifications for affirmative action in each country and synthesizes federal and state legislation, court decisions, news media sources, and research-based scholarship. She argues that the social justice rationale ought to be invoked more centrally, underscoring affirmative action’s role in fostering a democratic society.


INYI Journal ◽  
2020 ◽  
pp. 15-19
Author(s):  
Negar Alamdar

The scholarship on gender-based violence (GBV) against refugee youth has succeeded in highlighting the significance of micro social psychological or situational analyses. Missing, however, are analyses that incorporate structural approaches, especially as informed by critical feminist and critical race theories. This review not only suggests ways in which structural analyses may proceed by further recommending the conceptual utility of integration and dislocation as key concepts in refugee studies, GBV and analyses of youth. These concepts mediate the relationships between two fundamental and prevailing units in the social theorizing – micro and macro-analyses. By incorporating more holistic, relational and critical foci regarding systems of domination (misogyny, racism, youth discrimination, homophobia) within the political economy and culture and their embedded institutions, more systemic and long term remedies are recommended.


BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e049947
Author(s):  
Mathilde Barbier ◽  
Caroline Schulte ◽  
Anna Kornadt ◽  
Carine Federspiel ◽  
Jean-Paul Steinmetz ◽  
...  

IntroductionThe use of social marketing strategies to induce the promotion of cognitive health has received little attention in research. The objective of this scoping review is twofold: (i) to identify the social marketing strategies that have been used in recent years to initiate and maintain health-promoting behaviour; (ii) to advance research in this area to inform policy and practice on how to best make use of these strategies to promote cognitive health.Methods and analysisWe will use the five-stage methodological framework of Arksey and O’Malley. Articles in English published since 2010 will be searched in electronic databases (the Cochrane Library, DoPHER, the International Bibliography of the Social Sciences, PsycInfo, PubMed, ScienceDirect, Scopus). Quantitative and qualitative study designs as well as reviews will be considered. We will include those articles that report the design, implementation, outcomes and evaluation of programmes and interventions concerning social marketing and/or health promotion and/or promotion of cognitive health. Grey literature will not be searched. Two independent reviewers will assess in detail the abstracts and full text of selected citations against the inclusion criteria. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses flowchart for Scoping Reviews will be used to illustrate the process of article selection. We will use a data extraction form, present the results through narrative synthesis and discuss them in relation to the scoping review research questions.Ethics and disseminationEthics approval is not required for conducting this scoping review. The results of the review will be the first step to advance a conceptual framework, which contributes to the development of interventions targeting the promotion of cognitive health. The results will be published in a peer-reviewed scientific journal. They will also be disseminated to key stakeholders in the field of the promotion of cognitive health.


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