Alcohol use among women attending antenatal care in Buffalo City, Eastern Cape
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
Needs assessment for gender-sensitive training in substance use disorder treatment for gender-nonconforming people
- Authors: Tao, Lane
- Date: 2022-04-07
- Subjects: Discrimination in mental health services , Substance abuse Psychological aspects , Substance abuse Social aspects , Substance abuse Treatment , LGBTQ+ people Psychology , LGBTQ+ people Mental health services , Gender mainstreaming , Psychiatric ethics
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234339 , vital:50187
- Description: Research suggests that queer people face both general discrimination and inadequate support in substance use disorder (SUD) treatment. One recommendation made by scholarship to address this is to improve the treatment capabilities of practitioners, thus improving practitioner readiness and reducing access barriers for a potentially at-risk population. The purpose of this study is to explore SUD treatment practitioners’ experiences of treating queer clients and identify their training needs. Semi-structured interviews were conducted with seven registered mental healthcare practitioners operating in Cape Town, South Africa. Data was analysed via thematic analysis, using a social constructionist approach to gender and practitioner knowledge. The findings reflect a strong interest in gender-sensitive training to better prepare practitioners for treating queer clients. Participants provided feedback on areas in need of improvement and made recommendations on how training should be conducted. Findings indicate that queer clients may enter treatment with a high burden of trauma due to discrimination, and that healthcare structures abiding by a binary approach to gender may not be able to address queer people’s diverse needs. Recommendations for future research are made, with particular emphasis on including queer people in surveillance data. Target areas for training programmes are described, with emphasis on terminological understanding and accessibility of training. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Tao, Lane
- Date: 2022-04-07
- Subjects: Discrimination in mental health services , Substance abuse Psychological aspects , Substance abuse Social aspects , Substance abuse Treatment , LGBTQ+ people Psychology , LGBTQ+ people Mental health services , Gender mainstreaming , Psychiatric ethics
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234339 , vital:50187
- Description: Research suggests that queer people face both general discrimination and inadequate support in substance use disorder (SUD) treatment. One recommendation made by scholarship to address this is to improve the treatment capabilities of practitioners, thus improving practitioner readiness and reducing access barriers for a potentially at-risk population. The purpose of this study is to explore SUD treatment practitioners’ experiences of treating queer clients and identify their training needs. Semi-structured interviews were conducted with seven registered mental healthcare practitioners operating in Cape Town, South Africa. Data was analysed via thematic analysis, using a social constructionist approach to gender and practitioner knowledge. The findings reflect a strong interest in gender-sensitive training to better prepare practitioners for treating queer clients. Participants provided feedback on areas in need of improvement and made recommendations on how training should be conducted. Findings indicate that queer clients may enter treatment with a high burden of trauma due to discrimination, and that healthcare structures abiding by a binary approach to gender may not be able to address queer people’s diverse needs. Recommendations for future research are made, with particular emphasis on including queer people in surveillance data. Target areas for training programmes are described, with emphasis on terminological understanding and accessibility of training. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
Service dogs for Autism Spectrum Disorder: the experiences of caregivers in South Africa
- Authors: Martin, Emma Jeanne
- Date: 2022-04-07
- Subjects: Autism spectrum disorders South Africa , Service dogs South Africa , Animals Therapeutic use South Africa , Caregivers South Africa , Animals Therapeutic use Public opinion , Animal welfare South Africa , Children with autism spectrum disorders South Africa
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/232855 , vital:50032
- Description: Autism spectrum disorder (ASD) is a neurodevelopmental disorder, most frequently diagnosed in childhood, with symptoms including deficits in social communication and interaction as well as restricted, repetitive patterns of behaviours, interests and activities. There is no known cure for ASD, with current treatment methods focussing upon reducing symptom severity. One such treatment method is the use of autism service dogs. Internationally, autism service dogs have been available for over two decades, while in South Africa they have only been available since 2015. A fair amount of internationally published data is available on autism service dogs, however, at the time of this research study, no data was available within South Africa. This study aimed to provide a baseline for research on autism service dogs within South Africa, by documenting the experiences of caregivers whose ASD children had been supplied with autism service dogs, with regard to the uses, effects, accessibility and public perception of the autism service dogs, as well as recommendations for future improvements of autism service dogs within South Africa. Lastly, inquiry into the welfare of the autism service dogs was sought. This study was qualitative in nature, with eight families who had been supplied with autism service dogs having chosen to participate. Data collection was achieved through one semi-structured interview with each family, which was then transcribed and thematically analysed using a hermeneutic phenomenological approach. Results indicated that autism service dogs were perceived as generally accessible, useful and beneficial for ASD children and their caregivers in a variety of ways, however, they were not without their challenges, with lifestyle adjustments and public perception being especially problematic. Participants also noted recommendations for possible future improvements. Lastly, welfare concerns for the autism service dogs relating to violent behaviour exhibited by ASD children was identified, raising the question of the suitability of service dogs for the ASD population. , Thesis (MA) -- Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Martin, Emma Jeanne
- Date: 2022-04-07
- Subjects: Autism spectrum disorders South Africa , Service dogs South Africa , Animals Therapeutic use South Africa , Caregivers South Africa , Animals Therapeutic use Public opinion , Animal welfare South Africa , Children with autism spectrum disorders South Africa
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/232855 , vital:50032
- Description: Autism spectrum disorder (ASD) is a neurodevelopmental disorder, most frequently diagnosed in childhood, with symptoms including deficits in social communication and interaction as well as restricted, repetitive patterns of behaviours, interests and activities. There is no known cure for ASD, with current treatment methods focussing upon reducing symptom severity. One such treatment method is the use of autism service dogs. Internationally, autism service dogs have been available for over two decades, while in South Africa they have only been available since 2015. A fair amount of internationally published data is available on autism service dogs, however, at the time of this research study, no data was available within South Africa. This study aimed to provide a baseline for research on autism service dogs within South Africa, by documenting the experiences of caregivers whose ASD children had been supplied with autism service dogs, with regard to the uses, effects, accessibility and public perception of the autism service dogs, as well as recommendations for future improvements of autism service dogs within South Africa. Lastly, inquiry into the welfare of the autism service dogs was sought. This study was qualitative in nature, with eight families who had been supplied with autism service dogs having chosen to participate. Data collection was achieved through one semi-structured interview with each family, which was then transcribed and thematically analysed using a hermeneutic phenomenological approach. Results indicated that autism service dogs were perceived as generally accessible, useful and beneficial for ASD children and their caregivers in a variety of ways, however, they were not without their challenges, with lifestyle adjustments and public perception being especially problematic. Participants also noted recommendations for possible future improvements. Lastly, welfare concerns for the autism service dogs relating to violent behaviour exhibited by ASD children was identified, raising the question of the suitability of service dogs for the ASD population. , Thesis (MA) -- Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
The narratives of women in South Africa who use social media to talk about gender-based violence
- Authors: Walton, Donica Jasmin
- Date: 2022-04-07
- Subjects: Women Violence against South Africa , Social media and society South Africa , Internet and activism South Africa , Discourse analysis, Narrative , Internet and women South Africa , Subject positions
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/232590 , vital:50005
- Description: There has been research conducted, both globally and in South Africa, on social media activism against gender-based violence (GBV). However, most research on the topic is based on participants in other parts of the world. Not much has been published on Black, African women. More specifically, not much is known about how women in South Africa experience using social media to talk about GBV. This research project draws on critical feminism and a narrative-discursive approach to explore the narratives of women in South Africa who use social media to talk about GBV. This is done by identifying the discourses women draw on to construct narratives, the subject positions utilised within these discourses, and how “trouble” and “repair” features in the narratives and positioning of women. Twelve interviews were conducted with women who volunteered and fit the inclusion criteria. The analysis of data was presented in two parts. The first set of discourses (discourses of ‘efficacy’, ‘convenience’, and ‘education’) were focused on what the use of social media achieves irrespective of the topic being discussed. These discourses speak to the idea that social media is powerful and useful because of its reach, speed, immediacy, and ability to be used to educate and be educated. The second set of discourses (discourses of ‘community and solidarity’, ‘validation’, and ‘vulnerability’) were focused on what the use of social media does for the people participating. Women have found a community and solidarity, and their experiences and thoughts have been validated on social media. Overall, the women in this research project justified their use of social media for activism against GBV, and acknowledged the tension that exists because despite its potential, there are limitations. , Thesis (MSocSci) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Walton, Donica Jasmin
- Date: 2022-04-07
- Subjects: Women Violence against South Africa , Social media and society South Africa , Internet and activism South Africa , Discourse analysis, Narrative , Internet and women South Africa , Subject positions
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/232590 , vital:50005
- Description: There has been research conducted, both globally and in South Africa, on social media activism against gender-based violence (GBV). However, most research on the topic is based on participants in other parts of the world. Not much has been published on Black, African women. More specifically, not much is known about how women in South Africa experience using social media to talk about GBV. This research project draws on critical feminism and a narrative-discursive approach to explore the narratives of women in South Africa who use social media to talk about GBV. This is done by identifying the discourses women draw on to construct narratives, the subject positions utilised within these discourses, and how “trouble” and “repair” features in the narratives and positioning of women. Twelve interviews were conducted with women who volunteered and fit the inclusion criteria. The analysis of data was presented in two parts. The first set of discourses (discourses of ‘efficacy’, ‘convenience’, and ‘education’) were focused on what the use of social media achieves irrespective of the topic being discussed. These discourses speak to the idea that social media is powerful and useful because of its reach, speed, immediacy, and ability to be used to educate and be educated. The second set of discourses (discourses of ‘community and solidarity’, ‘validation’, and ‘vulnerability’) were focused on what the use of social media does for the people participating. Women have found a community and solidarity, and their experiences and thoughts have been validated on social media. Overall, the women in this research project justified their use of social media for activism against GBV, and acknowledged the tension that exists because despite its potential, there are limitations. , Thesis (MSocSci) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
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