Browsing by Author "Jacobs, Joachim"
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Item Coercive sexual practices and gender-based violence on a university campus(Taylor & Francis, co-published with Unisa Press, 2009) Clowes, Lindsay; Shefer, Tamara; Fouten, Elron; Vergnani, Tania; Jacobs, JoachimWhen a 22-year-old University of the Western Cape (UWC) female student was stabbed to death by her boyfriend (another student) in her room in the university residence on 25 August 2008, the entire campus was left reeling. Bringing the stark reality of gender-based violence (GBV) so close to home, the tragedy was a powerful reminder of the limits of more than a decade of legislative change, concerted activism, education, consciousness-raising and knowledge production aimed at challenging gender-based power inequalities. This article reflects on the relationships between violence, coercion and heterosexuality on a specific campus by drawing on data generated by a qualitative study at UWC that explored student constructions of heterosexual relationships in the light of national imperatives around HIV/AIDS and GBV. Involving 20 focus groups with male and female students over the course of 2008 and 2009, the study revealed that unequal and coercive practices are common in heterosexual relationships on this campus. The study underlined the necessity of understanding these relationships as produced through power inequalities inherent in normative gender roles, and also drew attention to ways in which gender power inequalities intersect in complex and sometimes contradictory ways with other forms of inequality on campus � in particular, class, age and geographical origin. While both men and women students appeared to experience pressure (linked to peer acceptance and material gain) to engage in (hetero)sexual relationships, it seems that first-year female students from poor, rural backgrounds are particularly vulnerable to the transactional and unequal relationships associated with coercive and sometimes even violent sexual practices. Alcohol and substance abuse also appear to be linked to unsafe and abusive sexual practices, and again it is young female students new to campus life who are most vulnerable. This article draws on the data from this larger study to explore experiences and understandings of the most vulnerable � young female students � in unpacking connections between (hetero)sexuality and violent and coercive sex in an educational institution.Item Translational research in South Africa: evaluating implementation quality using a factorial design(Springer Verlag, 2012) Caldwell, Linda L.; Smith, Edward A.; Collins, Linda M.; Graham, John W.; Lai, Mary H.; Wegner, Lisa; Vergnani, Tania; Mathews, Catherine; Jacobs, JoachimBackground: HealthWise South Africa: Life Skills for Adolescents (HW) is an evidence- based substance use and sexual risk prevention program that emphasizes the positive use of leisure time. Since 2000, this program has evolved from pilot testing through an efficacy trial involving over 7,000 youth in the Cape Town area. Beginning in 2011, through 2015, we are undertaking a new study that expands HW to all schools in the Metro South Education District. Objective: This paper describes a research study designed in partnership with our South African collaborators that examines three factors hypothesized to affect the quality and fidelity of HW implementation: enhanced teacher training; teacher support, structure and supervision; and enhanced school environment. Methods: Teachers and students from 56 schools in the Cape Town area will participate in this study. Teacher observations are the primary means of collecting data on factors affecting implementation quality. These factors address the practical concerns of teachers and schools related to likelihood of use and cost-effectiveness, and are hypothesized to be "active ingredients" related to high-quality program implementation in real-world settings. An innovative factorial experimental design was chosen to enable estimation of the individual effect of each of the three factors. Results: Because this paper describes the conceptualization of our study, results are not yet available. Conclusions: The results of this study may have both substantive and methodological implications for advancing Type 2 translational research.Item Trends in HIV risk behaviour of incoming first-year students at a South African university: 2007–2012(Taylor and Francis Group, 2015) Blignaut, Renette J.; Jacobs, Joachim; Vergnani, TaniaThe aim of the research on which this article is based was to understand the behavioural changes of the target student populationover time to ensure that future prevention programmes are more effective in changing behaviour. This study reports on quantitativedata collected at the University of the Western Cape over a six-year period between 2007 and 2012. All the students attending theorientation sessions and who were willing to complete the anonymous questionnaire during each of the six years were included inthe study. Data were collected on the following aspects and subjects: sexual activity, age at first sexual encounter, number of sexualpartners, condom usage, knowledge of how to use a condom, perceived ability to discuss condoms usage with a sexual partner,perception of HIV risk and HIV testing as well as the intention to be tested. Reported alcohol and drug usage, as well asdepressive symptoms, was also recorded. The percentage of students reporting having had vaginal sex prior to enteringuniversity increased from 44% in 2007 to 51% in 2012 but, alarmingly, the consistent use of condoms decreased from 60% in2007 to 51% in 2012. The average onset age of about 15.6 years for males and 16.7 years for females for vaginal sex did notchange over the six-year period. No difference in smoking patterns or drug use was seen over the period of the study, but thenumber of entering students who indicated that they consumed alcohol increased significantly from 48% in 2007 to 58% in2012.Item A weighted bootstrap approach to logistic regression modelling in identifying risk behaviours associated with sexual activity(Taylor and Francis Group, 2019) Brydon, Humphrey; Blignaut, Rénette; Jacobs, JoachimThe latest population estimates released by Statistics South Africa indicate that 25.03% of alldeaths in 2017 in South Africa were AIDS-related. Along with these results, it is also reportedthat 7.06% of the population were living with HIV, with the HIV-prevalence among youth(aged 15–24) at 4.64% for 2017 (STATSSA. (2018). Retrieved from Statistics South Africa:http://www.statssa.gov.za/publications/P0302/P03022017.pdf). The data used in the studycontained information related to the risk-taking behaviours associated with the sexualactivity of enteringfirst-year students at the University of the Western Cape. In this study, alogistic regression modelling procedure was carried out on those students that weredetermined to be sexually active, therefore, in the modelling procedure significant riskbehaviours of sexually activefirst-year students could be identified. Of the 14 variablesincluded in the modelling procedure, six were found to be significantly associated withsexually active students.