Publications
262 results found
Schumacher C, Nyamukapa C, Garnett G, et al., 2011, MARRIAGE DISSOLUTION AND HIV PREVALENCE IN RURAL ZIMBABWE 2003-2008, SEXUALLY TRANSMITTED INFECTIONS, Vol: 87, Pages: A182-A182, ISSN: 1368-4973
Elmes J, Nhongo K, Hallett T, et al., 2011, WHO ARE THE WOMEN AT RISK OF HIV INFECTION IN RURAL ZIMBABWE AND HOW MANY ARE THERE? INSIGHTS INTO THEIR CHARACTERISTICS, LOCATIONS, AND BEHAVIOURS, SEXUALLY TRANSMITTED INFECTIONS, Vol: 87, Pages: A41-A41, ISSN: 1368-4973
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- Citations: 1
Skovdal M, Campbell C, Nyamukapa C, et al., 2011, When masculinity interferes with women's treatment of HIV infection: a qualitative study about adherence to antiretroviral therapy in Zimbabwe, JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, Vol: 14
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- Citations: 58
Gregson S, Nyamukapa C, Schumacher C, et al., 2011, Did National HIV Prevention Programs Contribute to HIV Decline in Eastern Zimbabwe? Evidence From a Prospective Community Survey, SEXUALLY TRANSMITTED DISEASES, Vol: 38, Pages: 475-482, ISSN: 0148-5717
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- Citations: 13
Gregson S, Mushati P, Grusin H, et al., 2011, Social Capital and Women's Reduced Vulnerability to HIV Infection in Rural Zimbabwe, POPULATION AND DEVELOPMENT REVIEW, Vol: 37, Pages: 333-+, ISSN: 0098-7921
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- Citations: 54
Campbell C, Skovdal M, Madanhire C, et al., 2011, "We, the AIDS people ...": How Antiretroviral Therapy Enables Zimbabweans Living With HIV/AIDS to Cope With Stigma, AMERICAN JOURNAL OF PUBLIC HEALTH, Vol: 101, Pages: 1004-1010, ISSN: 0090-0036
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- Citations: 78
Marsh KA, Nyamukapa CA, Donnelly CA, et al., 2011, Monitoring trends in HIV prevalence among young people, aged 15 to 24 years, in Manicaland, Zimbabwe, Journal of the International AIDS Society, Vol: 14, ISSN: 1758-2652
Skovdal M, Campbell C, Madanhire C, et al., 2011, Masculinity as a barrier to men's use of HIV services in Zimbabwe, Globalization and Health, Vol: 7, Pages: 1-14, ISSN: 1744-8603
Background: A growing number of studies highlight men’s disinclination to make use of HIV services. Thissuggests there are factors that prevent men from engaging with health services and an urgent need to unpackthe forms of sociality that determine men’s acceptance or rejection of HIV services.Methods: Drawing on the perspectives of 53 antiretroviral drug users and 25 healthcare providers, we examinequalitatively how local constructions of masculinity in rural Zimbabwe impact on men’s use of HIV services.Results: Informants reported a clear and hegemonic notion of masculinity that required men to be and act incontrol, to have know-how, be strong, resilient, disease free, highly sexual and economically productive. However,such traits were in direct conflict with the ‘good patient’ persona who is expected to accept being HIV positive,take instructions from nurses and engage in health-enabling behaviours such as attending regular hospital visitsand refraining from alcohol and unprotected extra-marital sex. This conflict between local understandings ofmanhood and biopolitical representations of ‘a good patient’ can provide a possible explanation to why so manymen do not make use of HIV services in Zimbabwe. However, once men had been counselled and had theopportunity to reflect upon the impact of ART on their productivity and social value, it was possible for some toconstruct new and more ART-friendly versions of masculinity.Conclusion: We urge HIV service providers to consider the obstacles that prevent many men from accessing theirservices and argue for community-based and driven initiatives that facilitate safe and supportive social spaces formen to openly discuss social constructions of masculinity as well as renegotiate more health-enabling masculinities.
Campbell C, Scott K, Madanhire C, et al., 2011, A 'good hospital': Nurse and patient perceptions of good clinical care for HIV-positive people on antiretroviral treatment in rural Zimbabwe-A mixed-methods qualitative study, INTERNATIONAL JOURNAL OF NURSING STUDIES, Vol: 48, Pages: 175-183, ISSN: 0020-7489
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- Citations: 46
Halperin DT, Mugurungi O, Hallett TB, et al., 2011, A Surprising Prevention Success: Why Did the HIV Epidemic Decline in Zimbabwe?, PLOS MEDICINE, Vol: 8, ISSN: 1549-1277
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- Citations: 125
Muchini B, Benedikt C, Gregson S, et al., 2011, Local Perceptions of the Forms, Timing and Causes of Behavior Change in Response to the AIDS Epidemic in Zimbabwe, AIDS AND BEHAVIOR, Vol: 15, Pages: 487-498, ISSN: 1090-7165
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- Citations: 25
Skovdal M, Campbell C, Madanhire C, et al., 2011, Challenges faced by elderly guardians in sustaining the adherence to antiretroviral therapy in HIV-infected children in Zimbabwe, AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, Vol: 23, Pages: 957-964, ISSN: 0954-0121
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- Citations: 44
Campbell C, Scott K, Madenhire C, et al., 2011, Sources of motivation and frustration among healthcare workers administering antiretroviral treatment for HIV in rural Zimbabwe, AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, Vol: 23, Pages: 797-802, ISSN: 0954-0121
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- Citations: 9
Gregson S, Garnett GP, 2010, Antiretroviral treatment is a behavioural intervention: but why?, AIDS, Vol: 24, Pages: 2739-2740, ISSN: 0269-9370
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- Citations: 4
Gonese E, Dzangare J, Gregson S, et al., 2010, Comparison of HIV Prevalence Estimates for Zimbabwe from Antenatal Clinic Surveillance (2006) and the 2005-06 Zimbabwe Demographic and Health Survey, PLOS ONE, Vol: 5, ISSN: 1932-6203
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- Citations: 13
Gregson S, Gonese E, Hallett TB, et al., 2010, HIV decline in Zimbabwe due to reductions in risky sex? Evidence from a comprehensive epidemiological review, INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, Vol: 39, Pages: 1311-1323, ISSN: 0300-5771
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- Citations: 93
Hallett TB, Gregson S, Kurwa F, et al., 2010, Measuring and correcting biased child mortality statistics in countries with generalized epidemics of HIV infection, BULLETIN OF THE WORLD HEALTH ORGANIZATION, Vol: 88, Pages: 761-768, ISSN: 0042-9686
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- Citations: 17
Campbell C, Skovdal M, Mupambireyi Z, et al., 2010, Exploring children's stigmatisation of AIDS-affected children in Zimbabwe through drawings and stories, SOCIAL SCIENCE & MEDICINE, Vol: 71, Pages: 975-985, ISSN: 0277-9536
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- Citations: 57
Cremin I, Nyamukapa C, Sherr L, et al., 2010, Patterns of Self-reported Behaviour Change Associated with Receiving Voluntary Counselling and Testing in a Longitudinal Study from Manicaland, Zimbabwe, AIDS AND BEHAVIOR, Vol: 14, Pages: 708-715, ISSN: 1090-7165
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- Citations: 44
Voeten HACM, Vissers DCJ, Gregson S, et al., 2010, Strong Association Between In-Migration and HIV Prevalence in Urban Sub-Saharan Africa, SEXUALLY TRANSMITTED DISEASES, Vol: 37, Pages: 240-243, ISSN: 0148-5717
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- Citations: 43
Lopman B, Cook A, Smith J, et al., 2010, Verbal autopsy can consistently measure AIDS mortality: a validation study in Tanzania and Zimbabwe, Journal of Epidemiology and Community Health, Vol: 64, Pages: 330-334, ISSN: 0143-005X
Background Verbal autopsy is currently the only option for obtaining cause of death information in most populations with a widespread HIV/AIDS epidemic.Methods With the use of a data-driven algorithm, a set of criteria for classifying AIDS mortality was trained. Data from two longitudinal community studies in Tanzania and Zimbabwe were used, both of which have collected information on the HIV status of the population over a prolonged period and maintained a demographic surveillance system that collects information on cause of death through verbal autopsy. The algorithm was then tested in different times (two phases of the Zimbabwe study) and different places (Tanzania and Zimbabwe).Results The trained algorithm, including nine signs and symptoms, performed consistently based on sensitivity and specificity on verbal autopsy data for deaths in 15–44-year-olds from Zimbabwe phase I (sensitivity 79%; specificity 79%), phase II (sensitivity 83%; specificity 75%) and Tanzania (sensitivity 75%; specificity 74%) studies. The sensitivity dropped markedly for classifying deaths in 45–59-year-olds.Conclusions Verbal autopsy can consistently measure AIDS mortality with a set of nine criteria. Surveillance should focus on deaths that occur in the 15–44-year age group for which the method performs reliably. Addition of a handful of questions related to opportunistic infections would enable other widely used verbal autopsy tools to apply this validated method in areas for which HIV testing and hospital records are unavailable or incomplete.
Hallett TB, Stover J, Mishra V, et al., 2010, Estimates of HIV incidence from household-based prevalence surveys, AIDS, Vol: 24, Pages: 147-152, ISSN: 0269-9370
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- Citations: 43
Robertson L, Gregson S, Garnett GP, 2010, Sexual risk among orphaned adolescents: is country-level HIV prevalence an important factor?, AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, Vol: 22, Pages: 927-938, ISSN: 0954-0121
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- Citations: 18
Nhamo M, Campbell C, Gregson S, 2010, Obstacles to local-level AIDS competence in rural Zimbabwe: putting HIV prevention in context, AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, Vol: 22, Pages: 1662-1669, ISSN: 0954-0121
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- Citations: 37
Nyamukapa CA, Gregson S, Wambe M, et al., 2010, Causes and consequences of psychological distress among orphans in eastern Zimbabwe, AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, Vol: 22, Pages: 988-996, ISSN: 0954-0121
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- Citations: 80
Owen Nee Watts H, Nyamukapa C, Beasley M, et al., 2009, Contrasting causal pathways contribute to poorer health and nutrition outcomes in orphans in Zimbabwe., Vulnerable Child Youth Stud, Vol: 4, Pages: 312-323, ISSN: 1745-0128
Orphaned children have been found to be at greater risk of poor health and malnutrition compared to non-orphans in sub-Saharan African countries. However, levels of disadvantage vary by location and little is known about the causal pathways that lead from orphanhood to poorer health and malnutrition. Aggregate data from recent Demographic and Health Surveys in 22 countries were used to compare overall levels of ill-health and malnutrition by orphan status. Data from the Manicaland Child Cohort Study in Zimbabwe - a closed cohort study with detailed longitudinal information on orphan's experience - were used to describe how patterns of ill-health and malnutrition alter over the child's life-course and to test causal pathways between orphanhood and ill-health and malnutrition, hypothesized in a previously published theoretical frame-work. Modest increases in ill-health and malnutrition were found in orphans in the Demographic and Health Surveys data, with maternal and double orphans being worst affected. Non-significant associations were found between orphanhood and ill-health in the Manicaland Child Cohort Study data, but no associations with malnutrition were found. None the less, smaller increases in body mass index with age were seen among orphans (ologit test for difference: adjusted odds ratio = 0.68; p = 0.07) and maternal orphans (ologit test for difference: adjusted odds ratio = 0.67; p = 0.03) than among non-orphans. Stigma and discrimination contributed to poor diet, malnutrition and ill-health in children whose mothers had died, while heightened poverty was a more important factor for paternal orphans. These results suggest social and psychological support for orphans and their families could be as important as material support in preventing malnutrition and ill-health.
Wilcher R, Cates W, Gregson S, 2009, Family planning and HIV: strange bedfellows no longer, AIDS, Vol: 23, Pages: S1-S6, ISSN: 0269-9370
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- Citations: 43
Birdthistle I, Floyd S, Nyagadza A, et al., 2009, Is education the link between orphanhood and HIV/HSV-2 risk among female adolescents in urban Zimbabwe?, SOCIAL SCIENCE & MEDICINE, Vol: 68, Pages: 1810-1818, ISSN: 0277-9536
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- Citations: 58
Gregson S, Todd J, Zaba B, 2009, Sexual behaviour change in countries with generalised HIV epidemics? Evidence from population-based cohort studies in sub-Saharan Africa, SEXUALLY TRANSMITTED INFECTIONS, Vol: 85, Pages: I1-I2, ISSN: 1368-4973
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- Citations: 8
Cremin I, Mushati P, Hallett T, et al., 2009, Measuring trends in age at first sex and age at marriage in Manicaland, Zimbabwe, SEXUALLY TRANSMITTED INFECTIONS, Vol: 85, Pages: I34-I40, ISSN: 1368-4973
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- Citations: 23
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