Shannon N Wood
Datos Biográficos
| ID | 1725242 |
|---|---|
| NOMBRE | Shannon N Wood |
| NOMBRES | Shannon N |
| APELLIDO | Wood |
| FIRMA | WOOD S N |
| AFILIACIONES | Johns Hopkins University |
| ORCID | 0000-0003-4389-3526 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAS | 20 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2008 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
Economic intimate partner violence and its co-occurrence with physical and/or sexual intimate partner violence among youth
Partner economic abuse is an understudied form of intimate partner violence (IPV) that is increasingly considered to coincide with physical and/or sexual IPV (i.e., contact IPV), and can hinder help-seeking. This overlap is not well-understood, and measurement for economic IPV remains limited across global settings. This mixed methods study examines 1) measurement performance of an economic IPV scale; 2) prevalence of current economic IPV and con…
Rural–Urban Differences in the Association Between Reproductive Coercion and Postpartum Family Planning
Access to timely postpartum family planning (PPFP) helps safeguard women's reproductive autonomy and supports healthy birth spacing, yet little is known about how reproductive coercion (RC) shapes women's ability to initiate contraception after childbirth. We analyzed prospective cohort data from 1,481 pregnant Ethiopian women followed for 12 months postpartum between 2021 and 2023. Time (in months) to contraceptive uptake by pre‐pregnancy RC exp…
Intimate partner violence trajectories over a 1-year period in a population-based cohort of women in Kenya
INTRODUCTION: The global evidence base on intimate partner violence (IPV) prevalence and risk factors is predominantly cross-sectional, limiting clarity in changes over time. Prospective cohort data can inform trajectories, as is needed to guide prevention efforts. AIMS: This study characterises (1) the prevalence of past-year IPV and trajectories among a cohort at two time points spanning 1 year and (2) individual and household factors associate…
Intimate partner violence help-seeking attitudes in the Democratic Republic of the Congo
These findings reiterate the need to dismantle harmful gender systems and promote survivor-centered services. Confidence in services and corresponding attitudes favorable of seeking help are necessary to promote help-seeking for this leading form of gender-based violence
Evaluating Contraceptive Empowerment Among Women and Girls in Sub‐Saharan Africa
This study evaluates the contraceptive empowerment subscale of the Women's and Girls’ Empowerment in Sexual and Reproductive Health (WGE‐SRH) index across seven sub‐Saharan African countries. Using structural equation modeling and logistic regression among population‐based samples of women aged 15–49, we find evidence that the abbreviated eight‐item subscale is a reliable measure of contraceptive empowerment (Cronbach's alpha range: 0.67–0.78), s…
A qualitative exploration of reproductive coercion experiences and perceptions in four geo-culturally diverse sub-Saharan African settings
Reproductive coercion (RC) is any intentional behavior that interferes with another's reproductive decision-making or pregnancy outcome. This study aims to qualitatively examine RC experiences and perceptions among women and men in Ethiopia, Nigeria (Kano and Anambra States), and Uganda. This is a secondary analysis utilizing qualitative data from the Women's and Girls' Empowerment in Sexual and Reproductive Health study. Across sites, focus grou…
Family planning service disruptions in the first two years of the Covid-19 pandemic
Many speculated that COVID-19 would severely restrict the delivery of essential health services, including family planning (FP), but evidence of this impact is limited, partly due to data limitations. We use cross-sectional data collected from regional and national samples of health facilities (n = 2,610) offering FP across seven low- and middle-income countries (LMICs) between 2019 and 2021, with longitudinal data from four geographies, to exami…
Impact of Covid-19 on the mental health of adolescents and youth in Nairobi, Kenya
Mental health issues were common among adolescents and youth and may have been augmented by isolation and economic hardships brought about by COVID-19 restrictions. There is a need for concerted efforts to support adolescents and young people to meet their mental health needs, while considering the unique variations by gender. There is need to urgently strengthen the mental health system in Kenya, including via integrating psychosocial support se…
Disruptions to youth contraceptive use during Covid-19
Ensuring access to sexual and reproductive health (SRH) services for adolescents is a global priority, given the detrimental health and economic impact of unintended pregnancies. To examine whether and how COVID-19 affected access to SRH services, we use mixed-methods data from young men and women in Nairobi, Kenya to identify those at greatest risk of contraceptive disruptions during COVID-19 restrictions. Analyses utilize cross-sectional data c…
Needs and unmet needs for support services for recently pregnant intimate partner violence survivors in Ethiopia during the Covid-19 pandemic
Results reveal a persistent low awareness and utilization of formal IPV support and urge future policy efforts to address unmet needs through expansion of services by reducing socio-cultural barriers. COVID-19 impacted access to both formal and informal support systems, highlighting needs for adaptable, remote service delivery and upstream violence prevention. Public health interventions must strengthen linkages between formal and informal resour…
Risk and protective factors surrounding depressive symptoms and hazardous alcohol use among intimate partner violence survivors in Nairobi, Kenya
Gender-based violence during Covid-19 among adolescent girls and young women in Nairobi, Kenya
INTRODUCTION: Adolescent girls and young women (AGYW) disproportionately experience gender-based violence (GBV), which can increase during emergencies like the COVID-19 pandemic. METHODS: A cohort of youth ages 15-24 in Nairobi, Kenya was surveyed at three time points over an 18-month period prior to and during the COVID-19 pandemic: June-August 2019 (prepandemic), August-October 2020 (12-month follow-up) and May 2021 (18-month follow-up). We cha…
Self-injected contraceptives
Subcutaneous depot medroxyprogesterone acetate (DMPA-SC) is an innovative contraceptive method aimed at meeting women’s unique circumstances and needs, largely due to its ability to be self-injected. Substantial research and advocacy investments have been made to promote roll-out of DMPA-SC across sub-Saharan Africa. To date, research on the demand for DMPA-SC as a self-injectable method has been conducted largely with healthcare providers, via q…
Violence against women from partners and other household members during Covid-19 in Burkina Faso and Kenya
Past-year IPV and household violence against women in Kenya and Burkina Faso were prevalent, and in some cases, intensified during the COVID-19 pandemic. Across settings, help-seeking from formal services was notably low, likely reflecting shame, blame, and stigmatization identified as barriers in pre-COVID literature. Both primary prevention and survivor-centered support services, including those related to economic empowerment, should be integr…
Understanding the Link Between Reproductive Coercion and Covert Use of Contraception as a Safety Strategy for Women Experiencing Violence in Nairobi's Urban Informal Settlements
This mixed-methods study examined the relationship between reproductive coercion (RC) and covert contraceptive use among intimate partner violence survivors in Nairobi, Kenya. Quantitative analyses utilize baseline data from the myPlan Kenya trial ( n = 321). Purposive in-depth interviews (IDIs) ( n = 30) explored women's reproductive safety strategies. Multinomial analyses indicated increased covert use and decreased overt use compared to nonuse…
An Integrative Review of Safety Strategies for Women Experiencing Intimate Partner Violence in Low- and Middle-Income Countries
Intimate partner violence (IPV) is prevalent and a leading source of morbidity and mortality to women worldwide. Safety planning is a cornerstone of harm reduction and violence support in many upper income countries. Far less is known about safety strategies used by women in low- and middle-income countries (LMICs) where the IPV support service infrastructure may be more limited. This study aimed to review the literature regarding safety strategi…
A sexual and reproductive empowerment framework to explore volitional sex in sub-Saharan Africa
Volitional sex is central to the sexual health and well-being of women and girls globally. To date, few studies have examined women's empowerment and its application to sexual health outcomes, including volitional sex. The aim of this study was to explore the relevance of a sexual and reproductive empowerment framework to volitional sex across four geographically and culturally diverse contexts in sub-Saharan Africa. Qualitative data were collect…
Family Planning Beliefs and Their Association with Contraceptive Use Dynamics
Norms and beliefs toward contraception, both positive and negative, motivate contraceptive use; however, they have seldom been explored longitudinally in low‐ and middle‐income countries, limiting our understanding of their influence on contraceptive dynamics. We used PMA2020 Uganda national longitudinal data of reproductive aged women in 2018 (baseline) and 2019 (follow‐up) to explore discontinuation and switching among modern contraceptive user…
Safety decision-making and planning mobile app for intimate partner violence prevention and response
INTRODUCTION: Intimate partner violence (IPV) threatens women's health and safety globally, yet services remain underdeveloped and inaccessible. Technology-based resources exist, however, few have been adapted and tested in low-resource settings. We evaluate the efficacy of a community-partnered technology solution: culturally and linguistically adapted version of the myPlan app, a tailored safety decision-making and planning intervention, admini…
Reconceptualizing Women's and Girls' Empowerment
CONTEXT: Improving women's empowerment is pivotal to public health and development programs; however, inconsistent definitions and lack of cross-cultural measures compromise monitoring efforts. METHODS: Data collected in 2017-2018 in Ethiopia, Uganda and two sites in Nigeria were used to develop a cross-cultural index of women's and girls' empowerment in sexual and reproductive health (WGE-SRH). Item development was grounded in qualitative interv…
Adapting the myPlan safety app to respond to intimate partner violence for women in low and middle income country settings
Pan African Clinical Trial Registry approval received 25 April 2018 (PACTR201804003321122); retrospectively registered
Covert use of contraception in three sub-Saharan African countries
Results indicate that while covert use of contraception is common, continued covert use is challenging, especially when side effects manifest. Covert use may further suggest women taking independent action, symbolizing some level of empowerment. Results underscore the importance of disentangling unique reasons for covert use and the severity of repercussions of disclosure
Reproductive Coercion among Intimate Partner Violence Survivors in Nairobi
Reproductive coercion (RC), or partner interference in reproductive decisions, limits women's autonomy. Little is known about RC behaviors and measurement in low‐ and middle‐income countries (LMICs). In this mixed‐methods study, we examined the transferability of the US‐developed RC Scale to the Kenyan context. Through community‐based sampling, recent intimate partner violence (IPV) survivors were recruited from Nairobi's informal settlements. We…
I am the master key that opens and locks
The WGE-SRH framework is useful for exploring SRH empowerment, embracing the multilevel, dynamic nature of empowerment, as a process transitioning from existence of choice (autonomy) to exercise of choice (self-efficacy, decision-making, negotiation), and, ultimately, to achievement of choice. Future research and programs related to SRH empowerment should distinguish between existence and exercise of choices to promote the health and well-being o…
Sexual violence among adolescent girls and young women in Malawi
Pan African Clinical Trials Registry PACTR201702002028911 . Registered 09 February 2017. Retrospectively registered
I am the master key that opens and locks
The WGE-SRH framework is useful for exploring SRH empowerment, embracing the multilevel, dynamic nature of empowerment, as a process transitioning from existence of choice (autonomy) to exercise of choice (self-efficacy, decision-making, negotiation), and, ultimately, to achievement of choice. Future research and programs related to SRH empowerment should distinguish between existence and exercise of choices to promote the health and well-being o…
Family Planning Beliefs and Their Association with Contraceptive Use Dynamics
Norms and beliefs toward contraception, both positive and negative, motivate contraceptive use; however, they have seldom been explored longitudinally in low‐ and middle‐income countries, limiting our understanding of their influence on contraceptive dynamics. We used PMA2020 Uganda national longitudinal data of reproductive aged women in 2018 (baseline) and 2019 (follow‐up) to explore discontinuation and switching among modern contraceptive user…
Understanding the Link Between Reproductive Coercion and Covert Use of Contraception as a Safety Strategy for Women Experiencing Violence in Nairobi's Urban Informal Settlements
This mixed-methods study examined the relationship between reproductive coercion (RC) and covert contraceptive use among intimate partner violence survivors in Nairobi, Kenya. Quantitative analyses utilize baseline data from the myPlan Kenya trial ( n = 321). Purposive in-depth interviews (IDIs) ( n = 30) explored women's reproductive safety strategies. Multinomial analyses indicated increased covert use and decreased overt use compared to nonuse…
A national survey of home-based care kits for palliative HIV/Aids care in South Africa
The objective of this study was to assess home-based care (HBC) kits and programs in South Africa to evaluate the feasibility of scaling up kit production and distribution. South African HBC organizations received structured questionnaires; key informant interviews and a literature review were completed to assess systems for production, distribution and supply of HBC kits. Meetings with stakeholders were held in two Provinces to share and analyze…
Sexual violence among adolescent girls and young women in Malawi
Pan African Clinical Trials Registry PACTR201702002028911 . Registered 09 February 2017. Retrospectively registered
Safety decision-making and planning mobile app for intimate partner violence prevention and response
INTRODUCTION: Intimate partner violence (IPV) threatens women's health and safety globally, yet services remain underdeveloped and inaccessible. Technology-based resources exist, however, few have been adapted and tested in low-resource settings. We evaluate the efficacy of a community-partnered technology solution: culturally and linguistically adapted version of the myPlan app, a tailored safety decision-making and planning intervention, admini…
Reconceptualizing Women's and Girls' Empowerment
CONTEXT: Improving women's empowerment is pivotal to public health and development programs; however, inconsistent definitions and lack of cross-cultural measures compromise monitoring efforts. METHODS: Data collected in 2017-2018 in Ethiopia, Uganda and two sites in Nigeria were used to develop a cross-cultural index of women's and girls' empowerment in sexual and reproductive health (WGE-SRH). Item development was grounded in qualitative interv…
Adapting the myPlan safety app to respond to intimate partner violence for women in low and middle income country settings
Pan African Clinical Trial Registry approval received 25 April 2018 (PACTR201804003321122); retrospectively registered
Covert use of contraception in three sub-Saharan African countries
Results indicate that while covert use of contraception is common, continued covert use is challenging, especially when side effects manifest. Covert use may further suggest women taking independent action, symbolizing some level of empowerment. Results underscore the importance of disentangling unique reasons for covert use and the severity of repercussions of disclosure
Reproductive Coercion among Intimate Partner Violence Survivors in Nairobi
Reproductive coercion (RC), or partner interference in reproductive decisions, limits women's autonomy. Little is known about RC behaviors and measurement in low‐ and middle‐income countries (LMICs). In this mixed‐methods study, we examined the transferability of the US‐developed RC Scale to the Kenyan context. Through community‐based sampling, recent intimate partner violence (IPV) survivors were recruited from Nairobi's informal settlements. We…
I am the master key that opens and locks
The WGE-SRH framework is useful for exploring SRH empowerment, embracing the multilevel, dynamic nature of empowerment, as a process transitioning from existence of choice (autonomy) to exercise of choice (self-efficacy, decision-making, negotiation), and, ultimately, to achievement of choice. Future research and programs related to SRH empowerment should distinguish between existence and exercise of choices to promote the health and well-being o…
An Integrative Review of Safety Strategies for Women Experiencing Intimate Partner Violence in Low- and Middle-Income Countries
Intimate partner violence (IPV) is prevalent and a leading source of morbidity and mortality to women worldwide. Safety planning is a cornerstone of harm reduction and violence support in many upper income countries. Far less is known about safety strategies used by women in low- and middle-income countries (LMICs) where the IPV support service infrastructure may be more limited. This study aimed to review the literature regarding safety strategi…
A sexual and reproductive empowerment framework to explore volitional sex in sub-Saharan Africa
Volitional sex is central to the sexual health and well-being of women and girls globally. To date, few studies have examined women's empowerment and its application to sexual health outcomes, including volitional sex. The aim of this study was to explore the relevance of a sexual and reproductive empowerment framework to volitional sex across four geographically and culturally diverse contexts in sub-Saharan Africa. Qualitative data were collect…
Family Planning Beliefs and Their Association with Contraceptive Use Dynamics
Norms and beliefs toward contraception, both positive and negative, motivate contraceptive use; however, they have seldom been explored longitudinally in low‐ and middle‐income countries, limiting our understanding of their influence on contraceptive dynamics. We used PMA2020 Uganda national longitudinal data of reproductive aged women in 2018 (baseline) and 2019 (follow‐up) to explore discontinuation and switching among modern contraceptive user…
Gender-based violence during Covid-19 among adolescent girls and young women in Nairobi, Kenya
INTRODUCTION: Adolescent girls and young women (AGYW) disproportionately experience gender-based violence (GBV), which can increase during emergencies like the COVID-19 pandemic. METHODS: A cohort of youth ages 15-24 in Nairobi, Kenya was surveyed at three time points over an 18-month period prior to and during the COVID-19 pandemic: June-August 2019 (prepandemic), August-October 2020 (12-month follow-up) and May 2021 (18-month follow-up). We cha…
Self-injected contraceptives
Subcutaneous depot medroxyprogesterone acetate (DMPA-SC) is an innovative contraceptive method aimed at meeting women’s unique circumstances and needs, largely due to its ability to be self-injected. Substantial research and advocacy investments have been made to promote roll-out of DMPA-SC across sub-Saharan Africa. To date, research on the demand for DMPA-SC as a self-injectable method has been conducted largely with healthcare providers, via q…
Violence against women from partners and other household members during Covid-19 in Burkina Faso and Kenya
Past-year IPV and household violence against women in Kenya and Burkina Faso were prevalent, and in some cases, intensified during the COVID-19 pandemic. Across settings, help-seeking from formal services was notably low, likely reflecting shame, blame, and stigmatization identified as barriers in pre-COVID literature. Both primary prevention and survivor-centered support services, including those related to economic empowerment, should be integr…
Understanding the Link Between Reproductive Coercion and Covert Use of Contraception as a Safety Strategy for Women Experiencing Violence in Nairobi's Urban Informal Settlements
This mixed-methods study examined the relationship between reproductive coercion (RC) and covert contraceptive use among intimate partner violence survivors in Nairobi, Kenya. Quantitative analyses utilize baseline data from the myPlan Kenya trial ( n = 321). Purposive in-depth interviews (IDIs) ( n = 30) explored women's reproductive safety strategies. Multinomial analyses indicated increased covert use and decreased overt use compared to nonuse…
Disruptions to youth contraceptive use during Covid-19
Ensuring access to sexual and reproductive health (SRH) services for adolescents is a global priority, given the detrimental health and economic impact of unintended pregnancies. To examine whether and how COVID-19 affected access to SRH services, we use mixed-methods data from young men and women in Nairobi, Kenya to identify those at greatest risk of contraceptive disruptions during COVID-19 restrictions. Analyses utilize cross-sectional data c…
Needs and unmet needs for support services for recently pregnant intimate partner violence survivors in Ethiopia during the Covid-19 pandemic
Results reveal a persistent low awareness and utilization of formal IPV support and urge future policy efforts to address unmet needs through expansion of services by reducing socio-cultural barriers. COVID-19 impacted access to both formal and informal support systems, highlighting needs for adaptable, remote service delivery and upstream violence prevention. Public health interventions must strengthen linkages between formal and informal resour…
Risk and protective factors surrounding depressive symptoms and hazardous alcohol use among intimate partner violence survivors in Nairobi, Kenya
A qualitative exploration of reproductive coercion experiences and perceptions in four geo-culturally diverse sub-Saharan African settings
Reproductive coercion (RC) is any intentional behavior that interferes with another's reproductive decision-making or pregnancy outcome. This study aims to qualitatively examine RC experiences and perceptions among women and men in Ethiopia, Nigeria (Kano and Anambra States), and Uganda. This is a secondary analysis utilizing qualitative data from the Women's and Girls' Empowerment in Sexual and Reproductive Health study. Across sites, focus grou…
Family planning service disruptions in the first two years of the Covid-19 pandemic
Many speculated that COVID-19 would severely restrict the delivery of essential health services, including family planning (FP), but evidence of this impact is limited, partly due to data limitations. We use cross-sectional data collected from regional and national samples of health facilities (n = 2,610) offering FP across seven low- and middle-income countries (LMICs) between 2019 and 2021, with longitudinal data from four geographies, to exami…
Impact of Covid-19 on the mental health of adolescents and youth in Nairobi, Kenya
Mental health issues were common among adolescents and youth and may have been augmented by isolation and economic hardships brought about by COVID-19 restrictions. There is a need for concerted efforts to support adolescents and young people to meet their mental health needs, while considering the unique variations by gender. There is need to urgently strengthen the mental health system in Kenya, including via integrating psychosocial support se…
Intimate partner violence trajectories over a 1-year period in a population-based cohort of women in Kenya
INTRODUCTION: The global evidence base on intimate partner violence (IPV) prevalence and risk factors is predominantly cross-sectional, limiting clarity in changes over time. Prospective cohort data can inform trajectories, as is needed to guide prevention efforts. AIMS: This study characterises (1) the prevalence of past-year IPV and trajectories among a cohort at two time points spanning 1 year and (2) individual and household factors associate…
Intimate partner violence help-seeking attitudes in the Democratic Republic of the Congo
These findings reiterate the need to dismantle harmful gender systems and promote survivor-centered services. Confidence in services and corresponding attitudes favorable of seeking help are necessary to promote help-seeking for this leading form of gender-based violence
Evaluating Contraceptive Empowerment Among Women and Girls in Sub‐Saharan Africa
This study evaluates the contraceptive empowerment subscale of the Women's and Girls’ Empowerment in Sexual and Reproductive Health (WGE‐SRH) index across seven sub‐Saharan African countries. Using structural equation modeling and logistic regression among population‐based samples of women aged 15–49, we find evidence that the abbreviated eight‐item subscale is a reliable measure of contraceptive empowerment (Cronbach's alpha range: 0.67–0.78), s…
Economic intimate partner violence and its co-occurrence with physical and/or sexual intimate partner violence among youth
Partner economic abuse is an understudied form of intimate partner violence (IPV) that is increasingly considered to coincide with physical and/or sexual IPV (i.e., contact IPV), and can hinder help-seeking. This overlap is not well-understood, and measurement for economic IPV remains limited across global settings. This mixed methods study examines 1) measurement performance of an economic IPV scale; 2) prevalence of current economic IPV and con…
Medicine (20 obras) · Adolescent Sexual and Reproductive Health (18 obras) · Environmental health (16 obras) · Intimate Partner and Family Violence (14 obras) · Global Maternal and Child Health (13 obras) · Suicide prevention (13 obras) · Poison control (12 obras) · Psychology (12 obras) · Domestic violence (11 obras) · Population (11 obras)