Paul C Hewett
Biographic Data
| ID | 1511644 |
|---|---|
| NAME | Paul C Hewett |
| GIVEN NAMES | Paul C |
| FAMILY NAME | Hewett |
| SIGNATURE | HEWETT P C |
| AFFILIATIONS | Population Council |
| VERIFIED | No |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 123 |
| WORKS AS AUTHOR | 16 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 5 |
Psychosocial influences on pregnancy and childbirth behaviours in north-western Nigeria
Antenatal care (ANC) and facility delivery are essential maternal health services, but uptake remains low in north-western Nigeria. This study aimed to assess the psychosocial influences on pregnancy and childbirth behaviours in Nigeria. Data were from a cross-sectional population-based survey of randomly sampled women with a child under 2 years conducted in Kebbi, Sokoto and Zamfara states of north-western Nigeria in September 2019. Women were a…
Understanding family planning outcomes in northwestern Nigeria
SBC programs interested in improving family planning outcomes could potentially achieve large gains in contraceptive use-even without large-scale changes in socio-economic and health services factors-by designing and implementing effective SBC interventions that improve knowledge, encourage spousal/partner communication, and work towards increasing personal approval of family planning. Uncertainty about the time-order of influencers and outcomes …
Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi
While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. Using the Malawi Schooling and Adolescent Study, a longitudinal survey that followed 2,649 young people aged 14-17 at baseline from 2007 to 2013, we estimate the effect of three education variables: school enrolment, grade attainment, and a…
When He Asks for Sex, You Will Never Refuse”
Pregnancy among adolescent girls in Zambia is a significant concern on its own and as a factor in school dropout and early marriage, with one‐third of girls aged 15–19 having experienced pregnancy. Using qualitative and quantitative data from the Adolescent Girls Empowerment Program, we explore transactional sex as a driver of adolescent pregnancy. In qualitative interviews, transactional sex was repeatedly discussed as the main driver of pregnan…
Cluster randomized evaluation of Adolescent Girls Empowerment Programme (Agep)
ISRCTN29322231 . March 04 2016; retrospectively registered
Reading and numeracy skills after school leaving in southern Malawi
Challenges in Measuring the Sequencing of Life Events Among Adolescents in Malawi
Using data from two rounds of the Malawi Schooling and Adolescent Survey, this research note examines consistency of retrospective reporting on the timing and sequencing of sexual initiation, school leaving, and marriage. The analysis, which compares reporting of events both within and between rounds, indicates substantial inconsistency in reporting of event sequences and highlights difficulties in measuring transitions to adulthood in sub-Sahara…
Using Biomarkers to Assess the Validity of Sexual Behavior Reporting across Interview Modes among Young Women in Kampala, Uganda
Understanding the transmission dynamics of HIV and other sexually transmitted infections is critically dependent on accurate behavioral data. This study investigates the effect of the mode of questionnaire delivery on the quality of sexual behavior reporting in a 2010 survey conducted in Kampala, Uganda, among 18–24‐year‐old women. We compare the reported prevalence of five sexual outcomes across three interview modes: traditional face‐to‐face in…
Social Desirability Bias in Sexual Behavior Reporting
CONTEXT: Social desirability bias is problematic in studies that rely on self-reported sexual behavior data. Where gender norms create different expectations about socially acceptable behavior, males and females face distinct pressures in reporting certain outcomes, which can distort assessments of risk for HIV and STIs. METHODS: In 2009, relationship and sexual behavior data were collected from 1,750 never-married males and females aged 16-18 vi…
How Informed are Clients Who Consent? A Mixed-Method Evaluation of Comprehension Among Clients of Male Circumcision Services in Zambia and Swaziland
Assessing the Reporting of Adherence and Sexual Activity in a Simulated Microbicide Trial in South Africa
Sexual Behavior and STI/HIV Status Among Adolescents in Rural Malawi
This study investigates the reporting of premarital sex in rural southern Malawi. It summarizes the results of an interview‐mode experiment conducted with unmarried young women aged 15–21 in which respondents were randomly assigned to either an audio computer‐assisted self‐interview (ACASI) or a conventional face‐to‐face (FTF) interview. In addition, biomarkers were collected for HIV and three STIs: gonorrhea, chlamydia, and trichomoniasis. Prior…
Urban poverty and health in developing countries
In the United States and other high-income countries, there is intense scholarly and programmatic interest in the effects of household and neighborhood living standards on health. Yet few studies of developing-country cities have explored these issues. We investigated whether the health of urban women and children in poor countries is influenced by both household and neighborhood standards of living. Using data from the urban samples of 85 Demogr…
The Feasibility of Computer-Assisted Survey Interviewing in Africa
This article explores the use of an audio computer-assisted self-interviewing (audio-CASI) methodology in a household survey of adolescents in two districts of Kenya. Computer software was developed as part of a research project comparing audio-CASI with traditional methods of interviewing about sensitive behaviors, including sexual initiation, risky sexual behavior, coerced sex, and drug and alcohol use. The article describes the experience of c…
The Reporting of Sensitive Behavior by Adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
The reporting of sensitive behavior by adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
The reporting of sensitive behavior by adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
Urban poverty and health in developing countries
In the United States and other high-income countries, there is intense scholarly and programmatic interest in the effects of household and neighborhood living standards on health. Yet few studies of developing-country cities have explored these issues. We investigated whether the health of urban women and children in poor countries is influenced by both household and neighborhood standards of living. Using data from the urban samples of 85 Demogr…
Sexual Behavior and STI/HIV Status Among Adolescents in Rural Malawi
This study investigates the reporting of premarital sex in rural southern Malawi. It summarizes the results of an interview‐mode experiment conducted with unmarried young women aged 15–21 in which respondents were randomly assigned to either an audio computer‐assisted self‐interview (ACASI) or a conventional face‐to‐face (FTF) interview. In addition, biomarkers were collected for HIV and three STIs: gonorrhea, chlamydia, and trichomoniasis. Prior…
Challenges in Measuring the Sequencing of Life Events Among Adolescents in Malawi
Using data from two rounds of the Malawi Schooling and Adolescent Survey, this research note examines consistency of retrospective reporting on the timing and sequencing of sexual initiation, school leaving, and marriage. The analysis, which compares reporting of events both within and between rounds, indicates substantial inconsistency in reporting of event sequences and highlights difficulties in measuring transitions to adulthood in sub-Sahara…
The Feasibility of Computer-Assisted Survey Interviewing in Africa
This article explores the use of an audio computer-assisted self-interviewing (audio-CASI) methodology in a household survey of adolescents in two districts of Kenya. Computer software was developed as part of a research project comparing audio-CASI with traditional methods of interviewing about sensitive behaviors, including sexual initiation, risky sexual behavior, coerced sex, and drug and alcohol use. The article describes the experience of c…
When He Asks for Sex, You Will Never Refuse”
Pregnancy among adolescent girls in Zambia is a significant concern on its own and as a factor in school dropout and early marriage, with one‐third of girls aged 15–19 having experienced pregnancy. Using qualitative and quantitative data from the Adolescent Girls Empowerment Program, we explore transactional sex as a driver of adolescent pregnancy. In qualitative interviews, transactional sex was repeatedly discussed as the main driver of pregnan…
Reading and numeracy skills after school leaving in southern Malawi
Using Biomarkers to Assess the Validity of Sexual Behavior Reporting across Interview Modes among Young Women in Kampala, Uganda
Understanding the transmission dynamics of HIV and other sexually transmitted infections is critically dependent on accurate behavioral data. This study investigates the effect of the mode of questionnaire delivery on the quality of sexual behavior reporting in a 2010 survey conducted in Kampala, Uganda, among 18–24‐year‐old women. We compare the reported prevalence of five sexual outcomes across three interview modes: traditional face‐to‐face in…
The Reporting of Sensitive Behavior by Adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
The reporting of sensitive behavior by adolescents
Does audio computer-assisted self-interviewing (ACASI) produce more valid reporting of sexual activity and related behaviors than face-to-face interviews or self-administered interviews? This analysis, based on data collected from over 6,000 unmarried adolescents in two districts of Kenya—Nyeri and Kisumu—indicates substantial and significant differences in reported rates of premarital sex across interview modes, although not always in the expect…
The Feasibility of Computer-Assisted Survey Interviewing in Africa
This article explores the use of an audio computer-assisted self-interviewing (audio-CASI) methodology in a household survey of adolescents in two districts of Kenya. Computer software was developed as part of a research project comparing audio-CASI with traditional methods of interviewing about sensitive behaviors, including sexual initiation, risky sexual behavior, coerced sex, and drug and alcohol use. The article describes the experience of c…
Urban poverty and health in developing countries
In the United States and other high-income countries, there is intense scholarly and programmatic interest in the effects of household and neighborhood living standards on health. Yet few studies of developing-country cities have explored these issues. We investigated whether the health of urban women and children in poor countries is influenced by both household and neighborhood standards of living. Using data from the urban samples of 85 Demogr…
Sexual Behavior and STI/HIV Status Among Adolescents in Rural Malawi
This study investigates the reporting of premarital sex in rural southern Malawi. It summarizes the results of an interview‐mode experiment conducted with unmarried young women aged 15–21 in which respondents were randomly assigned to either an audio computer‐assisted self‐interview (ACASI) or a conventional face‐to‐face (FTF) interview. In addition, biomarkers were collected for HIV and three STIs: gonorrhea, chlamydia, and trichomoniasis. Prior…
Assessing the Reporting of Adherence and Sexual Activity in a Simulated Microbicide Trial in South Africa
Social Desirability Bias in Sexual Behavior Reporting
CONTEXT: Social desirability bias is problematic in studies that rely on self-reported sexual behavior data. Where gender norms create different expectations about socially acceptable behavior, males and females face distinct pressures in reporting certain outcomes, which can distort assessments of risk for HIV and STIs. METHODS: In 2009, relationship and sexual behavior data were collected from 1,750 never-married males and females aged 16-18 vi…
How Informed are Clients Who Consent? A Mixed-Method Evaluation of Comprehension Among Clients of Male Circumcision Services in Zambia and Swaziland
Challenges in Measuring the Sequencing of Life Events Among Adolescents in Malawi
Using data from two rounds of the Malawi Schooling and Adolescent Survey, this research note examines consistency of retrospective reporting on the timing and sequencing of sexual initiation, school leaving, and marriage. The analysis, which compares reporting of events both within and between rounds, indicates substantial inconsistency in reporting of event sequences and highlights difficulties in measuring transitions to adulthood in sub-Sahara…
Using Biomarkers to Assess the Validity of Sexual Behavior Reporting across Interview Modes among Young Women in Kampala, Uganda
Understanding the transmission dynamics of HIV and other sexually transmitted infections is critically dependent on accurate behavioral data. This study investigates the effect of the mode of questionnaire delivery on the quality of sexual behavior reporting in a 2010 survey conducted in Kampala, Uganda, among 18–24‐year‐old women. We compare the reported prevalence of five sexual outcomes across three interview modes: traditional face‐to‐face in…
Cluster randomized evaluation of Adolescent Girls Empowerment Programme (Agep)
ISRCTN29322231 . March 04 2016; retrospectively registered
Reading and numeracy skills after school leaving in southern Malawi
When He Asks for Sex, You Will Never Refuse”
Pregnancy among adolescent girls in Zambia is a significant concern on its own and as a factor in school dropout and early marriage, with one‐third of girls aged 15–19 having experienced pregnancy. Using qualitative and quantitative data from the Adolescent Girls Empowerment Program, we explore transactional sex as a driver of adolescent pregnancy. In qualitative interviews, transactional sex was repeatedly discussed as the main driver of pregnan…
Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi
While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. Using the Malawi Schooling and Adolescent Study, a longitudinal survey that followed 2,649 young people aged 14-17 at baseline from 2007 to 2013, we estimate the effect of three education variables: school enrolment, grade attainment, and a…
Understanding family planning outcomes in northwestern Nigeria
SBC programs interested in improving family planning outcomes could potentially achieve large gains in contraceptive use-even without large-scale changes in socio-economic and health services factors-by designing and implementing effective SBC interventions that improve knowledge, encourage spousal/partner communication, and work towards increasing personal approval of family planning. Uncertainty about the time-order of influencers and outcomes …
Psychosocial influences on pregnancy and childbirth behaviours in north-western Nigeria
Antenatal care (ANC) and facility delivery are essential maternal health services, but uptake remains low in north-western Nigeria. This study aimed to assess the psychosocial influences on pregnancy and childbirth behaviours in Nigeria. Data were from a cross-sectional population-based survey of randomly sampled women with a child under 2 years conducted in Kebbi, Sokoto and Zamfara states of north-western Nigeria in September 2019. Women were a…
Medicine (13 works) · Psychology (13 works) · Adolescent Sexual and Reproductive Health (11 works) · Demography (8 works) · Environmental health (8 works) · Population (8 works) · Sociology (7 works) · Developmental psychology (6 works) · Family medicine (6 works) · Demography (5 works)