Kristin Dunkle

Biographic Data

ID1730819
NAMEKristin Dunkle
GIVEN NAMESKristin
FAMILY NAMEDunkle
SIGNATUREDUNKLE K
AFFILIATIONSSouth African Medical Research Council
ORCID0000-0003-3071-5544
VERIFIEDYes
TOTAL WORKS55
TOTAL CITATIONS225
WORKS AS AUTHOR54
WORKS AS EDITOR1
FIRST PUBLICATION YEAR2004
LATEST PUBLICATION YEAR2024
H-INDEX6

  • Pathways to transactional sex among peri-urban South African women

    Open AccessSarah Magni, Abigail M Hatcher et al.ARTICLEAIDS Care2024

    Transactional sex increases sub-Saharan African women's risk of HIV acquisition.We quantitatively explored the pathways contributing towards women's future engagement in transactional sex with casual partners and khwapheni (secret concurrent sex partners).We conducted secondary data analysis from a cluster randomised controlled trial in urban informal settlements in eThekwini Municipality.,South Africa.Data were collected at enrolment (t0) and 24…

  • Pooled analysis of the association between food insecurity and violence against women

    Open AccessRachel Jewkes, Esnat Chirwa et al.ARTICLEJournal of Global Health2023

    Background: Intimate partner violence impacts relationships across the socioeconomic spectrum, nonetheless its prevalence is reported to be highest in areas that are most socio-economically deprived. Poverty has direct and indirect impacts on intimate partner violence (IPV) risk, however, one of the postulated pathways is through food insecurity. The aim of this paper is to describe the association between food insecurity (household hunger) and w…

  • Sex work and young women

    Open AccessMinja Milovanovic, Rachel Jewkes et al.ARTICLEAIDS Care2023

    Adolescent girls and young women (AGYW) engaging in sex-for-money transactions are at risk of HIV infection. A better understanding of the demographic, socio-economic factors and risks of HIV acquisition is required to guide appropriate public health interventions targeting young sex workers in South Africa. A cross-sectional survey of Female Sex Workers (FSWs), using a chain referral sampling method, was conducted across 12 sites in South Africa…

  • Assessing risk factors and health impacts across different forms of exchange sex among young women in informal settlements in South Africa

    Open AccessKirsten Stoebenau, Kristin Dunkle et al.ARTICLESocial Science & Medicine2023Cited by: 6References: 36

    For women in South Africa, engaging in exchange sex, including transactional sex (TS), or sex work (SW), is associated with several shared poor health outcomes; yet the practices themselves differ in meaningful ways. SW is a form of commodity exchange, while TS is grounded in gendered relationship expectations of male provision and aspects of emotional intimacy. Additionally, exchange sex types could be imagined on a "continuum of instrumentality…

  • Intersections between disability, masculinities, and violence

    Open AccessYandisa Sikweyiya, Eliezer Stern et al.ARTICLEBMC Public Health2022

    Programmers addressing violence need to engage with men with physical disabilities and consider the intersectionality of masculinities and disability, how these reinforce patriarchal norms and how men with disabilities can be included and enabled to overcome their conflict between disability and masculinities

  • Adapting Disability Research Methods and Practices During the Covid-19 Pandemic

    Open AccessLena Morgon Banks, Samantha Willan et al.ARTICLEIDS Bulletin2022

    People with disabilities are often excluded from research, which may be exacerbated during the ongoing Covid-19 pandemic. This article provides an overview of key challenges, opportunities, and strategies for conducting disability-inclusive research during the pandemic, drawing on the experience of research teams working across ten countries on disability-focused studies. It covers adaptations that are relevant across the project lifecycle, inclu…

  • Minority stress, distress, and suicide attempts in three cohorts of sexual minority adults

    Open AccessIlan H Meyer, T Russell et al.EDITORARTICLEPLoS ONE2021

    During the past 50 years, there have been marked improvement in the social and legal environment of sexual minorities in the United States. Minority stress theory predicts that health of sexual minorities is predicated on the social environment. As the social environment improves, exposure to stress would decline and health outcomes would improve. We assessed how stress, identity, connectedness with the LGBT community, and psychological distress …

  • Sexual IPV and non-partner rape of female sex workers

    Open AccessRachel Jewkes, Kennedy Otwombe et al.ARTICLESSM - Mental Health2021

    BACKGROUND: Globally female sex workers (FSWs) are vulnerable to violence from intimate partners, police and clients due to stigma and criminalisation. In this paper we describe South African FSWs' exposure to violence and factors associated with having been raped in the past year. METHODS: We conducted a multi-stage, community-centric, cross-sectional survey of 3005 FSWs linked to sex worker programmes in 12 sites across all nine provinces that …

  • Community-led cross-sectional study of social and employment circumstances, HIV and associated factors amongst female sex workers in South Africa

    Open AccessMinja Milovanovic, Rachel Jewkes et al.ARTICLEGlobal Health Action2021

    BACKGROUND: In South Africa, female sex workers (FSWs) are perceived to play a pivotal role in the country's HIV epidemic. Understanding their health status and risk factors for adverse health outcomes is foundational for developing evidence-based health care for this population. OBJECTIVE: Describe the methodology used to successfully implement a community-led study of social and employment circumstances, HIV and associated factors amongst FSWs …

  • Which men change in intimate partner violence prevention interventions? A trajectory analysis in Rwanda and South Africa

    Open AccessA Gibbs, Kristin Dunkle et al.ARTICLEBMJ Global Health2020

    INTRODUCTION: Emerging evidence suggests working with men to prevent intimate partner violence (IPV) perpetration can be effective. However, it is unknown whether all men benefit equally, or whether different groups of men respond differentially to interventions. METHODS: We conducted trajectory modelling using longitudinal data from men enrolled in intervention arms of three IPV trials in South Africa and Rwanda to identify trajectories of IPV p…

  • Intimate partner violence among women with and without disabilities

    Open AccessEsnat Chirwa, Rachel Jewkes et al.ARTICLEBMJ Global Health2020

    INTRODUCTION: Intimate partner violence (IPV) is a serious public health and human rights violation which impacts approximately one in three women worldwide. Some existing evidence suggests that women with disabilities are at higher risk of IPV, but is largely limited in geographical scope to the Global North, and comparison across settings has been hampered by inconsistent measurement of both IPV and disability. METHODS: Pooled analysis of basel…

  • Effective prevention of intimate partner violence through couples training

    Open AccessKristin Dunkle, Eliezer Stern et al.ARTICLEBMJ Global Health2020

    BACKGROUND: , a four-part intervention designed to reduce intimate partner violence (IPV) among couples and within communities. We assessed the impact of the programme's gender transformative curriculum for couples. METHODS: programme (n=14) or VSLA-only control (n=14). Within each sector, 60 couples recruited from VSLAs received either a 21-session curriculum or VSLA as usual. No blinding was attempted. Primary outcomes were perpetration (for me…

  • How do programmes to prevent intimate partner violence among the general population impact women with disabilities? Post-hoc analysis of three randomised controlled trials

    Open AccessKristin Dunkle, A Gibbs et al.ARTICLEBMJ Global Health2020

    INTRODUCTION: Women with disabilities experience higher rates of intimate partner violence (IPV) than women without disabilities. There remains limited evidence about whether IPV prevention interventions for the general population have benefits for women with disabilities that compare to those for women without disabilities. Using data from IPV prevention randomised controlled trials in diverse locations (Rwanda, South Africa and Afghanistan), we…

  • How people with disabilities experience programs to prevent intimate partner violence across four countries

    Open AccessEliezer Stern, Erin Stern et al.ARTICLEEvaluation and Program Planning2020

    Women with disabilities are more vulnerable to violence, including intimate partner violence (IPV), yet the majority of emerging IPV prevention programs fail to explicitly consider the needs of participants with disabilities. Women and men living with disabilities engaged with IPV prevention programs in four countries were interviewed to explore how disability shaped their experiences of gender, violence, IPV, and whether the programs met their d…

  • Community activism as a strategy to reduce intimate partner violence (IPV) in rural Rwanda

    Open AccessSangeeta Chatterji, Eliezer Stern et al.ARTICLEJournal of Global Health2020

    BACKGROUND: , a promising program model from Uganda with demonstrated effectiveness. METHODS: on preventing physical and/or sexual IPV and other secondary outcomes at a community level. The survey consisted of a random household-based sample of 1400 women and 1400 men at both waves. Surveys were conducted before community-level activities commenced and were repeated 24 months later with a new cross-sectional sample. Longitudinal, qualitative data…

  • The prevalence, patterning and associations with depressive symptoms and self-rated health of emotional and economic intimate partner violence

    Open AccessA Gibbs, Kristin Dunkle et al.ARTICLEJournal of Global Health2020

    BACKGROUND: Emotional and economic intimate partner violence (IPV) are common. There remain outstanding questions: 1) whether the patterning of emotional and economic IPV varies across contexts, and whether the current indicators adequately capture this variation; 2) whether simply binary or more complex modelling strategies are appropriate; 3) whether health impacts of emotional and economic IPV are sustained in population-based studies, across …

  • New learnings on drivers of men’s physical and/or sexual violence against their female partners, and women’s experiences of this, and the implications for prevention interventions

    Open AccessA Gibbs, Kristin Dunkle et al.ARTICLEGlobal Health Action2020

    Background: Understanding the drivers of intimate partner violence (IPV), perpetrated by men and experienced by women, is a critical task for developing effective prevention programmes.Objectives: To provide a comprehensive assessment of the drivers of IPV.Methods: A comprehensive review of the drivers of IPV, at the end of a six-year programme of research through the What Works to Prevent Violence Against Women and Girls Global Programme with re…

  • Rape survivors in South Africa

    Open AccessNaeema Abrahams, Shibe Mhlongo et al.ARTICLEGlobal Health Action2020

    BACKGROUND: Little is known about women who have experienced a recent rape, and how they differ from women without this exposure. Identifying factors linked to rape is important for preventing rape and developing effective responses in countries like South Africa with high levels of sexual violence. OBJECTIVE: To describe the socio-demographic and health profile of women recently exposed to rape and to compare them with a non-rape-exposed group. …

  • What can we learn from studying control arms of randomised VAW prevention intervention evaluations

    Open AccessRachel Jewkes, A Gibbs et al.ARTICLEGlobal Health Action2020

    Background: Randomised controlled trials (RCTs) are a gold standard for evaluations in public health, economics and social sciences, including prevention of violence against women (VAW). They substantially reduce bias, but do not eliminate measurement error. Control arms often show change, but this is rarely systematically examined.Objective: We present a secondary analysis of data from the control arms of evaluations of VAW prevention programmin…

  • Exploring differential impacts of interventions to reduce and prevent intimate partner violence (IPV) on sub-groups of women and men

    Open AccessSangeeta Chatterji, Lori Heise et al.ARTICLESSM - Population Health2020

    Currently, most efforts to evaluate programmes designed to reduce intimate partner violence (IPV) assume that they affect all people similarly. Understanding whether interventions are more or less effective for different subgroups of individuals, however, can yield important insights for programming. In this study, we conducted subgroup analyses to assess whether treatment effects vary by baseline reporting of IPV experience among women or perpet…

  • Exploring intimate partner violence among pregnant Eswatini women seeking antenatal care

    Open AccessBrittnie E Bloom, Jennifer A Wagman et al.ARTICLEGlobal Public Health2020

    Women with agency (i.e. the ability to make choices and act on them) may experience reduced food insecurity (FI) and intimate partner violence (IPV). Reducing FI and IPV among women are global goals; however, research focused on agency among Eswatini women has been overlooked, though they experience high rates of FI and IPV. We analysed cross-sectional data from 406 Swazi women who sought care at one rural and one urban-public antenatal clinic in…

  • Gender role conflict and sexual health and relationship practices amongst young men living in urban informal settlements in South Africa

    Open AccessKalysha Closson, Abigail M Hatcher et al.ARTICLECulture Health & Sexuality2020

    Qualitative research suggests that men's inability to achieve dominant forms of masculinity may be related to HIV-risk behaviours and intimate partner violence (IPV) perpetration. Using clustered cross-sectional data, we assessed how young men's gender role conflict was associated with HIV-risk behaviours in urban informal settlements in KwaZulu-Natal, South Africa. Gender Role Conflict and Stress (GRC/S) was measured using a South African adapta…

  • How the Indashyikirwa Intimate Partner Violence Prevention Programme in Rwanda Influenced Parenting and Violence against Children

    Open AccessEliezer Stern, Lori Heise et al.ARTICLEJournal of Family Violence2020References: 4

  • Are women’s experiences of emotional and economic intimate partner violence associated with HIV-risk behaviour? A cross-sectional analysis of young women in informal settlements in South Africa

    A Gibbs, Kristin Dunkle et al.ARTICLEAIDS Care2019

    Women's experiences of emotional intimate partner violence (IPV) and economic IPV are rarely considered in research on women's HIV-risk. Using cross-sectional data of young women (18-30) in Durban, South Africa, we assessed whether women's experiences of emotional IPV and economic IPV were independently associated with six HIV-risk behaviours. Amongst 680 women enrolled between September 2015 and September 2016, past year emotional IPV (78.1%) an…

  • Factors associated with young people's attendance at an IPV prevention intervention in informal settlements in South Africa

    Open AccessA Gibbs, Kristin Dunkle et al.ARTICLEGlobal Public Health2019

    Understanding factors shaping attendance at behavioural interventions is critical for programmatic planning. Through the Stepping Stones and Creating Futures intervention trial amongst young (18-30) women and men to reduce intimate partner violence and strengthen livelihoods, we prospectively assessed factors associated with intervention attendance. Baseline data were collected between September 2015 and September 2016 among 677 women and 675 men…