Kate Winskell
Dados Biográficos
| ID | 198887 |
|---|---|
| NOME | Kate Winskell |
| PRENOMES | Kate |
| SOBRENOME | Winskell |
| ASSINATURA | WINSKELL K |
| AFILIAÇÕES | Emory University |
| ORCID | 0000-0001-7772-3037 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 35 |
| TOTAL DE CITAÇÕES | 66 |
| TOTAL COMO AUTOR | 35 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1995 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 5 |
Integrating Hyperlocal and Community-Engaged Approaches to Qualitative Research for Covid-19 Syndemic Response
Preparedness planning for future pandemic/epidemic response should incorporate CEnR expertise and hyperlocal approaches in research design and interventions. These approaches amplify community voices, leading to effective, context-responsive public health outreach
Sexual behaviour among Kenyan adolescents enrolled in an efficacy trial of a smartphone game to prevent HIV
Sexual behaviour of adolescents is contextual, with various determinants affecting sexual activity and age of sexual debut. Insight into sexual activity among young adolescents has the potential to influence appropriate sexual and reproductive health interventions. For this analysis, adolescents were recruited as part of the Tumaini smartphone game efficacy trial. Data collection included a self-administered behavioural survey and blood test for …
‘You are not alone’ - The role of social relationships in engagement in care for adolescents living with perinatally acquired HIV in Western Kenya
This manuscript examines how social relationships influence engagement in care of adolescents with perinatally acquired HIV (APHIV) in Western Kenya, with the aim of informing efforts to improve APHIV outcomes. Interview and focus group transcripts with APHIV, caregivers, and healthcare providers from 2019 to 2021 were thematically analyzed through the lens of Bronfenbrenner’s Socio-Ecological Model. Overall, caring relationships can improve APHI…
The spectrum of sexual transaction
Sexual transaction, or any exchange of financial or material goods for sex, contributes to the disproportionate HIV burden among young women aged 15-24 years in sub-Saharan Africa. We analysed representations of sexual transactions in a sample of 363 narratives about HIV written by young Africans. The narratives were written at 4 time points (1997, 2005, 2008, 2014) by authors aged 10-24 years in urban and rural areas of Senegal, Burkina Faso, So…
Conceptualizing Consent
Sexual violence, comprising all non-consensual sexual acts, is an important driver of HIV infection in sub-Saharan Africa. Definitions of sexual violence rely on understandings of sexual consent, understood as a feeling of willingness that is communicated via shared indicators of consent. In this paper, through analysis of young authors' narrative-based social representations, we sought to provide insight into young Africans' sense-making around …
Social Representations Theory and young Africans' creative narratives about human immunodeficiency virus/acquired immune deficiency syndrome, 1997–2014
Research on social representations (SRs) has often focused more on categorical than narrative-based representations. However, narratives are considered to play a key role in the organization of social representations. This paper describes an empirical study of some 2,000 creative narratives about HIV written by young Africans from five countries between 1997 and 2014 and examines the theoretical, methodological and applied relevance of SRT for th…
Making sense of fidelity
Mutual fidelity and partner reduction have been identified as key behavioural strategies to prevent HIV transmission in sub-Saharan Africa, particularly following recognition of the role that multiple concurrent sexual partnerships play in driving generalised HIV epidemics. We analysed social representations of fidelity and infidelity in a sample of 1,343 narratives about HIV written by young Africans between 1997 and 2014. The narratives were wr…
Temporal and cross-national comparisons of young Africans’ HIV-related narratives from five countries, 1997–2014
Little is known about how young Africans have made sense of the dramatic ways in which the HIV epidemic has evolved, and how that sense-making varies across countries with different epidemiological and sociocultural profiles. Symbolic representations of HIV and people living with HIV influence prevention, stigma, treatment-seeking, and illness experience. We compared social representations of HIV among young people from Senegal, Burkina Faso, Nig…
Young Africans’ social representations of sexual abuse of power in their HIV-related creative narratives, 2005–2014
The sexual abuse of power is a form of sexual coercion in which individuals - typically male - use their positions of authority to obtain sex. We analysed social representations of sexual abuse of power in a sample of 1,446 narratives about HIV written by young Africans between 2005 and 2014. The narratives were prepared at five different points in time (2005, 2008, 2011, 2013 and 2014) by authors aged 10-24 in urban and rural areas of Swaziland,…
Enabling Analysis of Big, Thick, Long, and Wide Data
Distinctive longitudinal narrative data, collected during a critical 18-year period in the history of the HIV epidemic, offer a unique opportunity to examine how young Africans are making sense of evolving developments in HIV prevention and treatment. More than 200,000 young people from across sub-Saharan Africa took part in HIV-themed scriptwriting contests held at eight discrete time points between 1997 and 2014, creating more than 75,000 narra…
Young Africans' social representations of rape in their HIV-related creative narratives, 2005-2014
Social representations of mother-to-child transmission of HIV and its prevention in narratives by young Africans from five countries, 1997-2014
Young Africans’ representations of the origins of same-sex attraction and implications for sexual and mental health
Sexual minorities are stigmatised in much of sub-Saharan Africa, restricting their access to sexual health services and undermining their mental health. Although public attitudes and social representations inform the experience of sexual stigma, little is known about how young Africans make sense of sexual diversity. We conducted a thematic analysis of 56 texts contributed by young people from 10 countries in response to a prompt in a scriptwriti…
From condemnation to normalisation
Narrative is a primary tool in human meaning-making and communication. Frequently value-laden, it plays an important role in global public health communication and advocacy efforts. State-endorsed homophobia is widespread across much of sub-Saharan Africa, severely restricting access to sexual health services and undermining human rights and mental health for sexual minorities. Young Africans' narratives about same-sex attraction (SSA) can both i…
Involving parents from the start
While HIV prevention research conducted among adolescent populations may encounter parental resistance, the active engagement of parents from inception to trial completion may alleviate opposition. In preparation for implementing a large randomised controlled trial (RCT) examining the efficacy of a behavioural intervention targeting adolescent sexual risk behaviours, a formative evaluation was undertaken to assess parental reactions to the propos…
Cultural scripts surrounding young people’s sexual and romantic relationships in the Western Highlands of Guatemala
Guatemala has one of the world's highest teenage pregnancy rates and 92% of young people report not using contraception for first sex. We conducted narrative-based thematic analysis of a sample of narratives (n = 40; 15 male-authored, 25 female-authored) on HIV and sexuality, submitted to a 2013 scriptwriting competition by young people aged 15-19 years from Guatemala's Western Highlands. Our objective was to identify dominant cultural scripts an…
A social network typology and sexual risk-taking among men who have sex with men in Cape Town and Port Elizabeth, South Africa
Despite the high prevalence of HIV among men who have sex with men in South Africa, very little is known about their lived realities, including their social and sexual networks. Given the influence of social network structure on sexual risk behaviours, a better understanding of the social contexts of men who have sex with men is essential for informing the design of HIV programming and messaging. This study explored social network connectivity, a…
Guiding and supporting adolescents living with HIV in sub-Saharan Africa
Sexual stigma and symbolic violence experienced, enacted, and counteracted in young Africans' writing about same-sex attraction
Exploring repeat HIV testing among men who have sex with men in Cape Town and Port Elizabeth, South Africa
Despite the high prevalence of HIV among men who have sex with men (MSM) - and the general adult population - in South Africa, there is little data regarding the extent to which MSM seek repeat testing for HIV. This study explores reported histories of HIV testing, and the rationales for test seeking, among a purposive sample of 34 MSM in two urban areas of South Africa. MSM participated in activity-based in-depth interviews that included a timel…
Making sense of HIV stigma
In addition to undermining the quality of life of those infected and affected by HIV, HIV-related stigma impedes access to prevention and treatment services, thereby threatening to erode the promise of recent advances in these areas. This paper provides insights into the socio-contextual and sense-making processes that inform HIV stigma through an innovative form of empirical data: creative fictional narratives written by young Africans (aged 10-…
A Case-Based, Problem-Based Learning Approach to Prepare Master of Public Health Candidates for the Complexities of Global Health
Global health is a dynamic, emerging, and interdisciplinary field. To address current and emerging global health challenges, we need a public health workforce with adaptable and collaborative problem-solving skills. In the 2013–2014 academic year, the Hubert Department of Global Health at the Rollins School of Public Health–Emory University launched an innovative required core course for its first-year Master of Public Health students in the glob…
Leon et al. Respond
Leon et al. Respond Affiliation Juan S. Leon PhD, MPH, Kate Winskell PhD, Deborah A. McFarland PhD, MPH, and Carlos del Rio MDAll of the authors are with the Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA.CopyRightCorrespondence should be sent to Juan S. Leon, Hubert Department of Global Health, Rollins School of Public Health of Emory University, 1518 Clifton Rd NE, Claudia Nance Rollins Buildi…
People insult her as a sexy woman’
Widowed and divorced women, sometimes referred to as 'female heads of household', are one of the most impoverished and marginalised groups in the world. Widowed and divorced women are often overlooked in the literature or are seen primarily as economically or socially marginalised beings; their sexuality is rarely addressed. In an effort to understand the experiences and challenges faced by such women, we conducted and analysed four focus-group d…
Understanding and mitigating HIV-related resource-based stigma in the era of antiretroviral therapy
The perception in low-resource settings that investment of resources in people living with HIV (PLHIV) is wasted because AIDS is both an incurable and deadly disease is known as resource-based stigma. In this paper, we draw on in-depth interviews (IDI), focus group discussions (FGD), and key informant interviews (KII) with 77 HIV-positive microfinance participants and nongovernmental organization leaders to examine resource-based stigma in the co…
Comparing HIV-related symbolic stigma in six African countries
Making sense of condoms
Suicide in rural Haiti
Making Sense of HIV in Southeastern Nigeria
Fictional narratives have rarely been used in medical anthropological research. This article illustrates the value of such narratives by examining how young people in southeastern Nigeria navigate the cultural resources available to them to make sense of HIV in their creative writing. Using thematic data analysis and narrative-based methodologies, it analyzes a sample (N = 120) from 1,849 narratives submitted by Nigerian youth to the 2005 Scenari…
Social Representations Theory and young Africans' creative narratives about human immunodeficiency virus/acquired immune deficiency syndrome, 1997–2014
Research on social representations (SRs) has often focused more on categorical than narrative-based representations. However, narratives are considered to play a key role in the organization of social representations. This paper describes an empirical study of some 2,000 creative narratives about HIV written by young Africans from five countries between 1997 and 2014 and examines the theoretical, methodological and applied relevance of SRT for th…
Enabling Analysis of Big, Thick, Long, and Wide Data
Distinctive longitudinal narrative data, collected during a critical 18-year period in the history of the HIV epidemic, offer a unique opportunity to examine how young Africans are making sense of evolving developments in HIV prevention and treatment. More than 200,000 young people from across sub-Saharan Africa took part in HIV-themed scriptwriting contests held at eight discrete time points between 1997 and 2014, creating more than 75,000 narra…
Young Africans' social representations of rape in their HIV-related creative narratives, 2005-2014
Sexual stigma and symbolic violence experienced, enacted, and counteracted in young Africans' writing about same-sex attraction
Conceptualizing Consent
Sexual violence, comprising all non-consensual sexual acts, is an important driver of HIV infection in sub-Saharan Africa. Definitions of sexual violence rely on understandings of sexual consent, understood as a feeling of willingness that is communicated via shared indicators of consent. In this paper, through analysis of young authors' narrative-based social representations, we sought to provide insight into young Africans' sense-making around …
Making sense of fidelity
Mutual fidelity and partner reduction have been identified as key behavioural strategies to prevent HIV transmission in sub-Saharan Africa, particularly following recognition of the role that multiple concurrent sexual partnerships play in driving generalised HIV epidemics. We analysed social representations of fidelity and infidelity in a sample of 1,343 narratives about HIV written by young Africans between 1997 and 2014. The narratives were wr…
Social representations of mother-to-child transmission of HIV and its prevention in narratives by young Africans from five countries, 1997-2014
Guiding and supporting adolescents living with HIV in sub-Saharan Africa
A Case-Based, Problem-Based Learning Approach to Prepare Master of Public Health Candidates for the Complexities of Global Health
Global health is a dynamic, emerging, and interdisciplinary field. To address current and emerging global health challenges, we need a public health workforce with adaptable and collaborative problem-solving skills. In the 2013–2014 academic year, the Hubert Department of Global Health at the Rollins School of Public Health–Emory University launched an innovative required core course for its first-year Master of Public Health students in the glob…
The Art of Propaganda
A new way of perceiving the pandemic
This paper presents the findings, shares the methodology and outlines the benefits of a multi-country participatory research process on a unique data source: stories about HIV and AIDS written by young Africans. Between 1997 and 2005, more than 105,000 young people from 37 countries participated in competitions inviting them to think up storylines for short fiction films to educate their communities about HIV and AIDS as part of the 'Scenarios fr…
Microfinance and HIV mitigation among people living with HIV in the era of anti-retroviral therapy
The effects of HIV/AIDS have been far-reaching in Africa. Beyond adverse health outcomes and the tremendous toll on life, AIDS has serious economic impacts on households, increasing livelihood insecurity while simultaneously depleting socio-economic resources. Although microfinance is believed to have the potential to mitigate the economic impacts of HIV by helping affected households and communities better prepare for and cope with HIV-related e…
Making sense of abstinence
Despite the prominence of abstinence promotion in HIV prevention for young Africans, there is little documentation concerning its reception and interpretation. With the purpose of informing programmatic practice, we examined how young Africans from six countries with contrasting HIV prevalence rates make sense of abstinence. 'Scenarios from Africa' scriptwriting contests invite young people to contribute ideas for short films about HIV. Using the…
Comparing HIV-related symbolic stigma in six African countries
Making sense of condoms
Infant and young child feeding practices and child undernutrition in Bangladesh
Objective To determine the association between indicators of infant and young child feeding (IYCF) and anthropometric measures of nutritional status among children aged 0–23 months in a nationally representative data set. Design Data from the 2007 Bangladesh Demographic and Health Survey were used. Analyses were conducted using multiple linear regression and logistic regression analyses adjusted for the complex survey design of the survey, contro…
Understanding and mitigating HIV-related resource-based stigma in the era of antiretroviral therapy
The perception in low-resource settings that investment of resources in people living with HIV (PLHIV) is wasted because AIDS is both an incurable and deadly disease is known as resource-based stigma. In this paper, we draw on in-depth interviews (IDI), focus group discussions (FGD), and key informant interviews (KII) with 77 HIV-positive microfinance participants and nongovernmental organization leaders to examine resource-based stigma in the co…
Making sense of HIV testing
HIV testing and counselling are a critical intervention to support treatment access and prevent new infections. Despite high rates of infection, few young Africans know their HIV status. With the aim of informing initiatives that encourage HIV testing and access to testing benefits, this study seeks to understand how young Africans make sense of HIV testing. We conducted thematic narrative-based analysis of a stratified random sample (n = 586, ≈ …
Suicide in rural Haiti
Making Sense of HIV in Southeastern Nigeria
Fictional narratives have rarely been used in medical anthropological research. This article illustrates the value of such narratives by examining how young people in southeastern Nigeria navigate the cultural resources available to them to make sense of HIV in their creative writing. Using thematic data analysis and narrative-based methodologies, it analyzes a sample (N = 120) from 1,849 narratives submitted by Nigerian youth to the 2005 Scenari…
People insult her as a sexy woman’
Widowed and divorced women, sometimes referred to as 'female heads of household', are one of the most impoverished and marginalised groups in the world. Widowed and divorced women are often overlooked in the literature or are seen primarily as economically or socially marginalised beings; their sexuality is rarely addressed. In an effort to understand the experiences and challenges faced by such women, we conducted and analysed four focus-group d…
Exploring repeat HIV testing among men who have sex with men in Cape Town and Port Elizabeth, South Africa
Despite the high prevalence of HIV among men who have sex with men (MSM) - and the general adult population - in South Africa, there is little data regarding the extent to which MSM seek repeat testing for HIV. This study explores reported histories of HIV testing, and the rationales for test seeking, among a purposive sample of 34 MSM in two urban areas of South Africa. MSM participated in activity-based in-depth interviews that included a timel…
Making sense of HIV stigma
In addition to undermining the quality of life of those infected and affected by HIV, HIV-related stigma impedes access to prevention and treatment services, thereby threatening to erode the promise of recent advances in these areas. This paper provides insights into the socio-contextual and sense-making processes that inform HIV stigma through an innovative form of empirical data: creative fictional narratives written by young Africans (aged 10-…
A Case-Based, Problem-Based Learning Approach to Prepare Master of Public Health Candidates for the Complexities of Global Health
Global health is a dynamic, emerging, and interdisciplinary field. To address current and emerging global health challenges, we need a public health workforce with adaptable and collaborative problem-solving skills. In the 2013–2014 academic year, the Hubert Department of Global Health at the Rollins School of Public Health–Emory University launched an innovative required core course for its first-year Master of Public Health students in the glob…
Leon et al. Respond
Leon et al. Respond Affiliation Juan S. Leon PhD, MPH, Kate Winskell PhD, Deborah A. McFarland PhD, MPH, and Carlos del Rio MDAll of the authors are with the Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA.CopyRightCorrespondence should be sent to Juan S. Leon, Hubert Department of Global Health, Rollins School of Public Health of Emory University, 1518 Clifton Rd NE, Claudia Nance Rollins Buildi…
From condemnation to normalisation
Narrative is a primary tool in human meaning-making and communication. Frequently value-laden, it plays an important role in global public health communication and advocacy efforts. State-endorsed homophobia is widespread across much of sub-Saharan Africa, severely restricting access to sexual health services and undermining human rights and mental health for sexual minorities. Young Africans' narratives about same-sex attraction (SSA) can both i…
Involving parents from the start
While HIV prevention research conducted among adolescent populations may encounter parental resistance, the active engagement of parents from inception to trial completion may alleviate opposition. In preparation for implementing a large randomised controlled trial (RCT) examining the efficacy of a behavioural intervention targeting adolescent sexual risk behaviours, a formative evaluation was undertaken to assess parental reactions to the propos…
Cultural scripts surrounding young people’s sexual and romantic relationships in the Western Highlands of Guatemala
Guatemala has one of the world's highest teenage pregnancy rates and 92% of young people report not using contraception for first sex. We conducted narrative-based thematic analysis of a sample of narratives (n = 40; 15 male-authored, 25 female-authored) on HIV and sexuality, submitted to a 2013 scriptwriting competition by young people aged 15-19 years from Guatemala's Western Highlands. Our objective was to identify dominant cultural scripts an…
A social network typology and sexual risk-taking among men who have sex with men in Cape Town and Port Elizabeth, South Africa
Despite the high prevalence of HIV among men who have sex with men in South Africa, very little is known about their lived realities, including their social and sexual networks. Given the influence of social network structure on sexual risk behaviours, a better understanding of the social contexts of men who have sex with men is essential for informing the design of HIV programming and messaging. This study explored social network connectivity, a…
Guiding and supporting adolescents living with HIV in sub-Saharan Africa
Sexual stigma and symbolic violence experienced, enacted, and counteracted in young Africans' writing about same-sex attraction
Young Africans’ representations of the origins of same-sex attraction and implications for sexual and mental health
Sexual minorities are stigmatised in much of sub-Saharan Africa, restricting their access to sexual health services and undermining their mental health. Although public attitudes and social representations inform the experience of sexual stigma, little is known about how young Africans make sense of sexual diversity. We conducted a thematic analysis of 56 texts contributed by young people from 10 countries in response to a prompt in a scriptwriti…
Enabling Analysis of Big, Thick, Long, and Wide Data
Distinctive longitudinal narrative data, collected during a critical 18-year period in the history of the HIV epidemic, offer a unique opportunity to examine how young Africans are making sense of evolving developments in HIV prevention and treatment. More than 200,000 young people from across sub-Saharan Africa took part in HIV-themed scriptwriting contests held at eight discrete time points between 1997 and 2014, creating more than 75,000 narra…
Young Africans' social representations of rape in their HIV-related creative narratives, 2005-2014
Psychology (27 obras) · Sociology (25 obras) · Medicine (23 obras) · Adolescent Sexual and Reproductive Health (20 obras) · Gender Studies (18 obras) · HIV/AIDS Research and Interventions (18 obras) · Narrative (18 obras) · Social Psychology (17 obras) · Psychiatry (14 obras) · Qualitative research (14 obras)