Neo K Morojele
Biographic Data
| ID | 281200 |
|---|---|
| NAME | Neo K Morojele |
| GIVEN NAMES | Neo K |
| FAMILY NAME | Morojele |
| SIGNATURE | MOROJELE N K |
| AFFILIATIONS | South African Medical Research Council |
| ORCID | 0000-0003-2891-2557 |
| VERIFIED | Yes |
| TOTAL WORKS | 34 |
| TOTAL CITATIONS | 45 |
| AUTHOR COUNT | 34 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1992 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Implications of Covid-19 Restrictions on the Ethics and Methods of a Multi-Site Study on Alcohol and Other Drug (AOD) Use Treatment among Men in South Africa
Public health measures for medical emergencies generate methodological and ethical challenges for human research. Using Emanuel et al.'s framework, we assessed the ethical integrity of the research methods used in a men's alcohol and other drug (AOD) use disorder study following their revision due to COVID-19 restrictions in South Africa. Following the amendments, the study's social value, favorable risk-benefit ratio, and respect for participant…
A clarion call to the addiction science community
Structural characteristics of alcohol venues are associated with testing positive for HIV in rural Kwazulu-Natal, South Africa
The HIV epidemic in South Africa is one of the largest globally, with a 20% prevalence among adults. The South African National Strategic Plan recognizes the need to address social and structural barriers to HIV prevention, as well as behavioral drivers, including alcohol abuse. Nested within a rural community-based HIV testing initiative, including at alcohol venues (AVs), we explored whether structural features of AVs were associated with HIV s…
Epidemiology of alcohol use and alcohol use disorders among people living with HIV on antiretroviral therapy in Northwest Tanzania
Alcohol use disorders (AUD) among people living with HIV (PLHIV) are associated with poor health outcomes. This cross-sectional study examined current alcohol use and AUD among 300 PLHIV on ART at four HIV care centres in Northwest Tanzania. Participants' data were collected using questionnaires. Alcohol use was assessed using Alcohol Use Disorders Identification Test (AUDIT). Logistic regression was used to examine associations between each outc…
Does Reducing Alcohol Use Among People with HIV Alleviate Psychological Distress and Symptoms of Depression? A Randomized Controlled Trial in Tshwane, South Africa
Although alcohol use is associated with depression, it is unclear if brief alcohol reduction interventions can ameliorate depression and psychological distress among people with HIV (PWH). We use data from a two-arm randomised controlled trial to examine this question. PWH on antiretroviral treatment (ART) were randomly assigned to receive a brief intervention or treatment as usual (n = 622). Screening was done with the Alcohol Use Disorders Iden…
The Information–Motivation–Behavioral Skills Model and Unprotected Sex
On‐ and off‐licensed premises drinking behaviour among adults in the city of Tshwane, South Africa
Alcohol consumption, harms and policy developments in sub‐Saharan Africa
Moving Forward with Life”
Findings highlight the acceptability and usefulness of this MI-PST intervention for facilitating reductions in alcohol consumption among PLWH
Characteristics and Predictors of Heavy Episodic Drinking (HED) among Young People Aged 16–25
In South Africa, little is known about alcohol consumption patterns, such as drinks consumed, container size, salience of alcohol price, affordability and availability, and perceptions of alcohol policies as potential predictors of heavy episodic alcohol (HED) use among young people. This paper examines predictors of HED among young people with specific consideration given to these alcohol consumption patterns. This study conducted in the Tshwane…
Tobacco use and nicotine dependence among people living with HIV who drink heavily in South Africa
There is a high prevalence of cigarette and snuff use among PLWH who drink heavily. Tobacco use cessation interventions tailored specifically for this population and according to their tobacco product of choice are urgently needed given their vulnerability to ill-health
Acceptability of obtaining hair samples for assessing antiretroviral therapy (ART) exposure amongst alcohol drinking ART recipients in Tshwane, South Africa
To achieve the maximal therapeutic benefits of antiretroviral therapy (ART), high adherence is required. In South Africa, ART recipients are usually counselled by their health care providers to stop drinking alcohol, as heavy alcohol use compromises ART adherence. Patients who continue drinking alcohol tend to hide their alcohol-related adherence challenges from their health care providers. Objective measures of ART adherence/exposure may help to…
Identifying Alcohol Problems and Selected Individual and Contextual Risk Factors Among Adults in South Africa
“In this thing I have everything I need”
Although hazardous/harmful alcohol use impacts response to HIV treatment, there have been few attempts to deliver alcohol-reduction interventions within South African HIV treatment services. As a first step towards implementing alcohol-focused interventions in these settings, we explored patients' views of the acceptability of a brief motivational interviewing and problem-solving intervention. In-depth interviews were conducted with 11 patients r…
Experiences of alcohol consumption and taking antiretroviral medication among men living with HIV in Tshwane, South Africa
Hazardous alcohol consumption may compromise optimal antiretroviral therapy (ART) adherence among patients. Adoption of hegemonic notions of masculinity may encourage health-risk behaviours, such as alcohol consumption, and discourage health-enhancing behaviours, such as ART adherence among men. This study aimed to explore linkages between masculinity, alcohol consumption, and taking ART medication among male ART recipients in South Africa. Male …
Social Support and the Mediating Roles of Alcohol Use and Adherence Self-Efficacy on Antiretroviral Therapy (ART) Adherence Among ART Recipients in Gauteng, South Africa
Male circumcision, alcohol use and unprotected sex among patrons of bars and taverns in rural areas of north-west province, South Africa
Strong research evidence has shown that medical male circumcision significantly reduces heterosexual HIV acquisition among men. However, its effectiveness is enhanced by behavioural factors such as condom use. Currently, little is known of unprotected sex associated with male circumcision (MC) among alcohol-drinking tavern-going men, or whether engagement in unprotected sex may differ between men who have been traditionally circumcised and those …
Masculinities, alcohol consumption, and sexual risk behavior among male tavern attendees
Alcohol consumption is strongly associated with sexual risk behavior and HIV infection in sub-Saharan Africa. This article seeks to explore the role of constructions of masculinity in men’s drinking and sexual risk behavior in drinking venues (bars and taverns) in 2 rural villages of North West Province South Africa. Ten focus groups were conducted with 58 bar patrons and servers. Four focus groups consisted of female bar patrons 4 consisted of m…
Patterns and predictors of antiretroviral therapy use among alcohol drinkers at HIV clinics in Tshwane, South Africa
Alcohol use is associated with compromised antiretroviral therapy (ART) adherence. We aimed to identify patterns and predictors of ART use among alcohol drinkers. Using purposive sampling, we recruited 304 male and female patients from two ART clinics in Tshwane, South Africa. Interviews were conducted using a structured questionnaire comprising measures of demographic factors, psychosocial factors (i.e., ART adherence, self-efficacy beliefs, alc…
Alcohol Use, Sexual Relationship Power, and Unprotected Sex Among Patrons in Bars and Taverns in Rural Areas of North West Province, South Africa
The prevalence of risk for mental health problems among high school students in the Western Cape Province, South Africa
The aim of this article is to describe the prevalence of risk for developing mental health problems in a large survey of high school students in the Western Cape Province in South Africa. The study population comprised students in Grades 8, 9, and 10 attending public schools in the Western Cape Province. Schools were randomly sampled proportional to total school size (all grades). A total of 227 schools and a total of 20,855 students completed th…
Feasibility and acceptability of a bar-based sexual risk reduction intervention for bar patrons in Tshwane, South Africa
Alcohol consumption is a recognised risk factor for HIV infection. Alcohol serving establishments have been identified as appropriate venues in which to deliver HIV prevention interventions. This paper describes experiences and lessons learnt from implementing a combined HIV prevention intervention in bar settings in one city- and one township-based bar in Tshwane, South Africa. The intervention consisted of peer-led and brief intervention counse…
Alcohol use in early and late adolescence among the Birth to Twenty cohort in Soweto, South Africa
BACKGROUND: Alcohol is a risk factor for the leading causes of mortality and morbidity among young people Globally. Youth drinking, initiated in early adolescence and continued into early adulthood, is influenced by maternal socio-demographic factors and maternal education. Limited prospective data exists in South Africa on the prevalence of alcohol use during adolescence and adolescent and maternal socio-demographic correlates. OBJECTIVE: To exa…
Associations Between Alcohol Use, Other Psychosocial Factors, Structural Factors and Antiretroviral Therapy (ART) Adherence Among South African ART Recipients
Environmental stressors, low well-being, smoking, and alcohol use among South African adolescents
Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa
Masculinities, alcohol consumption, and sexual risk behavior among male tavern attendees
Alcohol consumption is strongly associated with sexual risk behavior and HIV infection in sub-Saharan Africa. This article seeks to explore the role of constructions of masculinity in men’s drinking and sexual risk behavior in drinking venues (bars and taverns) in 2 rural villages of North West Province South Africa. Ten focus groups were conducted with 58 bar patrons and servers. Four focus groups consisted of female bar patrons 4 consisted of m…
Environmental stressors, low well-being, smoking, and alcohol use among South African adolescents
Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa
Feasibility and acceptability of a bar-based sexual risk reduction intervention for bar patrons in Tshwane, South Africa
Alcohol consumption is a recognised risk factor for HIV infection. Alcohol serving establishments have been identified as appropriate venues in which to deliver HIV prevention interventions. This paper describes experiences and lessons learnt from implementing a combined HIV prevention intervention in bar settings in one city- and one township-based bar in Tshwane, South Africa. The intervention consisted of peer-led and brief intervention counse…
The Minnesota model in the treatment of addictions
Changes in beliefs and attitudes that accompany Minnesota Model (MM) treatment are examined in terms of Brickman et al. 's Compensatory Model of coping, and Ajzen's theory of planned behaviour. Questionnaires were completed both on intake and at discharge, by 61 patients who successfully completed treatment at a residential MM facility. The questionnaires measured the patients' attributions of responsibility for the cause of, and for recovery fro…
Sociodemographic, Sociocultural, and Individual Predictors of Reported Feelings of Meaninglessness among South African Adolescents
The purpose of the study was to predict adolescents' sense of meaninglessness about South Africa's sociopolitical situation from sociodemographic, individual level, and sociocultural factors. The participants comprised 39 male and 64 female students from three schools in Cape Town, and had a mean age of 15.2 yr. (SD= 1.8 yr.). They completed an adaptation of Neal and Groat's Meaninglessness scale and measures of sociodemographic (age, sex, and pa…
Sociodemographic, Sociocultural, and Individual Predictors of Reported Feelings of Meaninglessness Among South African Adolescents
Perceptions of sexual risk behaviours and substance abuse among adolescents in South Africa
The study examined South African adolescents' beliefs and attitudes regarding drug use, sexual risk behaviour and relationships between the two behaviours. Eleven single-gender focus groups were held among male and female Grade 8 and 11 students from three schools in Cape Town. The adolescents' opined that drugs' reinforcing effects were the main factor underlying their use, and that sexual risk behaviours resulted from girls' limited power in se…
Substance Use, Sexual Risk, and Violence
Personal, interpersonal, and cultural predictors of stages of cigarette smoking among adolescents in Johannesburg, South Africa
All the domains were important for all four ethnic groups. Four psychosocial domains are important in distinguishing among the three stages of smoking studied. Some predictors differentiated all stages of smoking, others between some of the stages of smoking. Therefore, intervention and prevention programmes which are culturally and linguistically sensitive and appropriate should consider the individual's stage of smoking
Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa
The relationship between receptivity to media models of smoking and nicotine dependence among South African adolescents
The purpose of this study is to determine the association of receptivity to media models of smoking and nicotine dependence among South African adolescents from four ethnic groups. A stratified random sample of 731 adolescents aged 12 to 17 years (mean=14. 55, SD=1.68) was drawn from Johannesburg, South Africa. A structured questionnaire was administered to the participants in their homes by trained interviewers. Receptivity to media models of sm…
Predictors of risk of alcohol-exposed pregnancies among women in an urban and a rural area of South Africa
Environmental stressors, low well-being, smoking, and alcohol use among South African adolescents
Alcohol use in early and late adolescence among the Birth to Twenty cohort in Soweto, South Africa
BACKGROUND: Alcohol is a risk factor for the leading causes of mortality and morbidity among young people Globally. Youth drinking, initiated in early adolescence and continued into early adulthood, is influenced by maternal socio-demographic factors and maternal education. Limited prospective data exists in South Africa on the prevalence of alcohol use during adolescence and adolescent and maternal socio-demographic correlates. OBJECTIVE: To exa…
Associations Between Alcohol Use, Other Psychosocial Factors, Structural Factors and Antiretroviral Therapy (ART) Adherence Among South African ART Recipients
Patterns and predictors of antiretroviral therapy use among alcohol drinkers at HIV clinics in Tshwane, South Africa
Alcohol use is associated with compromised antiretroviral therapy (ART) adherence. We aimed to identify patterns and predictors of ART use among alcohol drinkers. Using purposive sampling, we recruited 304 male and female patients from two ART clinics in Tshwane, South Africa. Interviews were conducted using a structured questionnaire comprising measures of demographic factors, psychosocial factors (i.e., ART adherence, self-efficacy beliefs, alc…
Alcohol Use, Sexual Relationship Power, and Unprotected Sex Among Patrons in Bars and Taverns in Rural Areas of North West Province, South Africa
The prevalence of risk for mental health problems among high school students in the Western Cape Province, South Africa
The aim of this article is to describe the prevalence of risk for developing mental health problems in a large survey of high school students in the Western Cape Province in South Africa. The study population comprised students in Grades 8, 9, and 10 attending public schools in the Western Cape Province. Schools were randomly sampled proportional to total school size (all grades). A total of 227 schools and a total of 20,855 students completed th…
Feasibility and acceptability of a bar-based sexual risk reduction intervention for bar patrons in Tshwane, South Africa
Alcohol consumption is a recognised risk factor for HIV infection. Alcohol serving establishments have been identified as appropriate venues in which to deliver HIV prevention interventions. This paper describes experiences and lessons learnt from implementing a combined HIV prevention intervention in bar settings in one city- and one township-based bar in Tshwane, South Africa. The intervention consisted of peer-led and brief intervention counse…
Male circumcision, alcohol use and unprotected sex among patrons of bars and taverns in rural areas of north-west province, South Africa
Strong research evidence has shown that medical male circumcision significantly reduces heterosexual HIV acquisition among men. However, its effectiveness is enhanced by behavioural factors such as condom use. Currently, little is known of unprotected sex associated with male circumcision (MC) among alcohol-drinking tavern-going men, or whether engagement in unprotected sex may differ between men who have been traditionally circumcised and those …
Masculinities, alcohol consumption, and sexual risk behavior among male tavern attendees
Alcohol consumption is strongly associated with sexual risk behavior and HIV infection in sub-Saharan Africa. This article seeks to explore the role of constructions of masculinity in men’s drinking and sexual risk behavior in drinking venues (bars and taverns) in 2 rural villages of North West Province South Africa. Ten focus groups were conducted with 58 bar patrons and servers. Four focus groups consisted of female bar patrons 4 consisted of m…
Experiences of alcohol consumption and taking antiretroviral medication among men living with HIV in Tshwane, South Africa
Hazardous alcohol consumption may compromise optimal antiretroviral therapy (ART) adherence among patients. Adoption of hegemonic notions of masculinity may encourage health-risk behaviours, such as alcohol consumption, and discourage health-enhancing behaviours, such as ART adherence among men. This study aimed to explore linkages between masculinity, alcohol consumption, and taking ART medication among male ART recipients in South Africa. Male …
Social Support and the Mediating Roles of Alcohol Use and Adherence Self-Efficacy on Antiretroviral Therapy (ART) Adherence Among ART Recipients in Gauteng, South Africa
“In this thing I have everything I need”
Although hazardous/harmful alcohol use impacts response to HIV treatment, there have been few attempts to deliver alcohol-reduction interventions within South African HIV treatment services. As a first step towards implementing alcohol-focused interventions in these settings, we explored patients' views of the acceptability of a brief motivational interviewing and problem-solving intervention. In-depth interviews were conducted with 11 patients r…
Acceptability of obtaining hair samples for assessing antiretroviral therapy (ART) exposure amongst alcohol drinking ART recipients in Tshwane, South Africa
To achieve the maximal therapeutic benefits of antiretroviral therapy (ART), high adherence is required. In South Africa, ART recipients are usually counselled by their health care providers to stop drinking alcohol, as heavy alcohol use compromises ART adherence. Patients who continue drinking alcohol tend to hide their alcohol-related adherence challenges from their health care providers. Objective measures of ART adherence/exposure may help to…
Identifying Alcohol Problems and Selected Individual and Contextual Risk Factors Among Adults in South Africa
Tobacco use and nicotine dependence among people living with HIV who drink heavily in South Africa
There is a high prevalence of cigarette and snuff use among PLWH who drink heavily. Tobacco use cessation interventions tailored specifically for this population and according to their tobacco product of choice are urgently needed given their vulnerability to ill-health
Moving Forward with Life”
Findings highlight the acceptability and usefulness of this MI-PST intervention for facilitating reductions in alcohol consumption among PLWH
Medicine (28 works) · Psychology (21 works) · Psychiatry (18 works) · Environmental health (17 works) · HIV/AIDS Research and Interventions (17 works) · Demography (15 works) · Clinical Psychology (13 works) · Adolescent Sexual and Reproductive Health (12 works) · HIV, Drug Use, Sexual Risk (12 works) · Public health (12 works)