Stella Muthuri
Datos Biográficos
| ID | 6045328 |
|---|---|
| NOMBRE | Stella Muthuri |
| NOMBRES | Stella |
| APELLIDO | Muthuri |
| FIRMA | MUTHURI S |
| AFILIACIONES | African Population and Health Research Center |
| ORCID | 0000-0001-5834-2247 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAS | 22 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2014 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
Shifting social norms, behavioural intentions and opposition to female genital mutilation
Female genital mutilation (FGM) remains prevalent in parts of Kenya, sustained by social norms around marriageability and social belonging. Although community interventions to end FGM are widely implemented, quantitative evidence of their effectiveness remains limited. This study evaluated whether mixed-sex community dialogues and women-only reflection circles implemented through the Girl Generation-Africa-Led Movement Programme changed FGM-relat…
Disclosure and help-seeking experiences of childhood sexual violence survivors in refugee settings of Ethiopia and Uganda
Disclosure and help-seeking are critical to mitigating the adverse health and social outcomes of sexual violence among survivors. However, evidence regarding these experiences remains scarce in refugee settings. We aimed to examine disclosure and help-seeking experiences among survivors of childhood sexual violence in refugee settings across Ethiopia and Uganda. This study used data from the Humanitarian Violence Against Children Surveys (HVACS) …
Exposure to intimate partner violence against women and its association with experiences and perpetration of violence among children and youth in refugee camps in Ethiopia
BACKGROUND: A substantial body of research has established a positive association between exposure to intimate partner violence against women (IPVAW) and childhood experiences of violence. However, limited evidence exists on this association in Ethiopia, particularly within humanitarian settings, where children and youth face compounded vulnerabilities. This paper examines the association between witnessing IPVAW during childhood and experiences …
Multilevel correlates of childhood violence in refugee settings
BACKGROUND: Despite their right to protection, children in refugee settings face various forms of violence, including physical, sexual, and emotional violence. OBJECTIVE: This study examined the factors associated with childhood violence (before turning 18) in refugee settings of Ethiopia, guided by the socioecological framework. METHODS: The study used data from the 2024 Ethiopia Humanitarian Violence Against Children and Youth Survey (HVACS). T…
Responding to sensitive survey questions on violence and sexual behavior
This study explored the experiences of children and young people in refugee settings in Uganda and Ethiopia with responding to sensitive survey questions on violence and sexual behaviour. Data were from cross-sectional representative household surveys conducted among 2265 13–24-year-olds in Uganda in 2022 and 3473 13–24-year-olds in Ethiopia from 2023–2024. Descriptive and weighted multivariate logistic regression analyses were conducted to explo…
Childhood exposure to intimate partner violence against women and its association with violence against children in refugee settlements in Uganda
Witnessing IPVAW in childhood is common in refugee settlements in Uganda and is strongly associated with experiencing VAC perpetrated by a caregiver. Violence prevention and response programs should pay attention to IPVAW as a risk factor for VAC, emphasizing integrated approaches that target both forms of violence within households
Experiences of childhood violence and violence perpetration and the association with inequitable gender norms and violence justification in humanitarian settings in Uganda
Experiences of childhood violence and violence perpetration and the association with inequitable gender norms and violence justification have been extensively studied in non-humanitarian settings, and among older populations. However, there is a gap in understanding these associations within humanitarian contexts, particularly from the perspective of children and youth. We used data from the Uganda Humanitarian Violence Against Children and Youth…
Community perceptions on the factors in the social food environment that influence dietary behaviour in cities of Kenya and Ghana
Objective: To explore communities’ perspectives on the factors in the social food environment that influence dietary behaviours in African cities. Design: A qualitative study using participatory photography (Photovoice). Participants took and discussed photographs representing factors in the social food environment that influence their dietary behaviours. Follow-up in-depth interviews allowed participants to tell the ‘stories’ of their photograph…
Urban physical food environments drive dietary behaviours in Ghana and Kenya
We identified factors in the physical food environment that influence dietary behaviours among low-income dwellers in three African cities (Nairobi, Accra, Ho). We used Photovoice with 142 males/females (≥13 years). In the neighbourhood environment, poor hygiene, environmental sanitation, food contamination and adulteration were key concerns. Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods. Home …
Gender-based violence and its association with mental health among Somali women in a Kenyan refugee camp
Background In conflict-affected settings, women and girls are vulnerable to gender-based violence (GBV). GBV is associated with poor long-term mental health such as anxiety, depression and post-traumatic stress disorder (PTSD). Understanding the interaction between current violence and past conflict-related violence with ongoing mental health is essential for improving mental health service provision in refugee camps. Methods Using data collected…
Research challenges in evaluating gender-based violence response services in a refugee camp
This article presents a case study of research in Dadaab, Kenya to highlight some of the relevant challenges encountered while conducting gender-based violence research in humanitarian settings. A longitudinal mixed-methods design was used to evaluate a comprehensive case-management intervention in the refugee complex near the border of Kenya and Somalia. We present an overview of both expected and unexpected challenges during preparation and imp…
Disability, violence, and mental health among Somali refugee women in a humanitarian setting
A large proportion of refugee women seeking GBV response services have disabilities, and refugee women with a disability are at high risk of poor mental health. This research highlights the need for mental health and disability screening within GBV response programming
Dietary behaviours in the context of nutrition transition
Objective: To synthesise evidence of urban dietary behaviours (macronutrients, types of foods, dietary diversity and dietary practices) in two African countries in relation to postulated changes in the context of nutrition transition. Design: Systematic review and meta-analyses, including six online databases and grey literature, 1971–2018 (Protocol CRD42017067718). Setting: Urban Ghana and Kenya. Participants: Population-based studies of healthy…
Magnitude and predictors of normal-weight central obesity– the AWI-Gen study findings
Background: Normal-weight central obesity is associated with higher mortality than general obesity as defined by body mass index, particularly in the absence of central fat distribution.Objective: The aim of this study was to examine the magnitude and predictors of normal-weight central obesity in an urban informal settlement setting in Kenya.Methods: We used data from the AWI-Gen study, a cross-sectional survey targeting randomly selected consen…
The Impact of Childcare on Poor Urban Women’s Economic Empowerment in Africa
Despite evidence from other regions, researchers and policy-makers remain skeptical that women’s disproportionate childcare responsibilities act as a significant barrier to women’s economic empowerment in Africa. This randomized control trial study in an informal settlement in Nairobi, Kenya, demonstrates that limited access to affordable early childcare inhibits poor urban women’s participation in paid work. Women who were offered vouchers for s…
Sociodemographic and behavioural factors associated with body mass index among men and women in Nairobi slums
BACKGROUND: Body mass index (BMI) is rising globally with a faster increase in urban areas in low- and middle-income countries. It is critical to identify modifiable risk factors for BMI to prevent the occurrence of associated health consequences. OBJECTIVE: To investigate socio-demographic, behavioural and biological factors associated with BMI in Nairobi slums. METHODS: In 2014-2015, a cross sectional study of men and women aged 40-60 years in …
Balancing paid work and child care in a slum of Nairobi, Kenya
As a growing number of women across sub-Saharan Africa engage in paid work, they face the challenge of finding suitable child care arrangements. Drawing on survey data from over 1,200 mothers and in-depth interviews with 31 of these women, we find that mothers living in a slum of Nairobi, Kenya, employ three main strategies to balance their work and child care responsibilities: (1) combine work and child care, (2) rely on kin and neighbours, or (…
They Say Our Work Is Not Halal’
Notwithstanding the growing centrality of refugee community workers (RCWs) in the current response to gender-based violence (GBV) in the Dadaab refugee camps, they remain poorly studied. Using interview data, we explored the work-related experiences and challenges as well as GBV-related beliefs of RCWs. Whilst they demonstrated elevated knowledge of the forms and drivers of GBV in their community, some of the RCWs did not deem early marriage, fem…
Comparison of domains of self-reported physical activity between Kenyan adult urban-slum dwellers and national estimates
BACKGROUND: Non-communicable diseases (NCDs) - largely the result of modifiable behavioral risks such as physical inactivity that gradually develop into physiological risks - are a main cause of morbidity and mortality worldwide. In Kenya, a nationally representative STEPwise survey of risk factors for NCDs established that 10.8% of Kenyans accumulated low levels of total physical activity. OBJECTIVES: The goal of our analyses was to compare doma…
Trends and correlates of single motherhood in Kenya
Single motherhood exposes women to poorer socioeconomic and health outcomes, which may also negatively impact child outcomes. The Demographic and Health Surveys of 1989, 1993, 1998, 2003, and 2009 were used to investigate trends over time and factors associated with single motherhood in Kenya. Urban residence, older age, and poorer economic status were associated with single motherhood over time. Women with more than one child, and those with chi…
Correlates of objectively measured overweight/obesity and physical activity in Kenyan school children
This study provided the evidence for an existing prevalence of childhood overweight/obesity in Nairobi. Children were spending a considerable amount of time in sedentary and light intensity physical activity, with few meeting physical activity guidelines. Higher socioeconomic status and parental education attainment were associated with a higher likelihood of children being overweight/obese and a lower likelihood of children meeting the physical …
Direct and self-reported measures of physical activity and sedentary behaviours by weight status in school-aged children
The results of this study found a number of differences in the accumulation of MVPA and sedentary time by weight status and weak-to-moderate correlations between self-report and direct measures of weekday and weekend-day physical activity among the under/healthy weight children
The Impact of Childcare on Poor Urban Women’s Economic Empowerment in Africa
Despite evidence from other regions, researchers and policy-makers remain skeptical that women’s disproportionate childcare responsibilities act as a significant barrier to women’s economic empowerment in Africa. This randomized control trial study in an informal settlement in Nairobi, Kenya, demonstrates that limited access to affordable early childcare inhibits poor urban women’s participation in paid work. Women who were offered vouchers for s…
Gender-based violence and its association with mental health among Somali women in a Kenyan refugee camp
Background In conflict-affected settings, women and girls are vulnerable to gender-based violence (GBV). GBV is associated with poor long-term mental health such as anxiety, depression and post-traumatic stress disorder (PTSD). Understanding the interaction between current violence and past conflict-related violence with ongoing mental health is essential for improving mental health service provision in refugee camps. Methods Using data collected…
Balancing paid work and child care in a slum of Nairobi, Kenya
As a growing number of women across sub-Saharan Africa engage in paid work, they face the challenge of finding suitable child care arrangements. Drawing on survey data from over 1,200 mothers and in-depth interviews with 31 of these women, we find that mothers living in a slum of Nairobi, Kenya, employ three main strategies to balance their work and child care responsibilities: (1) combine work and child care, (2) rely on kin and neighbours, or (…
They Say Our Work Is Not Halal’
Notwithstanding the growing centrality of refugee community workers (RCWs) in the current response to gender-based violence (GBV) in the Dadaab refugee camps, they remain poorly studied. Using interview data, we explored the work-related experiences and challenges as well as GBV-related beliefs of RCWs. Whilst they demonstrated elevated knowledge of the forms and drivers of GBV in their community, some of the RCWs did not deem early marriage, fem…
Urban physical food environments drive dietary behaviours in Ghana and Kenya
We identified factors in the physical food environment that influence dietary behaviours among low-income dwellers in three African cities (Nairobi, Accra, Ho). We used Photovoice with 142 males/females (≥13 years). In the neighbourhood environment, poor hygiene, environmental sanitation, food contamination and adulteration were key concerns. Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods. Home …
Correlates of objectively measured overweight/obesity and physical activity in Kenyan school children
This study provided the evidence for an existing prevalence of childhood overweight/obesity in Nairobi. Children were spending a considerable amount of time in sedentary and light intensity physical activity, with few meeting physical activity guidelines. Higher socioeconomic status and parental education attainment were associated with a higher likelihood of children being overweight/obese and a lower likelihood of children meeting the physical …
Direct and self-reported measures of physical activity and sedentary behaviours by weight status in school-aged children
The results of this study found a number of differences in the accumulation of MVPA and sedentary time by weight status and weak-to-moderate correlations between self-report and direct measures of weekday and weekend-day physical activity among the under/healthy weight children
Trends and correlates of single motherhood in Kenya
Single motherhood exposes women to poorer socioeconomic and health outcomes, which may also negatively impact child outcomes. The Demographic and Health Surveys of 1989, 1993, 1998, 2003, and 2009 were used to investigate trends over time and factors associated with single motherhood in Kenya. Urban residence, older age, and poorer economic status were associated with single motherhood over time. Women with more than one child, and those with chi…
Comparison of domains of self-reported physical activity between Kenyan adult urban-slum dwellers and national estimates
BACKGROUND: Non-communicable diseases (NCDs) - largely the result of modifiable behavioral risks such as physical inactivity that gradually develop into physiological risks - are a main cause of morbidity and mortality worldwide. In Kenya, a nationally representative STEPwise survey of risk factors for NCDs established that 10.8% of Kenyans accumulated low levels of total physical activity. OBJECTIVES: The goal of our analyses was to compare doma…
Sociodemographic and behavioural factors associated with body mass index among men and women in Nairobi slums
BACKGROUND: Body mass index (BMI) is rising globally with a faster increase in urban areas in low- and middle-income countries. It is critical to identify modifiable risk factors for BMI to prevent the occurrence of associated health consequences. OBJECTIVE: To investigate socio-demographic, behavioural and biological factors associated with BMI in Nairobi slums. METHODS: In 2014-2015, a cross sectional study of men and women aged 40-60 years in …
Balancing paid work and child care in a slum of Nairobi, Kenya
As a growing number of women across sub-Saharan Africa engage in paid work, they face the challenge of finding suitable child care arrangements. Drawing on survey data from over 1,200 mothers and in-depth interviews with 31 of these women, we find that mothers living in a slum of Nairobi, Kenya, employ three main strategies to balance their work and child care responsibilities: (1) combine work and child care, (2) rely on kin and neighbours, or (…
They Say Our Work Is Not Halal’
Notwithstanding the growing centrality of refugee community workers (RCWs) in the current response to gender-based violence (GBV) in the Dadaab refugee camps, they remain poorly studied. Using interview data, we explored the work-related experiences and challenges as well as GBV-related beliefs of RCWs. Whilst they demonstrated elevated knowledge of the forms and drivers of GBV in their community, some of the RCWs did not deem early marriage, fem…
Magnitude and predictors of normal-weight central obesity– the AWI-Gen study findings
Background: Normal-weight central obesity is associated with higher mortality than general obesity as defined by body mass index, particularly in the absence of central fat distribution.Objective: The aim of this study was to examine the magnitude and predictors of normal-weight central obesity in an urban informal settlement setting in Kenya.Methods: We used data from the AWI-Gen study, a cross-sectional survey targeting randomly selected consen…
The Impact of Childcare on Poor Urban Women’s Economic Empowerment in Africa
Despite evidence from other regions, researchers and policy-makers remain skeptical that women’s disproportionate childcare responsibilities act as a significant barrier to women’s economic empowerment in Africa. This randomized control trial study in an informal settlement in Nairobi, Kenya, demonstrates that limited access to affordable early childcare inhibits poor urban women’s participation in paid work. Women who were offered vouchers for s…
Research challenges in evaluating gender-based violence response services in a refugee camp
This article presents a case study of research in Dadaab, Kenya to highlight some of the relevant challenges encountered while conducting gender-based violence research in humanitarian settings. A longitudinal mixed-methods design was used to evaluate a comprehensive case-management intervention in the refugee complex near the border of Kenya and Somalia. We present an overview of both expected and unexpected challenges during preparation and imp…
Disability, violence, and mental health among Somali refugee women in a humanitarian setting
A large proportion of refugee women seeking GBV response services have disabilities, and refugee women with a disability are at high risk of poor mental health. This research highlights the need for mental health and disability screening within GBV response programming
Dietary behaviours in the context of nutrition transition
Objective: To synthesise evidence of urban dietary behaviours (macronutrients, types of foods, dietary diversity and dietary practices) in two African countries in relation to postulated changes in the context of nutrition transition. Design: Systematic review and meta-analyses, including six online databases and grey literature, 1971–2018 (Protocol CRD42017067718). Setting: Urban Ghana and Kenya. Participants: Population-based studies of healthy…
Urban physical food environments drive dietary behaviours in Ghana and Kenya
We identified factors in the physical food environment that influence dietary behaviours among low-income dwellers in three African cities (Nairobi, Accra, Ho). We used Photovoice with 142 males/females (≥13 years). In the neighbourhood environment, poor hygiene, environmental sanitation, food contamination and adulteration were key concerns. Economic access was perceived as a major barrier to accessing nutritionally safe and healthy foods. Home …
Gender-based violence and its association with mental health among Somali women in a Kenyan refugee camp
Background In conflict-affected settings, women and girls are vulnerable to gender-based violence (GBV). GBV is associated with poor long-term mental health such as anxiety, depression and post-traumatic stress disorder (PTSD). Understanding the interaction between current violence and past conflict-related violence with ongoing mental health is essential for improving mental health service provision in refugee camps. Methods Using data collected…
Community perceptions on the factors in the social food environment that influence dietary behaviour in cities of Kenya and Ghana
Objective: To explore communities’ perspectives on the factors in the social food environment that influence dietary behaviours in African cities. Design: A qualitative study using participatory photography (Photovoice). Participants took and discussed photographs representing factors in the social food environment that influence their dietary behaviours. Follow-up in-depth interviews allowed participants to tell the ‘stories’ of their photograph…
Childhood exposure to intimate partner violence against women and its association with violence against children in refugee settlements in Uganda
Witnessing IPVAW in childhood is common in refugee settlements in Uganda and is strongly associated with experiencing VAC perpetrated by a caregiver. Violence prevention and response programs should pay attention to IPVAW as a risk factor for VAC, emphasizing integrated approaches that target both forms of violence within households
Experiences of childhood violence and violence perpetration and the association with inequitable gender norms and violence justification in humanitarian settings in Uganda
Experiences of childhood violence and violence perpetration and the association with inequitable gender norms and violence justification have been extensively studied in non-humanitarian settings, and among older populations. However, there is a gap in understanding these associations within humanitarian contexts, particularly from the perspective of children and youth. We used data from the Uganda Humanitarian Violence Against Children and Youth…
Shifting social norms, behavioural intentions and opposition to female genital mutilation
Female genital mutilation (FGM) remains prevalent in parts of Kenya, sustained by social norms around marriageability and social belonging. Although community interventions to end FGM are widely implemented, quantitative evidence of their effectiveness remains limited. This study evaluated whether mixed-sex community dialogues and women-only reflection circles implemented through the Girl Generation-Africa-Led Movement Programme changed FGM-relat…
Disclosure and help-seeking experiences of childhood sexual violence survivors in refugee settings of Ethiopia and Uganda
Disclosure and help-seeking are critical to mitigating the adverse health and social outcomes of sexual violence among survivors. However, evidence regarding these experiences remains scarce in refugee settings. We aimed to examine disclosure and help-seeking experiences among survivors of childhood sexual violence in refugee settings across Ethiopia and Uganda. This study used data from the Humanitarian Violence Against Children Surveys (HVACS) …
Exposure to intimate partner violence against women and its association with experiences and perpetration of violence among children and youth in refugee camps in Ethiopia
BACKGROUND: A substantial body of research has established a positive association between exposure to intimate partner violence against women (IPVAW) and childhood experiences of violence. However, limited evidence exists on this association in Ethiopia, particularly within humanitarian settings, where children and youth face compounded vulnerabilities. This paper examines the association between witnessing IPVAW during childhood and experiences …
Multilevel correlates of childhood violence in refugee settings
BACKGROUND: Despite their right to protection, children in refugee settings face various forms of violence, including physical, sexual, and emotional violence. OBJECTIVE: This study examined the factors associated with childhood violence (before turning 18) in refugee settings of Ethiopia, guided by the socioecological framework. METHODS: The study used data from the 2024 Ethiopia Humanitarian Violence Against Children and Youth Survey (HVACS). T…
Responding to sensitive survey questions on violence and sexual behavior
This study explored the experiences of children and young people in refugee settings in Uganda and Ethiopia with responding to sensitive survey questions on violence and sexual behaviour. Data were from cross-sectional representative household surveys conducted among 2265 13–24-year-olds in Uganda in 2022 and 3473 13–24-year-olds in Ethiopia from 2023–2024. Descriptive and weighted multivariate logistic regression analyses were conducted to explo…
Medicine (14 obras) · Environmental health (11 obras) · Intimate Partner and Family Violence (9 obras) · Refugee (9 obras) · Poison control (8 obras) · Domestic violence (7 obras) · Political science (7 obras) · Suicide prevention (7 obras) · Demography (6 obras) · Migration, Health and Trauma (6 obras)