Nicola Christofides
Dados Biográficos
| ID | 1445658 |
|---|---|
| NOME | Nicola Christofides |
| PRENOMES | Nicola |
| SOBRENOME | Christofides |
| ASSINATURA | CHRISTOFIDES N |
| AFILIAÇÕES | University of the Witwatersrand |
| ORCID | 0000-0002-3559-6401 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 44 |
| TOTAL DE CITAÇÕES | 29 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1999 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Career trajectories of master of public health graduates from South African universities
Attempted Femicide
Purpose Women often do not recognize when they experience attempted femicide, so another way of measuring it is needed for research. We examined narrative accounts of femicide attempts, and analysed data to determine whether we could systematically expand the definition of attempted femicide, for the purposes of research. Methods We recruited a non-probability sample of 3742 women into the Fedisa ModikologoStudy. They were 18–45 years and had exp…
Children’s Voices Matter
Young children should be included in research that investigates their life experiences, as this honors their rights to inclusion and allows their voices to be heard. This paper summarizes key themes, takeaways, and recommendations gathered from a multi-year research study regarding how to include young children in violence against children research, where feedback on the scope, methods, and consequences was sought from child participants and stud…
Perceptions of South Africa’s master of public health graduates on the degree’s contribution to their leadership at work and in society
Introduction: Integrating public health functions into national health systems is essential to enhance population health. The Master of Public Health (MPH) degree is an important foundation for public health practice in low-and middle-income countries such as South Africa. However, insufficient evidence on individual motivations for undertaking the MPH and the perceptions of graduates on the utility of the degree at work and in society and its co…
Gender beliefs and norms underlying intimate partner violence stigma among women living in Botswana
Gender inequitable beliefs, blaming attitudes, externalised and internalised stigma are commonly recognised barriers for intimate partner violence (IPV) survivors seeking help. However, the measurement of IPV stigma, its associations with inequitable gender beliefs and impacts on survivor disclosure, help-seeking behaviours, and mental health outcomes remain understudied. We explored women’s agreement with statements about gendered power dynamics…
What Are the Mechanisms Underpinning Intergenerational Transmission of Violence Perpetration? A Realist Review
Successive generations are more likely to carry out acts of violence in households where an individual has either perpetrated or been subjected to violence. While research to date has mostly concentrated on direct associations between violence experience or perpetration in generation 1 and violence perpetration in generation 2, there is limited evidence regarding the underlying mechanisms of the transmission of intergenerational violence perpetra…
Service delivery characteristics preferences and trade-offs for long-acting injectable pre-exposure prophylaxis among female students in tertiary institutions in South Africa
Oral pre-exposure prophylaxis (PrEP) for HIV prevention promises women more control over HIV prevention. To alleviate low PrEP uptake, rolling out long-acting PrEP methods could increase uptake in women's preferred ways. The study sought to determine injectable PrEP service delivery characteristics that effectively meet young women's service needs. In 2023, we conducted a discrete choice experiment in South African tertiary institutions. We recru…
How Does the Mother-Daughter Relationship Explain Patterns of Intergenerational Violence? Findings from a Multigenerational Study in South Africa
Interpersonal violence is a pervasive experience for women and girls in South Africa. Interpersonal violence occurs early in development and is sustained over the life course with risks of replication across generations. Most children in South Africa are raised by women as fathers are frequently absent, rendering this caregiving relationship particularly significant. We aimed to understand how the mother/caregiver-daughter relationship may impact…
“I’ve accepted it because at the end of the day there is nothing, I can do about it”
In South Africa, Mental Health (MH), HIV, and Intimate Partner Violence (IPV) form a syndemic, that disproportionately affects women. These challenges are often co-occurring and create complex adversities for women. Recognising these intersections and the broader socio-cultural dynamics at play is crucial to understanding the layered experiences of these women and developing effective interventions. This research explores the experiences of the w…
Co-occurring Intimate Partner Violence, Mental Health, Human Immunodeficiency Virus, and Parenting Among Women
Little research exists on the human immunodeficiency virus (HIV)-intimate partner violence (IPV)-mental health (MH) syndemic impact on parenting. The objective of this scoping review is to identify and summarize the available evidence regarding the syndemic relationship between HIV or Acquired Immune Deficiency Syndrome (AIDS), IPV, and poor MH among mothers and caregivers who identify as women. We conducted the review according to the Joanna Bri…
Moving towards social inclusion
BACKGROUND: Achieving universal health coverage (UHC) in the context of limited resources will require prioritising the most vulnerable and ensuring health policies and services are responsive to their needs. One way of addressing this is through the engagement of marginalised voices in the priority setting process. Public engagement approaches that enable group level deliberation as well as individual level preference capturing might be valuable…
Pathways to transactional sex among peri-urban South African women
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…
Perceptions of the attributes of new long-acting HIV pre-exposure prophylaxis formulations compared with a daily, oral dose among South African young women
Oral PrEP is highly effective against the acquisition of HIV but is underutilised by young women. New options, like the monthly dapivirine vaginal ring (DVR) and injectable long-acting cabotegravir (CAB-LA), are emerging. However, little is known about young women's perceptions of these alternatives. This qualitative study explored perceptions of the attributes of PrEP technologies in South Africa. Young women accessing sexual health services wer…
Addressing unmet social needs for improved maternal and child nutrition
Maternal and child malnutrition persists globally, despite existing healthcare and social protection systems. Socio-economic disadvantages contribute to high malnutrition rates, particularly in poor urban communities where many disadvantaged mothers cannot fully benefit from services. To address these disparities, a novel social needs framework has been proposed, emphasising the importance of addressing individuals' unmet needs to enhance the ben…
Identifying pregnant and postpartum women’s priorities for enhancing nutrition support through social needs programmes in a resource-constrained urban community in South Africa
Women expressed strong views about which programmes should be prioritised to support mothers and pregnant women in addressing their social needs and improving nutrition. Key areas included providing support with job searching and entrepreneurship, accessing childcare and the healthy foods recommended at clinics, as well as finding information on available community and government services. Leveraging multisectoral collaboration, aligned policy ob…
‘Through the drawings…they are able to tell you straight’
Arts-based methods are underutilized in violence research and may offer improved means of understanding these phenomena; but little is known about their value, especially in low-resource settings. A pilot study using a cross sectional sample was conducted in rural South Africa to determine the feasibility and acceptability of using arts-based methods in research with adults and children, in preparation for a longitudinal multigenerational cohort …
Pooled analysis of the association between food insecurity and violence against women
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…
Interrupting the intergenerational cycle of violence
Background Violence is a global social and human rights issue with serious public health implications across the life-course. Interpersonal violence is transmitted across generations and there is an urgent need to understand the mechanisms of this transmission to identify and inform interventions and policies for prevention and response. We lack an evidence-base for understanding the underlying mechanisms of the intra- and intergenerational trans…
Intimate partner violence and HIV treatment adherence in urban South Africa
Background: Antiretroviral therapy (ART) has potential to eliminate perinatal HIV infections, but adherence to ART in late pregnancy and postpartum is often suboptimal. Intimate partner violence (IPV) may influence non-adherence among perinatal women living with HIV (WWH), but few quantitative studies have examined this over time or explored mechanisms for this association. Methods: 133). Trained nurse researchers administered questionnaires at f…
The HIV Cascade of Care and Service Utilisation at Sex Work Programmes Among Female Sex Workers in South Africa
Female sex workers (FSWs) in South Africa experience a uniquely high prevalence of HIV. We describe the HIV cascade of care (CoC) in FSWs in South Africa, and explored service utilisation at sex work programmes. A cross-sectional, study enrolled FSWs across 12 sites in South Africa. Participants were recruited using chain-referral method. Inclusion criteria: ≥ 18 years, cis-gender female, sold/transacted in sex, HIV positive. 1862 HIV positive FS…
Gendered syndemic of intimate partner violence, alcohol misuse, and HIV risk among peri-urban, heterosexual men in South Africa
Men whose sexual behaviors place them at risk of HIV often exhibit a "cluster" of risky behaviors, including alcohol misuse and violence against women. Called the "Substance Abuse, Violence and AIDS (SAVA) syndemic," this intersecting set of issues is poorly understood among heterosexual men in sub-Saharan Africa. We conducted a baseline survey with a cohort of men in an informal, peri-urban settlement near Johannesburg during the period of Jan -…
“Knowledge I seek because culture doesn’t work anymore … It doesn’t work, death comes”
This study highlights the need for interventions that focus on improving gogos' knowledge about sexual reproductive health in addition to providing them with the skills to talk about sex, sexuality and HIV and AIDS with children in their care
Deliberative engagement methods on health care priority-setting in a rural South African community
Public engagement in priority-setting for health is increasingly recognized as a means to ensure more ethical, inclusive and legitimate decision-making processes, especially in the context of Universal Health Coverage where demands outweigh the available resources and difficult decisions need to be made. Deliberative approaches are often viewed as especially useful in considering social values and balancing trade-offs, however, implementation of …
HIV non-testing, perpetration of violence against women, and sexual risk-behaviour
Despite HIV testing having improved globally, men remain disproportionately less likely to test for HIV. While violence against women (VAW) and HIV risk have a strong association among women, few studies explore men around VAW perpetration, risky-sexual behaviour, and HIV testing. Males aged 18-42 years were recruited from a peri-urban settlement near Johannesburg, South Africa. Data were from an endline of a trial. We used logistic regression to…
Prevalence and factors associated with PTSD among female urban slum dwellers in Ibadan, Nigeria
The prevalence of PTSD among women living in Ibadan slums was relatively low. Both child sexual abuse and intimate partner violence can be prevented. We also recommend longitudinal studies to better understand risk and protective factors
Gendered syndemic of intimate partner violence, alcohol misuse, and HIV risk among peri-urban, heterosexual men in South Africa
Men whose sexual behaviors place them at risk of HIV often exhibit a "cluster" of risky behaviors, including alcohol misuse and violence against women. Called the "Substance Abuse, Violence and AIDS (SAVA) syndemic," this intersecting set of issues is poorly understood among heterosexual men in sub-Saharan Africa. We conducted a baseline survey with a cohort of men in an informal, peri-urban settlement near Johannesburg during the period of Jan -…
The value of advocacy in promoting social change
South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper describes an advocacy campaign conducted by the Soul City Institute for Health and Development Communication in partnership with the N…
Mechanisms linking intimate partner violence and prevention of mother-to-child transmission of HIV
The new pariahs
Worker health and safety representatives on South African mines
The new pariahs
The value of advocacy in promoting social change
South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper describes an advocacy campaign conducted by the Soul City Institute for Health and Development Communication in partnership with the N…
Empowering teenagers to prevent pregnancy
Reducing rates of teenage pregnancy is an important part of the agenda of action for meeting most of the Millenium Development Goals. South Africa has important lessons for other countries in this regard as the rate of teenage pregnancy is high but has declined very substantially over the last twenty years. The country experiences waves of moral panic about teenage pregnancy, with assertions that current problems are rooted in accepting or even e…
Acceptability of universal screening for intimate partner violence in voluntary HIV testing and counseling services in South Africa and service implications
Women who experience intimate partner violence (IPV) are more likely to be HIV positive. Many of these women never receive any relevant services, and those who do often access them only after events have escalated to a crisis requiring the police or emergency medical care. Evidence from other settings suggests that routinely asking women about experiences of partner violence is received positively. Voluntary counseling and testing (VCT) services …
A South African university-practitioner partnership to strengthen capacity in social and behaviour change communication
Globally, communication plays an integral role in public health strategies, from infectious diseases to diseases related to lifestyles. The evolution of the field of social and behaviour change communication (SBCC), combined with the need for evidence based practice and multi-level interventions to promote health, and human resource gaps in sub-Saharan Africa have led to the imperative to standardise and formalise the field. Moreover, current pra…
Risk factors for unplanned and unwanted teenage pregnancies occurring over two years of follow-up among a cohort of young South African women
BACKGROUND: Although teenage pregnancies in South Africa have declined, the short and longer term health and social consequences are a potential public health concern. This longitudinal study aimed to describe the range of risk and protective factors for incident unwanted and unplanned pregnancies occurring over 2 years of follow-up among a cohort of adolescent women in the Eastern Cape, South Africa. It also investigated the relationship between…
Perpetration of physical and sexual abuse and subsequent fathering of pregnancies among a cohort of young South African men
Young men's perpetration of partner violence is an important predictor of subsequently fathering a pregnancy. The explanation may lie with South African hegemonic masculinity, which valorizes control of women and displays of heterosexuality and virility, and compromises women's reproductive choices
Intimate partner violence and engagement in HIV care and treatment among women
OBJECTIVE: We aimed to estimate the odds of engagement in HIV care and treatment among HIV-positive women reporting intimate partner violence (IPV). DESIGN: We systematically reviewed the literature on the association between IPV and engagement in care. Data sources included searches of electronic databases (PubMed, Web of Science, CINAHL and PsychoInfo), hand searches and citation tracking. METHODS: Two reviewers screened 757 full-text articles,…
Women's experiences leaving abusive relationships
Intimate partner violence is a worldwide problem. South Africa has one of the highest rates of intimate partner violence and therefore requires effective and sustainable approaches to prevention and response. For abused women, the process of leaving an intimate partner is difficult and mired in an abundance of complex factors that influence decision making. This qualitative study explored women's experiences of leaving abusive homes and relations…
Mechanisms linking intimate partner violence and prevention of mother-to-child transmission of HIV
Social support factors associated with psychological resilience among women survivors of intimate partner violence in Gauteng, South Africa
BACKGROUND: Women's experiences of intimate partner violence (IPV) increase their risk for mental ill health. However, some women exposed to IPV and adversity are psychologically resilient and function well despite these exposures. OBJECTIVES: We conducted a study to investigate the factors that are associated with psychological resilience among abused women, using data collected in a household survey conducted in Gauteng province of South Africa…
Relationship power and HIV sero-status
Background: HIV disproportionately infects women in many regions. Zimbabwe is one of the countries, most heavily affected. Unequal gender power relations between men and women can increase women's vulnerability to HIV. The aim of this paper was to determine the relationship between gender power and HIV sero-status among postpartum women in Zimbabwe. Methodology: A cross-sectional survey was conducted among 2042 women aged 15-49 years, attending p…
Which men change in intimate partner violence prevention interventions? A trajectory analysis in Rwanda and South Africa
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…
Process evaluation of a community mobilization intervention for preventing men’s partner violence use in peri-urban South Africa
Intimate partner violence (IPV) is experienced by one-third of women globally, yet few programs attempt to shift men's IPV perpetration. Community mobilization is a potential strategy for reducing men's IPV perpetration, but this has rarely been examined globally. We conducted a mixed-methods process evaluation alongside a trial testing community mobilization in peri-urban South Africa. We used in-depth interviews (n=114), participant observation…
Development of a pre-adolescent inter-generational intervention to address HIV and obesity using intervention mapping
Background: South Africa has a high prevalence of HIV and obesity. Interventions to date have primarily focused on adolescents and adults. Prevention of obesity, in particular, is not addressed substantively in the current pre-adolescent school curriculum. Education about factors underlying these issues early in life could reach beyond children, to their parents. Objective: We aimed to increase awareness about HIV and obesity/underweight risks an…
Predictors and Patterns of Transactional Sex with Casual Partners Among Adult Men Living in an Informal Urban Area, South Africa
Worker health and safety representatives on South African mines
“Knowledge I seek because culture doesn’t work anymore … It doesn’t work, death comes”
This study highlights the need for interventions that focus on improving gogos' knowledge about sexual reproductive health in addition to providing them with the skills to talk about sex, sexuality and HIV and AIDS with children in their care
Deliberative engagement methods on health care priority-setting in a rural South African community
Public engagement in priority-setting for health is increasingly recognized as a means to ensure more ethical, inclusive and legitimate decision-making processes, especially in the context of Universal Health Coverage where demands outweigh the available resources and difficult decisions need to be made. Deliberative approaches are often viewed as especially useful in considering social values and balancing trade-offs, however, implementation of …
HIV non-testing, perpetration of violence against women, and sexual risk-behaviour
Despite HIV testing having improved globally, men remain disproportionately less likely to test for HIV. While violence against women (VAW) and HIV risk have a strong association among women, few studies explore men around VAW perpetration, risky-sexual behaviour, and HIV testing. Males aged 18-42 years were recruited from a peri-urban settlement near Johannesburg, South Africa. Data were from an endline of a trial. We used logistic regression to…
Prevalence and factors associated with PTSD among female urban slum dwellers in Ibadan, Nigeria
The prevalence of PTSD among women living in Ibadan slums was relatively low. Both child sexual abuse and intimate partner violence can be prevented. We also recommend longitudinal studies to better understand risk and protective factors
Effectiveness of a pre-adolescent inter-generational intervention to address HIV and obesity in South Africa, using a pretest-posttest design
ClinicalTrials.gov Identifier: NCT04307966 retrospectively registered on 12 March 2020
Organizational structure and human agency within the South African health system
Despite international recognition of health promotion (HP) as a cost-effective way to improve population health, it is not highly regarded nor is it sufficiently institutionalized in many health systems. This diminishes its ability to deliver on its public health promises. This paper examined the role of organizational structure and human agency within the South African health system (drawing on Giddens’s structuration theory) in determining the …
Intimate partner violence and HIV treatment adherence in urban South Africa
Background: Antiretroviral therapy (ART) has potential to eliminate perinatal HIV infections, but adherence to ART in late pregnancy and postpartum is often suboptimal. Intimate partner violence (IPV) may influence non-adherence among perinatal women living with HIV (WWH), but few quantitative studies have examined this over time or explored mechanisms for this association. Methods: 133). Trained nurse researchers administered questionnaires at f…
The HIV Cascade of Care and Service Utilisation at Sex Work Programmes Among Female Sex Workers in South Africa
Female sex workers (FSWs) in South Africa experience a uniquely high prevalence of HIV. We describe the HIV cascade of care (CoC) in FSWs in South Africa, and explored service utilisation at sex work programmes. A cross-sectional, study enrolled FSWs across 12 sites in South Africa. Participants were recruited using chain-referral method. Inclusion criteria: ≥ 18 years, cis-gender female, sold/transacted in sex, HIV positive. 1862 HIV positive FS…
Medicine (37 obras) · Environmental health (26 obras) · Intimate Partner and Family Violence (22 obras) · Poison control (21 obras) · Psychology (20 obras) · Adolescent Sexual and Reproductive Health (19 obras) · Domestic violence (17 obras) · Public health (16 obras) · Suicide prevention (16 obras) · Sociology (15 obras)