Leickness C Simbayi
Dados Biográficos
| ID | 281213 |
|---|---|
| NOME | Leickness C Simbayi |
| PRENOMES | Leickness C |
| SOBRENOME | Simbayi |
| ASSINATURA | SIMBAYI L C |
| AFILIAÇÕES | Human Sciences Research Council |
| ORCID | 0000-0001-6136-4092 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 77 |
| TOTAL DE CITAÇÕES | 177 |
| TOTAL COMO AUTOR | 77 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1986 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 7 |
Piloting the feasibility of a population-based joint TB-HIV survey in KwaZulu-Natal Province, South Africa, 2019
South Africa bears a high burden of infectious diseases, including intersecting epidemics of human immunodeficiency virus (HIV) and tuberculosis (TB). Among people living with HIV, TB is the predominant cause of death. Since 2002, South Africa has conducted six national population-based HIV surveys, and its first national TB prevalence survey between 2017 and 2019. Given the epidemiologic overlap of these conditions and dwindling resources, a joi…
Seroprevalence survey of anti-Sars-CoV-2 antibody and associated factors in South Africa
Population-based serological testing is important to understand the epidemiology and estimate the true cumulative incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to inform public health interventions. This study reports findings of a national household population SARS-CoV-2 serosurvey in people 12 years and older in South Africa. This cross-sectional multi-stage random stratified cluster survey undertaken from November 2…
The HIV Epidemic in South Africa
South Africa has the largest number of people living with HIV worldwide. South Africa has implemented five population-based HIV prevalence surveys since 2002 aimed at understanding the dynamics and the trends of the epidemic. This paper presents key findings from the fifth HIV prevalence, incidence, and behaviour survey conducted in 2017 following policy, programme, and epidemic change since the prior survey was conducted in 2012. A cross-section…
Is There Risk Compensation among HIV Infected Youth and Adults 15 Years and Older on Antiretroviral Treatment in South Africa? Findings from the 2017 National HIV Prevalence, Incidence, Behaviour and …
In this paper, risk compensation among individuals on antiretroviral therapy (ART), using the 2017 South African national survey on HIV, is explored. A multi-stage stratified cluster random sampling approach was used to realize 11,130 participants 15 years and older. Logistic regression analysis assessed the association between multiple sexual partners, condom use at last sexual encounter, consistency of condom usage and potential explanatory var…
Developing and validating the Multidimensional Sexual Identity Stigma Scale among men who have sex with men in South Africa
Factors associated with external HIV-related stigma and psychological distress among people living with HIV in South Africa
The findings suggest a need to reinvigorate stigma-reduction interventions in the national HIV response with emphasis on HIV awareness and education campaigns. In addition, HIV testing services should be reinforced through communication strategies targeted against HIV stigmatization, discrimination and fear. There is also a need to continuously engage PLHIV in programs through counselling and support interventions for acceptance of HIV positive s…
Socio-economic differences in the uptake of HIV testing and associated factors in South Africa
HIV testing interventions should target males, residents in rural formal areas, those with no or low education and those that consume alcohol in low SES households, including Whites and Indians/Asians from high SES households in order to bridge socio-economic disparities in the uptake of HIV testing. This should entail expanding HIV testing beyond traditional centres for voluntary counselling and testing through outreach efforts, including mobile…
Association Between ART Adherence and Mental Health
HIV Prevalence and Associated Factors Among Men in South Africa 30 Years into the Epidemic
Towards achieving the 90–90–90 HIV targets
South Africa appears to be on track to achieve the first 90 indicator by 2020. However, it is behind on the second 90 indicator with ART coverage that was ~ 20-percentage points below the target among people who knew their HIV status, this indicates deficiencies around linkage to and retention on ART. Overall viral suppression among those on ART is approaching the target at 87.4%, but this must be interpreted in the context of low reported ART co…
The Health Stigma and Discrimination Framework
Stigma is a well-documented barrier to health seeking behavior, engagement in care and adherence to treatment across a range of health conditions globally. In order to halt the stigmatization process and mitigate the harmful consequences of health-related stigma (i.e. stigma associated with health conditions), it is critical to have an explicit theoretical framework to guide intervention development, measurement, research, and policy. Existing st…
HIV prevalence in South Africa through gender and racial lenses
Gender and racial disparities rooted in structural and contextual inequalities remain important factors for the maintenance of the generalized HIV epidemic in the country. HIV prevention interventions need to cut across all strata of society but also target risk factors salient for specific groups. Alleviating vulnerability to HIV along gender and racial lines should also be viewed as part of a broader public health strategy
Determinants of HIV infection among adolescent girls and young women aged 15–24 years in South Africa
These findings support the need to design combination prevention interventions which simultaneously address socio-economic drivers of the HIV epidemic, promote education, equity and access to schooling, and target age-disparate partnerships, inconsistent condom use and risky alcohol consumption
Prevalence of psychological distress and its association with socio-demographic and HIV-risk factors in South Africa
There is a need to develop strategies to alleviate psychological distress in the general population, with a particular focus on those who may be more vulnerable to distress such as females, the aged, excessive alcohol users, the unemployed, people living with HIV and those residing in urban areas as identified in the current findings
Alcohol Use, Socioeconomic Status and Risk of HIV Infections
Intimate partner violence as a factor associated with risky sexual behaviours and alcohol misuse amongst men in South Africa
Globally intimate partner violence (IPV) is a public health problem that can be perpetrated by both males and females, although males are more likely to inflict severe IPV-related injuries on their female partners. In low- and middle-income countries like South Africa, few studies have conducted research to determine whether IPV perpetration by men may be a risk factor for engaging in other risk behaviours. The aim of this study is to determine w…
New insights into HIV epidemic in South Africa
This article presents key findings from the 2012 HIV prevalence, incidence and behaviour survey conducted in South Africa and explores trends in the HIV epidemic. A representative household based survey collected behavioural and biomedical data among people of all ages. Chi-squared test for association and formal trend tests (2002, 2005, 2008 and 2012) were used to test for associations and trends in the HIV epidemic across the four surveys. In 2…
HIV risk perception and behavior among medically and traditionally circumcised males in South Africa
There is a need to strengthen and improve the quality of the counselling component of VMMC with the focus on education about the real and present risk for HIV infection associated with multiple sexual partners and alcohol abuse following circumcision
Predictors of knowledge about tuberculosis
To reduce the burden of tuberculosis in South Africa, media campaigns targeting both rural and urban communities should include conveying accurate information about the disease. Policy makers should also address structural barriers that vulnerable communities face
HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa
Sexual Risk Behaviors
Alcohol Expectancies and Inhibition Conflict as Moderators of the Alcohol–Unprotected Sex Relationship
Antiretroviral Treatment and Sexual Risk Behavior in South Africa
Covariates of condom use in South Africa
Condom use has increased significantly over the past decade among all adult age groups in South Africa, and it is widely believed to have played a major role in the recent significant decline in HIV incidence in the country, especially among young people. This study investigated the demographic, behavioural and psychosocial correlates of condom use at last sex among a national random probability sample of sexually experienced respondents aged 15 …
Exploring risk and protective mechanisms associated with HIV infection among adolescents in South Africa
This study explored South African adolescents’ perceived risk and protection for HIV infection. Adolescents (N=28) with a mean age of 14.6 years receiving mental health care participated in Focus Group Discussions (FGDs) to engage in an in-depth exploration of their perceived risk and protective mechanisms for HIV prevention. The data were analysed using thematic content analysis. Themes that emerged from the FGDs associated with risk for HIV inf…
Internalized stigma, discrimination, and depression among men and women living with HIV/Aids in Cape Town, South Africa
Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities
Gender attitudes, sexual violence, and HIV/Aids risks among men and women in Cape Town, South Africa
This study examined gender attitudes and sexual violence-supportive beliefs (rape myths) in a sample of South African men and women at risk for HIV transmission. Over 40% of women and 16% of men had been sexually assaulted, and more than one in five men openly admitted to having perpetrated sexual assault. Traditional attitudes toward women's social and gender roles, as well as rape myths, were endorsed by a significant minority of both men and w…
Gender, Power and Resistance to Change among Two Communities in the Western Cape, South Africa
This study investigates how women and men in the Western Cape, South Africa, construct their gender identities and roles. As part of the development of an HIV prevention intervention for men, key informant interviews and focus group discussions were conducted. Several themes regarding the construction of gender were identified. First, participants reported that traditional gender relations of male dominance and female subservience were still in e…
Social constructions of gender roles, gender-based violence and HIV/Aids in two communities of the Western Cape, South Africa
The links between gender roles, gender-based violence and HIV/AIDS risk are complex and culturally specific. In this qualitative study we investigated how women and men in two black communities in the Western Cape, South Africa, constructed their gender identities and roles, how they understood gender-based violence, and what they believed about the links between gender relations and HIV risk. First we conducted 16 key informant interviews with m…
Stigma, Culture, and HIV and Aids in the Western Cape, South Africa
HIV- and AIDS-related stigma has been reported to be a major factor contributing to the spread of HIV. In this study, the authors explore the meaning of stigma and its impact on HIV and AIDS in South African families and health care centers. They conducted focus group and key informant interviews among African and Colored populations in Khayelitsha, Gugulethu, and Mitchell's Plain in the Western Cape province. The audio-recorded interviews were t…
The Social Construction of Sexually Transmitted Infections (STIs) in South African Communities
Since the medical link between sexually transmitted infections (STIs) and HIV/AIDS was established, there has been an increased focus on the spread of STIs in South Africa. The aim of this study was to provide an in-depth picture of the dynamics involved in sexuality and the spread of STIs and HIV/AIDS. The authors present the findings of a focus group study, which was a part of a larger, national project addressing the broad question of health-c…
Black Scholarship
This ‘article’ serves as introduction to the Special Issue: black scholarship. As such, it outlines the various articles contained in, as well as the rationale for the issue. In this article the authors argue that programmatic anti-racist interventions such as this Special Issue are crucial to the process of redressing the ‘racialised’ patterns of research and authorship characterising mainstream psychology journals
Perceptions on Integration of Traditional and Western Healing in the New South Africa
A focus group study was conducted to investigate the perceptions of various stakeholders (viz., psychiatrists, medical doctors, psychologists, traditional healers and consumers) on integration of the traditional and western healing systems in the new South Africa and other pertinent issues in this debate such as registration, medical aid (health insurance) access and the issuing of sick-leave certificates by traditional healers. Thematic content …
Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa
Objectives. We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa. Methods. After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV–STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were ret…
Can rats learn to associate a flavour with the delayed delivery of food
Perceptions about the acceptability and prevalence of HIV testing and factors influencing them in different communities in South Africa
HIV counselling and testing (HCT) is considered important because it is an entry point to a comprehensive continuum of care for HIV/AIDS. The South African Department of Health launched an HCT campaign in April 2010, and this reached 13,269,746 people by June 2011, of which 16% tested HIV positive and 400,000 of those were initiated into antiretroviral treatment. The overall objective of this project was to gain insight into the general perceptio…
Behavioral Changes Associated With Testing HIV-Positive Among Sexually Transmitted Infection Clinic Patients In Cape Town, South Africa
Objectives. We sought to examine behavioral risks and behavior changes associated with testing HIV-positive among sexually transmitted infection (STI) patients, in order to inform HIV- and STI-prevention interventions. Methods. We performed a cohort study of 29 STI patients who seroconverted from HIV-negative to HIV-positive during 1 year of observation and 77 STI patients who persistently tested HIV-negative. Computerized behavioral interviews w…
Evaluation of the Quality of Care for Sexually Transmitted Infections in Primary Health Care Centres in South Africa
Sexually transmitted infections (STIs) are one of the most common illnesses among adolescents and adults in developing countries. While research from other countries indicates that a lack of financial, infra-structural and human resources are central determinants of the quality of care for STIs, South African studies suggest that there are also problems in health workers' interactions with STI patients. This study investigates the quality of care…
Can rats learn to associate a flavour with the delayed delivery of food
Black Scholarship
This ‘article’ serves as introduction to the Special Issue: black scholarship. As such, it outlines the various articles contained in, as well as the rationale for the issue. In this article the authors argue that programmatic anti-racist interventions such as this Special Issue are crucial to the process of redressing the ‘racialised’ patterns of research and authorship characterising mainstream psychology journals
Perceptions on Integration of Traditional and Western Healing in the New South Africa
A focus group study was conducted to investigate the perceptions of various stakeholders (viz., psychiatrists, medical doctors, psychologists, traditional healers and consumers) on integration of the traditional and western healing systems in the new South Africa and other pertinent issues in this debate such as registration, medical aid (health insurance) access and the issuing of sick-leave certificates by traditional healers. Thematic content …
Evaluation of the Quality of Care for Sexually Transmitted Infections in Primary Health Care Centres in South Africa
Sexually transmitted infections (STIs) are one of the most common illnesses among adolescents and adults in developing countries. While research from other countries indicates that a lack of financial, infra-structural and human resources are central determinants of the quality of care for STIs, South African studies suggest that there are also problems in health workers' interactions with STI patients. This study investigates the quality of care…
The Social Construction of Sexually Transmitted Infections (STIs) in South African Communities
Since the medical link between sexually transmitted infections (STIs) and HIV/AIDS was established, there has been an increased focus on the spread of STIs in South Africa. The aim of this study was to provide an in-depth picture of the dynamics involved in sexuality and the spread of STIs and HIV/AIDS. The authors present the findings of a focus group study, which was a part of a larger, national project addressing the broad question of health-c…
Perceived social context of Aids in a Black township in Cape Town
AIDS is only one of several life threatening social problems facing people living in poverty. HIV/AIDS prevention messages and prevention programmes should be framed within the context of relevant social problems. The current study examined public perceptions of AIDS as a relative social problem and AIDS-related socio-political beliefs among South African men and women living in a Black township of Cape Town. Participants (224 men and 276 women) …
Behavioural responses of South African youth to the HIV/Aids epidemic
South Africa is reported to have the largest number of people living with HIV/AIDS in the world. The present study investigated the behavioural responses of South African youth to the HIV/AIDS epidemic. A multi-stage stratified cluster sample of 2,430 youths aged 15-24 was selected, 46.9% of them males and 53.1% females. Nurses administered questionnaires to consenting youths, measuring behavioural risks and also took an oral fluid specimen for H…
Traditional beliefs about the cause of Aids and Aids-related stigma in South Africa
AIDS-related stigmas are pervasive in some segments of South African society and stigmas can impede efforts to promote voluntary counselling and testing and other HIV-AIDS prevention efforts. The current study examined associations among the belief that AIDS is caused by spirits and supernatural forces, AIDS-related knowledge and AIDS-related stigmas. A street intercept survey with 487 men and women living in a Black township in Cape Town, South …
Sexual assault history and risks for sexually transmitted infections among women in an African township in Cape Town, South Africa
Sexual violence is associated with women's risks for HIV infection. The current study investigated factors related to risks for sexually transmitted infections (STIs), including HIV, among South African women with a history of sexual assault. An anonymous street intercept survey of women (N = 272) living in an African township in the Western Cape, South Africa assessed demographic characteristics, history of sexual assault, HIV risk behaviours, s…
Report and policy brief
This report and policy brief summarises the overarching principles, key findings and suggested policy options that emerged from rapporteur reports of conference proceedings of the 2nd Annual Conference on Social Aspects of HIV/AIDS Research, Cape Town, 9 - 12 May 2004. SAHARA-J (2004) 1(2): 62-77 Keywords: SAHARA Network, Conference proceedings, Policy brief, HIV, AIDS, Sub-Saharan Africa, reseach, Social aspects. RESUME Ce dossier de rapport et …
Sex during genital bleeding and risks for HIV infection
Practicing sexual intercourse in the presence of blood is a potentially important factor in facilitating HIV transmission. In the current study 149 men and 78 women receiving diagnostic and treatment services for repeated sexually transmitted infections (STI) in Cape Town, South Africa, provided behavioural data on sexual exposure to blood. Results showed that 46% of women and 12% of men reported lifetime prevalence of engaging in sexual intercou…
The evaluation of immediate behavioural outcomes of the syndromic case management approach for the treatment of patients with sexually transmitted infections at PHC centres in South Africa
This study aimed to determine the immediate behavioural outcomes of the WHO syndromic case management model for STIs in the public health sector in South Africa, on the levels of knowledge, attitudes and beliefs, and behavioural practices (KABPs) concerning STIs. An outcomes evaluation was conducted using KABP methodology. Exit interviews were conducted with 126 STI and non-STI patients at 24 primary health care (PHC) centres in four provinces. B…
Development of a Brief Scale to Measure Aids-Related Stigma in South Africa
Risk Factors for HIV-Aids Among Youth in Cape Town, South Africa
Attitudes and Beliefs About Death and Dying Held by Black South African University Students
Using the Lester Attitude Towards Death Scale (LATDS), a study was conducted on a convenience sample of 179 Black South African university students to investigate their attitudes towards, and beliefs about, death and dying. It was found that overall the students held positive attitudes towards, death and dying. However, this was not influenced by any of the demographic variables tested. The implications of these findings on several topical death-…
Gender attitudes, sexual violence, and HIV/Aids risks among men and women in Cape Town, South Africa
This study examined gender attitudes and sexual violence-supportive beliefs (rape myths) in a sample of South African men and women at risk for HIV transmission. Over 40% of women and 16% of men had been sexually assaulted, and more than one in five men openly admitted to having perpetrated sexual assault. Traditional attitudes toward women's social and gender roles, as well as rape myths, were endorsed by a significant minority of both men and w…
Development of an HIV risk reduction counselling intervention for use in South African sexually transmitted infection clinics
South Africa urgently needs HIV prevention interventions that can be disseminated for use in clinical and community settings. A brief theory-based HIV risk reduction counselling intervention originally developed in the USA has recently been adapted for use in a South African sexually transmitted infection clinic. The 60-minute risk reduction counselling intervention was grounded in the Information-Motivation-Behavioural Skills (IMB) model of HIV …
Disclosure of HIV status to sex partners and sexual risk behaviours among HIV-positive men and women, Cape Town, South Africa
BACKGROUND: The HIV epidemic continues to amplify in southern Africa and there is a growing need for HIV prevention interventions among people who have tested HIV positive. METHODS: Anonymous surveys were completed by 413 HIV-positive men and 641 HIV-positive women sampled from HIV/AIDS services; 73% were <35 years old, 70% Black African, 70% unemployed, 75% unmarried, and 50% taking antiretroviral treatment. RESULTS: Among the 903 (85%) particip…
Generalizing a model of health behaviour change and Aids stigma for use with sexually transmitted infection clinic patients in Cape Town, South Africa
We tested the Information-Motivation-Behavioural Skills (IMB) model of AIDS preventive behaviour in South Africa. Prospective path analyses were performed on measures collected from 131 men and 60 women with sexually transmitted infections (STI) in Cape Town. Results showed that IMB constructs collected at baseline predicted risk reduction behaviour 3 months later. Risk reduction intentions were positively associated with risk reduction self-effi…
Innovations dans les approches, activités et résultats des conférences internationales sur le VIH/Sida en Afrique — Le cas de la 3ème conférence africaine sur les aspects sociaux du VIH/Sida, Dakar, 1…
La situation du VIH/SIDA en Afrique demeure très préoccupante. L'impact du VIH est considérable et menace la survie et le développement des sociétés africaines. Bien qu'il y ait beaucoup d'efforts, les réponses ne sont pas encore à la hauteur des défis. Le SIDA apparaît comme étant une épidémie par rapport à laquelle il est nécessaire d'avoir beaucoup de créativité dans les initiatives. C'est dans ce cadre que la 3ème conférence africaine pour la…
New approaches, new activities and new outcomes in international conferences on HIV/Aids in Africa — Report of the 3rd African Conference on the Social Aspects of HIV/Aids, Dakar, 10 – 14 October 2005
Africa's HIV/AIDS situation remains cause for concern. The impact of HIV is considerable and threatens the survival and development of African societies. Although much has been attempted, the results still leave much to be desired. AIDS is an epidemic that needs to be addressed with much creativity and spirit of initiative. It is against this background that the 3rd African conference on the social aspects of HIV/AIDS brought innovations in the w…
HIV/Aids Risks among South African Men Who Report Sexually Assaulting Women
HIV/Aids and ‘othering’ in South Africa
In order to explore the relevance of social concepts such as stigma and denial to the transmission of HIV, this qualitative study sought to examine cultural and racial contexts of behaviour relevant to the risk of HIV infection among South Africans. A cultural model was used to analyse transcripts from 39 focus group discussions and 28 key informant interviews. Results reveal how cultural and racial positionings mediate perceptions of the groups …
Perceptions of the Combination of Hiv/Aids and Alcohol as a Risk Factor Among Sti Clinic Attenders in South Africa
With the emergence of HIV/AIDS as a global health threat, there has been increasing interest among researchers in understanding sexual risk-taking behavior. The finding of a strong link between sexually transmitted infections (STIs) and HIV suggests that individuals with STIs may be at greatest risk for HIV infection. This study sought to gain insight regarding STI clinic attenders' perceptions of HIV/AIDS and alcohol as a risk factor with regard…
The use of implementation research networks on orphans and vulnerable children to encourage research–driven policies
There is a growing need for applied social sciences research to provide scientific evidence for use in both policy and programme development in the health sector to match the strides made in clinical medicine over the past few decades. This article presents an account of the development, implementation and progress as well as lessons learnt to date from a 5-year programme for the care of orphans and vulnerable children (OVC) in Botswana, South Af…
Medicine (69 obras) · Adolescent Sexual and Reproductive Health (54 obras) · HIV/AIDS Research and Interventions (51 obras) · Environmental health (47 obras) · Demography (38 obras) · Family medicine (34 obras) · Psychology (33 obras) · Population (32 obras) · Human immunodeficiency virus (HIV (31 obras) · Psychiatry (30 obras)