Perceptions of alcohol risk among people on antiretroviral treatment in South Africa: a qualitative study

This study explored perceptions of alcohol abuse risk among people on antiretroviral treatment (ART) who self-identified as alcohol users. Twenty six people receiving ART from an out-patient setting were interviewed on their alcohol abuse risk perception. Data were thematically analysed. Findings suggest participants developed routines to drink alcohol around the times they took their antiretroviral medications to reduce adverse impact. They also reported alcohol abuse risk reduction strategies such as reducing alcohol use because of the event of an HIV positive diagnosis and/or getting on antiretroviral treatment, and alcohol use reduction following health education or counselling by health care staff. These findings suggest a need for alcohol interventions tailored to ART patients.     

Depression as a Creative Illness: A South African Case Study

This case study presents a cultural perspective to supporting health and wellbeing in a young South African adult with depression and unresolved paternity issues. Issues around cultural identity appeared to influence the experience of depression and addressing the identifying aspects was helpful to recovery and wellbeing. Therapy facilitated the discovery of the client’s biological father and necessary ritual to reunite him with his African ancestry.     

Relationship between church attendance and mental health among Mormons and non-Mormons in Utah

A prevention model was applied to assess the protective effect of religion and church attendance against mental illness among respondents to the 1996 Utah Health Status Survey. Compared to Mormons that attend church weekly (active), less active Mormons, less active non-Mormons, and those with no religious preference, because of emotional problems, are at increased risk of accomplishing less than desired (model 1); having trouble doing work or other activities as carefully as desired (model 2); and seeking professional help (model 3). After adjusting for alcohol and tobacco use, education, income, physical activity, general health status, employment, body mass index, gender and age, only less active Mormons and those with no religious preference remained at significantly increased risk in model 3. Self-reported health status was the strongest predictor of mental health in each model. Active Mormons reported having the best health status and, consequently, the lowest levels of mental illness.     

Risk Factors for Educator-Targeted Bullying: A Social-Ecological Perspective

This study investigated educator-targeted bullying (ETB) in a South African school setting from a social-ecological perspective. Seven survivors of ETB were interviewed using open ended questions. The data were content analysed for themes. The main findings of the study were: (1) bullies are undisciplined individuals who lack parental support; (2) school and classroom management styles may encourage ETB; and (3) a lack of positive values in the community and a disregard for authority figures perpetuate ETB. Survivors of ETB perceived to lack support from colleagues, school management, and parents of the offending learners.     

Researching Child Sexual Abuse in South Africa: Complexities in the Field

This study reports on my fieldwork experiences applying qualitative research strategies to study child sexual abuse in South Africa. It considers the challenges associated with, at three stages of data collection: ethical clearance, recruitment and data collection, followed by possible solutions. The study also considers the challenges from ethical and epistemological perspectives. I used a reflective self-study to analyse my experiences. My experiences revealed the following challenges: ethical process due to reasons not linked to the content of the research process would cause delays to the field-work. In addition, the use of [formal institutions] welfare institutions as sole research sites would result in a homogenous sample that does not permit comparison of experiences among the abuse cases. The costs to the researcher in terms of emotional and physical investment can be significant.     

Home Brewed Alcohol use Among High School Students in a Rural South African Community

This study investigates the use of home brewed alcoholic beverages among adolescents in high schools in a rural community in South Africa. There is much concern about alcohol misuse among young people and very little information exists on alcohol produced by the informal liquor industry in South Africa. A total of 1600 high school students participated in the study. The prevalence rates for past year use of home brewed alcohol was 22.2%. There was association between home brewed alcohol use and correlates such as “lived in city”; “raised by both parents”; “repeating school year”; “poor scholastic progress”; “absenteeism” “getting into trouble”, “arguing with parents/friends”; “neglecting homework”; and “recreation/leisure”. The prevalence rates for home brewed alcoholic beverages use in this rural schools calls for more research that focuses on home brews which could lead to the development of appropriate health promotion intervention in schools.     

Domestic Workers' Experiences of Power and Oppression in South Africa

This study examines the work experiences of domestic workers in the context of socio-economic-political legislation promulgated to protect their social rights in the new South Africa. It gains insight into the power relations and embedded tensions between employers and domestic workers with the aim of identifying forms of oppression affecting domestic workers. In-depth interviews were conducted with nine female domestic workers employed in African households and analyzed using thematic content analysis. Results indicate that despite inclusion in labour legislation, domestic workers remain a vulnerable group. They experience oppression in the form of exploitation, marginalization, powerlessness, violence and some class-based cultural imperialism. Despite this, agency and resistance in the face of oppression was a key finding. Although some gains may have been obtained through inclusion in legislation, the asymmetrical power relationship with employers remains problematic.