White South Africans Research Articles

A Health Care System Divided

From 1948 to 1994 South Africa was under the repressive Apartheid regime. Among many other actions taken to ensure white South Africans maintained power, the regime put in place discriminatory health policies that deprived black South Africans of equitable health care. As the apartheid era came to an end in 1994, the newly elected African National Congress sought to prioritize equity by creating the National Health Act. Despite this, major disparities in health care persist. Te purpose of this case study is to shed light on such disparities in the South African health system by using maternal health as a proxy. Mothers living in rural areas continually contend with barriers to access, afordability and availability. Rural areas account for about 46% of South Africa’s population but service provision is only 12% and 19% of the nation’s doctors and nurses respectively. The lack of medical professionals in these areas make it difcult for mothers to receive vital procedures, such as emergency obstetric care, without traveling unmanageable distances. Moreover, high transport costs ofset progress made by the elimination of out-of-pocket expenses and continues to make the cost of accessing care prohibitively expensive, accounting at times for 51.4% of household income.

A Foolish Proposal? Vulnerability as an Alternative Attempt to Contribute to Decolonisation and Reconciliation in Post-Colonial South Africa

Reconciliation in South Africa is often taken to mean the creation of culturally diverse communities. In reality, though, the multicultural often turns out to be multiracial only with People of Colour being included in White-dominated spaces. Likewise, socio-economic transformation means raising people’s chances to attain a living standard more equal to that of the bulk of the White population. In both cases, the strong position of White people in sociocultural and socio-economic terms remains largely untouched. Hence the calls for decolonisation which seem to render the reconciliation discourse dispensable. Vulnerability by White South Africans is proposed as an alternative response to ongoing inequalities which – it is suggested – could contribute to both decolonisation and reconciliation on an interpersonal level. Likely objections to such a proposal are considered before making a case for vulnerability as an appropriate Christian way of living, particularly in the context of former settler colonialism.

Does religion affect political engagement of the youth at the tertiary level of education? The case of undergraduate students at a South African university

The aim of this study is to examine religion’s effect on the political engagement of the youth using data from a sample of undergraduate students at the North-West University in South Africa. The logit regression model analysis showed that contrary to what the participation literature would expect, socio-economic factors such as parental education, age and gender were not significant predictors of the political engagement of the youth. However, consistent with the study’s conceptualisation of political engagement as a multi-dimensional concept, gender, race, ethnicity and family structure were all significantly predictive of different aspects of political engagement of the youth. Males were more likely than females to engage in politics, while black Africans were politically more active than the white and mixed race South Africans. While both self-rated religiosity and importance of religion in the life of the youth predicted their political engagement, their influences were in opposite directions. Finally, civic skills acquired in non-religious contexts were positively associated with every aspect of political engagement of the youth.

Buttressing Whiteness by Confessing Guilt and Rejecting Racism: A Study of White-Talk about Paid Domestic Labour

ABSTRACT This article makes a contribution to literature on “white-talk”. Existing literature shows how whiteness has been defended by criticizing black people, culture and government in subtle (and not so subtle) ways that allow speakers to deny racism. In contrast to denial, we focus on how white South Africans confess to feeling guilty for their privilege in comparison with their domestic workers. Confessions of guilt are ways of taking ownership of white privilege, while accountability is achieved by intragroup comparisons with whites whose standards and practices are not motivated by appropriate guilt. We conclude by reflecting on the costs of such confessions of guilt, namely in propping up whiteness and maintaining extant power structures.

The skewed social image of white South Africans in Nadine Gordimer’s The Conservationist

-In this article he examines the social identity crisis of White South Africans in Nadine Gordimer’s “The Conservationist”. Gordimer describes the psychology, social deformities and human distortions of the repressed white people in post-colonial South Africa. At that time, white South Africans were tortured by colonial guilt and racial contradictions. While recognizing the culture of their European ancestors, they wanted to integrate into the black South African society. This paper analyzes the decline of South African white identity and the phenomenon of white exodus from the perspective of the protagonist’s thoughts and behaviors, and combines the political and social problems during those days.

Osteoporosis in older black South African women and relationships with body composition, dietary intake and physical activity

AbstractIntroductionOsteoporosis was not a public health concern in black South African (SA) women, until recently when it was reported that the prevalence of vertebral fractures was 9.1% in black compared to 5.0% in white SA women. Accordingly, this study aimed to measure bone mineral density (BMD) of older black SA women and to investigate its association with risk factors for osteoporosis, including strength, muscle and fat mass, dietary intake and objectively measured physical activity (PA).Methods and materialsOlder black SA women (age, 68 (range; 60–85 years) n = 122) completed sociodemographic and quantitative food frequency questionnaires (QFFQ), fasting venous blood samples (25-hydroxycholecalciferol: Vitamin D-25), 24 h urine collection (estimate protein intake), grip strength and PA monitoring (activPAL). Dual-energy x-ray absorptiometry (DXA) scans of the hip (femoral neck and total) and lumbar spine determined BMD and whole-body scans for fat and fat-free soft tissue mass (FFSTM). WHO classifications were used to determine osteopenia (t-score -2.5 to -1), and osteoporosis (t-score < -2.5).ResultsAt the lumbar spine 34.4% of the women (n = 42) had osteopenia and 19.7% (n = 24) had osteoporosis. Osteopenia at the left femoral neck was 32% (n = 40) and osteoporosis was 13.1% (n = 16) of participants. The total left hip BMD indicated osteopenia in 27.9% (n = 34) and osteoporosis in 13.1% (n = 16) of participants. Multinomial regression revealed no differences in age (y) or frequency of falls in the past year between all groups (p = 0.727). Compared to those with normal BMD, participants with osteoporosis at the hip neck and lumbar spine were shorter, weighed less and had a lower body mass index (BMI) (all p < 0.05). When adjusted for height, the osteoporotic group (hip neck and lumbar spine) had lower trunk fat (% whole body), FFSTM (kg) and grip strength (kg), compared to those with normal BMD (p < 0.05). Only protein intake (g; 24 h urine analyses) was lower in women with osteoporosis (all sites) compared to those with normal BMD. Fat, carbohydrate and micronutrient intakes (relative to total daily energy intake), and vitamin D concentrations were not associated with BMD (all sites). Number of daily step count and stepping time (min) were inversely associated with BMI (p < 0.05), but not with BMD (all sites; p > 0.05).DiscussionA high prevalence of osteopenia and osteoporosis was evident at the lumbar spine and hip in older black SA women. This study highlights the importance of strength, body composition, and protein intake in maintaining BMD and preventing the development of osteoporosis in older women.

Ambulatory blood pressure monitoring and morning surge in blood pressure in adult black and white South Africans.

We examined whether there were differences in the circadian variation in blood pressure and the morning surge in blood pressure between black and white Africans. Clinic and ambulatory blood pressure data obtained from the Sympathetic Activity and Ambulatory Blood Pressure in Africans (SABPA) study was examined (n=406; 49% black African). Ambulatory blood pressure readings were fitted to a six-parameter double logistic equation to determine the power and rate of the morning surge in blood pressure. Multiple linear regression analysis was used to examine differences in blood pressure between black and white participants. Clinic and ambulatory blood pressure were higher in black participants throughout the day and night. In those taking medications, blood pressure was less well controlled in black subjects. Despite the higher systolic blood pressure, the day-night difference estimated by the logistic function was similar in black and white participants. However, the rate of rise and power in the morning surge in blood pressure was lower in black participants. We conclude that black participants of the SABPA study present with higher blood pressure throughout the day and night but have a lower power of the morning surge in blood pressure due to a slower morning rate of increase. Moreover, they had an increased prevalence of undiagnosed hypertension and, in those taking medication, were less likely to have their blood pressure controlled than their white counterparts.

The Apostolic Faith Mission

AbstractThe Apostolic Faith Mission (AFM) is a classical Pentecostal church born in May 1908, influenced by the April 1906 Azusa Street Revival in Los Angeles. It was also born two years before the Edinburgh World Missionary Conference. Between then and now, the AFM followed a lone mission and evangelism journey outside the World Missionary conferences and the conferences on World Mission and Evangelism. Although the AFM grew from South Africa to six continents, its growth was encumbered by racist and colonial perspectives of mission and evangelism. Its first wave of missions was led by Indigenous South Africans at the Revival in Doornfontein and those from the neighbouring countries who worked in mines in South Africa. The second wave included organized missions by white South Africans, who unfortunately had to pull back from Southern African countries because of intensified struggles for liberation. The third wave was by local congregations that formed hubs for missions to specific countries (India and Pakistan). The fourth wave was by Zimbabweans who left their country because of difficult economic conditions. The isolation of the black churches in South Africa based on the influence of apartheid policies allowed black members to develop their own local ecumenical perspectives, which enabled them to have a broader understanding of mission and evangelism. This helped the church to move into the ecumenical world following the unity of the church.

The Turn to Sabotage by The Congress Movement in South Africa*

Abstract Why did leaders of the Congress movement in South Africa abandon their exclusive reliance on non-violent means in the struggle against apartheid, form an armed unit (Umkhonto we Sizwe), and launch a campaign of spectacular sabotage bombings of symbols of apartheid in 1961? None of the earlier violent struggles from which Congress leaders drew inspiration, and none of the contemporaneous insurgencies against white minority rule elsewhere in southern Africa, involved a similar distinct, preliminary and extended phase of non-lethal symbolic sabotage. Following the 1960 Sharpeville massacre, Congress leaders feared the social and political consequences of increased popular enthusiasm for using violence. Nelson Mandela, Joe Slovo, and the other founders of Umkhonto we Sizwe did not launch their sabotage campaign because they believed it would prompt a change of heart among white South Africans, nor because they believed urban sabotage bombings were a necessary prelude to the launch of rural guerrilla warfare. Rather, the sabotage campaign was a spectacular placeholder, a stopgap intended to advertise the Congress movement's abandonment of exclusive non-violence and thus to discourage opponents of apartheid, both inside and outside South Africa, from supporting rival groups or initiating ‘uncontrolled violent action themselves.

Land Reform and Belonging in South Africa: A Place-making Perspective

ABSTRACTPolitical debate around South African land reform peaks in the run up to the national elections. 2019 was no exception. Escalating urban ‘land grabs’ in 2017 had already increased emotion, tension and political urgency on the issue. However, the debate again carried surprisingly little weight at the polls. It was overshadowed by the burning issues of jobs, housing, crime, corruption and service delivery. We offer some insights into the racial and cultural topography of the attachment to land in South Africa, and how historical processes of settlement affect the nature of land hunger and demand in South Africa today through a place-making lens. The article is based on our own experiences, research and observations in rural and urban and urban areas, along with two recent studies of urban and rural land hunger we jointly undertook in 2017 and 2018. In retrospect it seems that, despite the perversely unequal nature of the South African spatial economy, there is an uncanny stability to local settlement patterns. Despite urbanisation, the homelands remain favoured spaces for African homemaking, while white South Africans cling to the coastline as a preferred place of investment. The debate about the productive use of land for development, we argue, should not be abstracted from an appreciation of the complex way in which land is inhabited, used and valued.

Effects of early adversity and social discrimination on empathy for complex mental states: An fMRI investigation

There is extensive evidence of an association between early adversity and enduring neural changes that impact socioemotional processing throughout life. Yet little is known about the effects of on-going social discrimination on socioemotional functioning. Here we examined how cumulative experiences of social discrimination impact brain response during empathic responding—a crucial issue in South Africa, given its historical apartheid context and continuing legacies. White and Black South Africans completed measures of social adversity (early adversity and social discrimination), and underwent fMRI while viewing video clips depicting victims and perpetrators of apartheid crimes. Increased neural response was detected in brain regions associated with cognitive rather than affective empathy, and greater social adversity was associated with reduced reported compassion across participants. Notably, social discrimination (due to income level, weight, gender) in White participants was associated with increased amygdala reactivity, whereas social discrimination (due to race) in Black participants mediated the negative associations of temporoparietal junction and inferior frontal gyrus activation with compassion during emotionally provocative conditions. These findings suggest that (i) social discrimination has comparable associations at the neural level as other psychosocial stressors, and that (ii) the mechanisms underlying empathic responding vary as a function of the type of social discrimination experienced.

“Troubling” stories: thoughts on the making of meaning of shame/ful memory narratives in (post)apartheid South Africa

ABSTRACT Reflecting on narratives collected as part of the Apartheid Archive Project, a memory project of “ordinary” experiences of living under apartheid, this paper engages with stories that articulate white South Africans’ shame/ful relationships with Black female domestic workers. It is increasingly of concern that the dominant response to apartheid abuses are to consider them “in the past” in order to avoid discomforting reminders. Shame and its silencing effect, as feminist and other critical literature shows, is bound up with relations of power, legitimating privilege and subjugation. Yet, shame may also be deployed as narrative strategy to deal with subjective discomfort and guilt by those seeking to disentangle themselves from association with social privilege and its abuses. How do we respond to narratives that may have both effects? Drawing on contemporary critical pedagogies, such as the work of Zembylas that specifically engage with the affective turn, and guided by Probyn’s argument that shame is a powerful resource of social critique, this paper suggests productive possibilities of such narratives in contemporary South Africa. While acknowledging contestations, an argument is made for the value of stories of shame/shaming towards troubling the erasure of apartheid and its continuities in the present while also disrupting the denial of historical and current complicity with power and privilege.

Rural and gated: narratives of lifestyle migration to Grotto Bay private residential Estate, South Africa

ABSTRACT This paper sought to explore a connection between lifestyle migration and the emergence of gated communities in rural South Africa by examining the motivations of its participants to move to a rural gated estate. In aiming to understand the ongoing structuring and restructuring of post-apartheid residential spaces, motivations to migrate were analyzed with particular reference to discourses of exclusion and their relationship to race. Findings showed that the reasons for migration resonated with much of the research around gated communities in the local context, and confirmed that the search for a particular lifestyle associated with the rural idyll is not only fuelled by cultural preferences or anti-urban feelings but also by the need to escape certain anxieties experienced by white South Africans following the demise of the social imaginary of apartheid.

A Social Imagination of Forgiveness

Abstract This article studies the complexity of understandings of forgiveness among a sample of Black and White South Africans within the context of an empirical intercultural Bible reading process. We will first focus on the foundation upon which the study is predicated—namely that the social imagination of forgiveness is deeply contested among South Africans. Next, we will discuss the approach that the study took to gather the necessary data, and analyse the theological views of forgiveness among the participants in the study. Finally, we shall discuss some of the primary findings of the study. These show that social identity plays a significant role in shaping theological hermeneutics. Black and White participants hold diverse, and even conflicting, expressions and expectations for forgiveness. These are characterised as predominantly social and political for the Black participants, and predominantly individual and spiritual for the White participants.

The prevalence of malnutrition and growth percentiles for urban South African children

BackgroundLow- and middle-income countries (LMIC) are experiencing a double-burden of malnutrition characterised by high prevalence of both under- and over-nutrition. We set out using data from the mixed-longitudinal Birth-to-Twenty Plus (Bt20+) birth cohort, to evaluate the patterns of malnutrition and growth in a large South African (SA) city by; (i) assessing the prevalence of undernutrition from birth to 5 years of age and overweight and obesity from ages 2 to 21 years in black and white, male and female children, and (ii) determining percentiles for height, weight, BMI, waist and hip circumferences and comparing the centiles to American and Dutch references.MethodsHeight, weight, waist and hip circumferences were measured on urban black and white SA children from the Bt20+. A total of 3273 children born between April and June 1990 in the Greater Johannesburg Metropolitan area were included in the cohort. Z-scores were derived using the WHO 2006 child growth standards (0–5 years), for defining stunting, underweight and wasting. The International Obesity Task Force (IOTF) references were used to define overweight and obesity. Percentiles were developed using the lambda mu sigma (LMS) method and compared to American and Dutch references.ResultsBlack children were consistently shorter and black males lighter than white children and American references. The prevalence of stunting peaked at 2 years and was significantly higher in males than females and in black than white children. Black females had a greater prevalence of overweight and obesity than black males from 10 to 17 years. The percentiles for black females for weight and BMI were similar to those of South African white and American references but both black and white South African females had lower waist circumferences than American references.ConclusionThe growth percentiles show that young South African urban black females are experiencing general but not central obesity due to a secular change which is faster in weight than height. High levels of undernutrition persist alongside high levels of over-nutrition with adolescence being a critical period for the upsurge in obesity in females. Early intervention is needed to combat the rise in obesity.

Inter-population variation of histomorphometric variables used in the estimation of age-at-death.

Population variation of several microscopic structures used in age-at-death estimation was assessed for three different population samples. The aim of the study was to determine if the need exists for population-specific standards when dealing with individuals of African and European origin. A total sample 223 bone sections from the anterior cortex of the femur (n = 99 black South Africans, n = 94 white South Africans and n = 30 Danish individuals) were analysed using a stereological protocol. Variables assessed included the average number of osteons per grid area (OPD), osteon size and Haversian canal size. ANCOVA was employed for assessment of statistically significant differences. The results indicated that OPD differed significantly between the three groups, but that osteon size was similar for all individuals. Haversian canal size showed unpredictable changes with age and high levels of variation, making it unsuitable to use for age estimation as a single factor. As there are conflicting opinions in the literature on whether to use population-specific equations for the estimation of age-at-death or not, this paper provided additional insight into the use of specific variables and its related variation between groups.

Using tibial fragments to reconstruct the total skeletal height of black South Africans

Stature is an important component of the biological profile of unknown skeletal remains and regression equations for estimating stature have been derived for a number of bones. However, bones are rarely recovered intact in both forensic and archaeological cases, and regression formulae for fragmentary remains have therefore been developed. These equations are, however, both sex- and population-specific, and while formulae exist for many populations, those using fragmentary tibiae do not exist for black South Africans. The aim of this study was therefore to establish regression equations for estimating total skeletal height (TSH), and thereby stature, from tibial fragments in a black South African population. A sample of 99 male and 99 female black South African skeletons were obtained from the Raymond A. Dart Collection of Human Skeletons and the TSH of each skeleton was calculated using the anatomical method. Eleven additional measurements representing tibial fragments were taken on each tibia, and both uni- and multivariate equations were established for estimating TSH from these fragments. All tibial variables were significantly, positively correlated with TSH, and equation correlations ranged between 0.41 and 0.91. The range of standard errors of estimate for the derived sex-specific (3.43–5.06 cm) and sex-pooled (3.44–5.94 cm) multivariate equations were slightly larger than those reported for intact tibiae in black (2.78–3.06 cm) and white (2.59–3.16 cm) South Africans. All uni- and multivariate-equations estimated TSH with moderate to high accuracy, which indicates that in the absence of intact tibiae, the equations presented in this study can be used to give accurate estimates of TSH, and thereby stature, for black South Africans.

Tobacco use and oral sex practice among dental clinic attendees.

Tobacco use and oral sex (OS) are important risk factors for oral and oropharyngeal Human papillomavirus (HPV) infection. Little is known about the prevalence of OS practice in South Africa. This study aimed to determine the prevalence of OS practice and tobacco use in a South African patient population. This cross-sectional study used a structured questionnaire to collect socio-demographic characteristics, tobacco use, betel nut use and OS practice data from consenting adults (≥18 years; n = 850). Oral sex practices were recorded for patients 18–45 years-old (n = 514). Data analysis included chi-square and multiple logistic regression analyses. Of the study population, 55.2% (n = 468) were female, 88% (n = 748) self-identified as black Africans and 45.1% (n = 383) were unemployed. Furthermore, 19.7% (n = 167), 6.4% (n = 54) and 2.1% (n = 18) were current smokers, snuff users and betel nut users, respectively. Out of the 514 who answered the questionnaire in relation to OS, 22.8% (n = 115) reported to practice it. Oral sex practice in the age group 18–45 years was most common among the self-identified white participants (41.9%); and among tobacco users than among non-tobacco users (30.9% vs. 20.5%; p = 0.022). A multivariable-adjusted regression model showed that white South Africans were more likely to use tobacco than black Africans (OR = 5.25; 95% CI = 2.21–12.47). The practice of OS was more likely among those 18–35 years-old (OR = 1.67; 95% CI = 1.01–2.74), but had no significant association with tobacco use (OR = 1.06; 95% CI = 0.62–1.83). The observed age and ethnic differences in both risk behaviours suggest a need for targeted population intervention in order to reduce the risk for oral HPV infection.

Age estimation using bone mineral density in South Africans

The use of bone mineral density (BMD) to predict age-at-death in skeletal remains provides a usable alternative to other methods because the values obtained are not observer-dependent. The aim of this study was to investigate the usability of BMD to estimate age in South African populations, and to assess inter-population variation and sex-specific differences in BMD values from the proximal end of the femur. In order to estimate age, regression analysis was done for the construction of population dependent formulae. The sample comprised of a total of 123 femora of black and white South Africans. DXA scans were performed using the Hologic Discovery system. Data analysis was done by employing independent-samples t-tests and correlation/regression analyses. The results indicated a statistically significant difference between black and white South Africans. Male groups were also significantly different from one another, but black and white females showed no significant differences. Linear regression analysis revealed a significant correlation between BMD values and age for the white population and the combined sample, but not for the black population. Bootstrapping were employed to confirm validity of the results. In conclusion, this study showed that the use of DXA measurements of the femur for estimating age may be used for the estimation of age-at-death in white South Africans, but more research is needed to better understand the relationship between bone mineral density and age in black South Africans.

Racial Undertones on Violence and Human Bodies: White Migrants' Online Epistemologies of Insecurity and Discomfort in Post-Apartheid South Africa

Violence and insecurity in post-apartheid South Africa are recurrent themes in online messages by white South Africans who have either migrated or wish to leave the country. These online authors position white people as victims or potential victims of crime committed by black people. It is a narrative which references apartheid as a period of safety and security, presupposing life is no longer what it used to be for white people. Through comparing the pre-1994 with the post-apartheid period and particularly emphasising that the black leadership is failing the country, the white migrants construct an epistemology – with racist undertones – of an unliveable South Africa. Narratives of black violence enacted upon white people, as well as white innocence and benevolence, are central features of the migrants' online complaints of an unliveable South Africa which I take up as a point of focus in this article.