Stepping Stones and Creating Futures Intervention to Prevent Intimate Partner Violence Among Young People: Cluster Randomized Controlled Trial

被引：81

作者：

Gibbs, Andrew ^{[1
,2
]}

Washington, Laura ^{[3
]}

Abdelatif, Nada ^{[4
]}

Chirwa, Esnat ^{[1
,5
]}

Willan, Samantha ^{[1
]}

Shai, Nwabisa ^{[1
]}

Sikweyiya, Yandisa ^{[1
,5
]}

Mkhwanazi, Smanga ^{[3
]}

Ntini, Nolwazi ^{[1
]}

Jewkes, Rachel ^{[1
,5
,6
]}

机构：

[1] South African Med Res Council, Gender & Hlth Res Unit, Pretoria, South Africa

[2] Univ KwaZulu Natal, Sch Nursing & Publ Hlth, Ctr Rural Hlth, Durban, South Africa

[3] Project Empower, Durban, South Africa

[4] South African Med Res Council, Biostat Res Unit, Durban, South Africa

[5] Univ Witwatersrand, Sch Publ Hlth, Johannesburg, South Africa

[6] South African Med Res Council, Off Execut Scientist, Cape Town, South Africa

来源：

JOURNAL OF ADOLESCENT HEALTH | 2020年 / 66卷 / 03期

关键词：

Dating violence; Livelihoods; Trial; South Africa; SOUTH-AFRICAN MEN; ALCOHOL-USE; HIV; PREVALENCE; PREDICTORS; WOMEN;

D O I：

10.1016/j.jadohealth.2019.10.004

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Purpose: Young people, not in formal employment or education, face exceedingly high levels of intimate partner violence (IPV). We evaluated whether Stepping Stones and Creating Futures, compared with a wait-list control, can reduce IPV and strengthen livelihoods. Methods: A cluster randomized controlled trial with 34 clusters in urban informal settlements in eThekwini Municipality, South Africa. Participant inclusion criteria were aged 18-30 years, resident in the informal settlement, and not working or in education. A total of 676 women and 646 men were recruited from September 2015 to September 2016. At recruitment, participants were not blinded to study arm. Endline data were collected from March to October 2018 (24 months postenrollment). Analyses were by intention-to-treat and separate for men and women. No clusters withdrew; endline retention was 74.9% (n = 505) men and 80.6% (n = 545) women. Results: At endline in the intervention arm, men's self-reported past year IPV perpetration was lower (physical IPV [adjusted odds ratio [aOR]: .71, 95% confidence interval [CI]: .51-.97], severe IPV [aOR: .70, 95% CI: .52-.94], and sexual IPV [aOR: .74, 95% CI: .54-1.03]). There was no difference in men's controlling behaviors (beta = .06, 95% CI: -.51 to .63) or past month earnings (beta = .21, 95% CI: -.42 to .83). For women, earnings were significantly higher in the intervention arm (beta = .97, 95% CI: .43-1.51), but there were no differences for past year IPV experience (physical IPV [aOR: .92, 95% CI: .62-1.37]; sexual IPV [aOR: .90, 95% CI: .64-1.28], severe IPV [aOR: .93, 95% CI: .66-1.31]) or controlling behaviors (beta = -.01, 95% CI: -.88 to .86). Conclusion: Stepping Stones and Creating Futures is effective in reducing men's self-reported perpetration of IPV and strengthening women's livelihoods, but not women's experiences of IPV. (C) 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc.

引用

页码：323 / 335

页数：13

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