Integrated Gender-Based Violence and HIV Risk Reduction Intervention for South African Men: Results of a Quasi-Experimental Field Trial

Department of Psychology, University of Connecticut, Storrs, CT 06269, USA.
Prevention Science (Impact Factor: 2.63). 05/2009; 10(3):260-9. DOI: 10.1007/s11121-009-0129-x
Source: PubMed

ABSTRACT South Africa is in the midst of one of the world's most devastating HIV/AIDS epidemics and there is a well-documented association between violence against women and HIV transmission. Interventions that target men and integrate HIV prevention with gender-based violence prevention may demonstrate synergistic effects. A quasi-experimental field intervention trial was conducted with two communities randomly assigned to receive either: (a) a five session integrated intervention designed to simultaneously reduce gender-based violence (GBV) and HIV risk behaviors (N = 242) or (b) a single 3-hour alcohol and HIV risk reduction session (N = 233). Men were followed for 1-, 3-, and 6-months post intervention with 90% retention. Results indicated that the GBV/HIV intervention reduced negative attitudes toward women in the short term and reduced violence against women in the longer term. Men in the GBV/HIV intervention also increased their talking with sex partners about condoms and were more likely to have been tested for HIV at the follow-ups. There were few differences between conditions on any HIV transmission risk reduction behavioral outcomes. Further research is needed to examine the potential synergistic effects of alcohol use, gender violence, and HIV prevention interventions.

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Available from: Leickness Simbayi, Aug 24, 2015
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    • "Despite findings that programmes which are 'gender transformative' – that seek to change gender roles and create more respectful and egalitarian relationships (Dworkin, Treves-Kagan, and Lippman 2013) – can have a positive impact on gender equality in relationships, little research has examined the extent to which programmes may be effective for reducing intimate partner violence. One notable exception is Kalichman et al.'s (2009) study showing that a brief behavioural intervention reduced men's selfreported use of physical violence towards a partner. A second seminal contribution is Jewkes et al.'s (2008) evaluation of Stepping Stones, a gender transformative curriculum that reduced men's reports of perpetrating intimate partner violence and engaging in problem drinking. "
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    ABSTRACT: Nearly one-third of South African men report enacting intimate partner violence. Beyond the direct health consequences for women, intimate partner violence is also linked to varied risk behaviours among men who enact it, including alcohol abuse, risky sex, and poor healthcare uptake. Little is known about how to reduce violence perpetration among men. We conducted retrospective, in-depth interviews with men (n = 53) who participated in a rural South African programme that targeted masculinities, HIV risk, and intimate partner violence. We conducted computer-assisted thematic qualitative coding alongside a simple rubric to understand how the programme may lead to changes in men's use of intimate partner violence. Many men described new patterns of reduced alcohol intake and improved partner communication, allowing them to respond in ways that did not lead to the escalation of violence. Sexual decision-making changed via reduced sexual entitlement and increased mutuality about whether to have sex. Men articulated the intertwined nature of each of these topics, suggesting that a syndemic lens may be useful for understanding intimate partner violence. These data suggest that alcohol and sexual relationship skills may be useful levers for future violence prevention efforts, and that intimate partner violence may be a tractable issue as men learn new skills for enacting masculinities in their household and in intimate relationships.
    Culture Health & Sexuality 06/2014; 16(9):1-17. DOI:10.1080/13691058.2014.924558 · 1.55 Impact Factor
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    • "Between 30 percent and 50 percent of men in this region of the world are physically violent toward a partner (Morrell and Jewkes 2011; Kalichman et al. 2009), and nearly one-third of men report raping a woman during their lifetime (Morrell and Jewkes 2011; Abrahams et al. 2006). In addition, high-risk sexual behavior, such as partner concurrency, are common in many South African settings (Kalichman et al. 2009; Steffenson et al. 2011) although the norms and practices of multiple partnerships and concurrency are historically specific and constantly changing (Hunter 2005). Unfortunately, most HIV and antiviolence programming in South Africa targets women, and few programs focus on men. "
    at American Public Health Association 138th Annual Conference, Denver, CO; 11/2010
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