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Table 4 Estimates of intervention effect on potential mediators among men, comparing outcome in intervention versus control communities

From: Ecological pathways to prevention: How does the SASA! community mobilisation model work to prevent physical intimate partner violence against women?

 

Baseline

Follow-up

 
 

Intervention

Control

Intervention

Control

aRRa (95 % CI)

COMMUNITY LEVELb

EA-level mean risk % (sd) n = 16

EA-level mean risk % (sd) n = 16

Mean difference (95 % CI)

EA-level mean risk % (sd) n = 24

Mean difference (95 % CI)

  Community responses to prevent violence:

     

  Okay for others in community to intervene if they know IPV is occurring

-

-

92.5 (6.6)

42.8 (11.9)

47.6 (21.9–73.3)

  People who have witnessed/heard violence who have responded appropriately

-

-

62.8 (15.1)

26.1 (10.7)

33.3 (−4.0–70.6)

  Norms around violence:

     

  Acceptable for a man to use violence against his partner

27.7 (17.2)

25.2 (15.8)

7.3 (5.8)

85.6 (6.6)

−75.5 (−92.4– −58.7)

  Norms around women’s control over sex:

     

  Acceptable for a woman to refuse sex with her partner

53.5 (18.3)

55.6 (14.0)

97.5 (2.6)

75.4 (12.9)

23.0 (1.0–45.0)

  Okay for a woman to ask her husband to use a condom

-

-

88.6 (12.2)

43.6 (8.8)

41.8 (17.8–65.8)

  Broader gender norms:

     

  Others in community would respect a man who made decisions jointly with his wife

-

-

88.9 (10.5)

38.9 (10.9)

48.3 (29.7–66.9)

  Man’s role to decide if his wife can work

-

-

14.8 (10.6)

83.6 (5.4)

−67.0 (−82.1– −51.9)

RELATIONSHIP LEVEL (PARTNERED IN PAST YEAR)

n/N (%)

n/N (%)

n/N (%)

n/N (%)

aRR (95 % CI)

  Communication:

     

  Discuss things that happen in day

275/313 (88 %)

292/335 (87 %)

523/545 (96 %)

318/434 (73 %)

1.30 (0.98–1.72)

  Discuss worries

270/313 (86 %)

294/335 (88 %)

525/545 (96 %)

326/434 (75 %)

1.28 (1.00–1.64)

  Discuss what you both like during sex

-

-

481/544 (88 %)

226/434 (52 %)

1.70 (1.22–2.37)

  Appreciate work partner does around house

-

-

385/409 (94 %)

231/326 (71 %)

1.32 (1.04–1.69)

  Appreciate work partner does outside house

-

-

228/283 (81 %)

128/244 (52 %)

1.61 (1.04–2.50)

  Power dynamics:

     

  Joint decision making

208/234 (89 %)

229/262 (87 %)

378/443 (85 %)

165/356 (46 %)

1.90 (1.28–2.80)

  Man helps around house

180/304 (59 %)

214/330 (65 %)

396/411 (96 %)

229/326 (70 %)

1.42 (0.98–2.05)

  Woman refused a job because husband doesn’t want her to work

26/313 (8 %)

26/335 (8 %)

27/506 (5 %)

123/410 (30 %)

0.12 (0.02–0.89)

  Woman participated in deciding how household finances spent

234/306 (76 %)*

271/327 (83 %)*

416/449 (93 %)

218/345 (63 %)

1.48 (1.11–1.97)

  Additional sex partners:

     

  Concurrent partners

109/270 (40 %)

105/284 (37 %)

139/508 (27 %)

177/397 (45 %)

0.60 (0.37–0.97)

  Male partner often suspicious that female partner is unfaithful

-

-

76/620 (12 %)

221/525 (42 %)

0.19 (0.02–1.60)

  Relationship dissolution:

     

  Separated/divorced in past year

3/307 (1 %)

5/330 (2 %)

7/545 (1 %)

12/435 (3 %)

0.52 (0.15–1.83)

INDIVIDUALS (PARTNERED IN PAST YEAR)

     

  Attitudes around violence:

     

  Acceptable for a man to use violence against his partner

81/313 (26 %)

83/335 (25 %)

119/624 (19 %)

454/525 (86 %)

0.14 (0.02–1.11)

  Okay for a woman to tell others if she is experiencing violence

-

-

571/624 (92 %)

221/525 (42 %)

2.24 (1.39–3.61)

  Attitudes towards women’s control over sex:

     

  Acceptable for a woman to refuse sex with her partner

164/313 (52 %)

184/335 (55 %)

608/624 (97 %)

400/525 (76 %)

1.30 (0.96–1.78)

  Okay for a woman to ask her husband to use a condom

-

-

536/624 (86 %)

245/525 (47 %)

1.86 (1.28–2.70)

  Broader gender attitudes:

     

  Others in community would respect a man who made decisions jointly with his wife

-

-

541/624 (87 %)

202/525 (38 %)

2.27 (1.53–3.36)

  Man’s role to decide if his wife can work

-

-

192/624 (31 %)

448/525 (85 %)

0.27 (0.06–1.25)

  Behaviours:

     

  Drunk at least once a month

92/311 (30 %)

110/329 (33 %)

162/619 (26 %)

200/525 (38 %)

0.69 (0.38–1.27)

  Woman experiencing (man perpetrating) violence who has told someone

39/105 (37 %)

50/116 (43 %)

101/181 (56 %)

172/452 (38 %)

1.50 (0.80–2.83)

  1. aRisk ratios calculated at the cluster-level, adjusted for community-pair, and weighted according to the number of observations per village. Adjusted risk ratios generated on the basis of expected number of events from a logistic regression model on individual data with independent variables including age and marital status
  2. b Mean number of respondents per EA = 28.0 (range 18–35)
  3. *χ2 p-value <0.005