Effects of couple-based violence prevention education on male partners' knowledge, attitudes and controlling behavior related to intimate partner violence in rural Ethiopia: a cluster randomized controlled trial.
{"title":"Effects of couple-based violence prevention education on male partners' knowledge, attitudes and controlling behavior related to intimate partner violence in rural Ethiopia: a cluster randomized controlled trial.","authors":"Zeleke Dutamo Agde, Jeanette H Magnus, Nega Assefa, Muluemebet Abera Wordofa","doi":"10.3389/fpubh.2025.1506459","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Supportive attitudes toward wife-beating and the experience of controlling behavior from husbands have been known to increase the risks of intimate partner violence (IPV). The aim of this study was to determine the effects of couple-based violence prevention education in addressing IPV-related knowledge, attitudes, and controlling behavior among male partners in rural Ethiopia.</p><p><strong>Method: </strong>A cluster randomized controlled trial was conducted using a two-arm parallel group design. The 16 clusters were randomly allocated into 8 intervention groups and 8 control groups. A total of 432 couples (432 male partners and 432 pregnant wives) participated in the trial. Couple-based violence prevention education (CBVPE) was provided to the participants in the intervention group, while the control group received routine or standard care. Difference-in-difference analysis and the Generalized Estimating Equation (GEE) model were used to assess the effectiveness of the intervention.</p><p><strong>Result: </strong>At the endline, 94.4% of male partners in the intervention group and 94.9% in the control group were available for the intention-to-treat analysis. Male partners in the intervention group were 3.7 times more likely to have good knowledge about IPV compared to male partners in the control group (AOR = 3.7; 95% CI 2.6-5.4). Male partners in the intervention group were 67.6% less likely to report supportive attitudes toward wife-beating compared to those in the control group (AOR = 0.324; 95% CI 0.229-0.459). Also, the proportion of controlling behavior exhibited by male partners in the intervention group was 56.4% less compared to the control group (AOR = 0.436; 95% CI 0.317-0.600).</p><p><strong>Conclusion: </strong>The intervention proved effective in enhancing knowledge about IPV, reducing supportive attitudes toward wife-beating, and curbing controlling behaviors among male partners in the study setting. This approach holds promise for scaling up and adapting to similar contexts in Ethiopia.</p><p><strong>Trial registration: </strong>The trial was registered on ClinicalTrials.gov with the identifier NCT05856214 on May 4, 2023.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1506459"},"PeriodicalIF":3.4000,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932093/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fpubh.2025.1506459","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Supportive attitudes toward wife-beating and the experience of controlling behavior from husbands have been known to increase the risks of intimate partner violence (IPV). The aim of this study was to determine the effects of couple-based violence prevention education in addressing IPV-related knowledge, attitudes, and controlling behavior among male partners in rural Ethiopia.
Method: A cluster randomized controlled trial was conducted using a two-arm parallel group design. The 16 clusters were randomly allocated into 8 intervention groups and 8 control groups. A total of 432 couples (432 male partners and 432 pregnant wives) participated in the trial. Couple-based violence prevention education (CBVPE) was provided to the participants in the intervention group, while the control group received routine or standard care. Difference-in-difference analysis and the Generalized Estimating Equation (GEE) model were used to assess the effectiveness of the intervention.
Result: At the endline, 94.4% of male partners in the intervention group and 94.9% in the control group were available for the intention-to-treat analysis. Male partners in the intervention group were 3.7 times more likely to have good knowledge about IPV compared to male partners in the control group (AOR = 3.7; 95% CI 2.6-5.4). Male partners in the intervention group were 67.6% less likely to report supportive attitudes toward wife-beating compared to those in the control group (AOR = 0.324; 95% CI 0.229-0.459). Also, the proportion of controlling behavior exhibited by male partners in the intervention group was 56.4% less compared to the control group (AOR = 0.436; 95% CI 0.317-0.600).
Conclusion: The intervention proved effective in enhancing knowledge about IPV, reducing supportive attitudes toward wife-beating, and curbing controlling behaviors among male partners in the study setting. This approach holds promise for scaling up and adapting to similar contexts in Ethiopia.
Trial registration: The trial was registered on ClinicalTrials.gov with the identifier NCT05856214 on May 4, 2023.
背景：已知对殴打妻子的支持态度和丈夫控制行为的经历会增加亲密伴侣暴力（IPV）的风险。本研究的目的是确定以夫妻为基础的暴力预防教育在解决埃塞俄比亚农村男性伴侣中与ipvv相关的知识、态度和控制行为方面的效果。方法：采用双臂平行组设计，采用整群随机对照试验。将16组患者随机分为8个干预组和8个对照组。共有432对夫妇（432名男性伴侣和432名怀孕的妻子）参加了试验。干预组的参与者接受以夫妻为基础的暴力预防教育（CBVPE），而对照组则接受常规或标准护理。使用差中差分析和广义估计方程（GEE）模型来评估干预的有效性。结果：在终点时，干预组94.4%的男性伴侣和对照组94.9%的男性伴侣可用于意向治疗分析。干预组男性伴侣了解IPV知识的可能性是对照组男性伴侣的3.7倍(AOR = 3.7；95% ci 2.6-5.4)。干预组男性伴侣对殴打妻子的支持态度比对照组低67.6% (AOR = 0.324；95% ci 0.229-0.459)。干预组男性伴侣表现出控制行为的比例比对照组低56.4% (AOR = 0.436；95% ci 0.317-0.600)。结论：在研究环境中，干预对提高家庭暴力知识、减少对殴打妻子的支持态度、抑制男性伴侣的控制行为具有有效作用。这种方法有望扩大规模并适应埃塞俄比亚的类似情况。试验注册：该试验于2023年5月4日在ClinicalTrials.gov上注册，标识符为NCT05856214。
期刊介绍：
Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice.
Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
