Effect of a Behavioral Intervention on Perpetrating and Experiencing Forced Sex Among South African Adolescents

Jemmott, John B.; O’Leary, Ann; Jemmott, Loretta Sweet; Ngwane, Zolani; Teitelman, Anne M.; Makiwane, M.; Bellamy, Scarlett

doi:10.1001/jamanetworkopen.2018.1213

Cited by 19 publications

(42 citation statements)

References 39 publications

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“…The most common components were information on SRHR [29, [34][35][36][37]39,[41][42][43], GBV and gender norms [29,30,[34][35][36][37][38]40,46,48], relationships [29,34,40,42,47] and communication [34,35,37,40,41]. Less frequent were empowerment and self-efficacy [39,44,45], de-escalation [41,44,46,48], self-defence [44][45][46], safe spaces [30,35,36,42], financial education [35,42,43] vocational skills [41][42][43], networking/social support/mentoring [35,42,…”

Section: Discussionmentioning

confidence: 99%

Interventions to reduce gender-based violence among young people living with or affected by HIV/AIDS in low-income and middle-income countries

Meinck

Pantelic²,

Spreckelsen

et al. 2019

Aids

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Objective(s): This study explored the effectiveness of gender-based violence (GBV) interventions on young people living with or affected by HIV in low-and middle-income countries (LMICs). Design: Systematic review and meta-analysis. Methods: We pre-registered a protocol, then searched thirteen databases and grey literature. We screened randomised and quasi-experimental studies (n=2199) of young people (aged 10-24) living with or affected by HIV in LMICs. Outcomes were GBV and/or GBV-related attitudes. We appraised the data for risk of bias and quality of evidence. Narrative syntheses and multi-level random effects meta-analyses were conducted. Results: We included 18 studies evaluating 21 interventions. Intervention arms were categorised as: a) sexual health and social empowerment (SHSE) (n=7); b) SHSE plus economic strengthening (n=4); c) self-defence (n=3); d) safer schools (n=2); e) economic strengthening only (n=2); f) GBV sensitisation (n=2) and g) safer schools plus parenting (n=1). Risk of bias was moderate/high and quality of evidence low. Narrative syntheses indicated promising effects on GBV exposure, but no or mixed effects on GBV perpetration and attitudes for self-defence and GBV sensitisation interventions. Safer schools interventions showed no effects. For SHSE interventions and SHSE plus economic strengthening, meta-analysis showed a small reduction in GBV exposure but not perpetration. Economic-only interventions had no overall effect. Conclusions: SHSE, SHSE plus and self-defence and gender sensitisation interventions may be effective for GBV exposure and GBV-related attitudes but not for GBV perpetration. However, the quality of evidence is poor. Future intervention research must include both boys and girls, adolescents living with HIV and key populations.

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Section: Discussionmentioning

confidence: 99%

Interventions to reduce gender-based violence among young people living with or affected by HIV/AIDS in low-income and middle-income countries

Meinck

Pantelic²,

Spreckelsen

et al. 2019

Aids

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“…These interventions reach both boys and girls during adolescence, and typically foster communication and negotiation skills appropriate for both genders. However, intervention effects can differ by gender: some are equally effective in reducing perpetration by boys and girls; others are less effective [64] or not effective among girls [65]. More research is needed to understand the reasons for this heterogeneity, to understand which types of…”

Section: Second Responses Need To Acknowledge That Girls Are Perpetrmentioning

confidence: 99%

Emerging partner violence among young adolescents in a low-income country: Perpetration, victimization and adversity

Kidman

Kohler

2020

PLoS ONE

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Background Intimate partner violence (IPV) is prevalent in high-as well as low-income contexts. It results in a substantial public health burden and significant negative socioeconomic and health outcomes throughout the life-course. However, limited knowledge exists about IPV during early adolescence. This period is critical during the transition to adulthood for at least two reasons: it is when the majority of adolescents in low-income countries first encounter dating, sexuality and partnerships, often with older adolescents or adults, and it is also the period when lifelong patterns of violence and norms about acceptable IPV are formed. The current study is one of the first to measure IPV prevalence among young adolescents in a low-income setting, examine the potential etiology, and investigate relationships with gender ideology, poverty, mental health and childhood adversity. Methods We surveyed 2,089 adolescents aged 10-16 in Malawi using standardized instruments. We estimated the prevalence of IPV, and use multivariate logistic regression to test potential correlates. Results More than a quarter (27%) of ever-partnered adolescents in Malawi report being victimized. A substantial proportion of both male and female adolescents (15%) report committing violence against their partner. Girls were more likely than boys to report being a victim of sexual IPV (24% versus 8%), and boys more likely to perpetrate such (9% versus 1%). Almost 10% of the sample had both committed and been a victim of IPV. Cumulative childhood adversity (e.g., physical abuse, witnessing domestic violence) was a consistent and strong correlate of IPV victimization (adjusted odds ratio (aOR) 1.30) and of perpetration (aOR 1.35). Depression and PTSD were likewise associated with IPV victimization in the overall sample.

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“…Sheana Salyers Bull, PhD, MPH; Michele L. Ybarra, PhD In the study by Jemmott and colleagues, 1 we learn about the impact of Let Us Protect Our Future, an HIV risk-reduction program on youths' risk for perpetrating forced sex. This is a secondary data analysis of data from a cluster randomized trial.…”

Section: Primary Prevention Of Perpetration and Experience Of Forced mentioning

confidence: 99%

“…Jemmot et al 1 have done important work in South Africa in exploring the extent to which an HIV prevention curriculum that includes healthy relationship programming may also affect reductions in forced sex perpetration. We suggest this promising work be mirrored by increased surveillance on forced sex in population-based surveys.…”

Section: Primary Prevention Of Perpetration and Experience Of Forced mentioning

confidence: 99%

Primary Prevention of Perpetration and Experience of Forced Sex for South African Youth Requires Careful Attention to Risk in Context

Bull

Ybarra

2018

JAMA Netw Open

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Effect of a Behavioral Intervention on Perpetrating and Experiencing Forced Sex Among South African Adolescents

Cited by 19 publications

References 39 publications

Interventions to reduce gender-based violence among young people living with or affected by HIV/AIDS in low-income and middle-income countries

Interventions to reduce gender-based violence among young people living with or affected by HIV/AIDS in low-income and middle-income countries

Emerging partner violence among young adolescents in a low-income country: Perpetration, victimization and adversity

Primary Prevention of Perpetration and Experience of Forced Sex for South African Youth Requires Careful Attention to Risk in Context

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