Domestic Violence Clinical Trial
Official title:
Measuring Beliefs and Norms About Violence Against Women in Rural Uganda: A Randomized Controlled Trial
The objective of our study was to determine the extent to which contextual information about the circumstances of intimate partner violence affects participants' responses to questions about their personal attitudes toward intimate partner violence.
In national studies conducted throughout sub-Saharan Africa, survey data indicate that there
is widespread acceptance of intimate partner violence by both men and women (Alio et al.,
2011, Mann & Takyi, 2009, Rani et al., 2004, Uthman et al., 2009). For women, the proximate
context of gender-unequal norms has important public health impacts. Men who report beliefs
consistent with gender-unequal norms are more likely to be perpetrators of sexual violence
(Shannon et al., 2012). Women are more likely to be victimized when they and their partners
report concordant beliefs about the acceptability of intimate partner violence (Alio et al.,
2011). And finally, women who live in areas characterized by gender-unequal norms about
intimate partner violence are at greater risk for having their reproductive health
compromised (Hung et al., 2012, Tsai & Subramanian, 2012). Accurate measurement of norms
about intimate partner violence therefore has important implications for understanding the
health risk environment for women.
The Demographic and Health Surveys (DHS), which are nationally representative surveys
conducted worldwide, have served as an important source of information on norms about
intimate partner violence. However, a cross-country analysis of DHS data showed that minor
deviations in survey wording may account for substantial cross-country variation in the
extent to which women provide survey responses consistent with acceptance of intimate
partner violence (Yount et al., 2011). Furthermore, in-depth interviews conducted among
Bangladeshi women suggest that affirmative responses to DHS-style questions may better
reflect their perceptions of prevailing norms or their individualized assumptions about
contextual details rather than true beliefs about their acceptance of intimate partner
violence (Schuler & Islam, 2008, Schuler et al., 2011). Taken together, these lines of
inquiry suggest important limitations in the accuracy with which the DHS measure women's
attitudes towards intimate partner violence.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor)
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