000			03810nab a22003977a 4500
999			_c4995 _d4995
005			20250625151410.0
008			160502s2016 xxu||||| |||| 00| 0 eng d
040			_aAFVC
100			_92669 _aAbramsky, Tanya.
245			_aEcological pathways to prevention : _bhow does the SASA! community mobilisation model work to prevent physical intimate partner violence against women? _cTanya Abramsky, Karen M. Devries, Lori Michau, Janet Nakuti, Tina Musuya, Ligia Kiss, Nambusi Kyegombe and Charlotte Watts
260			_bBioMed Central, _c2016
500			_aBMC Public Health, 2016, 16: 339
520			_aBackground: Intimate partner violence (IPV) against women is a global public health concern. While community-level gender norms and attitudes to IPV are recognised drivers of IPV risk, there is little evidence on how interventions might tackle these drivers to prevent IPV at the community-level. This secondary analysis of data from the SASA! study explores the pathways through which SASA!, a community mobilisation intervention to prevent violence against women, achieved community-wide reductions in physical IPV. Methods: From 2007 to 2012 a cluster randomised controlled trial (CRT) was conducted in eight communities in Kampala, Uganda. Cross-sectional surveys of a random sample of community members, aged 18 – 49, were undertaken at baseline (n= 1583) and 4 years post intervention implementation (n= 2532). We used cluster-level intention to treat analysis to estimate SASA!'s community-level impact on women's past year experience of physical IPV and men’s past year perpetration of IPV. The mediating roles of community-, relationship- and individual-level factors in intervention effect on past year physical IPV experience (women)/perpetration (men) were explored using modified Poisson regression models. Results: SASA! was associated with reductions in women’s past year experience of physical IPV (0.48, 95 % CI 0.16 – 1.39), as well as men’s perpetration of IPV (0.39, 95 % CI 0.20 – 0.73). Community-level normative attitudes were the most important mediators of intervention impact on physical IPV risk, with norms around the acceptability of IPV explaining 70 % of the intervention effect on women’s experience of IPV and 95 % of the effect on men’s perpetration. The strongest relationship-level mediators were men’s reduced suspicion of partner infidelity (explaining 22 % of effect on men’s perpetration), and improved communication around sex (explaining 16 % of effect on women’s experience). Reduced acceptability of IPV among men was the most important individual-level mediator (explaining 42 % of effect on men’s perpetration). Conclusions: These results highlight the important role of community-level norm-change in achieving community-wide reductions in IPV risk. They lend strong support for the more widespread adoption of community-level approaches to preventing violence." (Authors' abstract). Record #4995
650			_aATTITUDES _970
650			_aDOMESTIC VIOLENCE _9203
650			_aCOMMUNITY ACTION _9144
650		5	_aINTERVENTION _9326
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aPHYSICAL ABUSE _9439
650			_aPRIMARY PREVENTION _93268
650			_aRANDOMISED CONTROLLED TRIALS _99368
650			_aSASA! study _95052
650			_9458 _aPREVENTION
651			_aAFRICA _93364
700			_aDevries, Karen _92670
700			_aMichau, Lori _93571
700			_aNakuti, Janet _95054
700			_aMasuya, Tina _95633
700			_aKiss, Ligia _92671
700			_aKyegombe, Nambusi _95055
700			_aWatts, Charlotte _95061
773	0		_tBMC Public Health, 2016, 16: 339
830			_aBMC Public Health _94668
856			_uhttp://dx.doi.org/10.1186/s12889-016-3018-9
942			_2ddc _cARTICLE