Mediating effects of inequitable gender norms on intimate partner violence and contraceptive use in a cluster randomized control trial in Niger

Previous research has demonstrated that the Reaching Married Adolescents intervention (RMA) was associated with changes in inequitable gender norms, intimate partner violence (IPV), and modern contraceptive use. This study seeks to understand if changes in inequitable gender norms mediate the RMA in...

Celý popis

Uloženo v:
Podrobná bibliografie
Vydáno v:American journal of epidemiology Ročník 194; číslo 5; s. 1221
Hlavní autoři: Boyce, Sabrina C, Minnis, Alexandra M, Deardorff, Julianna, McCoy, Sandra I, Goin, Dana E, Challa, Sneha, Johns, Nicole E, Aliou, Sani, Brooks, Mohamad I, Nouhou, Abdoul-Moumouni, Baker, Holly, Silverman, Jay G
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 07.05.2025
Témata:
Adolescent
Adult
Contraception Behavior - psychology
Contraception Behavior - statistics & numerical data
Female
Humans
Intimate Partner Violence - prevention & control
Intimate Partner Violence - statistics & numerical data
Male
Niger - epidemiology
Social Norms
Young Adult
Niger
gender norms
intimate partner violence
mediation analysis
contraceptive use
Sub-Saharan Africa
married adolescents
ISSN:1476-6256, 1476-6256
On-line přístup:Zjistit podrobnosti o přístupu
Tagy: Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
Abstract Previous research has demonstrated that the Reaching Married Adolescents intervention (RMA) was associated with changes in inequitable gender norms, intimate partner violence (IPV), and modern contraceptive use. This study seeks to understand if changes in inequitable gender norms mediate the RMA intervention's effects on contraceptive use and intimate partner violence (IPV). A 4-arm cluster randomized control trial was conducted to evaluate effects of the RMA intervention (household visits, small groups, combination, control) on married adolescent girls and their husbands in Dosso, Niger (baseline: 1042 dyads; 24 months follow-up: 737 dyads; 2016-2019). Mediation was assessed using inverse odds ratio weighting. In the small group intervention, of the total effect on IPV prevalence (8% reduction), indirect effects via inequitable gender norms are associated with a 2% decrease (95% CI, -0.07 to 0.12) and direct effects with a 6% decrease (95% CI, -0.20 to -0.02). For household visits, of the total effect on contraceptive use (20% increase), the indirect effect accounts for an 11% decrease (95% CI, -0.18 to -0.01) and direct effect, a 32% increase (95% CI, 0.13-0.44); this is similar to findings for the combination arm. This experimental evidence informs the value of changing underlying social norms to reduce IPV and increase contraception use.
AbstractList Previous research has demonstrated that the Reaching Married Adolescents intervention (RMA) was associated with changes in inequitable gender norms, intimate partner violence (IPV), and modern contraceptive use. This study seeks to understand if changes in inequitable gender norms mediate the RMA intervention's effects on contraceptive use and intimate partner violence (IPV). A four-arm cluster randomized control trial was conducted to evaluate effects of the RMA intervention (household visits, small groups, combination, control) on married adolescent girls and their husbands in Dosso, Niger (baseline: 1042 dyads; 24m follow-up: 737 dyads; 2016-2019). Mediation was assessed using inverse odds ratio weighting. In the small group intervention, of the total effect on IPV prevalence (8% reduction), indirect effects via inequitable gender norms is associated with a 2% decrease (95% CI: -0.07, 0.12) and direct effects with a 6% decrease (95% CI: -0.20, -0.02). For household visits, of the total effect on contraceptive use (20% increase), the indirect effect accounts for an 11% decrease (95% CI: -0.18, -0.01) and direct effect, a 32% increase (95% CI: 0.13, 0.44); similar to findings for the combination arm. This experimental evidence informs the value of changing underlying social norms to reduce IPV and increase contraception use.Previous research has demonstrated that the Reaching Married Adolescents intervention (RMA) was associated with changes in inequitable gender norms, intimate partner violence (IPV), and modern contraceptive use. This study seeks to understand if changes in inequitable gender norms mediate the RMA intervention's effects on contraceptive use and intimate partner violence (IPV). A four-arm cluster randomized control trial was conducted to evaluate effects of the RMA intervention (household visits, small groups, combination, control) on married adolescent girls and their husbands in Dosso, Niger (baseline: 1042 dyads; 24m follow-up: 737 dyads; 2016-2019). Mediation was assessed using inverse odds ratio weighting. In the small group intervention, of the total effect on IPV prevalence (8% reduction), indirect effects via inequitable gender norms is associated with a 2% decrease (95% CI: -0.07, 0.12) and direct effects with a 6% decrease (95% CI: -0.20, -0.02). For household visits, of the total effect on contraceptive use (20% increase), the indirect effect accounts for an 11% decrease (95% CI: -0.18, -0.01) and direct effect, a 32% increase (95% CI: 0.13, 0.44); similar to findings for the combination arm. This experimental evidence informs the value of changing underlying social norms to reduce IPV and increase contraception use.
Previous research has demonstrated that the Reaching Married Adolescents intervention (RMA) was associated with changes in inequitable gender norms, intimate partner violence (IPV), and modern contraceptive use. This study seeks to understand if changes in inequitable gender norms mediate the RMA intervention's effects on contraceptive use and intimate partner violence (IPV). A 4-arm cluster randomized control trial was conducted to evaluate effects of the RMA intervention (household visits, small groups, combination, control) on married adolescent girls and their husbands in Dosso, Niger (baseline: 1042 dyads; 24 months follow-up: 737 dyads; 2016-2019). Mediation was assessed using inverse odds ratio weighting. In the small group intervention, of the total effect on IPV prevalence (8% reduction), indirect effects via inequitable gender norms are associated with a 2% decrease (95% CI, -0.07 to 0.12) and direct effects with a 6% decrease (95% CI, -0.20 to -0.02). For household visits, of the total effect on contraceptive use (20% increase), the indirect effect accounts for an 11% decrease (95% CI, -0.18 to -0.01) and direct effect, a 32% increase (95% CI, 0.13-0.44); this is similar to findings for the combination arm. This experimental evidence informs the value of changing underlying social norms to reduce IPV and increase contraception use.
Author Minnis, Alexandra M
Deardorff, Julianna
Baker, Holly
Goin, Dana E
McCoy, Sandra I
Boyce, Sabrina C
Challa, Sneha
Silverman, Jay G
Aliou, Sani
Nouhou, Abdoul-Moumouni
Johns, Nicole E
Brooks, Mohamad I
Author_xml – sequence: 1
  givenname: Sabrina C
  orcidid: 0000-0001-9177-6063
  surname: Boyce
  fullname: Boyce, Sabrina C
  organization: Maternal, Child, and Adolescent Health Program, Division of Community Health Sciences, School of Public Health, University of California, Berkeley, Berkeley, CA 94720, United States
– sequence: 2
  givenname: Alexandra M
  orcidid: 0000-0002-2943-2005
  surname: Minnis
  fullname: Minnis, Alexandra M
  organization: Women's Global Health Imperative, RTI International, San Francisco, CA 94105, United States
– sequence: 3
  givenname: Julianna
  orcidid: 0000-0002-4708-5289
  surname: Deardorff
  fullname: Deardorff, Julianna
  organization: Maternal, Child, and Adolescent Health Program, Division of Community Health Sciences, School of Public Health, University of California, Berkeley, Berkeley, CA 94720, United States
– sequence: 4
  givenname: Sandra I
  orcidid: 0000-0002-4764-9195
  surname: McCoy
  fullname: McCoy, Sandra I
  organization: Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA 94720, United States
– sequence: 5
  givenname: Dana E
  orcidid: 0000-0002-7557-7977
  surname: Goin
  fullname: Goin, Dana E
  organization: Division of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, United States
– sequence: 6
  givenname: Sneha
  orcidid: 0000-0001-5220-6834
  surname: Challa
  fullname: Challa, Sneha
  organization: School of Nursing, University of California, San Francisco, San Francisco CA 94143, United States
– sequence: 7
  givenname: Nicole E
  orcidid: 0000-0003-4513-4582
  surname: Johns
  fullname: Johns, Nicole E
  organization: Center on Gender Equity and Health, University of California, San Diego, School of Medicine, La Jolla, CA 92093, United States
– sequence: 8
  givenname: Sani
  orcidid: 0000-0003-4140-5197
  surname: Aliou
  fullname: Aliou, Sani
  organization: Niger Country Office, Pathfinder International, Niamey, Niger
– sequence: 9
  givenname: Mohamad I
  orcidid: 0000-0001-9913-0996
  surname: Brooks
  fullname: Brooks, Mohamad I
  organization: Pathfinder International, Watertown, MA 02472, United States
– sequence: 10
  givenname: Abdoul-Moumouni
  orcidid: 0000-0002-8798-8693
  surname: Nouhou
  fullname: Nouhou, Abdoul-Moumouni
  organization: GRADE Africa, Niamey, Niger
– sequence: 11
  givenname: Holly
  orcidid: 0000-0002-5320-9575
  surname: Baker
  fullname: Baker, Holly
  organization: Center on Gender Equity and Health, University of California, San Diego, School of Medicine, La Jolla, CA 92093, United States
– sequence: 12
  givenname: Jay G
  orcidid: 0000-0003-4295-3734
  surname: Silverman
  fullname: Silverman, Jay G
  organization: Center on Gender Equity and Health, University of California, San Diego, School of Medicine, La Jolla, CA 92093, United States
BackLink https://www.ncbi.nlm.nih.gov/pubmed/39214646$$D View this record in MEDLINE/PubMed
BookMark eNpN0E1LxDAQBuAgK-6HnrxLjl7qJmmTNkdZ_IJVL3ouaTpdsrZJN0lX9E_4l624gqcZeB8G5p2jiXUWEDqn5IoSmS7VFpZv7wqYzI7QjGa5SATjYvJvn6J5CFtCKJWcnKBpKhnNRCZm6OsRaqOisRsMTQM6BuwabCzsBhNV1QLegK3BY-t8N2Z2zKLpVATcKx_tmOyNa8FqwMrWWDsbvdLQR7MHPAQYPVZYt0OIo_WjcZ35hIN0LY7eqPZHPZkN-FN03Kg2wNlhLtDr7c3L6j5ZP989rK7XiU4zFpOUcSIEl1IKCjXVqRZckQYa3RDG8wxElVY6LxipqajzqlaioCrjBU05bzRjC3T5e7f3bjdAiGVngoa2VRbcEMqUSFkQno9NLdDFgQ5VB3XZ-_F__1H-lci-Ab3BeH8
ContentType Journal Article
Copyright The Author(s) 2024. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.
Copyright_xml – notice: The Author(s) 2024. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.
DBID CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1093/aje/kwae294
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic
MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
Public Health
EISSN 1476-6256
ExternalDocumentID 39214646
Genre Randomized Controlled Trial
Journal Article
GeographicLocations Niger
GeographicLocations_xml – name: Niger
GrantInformation_xml – fundername: Bill and Melinda Gates Foundation
  grantid: OPP1195210
– fundername: Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health
  grantid: F31HD100019-01
GroupedDBID ---
-DZ
-E4
-~X
..I
.2P
.I3
.XZ
.ZR
0R~
1TH
23M
2WC
4.4
482
48X
5GY
5RE
5VS
5WA
5WD
6J9
70D
85S
AABZA
AACZT
AAILS
AAJKP
AAMVS
AAOGV
AAPNW
AAPQZ
AAPXW
AARHZ
AAUAY
AAVAP
AAWTL
ABDFA
ABEJV
ABEUO
ABGNP
ABIXL
ABJNI
ABKDP
ABLJU
ABNHQ
ABNKS
ABOCM
ABPTD
ABQLI
ABVGC
ABXVV
ABZBJ
ACGFO
ACGFS
ACGOD
ACPRK
ACUFI
ACUTO
ADBBV
ADCFL
ADEYI
ADEZT
ADGZP
ADHKW
ADHZD
ADIPN
ADMHG
ADNBA
ADOCK
ADQBN
ADRTK
ADVEK
ADYVW
ADZXQ
AEGPL
AEHKS
AEJOX
AEKSI
AEMDU
AENEX
AENZO
AEPUE
AETBJ
AEWNT
AFFZL
AFIYH
AFOFC
AFRAH
AFYAG
AGINJ
AGKEF
AGORE
AGSYK
AHGBF
AHMBA
AHMMS
AHXPO
AIAGR
AIJHB
AJBYB
AJEEA
AJNCP
ALMA_UNASSIGNED_HOLDINGS
ALUQC
ALXQX
APIBT
APWMN
ATGXG
AXUDD
BAWUL
BAYMD
BCRHZ
BEYMZ
BHONS
BTRTY
BVRKM
C45
CDBKE
CGR
CS3
CUY
CVF
CZ4
DAKXR
DILTD
D~K
E3Z
EBS
ECM
EE~
EIF
F5P
F9B
FLUFQ
FOEOM
FOTVD
FQBLK
GAUVT
GJXCC
GX1
H13
H5~
HAR
HW0
HZ~
IH2
IOX
J21
JXSIZ
KAQDR
KOP
KQ8
KSI
KSN
L7B
M-Z
N9A
NGC
NOMLY
NOYVH
NPM
O9-
OAWHX
OCZFY
ODMLO
OHH
OJQWA
OJZSN
OK1
OPAEJ
OVD
OWPYF
P2P
P6G
PAFKI
PEELM
PQQKQ
Q1.
Q5Y
R44
RD5
ROL
ROX
ROZ
RUSNO
RW1
RXO
TCURE
TEORI
TJX
TR2
UHB
UPT
WOQ
X7H
YAYTL
YF5
YKOAZ
YOC
YROCO
YSK
YXANX
ZKX
~91
7X8
ACUTJ
DIK
EMOBN
ML0
W8F
ID FETCH-LOGICAL-c342t-325066599961ed1c3c65a0fefcf02574e6b3bc7820d16d7bda681a4581355fc22
IEDL.DBID 7X8
ISICitedReferencesCount 0
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001412756600001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 1476-6256
IngestDate Wed Oct 01 15:00:49 EDT 2025
Thu May 29 04:59:32 EDT 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 5
Keywords gender norms
intimate partner violence
mediation analysis
contraceptive use
Sub-Saharan Africa
married adolescents
Language English
License The Author(s) 2024. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c342t-325066599961ed1c3c65a0fefcf02574e6b3bc7820d16d7bda681a4581355fc22
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ORCID 0000-0003-4513-4582
0000-0002-5320-9575
0000-0001-5220-6834
0000-0002-2943-2005
0000-0001-9913-0996
0000-0001-9177-6063
0000-0002-8798-8693
0000-0002-4764-9195
0000-0002-7557-7977
0000-0003-4140-5197
0000-0003-4295-3734
0000-0002-4708-5289
OpenAccessLink https://academic.oup.com/aje/advance-article-pdf/doi/10.1093/aje/kwae294/58979914/kwae294.pdf
PMID 39214646
PQID 3099805739
PQPubID 23479
ParticipantIDs proquest_miscellaneous_3099805739
pubmed_primary_39214646
PublicationCentury 2000
PublicationDate 2025-May-07
PublicationDateYYYYMMDD 2025-05-07
PublicationDate_xml – month: 05
  year: 2025
  text: 2025-May-07
  day: 07
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle American journal of epidemiology
PublicationTitleAlternate Am J Epidemiol
PublicationYear 2025
References 36711886 - medRxiv. 2023 Jan 18:2023.01.12.23284504. doi: 10.1101/2023.01.12.23284504.
References_xml – reference: 36711886 - medRxiv. 2023 Jan 18:2023.01.12.23284504. doi: 10.1101/2023.01.12.23284504.
SSID ssj0011950
Score 2.4831645
Snippet Previous research has demonstrated that the Reaching Married Adolescents intervention (RMA) was associated with changes in inequitable gender norms, intimate...
SourceID proquest
pubmed
SourceType Aggregation Database
Index Database
StartPage 1221
SubjectTerms Adolescent
Adult
Contraception Behavior - psychology
Contraception Behavior - statistics & numerical data
Female
Humans
Intimate Partner Violence - prevention & control
Intimate Partner Violence - statistics & numerical data
Male
Niger - epidemiology
Social Norms
Young Adult
Title Mediating effects of inequitable gender norms on intimate partner violence and contraceptive use in a cluster randomized control trial in Niger
URI https://www.ncbi.nlm.nih.gov/pubmed/39214646
https://www.proquest.com/docview/3099805739
Volume 194
WOSCitedRecordID wos001412756600001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LS8QwEA6-EEF8vx9E8Fq2r03ak4goXnbxoLC3JZtMlura7lvwT_iXnUkjexIEL71kCiWdzHyTeXyMXcvUqgTNXpA1qSVH9vJAWaODHMLcov0LtTCObEK221mnkz_5C7eJL6v8sYnOUJtK0x15I0Eok9H0vvxmOAqINYqyq55CY5mtJghlSKtlZ5FFIIpT110kRYA4X_j-PAziG-oVGm8fCmJiK_4NWzof87D936_bYVseXfLbWh122RKUe2y95fPne2yzvqXjdfPRPvtqOaYOdF_cF3bwynIUHc2KKTVV8b6jmuMlQltcK3FtWiDIBT5EnStxZe77lrgqDXeF78pVysyBzyaA8lxxPZjRPAaOftFU78UneMlqwB1rCEm1iz6MD9jLw_3z3WPgKRoCnaTxNEgQQQnRpKgpAhPpRIumCi1YbRFMyRREL-lpmslnImFkzyiRRSptZhHiHKvj-JCtlFUJx4yDCgkryEijACDKCi1GgxAqjLhSyJMTdvWz9V08ApTXUCVUs0l3sfkn7Kj-f91hPauji_APfUEqTv_w9hnbiIndl8oZ5TlbtWgA4IKt6fm0mIwvnW7hs_3U-gYi4Nv5
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Mediating+effects+of+inequitable+gender+norms+on+intimate+partner+violence+and+contraceptive+use+in+a+cluster+randomized+control+trial+in+Niger&rft.jtitle=American+journal+of+epidemiology&rft.au=Boyce%2C+Sabrina+C&rft.au=Minnis%2C+Alexandra+M&rft.au=Deardorff%2C+Julianna&rft.au=McCoy%2C+Sandra+I&rft.date=2025-05-07&rft.issn=1476-6256&rft.eissn=1476-6256&rft_id=info:doi/10.1093%2Faje%2Fkwae294&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1476-6256&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1476-6256&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1476-6256&client=summon