Yale University School of Medicine, USA.
J Interpers Violence. 2010 Jan;25(1):75-93. doi: 10.1177/0886260508329125. Epub 2009 Feb 5.
This study tests the impact of coordinated community response (CCR) on reducing intimate partner violence (IPV) and on modifying knowledge and attitudes. The authors conduct hierarchical linear modeling of data from a stratified random-digit dial telephone survey (n = 12,039) in 10 test and 10 control sites, which include 23 counties from different regions in the United States, to establish the impact of a CCR on community members' attitudes toward IPV, knowledge and use of available IPV services, and prevalence of IPV. Findings indicate that CCRs do not affect knowledge, beliefs, or attitudes of IPV, knowledge and use of available IPV services, nor risk of exposure to IPV after controlling for age, gender, ethnicity, income, and education. Women in communities with 6-year CCRs (as opposed to 3-year CCRs) are less likely to report any aggression against them in the past year. These results are discussed within the context of evaluation challenges of CCRs (e.g., IPV activities in comparison communities, variability across interventions, time lag for expected impact, and appropriateness of outcome indicators) and in light of the evidence of the impact of other community-based collaborations.
本研究旨在测试协调社区应对(CCR)对减少亲密伴侣暴力(IPV)的影响,以及对改变知识和态度的影响。作者对分层随机数字拨号电话调查(n = 12039)的数据进行了层次线性建模,该调查在 10 个测试点和 10 个对照点进行,这些点包括来自美国不同地区的 23 个县,以确定 CCR 对社区成员对 IPV 的态度、对现有 IPV 服务的知识和使用以及 IPV 流行率的影响。研究结果表明,在控制年龄、性别、种族、收入和教育等因素后,CCR 不会影响 IPV 的知识、信念或态度、对现有 IPV 服务的知识和使用,也不会影响接触 IPV 的风险。与 3 年 CCR 相比,拥有 6 年 CCR 的社区中的女性在过去一年中报告的任何针对她们的攻击行为都较少。这些结果在 CCR 评估挑战的背景下进行了讨论(例如,与比较社区的 IPV 活动、干预措施的变异性、预期影响的时间滞后以及适当的结果指标),并根据其他基于社区的合作的影响证据进行了讨论。