Institute of Health and Wellbeing, University of Glasgow, Glasgow, Scotland.
Institute of Psychology, Health and Society, University of Liverpool, Liverpool, United Kingdom.
Trauma Violence Abuse. 2020 Oct;21(4):643-659. doi: 10.1177/1524838018784585. Epub 2018 Jul 1.
Intimate partner violence (IPV) perpetrated by males is the most prevalent form of violence against women across the globe. A systematic review was carried out to identify published randomized controlled trials of interventions aiming to prevent or reduce IPV in Sub-Saharan Africa. Details were sought on the interventions, outcomes, and risk of bias in evaluations.
Articles were identified by searching MEDLINE, Embase, Web of Science, and PsycInfo. The search included terms pertaining to IPV, the research design, and the target geographical region. To be included, studies needed to have assessed the impact of an intervention on reported incidence, prevalence of IPV, or measures of related attitudes and behaviors. Fifteen papers were included in the final review. Risk of bias was evaluated using the Cochrane Library "Risk of Bias" tool.
Findings suggest that interventions have the potential to reduce IPV-related behaviors and attitudes. Certain types of IPV were more amenable to change than others. Higher levels of efficacy were identified in interventions that had longer follow-up, addressed IPV as a main aim, and occurred at the community level or multiple levels of the social ecology.
Findings should be interpreted in light of varying risks of bias. Suggestions are made for future research and practice.
男性实施的亲密伴侣暴力（IPV）是全球范围内针对女性的最普遍形式的暴力。进行了一项系统评价，以确定旨在预防或减少撒哈拉以南非洲地区 IPV 的已发表的随机对照试验。详细了解了干预措施、结果以及评估中的偏倚风险。
通过搜索 MEDLINE、Embase、Web of Science 和 PsycInfo 来确定文章。搜索包括与 IPV、研究设计和目标地理区域相关的术语。为了被纳入，研究需要评估干预对报告的发生率、IPV 的流行率或相关态度和行为措施的影响。最终综述共纳入了 15 篇论文。使用 Cochrane 图书馆“偏倚风险”工具评估偏倚风险。
研究结果表明，干预措施有可能减少与 IPV 相关的行为和态度。某些类型的 IPV 比其他类型更容易改变。在具有更长随访时间、将 IPV 作为主要目标、并在社区或社会生态系统的多个层次上进行的干预措施中，发现了更高的疗效。
应根据不同的偏倚风险来解释研究结果。针对未来的研究和实践提出了建议。
