Tankard Margaret E, Paluck Elizabeth Levy, Prentice Deborah A
Department of Psychology, Princeton University, Princeton, NJ, 08540, USA.
BMC Womens Health. 2019 Jan 25;19(1):17. doi: 10.1186/s12905-019-0717-2.
Women's economic empowerment has long been assumed to lead to their social empowerment, but systematic tests of this relationship have only recently begun to appear in the literature. Theory predicts that control over resources, as through a savings account, may increase women's negotiating power and self-efficacy. In this way, "economic empowerment" may lead to "social empowerment," and have related benefits such as helping to reduce risk of intimate partner violence (IPV). The current study tests effects of an economic empowerment intervention on women's social empowerment, IPV victimization, and health.
We conducted an 18-month randomized controlled trial among 1800 urban poor women in Colombia between 2013 and 2015. The trial tested the impact of a savings account offer bundled with health services (vs. health services alone) on social empowerment outcomes, IPV victimization, and health.
The bundled savings treatment did not have average effects on most outcomes, although it produced a small significant increase in financial participation and decrease in symptoms of depression. Treatment effects on perceived norms, decision-making patterns, self-reported IPV victimization, and health depended on whether women's partnerships were free of violence when they entered the trial; specifically, women in nonviolent partnerships at baseline showed more positive effects of the intervention.
Although bundling economic empowerment interventions with support features has been shown to empower poor women, this trial found that a bundled treatment did not on average improve most social and health outcomes of poor women experiencing IPV.
Registered retrospectively, prior to realization of outcomes, 5/29/14: Evidence in Governance and Politics #20140529AA .
长期以来，人们一直认为妇女的经济赋权会带来其社会赋权，但对这种关系的系统检验直到最近才开始出现在文献中。理论预测，通过储蓄账户等方式对资源的控制，可能会增强妇女的谈判能力和自我效能感。通过这种方式，“经济赋权”可能会导致“社会赋权”，并带来诸如有助于降低亲密伴侣暴力（IPV）风险等相关益处。本研究检验了一项经济赋权干预措施对妇女社会赋权、IPV受害情况及健康状况的影响。
2013年至2015年期间，我们在哥伦比亚1800名城市贫困妇女中开展了一项为期18个月的随机对照试验。该试验测试了提供储蓄账户并捆绑健康服务（与仅提供健康服务相比）对社会赋权结果、IPV受害情况及健康状况的影响。
尽管捆绑储蓄治疗对大多数结果没有平均效应，但它使金融参与度略有显著提高，并使抑郁症状有所减轻。对感知规范、决策模式、自我报告的IPV受害情况及健康状况的治疗效果取决于妇女在进入试验时其伴侣关系是否不存在暴力；具体而言，基线时处于非暴力伴侣关系中的妇女显示出该干预措施更积极的效果。
尽管已证明将经济赋权干预措施与支持性特征相结合能够增强贫困妇女的权能，但该试验发现，这种捆绑治疗平均而言并未改善遭受IPV的贫困妇女的大多数社会和健康结果。
在结果实现之前进行追溯注册，2014年5月29日：治理与政治证据#20140529AA 。
