全球同意（GlobalConsent），一个基于网络的社会规范教育娱乐项目，对越南大学生中的性暴力行为和旁观者行为的影响：随机对照试验。

Impacts of GlobalConsent, a Web-Based Social Norms Edutainment Program, on Sexually Violent Behavior and Bystander Behavior Among University Men in Vietnam: Randomized Controlled Trial.

机构信息

Rollins School of Public Health, Emory University, Atlanta, GA, United States.

Center for Creative Initiatives in Health and Population, Hanoi, Vietnam.

出版信息

JMIR Public Health Surveill. 2023 Jan 27;9:e35116. doi: 10.2196/35116.

DOI:10.2196/35116

PMID:36705965

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9919511/

Abstract

BACKGROUND

Sexual violence against women is prevalent worldwide. Prevention programs that treat men as allies and integrate a bystander framework are emerging in lower income settings, but evidence of their effectiveness is conflicting.

OBJECTIVE

This study aimed to test the impact of GlobalConsent on sexually violent behavior and prosocial bystander behavior among university men in Vietnam.

METHODS

We used a double-blind, parallel intervention versus control group design with 1:1 randomization at 2 universities. A total of 793 consenting heterosexual or bisexual men aged 18-24 years who matriculated in September 2019 were enrolled and assigned randomly to GlobalConsent or an attention-control adolescent health education (AHEAD) program. GlobalConsent is an adapted, theory-based, 6-module web-based intervention with diverse behavior change techniques and a locally produced serial drama. AHEAD is a customized, 6-module attention-control program on adolescent health. Both the programs were delivered to computers and smartphones over 12 weeks. Self-reported sexually violent behaviors toward women in the prior 6 months and prosocial bystander behaviors in the prior year were measured at 0, 6, and 12 months.

RESULTS

More than 92.7% (735/793) of men in both study arms completed at least 1 program module, and >90.2% (715/793) of men completed all 6 modules. At baseline, a notable percentage of men reported any sexually violent behavior (GlobalConsent: 123/396, 31.1%; AHEAD: 103/397, 25.9%) in the prior 6 months. Among men receiving GlobalConsent, the odds of reporting a high level (at least 2 acts) of sexually violent behavior at the endline were 1.3 times the odds at baseline. Among men receiving AHEAD, the corresponding odds ratio was higher at 2.7. The odds of reporting any bystander behavior at endline were 0.7 times the odds at baseline for GlobalConsent, and the corresponding odds ratio for AHEAD was lower at 0.5.

CONCLUSIONS

Compared with a health attention-control condition, GlobalConsent has sustained favorable impacts on sexually violent behavior and prosocial bystander behavior among matriculating university men in Vietnam, who would otherwise face increasing risks of sexually violent behavior. GlobalConsent shows promise for national scale-up and regional adaptations.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04147455; https://clinicaltrials.gov/ct2/show/NCT04147455.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.1186/s12889-020-09454-2.

摘要

背景

性暴力侵害妇女在全球普遍存在。在收入较低的环境中，出现了以男性为盟友并整合旁观者框架的预防计划，但这些计划的有效性证据相互矛盾。

目的

本研究旨在检验全球同意对越南大学生中男性的性暴力行为和亲社会旁观者行为的影响。

方法

我们采用了一项双盲、平行干预与对照组设计，在两所大学进行了 1:1 的随机分组。共有 793 名同意的 18-24 岁异性恋或双性恋男性入组，并随机分配到全球同意或青少年健康注意控制（AHEAD）方案。全球同意是一种经过改编的、基于理论的、6 个模块的网络干预措施，具有多种行为改变技术和一个本地制作的连续剧。AHEAD 是一个定制的、6 个模块的青少年健康注意控制方案。这两个方案都在 12 周内通过计算机和智能手机进行了交付。在 0、6 和 12 个月时，测量了过去 6 个月内报告的针对女性的任何性暴力行为和过去 1 年的亲社会旁观者行为。

结果

在两个研究组中，超过 92.7%（735/793）的男性完成了至少 1 个方案模块，超过 90.2%（715/793）的男性完成了所有 6 个模块。在基线时，相当一部分男性报告了过去 6 个月内的任何性暴力行为（全球同意：123/396，31.1%；AHEAD：103/397，25.9%）。在接受全球同意的男性中，报告高水平（至少 2 次）性暴力行为的终线比值与基线相比是 1.3 倍。在接受 AHEAD 的男性中，相应的比值比更高，为 2.7。在基线时，接受全球同意的男性报告任何旁观者行为的几率是终线的 0.7 倍，而接受 AHEAD 的男性的比值比则较低，为 0.5。