Department of Health Promotion, Faculty of Applied Sciences, Rajarata University of Sri Lanka, Mihintale, Sri Lanka.
Department of Public Health, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
BMC Public Health. 2024 May 27;24(1):1417. doi: 10.1186/s12889-024-18893-0.
Intimate partner violence is the most common form of violence experienced by women. It has detrimental consequences. A range of determinants cause intimate partner violence and to reduce it, effective interventions are required to address the determinants. Health promotion interventions have been recommended as effective to enable people to control over the determinants and to improve health. Hence, a community based participatory health promotion intervention was developed and tested in a selected study setting. The objective was to evaluate the effectiveness of a health promotion intervention in terms of addressing knowledge, attitudes and practices related to intimate partner violence.
A quasi-experimental study was conducted by recruiting ninety women aged 15 to 49 years separately from two health administrative areas identified as the intervention area and the control area from the Kandy district of Sri Lanka. A pretested interviewer-administered questionnaire was used in both pre- and post-assessments. Selected groups of women from the intervention area were facilitated with a health promotion intervention to improve knowledge, attitudes and practices related to intimate partner violence. To evaluate the effectiveness of the intervention descriptive summaries and bivariate analysis were used.
The response rate was 90.9% (N = 90) during the pre-assessment and 87.9% (n = 87) and 82.8% (n = 82) from the intervention and control areas, respectively, during the post-assessment. Statistically significant improvement was reported in the total mean score comprising knowledge, attitudes, practices and identification of determinants from 59.6 to 80.8 in the intervention area [Pre-assessment: Mean = 59.6 (standard deviation-SD) = 17.5; Post-assessment: Mean = 80.8, SD = 19.0; p < 0.001) compared to the improvement in the control area from 62.2 to 63.0 (Pre-assessment: Mean = 62.2, SD = 17.3; Post-assessment: Mean = 63.0, SD = 18.9; p = 0.654).
The intervention was effective to improve knowledge, attitudes and practices related to intimate partner violence. Hence, the present approach can be used in similar contexts to address the knowledge, attitudes and certain practices related to intimate partner violence.
亲密伴侣暴力是女性最常见的暴力形式。它会产生有害的后果。一系列决定因素导致亲密伴侣暴力，为了减少这种暴力，需要采取有效的干预措施来解决这些决定因素。健康促进干预措施已被证明是有效的，可以使人们控制这些决定因素并改善健康。因此，在选定的研究环境中开发并测试了一种基于社区的参与式健康促进干预措施。其目的是评估健康促进干预措施在解决与亲密伴侣暴力相关的知识、态度和实践方面的有效性。
通过在斯里兰卡康提区从两个被确定为干预区和对照区的卫生行政区分别招募 90 名年龄在 15 至 49 岁的妇女，进行了一项准实验研究。在预评估和后评估中，使用了经过预测试的访谈者管理的问卷。对干预区的特定妇女群体进行了健康促进干预，以提高与亲密伴侣暴力相关的知识、态度和实践。为了评估干预的有效性，使用了描述性摘要和双变量分析。
预评估时的应答率为 90.9%（N=90），干预区和对照组的后评估应答率分别为 87.9%（n=87）和 82.8%（n=82）。报告称，在干预区，包括知识、态度、实践和确定决定因素在内的总分从 59.6 分提高到 80.8 分，统计上有显著改善[预评估：平均分数=59.6（标准差-SD）=17.5；后评估：平均分数=80.8，SD=19.0；p<0.001]，而对照组从 62.2 分提高到 63.0 分（预评估：平均分数=62.2，SD=17.3；后评估：平均分数=63.0，SD=18.9；p=0.654）。
干预措施有效提高了与亲密伴侣暴力相关的知识、态度和实践。因此，这种方法可以在类似情况下用于解决与亲密伴侣暴力相关的知识、态度和某些实践问题。
