Agde Zeleke Dutamo, Magnus Jeanette H, Assefa Nega, Wordofa Muluemebet Abera
Department of Population Study and Family Health, Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Reproductive Health, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
Front Public Health. 2025 Mar 10;13:1506459. doi: 10.3389/fpubh.2025.1506459. eCollection 2025.
BACKGROUND: Supportive attitudes toward wife-beating and the experience of controlling behavior from husbands have been known to increase the risks of intimate partner violence (IPV). The aim of this study was to determine the effects of couple-based violence prevention education in addressing IPV-related knowledge, attitudes, and controlling behavior among male partners in rural Ethiopia. METHOD: A cluster randomized controlled trial was conducted using a two-arm parallel group design. The 16 clusters were randomly allocated into 8 intervention groups and 8 control groups. A total of 432 couples (432 male partners and 432 pregnant wives) participated in the trial. Couple-based violence prevention education (CBVPE) was provided to the participants in the intervention group, while the control group received routine or standard care. Difference-in-difference analysis and the Generalized Estimating Equation (GEE) model were used to assess the effectiveness of the intervention. RESULT: At the endline, 94.4% of male partners in the intervention group and 94.9% in the control group were available for the intention-to-treat analysis. Male partners in the intervention group were 3.7 times more likely to have good knowledge about IPV compared to male partners in the control group (AOR = 3.7; 95% CI 2.6-5.4). Male partners in the intervention group were 67.6% less likely to report supportive attitudes toward wife-beating compared to those in the control group (AOR = 0.324; 95% CI 0.229-0.459). Also, the proportion of controlling behavior exhibited by male partners in the intervention group was 56.4% less compared to the control group (AOR = 0.436; 95% CI 0.317-0.600). CONCLUSION: The intervention proved effective in enhancing knowledge about IPV, reducing supportive attitudes toward wife-beating, and curbing controlling behaviors among male partners in the study setting. This approach holds promise for scaling up and adapting to similar contexts in Ethiopia. TRIAL REGISTRATION: The trial was registered on ClinicalTrials.gov with the identifier NCT05856214 on May 4, 2023.
背景：对殴打妻子持支持态度以及有来自丈夫的控制行为经历，已知会增加亲密伴侣暴力（IPV）的风险。本研究的目的是确定基于夫妻的暴力预防教育对埃塞俄比亚农村男性伴侣中与IPV相关的知识、态度和控制行为的影响。 方法：采用双臂平行组设计进行整群随机对照试验。16个整群被随机分为8个干预组和8个对照组。共有432对夫妻（432名男性伴侣和432名怀孕妻子）参与了试验。干预组的参与者接受了基于夫妻的暴力预防教育（CBVPE），而对照组接受常规或标准护理。采用双重差分分析和广义估计方程（GEE）模型来评估干预的有效性。 结果：在终期，干预组94.4%的男性伴侣和对照组94.9%的男性伴侣可用于意向性分析。与对照组的男性伴侣相比，干预组的男性伴侣对IPV有良好了解的可能性高3.7倍（调整优势比[AOR]=3.7；95%置信区间[CI]2.6 - 5.4）。与对照组相比，干预组的男性伴侣对殴打妻子持支持态度的报告可能性低67.6%（AOR = 0.324；95% CI 0.229 - 0.459）。此外，干预组男性伴侣表现出的控制行为比例比对照组低56.4%（AOR = 0.436；95% CI 0.317 - 0.600）。 结论：在研究环境中，该干预被证明在增强对IPV的了解、减少对殴打妻子的支持态度以及抑制男性伴侣的控制行为方面是有效的。这种方法有望在埃塞俄比亚扩大规模并适用于类似情况。 试验注册：该试验于2023年5月4日在ClinicalTrials.gov上注册，标识符为NCT05856214。
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