Sexual violence among adolescentgirls and young women in Malawi: a cluster-randomized controlled implementation trial of empowerment self-defense training
Sexual violence among adolescentgirls and young women in Malawi: a cluster-randomized controlled implementation trial of empowerment self-defense training
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DOI：
10.1186/s12889-018-6220-0
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发表时间：
2018-12-04
影响因子：
4.5
通讯作者：
Ndirangu, Martin
中科院分区：
文献类型：
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作者：
Decker, Michele R.;Wood, Shannon N.;Ndirangu, Martin
在全球范围内，性暴力十分普遍，尤其是对少女而言。这个集群随机对照实施试验研究了赋权自卫（ESD）在马拉维学龄妇女中降低性侵犯风险的作用。方法随机化分析单位为学校（n=141）。干预参与者在6周内接受12小时的干预，并进行复习。主要结果是过去一年的性暴力发生率和发生率。次要结果包括信心、自卫知识，以及受害者的暴力披露。使用泊松模型评估相互作用对结果的影响，泊松模型对风险比和事故率比进行了学校相关的稳健方差估计（基线n=6644，随访n=4278）。结果干预组学生过去一年性侵犯发生率降低（风险比[RR] 0.68, 95% CI 0.56, 0.82），对照组学生无显著性侵犯发生率降低（交互作用效应p < 0.05）
BackgroundGlobally,sexual violence is prevalent, particularly for adolescent women. This cluster-randomized controlled implementation trial examines empowerment self-defense (ESD) for sexual assault risk reduction among school-age women in Malawi.MethodsThe unit of randomization and analysis was the school (n=141). Intervention participants received a 12-h intervention over 6weeks, with refreshers. Primary outcomes were past-year prevalence and incident rate of sexual violence. Secondary outcomes included confidence, self-defense knowledge, and, for those victimized, violence disclosure. Interaction effects on outcomes were evaluated with Poisson models with school-correlated robust variance estimates for risk ratios and incident rate ratios (baseline n=6644, follow-up n=4278).ResultsPast-year sexual assault prevalence was reduced among intervention students (risk ratio [RR] 0.68, 95% CI 0.56, 0.82), but not control students (interaction effect p