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A Behavior-Based Intervention That Prevents Sexual Assault: the Results of a Matched-Pairs, Cluster-Randomized Study in Nairobi, Kenya.
- Source :
-
Prevention Science . Oct2017, Vol. 18 Issue 7, p818-827. 10p. - Publication Year :
- 2017
-
Abstract
- <bold>Design: </bold>The study's design was a cluster-randomized, matched-pairs, parallel trial of a behavior-based sexual assault prevention intervention in the informal settlements.<bold>Methods: </bold>The participants were primary school girls aged 10-16. Classroom-based interventions for girls and boys were delivered by instructors from the same settlements, at the same time, over six 2-h sessions. The girls' program had components of empowerment, gender relations, and self-defense. The boys' program promotes healthy gender norms. The control arm of the study received a health and hygiene curriculum. The primary outcome was the rate of sexual assault in the prior 12 months at the cluster level (school level). Secondary outcomes included the generalized self-efficacy scale, the distribution of number of times victims were sexually assaulted in the prior period, skills used, disclosure rates, and distribution of perpetrators. Difference-in-differences estimates are reported with bootstrapped confidence intervals.<bold>Results: </bold>Fourteen schools with 3147 girls from the intervention group and 14 schools with 2539 girls from the control group were included in the analysis. We estimate a 3.7 % decrease, p = 0.03 and 95 % CI = (0.4, 8.0), in risk of sexual assault in the intervention group due to the intervention (initially 7.3 % at baseline). We estimate an increase in mean generalized self-efficacy score of 0.19 (baseline average 3.1, on a 1-4 scale), p = 0.0004 and 95 % CI = (0.08, 0.39).<bold>Interpretation: </bold>This innovative intervention that combined parallel training for young adolescent girls and boys in school settings showed significant reduction in the rate of sexual assault among girls in this population. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PSYCHOLOGICAL factors
*PSYCHODYNAMICS
*ATTITUDE (Psychology)
*AFRICAN American leadership attitudes
*AGGRESSION (Psychology)
*CLUSTER analysis (Statistics)
*COMPARATIVE studies
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*SCHOOL health services
*SEX crimes
*TEENAGERS' conduct of life
*EVALUATION research
*RANDOMIZED controlled trials
Subjects
Details
- Language :
- English
- ISSN :
- 13894986
- Volume :
- 18
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Prevention Science
- Publication Type :
- Academic Journal
- Accession number :
- 125188106
- Full Text :
- https://doi.org/10.1007/s11121-016-0701-0