Gender-Transformative Interventions to Reduce HIV Risks and Violence with Heterosexually-Active Men: A Review of the Global Evidence
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Emerging out of increased attention to gender equality within HIV and violence prevention programming has been an intensified focus on masculinities. A new generation of health interventions has attempted to shift norms of masculinity to be more gender equitable and has been termed “gender-transformative.” We carried out a systematic review of gender-transformative HIV and violence prevention programs with heterosexually-active men in order to assess the efficacy of this programming. After reviewing over 2,500 abstracts in a systematic search, a total of 15 articles matched review criteria. The evidence suggests that gender-transformative interventions can increase protective sexual behaviors, prevent partner violence, modify inequitable attitudes, and reduce STI/HIV, though further trials are warranted, particularly in establishing STI/HIV impacts. In the conclusion, we discuss the promises and limitations of gender-transformative work with men and make suggestions for future research focused on HIV and/or violence prevention.
- Higgins JA, Hoffman S, Dworkin SL. Rethinking gender, heterosexual men, and women’s vulnerability to HIV/AIDS. Am J Public Health. 2010;100(3):435–45. CrossRef
- Mills EJ, Beyrer C, Birungi J, Dybul MR. Engaging men in prevention and care for HIV/AIDS in Africa. PLoS Med. 2012;9(2):e1001167. CrossRef
- Pronyk PM, Hargreaves JR, Kim JC, et al. Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial. Lancet. 2006;368:1973–83. CrossRef
- Dworkin SL, Ehrhardt AA. Going beyond “ABC” to include “GEM”: critical reflections on progress in the HIV/AIDS epidemic. Am J Public Health. 2007;97(1):13–8. CrossRef
- Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;372(9640):764–75. CrossRef
- UNAIDS. Global report: UNAIDS report on the global AIDS epidemic. 2010.
- Hirsch JS, Meneses S, Thompson B, Negroni M, Pelcastre B, del Rio C. The inevitability of infidelity: sexual reputation, social geographies, and marital HIV risk in rural Mexico. Am J Public Health. 2007;97(6):986–96. CrossRef
- Jewkes R, Nduna M, Levin J, et al. Impact of Stepping Stones on incidence of HIV and HSV-2 and sexual behaviour in rural South Africa: cluster randomised controlled trial. BMJ. 2008;337:a506. CrossRef
- Barker G. Dying to be men: youth and masculinity and social exclusion. New York: Routledge; 2005. CrossRef
- Courtenay WH. Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med. 2000;50:1385–401. CrossRef
- Morrell R. Men, movements, and gender transformation in South Africa. J Mens Stud. 2002;10:209–327. CrossRef
- Morrell R. Of boys and men: masculinity and gender in Southern Africa studies. J South Afr Stud. 1998;24:605–29. CrossRef
- Barker G, Ricardo C, Nascimento M, Olukoya A, Santos C. Questioning gender norms with men to improve health outcomes: evidence of impact. Global Public Health. 2009;5(5):539–53. CrossRef
- Jewkes R, Morrell R. Gender and sexuality: emerging perspectives from the heterosexual epidemic in South Africa and implications for HIV risk and prevention. J Int AIDS Soc. 2010;13(1):6.
- Jewkes R, Sikweyiya Y, Morrell R, Dunkle K. The relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional study. PLoS One. 2011;6(9):e24256. CrossRef
- Kalichman SC, Simbayi LC, Cain D, Cherry C, Henda N, Cloete A. Sexual assault, sexual risks and gender attitudes in a community sample of South African men. AIDS Care. 2007;19:20–7. CrossRef
- Pulerwitz J, Barker G. Promoting health relationships and HIV/STI prevention for young men: positive findings from an intervention study in Brazil. Washington, DC: Population Council; 2004.
- Dunkle KL, Jewkes RK, Nduna M, et al. Perpetration of partner violence and HIV risk behaviour among young men in the rural Eastern Cape, South Africa. AIDS. 2006;20:2107–14. CrossRef
- Pulerwitz J, Michaelis A, Verma R, Weiss E. Addressing gender dynamics and engaging men in HIV programs: lessons learned from Horizon research. Public Health Rep. 2010;125:282–92.
- UNAIDS. Report on the Global AIDS Epidemic. Chapter 3: Addressing societal causes of HIV risk and vulnerability. 2008.
- Gupta GR. Gender, sexuality and HIV/AIDS: the what, the why and the how. Can HIV Policy Law Rev. 2000;5(4):86–93.
- Ditlopo P, Mullick S, Askew I, et al. Testing the effectiveness of the Men as Partners program in Soweto, South Africa. USAID: PEPFAR; 2007.
- Kalichman S, Simbayi L, Cloete A, et al. Integrated gender-based violence and HIV risk reduction intervention for South African men: results of a quasi-experimental field trial. Prev Sci. 2009;10(3):260–9. CrossRef
- Pulerwitz J, Martin S, Mehta M, et al. Promoting gender equity for HIV and violence prevention: results from the Male Norms Initiative evaluation in Ethiopia. Washington D.C: PATH; 2010.
- PATH. Evaluation summary: changing gender norms of Kenyan scouts. Washington DC: PATH; 2012.
- Pulerwitz J, Hui W, Arney J, Mueller L. Changing gender norms and reducing HIV/violence risk among workers/students in China (under review).
- Das A, Mogford E, Singh SK, Barbhuiya RA, Chandra S, Walh R. Reviewing responsibilities and renewing relationships: an intervention with men on violence against women in India. Cult Health Sex. 2012;14(6):659–75. CrossRef
- Verma RK, Pulerwtiz J, Mahendra VS, et al. Promoting gender equity as a strategy to reduce HIV risk and gender-based violence among young men in India. Washington D.C.: Population Council; 2008.
- Pulerwitz J, Barker G, Segundo M, Nascimento M. Promoting more gender-equitable norms and behaviors among young men as an HIV/AIDS prevention strategy. Washington DC.: Population Council; 2006.
- Solorzano I, Bank A, Peña R, Espinoza M, Pulerwitz J. Catalyzing personal and social change around gender, sexuality, and HIV: impact evaluation of Puntos de Encuentro’s communication strategy in Nicaragua. Washington D.C.: Population Council; 2008.
- Miller E, Tancredi DJ, McCauley HL, et al. “Coaching boys into men”: a cluster-randomized controlled trial of a dating violence prevention program. J Adolesc Health. 2012;51(5):431–8. CrossRef
- Raj A, Dasgupta A, Lafontant D. The MEN (Making employment and housing needs) Count Intervention: addressing structural and behavioral risks for HIV/STI among heterosexual black men. AIDS Care. 2013;. doi:10.1080/09540121.2013.804901.
- Rhodes SD, McCoy TP, Vissman AT, et al. A randomized controlled trial of a culturally congruent intervention to increase condom use and HIV testing among heterosexually active immigrant Latino men. AIDS Behav. 2011;15(8):1764–75. CrossRef
- Tello J, Cervantes RC, Cordova D, Santos SM. Joven Noble: evaluation of a culturally focused youth development program. J Community Psychol. 2010;38(6):799–811. CrossRef
- Zukoski A, Cupples JB. Male advocates for responsible sexuality (MARS) program final report (2003–2008). Corvallis: Benton County Health Department; 2008.
- Pettifor A, MacPhail C, Kahn K. Effects of cash transfer and community mobilization in young South African women (1R01MH087118-01/HPTN 068). Mmpulanga, South Africa: NIH/NIMH/HPTN; 2009-2014.
- Dworkin SL, Colvin C, Hatcher A, Peacock D. Men’s perceptions of women’s rights and changing gender relations in South Africa: lessons for working with men and boys in HIV and antiviolence programs. Gend Soc. 2012;26(1):97–120. CrossRef
- Lippman SA, Maman S, MacPhail C, Twine R, Peacock D, Kahn K, Pettifor A. Conceptualizing community mobilization for HIV prevention: implications for HIV prevention programming in the African context. PLoS One. Under Review.
- Dworkin SL, Dunbar MS, Krishnan S, Hatcher AM, Sawires S. Uncovering tensions and capitalizing on synergies in HIV/AIDS and antiviolence programs. Am J Public Health. 2011;101(6):995–1003. CrossRef
- Peacock D, Stemple L, Sawires S, Coates TJ. Men, HIV/AIDS, and human rights. J Acquir Immune Defic Syndr. 2009;1(51):S119–25. CrossRef
- Kelly PJ, Lesser J, Cheng AL, et al. A prospective randomized controlled trial of an interpersonal violence prevention program with a Mexican American community. Fam Community Health. 2010;33(3):207–15. CrossRef
- Usdin S, Scheepers E, Goldstein S, Japhet G. Achieving social change on gender-based violence: a report on the impact evaluation of Soul City’s fourth series. Soc Sci Med. 2005;61(11):2434–45. CrossRef
- Villarruel AM, Jemmott JB 3rd, Jemmott LS. A randomized controlled trial testing an HIV prevention intervention for Latino youth. Arch Pediatr Adolesc Med. 2006;160(8):772–7. CrossRef
- Dworkin SL, Hatcher AM, Colvin C, Peacock D. Impact of a gender-transformative HIV and antiviolence program on gender ideologies and masculinities in two rural, South African communities. Men and Masculinities. 2012;16(2):181–202. CrossRef
- Skevington SM, Sovetkina EC, Gillison FB. A systematic review to quantitatively evaluate ‘Stepping Stones’: a participatory community-based HIV/AIDS prevention intervention. AIDS Behav. 2013;17(3):1025–39. CrossRef
- Phillips CV. Publication bias in situ. BMC Med Res Methodol. 2004;4:20. CrossRef
- Blankenship K, Friedman S, Dworkin S, Mantell J. Structural interventions: concepts, challenges and opportunities for research. J Urban Health. 2006;83(1):59–72. CrossRef
- Gender-Transformative Interventions to Reduce HIV Risks and Violence with Heterosexually-Active Men: A Review of the Global Evidence
AIDS and Behavior
Volume 17, Issue 9 , pp 2845-2863
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
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- HIV prevention
- Gender norms
- Gender-transformative interventions
- Violence prevention
- Industry Sectors
- Author Affiliations
- 1. Department of Social and Behavioral Sciences, University of California at San Francisco, 3333 California Street, LHTS #455, San Francisco, CA, 94118, USA
- 2. Center for AIDS Prevention Studies, Department of Medicine, University of California at San Francisco, San Francisco, CA, USA