Prevention Science

, Volume 10, Issue 3, pp 260-269

First online:

Integrated Gender-Based Violence and HIV Risk Reduction Intervention for South African Men: Results of a Quasi-Experimental Field Trial

  • Seth C. KalichmanAffiliated withDepartment of Psychology, University of Connecticut Email author 
  • , Leickness C. SimbayiAffiliated withHuman Sciences Research Council
  • , Allanise CloeteAffiliated withHuman Sciences Research Council
  • , Mario ClayfordAffiliated withHuman Sciences Research Council
  • , Warda ArnoldsAffiliated withHuman Sciences Research Council
  • , Mpumi MxoliAffiliated withHuman Sciences Research Council
  • , Gino SmithAffiliated withHuman Sciences Research Council
  • , Chauncey CherryAffiliated withDepartment of Psychology, University of Connecticut
  • , Tammy SheferAffiliated withUniversity of the Western Cape
    • , Mary CrawfordAffiliated withDepartment of Psychology, University of Connecticut
    • , Moira O. KalichmanAffiliated withDepartment of Psychology, University of Connecticut

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South Africa is in the midst of one of the world’s most devastating HIV/AIDS epidemics and there is a well-documented association between violence against women and HIV transmission. Interventions that target men and integrate HIV prevention with gender-based violence prevention may demonstrate synergistic effects. A quasi-experimental field intervention trial was conducted with two communities randomly assigned to receive either: (a) a five session integrated intervention designed to simultaneously reduce gender-based violence (GBV) and HIV risk behaviors (N = 242) or (b) a single 3-hour alcohol and HIV risk reduction session (N = 233). Men were followed for 1-, 3-, and 6-months post intervention with 90% retention. Results indicated that the GBV/HIV intervention reduced negative attitudes toward women in the short term and reduced violence against women in the longer term. Men in the GBV/HIV intervention also increased their talking with sex partners about condoms and were more likely to have been tested for HIV at the follow-ups. There were few differences between conditions on any HIV transmission risk reduction behavioral outcomes. Further research is needed to examine the potential synergistic effects of alcohol use, gender violence, and HIV prevention interventions.