<b>Objective</b> To assess the impact of Stepping Stones, a HIV prevention programme, on incidence and herpes simplex type 2 (HSV-2) sexual behaviour. <b>Design</b> Cluster randomised controlled trial. <b>Setting</b> 70 villages (clusters) in Eastern Cape province South Africa. <b>Participants</b> 1360 men 1416 women aged 15-26 years, who were mostly attending schools. <b>Intervention</b> 50 hour aims to improve health by using participatory learning approaches build knowledge, risk...

Summary Objective To describe the study design, methods and baseline findings of a behavioural intervention trial aimed at reducing HIV incidence. Method A cluster randomized‐controlled (RCT) conducted in 70 villages rural South Africa. intervention, Stepping Stones, was implemented 35 communities two workshops 20 men women each community who met for 17 sessions (50 h) over period 3–12 weeks. Individuals control arm attended single session about 3 h on safer sex. Impact assessment through...

Objectives: To examine associations between the perpetration of intimate partner violence and HIV risk behaviour among young men in rural South Africa. Design: An analysis baseline data from enrolling a randomized controlled trial behavioural intervention, Stepping Stones. Methods: Structured interviews with 1275 sexually experienced aged 15–26 years 70 villages Eastern Cape. Participants were asked about type, frequency, timing against female partners, as well range questions behaviours....

Objective To describe the prevalence and patterns of rape perpetration in a randomly selected sample men from general adult population, to explore factors associated with how explained their acts rape. Design Cross-sectional household study two- stage men. Methods 1737 South African aged 18–49 completed questionnaire administered using an Audio-enhanced Personal Digital Assistant. Multivariable logistic regression models were built identify perpetration. Results In all 27.6% (466/1686) had...

Gender-based violence is a key health risk for women globally and in South Africa. The authors analyzed data from 1,395 interviews with attending antenatal clinics Soweto, Africa, between November 2001 April 2002 to estimate the prevalence of physical/sexual partner (55.5%), adult sexual assault by nonpartners (7.9%), child (8.0%), forced first intercourse (7.3%). Age at experience each type was modeled Kaplan-Meier method, Cox hazard models time-varying covariates were used explore whether...

Background This paper aims to describe factors associated with HIV sero-status in young, rural South African women and the relationship between intimate partner violence (IPV) HIV.

Background Psychological factors are often neglected in HIV research, although psychological distress is common low‐ to middle‐income countries, such as South Africa. There a need deepen our understanding of the role mental health epidemic. We set out investigate whether baseline depressive symptomatology was associated with risky sexual behaviour and relationship characteristics men women at baseline, well those found 12 months later. Methods used prospective cohort data from cluster...

Objective To investigate the associations between intimate partner violence, rape and HIV among South African men. Design Cross-sectional study involving a randomly-selected sample of Methods We tested hypotheses that perpetration physical violence were associated with prevalent infections in cross-sectional household 1229 men aged 18–49. Violence was elicited response to questionnaire administered using an Audio-enhanced Personal Digital Assistant blood samples for HIV. A multivariable...

Background Understanding the past-year prevalence of male-perpetrated intimate partner violence (IPV) and risk factors is essential for building evidence-based prevention monitoring progress to Sustainable Development Goal (SDG) 5.2, but so far, population-based research on this remains very limited. The objective study compare population rates IPV nonpartner rape from women's men's reports across 4 countries in Asia Pacific. A further describe associated with experience physical or sexual...

Background: Understanding the drivers of intimate partner violence (IPV), perpetrated by men and experienced women, is a critical task for developing effective prevention programmes.Objectives: To provide comprehensive assessment IPV.Methods: A review IPV, at end six-year programme research through What Works to Prevent Violence Against Women Girls Global Programme with reference other important in field.Results: Broadly, we argue that IPV driven poverty, patriarchal privilege, normative use...

Introduction Adolescents having unprotected heterosexual intercourse are at risk of HIV infection and unwanted pregnancy. However, there is little evidence to indicate whether pregnancy in early adolescence increases the subsequent infection. In this paper, we tested hypothesis that adolescent (aged 15 or younger) incident young South African women. Methods We assessed 1099 HIV‐negative women, aged 15–26 years, who were volunteer participants a cluster‐randomized, controlled prevention trial...

Little research has assessed the impact of emotional intimate partner violence (IPV) and economic IPV on women's mental health. Using cross-sectional data from Stepping Stones Creating Futures intervention trial baseline, in eThekwini Municipality, South Africa we assess three questions. First, whether make independent contributions to health outcomes; second what matters, severity, variety, or absolute experience? third, are some items more important driving impacts than others? We...

Background Between 2015 and 2018, three civil society organisations in Rwanda implemented Indashyikirwa , a four-part intervention designed to reduce intimate partner violence (IPV) among couples within communities. We assessed the impact of programme’s gender transformative curriculum for couples. Methods Sectors (n=28) were purposively selected based on density village savings loan association (VLSA) groups randomised (with stratification by district) either full community-level programme...

Intimate partner violence (IPV) is a global public health problem, associated with negative physical and mental impacts. Research on IPV has mainly focused heterosexual relationships limited focus same-sex relationships. This paper reports the findings of qualitative study which explored experiences, context, drivers, impact in students who identify as lesbian, bisexual, queer (LBQ) women at three campuses university South Africa. We collected data through group discussions (FGDs) 56...

Objective. We explored links among economically motivated relationships, transactional sex, and risk behavior for human immunodeficiency virus (HIV) sexually transmitted infections (STIs) unmarried African American white women. Methods. drew on data from 1,371 women aged 20 to 45 years that we collected via a random-digit-dial telephone survey in the U.S. Results. Of all respondents, 33.3% (95% confidence interval 28.8, 38.0) reported staying relationship longer than they wanted because of...