Niranjan Saggurti1, Saritha Nair2, Jay G Silverman3, Dattaram D Naik2, Madhusudana Battala4, Anindita Dasgupta5, Donta Balaiah2, Anita Raj6. 1. Population Council, New Delhi, India. Electronic address: nsaggurti@popcouncil.org. 2. National Institute for Research in Reproductive Health, Mumbai, India. 3. Center on Gender Equity and Health, Division of Global Public Health, Department of Medicine, University of California San Diego, San Diego, USA; Department of Society, Human Development and Health, Harvard School of Public Health, Harvard University, Boston, USA. 4. Population Council, New Delhi, India. 5. Center on Gender Equity and Health, Division of Global Public Health, Department of Medicine, University of California San Diego, San Diego, USA; Joint Doctoral Program in Public Health (Global Health), San Diego State University/University of California, San Diego, USA. 6. Center on Gender Equity and Health, Division of Global Public Health, Department of Medicine, University of California San Diego, San Diego, USA; Department of Medicine, Section of General Internal Medicine, Clinical Addiction Research and Education, Boston University School of Medicine, Boston Medical Center, Boston, USA.
Abstract
OBJECTIVE: To assess the effects of the RHANI (Reducing HIV among Non-Infected) Wives intervention on marital conflict and intimate partner violence (IPV) in urban India. METHODS: A 2-armed cluster-randomized controlled trial (7 intervention, 6 control clusters) of the RHANI Wives intervention was conducted with 220 women contending with a history of IPV and/or husband's drunken behavior. Participants were surveyed at baseline and 4.5-month follow-up. Outcome measures included marital conflict (arguments with husband in past 3 months), marital IPV (physical or sexual violence from husband in past 3 months), and marital sexual coercion (husband forcing sex at last sex). Intention-to-treat logistic generalized linear mixed models were used to determine intervention impact. RESULTS: One-third (35.0%) of participants reported physical or sexual abuse from their husband in the past 3 months, and 58.6% reported that their husband was drunk in the past 30 days. Intention-to-treat analyses indicated time×treatment reductions in marital conflict (risk ratio [RR] 0.4; 90% confidence interval [CI], 0.1-0.9; P=0.06) and marital sexual coercion (RR 0.2; 90% CI, 0.05-0.9; P=0.08), but not IPV. CONCLUSION: The findings suggest the potential utility of this intervention in reducing marital conflict and sexual coercion among women in urban India. ClinicalTrials.gov: NCT01592994.
RCT Entities:
OBJECTIVE: To assess the effects of the RHANI (Reducing HIV among Non-Infected) Wives intervention on marital conflict and intimate partner violence (IPV) in urban India. METHODS: A 2-armed cluster-randomized controlled trial (7 intervention, 6 control clusters) of the RHANI Wives intervention was conducted with 220 women contending with a history of IPV and/or husband's drunken behavior. Participants were surveyed at baseline and 4.5-month follow-up. Outcome measures included marital conflict (arguments with husband in past 3 months), marital IPV (physical or sexual violence from husband in past 3 months), and marital sexual coercion (husband forcing sex at last sex). Intention-to-treat logistic generalized linear mixed models were used to determine intervention impact. RESULTS: One-third (35.0%) of participants reported physical or sexual abuse from their husband in the past 3 months, and 58.6% reported that their husband was drunk in the past 30 days. Intention-to-treat analyses indicated time×treatment reductions in marital conflict (risk ratio [RR] 0.4; 90% confidence interval [CI], 0.1-0.9; P=0.06) and marital sexual coercion (RR 0.2; 90% CI, 0.05-0.9; P=0.08), but not IPV. CONCLUSION: The findings suggest the potential utility of this intervention in reducing marital conflict and sexual coercion among women in urban India. ClinicalTrials.gov: NCT01592994.
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