Abstract:
BACKGROUND:Community mobilization (CM) interventions show promise in changing gender norms and preventing HIV, but few have been based on a defined mobilization model or rigorously evaluated. The purpose of this paper is to describe the intervention design and implementation and present baseline findings of a Cluster Randomized Controlled Trial (RCT) of a two-year, theory-based CM intervention that aimed to change gender norms and reduce HIV risk in rural Mpumalanga province, South Africa. METHODS:Community Mobilizers and volunteer Community Action Teams (CATs) implemented two-day workshops, a range of outreach activities, and leadership engagement meetings. All activities were mapped onto six theorized mobilization domains. The intervention is being evaluated by a randomized design in 22 communities (11 receive intervention). Cross-sectional, population-based surveys were conducted with approximately 1,200 adults ages 18-35 years at baseline and endline about two years later. CONCLUSIONS:This is among the first community RCTs to evaluate a gender transformative intervention to change norms and HIV risk using a theory-based, defined mobilization model, which should increase the potential for impact on desired outcomes and be useful for future scale-up if proven effective. TRIAL REGISTRATION:ClinicalTrials.gov NCT02129530.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Pettifor A,Lippman SA,Selin AM,Peacock D,Gottert A,Maman S,Rebombo D,Suchindran CM,Twine R,Lancaster K,Daniel T,Gómez-Olivé FX,Kahn K,MacPhail Cdoi
10.1186/s12889-015-2048-zsubject
Has Abstractpub_date
2015-08-06 00:00:00pages
752issn
1471-2458pii
10.1186/s12889-015-2048-zjournal_volume
15pub_type
杂志文章,随机对照试验abstract:BACKGROUND:An accurate prediction of unplanned readmission (UR) after discharge from hospital can facilitate physician's decision making processes for providing better quality of care in geriatric patients. The objective of this study was to explore the association of cardiac autonomic functions as measured by frequenc...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-137
更新日期:2011-02-27 00:00:00
abstract:BACKGROUND:Understanding the reasons for the social gradient in sickness absence might provide an opportunity to reduce the general rates of sickness absence. The complete explanation for this social gradient still remains unclear and there is a need for studies using randomized working population samples. The main aim...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-163
更新日期:2012-03-07 00:00:00
abstract:BACKGROUND:Family planning programs have recently undergone a fundamental shift from being focused on women only to focusing on men individually, or on both partners. However, contraceptive use among married men has remained low in most high-fertility countries including Uganda. Men's role in reproductive decision-maki...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-286
更新日期:2014-03-28 00:00:00
abstract:BACKGROUND:Cancer screening invitations can explicitly recommend attendance or encourage individuals to consider the risks and benefits before deciding for themselves. Public preferences for these approaches might vary. We explored ethnic minority women's preferences for a strong recommendation to be screened. METHODS...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4093-2
更新日期:2017-02-03 00:00:00
abstract:BACKGROUND:In the last decades, there have been no studies carried out in Lithuania on the quality of life of breast cancer patients. The aim of the present study was to evaluate changes in the quality of life of Lithuanian women with the early stage of breast cancer nine months after surgery and its dependence on surg...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-124
更新日期:2007-06-26 00:00:00
abstract:BACKGROUND:Intimate partner violence (IPV) and sexually transmitted infections (STIs), including HIV, remain important public health problems with devastating health effects for men and women in sub-Saharan Africa. There have been calls to engage men in prevention efforts, however, we lack effective approaches to reach...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-016-2774-x
更新日期:2016-02-03 00:00:00
abstract:BACKGROUND:In the last decade Poland has successfully carried out effective anti-tobacco campaigns and introduced tobacco control legislation. This comprehensive strategy has focused on the general population and has led to a considerable decrease in tobacco consumption. Prisoners constitute a relatively small part of ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-181
更新日期:2006-07-07 00:00:00
abstract:BACKGROUND:A number of companies publish corporate social responsibility (CSR) reporting in booklets and other publicly available formats. The purpose of this paper is to clarify the nine-year (2004-2012) trend of occupational safety and health (OSH) activities as described in CSR reporting (by industry sector and comp...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4356-y
更新日期:2017-05-02 00:00:00
abstract:BACKGROUND:Charging for tuberculosis (TB) treatment could reduce completion rates, particularly in the poor. We identified and synthesised studies that measure costs of TB treatment, estimates of adherence and the potential impact of charging on treatment completion in China. METHODS:Inclusion criteria were primary re...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-11-393
更新日期:2011-05-26 00:00:00
abstract:BACKGROUND:The HIV epidemic in Russia is concentrated among injection drug users (IDUs). This is especially true for St. Petersburg where high HIV incidence persists among the city's estimated 80,000 IDUs. Although sterile syringes are legally available, access for IDUs may be hampered. To explore the feasibility of us...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-183
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:The eastern and western regions of China are different in many ways such as socioeconomic characteristics and health resource distribution. This study aimed to explore the outpatient health-seeking behavior and compare the influencing factors of residents in Zhejiang and Qinghai Province, which represent the...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7305-0
更新日期:2019-07-19 00:00:00
abstract:BACKGROUND:Go-Golborne was a three-year pilot programme to test an innovative, community-based 'whole system' approach to preventing overweight in children in Golborne ward, London. Whilst there is a growing interest in local whole systems approaches to obesity, understandings of what they look like in practice are new...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09694-2
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:Combined lifestyle interventions (CLIs) have proved to be effective in changing and maintaining behavioural lifestyle changes and reducing overweight and obesity, in clinical and real-world settings. In this CLI, lifestyle coaches are expected to promote lifestyle changes of participants regarding physical a...
journal_title:BMC public health
pub_type: 临床试验,杂志文章
doi:10.1186/s12889-017-5010-4
更新日期:2018-01-08 00:00:00
abstract:BACKGROUND:Area deprivation is a known determinant of health. It is also known that area deprivation is associated with lower impact health promotion. It is less well known, however, whether deprived areas are less responsive to health promotion, or whether they are less exposed. Using data from a national, school-base...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-473
更新日期:2010-08-10 00:00:00
abstract:BACKGROUND:A certain level of public support for smoke-free environments is a prerequisite for adoption and enforcement of policies and can be used as an indicator of readiness for legislative action. This study assessed support for comprehensive smoke-free policies in a range of settings such as hotels and colleges am...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2458-14-1130
更新日期:2014-11-04 00:00:00
abstract:BACKGROUND:The Sahrawi people fled their homes in 1975 as the conflict in Western Sahara escalated and settled down near Tindouf, Algeria, where they still live. High prevalence of overweight and obesity and type 2 diabetes had been found in this protracted refugee setting. Scaling up national policy efforts to promote...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-021-10217-w
更新日期:2021-01-19 00:00:00
abstract:BACKGROUND:Caffeine is a common additive in formulated beverages, including sugar-sweetened beverages. Currently there are no data on the consumption of caffeinated formulated beverages in Australian children and adolescents. This study aimed to determine total intake and consumption patterns of CFBs in a nationally re...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1443-9
更新日期:2015-01-31 00:00:00
abstract:BACKGROUND:In the last thirty years, major shifts in immigrant policy at national and state levels has heightened boundaries among citizens, permanent residents, and those with other statuses. While there is mounting evidence that citizenship influences immigrant health care inequities, there has been less focus on how...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09525-4
更新日期:2020-10-15 00:00:00
abstract:BACKGROUND:Most public health guidelines recommend that adults need to participate in 30 minutes of moderate intensity physical activity on most days of the week to maintain good health. Achieving the recommended 30 minutes of exercise a day can be difficult in middle aged, overweight women. This 12 week study evaluate...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-11-204
更新日期:2011-03-31 00:00:00
abstract:BACKGROUND:Alcohol makes an important contribution to premature mortality in many countries in Eastern Europe, including Estonia. However, the full extent of its impact, and the mechanisms underlying it, are challenging issues to research. We describe the design and initial findings of a study aimed at investigating th...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-146
更新日期:2012-02-27 00:00:00
abstract:BACKGROUND:Pain is common in otherwise healthy adolescents. In recent years widespread musculoskeletal pain, in contrast to single site pain, and associating factors has been emphasized. Musculoskeletal pain has not been examined in Arctic indigenous adolescents. The aim of this study was to explore the prevalence of w...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-617
更新日期:2014-06-18 00:00:00
abstract:BACKGROUND:Populations in Europe are becoming increasingly ethnically diverse, and health risks differ between ethnic groups. The aim of the HELIUS (HEalthy LIfe in an Urban Setting) study is to unravel the mechanisms underlying the impact of ethnicity on communicable and non-communicable diseases. METHODS/DESIGN:HELI...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-402
更新日期:2013-04-27 00:00:00
abstract:BACKGROUND:The Pan American Health Organization provides technical cooperation to countries in Latin America and the Caribbean for the scale-up of HIV care and treatment based on the Treatment 2.0 initiative. Fourteen Joint Review Missions (JRMs) were conducted between March 2012 and October 2014. Evaluating the degree...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2565-9
更新日期:2015-12-19 00:00:00
abstract:BACKGROUND:During the 2009 H1N1 influenza epidemic, policy makers debated over whether, when, and how long to close schools. While closing schools could have reduced influenza transmission thereby preventing cases, deaths, and health care costs, it may also have incurred substantial costs from increased childcare needs...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-353
更新日期:2011-05-20 00:00:00
abstract:BACKGROUND:The prevalence of alcohol consumption among males living in urban settlements in South Africa is high. This paper aims to measure socioeconomic inequalities in alcohol use among men residing in informal settlements and also to examine the factors associated with inequality in alcohol use among men living in ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5925-4
更新日期:2018-08-09 00:00:00
abstract:BACKGROUND:Calcium intake during early adolescence falls short of requirements for maximum bone accretion. Parents and the home food environment potentially influence children's calcium intakes. This study aimed to quantify parental psychosocial factors (PSF) predicting calcium intakes of Asian, Hispanic, and non-Hispa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6297-5
更新日期:2018-12-19 00:00:00
abstract:BACKGROUND:According to the latest Tanzanian National AIDS Control Programme (NACP) report a total of 147,271 individuals donated blood during the year 2002. However, blood safety remains an issue of major concern in transfusion medicine in Tanzania where national blood transfusion services and policies, appropriate in...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-21
更新日期:2006-01-30 00:00:00
abstract:BACKGROUND:Inappropriate use of antibiotics is a worldwide issue. In order to help public health institutions and each particular physician to change patterns of consumption among patients, it is important to understand better the reasons why people accept to take or refuse to take the antibiotic drugs. This study expl...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6834-x
更新日期:2019-04-27 00:00:00
abstract:BACKGROUND:Currently there are very limited empirical data available on the prevalence of pulmonary tuberculosis among residents of marginalized settings in Pakistan. This study assessed the prevalence of pulmonary tuberculosis through active case detection and evaluated predictors of pulmonary tuberculosis among resid...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-70
更新日期:2007-05-03 00:00:00
abstract:BACKGROUND:The number of papers on the health related quality of life of patients with DM has grown in recent years but fewer studies have drawn comparisons between diabetic persons and the general population considering different risk groups. The aim of this study is to examine health related quality of life (HRQOL) i...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-812
更新日期:2012-09-20 00:00:00