Gender-transformative interventions to reduce HIV risks and violence with heterosexually-active men: a review of the global evidence.
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.
Department of Social and Behavioral Sciences, University of California at San Francisco, 3333 California Street, LHTS #455, San Francisco, CA, 94118, USA, shari.dworkin@ucsf.edu.
Shari L
SL
Dworkin
Sarah
S
Treves-Kagan
Sheri A
SA
Lippman
D017579:Domestic Violence / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D014943:Global Health; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D020010:Heterosexuality; D006801:Humans; D008297:Male; D057228:Masculinity; D012307:Risk Factors; D012737:Sex Factors; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology; D012747:Sexual Partners / Q000523:psychology; D012944:Social Support