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Impact of the RHANI Wives intervention on marital conflict and sexual coercion
Author(s) -
Saggurti Niranjan,
Nair Saritha,
Silverman Jay G.,
Naik Dattaram D.,
Battala Madhusudana,
Dasgupta Anindita,
Balaiah Donta,
Raj Anita
Publication year - 2014
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2014.01.015
Subject(s) - sexual coercion , medicine , domestic violence , intervention (counseling) , coercion (linguistics) , poison control , sexual violence , suicide prevention , demography , psychiatry , medical emergency , linguistics , philosophy , sociology , nursing
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 .