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Can men's violence reporting behavior be improved? Evidence from a couples-based cluster randomized controlled trial
Nafisa Halim1, Neeta Ghanekar1, Ester Steven Mzilangwe2
1Department of Global Health, School of Public Health, Boston University, Boston, MA, United States.
Frontiers in Public Health
|November 28, 2025
Summary
An intervention improved men's accurate reporting of intimate partner violence (IPV) by increasing their understanding of harmful behaviors. This study highlights the importance of defining IPV to address underreporting in communities where it is socially accepted.
Area of Science:
- Public Health
- Social Sciences
- Gender Studies
Background:
- Intimate partner violence (IPV) measurement is hindered by underreporting, particularly by men, due to societal acceptance and lack of awareness of harmful behaviors.
- Understanding the reasons for men's non-disclosure of IPV perpetration is crucial for developing effective interventions.
Purpose of the Study:
- To evaluate an intervention designed to enhance men's comprehension of IPV and its impact.
- To assess the intervention's effect on men's accurate reporting of IPV, measured by concordance with female partners' reports.
Main Methods:
- A cluster-randomized controlled trial involving 450 couples in Tanzania across three arms: peer group discussions on gender/IPV, peer groups plus community dialogues, and a control group.
- Data collection from both partners on IPV, with a primary outcome of couples' concordant reporting of IPV occurrence.
Main Results:
- Concordant reporting increased significantly for physical, sexual, and economic IPV in Intervention Arm 1, and for physical and sexual IPV in Intervention Arm 2.
- Men in Intervention Arm 1 showed improved agreement with their female partners' IPV reports.
- No significant improvement was observed in the concordant reporting of emotional IPV across study arms.
Conclusions:
- Men's failure to report IPV may stem from a lack of recognition of their behaviors as abusive, especially in accepting societies.
- Defining IPV within survey instruments can enhance men's reporting accuracy and improve IPV measurement.
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