CoChat
Sign Up
Cited by 509Intimate Partner and Family ViolenceHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual Risk

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Findings from the SASA! Study: a cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda

Open access
Abramsky, Tanya, Devries, Karen, Kiss, Ligia, Nakuti, Janet, Kyegombe, Nambusi, Starmann, Elizabeth, Cundill, Bonnie, Francisco, Leilani, Kaye, Dan, Musuya, Tina, Michau, Lori, Watts, Charlotte·2014·BMC Medicine
DOI 10.1186/s12916-014-0122-5PMC PMC4243194
Open this paper in CoChat — free accountOpen PDF

Abstract

BACKGROUND: Intimate partner violence (IPV) and HIV are important and interconnected public health concerns. While it is recognized that they share common social drivers, there is limited evidence surrounding the potential of community interventions to reduce violence and HIV risk at the community level. The SASA! study assessed the community-level impact of SASA!, a community mobilization intervention to prevent violence and reduce HIV-risk behaviors. METHODS: From 2007 to 2012 a pair-matched cluster randomized controlled trial (CRT) was conducted in eight communities (four intervention and four control) in Kampala, Uganda. Cross-sectional surveys of a random sample of community members, 18- to 49-years old, were undertaken at baseline (n = 1,583) and four years post intervention implementation (n = 2,532). Six violence and HIV-related primary outcomes were defined a priori. An adjusted cluster-level intention-to-treat analysis compared outcomes in intervention and control communities at follow-up. RESULTS: The intervention was associated with significantly lower social acceptance of IPV among women (adjusted risk ratio 0.54, 95% confidence interval (CI) 0.38 to 0.79) and lower acceptance among men (0.13, 95% CI 0.01 to 1.15); significantly greater acceptance that a woman can refuse sex among women (1.28, 95% CI 1.07 to 1.52) and men (1.31, 95% CI 1.00 to 1.70); 52% lower past year experience of physical IPV among women (0.48, 95% CI 0.16 to 1.39); and lower levels of past year experience of sexual IPV (0.76, 95% CI 0.33 to 1.72). Women experiencing violence in intervention communities were more likely to receive supportive community responses. Reported past year sexual concurrency by men was significantly lower in intervention compared to control communities (0.57, 95% CI 0.36 to 0.91). CONCLUSIONS: This is the first CRT in sub-Saharan Africa to assess the community impact of a mobilization program on the social acceptability of IPV, the past year prevalence of IPV and levels of sexual concurrency. SASA! achieved important community impacts, and is now being delivered in control communities and replicated in 15 countries. TRIAL REGISTRATION: ClinicalTrials.gov #NCT00790959.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/s12916-014-0122-5

Cites

27 of 27 references verified0 citation errors · 0 not checkable

Statistics

Figures

Figure 1 Four phases of SASA!
Figure 1 Four phases of SASA!CC BY · PubMed Central
Figure 2 SASA logic model.
Figure 2 SASA logic model.CC BY · PubMed Central
Figure 3 Trial profile.
Figure 3 Trial profile.CC BY · PubMed Central

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 27 references

Research works printed but not linked: 3

  1. Michau L: The SASA! Activist Kit for Preventing Violence against Women and HIV. 2008, Raising Voices, Kampala
  2. Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts CH: WHO Multi-Country Study on Womens Health and Domestic Violence against Women. 2005, World Health Organization, Geneva
  3. Donner A, Klar N: Design and Analysis of Cluster Randomised Trials in Health Research. 2000, Arnold, London

Cited by

Sorted by citations

Items 301–400 of 509

Related

See all

Metadata

Authors
Abramsky, T., Devries, K., Kiss, L., Nakuti, J., Kyegombe, N., Starmann, E., Cundill, B., Francisco, L., Kaye, D., Musuya, T., Michau, L., & Watts, C.
Affiliations
  • London School of Hygiene & Tropical Medicine (GB)
  • Raising Voices (UG)
  • Johns Hopkins University (US)
  • Makerere University (UG)
  • Center for Domestic Violence Prevention (UG)
Corresponding author
Abramsky, Tanya
ORCID
Venue
BMC Medicine
Publisher
Springer Science and Business Media LLC
Published
2014-07-31
Volume
12
Issue
1
Pages
122-122
ISSN
1741-7015 (ISSN-L)
DOI
10.1186/s12916-014-0122-5
PMC
PMC4243194
OpenAlex
W2132488181
Cited by
507
References
27
Citations by year
2026: 39 · 2025: 39 · 2024: 32 · 2023: 41 · 2022: 46 · 2021: 49 · 2020: 48 · 2019: 54 · 2018: 44 · 2017: 30 · 2016: 42 · 2015: 25 · 2014: 17
FWCI
48.37
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Medicine (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • Greater South Information System
Funders
  • Irish Aid
  • London School of Hygiene and Tropical Medicine
  • Jerry M. Lewis, M.D. Mental Health Research Foundation
  • Australian Agency for International Development
  • South African Medical Research Council
  • Serbian Academy of Sciences and Arts
  • Medical Research Council
Topics
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
community mobilization, intimate partner violence, violence against women, HIV risk behavior, sexual concurrency, sexual refusal, Kampala, Uganda, sub-Saharan Africa, community-level interventions, HIV prevention, gender norms, sexual and gender-based violence, sexual and reproductive health
MeSH terms
Adolescent, Adult, Community Health Services, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Risk Factors, Spouse Abuse, Uganda, HIV Infections, Cluster Analysis, Treatment Outcome, Community Networks

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review