PITTSBURGH, Dec. 22, 2020 - Through small, neighborhood classes, researchers at UPMC Children's Hospital of Pittsburgh and Promundo-US significantly reduced sexual violence among teenage boys living in areas of concentrated disadvantage.
The study, published today in JAMA, is the culmination of a large Centers for Disease Control and Prevention clinical trial spanning 20 racially segregated neighborhoods in the Pittsburgh area to evaluate two violence prevention programs. The proportion of youth reporting the use of sexual or partner violence in their relationships decreased in both groups by about 12 percentage points.
"To accomplish something like this requires nurturing community partnerships," said study senior author Elizabeth Miller, M.D., Ph.D., chief of adolescent and young adult medicine at UPMC Children's Hospital of Pittsburgh. "In each of these neighborhoods, we worked with community members to facilitate the programs with an eye toward sustainability."
Between 2015-2017, nearly 900 boys between the ages of 13-19 enrolled in these small group programs, which were run by community leaders from each neighborhood.
Half of the sites were randomized to receive job readiness training and the other half were assigned a curriculum called "Manhood 2.0," which is based on Promundo's "Program H" in Brazil. The "H" stands for hombres.
"Manhood 2.0 engages young men in questioning harmful ideas about manhood," said Promundo-US Chief Executive Officer Gary Barker. "It calls men into being part of the solution to ending violence in intimate partner relationships and helps them see the benefits to healthier manhood in their own lives."
Manhood 2.0 was adapted for young men in U.S. urban communities, but the core message remains the same: challenging gender norms that foster violence against women and unhealthy sexual relationships.
For young men enrolled in Manhood 2.0, the use of partner violence--including physical or verbal abuse, sexual harassment, sexual coercion and cyber abuse--dropped from 64% at baseline to 52% in the months following the program. For those who received job training, self-reported sexual violence dropped from 53% to 41%.
That was a surprise. Miller said she expected job training to have a positive impact in other areas of life, but not violence towards women.
"Job skills training is a structural intervention, grounded in economic justice," Miller said. "Perhaps this resonated and resulted in young men using less violence because they felt more hopeful about their future."
Next, the researchers hope to study whether combining Manhood 2.0 with job readiness training might have an even greater impact on intimate partner and sexual violence than either curriculum alone.
"We know that young men often need job skills and opportunities to discuss healthy relationships and healthier manhood," Barker said. "Combining these two proven approaches seems particularly promising and necessary."
Additional authors on the study include Kelley Jones, Ph.D., Alison Culyba, M.D., Ph.D., Taylor Paglisotti, M.P.H., Namita Dwarakanath, Michael Massof, M.P.A., and Zoe Feinstein of UPMC Children's Hospital; Katie Ports, Ph.D., at the Centers for Disease Control and Prevention; Dorothy Espelage, Ph.D., of the University of North Carolina at Chapel Hill; Julie Pulerwitz, Sc.D., of the Population Council; Aapta Garg, M.A., and Jane Kato-Wallace, M.P.H., of Promundo-US; and Kaleab Z. Abebe, Ph.D., of the University of Pittsburgh School of Medicine.
Funding was provided by the Centers for Disease Control and Prevention (grant U01CE002528).
To read this release online or share it, visit http://www.upmc.com/media/news/122220-Miller-JAMA-Manhood [when embargo lifts].
About UPMC Children's Hospital of Pittsburgh
Regionally, nationally, and globally, UPMC Children's Hospital of Pittsburgh is a leader in the treatment of childhood conditions and diseases, a pioneer in the development of new and improved therapies, and a top educator of the next generation of pediatricians and pediatric subspecialists. With generous community support, UPMC Children's Hospital has fulfilled this mission since its founding in 1890. UPMC Children's is recognized consistently for its clinical, research, educational, and advocacy-related accomplishments, including ranking in the top 10 on the 2020-2021 U.S. News & World Report Honor Roll of America's Best Children's Hospitals. UPMC Children's also ranks 15th among children's hospitals and schools of medicine in funding for pediatric research provided by the National Institutes of Health (FY2019).
Founded in Brazil in 1997, Promundo works to promote gender equality and create a world free from violence by engaging men and boys in partnership with women, girls, and individuals of all gender identities. Promundo is a global consortium with members in the United States, Brazil, Portugal, Democratic Republic of the Congo, and Chile that collaborate to achieve this mission by conducting cutting-edge research that builds the knowledge base on masculinities and gender equality; developing, evaluating, and scaling up high-impact interventions and programs; and carrying out national and international campaigns and advocacy initiatives to prevent violence and promote gender equality. For more information, see: http://www.promundoglobal.org.
Contact: Erin Hare (UPMC)
Contact: Alexa Hassink (Promundo-US)