Evidence map›Paper›PMID 25999767›Full record

ArticleInternational journal of women's health2015

Relationship power, communication, and violence among couples: results of a cluster-randomized HIV prevention study in a South African township.

Alexandra M Minnis, Irene A Doherty, Tracy L Kline, William A Zule, Bronwyn Myers, Tara Carney, Wendee M Wechsberg

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of women's health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01121692 (Venue-Based Recruitment and HIV Prevention for Alcohol and Other Drug), which is not on this map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
8.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01121692 phase2completednot on this map

Venue-Based Recruitment and HIV Prevention for Alcohol and Other Drug (AOD) Using Couples in South Africa

TypeinterventionalSponsorRTI InternationalRan2010 to 2012Enrolled600ConditionsAlcoholism, HIV InfectionsArmsCouples Intervention, Women's CoOp, Women's CoOp and Men's Intervention
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Adapting an evidence-based HIV behavioral intervention for South African couples.Substance abuse treatment, prevention, and policy · 2015
    Trial
  11. Empowering Women Living With HIV Through Partner-Based Interventions: A Scoping Review.AIDS education and prevention : official publication of the International Society for AIDS Education · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Alexandra M MinnisRTI International, Research Triangle Park, NC, USA ; School of Public Health, University of California, Berkeley, CA, USA.
Irene A DohertyRTI International, Research Triangle Park, NC, USA ; University of North Carolina, Chapel Hill, NC, USA.
Tracy L KlineRTI International, Research Triangle Park, NC, USA.
William A ZuleRTI International, Research Triangle Park, NC, USA.
Bronwyn MyersAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, University of Cape Town, Cape Town, South Africa ; Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
Tara CarneyAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, University of Cape Town, Cape Town, South Africa.
Wendee M WechsbergRTI International, Research Triangle Park, NC, USA ; University of North Carolina, Chapel Hill, NC, USA ; North Carolina State University, Raleigh, NC, USA ; Duke University School of Medicine, Durham, NC, USA.
RTI International · US

Funding

Venue-Based Recruitment and HIV Prevention for AOD Using Couples in South AfricaR01AA018076 · NIAAA · RESEARCH TRIANGLE INSTITUTE · PI WECHSBERG, WENDEE M · 2008 to 2012
$3.1M
NIAAA NIH HHS R01 AA018076
6 · The paper itself

Abstract

backgroundInequitable gender-based power in relationships and intimate partner violence contribute to persistently high rates of HIV infection among South African women. We examined the effects of two group-based HIV prevention interventions that engaged men and their female partners together in a couples intervention (Couples Health CoOp [CHC]) and a gender-separate intervention (Men's Health CoOp/Women's Health CoOp [MHC/WHC]) on women's reports of power, communication, and conflict in relationships.

methodsThe cluster-randomized field experiment included heterosexual couples from a high-density South African township in which neighborhoods were randomized to one of the intervention arms or a control arm that received the WHC only. Participants completed in-person study visits at baseline and 6-month follow-up. We examined group differences using one-way analysis of variance and multivariable regression models.

resultsOf the 290 couples enrolled, 255 women remained in the same partnership over 6 months. Following the intervention, women in the CHC arm compared with those in the WHC arm were more likely to report an increase in relationship control (β=0.92, 95% confidence interval [CI]: 0.02, 1.83, P=0.045) and gender norms supporting female autonomy in relationships (β=0.99, 95% CI: 0.07, 1.91, P=0.035). Women in the MHC/WHC arm were more likely to report increases in relationship equity, relative to those in the CHC arm, and had a higher odds of reporting no victimization during the previous 3 months (MHC/WHC vs WHC: odds ratio =3.05, 95% CI: 1.55, 6.0, P=0.001; CHC vs MHC/WHC: odds ratio =0.38, 95% CI: 0.20, 0.74, P=0.004).

conclusionMale partner engagement in either the gender-separate or couples-based interventions led to modest improvements in gender power, adoption of more egalitarian gender norms, and reductions in relationship conflict for females. The aspects of relationship power that improved, however, varied between the couples and gender-separate conditions, highlighting the need for further attention to development of both gender-separate and couples interventions.

Indexed as

empowermentgenderHIV preventionpartner interventions

Identifiers

PMID25999767
PMCPMC4435250
OpenAlexW1613458473

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.