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Original article| Volume 66, ISSUE 2, P157-165, February 2020

Promoting Gender Egalitarian Norms and Practices Among Boys in Rural India: The Relative Effect of Intervening in Early and Late Adolescence

      Abstract

      Purpose

      Although the importance of exposing adolescent boys to gender transformative programs has been recognized, such programs are limited in India. Studies that assessed the relative effect of intervening in early compared with late adolescence are even more limited. This article examines the differential effect of exposing boys to a gender transformative program in early and late adolescence on their gender role attitudes and practices.

      Methods

      We used data from a cluster randomized trial of a gender transformative life-skills education cum sports-coaching program for younger boys (aged 13–14 years) and older boys (aged 15–19 years) (N = 962) and used generalized estimating equation model to examine the differential effect.

      Results

      The intervention had a greater effect in helping younger than older boys to espouse gender-egalitarian attitudes (β = .669; p < .001 vs. β = .344; p < .001) and attitudes rejecting men's controlling behaviors (β = .973; p < .003 vs. β = .453; p < .088), men's perpetration of wife beating (β = .423; p < .002 vs. β = .282; p < .035), and violence on unmarried girls (β = .332; p < .038 vs. β = .306; p < .045). Younger boys had higher odds of reporting that their peers would respect them for acting in gender-equitable ways (odds ratio [OR] = 2.15; p < .003) compared with older boys (OR = 1.78; p < .014). However, younger boys had lower odds of intervening to stop incidents of violence that they had witnessed, compared with older boys (OR = 2.17; p < .03 vs. OR = 2.56; p < .002). These differences remained significant even when difference in regular exposure to the intervention was adjusted.

      Conclusions

      Gender transformative programs are likely to be more effective in changing traditional attitudes and practices among boys if they target them during early adolescence compared with late adolescence.

      Keywords

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      References

        • World Health Organization
        Engaging men and boys in changing gender-based inequity in health: Evidence from programme interventions.
        WHO, Geneva2007
        • Kågesten A.
        • Gibbs S.
        • Blum R.W.
        • et al.
        Understanding factors that shape gender attitudes in early adolescence globally: A mixed-methods systematic review.
        PLoS One. 2016; 11: e0157805
        • Lundgren R.
        • Beckman M.
        • Chaurasiya S.P.
        • et al.
        Whose turn to do the dishes? Transforming gender attitudes and behaviours among very young adolescents in Nepal.
        Gender Dev. 2013; 21: 127-145
        • McCarthy K.
        • Brady M.
        • Hallman K.
        Investing when it counts: Reviewing the evidence and charting a course of research and action for very young adolescents.
        Population Council, New York2016: 1-69
        • Patton G.
        • Coffey C.
        • Sawyer S.
        • et al.
        Global patterns of mortality in young people: A systematic analysis of population health data.
        Lancet. 2009; 374: 881-892
      1. United Nations Population Fund (UNFPA).
        (Available at:)
        http://www.unfpa.org/engaging-men-boys#sthash.cfgPw7Q0.dpuf
        Date: 2016
        Date accessed: September 15, 2018
        • Lane C.
        • Brundage C.L.
        • Kreinin T.
        Why we must invest in early adolescence: Early intervention, lasting impact.
        J Adolesc Health. 2017; 61: S10-S11
        • Santhya K.G.
        • Jejeebhoy S.J.
        • Saeed I.
        • et al.
        Growing up in rural India: An exploration into the lives of younger and older adolescents in Madhya Pradesh and Uttar Pradesh.
        Population Council, New Delhi2013
        • Santhya K.G.
        • Acharya R.
        • Pandey N.
        • et al.
        Understanding the lives of adolescents and young adults (UDAYA) in Bihar, India.
        Population Council, New Delhi2017
        • Santhya K.G.
        • Acharya R.
        • Pandey N.
        • et al.
        Understanding the lives of adolescents and young adults (UDAYA) in Uttar Pradesh, India.
        Population Council, New Delhi2017
        • Das M.
        • Ghosh S.
        • Miller E.
        • et al.
        Engaging coaches and athletes in fostering gender equity: Findings from the Parivartan program in Mumbai, India.
        ICRW & Futures Without Violence, New Delhi2012
        • Basu S.
        • Zuo X.
        • Lou C.
        • et al.
        Learning to be gendered: Gender socialization in early adolescence among urban poor in Delhi, India, and Shanghai, China.
        J Adolesc Health. 2017; 61: S24-S29
        • International Institute for Population Sciences (IIPS) and ICF
        National family health survey-4, 2015-2016: India.
        IIPS, Mumbai2017
        • Jewkes R.
        • Nduna M.
        • Levin J.
        • et al.
        A cluster randomized-controlled trial to determine the effectiveness of stepping stones in preventing HIV infections and promoting safer sexual behaviour amongst youth in the rural Eastern Cape, South Africa: Trial design, methods and baseline findings.
        Trop Med Int Health. 2006; 11: 3-16
        • Jewkes R.
        • Nduna M.
        • Levin J.
        • et al.
        Impact of stepping stones on incidence of HIV and HSV-2 and sexual behaviour in rural South Africa: Cluster randomised controlled trial.
        BMJ. 2008; 337: a506
        • Achyut P.
        • Bhatla N.
        • Khandekar S.
        • et al.
        Building support for gender equality among young adolescents in school: Findings from Mumbai, India.
        2011: 1-12 (Available at:) (Accessed January 19, 2019)
        • Jejeebhoy S.J.
        • Acharya R.
        • Pandey N.
        • et al.
        The effect of a gender transformative life skills education and sports-coaching programme on the attitudes and practices of adolescent boys and young men in Bihar.
        Population Council, New Delhi2017
        • Santhya K.G.
        • Jejeebhoy S.J.
        • Acharya R.
        • et al.
        Transforming the attitudes of young men about gender roles and the acceptability of violence against women, Bihar.
        Cult Health Sex. 2019; 7: 1-16
        • Ricardo C.
        • Eads M.
        • Barker G.
        Engaging boys and men in the prevention of sexual violence. Sexual violence research initiative and promundo.
        Sexual violence research initiative (SVRI), Pretoria, South Africa2011 (Available at: http://www.svri.org/sites/default/files/attachments/2016-03-21/menandboys.pdf; Accessed on February 22, 2019)
        • Block J.
        • Robins R.W.
        A longitudinal study of consistency and change in self-esteem from early adolescence to early adulthood.
        Child Dev. 1993; 64: 909-923
        • Crocetti E.
        • Klimstra T.A.
        • Hale 3rd, W.W.
        • et al.
        Impact of early adolescent externalizing problem behaviors on identity development in middle to late adolescence: A prospective 7-year longitudinal study.
        J Youth Adolesc. 2013; 42: 1745-1758
        • Jejeebhoy S.J.
        • Santhya K.G.
        Preventing violence against women and girls in Bihar: Challenges for implementation and evaluation.
        Reprod Health Matters. 2018; 26: 92-108
        • Hayes R.J.
        • Moulton L.H.
        Cluster randomised trials.
        CRC Press, New York2009
        • World Health Organization
        The sexual and reproductive health of younger adolescents in developing countries: Research issues in developing countries: Background paper for consultation.
        (Available at:) (Accessed January 5, 2019)
        • Bakrania S.
        • Ghimire A.
        • Balvin N.
        Bridging the gap to understand effective interventions for adolescent well-being: An evidence gap map on protection, participation, and financial and material well-being in low- and middle-income countries.
        UNICEF Office of Research - Innocenti, Florence2018
        • Laner M.R.
        Violence and its precipitators: Which is more likely to be identified as a dating problem?.
        Deviant Behav. 1990; 11: 319-329
        • Fay K.
        • Medway F.
        An acquaintance rape education program for students transitional to high school.
        Sex Educ. 2006; 6: 223-236
        • Yang S.A.
        • Dong H.
        Factors associated with bystander behaviours of Korean youth in school bullying situations: A cross-sectional study.
        Medicine. 2017; 96: e7757
        • Polanin J.R.
        • Espelage D.L.
        • Pigott T.D.
        A meta-analysis of school-based bullying prevention programs' effects on bystander intervention behavior.
        Sch Psychol Rev. 2012; 41: 47-65
        • Pozzoli T.
        • Gini G.
        Active defending and passive bystanding behavior in bullying: The role of personal characteristics and perceived peer pressure.
        J Abnorm Child Psychol. 2010; 38: 815-827
        • Yeager D.S.
        • Fong C.J.
        • Lee H.Y.
        • Espelage D.L.
        Declines in efficacy of anti-bullying programmes among older adolescents: A developmental theory and a three level meta-analysis.
        J Appl Dev Psychol. 2015; 37: 36-51
        • Jenkins L.N.
        • Nickerson A.B.
        Bystander intervention in bullying: Role of social skills and gender.
        J Early Adolesc. 2018; 39: 141-166
        • Ministry of Health and Family Welfare (MOHFW)
        Rashtriya Kishor Swasthya Karyakram Strategy Handbook.
        MOHFW, Government of India, New Delhi2014
        • Nehru Yuvak Kendra Sangathan (NYKS)
        Brief on NYKS schemes/programmes/activities.
        2016 (Available at:)

      Linked Article

      • Gender Norm Transformative Programing: Where Are We Now? Where Do We Need to Be?
        Journal of Adolescent HealthVol. 66Issue 2
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          The very interesting and well-executed study by Gupta and Santhya published in this month's Journal raises both complex and challenging questions [1]. What they have shown is that when the same school-based gender transformative programming is delivered to younger (aged 13–14 years) and older (aged 15–19 years) boys, the impact of the program appears to be significantly greater for those who are younger. Specifically, the authors found that attitudinal change was greater for the younger group, as it relates to gender egalitarian attitudes, such as the rejection of men's controlling behaviors and the perpetration of wife beating.
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