PositivMasc: masculinities and violence against women among young people. Identifying discourses and developing strategies for change, a mixed-method study protocol

Introduction Despite public policies and legislative changes aiming to curtail men’s violence against women (VAW) around the world, women continue to be exposed to VAW throughout their life. One in three women in Europe has reported physical or sexual abuse. Men who display unequitable masculinities are more likely to be perpetrators. VAW is increasingly appearing at younger ages. The aims of the project are fourfold: (1) to explore and position the discourses that young people (men and women, 18–24 years) in Sweden, Spain, Ireland and Israel use in their understanding of masculinities, (2) to explore how these discourses influence young people’s attitudes, behaviours and responses to VAW, (3) to explore individual and societal factors supporting and promoting anti-VAW masculinities discourses and (4) to develop actions and guidelines to support and promote anti-VAW masculinities in these settings. Methods and analysis A participatory explorative mixed-method study will be used. In Phase 1, qualitative methods will be used to identify the discourses that young people and stakeholders use to conceptualise masculinities, VAW and the actions that are needed to support and promote antiviolence masculinities. In Phase 2, concept mapping will be used to quantify the coherence, relative importance and perceived relationship between the different actions to support and promote anti-VAW masculinities. Phase 3 is a knowledge creation and translation phase, based on findings from Phases 1 and 2, where actions and guidelines to promote and support anti-VAW masculinities will be developed. Ethics and dissemination Ethical clearance has been obtained from ethics review boards in each country. Results will be disseminated through peer-reviewed publications, presentations at international conferences, policy briefs, social media and through the project online hub. With its multicountry approach, our project results seek to inform policies and interventions aimed at promoting discourses which challenge hegemonic masculinities.This work was supported by GENDER NET Plus Co-Fund (reference number 2018-00968)

Young people’s constructions of gender norms and attitudes towards violence against women: a critical review of qualitative empirical literature

A growing body of work highlights the increasing significance of violence against women (VAW) in the lives of young people. Research focusing on young people’s gendered attitudes and beliefs towards VAW has a key role to play in explaining and addressing this serious societal phenomenon, but to date, there has been no critical synthesis of empirical literature. This article addresses this lacuna by critically reviewing qualitative empirical research which explores how young people’s attitudes towards, and understandings of, VAW are intertwined with their constructions of gender. We find that young people’s gendered beliefs around men’s perceived physical strength, their construction of heterosexual gender norms and relations, and use of bio-deterministic discourses, are highly salient in moderating attitudes towards VAW, and can lead young people to normalize and justify VAW. Young people express complex and contradictory attitudes towards VAW. Thus, while declaring an intolerance of violence in general, they indicate differing levels of acceptability for different types of violence, dependent on situational context. Reflecting on the methodological scope of the literature, we suggest that qualitative research tools have an important role to play in exploring this attitudinal complexity.This paper was part of a multi-site study supported by GENDER-NET Plus Co-Fund. It was funded by the Ministry of Science and Innovation of Spain (Ref. PCI2019-103580); the Swedish Research Council (Grant Number 2018-00968); the Irish Research Council (GNP-77); and the Ministry of Science and Technology of Israel (3-15662)

Promoting Positive Masculinities to Address Violence Against Women in Young People: Evidence From the PositivMasc Project

Violence against women (VAW) is a global problem of significant magnitude that negatively affects women, men and society as a whole and is becoming more pervasive at earlier ages. In the European Union in 2015, one in three women reported having experienced physical or sexual abuse since age 15. According to the World Health Organization (WHO), one in four young women ages 15-24 who has been in a relationship will have experienced violence by an intimate partner by her mid-twenties. New forms of violence against women, such as cyber-harassment, image-based sexual violence and controlling behavior via social media are quickly emerging as young people embrace technology in their socialization. This is disturbing, given that VAW has devastating consequences for society as a whole. It not only affects the health and well-being of both women and men, it is estimated to cost the EU about 366 billion euros annually. Recent research suggests that societal gender norms and harmful understandings of manhood are at the root of VAW. Men who believe that manhood is about dominance and being in control are more likely to commit VAW. These harmful ideas not only affect women through intimate partner violence (IPV - one form of VAW), they also negatively impact men’s health and well-being, in terms of violence towards other men, poor health, fatherhood and increased risk behaviors among young men. Gender norms are changing along with legislation that favors gender equality, but harmful forms of manhood still persist, and young people face considerable difficulty in navigating these changes. Research shows that educational interventions that incorporate and support positive understandings of manhood, referred to as positive “masculinities” in research literature, are a promising approach to VAW prevention in young people. This brief reports findings from PositivMasc, a multi-country research project that aims to understand how young people think about manhood and VAW and to identify strategies to promote positive masculinities in efforts to reduce gender-based violence. The project’s findings suggest that VAW policies and interventions should explicitly reference manhood and gender roles. They should also integrate a gendertransformative approach in VAW prevention education in schools, among families and in communities, to build gender equity and cultivate empathy and understanding among men. Given that long-term violence can begin and endure if VAW is normalized at young ages, reshaping gender norms must begin early. Supporting the development of positive forms of manhood among young people is crucial to continuing to make progress in eliminating VAW

Stages of Change of the Readiness to Quit Smoking Among a Random Sample of Minority Arab-Male Smokers in Israel

Background Despite advanced smoking prevention and cessation policies in many countries, the prevalence of cigarette smoking among indigenous and some ethnic minorities continues to be high. This study examined the stages of change (SOC) of the readiness to quit smoking among Arab men in Israel shortly after new regulations of free-of-charge smoking cessation workshops and subsidized medications were introduced through primary health care clinics. Methods We conducted a countrywide study in Israel between 2012–2013. Participants, 735 current smokers; 18–64 years old; were recruited from a stratified random sample and interviewed face-to-face using a structured questionnaire in Arabic. We used ordered regression to examine the contribution of socio-economic position (SEP), health status, psychosocial attributes, smoking-related factors, and physician advice to the SOC of the readiness to quit smoking (pre-contemplation, contemplation and preparation). Results Of the current smokers, 61.8 % were at the pre-contemplation stage, 23.8 % were at the contemplation stage, and only 14.4 % were at the preparation stage. In the multinomial analysis, factors significantly (P \u3c 0.05) contributing to contemplation stage compared to pre-contemplation stage included [odds ratio (OR), 95 % confidence interval (CI)]: chronic morbidity [0.52, (0.31-0.88)], social support [1.35, (1.07-1.70)], duration of smoking for 11–21 years [1.94, (1.07-3.50)], three or more previous attempts to quit [2.27, (1.26-4.01)], knowledge about smoking hazards [1.75, (1.29-2.35)], positive attitudes toward smoking prevention [1.44, (1.14-1.82)], and physician advice to quit smoking [1.88, (1.19-2.97)]. The factors significantly (P \u3c 0.05) contributing to preparation stage compared to pre-contemplation stage were [OR, (95 % CI)]: chronic morbidity [0.36, (0.20-0.67)], anxiety [1.07, (1.01-1.13)], social support [1.34, (1.01-1.78)], duration of smoking 5 years or less [2.93, (1.14-7.52)], three or more previous attempts to quit [3.16, (1.60-6.26)], knowledge about smoking hazards [1.57, (1.10-2.21)], and positive attitudes toward smoking prevention [1.34, (1.00-1.82)]. Conclusions Most Arab men who currently smoke are in the pre-contemplation stage, indicating low readiness to quit smoking. New policies of free-of-charge smoking-cessation group sessions and subsidized medications introduced through primary health care clinics in Israel may be less effective among Arab men. For these policies to promote cessation more successfully, tailored interventions and campaigns may be needed to increase the readiness to quit smoking in this population, especially for those at the pre-contemplation stage

Promoting Positive Masculinities to Address Violence Against Women: A Multicountry Concept Mapping Study

Interventions engaging men that challenge unequal gender norms have been shown to be effective in reducing violence against women (VAW). However, few studies have explored how to promote anti-VAW positive masculinity in young adults. This study aims to identify key multicountry strategies, as conceived by young adults and other stakeholders, for promoting positive masculinities to improve gender equity and prevent and target VAW. This study (2019–2021) involved young adults (aged 18–24 years) and stakeholders from Ireland, Israel, Spain, and Sweden. We applied concept mapping, a participatory mixed-method approach, in phases: (1) brainstorming, using semi-structured interviews with young adults (n = 105) and stakeholders (n = 60), plus focus group discussions (n = 88), to collect ideas for promoting anti-VAW positive masculinity; (2) development of an online questionnaire for sorting (n = 201) and rating ideas emerging from brainstorming by importance (n = 406) and applicability (n = 360); (3) based on sorting and rating data, creating rating maps for importance and applicability and clusters/strategies using multidimensional scaling and hierarchical cluster analysis with groupwisdom™ software; and (4) interpretation of results with multicountry stakeholders to reach agreement. The cluster map identified seven key strategies (41 actions) for promoting anti-VAW positive masculinities ranked from highest to lowest: Formal and informal education and training; Preventive education and activities in different settings/areas; Skills and knowledge; Empathy, reflection, and understanding; Media and public efforts; Policy, legislation, and the criminal justice system; and Organizational actions and interventions. Pattern matches indicated high agreement between young people and stakeholders in ranking importance (r = 0.96), but low agreement for applicability (r = 0.60). Agreement in the total sample on prioritizing statements by importance and applicability was also low (r = 0.20); only 14 actions were prioritized as both important and applicable. Young people and stakeholders suggested seven comprehensive, multidimensional, multi-setting strategies to facilitate promoting positive masculinity to reduce VAW. Discrepancy between importance and applicability might indicate policy and implementation obstacles.The author(s) disclosed receipt of the following financial support for the research and/or authorship of this article: This work was part of a multisite study supported by GENDER NET Plus CoFund (reference number 2018-00968). It was funded by the Ministry of Science and Innovation of Spain (Ref. PCI2019-103580), the Swedish Research Council (Grant number: 2018-00968), the Irish Research Council, and the Ministry of Science & Technology of Israel (315662)

Patterns of healthcare services utilization associated with intimate partner violence (IPV): Effects of IPV screening and receiving information on support services in a cohort of perinatal women.

BACKGROUND:While women experiencing intimate partner violence (IPV) face significant health consequences, their patterns of healthcare services (HCS) utilization are unclear, as are the effects of IPV screening and receiving information on these patterns. OBJECTIVES:1. Compare utilization patterns of five HCS (visits to family physician, gynecologist, specialist and emergency room, and hospitalization) in a cohort of perinatal women who reported experiencing versus not experiencing any IPV and IPV types (physical and/or sexual; emotional and/or verbal; social and economic); 2. Examine whether IPV screening, receiving information on support services, or both, affect patterns; and 3. Compare these associations between ethnic groups (Arab and Jewish women). METHODS:We conducted a prospective study using registry data on HCS utilization obtained from Israel's largest Health Fund (Clalit) in the year following a 2014-2015 survey of a cohort of 868 perinatal women in Israel (327 Arab minority, 542 Jewish) on their reports of experiencing IPV, IPV screening, and receiving information. Using multivariate analysis, we calculated adjusted odds ratios (AOR) and 95% confidence intervals (CI) for the five HCS utilizations in association with reports of any IPV and IPV types. We adjusted for IPV screening, receiving information about services, and both, in the total sample, and separately among ethnic groups. RESULTS:Any IPV and IPV types had significant associations with some HCS utilization variables, with different directions and patterns for the ethnic groups. Experiencing IPV was associated with higher HCS utilization among Arab women, lower utilization in Jewish women. Arab women experiencing IPV were twice as likely to visit a gynecologist than women not experiencing IPV (AOR (95% CI) was 2.00, 1.14-3.51 for any IPV; 2.17, 1.23-3.81 for emotional and/or verbal IPV, and 1.83, 1.04-3.22, for social and economic IPV). Among Jewish women, experiencing any IPV was associated with lower likelihood of emergency-room visits (0.62, 0.41-0.93); and experiencing physical and/or sexual IPV was associated with lower likelihood of family physician visits (OR = 0.20, 0.05-0.82). Both IPV screening and receiving information were associated with lower HCS utilization among Arab women only. CONCLUSIONS:Different HCS utilization patterns among women who reported experiencing versus not experiencing IPV in different ethnic groups suggest complex relationships that hinge on how HCS address women's needs, starting with IPV screening and providing information. This might inform tailored programs to tackle IPV at the HCS, particularly for minority women

Linking Childhood and Adult Criminality: Using a Life Course Framework to Examine Childhood Abuse and Neglect, Substance Use and Adult Partner Violence

Child abuse and neglect, considered criminal acts under the Criminal Code of Canada, play an important role in substance use, violence, and other criminal behaviour in adulthood. We adopted the life course perspective to identify modifiable contextual influences and co-occurring individual, social, and familial determinants associated with adult criminality. Using in-depth interview data, a sub-sample of 13 women who had recently experienced intimate partner violence, recounted their experiences of childhood abuse, their own substance use or criminality, as well as implications of these factors on their children’s life trajectories. For the purposes of this paper criminality was defined as child abuse and neglect, domestic violence, illegal substance use and underage alcohol use. Our objective was to explore, in our data: (1) patterns and trajectories of criminality from childhood to adulthood among women who were victims of violence, and (2) cumulative effects of early life exposures on experiences of criminality; with the aim of describing the life course perspective as a useful framework to understand criminality along the life trajectory. The analysis was not designed to demonstrate causal connections between early childhood and adulthood experiences of criminality. Rather we generated qualitative and quantitative hypotheses to guide future research in the field. Implications for research and interventions are discussed.Medicine, Faculty ofNon UBCPopulation and Public Health (SPPH), School ofReviewedFacult