Background
Gender is a widely accepted social determinant of health. The inclusion of gender equality as a goal in the United Nations Sustainable Development Goals has reinforced the promotion of equitable relationships, but also the preventive implications in relation to gender-based violence [
1]. Although theories and programmes for primary prevention are relatively recent in the field of gender-based violence (GBV), a growing body of research shows that gender-focused interventions can lead to reductions in violence and other positive health outcomes [
2].
When operating within a specific context, literature shows that implementing interventions simultaneously across multiple levels (ranging from individual to societal) is more effective than solely focusing on interventions at a single level [
3,
4]. In the case of young populations, it becomes particularly vital to work cohesively at both the individual and interpersonal levels, considering the influential role of stereotypes and social norms in shaping behaviors, including patterns of gender-based violence [
5]. Likewise, this emphasizes the significance of examining gender identities and relationships in relation to the intricate nature of their perceptions, attitudes, and beliefs surrounding GBV [
6‐
8].
In terms of understanding violence itself, literature shows that young people define violence as encompassing a wide range of behaviours, from physical acts to emotional abuse and control [
9]. This has focused mainly on frameworks based on established behaviour change theories, especially in relation to the psychosocial determinants of behaviour, positing how environmental and programme inputs lead to output behaviours via structural, interpersonal and individual processes [
10].
The relevance of challenging harmful power imbalances as a catalyst for change in relation to GBV has put the spotlight on gender-transformative approaches [
11]. These programmes, focusing on the critical evaluation of social norms and gendered expectations, as well as on promoting gender-equitable behaviours and attitudes [
12], pay special attention to the need to address masculinities, that is, how “normative” gendered traits affect attitudes in men’s lives, but understanding them primarily as configurations of collective practices, thus avoiding limiting gender analysis to a review of individual personality traits [
13‐
15]. In fact, programmes have usually pivoted on this issue since the use of violence by men and boys has been consistently associated with adherence to hegemonic notions of masculinity that emphasises control over and hostility towards women and girls [
16,
17]. Nevertheless, while it has been emphasized that men’s gender identity should not be treated as a homogenous group, neglecting the heterogeneity of their life experiences, extensive scientific literature has consistently demonstrated that social expectations associated with conforming to traditional notions of masculinity often involve adopting harmful behaviors characterized by resistance, aggression, and engagement in risky behaviors [
18,
19]. Additionally, there is often a lack of “emotional literacy,“ manifesting as limited understanding, skills, and knowledge regarding one’s own emotions and those of others. This deficiency has been linked to challenges in effectively managing conflicts, establishing healthy relationships, making informed decisions, and coping with stress [
20,
21], which are understood as a problem for both women and men in terms of well-being and are a fundamental cause of inequalities in health [
22]. Literature shows that gender-transformative approaches provide promising outcomes in preventing GBV perpetration and health risk behaviours, shifting to a greater extent men’s gender and violence-related behaviours and attitudes than other programmes that do not address concepts about gendered social norms [
11,
12,
23]. In this regard, a recent systematic review has also revealed that this gendered approach could be promising in educational interventions that involve men and boys to reduce GBV by promoting positive masculinities [
24].
We are facing a key moment in the process of building knowledge and critical thinking about the impact of GBV. In this process, it is crucial to consider the sociocultural contextualization of prevention efforts and favouring approaches that take into account the gender roles and expectations in which people’s real lives unfold.
This study, carried out in Spain, is based on the premise that achieving changes requires focusing not only on attitudes, behaviours and/or gendered stereotypes at an individual and interpersonal level, but also on a person’s surroundings (e.g. school, family, community, social media, etc.), and to enhance the transfer of research to practice, it is necessary to strengthen the engagement of key stakeholders [
4,
25]. This idea took on particular significance within the context of the study following the legislative and social advancements in addressing gender violence, culminating in the approval of Spain’s Organic Law 1/2004 on Integral Protection Against Gender Violence. This law recognizes gender violence as a form of discrimination and a consequence of unequal power dynamics between women and men who are (or have been) intimate partners or have had emotional connections, even without cohabitation [
26,
27]. As a result, various initiatives and institutions have been established, including the Observatory, the implementation of the VioGén system, specialized Courts for Violence against Women, and the creation of ATENPRO, a dedicated victim protection service. Furthermore, the commitment to addressing this issue is evident through the legal frameworks and institutional responses in place, such as the ratification of the Istanbul Convention on August 1, 2014, and the formulation of several action plans and political initiatives. Notably, the current “State Strategy to Fight Against Sexist Violence 2022–2025” underscores the ongoing dedication to combatting gender-based violence. However, the statistics show a growing trend in recent years: the greatest increase in both the number of victims and the number of reported cases occurs among young people [
28].
This study has been designed to deepen the current knowledge of the phenomenon of GVB among young people from the perspective of stakeholders, identifying the main challenges in terms of prevention. Thus, the article focuses on giving a voice to professionals working with young people in different fields. This is a collective that, in the context of the study, has so far received little attention in the development of public initiatives to reduce this type of violence from an early age. This article specifically aims to examine the prevailing discourses identified by stakeholders regarding barriers to raising awareness about gender-based violence (GBV) and the strategies for constructing a discourse on GBV prevention among young people. The potential significance of this paper lies in exploring stakeholders’ perspectives on areas where current GBV prevention measures may be ineffective and the underlying reasons for them.
Discussion
This study was designed to provide insights by professionals of different governmental and non-governmental organisations related to GBV prevention in young populations. Our findings show that professionals involved in GBV prevention perceive a contradiction between young people’s GBV awareness and their (lack of) identifying control practices as GBV in their interpersonal relationships. Both young women and men tend to identify GBV primarily as physical abuse by partners and sexual abuse by strangers. Due to their privileged position as men, the professionals emphasized that it is harder for boys to self-criticise their role in the perpetuation of sexism and GBV behaviours. In order to prevent GBV, the results point to the need to apply gender-transformative approaches, especially on how masculinities are socially constructed. To do this, the professionals consulted underline the relevance of using participatory approaches and educational strategies that connect directly with real situations experienced by young people, in order to deal with daily sexist attitudes and behaviours which are normalised and not identified as harmful practices. Barriers and enablers are identified not only at an interpersonal and organisational level, but also at a societal level.
The approach to the experiences of the interviewed professionals has also allowed us to gain first-hand knowledge of what they consider to be the main challenges in addressing GBV at an individual and interpersonal level in the study context, starting by detecting how different forms of violence operate in young populations. Consistent with the scientific literature, our findings align with the view held by professionals that young people often have a limited understanding of violence, initially perceiving it solely as physical acts and abuse [
37]. This implies that programmes and interventions must go beyond this lay knowledge of violence understood as physical assault, and approach a range of other attitudes and practices, including gendered controlling or threatening behaviours [
38].
Regarding the new forms of violence, our findings clearly point to the need to pay attention to the control and surveillance through digital communication technologies. We are currently facing “cyber violence”, an emerging field of action, which highlights the need to develop more holistic programmes [
39‐
41]. In this sense, our results are in line with the study by Messing et al. [
42], which shows that one of the main difficulties in addressing this type of violence lies in the subjective nature of online interactions, as highlighted by the fact that young women exposed to cyber-violence themselves do not have a clear idea of the boundaries of stalking or harassment or the implications of other technology-based abusive behaviours, such as the distribution of sexually compromising images or data (real or fake) on the Internet. Although this notion may reinforce gender role stereotypes associated with gender-based violence, it also underscores the importance of placing emphasis on recognizing and addressing the involvement of young individuals in cyber-violence. Thus, it is crucial to ensure they comprehend the repercussions of their actions.
Although our results suggest that the programs and interventions that are being implemented are not as effective as expected, perhaps not so much due to lack of resources, but because on many occasions they do not address the key problems of the moment and are adapted to the experiences to which young people, also reveal other recommendations at the organizational level. In the study context, the fact that many of these educational interventions are not included in the school curriculum, and are developed as sporadic initiatives, does not facilitate to examine of the essential elements of the structure, content, and implementation of an intervention, which provides us with knowledge about its mechanisms of action. In this sense, research evidence in this field shows that long-term initiatives are more likely to achieve lasting changes than short-term initiatives [
11]. On the other hand, we also observed that another limitation at the organizational level has to do with the fact that the contents demanded by educational institutions focus on victims and aggressors from an individual perspective, instead of being able to propose multicomponent approaches based on community-based interventions. However, in order to develop these more systemic approaches, it is necessary to move towards preventive and health promotion actions from a more collaborative perspective at an interdisciplinary and intersectoral level [
43‐
45].
Our findings also show that stakeholders suggest designing educational programmes on the deconstruction of gender expectations and the harmful behaviours underpinning GBV, but going beyond individual components (i.e., awareness of rights, understanding personal practices) with partners and peers. In this sense, literature has shown that the approach to these contents in preventive strategies should focus on community and structural social determinants, such as school programmes, social marketing and media, instead of focusing solely on individual perpetrators and victims [
46]. Research has consistently shown that implementing interventions simultaneously at the different levels of influence acting on people is more effective [
3]. Thus, although our findings pivot especially on the individual and interpersonal levels, as we expected given the specific object of the study, direct or indirect connections also emerge from the results at the community, institutional and sociocultural levels in which people live and develop. This underlines the need to address the development of actions in a coordinated and collaborative manner with different actors, both governmental and nongovernmental, while still considering this type of violence as a public health problem [
47,
48].
Another issue that our results highlight is the importance of developing practical pathways to address gender norms with a further engagement of boys in taking an active role against GBV, that is, not only as allies but as agents of change in gender equality efforts [
12,
49,
50]. This point involves the need to change the approach, encouraging gender-transformative programmes to be developed to address GBV [
5]. In this regard, the programmes and interventions that show the best results are those that address the relationship between violence and hegemonic masculinities as critical factors intertwined in the process of achieving greater levels of gender equality [
24]. In addition, recognizing the important role that men and boys play in progressing towards gender equality is also contributing to defining this critical issue in a broader sense, maintaining the emphasis on power relations, not only men over women, but also of men and boys over other men [
24]. This requires a deeper understanding of the impact of masculinities on different forms of violence such as those against LGBTQ identities, as well as addressing their intersection with other social identities such as class and ethnicity.
The literature shows that boys and young men have specific health needs that can be improved through school and environmental health programs developed with a gender approach and focusing on social determinants [
51]. However, our findings echo that involving boys to a greater extent has generated a growing debate about whether it is more effective to work only with boys, i.e., in gender-specific programmes. Although there is some evidence in this line of research, the results should be taken with caution, not only because of the limited number of studies assessed with this approach, but also because of the variability of the results [
52]. In fact, of the 18 studies identified by Steward et al., [
53]. focused on boys and men, only four of them reported significant results. Furthermore, only two revealed changes in norms and/or stereotypes related to men, but not in relation to personal norms, and important discrepancies were also found in relation to attitudes towards women.
When working at an individual and interpersonal level in education programmes and fostering engagement with men and boys, scientific literature highlights that interventions have a greater chance of positive results when using one or more additional strategies such as peer-based learning or involving participants in the design process [
54,
55]. In this sense, our results also draw attention to the importance of the content being closely linked to daily situations lived by young people, in which they feel reflected, as this enhances the meaningful learning experience.
Limitations
Our results are specific to the Spanish context, particularly the city of Madrid and its metropolitan area. However, we aimed to include participants with experience working in various territories within this context to gain insights into their perspectives on a culturally diverse young population. While we did not directly consider other social variables such as sexual orientation or gender identity, we selected participants in a way that the groups or organizations they represented would potentially provide a broader view from an intersectional gender perspective. This approach allowed us to capture the diverse work carried out by these groups in relation to the topic under study.
It is important to note that our findings are based solely on the professionals’ discourses, and therefore, future research could benefit from analyzing their practices and comparing their views on preventive action with those of young program users. By incorporating the perspectives of young users, a more comprehensive understanding can be gained, shedding light on the effectiveness and impact of these programs from the viewpoint of the individuals they aim to intervene.
Conclusions
The results show that among the main challenges identified by stakeholders in relation to preventive strategies against gender-based violence in young populations, there is a need to focus on transformative programmes within educational settings. The findings show that the specific programs and interventions being implemented may not be as effective as expected, not so much because of a lack of resources, but mainly because they do not address the key issues needed at this time. The results underline that these programmes should emphasise equitable gender relations, work on questioning gender norms and incorporate content on anti-violence masculinities. Importantly, the general engagement of young people can be more feasible when strategies, such as peer learning or involving them in the design process itself, are established. In particular, this aspect is seen by professionals consulted as a mechanism to facilitate interventions that are more connected to young people’s everyday situations. Precisely in relation to the need to bring programme contents closer to young people’s experiences, the results draw attention to the need to analyse the impact of new forms of violence in greater depth, especially those that occur through information and communication technologies. Among other implications for policy and practice, the results point to the need to articulate interventions designed to work simultaneously at different levels of action.
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