60% of women and 95% of men in the quantitative sample reported positive change in their relationship since becoming involved in SASA!. The data suggest interpersonal communication played the strongest role. Men were more likely to report positive changes in their relationship due to SASA! when they attended interactive discussion activities and spoke numerous times (5+) with their partner about SASA! (Table 4). There were also dose response relationships observed for both exposures, with the associations increasing between the low (1-4 times) and high frequency (5+ times) categories. For women, there were strong independent effects (and dose response relationships) for all exposures apart from talking with peers, seeking CA advice and drama attendance (p-value > .05 for these variables) (Table 4). Similar to men, frequent talks with their partner about SASA! had the strongest independent effect on relationship change (aOR 7.08, CI 2.29-21.90). However, women who talked with elders about SASA! were 9.62 times more likely to report relationship change, whereas for men there was no effect. Communication material exposure (aOR 4.3, CI 1.69-10.93) and discussion activities (aOR 3.53, CI 1.46-8.54) also showed strong independent effects on women reporting relationship change.Table 4Association between SASA! exposure and interpersonal communication and reporting positive change in relationshipFemaleMaleVariable(Channel) (N = 354) n % reporting changeOR95% C.I.p-val*aORa95% C.I.p-val* n % reporting changeOR95% C.I.p-val*aORa95% C.I.p-val*SASA! Exposure: Materials/posters< 0.01< 0.010.270.68 0-1 times17/72(24%)1–1–72/79(91%)1–1.00– Few times (2-4)33/83(40%)2.14(1.06-4.30)1.15(0.47-2.78)267/272(96%)2.31(0.86-6.16)1.14(0.36-3.63) Many times (5+)163/199(82%)14.65(7.63-28.14)4.3(1.69-10.93)158/167(95%)1.71(0.61-4.76)0.68(0.18-2.61) Drama/film (mid media)< 0.010.49< 0.010.41 Never48/118(41%)1–1–69/79(87%)1–1.00– Once40/74(54%)1.72(0.95-3.08)0.52(0.21-1.25)144/155(91%)1.9(0.77-4.68)1.61(0.56-4.68) A few (2-4 times)68/99(69%)3.2(1.82-5.61)0.63(0.26-1.55)187/191(98%)6.78(2.06-22.31)3.45(0.76-15.66) Many times (5+)57/63(91%)13.85(5.53-34.69)0.8(0.19-3.44)91/93(98%)6.59(1.40-31.07)2.42(0.37-15.76) Discussion activity (interpersonal comm)< 0.010.02< 0.010.03 Never34/107(32%)1–1–35/43(81%)1–1.00– 1 time47/80(59%)3.06(1.67-5.59)2.16(0.90-5.18)144/155(93%)2.99(1.12-7.99)3.47(1.01-11.92) A few/many times (2+)132/167(79%)8.1(4.66-14.06)3.53(1.46-8.54)312/320(98%)8.91(3.15-25.23)5.77(1.52-21.95) Sought CA advice (interpersonal comm)< 0.010.090.010.83 No147/282(52%)1–1–282/304(93%)1–1.00– Yes66/72(92%)10.1(4.24-24.06)2.65(0.84-8.34)209/214(98%)3.26(1.21-8.75)1.13(0.35-3.71) Multi-channel exposure(N = 352)< 0.01< 0.01(N = 5181)< 0.01< 0.01 Mass media only24/78(31%)1.00–1.00–8/12(67%)1.0–1.00– Low multi-channel exp. (1-4)77/136(57%)2.94(1.63-5.29)3.26(1.73-6.15)238/255(93%)7.00(1.91-25.61)6.17(1.49-25.47) High multi-channel exp. (5+)112/138(81%)9.69(5.10-18.4312.3(6.09-24.85)245/251(98%)20.4(4.80-86.86)15.72(3.22-76.74)Interpersonal Communication about SASA!: Talked to partner< 0.01< 0.01< 0.010.02 never46/147(31%)1–1–130/146(89%)1–1.00– medium (1-4)105/139(76%)6.78(4.03-11.41)3.05(1.53-6.11)202/212(95%)2.49(1.09-5.65)1.34(0.47-3.84) high (5+)62/68(91%)22.69(9.15-56.23)7.08(2.29-21.90)160/160(99%)19.6(2.56-149.53)13.10(1.33-128.54) Talked to peers< 0.010.350.010.26 low (0-2)24/102(24%)1–1–127/142(89%)1–1.00– medium (3-5)32/50(64%)5.78(2.77-12.07)1.78(0.71-4.46)109/113(97%)3.22(1.04-9.99)2.49(0.69-8.97) high (6+)157/202(78%)11.34(6.45-19.95)1(0.41-2.43)255/263(97%)3.76(1.56-9.11)0.94(0.30-3.01) Talked to elders< 0.01< 0.010.120.85 low (0-2)71/190(37%)1–1–268/288(93%)1–1.00– medium (3-5)109/128(85%)9.62(5.44-16.99)4.05(1.85-8.88)185/185(97%)2.23(0.88-5.65)1.21(0.37-3.89) high (6+)33/36(92%)18.44(5.45-62.32)5.7(0.99-32.71)44/45(98%)3.28(0.43-25.09)0.60(0.05-6.85)* Overall p-value estimation based on likelihood ratio test aControlled for age, marital status, education level, SES and other SASA! exposure