Unpaid care work is disproportionately performed by women and girls, negatively impacting their ability to engage in educational, social, and economic opportunities. Despite calls to address these inequities, empirical evidence on interventions designed to shift gender attitudes is limited, especially within adolescent populations. To address this gap, we used longitudinal data to conduct difference-in-difference and logistic regression models to examine the impact of a norms-shifting intervention in Kinshasa on adolescent gender-equitable chore-sharing attitudes. As compared to controls, intervention participants were 2.3 times (p<0.001) more likely to hold gender-equitable attitudes towards chore-sharing at end line. Using baseline attitudes to predict end line behavior, we find that, as compared to adolescents with gender-inequitable attitudes, boys and girls who espoused equitable gender attitudes were 1.9 times (p<0.001) and 1.5 times (p=0.005), respectively, more likely to report gender-equitable chore-sharing behavior. Norms-shifting interventions should be prioritized among very young adolescents as a strategy to shift gender-inequitable attitudes. (Afr J Reprod Health 2022; 26[12s]: 88-97).

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Barker G, Garg A, Heilman B, van der Gaag N and

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Mehaffey R. State of the World's Fathers: Structural

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Solutions to Achieve Equality in Care Work.

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Washington, DC: Promundo-US, 2021.

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Budlender D. Time Use Studies and Unpaid Care Work.

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New York, NY: Routledge 2010.

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Folbre N. Valuing Non-market Work. New York, NY:

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United Nations Development Programme, 2015.

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Folbre N. The Care Penalty and Gender Inequality. In:

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Averett SL, Argys LM, Hoffman SD, eds. Oxford Handbook of Women and the Economy. New York,

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NY: Oxford University Press 2018.

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Office IL. Care work and care jobs for the future of decent

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work. Geneva: International Labor Office, 2018.

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UNICEF. Harnessing the Power of Data for Girls: Taking

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Stock and Looking Ahead to 2030. New York, NY:

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United Nations Children's Fund, 2016.

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UNICEF. Uneven Expectatations: Measuring Gender

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Norms to Address Children's Engagement in Unpaid

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Work. New York, NY: United Nations Children's

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Fund (UNICEF), 2021.

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Lyon S, Ranzani M and Rosati FC. Unpaid household

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services and child labour, working paper. Rome:

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International Labour Office, 2013.

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Sawyer SM, Afifi RA, Bearinger LH, Blakemore SJ, Dick

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B, Ezeh AC and Patton GC.. Adolescence: a

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foundation for future health. Lancet

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;379(9826):1630-40. doi: 10.1016/s0140-

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(12)60072-5 [published Online First:

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Erosa A, Fuster L, Kambourov G and Rogerson R. Hours,

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Occupations, and Gender Differences in Labor

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Market Outcomes. NBER Working Paper 23636.

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Cambridge, MA: National Bureau of Economic

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Research, 2017.

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Women Count. Gender data gaps and country

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performance: Democratic Republic of Congo New

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York, NY: UN Women,; 2021 [Available from:

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https://data.unwomen.org/country/democraticrepublic-of-the-congo.

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van der Gaag N, Heilman B, Gupta T, et al. State of the

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World's Fathers: Unlocking the Power of Men's

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Care. Washington, DC: Promundo-US, 2019.

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Lupton B. Maintaining Masculinity: Men who do

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‘Women's Work’. British Journal of Management

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;11(s1):33-48. doi:

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https://doi.org/10.1111/1467-8551.11.s1.4

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Patton GC, Darmstadt GL, Petroni S and Sawyer SM. A

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Gender Lens on the Health and Well-being of Young

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Males. J Adolesc Health 2018;62(3s):S6-s8. doi:

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1016/j.jadohealth.2017.06.020

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Moreau C, Li M, De Meyer S, Vu Manh L, Guiella G,

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Acharya R, Bello B, Maina B and Mmari K..

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Measuring gender norms about relationships in early

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adolescence: Results from the global early

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adolescent study. SSM - population health

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;7:014-14. doi: 10.1016/j.ssmph.2018.10.014

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Pleck JH, Sonenstein FL and Ku LC. Problem behaviors

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and masculinity ideology in adolescent males.

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Adolescent problem behaviors: Issues and research.

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Hillsdale, NJ, US: Lawrence Erlbaum Associates,

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Inc 1994:165-86.

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Courtenay WH. Constructions of masculinity and their

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influence on men's well-being: a theory of gender

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and health. Social science & medicine (1982)

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;50(10):1385-401. doi: 10.1016/s0277-

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(99)00390-1

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Dworkin SL, Fleming PJ and Colvin CJ. The promises and

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limitations of gender-transformative health

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programming with men: critical reflections from the

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field. Cult Health Sex 2015;17 Suppl 2(sup2):S128-

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S43. doi: 10.1080/13691058.2015.1035751

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[published Online First: 2015/05/08]

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Kågesten A and Chandra-Mouli V. Gender-transformative

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programmes: implications for research and action.

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The Lancet Global Health 2020;8(2):e159-e60. doi:

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1016/S2214-109X(19)30528-5

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Levy JK, Darmstadt GL, Ashby C, Quandt M, Halsey E,

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Nagar A and Greene ME. Characteristics of

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successful programmes targeting gender inequality

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and restrictive gender norms for the health and

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wellbeing of children, adolescents, and young

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adults: a systematic review. The Lancet Global

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Health 2020;8(2):e225-e36. doi:

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https://doi.org/10.1016/S2214-109X(19)30495-4

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Save the Children. Growing Up GREAT! Implementation

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Guide. Washington, DC: Institute for Reproductive

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Health, Georgetown University for the U.S. Agency

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for International Development (USAID), 2020.

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Johns Hopkins University. Global Early Adolescent Study

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(GEAS) Baltimore, MD: Johns Hopkins School of

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Public Health & the World Health Organization;

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[Available from: https://www.geastudy.org/

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accessed April 5, 2022.

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StataCorp. Stata Statistical Software: Release 17. College

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Station, TX: StataCorp LP, 2021.

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Institute for Reproductive Health. Growing Up GREAT!

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Shows Promise in Skills Development and Norms

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Shifting After One Year. Washington, DC:

Georgetown University, 2021