Fournier M, de los Ríos R, Orpinas P, Piquet-Carneiro L
Instituto de Investigaciones Psicológicas, Universidad de Costa Rica, San José, Costa Rica.
Rev Panam Salud Publica. 1999 Apr-May;5(4-5):222-31. doi: 10.1590/s1020-49891999000400006.
The purpose of this article is to describe the conceptual bases and methods used in the ACTIVA multicenter study, as well as the process employed in the different stages of the research. General information is given on the approach, design, and methods that were applied in the cities that participated in the study: San Salvador, El Salvador; San José, Costa Rica; Cali, Colombia; Caracas, Venezuela; Salvador, Bahia, Brazil; Rio de Janeiro, Brazil; Santiago, Chile; and Madrid, Spain. The objectives of the study were to: (1) analyze and compare among cities the prevalence of verbal and physical aggressive behaviors toward children, the spouse or other partner, and persons outside the family; and (2) identify personal, environmental, and socioeconomic factors associated with these violent behaviors. The purpose of the ACTIVA project was to generate information to help guide violence-prevention policies and programs in the cities and to provide criteria for decision-making, as well as to obtain baseline data to use in evaluating prevention policies and programs. To achieve the proposed objectives, a single, common questionnaire was prepared and validated. The questionnaire was used in face-to-face interviews with residents of private urban homes who were between 18 and 70 years old. The sample was selected in each city through stratified multistage sampling of clusters proportionate to the socioeconomic strata of the general population and without any substitutions. The final sample consisted of 10,821 people. In general, the response rates were within the established limits. Exceptions included San José, Rio de Janeiro, and Madrid, where the size of the final sample was slightly smaller than anticipated. More young men of higher socioeconomic strata declined to participate, so that the samples had an overrepresentation of women from medium and lower strata. The article concludes with a description of the scope and limitations of the study, in terms of both the approach and methods. With their comparative analyses, studies of this type can contribute to identifying the differences and similarities between cities. The article shows that with this method it is possible to analyze how violent behaviors are associated with different risk factors and individuals' characteristics, at a point in time. However, this design is limited in terms of establishing causal relationships, and it did not allow an evaluation of the context of every specific instance of violence.
本文旨在描述ACTIVA多中心研究中所使用的概念基础和方法,以及该研究不同阶段所采用的流程。文中提供了参与研究的各城市(萨尔瓦多圣萨尔瓦多、哥斯达黎加圣何塞、哥伦比亚卡利、委内瑞拉加拉加斯、巴西巴伊亚州萨尔瓦多、巴西里约热内卢、智利圣地亚哥和西班牙马德里)所应用的方法、设计和手段的总体信息。该研究的目标是:(1)分析并比较各城市中针对儿童、配偶或其他伴侣以及家庭成员以外人员的言语和身体攻击行为的发生率;(2)确定与这些暴力行为相关的个人、环境和社会经济因素。ACTIVA项目的目的是生成信息,以帮助指导各城市的暴力预防政策和项目,并提供决策标准,同时获取用于评估预防政策和项目的基线数据。为实现既定目标,编制并验证了一份统一的通用问卷。该问卷用于对年龄在18至70岁之间的城市私人住宅居民进行面对面访谈。每个城市的样本通过与一般人群社会经济阶层成比例的分层多阶段整群抽样选取,且无任何替换。最终样本由10,821人组成。总体而言,回复率在既定范围内。圣何塞、里约热内卢和马德里除外,这几个城市的最终样本规模略小于预期。社会经济阶层较高的年轻男性拒绝参与的较多,因此样本中来自中低阶层的女性比例过高。文章最后描述了该研究在方法和手段方面的范围和局限性。通过此类比较分析,这类研究有助于识别各城市之间的差异和相似之处。文章表明,采用这种方法能够在某个时间点分析暴力行为如何与不同风险因素及个人特征相关联。然而,这种设计在建立因果关系方面存在局限性,且无法对每起具体暴力事件的背景进行评估。