Department of Global Health and Development, London School of Hygiene and Tropical Medicine , London , UK.
University of California San Diego , La Jolla , CA , USA.
Glob Public Health. 2019 Oct;14(10):1479-1494. doi: 10.1080/17441692.2019.1594331. Epub 2019 Mar 21.
This paper reports on a qualitative study on social norms and child marriage in rural Cameroon, a country with high prevalence of child marriage but largely ignored in the literature. Study participants (n = 80) were men and women from four different ethnic groups living in four rural villages (two in the Far-North, two in the East). With the assistance of four local interviewers, we conducted 16 semi-structured focus groups to understand how existing social norms contributed to child marriage in participants' communities. We found great variety in the influence of social norms on people's health-related practices: across these four communities, social norms made compliance with the child marriage practice (respectively) possible, tolerated, appropriate, and obligatory. Effective health promotion interventions should be grounded within sound theoretical understandings of the varying influence of social norms. Using data on child marriage, this paper offers a case study of how that understanding can be developed.
本文报告了一项关于喀麦隆农村社会规范和童婚的定性研究,喀麦隆是一个童婚率很高但在文献中却基本被忽视的国家。研究参与者(n=80)来自四个不同民族,分布在四个农村村庄(两个在北部,两个在东部)。在四名当地访谈者的协助下,我们进行了 16 次半结构化焦点小组讨论,以了解现有社会规范如何促成参与者所在社区的童婚。我们发现,社会规范对人们的健康相关实践的影响存在很大差异:在这四个社区中,社会规范使童婚实践(分别)具有可能性、可容忍性、适当性和强制性。有效的健康促进干预措施应该基于对社会规范不同影响的合理理论理解。本文利用童婚数据,提供了一个案例研究,说明如何发展这种理解。