Brown J L, Sales J M, Sharp C, Cloete J, Lenka M, Rani K, Marime P, Ditlhare I, Moqolo R, Peterson D, Marais L
Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
SAJCH. 2018;12(2 Suppl 1):S40-S43. doi: 10.7196/SAJCH.2018.v12i2.1500.
Cultural consensus modelling (CCM) is an approach whereby individuals define the boundaries regarding a set of knowledge or behaviours shared by a group within a culture using an ethnographic approach.
To provide an overview of CCM methods and the application of CCM to examine South African adolescent girls' contraceptive and HIV prevention practices.
In phase 1 of a CCM approach, individuals respond to questions about their culture rather than their individual behaviours, allowing individuals to draw upon a shared cultural knowledge. Utilising these identified group beliefs, phase 2 asks individuals to rate the extent to which factors identified in phase 1 are valued. Phase 3 utilises qualitative interviews with key informants from phase 2 to gather in-depth information regarding the identified determinants of the health behaviour. Lastly, phase 4 of this approach conducts a quantitative survey to determine the extent to which cultural consensus model types are associated with differences in actual behaviours.
CCM data analytic approaches are described. Frequencies and descriptive statistics for the free listing are conducted. For phase 2, cultural consensus analysis is conducted to examine whether one or several consensus models exist and competence scores are calculated. Standard qualitative analysis approaches are utilised for phase 3. Phase 4 employs regression to examine the association between cultural models and an outcome of interest.
CCM provides a novel, culturally sensitive understanding of reproductive health practices among South African adolescent girls; CCM also has broad applicability to other adolescent health research domains.
文化共识建模（CCM）是一种方法，即个体运用人种学方法界定一种文化中某个群体所共享的一套知识或行为的边界。
概述CCM方法以及CCM在研究南非少女避孕和预防艾滋病毒行为方面的应用。
在CCM方法的第一阶段，个体回答关于其文化而非其个人行为的问题，这使个体能够利用共享的文化知识。利用这些确定的群体信念，第二阶段要求个体对第一阶段确定的因素的受重视程度进行评分。第三阶段对第二阶段的关键信息提供者进行定性访谈，以收集有关已确定的健康行为决定因素的深入信息。最后，该方法的第四阶段进行定量调查，以确定文化共识模型类型与实际行为差异的关联程度。
描述了CCM数据分析方法。对自由列举法进行了频率和描述性统计。在第二阶段，进行文化共识分析以检查是否存在一个或多个共识模型，并计算能力得分。第三阶段采用标准的定性分析方法。第四阶段采用回归分析来检验文化模型与感兴趣结果之间的关联。
CCM为南非少女的生殖健康行为提供了一种新颖的、对文化敏感的理解；CCM在其他青少年健康研究领域也具有广泛的适用性。
