School of Social and Political Sciences, University of Edinburgh, 15a George Square, Edinburgh, EH8 9LD, UK.
School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
BMC Public Health. 2023 Feb 27;23(1):395. doi: 10.1186/s12889-023-15168-y.
Violence is a global social and human rights issue with serious public health implications across the life-course. Interpersonal violence is transmitted across generations and there is an urgent need to understand the mechanisms of this transmission to identify and inform interventions and policies for prevention and response. We lack an evidence-base for understanding the underlying mechanisms of the intra- and intergenerational transmission of violence as well as potential for intervention, particularly in regions with high rates of interpersonal violence such as sub-Saharan Africa. The study has three aims: 1) to identify mechanisms of violence transmission across generations and by gender through quantitative and qualitative methods; 2) to examine the effect of multiple violence experience on health outcomes, victimisation and perpetration; 3) to investigate the effect of structural risk factors on violence transmission; and 4) to examine protective interventions and policies to reduce violence and improve health outcomes.
INTERRUPT_VIOLENCE is a mixed-methods three-generational longitudinal study. It builds on a two-wave existing cohort study of 1665 adolescents in South Africa interviewed in 2010/11 and 2011/12. For wave three and possible future waves, the original participants (now young adults), their oldest child (aged 6+), and their former primary caregiver will be recruited. Quantitative surveys will be carried out followed by qualitative in-depth interviews with a subset of 30 survey families. Adults will provide informed consent, while children will be invited to assent following adult consent for child participation. Stringent distress and referral protocols will be in place for the study. Triangulation will be used to deepen interpretation of findings. Qualitative data will be analysed thematically, quantitative data using advanced longitudinal modelling. Ethical approval was granted by the University of Edinburgh, University of the Witwatersrand, North-West University, and the Provincial Department of Health Mpumalanga. Results will be published in peer-reviewed journals, policy briefs, and at scientific meetings.
The proposed study represents a major scientific advance in understanding the transmission and prevention of violence and associated health outcomes and will impact a critically important societal and public health challenge of our time.
暴力是一个全球性的社会和人权问题，对整个生命周期的公共健康都有严重影响。人际暴力会在代际间传播，因此迫切需要了解这种传播的机制，以确定和告知预防和应对的干预措施和政策。我们缺乏理解暴力代际和性别间传播的潜在机制以及干预可能性的证据基础，特别是在人际暴力发生率较高的撒哈拉以南非洲等地区。该研究有三个目标：1）通过定量和定性方法确定代际和性别间暴力传播的机制；2）研究多种暴力经历对健康结果、受害和施暴的影响；3）调查结构风险因素对暴力传播的影响；4）研究减少暴力和改善健康结果的保护干预措施和政策。
INTERRUPT_VIOLENCE 是一项混合方法三代纵向研究。它以南非一项现有的两波青少年队列研究为基础，该研究共招募了 1665 名青少年，于 2010/11 年和 2011/12 年进行了两次访谈。在第三次和可能的未来波次中，将招募原始参与者（现为年轻人）、他们的最大孩子（6 岁以上）和他们的前主要照顾者。将进行定量调查，随后对 30 个调查家庭中的一部分进行深入定性访谈。成年人将提供知情同意，而在成年人同意儿童参与的情况下，将邀请儿童表示同意。研究将制定严格的痛苦和转介协议。三角剖分将用于深化对研究结果的解释。定性数据将通过主题分析进行分析，定量数据将使用先进的纵向建模进行分析。该研究已获得爱丁堡大学、威特沃特斯兰德大学、西北大学和姆普马兰加省卫生部的伦理批准。研究结果将发表在同行评议的期刊、政策简报和科学会议上。
拟议的研究代表了理解暴力传播和预防以及相关健康结果的重大科学进展，将对我们这个时代一个至关重要的社会和公共卫生挑战产生影响。
