Interrupting the intergenerational cycle of violence: protocol for a three-generational longitudinal mixed-methods study in South Africa (INTERRUPT_VIOLENCE)

Abstract Background 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 interve...

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Main Authors: Franziska Meinck, Nataly Woollett, Hannabeth Franchino-Olsen, Mpho Silima, Christina Thurston, Ansie Fouché, Kopano Monaisa, Nicola Christofides
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15168-y
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author Franziska Meinck
Nataly Woollett
Hannabeth Franchino-Olsen
Mpho Silima
Christina Thurston
Ansie Fouché
Kopano Monaisa
Nicola Christofides
author_facet Franziska Meinck
Nataly Woollett
Hannabeth Franchino-Olsen
Mpho Silima
Christina Thurston
Ansie Fouché
Kopano Monaisa
Nicola Christofides
author_sort Franziska Meinck
collection DOAJ
description Abstract Background 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 four 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. Methods 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. Discussion 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.
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spelling doaj.art-40a0b25b702a46f0b83640ea42fa1d602023-03-22T12:35:40ZengBMCBMC Public Health1471-24582023-02-0123111410.1186/s12889-023-15168-yInterrupting the intergenerational cycle of violence: protocol for a three-generational longitudinal mixed-methods study in South Africa (INTERRUPT_VIOLENCE)Franziska Meinck0Nataly Woollett1Hannabeth Franchino-Olsen2Mpho Silima3Christina Thurston4Ansie Fouché5Kopano Monaisa6Nicola Christofides7School of Social and Political Sciences, University of EdinburghSchool of Public Health, University of the WitwatersrandSchool of Social and Political Sciences, University of EdinburghSchool of Public Health, University of the WitwatersrandSchool of Social and Political Sciences, University of EdinburghDepartment of Social Wellbeing, United Arab Emirates UniversityOPTENTIA, North-West UniversitySchool of Public Health, University of the WitwatersrandAbstract Background 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 four 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. Methods 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. Discussion 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.https://doi.org/10.1186/s12889-023-15168-yChild abuseChild maltreatmentIntergenerational transmissionViolenceLongitudinal cohort
spellingShingle Franziska Meinck
Nataly Woollett
Hannabeth Franchino-Olsen
Mpho Silima
Christina Thurston
Ansie Fouché
Kopano Monaisa
Nicola Christofides
Interrupting the intergenerational cycle of violence: protocol for a three-generational longitudinal mixed-methods study in South Africa (INTERRUPT_VIOLENCE)
BMC Public Health
Child abuse
Child maltreatment
Intergenerational transmission
Violence
Longitudinal cohort
title Interrupting the intergenerational cycle of violence: protocol for a three-generational longitudinal mixed-methods study in South Africa (INTERRUPT_VIOLENCE)
title_full Interrupting the intergenerational cycle of violence: protocol for a three-generational longitudinal mixed-methods study in South Africa (INTERRUPT_VIOLENCE)
title_fullStr Interrupting the intergenerational cycle of violence: protocol for a three-generational longitudinal mixed-methods study in South Africa (INTERRUPT_VIOLENCE)
title_full_unstemmed Interrupting the intergenerational cycle of violence: protocol for a three-generational longitudinal mixed-methods study in South Africa (INTERRUPT_VIOLENCE)
title_short Interrupting the intergenerational cycle of violence: protocol for a three-generational longitudinal mixed-methods study in South Africa (INTERRUPT_VIOLENCE)
title_sort interrupting the intergenerational cycle of violence protocol for a three generational longitudinal mixed methods study in south africa interrupt violence
topic Child abuse
Child maltreatment
Intergenerational transmission
Violence
Longitudinal cohort
url https://doi.org/10.1186/s12889-023-15168-y
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