The Health Behavior in School-Aged Children study in Semarang, Indonesia: methodological problems in cross-cultural research
The Health Behavior in School-Aged Children study in Semarang, Indonesia: methodological problems in cross-cultural research
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印度尼西亚三宝垄学龄儿童健康行为研究：跨文化研究中的方法论问题
DOI：
10.1093/heapro/14.1.7
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Rachmad Djati Winarno
中科院分区：
文献类型：
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作者：
B. Smet;L. Maes;L. D. Clercq;K. Haryanti;Rachmad Djati Winarno
自1982年三个欧洲国家实施“学龄儿童健康行为”（HBSC）研究以来，它已被超过25个国家采用，包括加拿大和澳大利亚。一般预计非洲和亚洲国家也将紧随其后。本文回顾了在印度尼西亚调整HBSC研究的一些方法限制。虽然国际HBSC小组报告了跨国研究中的方法问题，但以前没有人描述过将原始欧洲研究扩展到东南亚的尝试。文化、宗教、经济和社会差异造成了具体的障碍和挑战。除了问卷的调整问题，我们在问卷的编制和实施过程中遇到了更多的结构性问题。缺乏技术基础设施和通讯设施就是一个例子。这可能是一个问题，因为它会影响结果。有人认为，对于某些行为，如吸烟，跨国可比性可能不是问题。对于其他情况，例如使用酒精，应谨慎对待数据的可比性。吸烟是印度尼西亚男性青少年中最有害健康的行为之一，在15岁的男孩中，约有25%的人经常吸烟（每周至少一次）。饮酒不太常见，但由于饮酒的社会和宗教禁忌以及对酒精饮料的困惑，数据可能不太可靠。为了检验HBSC研究在非西方国家的有效性，需要做更多的努力。此外，如果发展中国家将在不久的将来参加这项研究，则建议拟订具体战略。其中包括翻译和改编标准调查表的详细规则，以及制定与具体文化有关的附加材料。
SUMMARY Since the ‘Health Behavior in School-Aged Children’ (HBSC) study was implemented by three European countries in 1982, it has been adopted by over 25 countries, including Canada and Australia. It is generally expected that African and Asian countries will follow. This paper reviews some methodological constraints in adapting the HBSC study in Indonesia. Although the international HBSC team has reported methodological problems in the cross-national study, no attempt to extend the original European study to South-east Asia has been described before. Cultural, religious, economical and social differences create specific obstacles as well as challenges. Next to problems related to adaptation of the questionnaire, we experienced more structural problems both in its preparation and implementation. Lack of technical infrastructure and communication facilities can serve as an example. This might be a problem insofar it affects the results. It is argued that for some behaviors such as smoking, cross-national comparability is probably not a problem. For others, e.g. use of alcohol, comparability of the data should be treated with caution. Smoking is one of the most compromising healthrisk behaviors among male youngsters in Indonesia, with about 25% regular smokers (at least once a week) among 15-year-old boys. Alcohol use is less common, but data are probably less reliable because of the social and religious taboos on alcohol use and confusion about alcoholic drinks. More efforts should be made in order to examine validity of the HBSC study in non-Western countries. Furthermore, insofar developing countries will participate in this study in the near future, it is recommended that specific strategies are elaborated. These include detailed rules for translation and adaptation of the standard questionnaire, and the development of specific culturerelevant additional packages.