法属圭亚那的疹:与治疗失败相关的定量和质量因素
R Blaizot1,2,3,4,5, F Armanville5, C Michaud5
1Centre Hospitalier de Cayenne, Service de Dermatologie, Cayenne, French Guiana.
概括
法属圭亚那的疹治疗失败与坚持和当地观念有关. 将控制策略与社区信仰和医疗保健接入量身定制是成功的关键.
科学领域:
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
- 医学人类学 医学人类学
背景情况:
- 控制策略需要适应当地环境,特别是在具有独特健康信仰的传统社区.
- 法属圭亚那的传统社区对疾病和健康有着独特的非西方观念,影响了治疗方法.
研究的目的:
- 探索古雅安传统社区与有关的知识,态度和做法.
- 在这些特定人群中确定与治疗失败相关的因素.
主要方法:
- 一种混合方法方法,将定量 (164名参与者) 和定性 (21次采访) 数据收集相结合.
- 在6周后对病患者进行前性随访,以评估治疗持续性和确定失败因素.
- 半结构面试,以更深入地了解参与者的经验和感知.
主要成果:
- 坚持第二剂治疗与治疗成功有关.
- 局部治疗表现出比口服ivermectin更好的坚持,尽管甲单一治疗与治疗失败有关.
- 治疗的成功受到了诸如西方治疗的负担能力,环境消毒的复杂性和相关的耻辱感等因素的影响,这些因素在各族群之间存在差异.
结论:
- 在传统的圭亚那社区中,疹治疗的结果受到当地对治疗的看法,疾病的耻辱和医疗保健的准入的影响.
- 有效的控制策略必须考虑这些偏远和移民人口的文化和后勤因素.
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