寻求登革热治疗的行为:对哥斯达黎加居民的定性研究
Alexander Le1, Sara Ali1, Christine C Blackburn1
1Texas A&M University School of Public Health, College Station, TX, USA.
概括
许多登革热患者最初由于对医疗保健的感知障碍而自我治疗. 干预措施应解决这些障碍,以鼓励对登革热及时提供医疗护理.
科学领域:
- 公共卫生 公共卫生
- 医学人类学 医学人类学
- 传染病流行病学 传染病流行病学
背景情况:
- 登革热感染构成了重大的公共卫生挑战,需要了解寻求治疗行为 (TSB) 以有效管理疾病.
- 健康信念模型 (HBM) 为分析与健康相关的行为提供了一个框架,包括与登革热等传染病相关的行为.
研究的目的:
- 调查影响哥斯达黎加登革热治疗行为 (TSB) 的关键决定因素.
- 通过健康信念模型 (HBM) 的镜头检查与登革热管理相关的个体感知和行为.
主要方法:
- 使用自然主义调查的定性研究设计.
- 与哥斯达黎加四个社区的居民进行了102次半结构现场采访.
- 使用MAXQDA 2022©对转录的采访进行主题分析,以确定模式和主题.
主要成果:
- 自我治疗成为对登革热症状最常见的初始反应.
- 医疗保健服务的难以获得和无效的感觉阻止了个人寻求专业医疗护理.
- 几个HBM主题显著影响了参与者的登革热TSB.
结论:
- 自我治疗的普遍性凸显了对公共卫生干预措施的迫切需要.
- 干预措施应侧重于促进登革热的及时专业医疗护理.
- 解决感知障碍和改善对医疗保健可访问性和有效性的看法对于优化登革热TSB至关重要.
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