"这就是我们的文化"...:通过加勒比地区的声音了解宫癌的耻辱感
Kamilah Thomas-Purcell1, Diadrey-Anne Sealy2, Donrie Purcell3
1Nova Southeastern University College of Health Care Sciences, Department of Health Science, 3200 South University Dr, Ft. Lauderdale, FL 33328, USA.
Journal of cancer policy
|June 25, 2025
概括
文化信仰和医疗保健障碍显著增加了宫癌的耻辱感,并阻碍了加勒比地区的预防. 解决这些问题需要文化敏感的运动和改善对查和HPV疫苗接种的机会.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医学人类学 医学人类学
背景情况:
- 宫癌是加勒比地区的主要公共卫生问题.
- 文化信仰,耻辱和医疗保健接入障碍阻碍了预防和早期检测.
- 很少有研究在加勒比文化背景下对子宫癌的污名进行了定性探索.
研究的目的:
- 质量检查影响子宫癌耻辱的社会和文化因素.
- 了解耻辱对查行为和HPV疫苗接种的影响.
- 在格林纳达,牙买加和特立尼达和多巴哥探索这些问题.
主要方法:
- 一项定性研究涉及9个重点小组,69名参与者 (54名女性,15名男性).
- 从社区组织,卫生中心和癌症支持网络中招募了参与者.
- 半结构面试和专题分析被用来识别污名和预防障碍的模式.
主要成果:
- 六个主题出现了:与癌症相关的耻辱和宿命主义,文化信仰将癌症与乱伦/惩罚联系起来,知识差距和错误信息,阻碍寻求健康的性别期望,卫生系统的挑战 (不信任,保密性,成本) 和影响认识的家庭秘密.
- 宿命主义的观点和与乱伦的关联有助于污名化.
- 错误信息,性别规范和医疗保健系统问题为查和疫苗接种造成了重大障碍.
结论:
- 在低收入加勒比地区,女性因性别,教育和经济地位而面临着复杂的障碍.
- 医疗保密的担忧和不信任不鼓励预防性行为.
- 文化定制的公共卫生活动,提高保密性,以及公平获得查,治疗和HPV疫苗接种,对于减少耻辱和改善结果至关重要.
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