Cruel disease, cruel medicine: Self-treatment of cutaneous leishmaniasis with harmful chemical substances in Suriname
Cruel disease, cruel medicine: Self-treatment of cutaneous leishmaniasis with harmful chemical substances in Suriname
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DOI：
10.1016/j.socscimed.2012.04.038
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发表时间：
2012-09-01
影响因子：
5.4
通讯作者：
Ramdas, Sahienshadebie
中科院分区：
文献类型：
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作者：
Ramdas, Sahienshadebie
为什么在治疗皮肤利什曼病（CL）时使用潜在有害的非生物医学化学物质，如电池酸、氯、除草剂和杀虫剂？是什么促使人们将这些产品用作药物？这篇文章是关于CL的看法，并寻求治愈，在苏里南，南美洲。它突出了寻求健康背后的联想推理风格，并讨论了有害化学物质作为药物的使用。皮肤利什曼病是一种寄生虫病，影响全球100万至150万人。它有一系列的临床表现，但最突出和毁容的元素是广泛的皮肤溃疡和疤痕形成的病变。本文所依据的数据来自2009年9月至2010年12月在苏里南不同地区进行的人类学研究。主要通过定性方法收集数据，包括在首都帕拉马里博的皮肤病服务处使用结构化问卷采访205名CL患者。几乎所有的CL患者都说他们尝试过自我治疗，从使用民族植物产品到非生物医学化学解决方案。本文介绍和解释的意见和做法，CL患者寻求治疗使用苛刻的化学品。它认为，环境因素的汇合-环境，职业，基础设施，地理，社会文化，经济，社会心理-导致使用有害的化学物质来治疗CL疮。这项研究是苏里南的第一项研究，也是全球为数不多的几项研究之一，重点是与CL寻求健康有关的社会和文化方面。它旨在鼓励卫生政策制定者和卫生专业人员认真启动，提供和评估CL治疗和预防计划。(c)2012爱思唯尔有限公司保留所有权利。
Why are potentially harmful, non-biomedical chemical substances, such as battery acid, chlorine, herbicides, and insecticides, used in the treatment of cutaneous leishmaniasis (CL)? What drives people to use these products as medicine? This article is about perceptions of CL, and the quest for a cure, in Suriname, South America. It highlights the associative style of reasoning behind health seeking and discusses the use of harmful chemical substances as medicines. Cutaneous leishmaniasis, a parasitic disease, affects 1 to 1.5 million people globally. It has a spectrum of clinical manifestations, but the most prominent and disfiguring elements are extensive dermatological ulceration and scar formation from lesions. The data upon which this article is based are derived from anthropological research carried out in different parts of Suriname between September 2009 and December 2010. Data was collected through mainly qualitative methods, including interviewing 205 CL patients using structured questionnaires at the Dermatological Service in the capital Paramaribo. Almost all people with CL said they tried self-treatment, varying from the use of ethno-botanical products to non-biomedical chemical solutions. This article presents and interprets the views and practices of CL patients who sought treatment using harsh chemicals. It argues that a confluence of contextual factors - environmental, occupational, infrastructural, geographical, socio-cultural, economic, socio-psychological - leads to the use of harmful chemical substances to treat CL sores. This study is the first in Suriname - and one of the few done globally - focusing on social and cultural aspects related to CL health seeking. It aims to encourage health policy makers and health professionals to carefully initiate, provide, and evaluate CL treatment and prevention programs. (c) 2012 Elsevier Ltd. All rights reserved.