Children's Roles in Tuberculosis Treatment Regimes: Constructing Childhood and Kinship in Urban Zambia
Children's Roles in Tuberculosis Treatment Regimes: Constructing Childhood and Kinship in Urban Zambia
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DOI：
10.1111/maq.12028
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发表时间：
2013-06-01
影响因子：
2.2
通讯作者：
Hunleth, Jean
中科院分区：
文献类型：
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作者：
Hunleth, Jean
在赞比亚，结核病等艾滋病毒相关疾病的负担已受到国际社会的广泛关注。赞比亚人体验并参与了一系列全球制定的结核病管理和治愈结核病患者项目。在世卫组织直接观察治疗、短期方案的指导下，结核病治疗方案现在强调坚持药物治疗作为实现治愈的主要方法。本文旨在了解依从性模式如何进入与成年结核病患者一起生活并照顾在受该疾病影响尤为严重的地区的儿童的日常生活。我建议儿童驯化依从模式，将其用作保护在艾滋病毒时代日益受到威胁的身份、关系、生计和未来的策略。他们利用结核病治疗及其所提供的希望和力量来维持童年的版本，在童年中他们受到成年人的照顾，成年人会倡导他们的福祉。
In Zambia, the burden of HIV-related diseases such as tuberculosis has received substantial international attention. Zambians experience and participate in a range of globally produced programs to manage TB and cure TB sufferers. Guided by WHO's Directly Observed Treatment, Short-course protocol, TB treatment regimens now emphasize adherence to medications as the primary way to achieve cure. This article aims to understand how adherence models enter into the daily lives of children who live with and care for adult TB patients in an area disproportionately affected by the disease. I suggest that children domesticate adherence models, using them as strategies to safeguard identities, relationships, livelihoods, and futures that are increasingly under threat in the age of HIV. They draw on TB treatment and the hope and agency it affords to hold onto a version of childhood in which they are cared for by adults who will advocate for their well-being.