Thresholds of morbidity among women in a peri-urban community of Maharashtra, India: Conceptual and methodological issues
Thresholds of morbidity among women in a peri-urban community of Maharashtra, India: Conceptual and methodological issues
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DOI：
10.1177/13591053030085005
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发表时间：
2003-09-01
影响因子：
3.2
通讯作者：
Bentley, M
中科院分区：
文献类型：
--
作者：
Kielmann, K;Bentley, M
虽然感知发病率的数据通常与临床发病率的相关性较差，但它们可以提供一个指标概念，说明在性别和卫生系统发生较大转变的背景下，妇女健康如何变化。本文利用印度马哈拉施特拉邦城郊居住区妇女感知发病率的多个来源数据，探讨了妇女表达疾病状况的阈值的变化。使用四种不同的工具从 15-49 岁的已婚妇女中收集了有关妇女健康的数据：焦点小组讨论指南；一般疾病叙述指南；关于发病率的个人开放式问题；以及高度结构化的清单。通过比较这些文书所依据的数据和假设，本文确定了与妇女经历和随后发病率报告的情境、机构、典型和维度方面相关的四个不同阈值。
While data on perceived morbidity often correlate poorly with clinical morbidity, they can provide an indicator's concepts of for how women health change in the context of larger transitions in gender and health systems. Drawing on multiple sources of data on perceived morbidity among women in a peri-urban settlement of Maharashtra, India, this article examines variations in women's thresholds for articulating illness conditions. Data on women's health were collected from married women aged 15-49, using four different instruments: focus group discussion guides; general illness narrative guidelines; individual open-ended questions about morbidity; and a highly structured checklist. Comparing the data and the assumptions underlying these instruments, the article identifies four different thresholds relating to situational, agency, prototypical and dimensional aspects of women's experience and subsequent reporting of morbidity.