From their own perspective. A Kenyan community's perception of tuberculosis
From their own perspective. A Kenyan community's perception of tuberculosis
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DOI：
10.1046/j.1365-3156.1997.d01-380.x
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发表时间：
1997-08-01
影响因子：
3.3
通讯作者：
DeMunynck, AO
中科院分区：
文献类型：
--
作者：
Liefooghe, R;Baliddawa, JB;DeMunynck, AO
早期被动发现病例和治疗依从性是结核病（TB）控制计划的基石。由于人类行为在这两项战略中发挥着关键作用，因此更好地了解人类行为对于规划和实施成功的结核病规划，特别是健康教育部分非常重要。我们在肯尼亚瓦辛吉舒进行的定性研究旨在更好地了解社区对结核病的信念和看法，认识早期症状和寻求健康的行为。五个焦点小组共49人：一个是住院的结核病患者，两个是农村参与者，两个是城市参与者。结核病被认为是一种传染性的、“敏感的”疾病，难以诊断和治疗。社区成员认为，结核病应在医院或医生诊断和治疗，而不是在外围水平。结核病治疗被认为是漫长、痛苦和繁琐的。传统治疗被认为是现代治疗的有效替代方案，被认为是有效和更短的。最初的症状，如咳嗽和发烧往往被忽视和/或混淆疟疾或普通感冒。与疾病相关的症状是指结核病的晚期。结核病是由吸烟、酗酒、辛勤工作、接触寒冷和与结核病患者分享等原因造成的。许多参与者认为结核病是遗传性的。长期的自我治疗和向传统卫生部门咨询，以及对这种疾病的社会耻辱感，增加了病人的延误。只有在症状持续一段时间和/或嫌疑犯的健康状况恶化之后，才向现代保健服务部门咨询。这些社会条件要求开展文化敏感的健康教育，同时考虑到当地对结核病的认识。
Early passive case finding and treatment compliance are the cornerstones of tuberculosis (TB) control programs. As human behaviour plays a critical role in both strategies, a better understanding of it is important for the planning and implementation of a successful TB programme, especially for the health education component. Our qualitative study in Uasin Gishu, Kenya, aimed at a better understanding of the community's beliefs and perceptions of TB, recognition of early symptoms and health-seeking behaviour. Five focus groups with a total of 49 people were held: one with hospitalised TB patients, two with rural and two with urban participants.Tuberculosis is well known in the communities and many vernacular names for the disease exist. TB is perceived as a contagious, 'sensitive' disease difficult to diagnose and treat. Community members believe that TB should be diagnosed and treated in a hospital or by a medical doctor and nor at the peripheric level. TB treatment is perceived as long, agonising and cumbersome. Traditional treatment is considered a valid alternative to modern treatment, believed to be as effective and much shorter. Initial symptoms such as cough and fever are often overlooked and/or confused wit malaria or a common cold. Symptoms associated with the disease refer to the later stage of TB. TB is attributed to causes such as smoking, alcohol, hard work, exposure to cold and sharing with TB patients. Many participants believe TB is hereditary. Prolonged self treatment and consultation with the traditional health sector as well as the social stigma attached to the disease increase patient's delay. Only after symptoms persist for some rime and/or the suspect's health deteriorates, are modern health services consulted. These social conditions necessitate culturally sensitive health education, taking into account local perceptions of TB.