Health-seeking behavior of Karachi women with reproductive tract infections
Health-seeking behavior of Karachi women with reproductive tract infections
复制标题
DOI：
10.1016/s0277-9536(01)00012-0
复制
发表时间：
2002-01-01
影响因子：
5.4
通讯作者：
Fikree, FF
中科院分区：
文献类型：
--
作者：
Bhatti, LI;Fikree, FF
为探讨影响卡拉奇妇女生殖道感染就医行为的环境因素，对来自不同诊所和社区的18名生殖道感染妇女进行了深入访谈。在我们的研究中，如果女性抱怨有或不有异味的阴道分泌物伴有或不伴有会阴瘙痒，医生诊断为下生殖道感染；如果她有以下两种主诉之一：阴道分泌物异味、月经不规律、下腹痛或性交困难，则诊断为盆腔炎或上生殖道感染。妇女在寻求治疗的过程中咨询了各种医疗保健提供者，主要是对症医生和哈基姆人。给妇女开出的不同治疗方法从口服和阴道内药物到各种家庭疗法，包括不吃特定的食物。据报道，生殖道感染的原因是“融化的骨头”、食用被认为是热的食物、不良的个人卫生以及扩张和刮宫、分娩和人工流产等手术。没有人报告说性传播疾病是他们问题的公认原因。据报告，对宗教活动、性关系或社交的干扰是生殖道感染的后果，此外还有下腹痛、月经不规律、背痛和kamzori(虚弱)。巴基斯坦妇女寻求生殖道感染的护理，并咨询各种提供者，尽管提供的原因和治疗通常与性传播疾病无关。因此，我们建议对医疗保健提供者进行适当的咨询培训，并提倡治疗管理方案。(C)2001爱思唯尔科学有限公司。保留所有权利。
To explore the contextual factors influencing health-seeking behavior of women in Karachi regarding reproductive tract infections, 18 women with reproductive tract infections from different clinics and community settings were identified and in-depth interviews were conducted. Physicians in our study diagnosed a woman to have lower reproductive tract infection if she complained of malodorous vaginal discharge with or without perineal itching; and to have pelvic inflammatory disease or upper reproductive tract infection if she had any two of the following complaints: malodorous vaginal discharge, menstrual irregularities, lower abdominal pain or dyspareunia. Women consulted a variety of healthcare providers in their pursuit for treatment, mainly allopathic doctors and hakims. The different treatments prescribed to women ranged from oral and intravaginal medications to various home remedies including refraining from specific foods. Causes of reproductive tract infections reported were ''melting bones'', consuming foods with perceived hot composition, poor personal hygiene and procedures like dilatation and curettage, delivery and induced abortions. None reported sexually transmitted diseases as the perceived cause of their problem. Interference with religious activities, sexual relationships or socializing was reported as consequences of reproductive tract infections, in addition to lower abdominal pain, menstrual irregularities, backache and kamzori (weakness). Pakistani women seek care for reproductive tract infections and visit a variety of providers, though causes and treatments offered are usually not related to sexually transmitted diseases. We therefore suggest training of healthcare providers for appropriate counseling and that treatment management protocols be advocated. (C) 2001 Elsevier Science Ltd. All rights reserved.