A qualitative study on knowledge, perception, and practice related to non-communicable diseases in relation to happiness among rural and urban residents in Bhutan
A qualitative study on knowledge, perception, and practice related to non-communicable diseases in relation to happiness among rural and urban residents in Bhutan
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DOI：
10.1371/journal.pone.0234257
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发表时间：
2020-06-29
期刊：
影响因子：
3.7
通讯作者：
Imanaka, Yuichi
中科院分区：
文献类型：
--
作者：
Kohori-Segawa, Hiromi;Dorji, Chencho;Imanaka, Yuichi
不丹被称为幸福之国，经历了快速的社会变革，非传染性疾病（NCD）的负担日益加重，影响健康和幸福。为了告知不丹未来的非传染性疾病预防计划，本研究探讨了不丹人在幸福哲学背景下与非传染性疾病相关的知识，观念和做法。2017年在不丹农村和城市社区对79名年龄在18岁以上的男女居民进行了研究。参与者通过有目的的抽样招募，通过深入访谈，参与性观察和人体测量收集的数据。数据采用主题分析法进行分析。结果/讨论在所有参与者中，健康被认为是“幸福”的一个重要因素。然而，由于缺乏有效的非传染性疾病教育方案，因此整个社会缺乏预防非传染性疾病的实用知识，与生活方式有关的非传染性疾病风险因素占主导地位。我们进一步发现，幸福的价值观“在任何情况下都能找到幸福是美德”是普遍的，以及其他传统价值观和习俗，塑造了人们的健康行为。根据这些意见，建议不丹紧急推出更实用的非传染性疾病教育/预防方案，让多代人、宗教当局、教育环境和医疗服务参与其中。独创性-这是第一次全面的定性研究非传染性疾病相关的生活方式的风险，不丹人的幸福的概念。
Purpose Bhutan, known as a country of happiness, has experienced rapid social changes and the increasing burden of non-communicable diseases (NCDs) that can impact health and happiness. To inform future NCD prevention programs in Bhutan, this study explores knowledge, perception, and the practices of Bhutanese related to NCDs in the context of the philosophy of happiness. Methodology Research was conducted in rural and urban communities of Bhutan in 2017 among 79 inhabitants of both genders, aged >= 18. Participants were recruited through purposive sampling with the data collected by in-depth interviews, participatory observation, and anthropometric measurements. Data were analyzed by thematic analysis. Results/Discussion Across participants, health was considered as an important element of "happiness". However, lifestyle-related NCD risk factors prevailed due to the lack of effective education programs on NCDs and thus the lack of practical knowledge for NCD prevention across society. We further found that the value of happiness "finding happiness in any situation is virtue" was universal as well as other traditional values and customs, shaping people's health behaviors. From these observations, it is recommended that more practical NCD education/prevention programs should be urgently introduced in Bhutan that involve multiple generations, religion authorities, educational settings, and medical services. Originality This is the first comprehensive qualitative study on the NCD-related lifestyle risks among Bhutanese concerning the concept of happiness.