Aujoulat Isabelle, Johnson Christian, Zinsou Claude, Guédénon Augustin, Portaels Françoise
Health and Patient Education Unit RESO, Université Catholique de Louvain, Brussels, Belgium.
Trop Med Int Health. 2003 Aug;8(8):750-9. doi: 10.1046/j.1365-3156.2003.01089.x.
We investigated cultural beliefs and psychosocial factors associated with Buruli ulcer in southern Benin in order to elaborate and deliver appropriate health education messages. We conducted a qualitative study among 130 adults and 30 children in Zou province, a highly endemic region. Focus group interviews of inhabitants, patients and their assistants, health care professionals and traditional healers took place in Dasso, Ouinhi, Sagon and Zagnanado. Drawing sessions followed by individual interviews were organized among school children in Dasso and Sagon. We found that although Buruli ulcer is well known and recognized - even at a very early stage of the disease - and perceived as threatening, most people are reluctant to seek treatment at the health care centre. They are unclear about the origin of the disease (environmental factors or sorcery) and treatment is considered devastating, expensive and ineffective in some cases.
我们对贝宁南部与布鲁里溃疡相关的文化信仰和社会心理因素进行了调查，以便制定并传递恰当的健康教育信息。我们在高度流行该疾病的祖省对130名成年人和30名儿童开展了一项定性研究。在达索、温希、萨贡和扎尼亚纳多，对居民、患者及其家属、医护人员和传统治疗师进行了焦点小组访谈。在达索和萨贡的学童中组织了绘画活动，之后进行个人访谈。我们发现，尽管布鲁里溃疡广为人知且得到认可——即使在疾病的早期阶段——并被视为具有威胁性，但大多数人不愿前往医疗中心寻求治疗。他们不清楚疾病的起源（环境因素还是巫术），并且认为治疗具有破坏性、费用高昂且在某些情况下无效。
