McEwen Marylyn M
University of Arizona College of Nursing, Tuscon, USA.
J Transcult Nurs. 2005 Oct;16(4):347-55. doi: 10.1177/1043659605278943.
This article reveals how the multiple and disparate explanations of latent tuberculosis infection (LTBI) from the U.S. and Mexico professional health sectors and the popular sector are used to inform the explanatory model (EM) of LTBI for Mexican immigrants residing in the U.S.-Mexico border region. Fourteen immigrants, nine diagnosed with LTBI (n = 9) and their spouses (n = 5) participated in this critical ethnographic study. Because care seeking and treatment decisions are influenced by EMs, the results indicate that it is imperative that interventions for Mexican immigrants with LTBI are built on an understanding of their illness experience and are contextually meaningful.
本文揭示了美国和墨西哥专业卫生部门以及大众部门对潜伏性结核感染(LTBI)的多种不同解释是如何被用于为居住在美国 - 墨西哥边境地区的墨西哥移民构建LTBI解释模型(EM)的。14名移民,其中9名被诊断为LTBI(n = 9)及其配偶(n = 5)参与了这项批判性人种志研究。由于求医行为和治疗决策受解释模型的影响,结果表明,对患有LTBI的墨西哥移民的干预措施必须基于对他们疾病经历的理解,并且具有情境意义。