Snow L F, Johnson S M
JAMA. 1977 Jun 20;237(25):2736-9.
Clinicians are often unaware of the folk medical beliefs of their patients or consider them to be harmless and unimportant. Such beliefs are instrumental in shaping patient behavior, however, and may contribute to negative health practices. The information presented here demonstrates that attitudes toward a single bodily function, menstruation, may adversely affect women's body image, perception of disease causation, diet, willingness to take medication, contraceptive use, and the ability to plan pregnancies. The data are part of a pilot study in which patients in a clinic serving a multiethnic low-income population were questioned about their knowledge and beliefs concerning the female reproductive cycle. It is concluded that health personnel should strive to learn what women know and believe about their bodies and how they function, to improve health care provision.
临床医生常常不了解患者的民间医学观念,或者认为这些观念无害且不重要。然而,这些观念在塑造患者行为方面起着重要作用,可能导致不良的健康行为。此处呈现的信息表明,对单一身体功能——月经——的态度可能会对女性的身体形象、对疾病成因的认知、饮食、服药意愿、避孕措施的使用以及怀孕计划能力产生不利影响。这些数据是一项试点研究的一部分,在一个为多民族低收入人群服务的诊所中,研究人员询问了患者关于女性生殖周期的知识和观念。研究得出结论,卫生人员应努力了解女性对自己身体的认知和信念以及身体的运作方式,以改善医疗服务。