Department of Psychology, University of Lome, Lome, Togo.
Psychol Health Med. 2009 Aug;14(4):502-10. doi: 10.1080/13548500902890095.
Using a broad theory of human motivation, the study examined the psychological structure of the reasons evoked by Togolese people for not attending medical facilities when they think they have malaria. Five hundred and thirty-two persons living in Lome, Togo were presented with a questionnaire of motives. Through exploratory and confirmatory factor analyses, a seven-factor structure of motives was found. Participants explained their reluctance to attend medical facilities by the facts that (a) malaria is not a serious illness that deserves much investment, (b) caregivers behave in an aggressive way and try to extort extra money, (c) malaria has always been self-treated at home, and (d) attending the health care facilities is too alarming for the family. The reasons for not attending were not related to the participants' mistrust in biomedicine, their willingness to keep control over things nor a personal feeling of unease.
该研究运用广泛的人类动机理论，考察了多哥人认为自己患有疟疾但不去医疗机构就诊的原因所引发的心理结构。研究人员向 532 名居住在多哥洛美的人发放了一份动机问卷。通过探索性和验证性因素分析，发现了一个由七个因素构成的动机结构。参与者解释说，他们不愿意去医疗机构就诊的原因是：(a) 疟疾不是一种需要大量投入的严重疾病；(b) 护理人员态度咄咄逼人，试图敲诈额外的钱；(c) 疟疾一直在家里自行治疗；(d) 去医疗保健机构对家庭来说太令人担忧。不去就诊的原因与参与者对生物医学的不信任、他们愿意控制事情的意愿或个人的不安情绪无关。
