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在南非夸祖鲁 - 纳塔尔省城市地区,就艾滋病毒/艾滋病问题咨询传统保健从业者的患者。

Patients consulting traditional health practioners in the context of HIV/AIDS in urban areas in KwaZulu-Natal, South Africa.

作者信息

Peltzer Karl, Mngqundaniso Nolwandle

机构信息

Social Aspects of HIV/AIDS and Health, Human Sciences Research Council, Pretoria, South Africa.

出版信息

Afr J Tradit Complement Altern Med. 2008 Jun 18;5(4):370-9.

Abstract

The purpose of this study is to assess patients consulting full-time traditional health practitioners (THPs) and the practice of THPs after they had been trained on Human Immunodeficiency Virus (HIV)/ Sexually Transmitted Infections (STI) prevention and care. The sample included 222 patients interviewed when exiting a THP's practice (n=17) in purposefully chosen two urban sites in KwaZulu-Natal. Results indicate that at post training evaluation the majority of the THPs were involved in HIV/STI management and most had low levels of HIV risk practices at the workplace. Major self-reported reasons for consulting the THP included a complex of supernatural or psychosocial problems, chronic conditions, acute conditions, generalized pain, HIV and other STIs. Overall, patients including HIV positive (n=18) patients had moderate knowledge of Antiretroviral Therapy (ART). A number of HIV positive patients were using traditional medicine and ART concurrently, dropped out of ART because of side effects and were using traditional medicine for HIV.

摘要

本研究的目的是评估在接受了人类免疫缺陷病毒(HIV)/性传播感染(STI)预防与护理培训后,咨询全职传统医疗从业者(THP)的患者以及这些传统医疗从业者的实践情况。样本包括在夸祖鲁-纳塔尔省两个经过特意挑选的城市地点,从17位传统医疗从业者诊所离开时接受访谈的222名患者。结果表明,在培训后评估中,大多数传统医疗从业者参与了HIV/STI管理,且大多数人在工作场所的HIV风险行为水平较低。咨询传统医疗从业者的主要自我报告原因包括一系列超自然或心理社会问题、慢性病、急性病、全身性疼痛、HIV和其他性传播感染。总体而言,包括HIV阳性(n = 18)患者在内的患者对抗逆转录病毒疗法(ART)有一定了解。一些HIV阳性患者同时使用传统药物和抗逆转录病毒疗法,因副作用而退出抗逆转录病毒疗法,并使用传统药物治疗HIV。

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