Brunel University, Health Sciences and Social Care, Mary Seacole Building, Uxbridge, Middlesex UB8 3 PH, UK.
Soc Sci Med. 2010 Nov;71(9):1576-83. doi: 10.1016/j.socscimed.2010.08.018. Epub 2010 Sep 21.
Stroke in low and middle income countries is an increasing cause of death and disability, with rates and the estimated burden considerably higher than that of high income countries. Lay explanatory models are believed to be one of the major influences on health seeking behaviour and essential to understand for appropriate education strategies. Despite stroke being a considerable health concern in Indonesia and particularly in Aceh, no studies to date have explored lay stroke models in that context. This paper presents the findings of a qualitative study informed by both hermeneutic phenomenology and ethnography. Based in rural communities in Bener Meriah and Aceh Tengah in Central Aceh, Indonesia, data were gathered through interviews, photographs and observations with 11 persons with stroke (aged 32-69 years) and 18 of their carers. Fieldwork was conducted over nine months between 2007 and 2008. The study examined lay concepts of stroke, described as a condition resulting from a local blockage in blood from multiple causes, many of which are not recognised within the biomedical frame. The blockage is understood to be reversible and therefore the condition curable. This understanding is embedded and sustained in the specific political, cultural, religious and social context. The results illustrate similarities and differences with other cross-cultural studies and suggest areas of future research and points of consideration for stroke education strategies.
在中低收入国家，中风是导致死亡和残疾的一个日益严重的原因，其发病率和估计负担远远高于高收入国家。人们认为，通俗解释模型是影响求医行为的主要因素之一，对于制定适当的教育策略至关重要。尽管中风在印度尼西亚，尤其是在亚齐是一个相当严重的健康问题，但迄今为止，在该地区还没有研究探讨过通俗的中风模型。本文介绍了一项定性研究的结果，该研究同时借鉴了诠释现象学和民族志学。研究以印度尼西亚中Aceh 的 Bener Meriah 和 Aceh Tengah 农村社区为基地，通过对 11 名中风患者（年龄 32-69 岁）及其 18 名护理者的访谈、照片和观察收集数据。2007 年至 2008 年期间，进行了为期九个月的实地工作。该研究考察了中风的通俗概念，中风被描述为一种由多种原因导致的局部血液阻塞引起的疾病，其中许多原因在生物医学框架内无法识别。这种阻塞被认为是可逆的，因此这种疾病是可以治愈的。这种理解根植于特定的政治、文化、宗教和社会背景中。研究结果说明了与其他跨文化研究的相似之处和不同之处，并提出了未来研究的领域和中风教育策略的考虑点。
