Naemiratch Bhensri, Manderson Lenore
Anthropol Med. 2007 Apr;14(1):83-94. doi: 10.1080/13648470601106418.
The increasing incidence of and mortality associated with type 2 diabetes in Thailand, and the lack of knowledge of lay understandings of diabetes, are the starting points of this paper. Ethnographic research was undertaken in an inner zone district of Bangkok, with participant observation, interviews and case studies conducted with individuals who had lived with type 2 diabetes for at least three years. Culturally specific explanations exist for the aetiology, pathology and course of illness, and responses to biomedical treatment. The notion of kam -the negative effects of past behaviour-underpinned participants' explanations of the cause of diabetes. The presentation and development of the disease derive from Thai traditional medical theory, but its management, aimed at controlling blood glucose levels and preventing complications, involves both cosmopolitan and traditional medicines. This syncretic approach to cause, diagnosis and management suggests the value of a more comprehensive approach in health education, diagnosis and treatment.
泰国2型糖尿病的发病率和死亡率不断上升，且民众对糖尿病的认知不足，这些是本文的出发点。研究在曼谷一个内城区开展了人种志研究，对患有2型糖尿病至少三年的个体进行了参与观察、访谈和案例研究。对于病因、病理、病程以及对生物医学治疗的反应，存在特定文化背景下的解释。“业报”（即过去行为的负面影响）这一概念支撑着参与者对糖尿病病因的解释。该疾病的表现和发展源于泰国传统医学理论，但其管理旨在控制血糖水平和预防并发症，涉及到现代医学和传统药物。这种对病因、诊断和管理的融合方法表明，在健康教育、诊断和治疗中采用更全面的方法具有重要意义。
