印度博帕尔地区女性结核病诊断面临的社会文化和知识障碍
Socio-cultural and Knowledge-Based Barriers to Tuberculosis Diagnosis for Women in Bhopal, India.
作者信息
McArthur Evonne, Bali Surya, Khan Azim A
机构信息
Department of Biology, University of North Carolina, Chapel Hill, North Carolina, USA; School for International Training, New Delhi, India.
Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
出版信息
Indian J Community Med. 2016 Jan-Mar;41(1):62-4. doi: 10.4103/0970-0218.170990.
BACKGROUND
In India, only one woman is diagnosed with tuberculosis (TB) for every 2.4 men. Previous studies have indicated gender disparities in care-seeking behavior and TB diagnosis; however, little is known about the specific barriers women face.
OBJECTIVES
This study aimed to characterize socio-cultural and knowledge-based barriers that affected TB diagnosis for women in Bhopal, India.
MATERIALS AND METHODS
In-depth interviews were conducted with 13 affected women and 6 health-care workers. The Bhopal Diagnostic Microscopy Laboratory Register (n = 121) and the Bhopal district report (n = 261) were examined for diagnostic and care-seeking trends.
RESULTS
Women, especially younger women, faced socio-cultural barriers and stigma, causing many to hide their symptoms. Older women had little awareness about TB. Women often sought treatment from private practitioners, resulting in delayed diagnosis.
CONCLUSIONS
Understanding these diagnostic and help-seeking behaviors barriers for women is critical for development of a gender-sensitive TB control program.
背景
在印度，每2.4名男性中仅有一名女性被诊断出患有结核病（TB）。先前的研究表明，在寻求治疗行为和结核病诊断方面存在性别差异；然而，对于女性面临的具体障碍却知之甚少。
目的
本研究旨在描述影响印度博帕尔市女性结核病诊断的社会文化和基于知识的障碍。
材料与方法
对13名受影响女性和6名医护人员进行了深入访谈。查阅了博帕尔诊断显微镜实验室登记册（n = 121）和博帕尔地区报告（n = 261）以了解诊断和寻求治疗的趋势。
结果
女性，尤其是年轻女性，面临社会文化障碍和耻辱感，导致许多人隐瞒症状。老年女性对结核病了解甚少。女性常常向私人医生寻求治疗，导致诊断延迟。
结论
了解这些女性的诊断和求助行为障碍对于制定对性别敏感的结核病控制计划至关重要。
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