Qureshi Nudrat, Shaikh Babar T
Anthropol Med. 2006 Aug;13(2):131-9. doi: 10.1080/13648470600738716.
Myths and fallacies have existed ever since societies began, influencing the perceptions about health, and the cause and cure of health related problems. The role of such myths in governing the health and health seeking behavior of people is quite explicit. Misconceptions about breast-feeding, pre-lacteal feed, weaning, dietary habits and other health related matters are commonly heard in the cultures of developing countries. False perceptions have undoubtedly an impact on the health seeking behavior. People coming from the low socio-economic strata in rural areas suffer the most. They lack access to formal health care services and are unable to afford specialized medical care. This gives rise to alternative health seeking behaviors. A considerable majority of people prefer to go to spiritual healers, quacks and other non-formal health providers for the treatment of their ailments. This paper has reviewed a variety of myths, fallacies and misconceptions collectively in the cultural context and has attempted to relate them to the health seeking behaviors of Pakistani people. The paper is based on the contemporary literature review and library work, focusing on finding the feasible strategies to address a variety of myths and misconceptions. Since myths have many adverse implications on the health of the people, an effective way of motivating low income and high risk people to adopt healthy behavior is 'social marketing'. Creating 'health promotion committees' at village level sounds like another doable strategy to ameliorate the situation in order to educate people to take care of not only their own health but of the future generations as well.
自从社会形成以来,神话和谬误就一直存在,影响着人们对健康以及与健康相关问题的成因和治疗方法的认知。这类神话在支配人们的健康和求医行为方面的作用十分明显。在发展中国家的文化中,关于母乳喂养、初乳前喂养、断奶、饮食习惯及其他与健康相关问题的误解屡见不鲜。错误认知无疑会对求医行为产生影响。农村地区社会经济地位较低的人群受影响最大。他们难以获得正规医疗服务,也负担不起专科医疗护理费用。这就催生了其他求医行为。相当多的人更愿意去找灵媒、庸医及其他非正规医疗服务提供者治疗疾病。本文在文化背景下对各类神话、谬误和误解进行了综合审视,并试图将它们与巴基斯坦人的求医行为联系起来。本文基于当代文献综述和图书馆调研工作,着重探寻应对各类神话和误解的可行策略。由于神话对人们的健康有诸多不利影响,激励低收入和高风险人群采取健康行为的一种有效方式是“社会营销”。在村级层面设立“健康促进委员会”似乎是改善现状的另一可行策略,以便教育人们不仅要关注自身健康,还要关心子孙后代的健康。