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巴拿马马东甘迪古纳自治区库纳原住民对疟疾的社会认知

Social representations of malaria in the Guna indigenous population of Comarca Guna de Madungandi, Panama.

作者信息

Cáceres Lorenzo, Calzada José E, Gabster Amanda, Young Josue, Márquez Ricardo, Torres Rolando, Griffith Margarita

机构信息

Department of Medical Entomology, Gorgas Memorial Institute for Health Research, 0816-02593, Panama City, Republic of Panama.

Department of Parasitology, Gorgas Memorial Institute for Health Research, 0816-02593, Panama City, Republic of Panama.

出版信息

Malar J. 2017 Jun 15;16(1):256. doi: 10.1186/s12936-017-1899-4.

Abstract

BACKGROUND

The purpose of the study was to recognize the social representation of the Guna indigenous population by identifying cultural elements related to malaria, in order to create an intercultural approach to any health intervention to control and prevent the disease.

METHODS

This qualitative study has an anthropological focus that used participant observation, informal conversations, focus groups, interviews, in-depth interviews with key actors. Analyses included review, classification and categorization of interviews.

RESULTS

Malaria within the Guna culture is in harmony with several cultural factors, such as magic, religion, beliefs, myths, and nature. The health system must include these factors in its intercultural approach to ensure the sustainability of anti-malarial intervention measures. Until this is not properly addressed, the Guna population of Madungandi will remain a permanent source of risk for malaria transmission in this region and for the rest of the country.

CONCLUSION

The findings of this study contribute new variables that can facilitate an intercultural approach to improve the perception of malaria in the indigenous population of Comarca Guna de Madungandi, Panama.

摘要

背景

本研究的目的是通过识别与疟疾相关的文化元素来认识库纳土著居民的社会表征,以便为控制和预防该疾病的任何健康干预措施创造一种跨文化方法。

方法

这项定性研究具有人类学重点,采用了参与观察、非正式交谈、焦点小组、访谈以及对关键人物的深入访谈。分析包括对访谈的回顾、分类和归类。

结果

库纳文化中的疟疾与魔法、宗教、信仰、神话和自然等多种文化因素相协调。卫生系统必须在其跨文化方法中纳入这些因素,以确保抗疟干预措施的可持续性。在这一问题未得到妥善解决之前,马东甘迪的库纳居民将仍然是该地区乃至该国其他地区疟疾传播的一个长期风险源。

结论

本研究的结果提供了新的变量,有助于采用跨文化方法来改善巴拿马马东甘迪库纳自治区土著居民对疟疾的认知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cc4/5472999/ebf813b5819a/12936_2017_1899_Fig1_HTML.jpg

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