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“癌症正流行”:厄瓜多尔安第斯土著社区生活方式的改变和全球化的影响。

"Cancer is in style": lifestyle change and the perceived impact of globalization on Andean indigenous communities in Ecuador.

机构信息

Department of Community and Family Health, University of South Florida, Tampa, FL, USA.

Colegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito, Ecuador.

出版信息

Ethn Health. 2021 Feb;26(2):153-167. doi: 10.1080/13557858.2018.1493437. Epub 2018 Jul 4.

DOI:10.1080/13557858.2018.1493437
PMID:29973064
Abstract

: There is a paucity of information on cancer among Indigenous populations in Latin America.: Guided by tenets of community engaged research and syndemic theory, we conducted eight focus groups ( = 59) with Kichwa men and women in the province of Imbabura, Ecuador. Data were analyzed using applied thematic analysis techniques.: Cancer emerged as an important health problem and was reported as a growing concern. Kichwa participants in this study attributed the rise in cancer to (1) exposure to chemicals and pesticides, (2) urbanization and development, and (3) the rise of innutritious, westernized diets.: Our findings suggest that the Kichwa are attuned to the global phenomena in which traditional diet has been replaced by western, processed foods and fast food, which result in higher levels of chronic diseases such as cancer. More research is needed to understand the cancer burden among Indigenous peoples in Latin America.

摘要

在拉丁美洲的原住民群体中,有关癌症的信息十分匮乏。本研究以社区参与式研究和综合征理论为指导,在厄瓜多尔因巴布拉省与基丘瓦男女进行了八次焦点小组( = 59)。采用应用主题分析技术对数据进行了分析。癌症已成为一个重要的健康问题,且报告称其日益受到关注。本研究中的基丘瓦参与者将癌症的增加归因于以下三个方面:(1)接触化学物质和农药,(2)城市化和发展,以及(3)缺乏营养的西式饮食的兴起。我们的研究结果表明,基丘瓦人已经意识到全球范围内的现象,即传统饮食已被西式加工食品和快餐所取代,这导致了更高水平的慢性疾病,如癌症。需要进一步研究来了解拉丁美洲原住民群体中的癌症负担。

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