Guile Lucy, Graham Devon, Jachmann Anne
Department of Anaesthesia, Gloucestershire Hospitals NHS Foundation Trust, Sandford Road, Cheltenham GL53 7AN, UK.
Project Amazonas, 701 E Commercial Blvd #200, Ft. Lauderdale, FL 33334, USA.
Med Sci (Basel). 2018 Nov 26;6(4):106. doi: 10.3390/medsci6040106.
Peru is a country with wide regional disparities in health. Remote Amazonian communities have high rates of poverty and poor access to health services. There is a lack of data on morbidity and use of health services in the region. We describe a descriptive, cross-sectional study of the demographic characteristics and presenting complaints of attendees to a newly-opened primary care facility in a remote community. This was supplemented by structured interviews of adult attendees to build a picture of sociocultural determinants of health locally, including engagement with traditional forms of medicine. Our study provides novel insights into an under-studied and under-resourced area. We found a young population with a high prevalence of infectious illnesses, particularly dermatological infections - a previously under-recognised source of morbidity in these communities. Poor literacy rates and widespread use of traditional forms of medicine have important implications for the provision of healthcare in this region.
秘鲁是一个在健康方面存在广泛地区差异的国家。偏远的亚马孙社区贫困率高,获得医疗服务的机会有限。该地区缺乏关于发病率和医疗服务使用情况的数据。我们描述了一项描述性横断面研究,该研究针对一个偏远社区一家新开业的初级保健机构的就诊者的人口统计学特征和就诊主诉。此外,我们还对成年就诊者进行了结构化访谈,以了解当地健康的社会文化决定因素,包括与传统医学的接触情况。我们的研究为一个研究不足且资源匮乏的领域提供了新的见解。我们发现该社区人口年轻,传染病患病率高,尤其是皮肤感染——这是这些社区此前未得到充分认识的发病原因。识字率低和传统医学的广泛使用对该地区的医疗保健提供具有重要影响。