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当我们谈论教育和恰加斯病时,我们在谈论什么?一个系统综述的问题。

What are we talking about when we talk about education and Chagas? A systematic review of the issue.

机构信息

Grupo de Didáctica de las Ciencias, Instituto de Física de Líquidos y Sistemas Biológicos (IFLYSIB, CONICET-UNLP), La Plata, Provincia de Buenos Aires, Argentina.

Grupo de Didáctica de las Ciencias, Instituto de Física de Líquidos y Sistemas Biológicos (IFLYSIB, CONICET-UNLP), La Plata, Provincia de Buenos Aires, Argentina.

出版信息

Biochim Biophys Acta Mol Basis Dis. 2020 May 1;1866(5):165691. doi: 10.1016/j.bbadis.2020.165691. Epub 2020 Jan 30.

DOI:10.1016/j.bbadis.2020.165691
PMID:32006572
Abstract

More than 110 years has passed since the first publications on Chagas disease, and it still urges the necessity of understanding it as a complex socioenvironmental issue in which components of diverse nature converge and interact beyond the biomedical and epidemiological aspects. The current scenarios of the issue, both rural and Latin American as urban and global, demand that the education on Chagas disease include all possible contexts: where there are insect vectors and where there are not; inside and outside Latin America; in rural, periurban, and urban areas; in formal and non-formal educational environments. We consider essential the requirement of both an integral approach that overcomes the biomedical aspect to include the multidimensionality of the issue and a dialogical educational perspective that allows individuals and communities to analyze, decide, and lead contextualized prevention and promotion actions regarding their health. In this study, we surveyed, described, and critically analyzed studies approaching the link education-Chagas disease in scientific publications from the last 15 years. We aimed at contributing methodological-theoretical elements to (re)think the development of educational research and experiences that truly help facing this issue. From the electronic search of scientific literature in 6 databases, we found 426 articles, out of which we selected 25. We incorporated 10 articles from other sources to this initial corpus and performed both qualitative and quantitative analyses over the total number [35] to characterize the studied works in general, focusing on the conceptions on the Chagas disease issue and the underlying health education approaches.

摘要

自第一篇关于恰加斯病的出版物发表以来,已经过去了 110 多年,人们仍然需要认识到,它是一个复杂的社会环境问题,其中涉及多种性质的成分相互作用,超出了生物医学和流行病学的范畴。目前,恰加斯病的问题无论是在农村还是拉丁美洲,还是在城市和全球,都要求对该病的教育包括所有可能的方面:既有昆虫媒介的地方,也有无媒介的地方;既有拉丁美洲内部的地方,也有拉丁美洲以外的地方;既有农村、城乡结合部和城市地区,也有正规和非正规教育环境。我们认为,至关重要的是,这种教育需要采用一种整体方法,不仅要超越生物医学方面,还需要包括问题的多维性,同时需要采用一种对话式的教育视角,使个人和社区能够分析、决策并领导针对其健康的具有背景的预防和促进行动。在这项研究中,我们调查、描述和批判性地分析了过去 15 年来科学出版物中涉及教育与恰加斯病之间联系的研究。我们旨在为(重新)思考教育研究和经验的发展提供方法理论要素,这些研究和经验真正有助于应对这一问题。我们从 6 个数据库中进行了科学文献的电子检索,共找到 426 篇文章,从中选择了 25 篇。我们从其他来源纳入了 10 篇文章到初始语料库中,并对总数[35]进行了定性和定量分析,以概括研究工作的总体情况,重点关注对恰加斯病问题的概念理解和潜在的健康教育方法。

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