Department of Anthropology, University of Amsterdam, Amsterdam, the Netherlands.
Department of Sociology, University of Amsterdam, Amsterdam, the Netherlands.
Glob Public Health. 2020 Nov;15(11):1674-1688. doi: 10.1080/17441692.2020.1775870. Epub 2020 Jun 4.
To reach the most vulnerable individuals in under-resourced countries, health communication interventions increasingly move towards the community level. However, little is known about how health information spreads through local social networks. This paper maps the health information network of a rural trading centre in Uganda. As part of a five-year ethnographic study of sustainable community health resources, ego networks were obtained for 231 village residents in March 2014. Using both ethnographic and social network data, we analyze how the village social network is structured, and how this structure may influence the transmission of health information. Results show a network with low average proximity, with a small number of individuals, notably key administrative officials, much closer connected to many other community members than average. However, because of social partitioning in the village network, a number of people are outside the social clusters in which the top influencers are located.
为了接触资源匮乏国家中最脆弱的人群,卫生宣传干预措施逐渐向社区层面转移。然而,对于健康信息如何在当地社交网络中传播,我们知之甚少。本文绘制了乌干达一个农村贸易中心的卫生信息网络。作为对可持续社区卫生资源进行为期五年的民族志研究的一部分,我们于 2014 年 3 月获得了 231 名村民的个体网络。利用民族志和社交网络数据,我们分析了村庄社交网络的结构,以及这种结构如何影响健康信息的传播。结果显示出一个平均接近度较低的网络,只有少数人,特别是主要行政官员,与许多其他社区成员的连接比平均水平更为紧密。然而,由于村庄网络中的社会划分,一些人处于社交群体之外,而社交群体中则是顶级影响者所在的位置。