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关于哥伦比亚疟疾的定性研究的系统评价

Systematic review of qualitative studies about malaria in Colombia.

作者信息

Cardona-Arias Jaiberth Antonio, Salas-Zapata Walter, Carmona-Fonseca Jaime

机构信息

School of Microbiology, University of Antioquia, Medellín, Colombia.

Research Group on Health and Sustainability, School of Microbiology, University of Antioquia, Colombia.

出版信息

Heliyon. 2020 May 18;6(5):e03964. doi: 10.1016/j.heliyon.2020.e03964. eCollection 2020 May.

Abstract

INTRODUCTION

The research about malaria in Colombia has centered mainly on the biomedical (clinical, parasitological, epidemiological and entomological) field, with little focus on qualitative research.

PURPOSE

Analyzing social categories related to malaria in Colombia, based on qualitative studies published among scientific literature.

METHODS

Systematic review following Cochrane and PRISMA () recommendations. An protocol was applied, comprehensive and reproducible for the search, screening, and extraction of information. Methodological quality was evaluated through SRQR ().

RESULTS

10 studies complied with the protocol; these studies interviewed 500 infected or exposed subjects, program administrators, health professionals, and indigenous people. 40 categories were identified, which account for social-economical, cultural and ecological determiners of malaria; insights and ways to understand the disease at an individual level; malaria consequences, and medical attention, disease control and elimination actions.

CONCLUSION

A wide variety of populations and subjects was considered. They show similar qualitative evidence on structural determiners, family-individual effects, and ways to understand malaria. Motivations to participate in disease interventions are less known, and they constitute the central axis for subsequent studies aimed to improve community engagement in disease control and elimination initiatives.

摘要

引言

哥伦比亚关于疟疾的研究主要集中在生物医学(临床、寄生虫学、流行病学和昆虫学)领域,对定性研究关注较少。

目的

基于科学文献中发表的定性研究,分析哥伦比亚与疟疾相关的社会类别。

方法

遵循Cochrane和PRISMA()建议进行系统综述。应用了一个全面且可重复的方案来搜索、筛选和提取信息。通过SRQR()评估方法学质量。

结果

10项研究符合方案;这些研究采访了500名感染或接触过疟疾的受试者、项目管理人员、卫生专业人员和原住民。确定了40个类别,这些类别涵盖了疟疾的社会经济、文化和生态决定因素;个体层面理解该疾病的见解和方式;疟疾的后果以及医疗护理、疾病控制和消除行动。

结论

研究考虑了广泛的人群和主题。它们在结构决定因素、家庭 - 个体影响以及理解疟疾的方式方面呈现出相似的定性证据。参与疾病干预的动机了解较少,它们构成了后续研究的核心轴,旨在提高社区对疾病控制和消除举措的参与度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab3b/7452435/5e880e6fe5e4/gr1.jpg

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