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在非洲社区与白化病共存:探索马拉维利隆圭区白化病患者面临的挑战。

Living with albinism in an African community: exploring the challenges of persons with albinism in Lilongwe District, Malawi.

作者信息

Tambala-Kaliati Thandiwe, Adomako Emmanuel Brenyah, Frimpong-Manso Kwabena

机构信息

Department of Social Work University of Ghana, Ghana.

出版信息

Heliyon. 2021 May 12;7(5):e07034. doi: 10.1016/j.heliyon.2021.e07034. eCollection 2021 May.

Abstract

BACKGROUND

Albinism is a genetic condition caused by a deficit in the production of the pigment called melanin, which protects the skin against ultraviolet light and provides the skin with its color production. The condition may predispose persons with albinism (PWAs) to lifelong physical and health problems, such as visual impairment and ultra-violet induced skin damage. Due to this condition, we explored the challenges faced by persons living with albinism as they socialize in Lilongwe District, Malawi.

METHOD

The study adopted an interpretative phenomenological approach and included 30 participants comprising 13 females and 14 males with albinism and three key informants from Association of People with Albinism in the Lilongwe district in Malawi. Data were collected through in-depth interviews and focus group discussions. Van Manen's (2014) six steps of phenomenological analysis was used to analyze all data.

RESULTS

People with albinism face a variety of problems, the most common of which are financial constraints, health complications due to a lack of adequate medical care, a lack of community support leading to stigma and discrimination, and superstitious beliefs.

CONCLUSIONS

People with albinism suffer socially as a result of misconceptions, behaviours, social isolation, labelling, and beliefs that are negatively correlated with their disorder. PWAs face these problems as a result of public misunderstanding about albinism.

摘要

背景

白化病是一种由于黑色素生成不足导致的遗传疾病,黑色素可保护皮肤免受紫外线伤害并赋予皮肤颜色。这种疾病可能使白化病患者(PWAs)面临终身的身体和健康问题,如视力障碍和紫外线引起的皮肤损伤。鉴于这种情况,我们探讨了马拉维利隆圭地区白化病患者在社交过程中所面临的挑战。

方法

本研究采用解释性现象学方法,纳入了30名参与者,其中包括13名女性和14名男性白化病患者,以及来自马拉维利隆圭地区白化病患者协会的三名关键信息提供者。通过深入访谈和焦点小组讨论收集数据。采用范曼恩(2014年)的现象学分析六个步骤对所有数据进行分析。

结果

白化病患者面临各种问题,其中最常见的是经济拮据、因缺乏足够医疗护理导致的健康并发症、缺乏社区支持导致的耻辱感和歧视,以及迷信观念。

结论

由于误解、行为、社会隔离、标签化以及与他们疾病呈负相关的观念,白化病患者在社会上遭受痛苦。白化病患者面临这些问题是由于公众对白化病的误解。

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