National Institute of Health Research Health Protection Research Unit in Gastrointestinal Infections, The University of Liverpool, United Kingdom; Department of Public Health, Policy and Systems, The University of Liverpool, Whelan Building, Liverpool, L68 3GB, United Kingdom.
Division of Health Services Research and Management, School of Health Sciences, City, University of London, Myddelton Street Building, London, EC1R 1UW, United Kingdom.
Health Place. 2022 Mar;74:102741. doi: 10.1016/j.healthplace.2022.102741. Epub 2022 Jan 31.
This ethnographic study in two socio-economically contrasting areas employed geo-ethnography, underpinned by a relational approach, to understand inequalities in gastrointestinal infections in families with young children. In our 'relatively disadvantaged' area, gastrointestinal infections spread to multiple households within a small radius, whereas in our 'relatively advantaged' area, illness was confined to one household or dispersed long distances. These differences were shaped by historical, social and economic contrasts in: housing; social networks and childcare arrangements; employment and household income. Our findings show how linking places, pathogens and people helps us understand inequalities in gastrointestinal infections and may be pertinent to other infectious diseases such as COVID-19.
本民族志研究在两个社会经济对比明显的地区采用了地缘民族志方法，并以关系方法为基础，旨在了解幼儿家庭中胃肠道感染的不平等现象。在我们“相对处于劣势的”地区，胃肠道感染在小范围内传播到多个家庭，而在我们“相对处于优势的”地区，疾病局限于一个家庭或传播到很远的距离。这些差异是由住房、社会网络和儿童保育安排、就业和家庭收入方面的历史、社会和经济差异所塑造的。我们的研究结果表明，将地点、病原体和人联系起来如何帮助我们理解胃肠道感染的不平等现象，这可能与 COVID-19 等其他传染病有关。
