Department of Anthropology, University of Georgia, Athens, GA 30602, United States; Center for the Ecology of Infectious Diseases, University of Georgia, Athens, GA 30602, United States.
Department of Anthropology, University of Georgia, Athens, GA 30602, United States.
Acta Trop. 2024 Jan;249:107059. doi: 10.1016/j.actatropica.2023.107059. Epub 2023 Oct 31.
Scholars have called for increased attention to sociocultural, economic, historical, and political processes shaping Neglected Tropical Diseases (NTDs) ecology. We conducted a scoping review to identify major research themes and the knowledge gaps in social science literature in leishmaniases or Chagas disease (CD). Following the scoping review protocol, we first determined the focus of the review to be centered on identifying research that approaches leishmaniases and CD from social science perspective and was indexed by large, biomedically focused databases. We then searched PubMed and Web of Science using "Leishmaniasis" and "Chagas disease" with "social science" or "anthropology" as search terms. We analyzed 199 articles (123 on leishmaniases and 76 on CD), categorizing them into three main research themes. Sociocultural dimensions of the diseases (leishmaniases=60.2 %; CD=68.4 %) primarily focused on individuals' knowledge, practices, and behaviors, barriers to accessing healthcare (especially in endemic regions), psychosocial effects, stigma, and traditional treatments. Research focused on socioeconomic dimensions of the diseases (leishmaniases=29.3 %; CD=19.7 %) included topics like household characteristics, social capital, and infrastructure access. A final theme, the historical and political contexts of the diseases (Leishmaniases=10.5 %; CD=11.9 %) was less common than other themes. Here, studies consider civil war and the (re)emergence of leishmaniasis, as well as the significance of CD discovery for scientific and public health in Brazil, which is the most common country for research on both leishmaniases and CD that draws on social science approaches. Future directions for research include focusing on how social institutions and economic factors shape diseases education, control measures, healthcare access, and quality of life of people affected by NTDs. Greater attention to social sciences can help mitigate and undo the ways that structural biases have infiltrated biomedicine.
学者们呼吁更多地关注塑造被忽视热带病(NTDs)生态的社会文化、经济、历史和政治进程。我们进行了范围界定审查,以确定社会科学文献中利什曼病或恰加斯病(CD)的主要研究主题和知识空白。根据范围界定审查方案,我们首先确定审查的重点是确定从社会科学角度研究利什曼病和 CD 的研究,并将其索引到大型、以生物医学为重点的数据库中。然后,我们使用“利什曼病”和“恰加斯病”以及“社会科学”或“人类学”作为搜索词,在 PubMed 和 Web of Science 上进行搜索。我们分析了 199 篇文章(123 篇关于利什曼病,76 篇关于 CD),将它们分为三个主要研究主题。疾病的社会文化层面(利什曼病占 60.2%;CD 占 68.4%)主要集中在个人的知识、实践和行为、获得医疗保健的障碍(特别是在流行地区)、心理社会影响、污名和传统治疗上。疾病的社会经济层面的研究(利什曼病占 29.3%;CD 占 19.7%)包括家庭特征、社会资本和基础设施获取等主题。最后一个主题是疾病的历史和政治背景(利什曼病占 10.5%;CD 占 11.9%)比其他主题更为少见。在这里,研究考虑了内战和利什曼病的(再)出现,以及 CD 发现对巴西科学和公共卫生的意义,巴西是研究利什曼病和 CD 的最常见国家,这些研究采用了社会科学方法。未来的研究方向包括关注社会机构和经济因素如何影响 NTDs 患者的疾病教育、控制措施、医疗保健获取和生活质量。更多地关注社会科学可以帮助减轻和消除结构偏见渗透到生物医学中的方式。
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