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巴西米纳斯吉拉斯北部夸雷姆博拉大区妇女的治疗轨迹。

Therapeutic itineraries of quilombola women in northern Minas Gerais, Brazil.

机构信息

Programa de Pós-Graduação em Ciências da Saúde, Universidade Estadual de Montes Claros. Av. Cula Mangabeira 562, Santo Expedito. 39401-002 Montes Claros MG Brasil.

Departamento de Saúde Mental e Saúde Coletiva, Universidade Estadual de Montes Claros. Montes Claros MG Brasil.

出版信息

Cien Saude Colet. 2024 Mar;29(3):e01762023. doi: 10.1590/1413-81232024293.01762023. Epub 2023 Aug 23.

Abstract

Quilombolas are ethnic-racial groups, of black ancestry, and had their territories consolidated in Brazil in regions with difficult access and far from large centers. The objective of this study is to know the therapeutic itinerary (IT) adopted by quilombola women in traditional communities located in the North of the state of Minas Gerais. This is a qualitative study with the theoretical model using the Arthur Kleinman health care system. The study scenario was 23 quilombola communities in northern Minas Gerais. Forty quilombola women aged between 25 and 89 years were interviewed. Data analysis was performed following the IT. Units of analysis emerged that were grouped into three categories: quilombola women and the meaning of health and care; the professional care system in quilombola communities; and route of care in situations experienced by women. The therapeutic itinerary of the communities is mainly related to the actions of popular medicine. It was also possible to observe that there are weaknesses in relation to health care due to factors such as difficulty of access to institutionalized services.

摘要

夸雷姆博拉斯人是一个具有黑人血统的种族群体,他们的领土在巴西那些难以进入且远离大城市的地区得到了巩固。本研究的目的是了解位于米纳斯吉拉斯州北部的传统社区中夸雷姆博拉斯妇女所采用的治疗途径(IT)。这是一项定性研究,理论模型采用亚瑟·克莱曼医疗保健系统。研究场景是米纳斯吉拉斯州北部的 23 个夸雷姆博拉斯社区。对 40 名年龄在 25 至 89 岁之间的夸雷姆博拉斯妇女进行了访谈。按照 IT 进行数据分析。出现的分析单位被分为三类:夸雷姆博拉斯妇女和健康与护理的意义;夸雷姆博拉斯社区的专业护理系统;以及妇女所经历的情况中的护理路径。社区的治疗途径主要与大众医学的行动有关。此外,由于难以获得制度化服务等因素,还观察到医疗保健存在弱点。

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