被忽视的热带病遇上被忽视的社区:埃塞俄比亚亚的斯亚贝巴街头儿童易患疥疮。
Neglected tropical disease meets neglected community: Street children's susceptibility to scabies in Addis Ababa, Ethiopia.
机构信息
Department of Sociology, College of Social Science and Humanities, Wolaita Sodo University, Sodo town, Ethiopia.
Department of Sociology, College of Social Sciences, Addis Ababa University, Addis Ababa City, Ethiopia.
出版信息
PLoS Negl Trop Dis. 2024 Sep 6;18(9):e0012475. doi: 10.1371/journal.pntd.0012475. eCollection 2024 Sep.
Scabies is a neglected tropical disease (NTD) with high prevalence rate in resource-limited settings. Though street children are susceptible because of lack of sanitation and contact with vectors, few attempts have been made to identify the lived experience of street children with scabies in the global south. This study explored perceived susceptibility to scabies and related lived experiences of street children in Addis Ababa. Using in-depth interviews, we collected qualitative data from selected children of the street to identify their understanding of the causes of scabies, their experiences of managing the condition, and their health-seeking behavior. Informants were recruited to include maximum variation in terms of age, sex, and experience of infestation. The study showed that scabies was common among street children and that the infestation has physical, psychological and social impacts. Study participants believed that scabies had its origin in their living conditions (including poor environmental sanitation and lack of personal hygiene), with lice playing a significant role as vectors of transmission. The informants reported visiting modern healthcare facilities, traditional healers and self-care in response to infestation. By uncovering the embodied experience of a stigmatized skin NTD in a neglected community in the global south, this study contributes to combating neglect and addressing health disparities. Having identified living conditions as the major factor contributing to susceptibility, efforts need to be exerted to change street children's living situations and other structural conditions through reunification with their families or other communities, reintegration and other exit strategies.
疥疮是一种被忽视的热带病(NTD),在资源有限的环境中患病率很高。尽管街头儿童由于缺乏卫生和与传播媒介接触而容易感染,但很少有人试图确定全球南方街头儿童患疥疮的生活体验。本研究探讨了埃塞俄比亚亚的斯亚贝巴街头儿童对疥疮的易感性和相关生活体验。我们使用深入访谈从选定的街头儿童那里收集定性数据,以确定他们对疥疮病因的理解、他们管理病情的经验以及他们的寻医行为。征募的受访者在年龄、性别和感染经验方面存在最大差异。研究表明,疥疮在街头儿童中很常见,感染对他们的身体、心理和社会生活都有影响。研究参与者认为,疥疮源于他们的生活条件(包括环境卫生差和个人卫生习惯不良),虱子在传播中起着重要作用。受访者报告说,他们会因感染而去现代医疗保健机构、传统治疗师和自我护理。通过揭示被忽视的南方全球社区中一种耻辱性皮肤 NTD 的具体生活体验,本研究有助于消除忽视和解决健康差距问题。由于确定了生活条件是导致易感性的主要因素,因此需要通过与家人或其他社区团聚、重新融入和其他退出策略来努力改变街头儿童的生活状况和其他结构性条件。
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