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马拉维新冠疫情时代的健康行为与社会危机:一项去殖民化定性研究方法

Health behavior and social crisis in the era of COVID-19 in Malawi: A decolonizing approach to a qualitative study.

作者信息

Lee Haeok, Bauleni Esther, Maluwa Veronica, Lee SangAh, Mtengezo Jasintha T, Kamvaunamwali Madalitso, Mlombe Yohannie

机构信息

New York University, Meyers College of Nursing, New York, NY.

Faculty of Health Sciences, Daeyang University, Lilongwe, Malawi.

出版信息

Nurs Outlook. 2025 Jan-Feb;73(1):102317. doi: 10.1016/j.outlook.2024.102317. Epub 2024 Nov 23.

DOI:10.1016/j.outlook.2024.102317
PMID:39581153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11810594/
Abstract

BACKGROUND

The rapid spread and severity of COVID-19 brought major health challenges and dealt a heavy blow to key health services and daily life in Africa, including Malawi.

PURPOSE

To explore and examine the impact of the COVID-19 pandemic on cervical cancer (CC) prevention behavior in Malawi through a decolonized lens.

METHODS

A qualitative descriptive study informed by a decolonized perspective was conducted during the COVID-19 pandemic. A purposive sampling was taken from 17 key informant interviews, including, seven Malawian women living with HIV infection (WLWHIV).

RESULTS

Themes explored were that COVID-19 was indiscriminate towards not only health deterioration but also a social crisis and health was no longer an individual problem but a public and global issue across borders.

CONCLUSION

To uproot global health inequities, templates revolved around Western ways of knowing over national and global health need to be reexamined and methods reinvented to be relevant to local ways of knowing.

摘要

背景

新冠病毒病(COVID-19)的迅速传播及其严重性带来了重大健康挑战,对包括马拉维在内的非洲关键卫生服务和日常生活造成了沉重打击。

目的

通过非殖民化视角,探讨和研究COVID-19大流行对马拉维宫颈癌(CC)预防行为的影响。

方法

在COVID-19大流行期间进行了一项基于非殖民化视角的定性描述性研究。采用目的抽样法,对17名关键信息提供者进行了访谈,其中包括7名感染艾滋病毒的马拉维女性(WLWHIV)。

结果

探讨的主题包括,COVID-19不仅对健康恶化不加区分,而且引发了社会危机,健康不再是个人问题,而是一个跨越国界的公共和全球问题。

结论

为了根除全球健康不平等现象,围绕西方认知方式的全球和国家卫生模式需要重新审视,方法需要重新创新,以适应地方认知方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/253e/11810594/de86302e9fa9/nihms-2034740-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/253e/11810594/11f463c7fd09/nihms-2034740-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/253e/11810594/de86302e9fa9/nihms-2034740-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/253e/11810594/11f463c7fd09/nihms-2034740-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/253e/11810594/de86302e9fa9/nihms-2034740-f0002.jpg

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本文引用的文献

1
From group mentoring to collective liberation: The imperative to decolonize nursing academia.从群体指导到集体解放:护理学术去殖民化的必要性。
Nurs Outlook. 2024 Sep-Oct;72(5):102204. doi: 10.1016/j.outlook.2024.102204. Epub 2024 Jun 11.
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Decolonizing nursing knowledge: Challenging Eurocentrism centering Global South voices.去殖民化护理知识:挑战以欧洲为中心、以全球南方声音为中心的观点。
Nurs Outlook. 2024 Jul-Aug;72(4):102197. doi: 10.1016/j.outlook.2024.102197. Epub 2024 May 24.
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Mobile health-delivered narrative intervention to increase cervical cancer screening among Malawian women living with HIV: A pilot randomized controlled trial.
通过移动健康提供叙事干预以提高马拉维艾滋病毒感染女性的宫颈癌筛查率:一项试点随机对照试验。
Asia Pac J Oncol Nurs. 2024 Mar 24;11(5):100448. doi: 10.1016/j.apjon.2024.100448. eCollection 2024 May.
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A structured literature review of the health infodemic on social media in Africa.关于非洲社交媒体上健康信息疫情的结构化文献综述。
Jamba. 2023 Sep 29;15(1):1484. doi: 10.4102/jamba.v15i1.1484. eCollection 2023.
5
Estimating the impact of COVID-19 vaccine inequities: a modeling study.估算 COVID-19 疫苗分配不均的影响:一项建模研究。
Nat Commun. 2023 Jun 6;14(1):3272. doi: 10.1038/s41467-023-39098-w.
6
Editor's introduction to the invited special issue on decolonizing nursing.编者对关于护理去殖民化的特邀特刊的介绍。
Nurs Philos. 2023 Apr;24(2):e12436. doi: 10.1111/nup.12436. Epub 2023 Mar 14.
7
A comparison of four epidemic waves of COVID-19 in Malawi; an observational cohort study.马拉维四次 COVID-19 疫情的比较;一项观察性队列研究。
BMC Infect Dis. 2023 Feb 7;23(1):79. doi: 10.1186/s12879-022-07941-y.
8
Omicron B.1.1.529 variant infections associated with severe disease are uncommon in a COVID-19 under-vaccinated, high SARS-CoV-2 seroprevalence population in Malawi.在马拉维新冠疫苗接种率低、新冠病毒血清阳性率高的人群中,与重症相关的奥密克戎B.1.1.529变种感染并不常见。
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