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我们要闪耀:尼日利亚东南部女性的福祉、能动性与健康寻求行为

Na we go shine: women's wellbeing, agency, and health seeking behaviours in southeastern Nigeria.

作者信息

Shroff Farah M C

机构信息

Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.

Harvard Health Accelerator, Harvard TH Chan School of Public Health, Boston, MA, United States.

出版信息

Front Glob Womens Health. 2025 Jul 22;6:1550817. doi: 10.3389/fgwh.2025.1550817. eCollection 2025.

Abstract

OBJECTIVES

Peer-reviewed literature on southeastern Nigerian women's health status is scant. This participatory action research project explored mental and physical health status issues within a sample population of childbearing women in Cross River State.

METHODS

We conducted an initial study using the formal chieftaincy channels in villages and learned that those who expressed themselves were primarily men. We found that their concerns differed from those of women. We conducted this study in an attempt to hear from women about their health needs in the context of their lives. Local women carried out face-to-face interviews in their language with childbearing women in their community. We interviewed 70 women from ages 18-45 in 12 villages.

RESULTS/DISCUSSION: Most participants had their own farms and grew rice, cassava and yam to feed their families. The majority of participants had not completed elementary school and had given birth to an average of 6 children, 4 of whom survived. Most of the women who were included in this study walked 6-8 h per day to retrieve drinking water. Their young children and babies often accompanied their mothers on these journeys. Participants reported that they had suffered from malaria, diarrhea, anemia, hernia, waist pains, cough, eye problems and continuous headaches. Traditional healers were their first choice for treatment, partly because of physical and financial accessibility and partly because of cultural resonance and positive outcomes.

CONCLUSION

Despite tremendous social, economic and political barriers, our participants generally reported a strong sense of well-being and had positive outlooks on their lives. We also interviewed 15 traditional healers to enhance the statements made by our female participants regarding their health-seeking behaviors.

摘要

目标

关于尼日利亚东南部妇女健康状况的同行评审文献匮乏。这个参与式行动研究项目探讨了克罗斯河州育龄妇女样本群体中的身心健康状况问题。

方法

我们利用村庄中的正式酋长渠道进行了初步研究,发现表达意见的主要是男性。我们发现他们的关注点与女性不同。我们开展这项研究是为了了解女性在其生活背景下的健康需求。当地女性用本族语言与社区中的育龄妇女进行了面对面访谈。我们在12个村庄采访了70名年龄在18至45岁之间的女性。

结果/讨论:大多数参与者拥有自己的农场,种植水稻、木薯和山药来养活家人。大多数参与者未完成小学教育,平均育有6个孩子,其中4个存活。参与本研究的大多数女性每天要步行6至8小时去取水。她们的幼儿和婴儿经常在这些行程中陪伴母亲。参与者报告称,她们曾患疟疾、腹泻、贫血、疝气、腰背痛、咳嗽、眼部问题和持续头痛。传统治疗师是她们的首选治疗方式,部分原因是身体上和经济上可及,部分原因是文化共鸣和积极疗效。

结论

尽管存在巨大的社会、经济和政治障碍,但我们的参与者总体上报告有强烈的幸福感,对自己的生活持积极态度。我们还采访了15名传统治疗师,以强化我们女性参与者关于她们求医行为的陈述。

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South African indigenous healing: how it works.南非本土疗愈:它是如何运作的。
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