Menegoni L
Med Anthropol Q. 1996 Sep;10(3):381-401. doi: 10.1525/maq.1996.10.3.02a00060.
Tuberculosis continues to be a serious disease among the poor, indigenous population of Highland Chiapas, southern Mexico. Ethnographic fieldwork among Tzeltal Indians has focused on how cultural perceptions of illness and curing influence the Indians' utilization of health care services for tuberculosis diagnosis and treatment. This article presents the views on tuberculosis and health-seeking activities of several patients in the Tzeltal hamlet of Yochib (municipality of Oxchuc). In this community, religious change (Protestantism) and the presence of a health clinic promoted biological interpretations of illness and acceptance of Western medical treatments. While patients in Yochib do not understand tuberculosis in biomedical terms, they nonetheless utilize Western services (both local and urban) to obtain treatment. Because of the long duration of tuberculosis therapy, however, these patients manifest contrasting attitudes. The article focuses on the cultural factors that influence patients' medical choices, curing strategies, and their decisions to adhere to long-term treatment regimens.
在墨西哥南部恰帕斯州高地的贫困原住民中，结核病仍然是一种严重的疾病。对泽尔塔尔印第安人的人种志田野调查聚焦于疾病与治愈的文化认知如何影响印第安人利用医疗服务进行结核病诊断和治疗。本文呈现了在约奇布（奥舒克市）的泽尔塔尔小村庄里几位患者对结核病及寻求医疗行为的看法。在这个社区，宗教变革（新教）以及一家诊所的存在促进了对疾病的生物学解读以及对西方医疗的接受。虽然约奇布的患者并不从生物医学角度理解结核病，但他们仍然利用西方医疗服务（包括当地的和城市的）来接受治疗。然而，由于结核病治疗疗程漫长，这些患者表现出截然不同的态度。本文重点关注影响患者医疗选择、治疗策略以及他们坚持长期治疗方案决定的文化因素。
