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Health Promoting Behaviors of Young Adults with Chronic Lyme Disease

机译：青年慢性莱姆病的健康促进行为

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摘要

Lyme disease is the most prevalent arthropod-borne (tick) disease in North America. The disease is more prevalent in some Eastern and Central states than in Western states. The general problem is that, in southern California especially in Los Angeles County, both patients and practitioners fail to recognize the disease, resulting in misdiagnosis and delayed treatment. Consequently, the patient may develop the long-term, chronic Lyme disease (CLD). The purpose of this phenomenological study was to explore the impact of CLD on the health-promoting behaviors of ethnically diverse young adults from similar educational and socioeconomic backgrounds based on their lived experiences. The geographical focus of this study was restricted to Los Angeles County, California, because researchers have demonstrated a general lack of awareness of CLD as well as a gap when it comes to representing CLD clients from diverse ethical and socio-economic groupings. Data were collected from face-to-face semistructured interviews of 9 participants, based on the health belief model constructs on an ethnically diverse group of young adults clinically diagnosed with CLD. Data were coded and explored for themes. Key results of the study include the existence of excellent health prior to CLD, marked declined in health status because of the disease not being recognized or properly treated, and the use of various modalities of treatment including conventional antibiotic treatment and complementary and alternative treatments to combat the disease. Social implications of this study include increased awareness of physicians and the community in the Los Angeles County of Lyme Disease as an emerging epidemic, development of preventive measures against this disease, and generation of rich data and propositions regarding CLD for further research.
机译：莱姆病是北美最普遍的节肢动物传播（虱）病。该病在东部和中部一些州比西部州更普遍。普遍的问题是，在加利福尼亚州南部，特别是在洛杉矶县，患者和从业人员均无法识别该疾病，从而导致误诊和延误治疗。因此，患者可能会患上长期的慢性莱姆病（CLD）。这项现象学研究的目的是根据生活经验，探讨CLD对具有相似教育和社会经济背景的族裔年轻人的健康促进行为的影响。这项研究的地理重点仅限于加利福尼亚州的洛杉矶县，因为研究人员表明，他们普遍缺乏CLD意识，并且在代表来自不同伦理和社会经济群体的CLD客户方面也存在差距。数据是从9名参与者的面对面半结构式访谈中收集的，基于健康信念模型的构建，该信念基于临床诊断为CLD的不同种族群体的年轻成年人。对数据进行编码并针对主题进行探索。该研究的主要结果包括：在CLD之前存在良好的健康状况，由于未认识到或未正确治疗疾病而导致健康状况显着下降，以及使用各种治疗方式，包括常规抗生素治疗以及补充和替代治疗来对抗这种病。这项研究的社会意义包括提高对洛杉矶县莱姆病的医生和社区的认识，使其成为一种新的流行病，开发针对这种疾病的预防措施，并生成有关CLD的丰富数据和主张以供进一步研究。

著录项

  • 作者

    Bolivar, Patricia D.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Epidemiology.
  • 学位 Ph.D.
  • 年度 2018
  • 页码 254 p.
  • 总页数 254
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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