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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Social Networks and Health: Understanding the Nuances of Healthcare Access between Urban and Rural Populations
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Social Networks and Health: Understanding the Nuances of Healthcare Access between Urban and Rural Populations

机译：社交网络与健康：了解城乡人口之间获得医疗保健的微妙之处

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摘要

Communities and individuals in many sub-Saharan African countries often face limited access to healthcare. Hence, many rely on social networks to enhance their chances for adequate health care. While this knowledge is well-established, little is known about the nuances of how different population groups activate these networks to improve access to healthcare. This paper examines how rural and urban dwellers in the Ashanti Region in Ghana distinctively and systematically activate their social networks to enhance access to healthcare. It uses a qualitative cross-sectional design, with in-depth interviews of 79 primary participants (28 urban and 51 rural residents) in addition to the views of eight community leaders and eight health personnel. It was discovered that both intimate and distanced social networks for healthcare are activated at different periods by rural and urban residents. Four main stages of social networks activation, comprising different individuals and groups were observed among rural and urban dwellers. Among both groups, physical proximity, privacy, trust and sense of fairness, socio-cultural meaning attached to health problems, and perceived knowledge and other resources (mainly money) held in specific networks inherently influenced social network activation. The paper posits that a critical analysis of social networks may help to tailor policy contents to individuals and groups with limited access to healthcare.
机译：许多撒哈拉以南非洲国家的社区和个人常常面临有限的医疗保健机会。因此，许多人依靠社交网络来增加获得适当医疗保健的机会。尽管这些知识已广为人知，但对于不同人群如何激活这些网络以改善获得医疗保健的方式的细微差别知之甚少。本文研究了加纳阿散蒂地区的农村和城市居民如何独特而系统地激活其社交网络，以增加获得医疗保健的机会。它采用定性的横断面设计，除八位社区领袖和八位卫生人员的意见外，还对79位主要参与者（28位城市居民和51位农村居民）进行了深入访谈。人们发现，城乡居民在不同时期都激活了亲密和远程的医疗保健社交网络。在农村和城市居民中观察到了社交网络激活的四个主要阶段，包括不同的个人和群体。在这两个群体中，身体上的接近性，隐私，信任和公平感，与健康问题相关的社会文化意义以及特定网络中持有的感知知识和其他资源（主要是金钱）固有地影响了社交网络的激活。该论文认为，对社交网络进行批判性分析可能有助于针对难以获得医疗保健服务的个人和群体定制政策内容。

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