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首页> 外文期刊>Journal of Ethnobiology and Ethnomedicine >Perceptions of health and illness among the Konso people of southwestern Ethiopia: persistence and change
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Perceptions of health and illness among the Konso people of southwestern Ethiopia: persistence and change

机译：埃塞俄比亚西南部康索人对健康和疾病的感知：持久性和变化

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Cross-cultural studies indicate that every culture has its own particular explanations for health and illness and its own healing strategies. The Konso people have always practiced indigenous medicine and have multifaceted accounts or multiple dimensions of illness perceptions and health-care beliefs and practices. This paper describes how perceptions of health and illness are instrumental in health and treatment outcomes among the Konso people in southwestern Ethiopia. Results may provide an understanding of the perceptions of health and illness in relation to the local cosmology, religion, and environment. The ethnographic method was employed to generate evidence, complemented by focus group discussions, in-depth interviews, and direct observation. Thematic analysis was employed to categorize and interpret the data. Findings indicate that the Konso people’s worldview, particularly as it relates to health, illness, and healing systems, is closely linked to their day-to-day lives. Older people believe illnesses are caused by a range of supernatural forces, including the wrath of God or local gods, oritta (spirit possession), and karayitta (ancestral spirits), and they use culturally prescribed treatment. Young and formally educated members of the community attribute causes of diseases to germitta (germs) and factorta (bacteria) and tend to seek treatment mostly in modern health facilities. Perceptions of health and illness as well as of healing are part of Konso people’s worldview. Local communities comprehend health problems and solutions within their cultural frame of reference, which has changed over the years. The Konso people associate their health situations with socio-cultural and religious factors. The individual’s behavior and interactions with the social, natural, and supernatural powers affect the well-being of the whole group. The individual, the family, the clan leaders, and the deceased are intimately linked to one’s culturally based health beliefs and are associated by the Konso with health problems and illnesses.
机译：跨文化研究表明，每种文化对健康和疾病都有其特殊的解释，并有其治愈策略。 Konso人民一直实践土著医学，对疾病的看法以及保健信念和做法有着多方面的解释或具有多个层面。本文介绍了埃塞俄比亚西南部Konso人对健康和疾病的认知如何有助于健康和治疗结果。结果可以提供对与当地宇宙学，宗教和环境有关的健康和疾病观念的理解。人种学方法被用来产生证据，并辅以焦点小组讨论，深入访谈和直接观察。使用主题分析对数据进行分类和解释。调查结果表明，孔苏人的世界观，特别是与健康，疾病和康复系统有关的世界观，与他们的日常生活息息相关。老年人认为疾病是由多种超自然力量引起的，包括上帝或当地神灵的愤怒，oritta（精神财产）和karayitta（祖传精神），他们使用文化规定的治疗方法。社区的年轻和受过正式教育的人将疾病的原因归因于细菌（细菌）和因子（细菌），并且往往大多在现代医疗机构中寻求治疗。对健康和疾病以及对康复的理解是Konso人的世界观的一部分。地方社区在其文化参照范围内理解了健康问题和解决方案，这些框架多年来已发生了变化。 Konso人将其健康状况与社会文化和宗教因素联系在一起。个人的行为以及与社会，自然和超自然力量的互动影响着整个群体的福祉。个人，家庭，氏族首领和死者与一个人的基于文化的健康信仰紧密相关，并由Konso与健康问题和疾病联系在一起。

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