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首页> 外文期刊>Global public health >Crude tonsillectomy and local concepts of illness in Kisoro, Uganda: Community perception of gapfura and its treatment
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Crude tonsillectomy and local concepts of illness in Kisoro, Uganda: Community perception of gapfura and its treatment

机译：乌干达基索罗的粗扁桃体切除术和局部疾病概念：对gapfura的社区认识及其治疗

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摘要

The practice of crude tonsillectomy (CT), performed by traditional healers for a locally defined illness known as gapfura, has become increasingly common in south-western Uganda. This study describes perceptions of gapfura and examines the intersection of locally defined and biomedical illness. Kisoro District Hospital (KDH) staff (n = 55) were surveyed, with 95% reporting that CT caused death, and 60% estimating that recipients died as a result of the procedure. Surveys of community members (n = 737) revealed that 95% were familiar with gapfura as a common illness with variable symptoms; syndrome classification categorised 58% of descriptive responses as 'upper respiratory infection', while 42% suggested more severe diseases. Although only 26% of community respondents told the interviewer that CT was the best treatment, 47% believed the majority of community members use CT and 43% of those treated for gapfura within the past year received CT. The divergent perceptions of community members and allopathic health providers may be rooted in the use of gapfura as an idiom reflecting larger social stressors and CT as a response to this distress. Interventions to curb the practice of CT need to be multifaceted and will involve further anthropologic investigation, public health involvement, and education that encompasses the social context of disease.
机译：传统治疗师针对当地定义的称为gapfura的疾病进行扁桃体切除术（CT）的做法在乌干达西南部越来越普遍。这项研究描述了对gapfura的看法，并研究了局部定义的疾病和生物医学疾病的交叉点。对Kisoro地区医院（KDH）的工作人员（n = 55）进行了调查，其中95％的人报告说CT导致死亡，60％的人估计接受者因手术而死亡。对社区成员的调查（n = 737）显示，95％的人对gapfura熟悉，是一种症状不一的常见疾病。综合征分类将58％的描述性反应归类为“上呼吸道感染”，而42％的人认为病情较重。尽管只有26％的社区受访者告诉访调员，CT是最好的治疗方法，但47％的人认为大多数社区成员都使用CT，而在过去的一年中接受过gapfura治疗的人中有43％接受了CT。社区成员和同种疗法的医疗服务提供者的不同看法可能是由于使用gapfura作为反映更大社会压力的习语而使用CT来应对这种困扰。遏制CT实践的干预措施应该是多方面的，将涉及进一步的人类学调查，公共卫生参与以及涵盖疾病社会背景的教育。

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