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首页> 外文期刊>Journal of immigrant and minority health >Culture and Dehydration: A Comparative Study of Caida de la Mollera (Fallen Fontanel) in Three Latino Populations
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Culture and Dehydration: A Comparative Study of Caida de la Mollera (Fallen Fontanel) in Three Latino Populations

机译:的文化与脱水:三个拉丁裔人口对凯达·德拉·莫莱拉(Fallen Fontanel)的比较研究

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摘要

A sunken soft-spot or fontanel is a sign for dehydration in infants. Around the world, folk illnesses, such as caida de la mollera in some LatinAmerican cultures, often incorporate this sign as a hallmark of illness, but may or may not incorporate re-hydration therapies in treatment strategies. This report describes a study of lay descriptions of causes, symptoms, and treatments for caida de la mollera in three diverse Latin American populations. A mixed-methods approach was used. Representative community-based samples were interviewed in rural Guatemala, Guadalajara, Mexico, and Edinburgh, Texas, with a 132 item questionnaire on the causes, susceptibility, symptoms, and therapies for caida de la mollera. Cultural consensus analysis was used to estimate community beliefs about caida. Interviews conducted in rural Guatemala (n = 60), urban Mexico (n = 62), and rural Texas on the Mexican border (n = 61) indicated consistency in thematic elements within and among these three diverse communities. The high degree of consistency in the illness explanatory models indicated shared beliefs about caida de la mollera in each of the communities and a core model shared across communities. However, an important aspect of the community beliefs was that rehydration therapies were not widely endorsed. The consistency in explanatory models in such diverse communities, as well as the high degree of recognition and experience with this illness, may facilitate communication between community members, and health care providers/ public health intervention planners to increase use of rehydration therapies for caida de la mollera. Recommendations for culturally informed and respectful approaches to clinical communication are provided.
机译:凹陷的软点或font是婴儿脱水的迹象。在世界范围内,民间疾病,例如某些拉丁美洲文化中的发霉病,经常将这种迹象作为疾病的标志,但可能会或可能不会在治疗策略中加入补液疗法。该报告描述了一项研究,对三个不同的拉丁美洲人群中的caida de la mollera的原因,症状和治疗方法进行了描述。使用了混合方法。在墨西哥危地马拉,瓜达拉哈拉和得克萨斯州爱丁堡的农村地区,对以社区为基础的代表性样本进行了访谈,并提供了132个项目的调查问卷,调查的原因,易感性,症状和治疗彩带病的原因。文化共识分析用于估计社区对caida的信仰。在危地马拉农村(n = 60),墨西哥城市(n = 62)和墨西哥边境的德克萨斯州农村(n = 61)进行的访谈表明,这三个不同社区内部和之中的主题元素具有一致性。疾病解释模型的高度一致性表明在每个社区中都有关于caida de la mollera的共同信念,并且是跨社区共享的核心模型。但是,社区信仰的一个重要方面是补液疗法并未得到广泛认可。在这种多样化的社区中,解释性模型的一致性以及对该病的高度认可和经验,可能会促进社区成员与卫生保健提供者/公共卫生干预计划者之间的交流,以增加对凯伊达拉河的补液疗法的使用。软体动物。提供了有关文化交流和尊重临床交流方法的建议。

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