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首页> 外文期刊>Journal of health management >Unravelling the Contextual Factors Mediating Illness Response Using Mixed Methodology: The Case of Re-emerging Infectious Disease in Kerala, India
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Unravelling the Contextual Factors Mediating Illness Response Using Mixed Methodology: The Case of Re-emerging Infectious Disease in Kerala, India

机译：使用混合方法揭示介导疾病反应的上下文因素：印度喀拉拉邦重新出现传染病的情况

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摘要

The re-emergence of infectious diseases has been a rampant public health challenge in the state of Kerala over the past one decade with high rates of mortality and morbidity. In an exploration of the contextual factors determining illness response associated with these diseases, this study employed a mixed methodology including a cross sectional survey of 430 respondents and 30 in-depth interviews. Individuals having one or more cases of selected re-emerging infectious diseases (Chikungunya, Dengue, Malaria and Leptospirosis) from various socio-spatial locations were included in the study to understand the patterns and determinants of illness response across different categories. The findings demonstrated that respondents' response to illness is jointly determined by individual and household level factors such as gender, parenthood, illness context and spatiality. The article explains the ways in which these factors have interacted and intersected at varying points to create and reinforce multiple layers of vulnerability. Results are pertinent in understanding the pathways and mechanisms through which health inequities are created and sustained among different categories in the population. The findings demonstrate that only interventions concomitantly dealing with these factors and their interactions will produce more equitable results in improving access to health services and management of morbidity associated with re-emerging infectious diseases.
机译：在过去十年中，喀拉拉邦的重新出现在喀拉拉邦的一个猖獗的公共卫生挑战，其死亡率高的速度高。在确定与这些疾病相关的疾病反应的语境因素的探索中，本研究采用了混合方法，包括430名受访者和30个深入访谈的横断面调查。研究中包含来自各种社会空间位置的一个或多个选定的重新出现的传染病（Chikungunya，登革热，疟疾，疟疾血管病）的个体，包括在研究中了解不同类别的疾病反应的模式和决定因素。调查结果表明，受访者对疾病的反应是由个人和家庭水平因素的共同决定，如性别，父母身份，疾病环境和空间。本文介绍了这些因素在不同点互动和交叉的方式，以创造和加强多层脆弱性。结果在理解人口不同类别之间创造和维持的途径和机制方面是相关的。这些研究结果表明，只有伴随这些因素及其互动的干预措施将产生更公平的结果，以改善对卫生服务的获得和与重新出现传染病相关的发病率的管理。

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