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Socio-cultural factors influencing prevention and treatment of tuberculosis in immigrant and Aboriginal communities in Canada.

机译：影响加拿大移民和土著社区结核病预防和治疗的社会文化因素。

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This multi-method study used a participatory action research approach to examine the complex net of socio-cultural factors that influenced behaviour related to tuberculosis (TB) prevention and treatment in the 10 highest risk cultural groups consisting of immigrant and Aboriginal populations in the province of Alberta, Canada. Trained community research associates collected qualitative interview data and helped with interpretation and evaluation. A community advisory committee established foundation principles and monitored the ethical and cultural appropriateness of the research process. A key finding is that although patients with active disease learn about TB from health professionals, people in high-risk populations need to learn more about TB transmission and prevention prior to contact. This is particularly important given that lack of knowledge of TB was strongly associated with negative attitudes towards TB and a worse experience of the disease. The study results underline the need for accessible and culturally appropriate health education about TB in the high risk groups. This can be accomplished in collaboration with lay people, particularly those who have recovered from active TB, their family members and health workers from the community.
机译：这项多方法研究采用参与式行动研究方法，研究了影响该省10个高风险文化群体（包括移民和土著居民）的与结核病（TB）预防和治疗有关的行为的社会文化因素的复杂网络。加拿大艾伯塔省。受过训练的社区研究人员收集了定性访谈数据，并帮助进行了解释和评估。社区咨询委员会制定了基本原则，并监督了研究过程的伦理和文化适当性。一个关键发现是，尽管活动性疾病患者可以从医护人员那里了解结核病，但是高危人群需要在接触之前进一步了解结核病的传播和预防方法。鉴于缺乏结核病知识与对结核病的消极态度以及对该病的较差经历密切相关，这一点尤其重要。研究结果强调了在高风险人群中需要对结核病进行可及的，符合文化要求的健康教育。这可以与非专业人士合作完成，特别是那些从活动性结核病中康复的人，其家庭成员和社区卫生工作者。

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