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Socio-cultural features and help-seeking preferences for leprosy and tuberculosis: a cultural epidemiological study in a tribal district of Maharashtra, India

引用

Infectious Diseases of Poverty 2015年第1期4卷 257-270页

作者： Amar Prakash Maske pravin arun sawant Saju Joseph Uma Satish Mahajan Abhay Machindra Kudale The Maharashtra Association of Anthropological Sciences Centre for Health Research and Development(MAAS-CHRD)201Akanksha ResidencyB-WingSecond FloorNear Shivaji StatueAundh GaonPune 411007MaharashtraIndia Savitribai Phule Pune University GaneshkhindPuneMaharashtra 411007India

Background:India is a major contributor to the global burden of leprosy and tuberculosis(TB),which adversely affects the poorest tribal *** prioritisation by disease control programmes,programme performance for leprosy and TB in tribal communities continues to be a *** addition to access to services and infrastructural limitations,socio-cultural concepts of illness causation and related help seeking(HS)rooted in distinct features of tribal culture need to be addressed to improve programme ***:A cultural epidemiological survey of leprosy and TB patients was carried out using a locally adapted,semi-structured explanatory model interviews.A total of 100 leprosy and 50 TB patients registered for treatment at government health facilities were selected randomly from tribal dominant blocks of the Thane district,Maharashtra *** perceived causes(PCs)of leprosy and TB in patients were compared based on prominence *** relationship between PCs as predictors,and disease conditions and HS preferences as outcome variables were assessed using multivariate logistic ***:In the multivariate logistic regression model with disease conditions as outcome variables,TB patients were significantly more likely to report PCs in the categories of ingestion;health,illness and injury;and traditional,cultural and *** patients more frequently first sought help from private facilities as compared to leprosy patients who preferred government health *** a combined analysis of leprosy and TB patients employing multivariate logistic regression,it was found that patients who reported PCs in the environmental and contact-related categories were more likely to visit traditional rather than non-traditional *** another multivariate combined model,it was found that patients who reported PCs in the traditional,cultural and supernatural category were significantly more likely to visit private rathe

关键词： Socio-cultural features Help seeking Leprosy Tuberculosis Tribal Cultural epidemiology ACSM IEC India

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