Tales about tuberculosis and colonization: the socio-cultural experience of tuberculosis in Nunavut.

Alaska medicine Pub Date : 2007-01-01
Helle Møller
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Abstract

Objective: To examine how Inuit in Nunavut experience and make meaning of TB, its history, protocols and regimes, and how this and the effects of historical and continuing colonization in Nunavut influence current levels of TB in Nunavut.

Design and methods: The study was qualitative, conducted through seven months of fieldwork in two Nunavut communities utilising ethnographic methods including 42 taped interviews, casual conversations, participant observation and document review.

Results: Inuit participants include explanations other than biomedical when making meaning of TB, and health and disease generally. Also, Inuit participants express a preference for methods of health education different from those presently employed. Lastly, and perhaps more importantly, this study suggests that the history of colonization and continuing colonization play a significant role in how some Inuit experience TB, other disease, and health, and in the high incidence of TB in Nunavut.

Conclusion: In order to decrease incidence of TB and increase levels of health in Nunavut decolonizing measures are necessary.

关于结核病和殖民的故事:努纳武特地区结核病的社会文化经验。
目的:研究努纳武特的因纽特人如何经历和理解结核病及其历史、协议和制度,以及这一点以及努纳武特历史和持续殖民化的影响如何影响努纳武特目前的结核病水平。设计和方法:本研究是定性的,在两个努纳武特社区进行了为期7个月的实地调查,采用了民族志方法,包括42次录音访谈、随意交谈、参与者观察和文件审查。结果:因纽特人在理解结核病、健康和疾病的含义时,包括了除生物医学以外的解释。此外,因纽特人与会者表示,他们更喜欢不同于目前使用的健康教育方法。最后,也许更重要的是,这项研究表明,殖民化的历史和持续的殖民化在一些因纽特人如何经历结核病、其他疾病和健康,以及努纳武特地区结核病的高发病率方面发挥了重要作用。结论:为降低努纳武特地区结核病发病率,提高健康水平,有必要采取非殖民化措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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