登革热求医行为:对哥斯达黎加居民的定性研究。

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI:10.1177/10901981241254073
Alexander Le, Sara Ali, Christine C Blackburn, Leslie Ruyle, Jessica Hernandez, Farid Abarca, Araceli Arroniz, Sanny Rivera, Kaylee Jerman, Neha Kashyap, Edward Davila, Kathryn Ortega, Yesenia Zavala
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引用次数: 0

摘要

与登革热感染有关的寻求治疗行为(TSB)是公共卫生的一个重要方面,了解影响该行为的因素对于有效管理疾病至关重要。本研究通过考察哥斯达黎加个人对健康信念模型(HBM)的看法和行为,深入探讨了登革热寻求治疗行为的关键决定因素。本研究采用自然调查法和定性研究设计,将 9 名学生分成 4 个小组,每个小组至少有一名西班牙语流利的学生。我们总共对四个社区的哥斯达黎加居民进行了 102 次半结构化实地访谈。我们对访谈进行了录音、逐字记录,并使用 MAXQDA 2022© 进行了多次编码。采用归纳法进行专题分析,以确定模式和主题。我们发现,一些 HBM 主题影响了参与者的登革热 TSB。自我治疗是处理登革热最常见的初始步骤。认为无法获得医疗保健服务和认为治疗方案效果不佳阻碍了人们寻求医疗保健服务。最后,自我治疗做法的普遍性表明,有必要采取干预措施,强调及时获得专业医疗护理的重要性,同时解决实际障碍以及认为现有医疗服务无法获得和无效的看法。这些发现为登革热 TSB 提供了一个重要视角,可指导未来的公共卫生策略,以优化求医行为并减轻登革热对人群健康的负面影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dengue Treatment-Seeking Behavior: A Qualitative Study With Costa Rican Residents.

Treatment-seeking behavior (TSB) in relation to dengue infection is a critical aspect of public health, and understanding the factors that influence it is crucial for effective disease management. This research delves into key determinants of dengue TSB by examining the perceptions and behaviors of individuals in Costa Rica, in relation to the Health Belief Model (HBM). This study utilized naturalistic inquiry and incorporated a qualitative research design involving nine students organized into four teams, with at least one student on each team with high Spanish fluency. In total, we initiated 102 semi-structured field interviews with Costa Rican residents in four communities. The interviews were recorded, transcribed verbatim, and coded in several cycles using MAXQDA 2022©. Thematic analysis was used to identify patterns and themes using an inductive approach. We found that several HBM themes influenced dengue TSB among participants. Self-treatment was the most common initial step in managing dengue. Perceived inaccessibility of health care services and perceived ineffective treatment options discouraged medical care-seeking. Ultimately, the prevalence of self-treatment practices suggests a need for interventions that emphasize the importance of timely professional medical attention, while addressing real barriers and perceptions of existing health care services as inaccessible and ineffective. These findings provide a key perspective on dengue TSB, guiding future public health strategies aimed at optimizing health-seeking behaviors and mitigating the negative impacts of dengue on population health.

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来源期刊
Health Education & Behavior
Health Education & Behavior PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
8.60
自引率
2.40%
发文量
75
期刊介绍: Health Education & Behavior is the official publication of the Society for Public Health Education (SOPHE). The journal publishes authoritative and practical information on critical health issues for a broad range of professionals interested in understanding factors associated with health behavior and health status, and strategies to improve social and behavioral health. The journal is interested in articles directed toward researchers and/or practitioners in health behavior and health education. Empirical research, case study, program evaluation, literature reviews, and articles discussing theories are regularly published.
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