社会脆弱性与结核病:恶性循环

Nicolás Ortiz-Ruiz, Constanza Díaz-Grajales, D. Zamudio-Espinosa, Melania Satizabal-Reyes, D. E. López-Salamanca, Yamileth López-Paz, Lucy del Carmen Luna-Miranda
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引用次数: 0

摘要

结核病是世界上发病的一个重要原因,也是十大死亡原因之一,与经济问题、脆弱性、边缘化、污名化和歧视有关。根据一项对定量数据和定性信息进行三角测量的混合研究,基于AVEO模型(该模型分析了与人们拥有的资产和负债相关的社会脆弱性以及环境提供的机会),提出了哥伦比亚卡利市结核病患者社会脆弱性特征的主要结果。结果显示了与结核病治疗有关的资产、负债和机会,并通过人口、生物、社会经济、社会心理和生境方面加以阐述。结论是,社会脆弱性条件与结核病之间存在恶性循环,社会脆弱性较高的人在其生活的各个方面受到这种疾病的影响更大,从而增加或维持脆弱性水平,这需要超越保健服务的多部门干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vulnerabilidad social y tuberculosis: un círculo vicioso
Tuberculosis (TB) represents an important cause of morbidity and one of the top ten causes of mortality in the world, associated with economic problems, vulnerability, marginalization, stigma and discrimination. From a mixed study that triangulates quantitative data and qualitative information, the main results of the characterization of the social vulnerability of people with TB in the municipality of Cali - Colombia are presented, based on the AVEO model that analyzes the social vulnerability related to assets and liabilities that people possess and the opportunities that the context offers. The results show assets, liabilities and opportunities related to TB treatment, articulated through demographic, biological, socioeconomic, psychosocial and habitat dimensions. It is concluded that there is a vicious circle between conditions of social vulnerability and tuberculosis, in which people with higher levels of social vulnerability are more affected by the disease in all dimensions of their existence, increasing or maintaining levels of vulnerability, which that requires multisectoral interventions that go beyond health services.  
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