Understanding ethnic differences in behaviour relating to Schistosoma mansoni re-infection after mass treatment
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Understanding ethnic differences in behaviour relating to Schistosoma mansoni re-infection after mass treatment. / Pinot de Moira, Angela; Kabatereine, Narcis B; Dunne, David W; Booth, Mark.
I: Journal of Biosocial Science, Bind 43, Nr. 2, 03.2011, s. 185-209.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Understanding ethnic differences in behaviour relating to Schistosoma mansoni re-infection after mass treatment
AU - Pinot de Moira, Angela
AU - Kabatereine, Narcis B
AU - Dunne, David W
AU - Booth, Mark
PY - 2011/3
Y1 - 2011/3
N2 - It is now widely recognized that a decentralized approach to the control of parasitic infections in rural sub-Saharan populations allows for the design of more effective control programmes and encourages high compliance. Compliance is usually an indicator of treatment success, but cannot be used as a measure of long-term benefit since re-infection will be strongly influenced by a number of factors including the social ecology of a community. In this paper qualitative and quantitative methods are used to identify and understand the structural and behavioural constraints that may influence water contact behaviour and create inequalities with respect to Schistosoma re-infection following anti-helminth drug treatment. The research is set in a community where participant engagement has remained uniformly high throughout the course of a 10-year multidisciplinary study on treatment and re-infection, but where levels of re-infection have not been uniform and, because of variations in water contact behaviour, have varied by age, sex and ethnic background. Variations in the biomedical knowledge of schistosomiasis, socioeconomic constraints and ethnic differences in general attitudes towards life and health are identified that may account for some of these behavioural differences. The observations highlight the benefits of understanding the socio-ecology of control and research settings at several levels (both between and within ethnic groups); this will help to design more effective and universally beneficial interventions for control and help to interpret research findings.
AB - It is now widely recognized that a decentralized approach to the control of parasitic infections in rural sub-Saharan populations allows for the design of more effective control programmes and encourages high compliance. Compliance is usually an indicator of treatment success, but cannot be used as a measure of long-term benefit since re-infection will be strongly influenced by a number of factors including the social ecology of a community. In this paper qualitative and quantitative methods are used to identify and understand the structural and behavioural constraints that may influence water contact behaviour and create inequalities with respect to Schistosoma re-infection following anti-helminth drug treatment. The research is set in a community where participant engagement has remained uniformly high throughout the course of a 10-year multidisciplinary study on treatment and re-infection, but where levels of re-infection have not been uniform and, because of variations in water contact behaviour, have varied by age, sex and ethnic background. Variations in the biomedical knowledge of schistosomiasis, socioeconomic constraints and ethnic differences in general attitudes towards life and health are identified that may account for some of these behavioural differences. The observations highlight the benefits of understanding the socio-ecology of control and research settings at several levels (both between and within ethnic groups); this will help to design more effective and universally beneficial interventions for control and help to interpret research findings.
KW - Adolescent
KW - Adult
KW - Aged
KW - Anthelmintics/therapeutic use
KW - Child
KW - Child, Preschool
KW - Ethnicity/psychology
KW - Female
KW - Focus Groups
KW - Health Behavior/ethnology
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Compliance/ethnology
KW - Schistosomiasis/drug therapy
KW - Secondary Prevention
KW - Sex Factors
KW - Uganda/epidemiology
KW - Water Supply
KW - Young Adult
U2 - 10.1017/S002193201000060X
DO - 10.1017/S002193201000060X
M3 - Journal article
C2 - 21092361
VL - 43
SP - 185
EP - 209
JO - Journal of Biosocial Science
JF - Journal of Biosocial Science
SN - 0021-9320
IS - 2
ER -
ID: 314968891