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1999, Number 4

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Rev Inst Nal Enf Resp Mex 1999; 12 (4)

Popular beliefs on lung tuberculosis and their social consequences in two indigenous communities of the State of Oaxaca: A qualitative approximation

Romero HC

Language: Spanish
References: 28
Page: 235-249
PDF size: 143.05 Kb.


ABSTRACT

Introduction: The rise in tuberculosis at global level is due to several causes. Among them, the diverse cultural perceptions of the disease have relevantly influenced this upsurge. In Mexico, tuberculosis is among the first 20 causes of morbidity/mortality, and the State of Oaxaca is one of the most severely affected; it occupies one of the first 3 causes of mortality in the country, and nearly 68% of these deaths occur in indigenous zones.
Objective: Description of the popular beliefs and social consequences of tuberculosis in two indigenous communities of the State of Oaxaca.
Material and methods: Descriptive study in two different indigenous communities of the State of Oaxaca. The ethnographic method was used, supported by qualitative tools: family discussion, open interviews to key informers and reconstruction of the sick patient’s development with life history. Samples of 28 mixteco families and 84 zapoteco families were interviewed.
Results: Tuberculosis was unknown to more than 80% of the families. Patients percweive this disease as “Chill” or “Witchcraft”. Adherence to the treatment was registered in advanced stages. Tuberculosis is experienced as social rejection, the patient having to suffer abandonment and isolation as main consequences.
Conclusions: The concepts of “disease” and “lung tuberculosis” are understood in a very different way to those of the “doctors”. Therefore, the actions taken to prevent and control the disease should consider the particular culture of each social group.


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