4 - Rural-Urban Disparities in Health and Health Care in Africa: Cultural Competence, Lay-beliefs in Narratives of Diabetes among the Rural Poor in the Eastern Cape Province of South Africa
Corresponding Author(s) : Olajide Oloyede
Revue africaine de sociologie,
Vol. 21 No 2 (2017): Revue africaine de sociologie
Résumé
Les disparités urbaines-rurales, de la santé et des soins de santé en Afrique ont été bien décrites ;
pourtant, ils restent relativement moins préoccupant parmi les nombreuses questions de la
santé et des soins de santé en Afrique. Les disparités ont été documentés pour exister dans
l’utilisation de procédures diagnostiques et thérapeutiques, la prescription de l’analgésie pour
les douleurs, traitement du diabète (p. ex., exercice de gymnastique). Parmi les causes profondes
de ces disparités, qui, peut être recueillie grâce à des études sur les systèmes de soins de santé (recherche biomédicale et les systèmes de santé africains) sont les variations de la santé des
malades, croyances, valeurs, préférences et comportement. Informé par la nécessité d’aborder le
vaste exode rural des disparités en matière de santé et de soins de santé en Afrique, ce document
met en avant les patients ruraux’ reconnaissance des symptômes, seuil pour demander des soins
et la capacité de comprendre la stratégie de gestion de la maladie, qui font tous partie de la
variation de la santé des malades, les croyances et les valeurs. La stratégie adoptée pour la mise
en ces disparités est par récits de diabète par les patients dans un contexte rural en Afrique du
Sud. L’objectif principal est de contribuer à l’amélioration de la qualité des soins de santé en
intégrant les patients à mieux comprendre la santé. Le récit est subsumé sous la compétence
culturelle les idées reçues.
Mots-clés
Télécharger la référence bibliographique
Endnote/Zotero/Mendeley (RIS)BibTeX
- Aday, L.A. (1993) At risk in America: the health and healthcare needs of vulnerable populations in the United States 1ˢᵗ ed., San Fransisco: Jossey-Bass Publishers Beck, U (1992)
- Risk Society, Towards a New Modernity, London: Sage Publication Bell, S. E. (1999) Narratives and lives: Women’s health politics and the diagnosis of cancer for DES daughters. Narrative Inquiry, 9, pp. 347-389
- Betancourt, J.R., Green, A.R., Carillo, J.E., and Park, E.R (2005) Cultural Competence and Health Care Disparities, Key Perspectives and Trends. Health Affairs, 24, 499-505.
- Bury, M (1991) Sociology of chronic illness: A review of research and prospects. 13(4), 451-467
- Clandinin, D. J. and Connelly, F. M. (2000) Narrative inquiry: Experience and story in qualitative research. San Francisco: Jossey-Bass Ezzy, D. (2000). Illness narratives: Time, hope and HIV. Social Science and Medicine, 50, 605-617
- Frank, A. W. (1995) The wounded storyteller: Body, Illness and ethics. Chicago: University of Chicago Press
- Fryback, P. B. and Reinert, B. R. (1999). Spirituality and people with potentially fatal diagnoses, 34 (1), 13-22
- Giddens, A. (1990) The consequences of Modernity, Cambridge: Polity Press
- Good, B. J. (1994). Illness representations in medical anthropology: a reading of the field. In: Medicine, Rationality and Experience – An Anthropological Perspective. Cambridge: Cambridge University Press, pp. 25-64
- Heijmans, M. J. W. M.(1998) Coping and adaptive outcome in chronic fatigue syndrome: importance of illness cognitions. Journal of Psychosomatic Research, 45, 39-51
- Hyden, L. C. (1997) Illness and narrative. Sociology of Health and Illness, 19, 48-69 Landis, B. J.(1996) Uncertainty, spiritual well-being, and psychosocial adjustment to chronic illness. Issues in Mental Health Nursing, 17, 217-231
- Lavizzo-Mourey, R., Mackenzie, E. (1996) Cultural competence: an essential hybrid for delivering high quality care in the 1990s and beyond. Transaction of the American Clinical Climatology Association, VII: 226-238
- Leventhal, H., Meyer, D., and Nerenz, D. (1980) The commonsense representation of illness danger.
- In S. Rachman (Ed.), Contributions to medical psychology, Volume 2, Oxford: Pergamon Press
- Leventhal, H., Nerenz, D., R., and Steele, D. J. (1984) Illness representation and coping with health threats. In A. Baum, S. E. Taylor, and J. E. Singer (Eds), Handboo ogy and health. London; Erlbaum Murray, M (1999) The storied nature of health and illness. In M. Murray and K. Chamberlain (Eds.), Qualitative health psychology: Theory and methods (pp. 47- 63). Thousand Oaks,CA: Sage Murray, M. and McMillan, C. (1988) Working class women’s view of cancer. Belfast: Ulster Cancer Foundation
- Norris, S. L., Engelgao, M. M., Narayan, K. M. (2001) Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 24:561-587 O’Neill, D. P., and Kenny, E. K. (1998) Spirituality and chronic illness. Image: Journal of Nursing Scholarship, 30 (3), 275-280
- Obuaku, Chinwe (2014) Essential Medicines in Nigeria Foregrounding Access to Affordable Essential Medicines, African Sociological Review Vol 18: 2, 2014 pp36-53.
- Oloyede, O (2012) The management of diabetes among the rural poor in South Africa: A Rural Health Study Unpublished Research Report. University of the Western Cape Orbell, S, Johnston, M., Rowley, D., Espley, A., and Davey, P. (1998). Cognitive representations of illness and functional and affective adjustment following surgery for osteoarthritis. Social Sciences and Medicine, 47, 93- 102
- Radley, A (1993) Worlds of illness: Biographical and cultural perspectives on health and disease.
- London: Routledge Relf, M. V. (1997) Illuminating meaning and transforming issues of spirituality in HIV disease and AIDS: An application of Parse’s theory of human becoming. Holistic Nursing Practice, 10(1), 68-76
- Sebastian, J.R (1994) Definitions and theory underlying vulnerability. In Sebastian, J.R., Bushy, A. (Eds) Special populations in the community: advances in reducing health disparities.
- Gaithersburg (MD): Aspen Publishers Scharloo, M., Kaptein, A. A., Williams, J., Hazes, J. M., Willems, L. N. A., Bergman, W., and Rooijmans, H. G. M. (1998) illness perceptions, coping and functioning in patients with rheumatoid arthritis, chronic obstructive pulmonary disease and psoriasis. Journal of Psychosomatic Research, 44, 573-585
- William chronic illness: Narrative re-constructions ealth and Illness 6, 174-200
Les références
Aday, L.A. (1993) At risk in America: the health and healthcare needs of vulnerable populations in the United States 1ˢᵗ ed., San Fransisco: Jossey-Bass Publishers Beck, U (1992)
Risk Society, Towards a New Modernity, London: Sage Publication Bell, S. E. (1999) Narratives and lives: Women’s health politics and the diagnosis of cancer for DES daughters. Narrative Inquiry, 9, pp. 347-389
Betancourt, J.R., Green, A.R., Carillo, J.E., and Park, E.R (2005) Cultural Competence and Health Care Disparities, Key Perspectives and Trends. Health Affairs, 24, 499-505.
Bury, M (1991) Sociology of chronic illness: A review of research and prospects. 13(4), 451-467
Clandinin, D. J. and Connelly, F. M. (2000) Narrative inquiry: Experience and story in qualitative research. San Francisco: Jossey-Bass Ezzy, D. (2000). Illness narratives: Time, hope and HIV. Social Science and Medicine, 50, 605-617
Frank, A. W. (1995) The wounded storyteller: Body, Illness and ethics. Chicago: University of Chicago Press
Fryback, P. B. and Reinert, B. R. (1999). Spirituality and people with potentially fatal diagnoses, 34 (1), 13-22
Giddens, A. (1990) The consequences of Modernity, Cambridge: Polity Press
Good, B. J. (1994). Illness representations in medical anthropology: a reading of the field. In: Medicine, Rationality and Experience – An Anthropological Perspective. Cambridge: Cambridge University Press, pp. 25-64
Heijmans, M. J. W. M.(1998) Coping and adaptive outcome in chronic fatigue syndrome: importance of illness cognitions. Journal of Psychosomatic Research, 45, 39-51
Hyden, L. C. (1997) Illness and narrative. Sociology of Health and Illness, 19, 48-69 Landis, B. J.(1996) Uncertainty, spiritual well-being, and psychosocial adjustment to chronic illness. Issues in Mental Health Nursing, 17, 217-231
Lavizzo-Mourey, R., Mackenzie, E. (1996) Cultural competence: an essential hybrid for delivering high quality care in the 1990s and beyond. Transaction of the American Clinical Climatology Association, VII: 226-238
Leventhal, H., Meyer, D., and Nerenz, D. (1980) The commonsense representation of illness danger.
In S. Rachman (Ed.), Contributions to medical psychology, Volume 2, Oxford: Pergamon Press
Leventhal, H., Nerenz, D., R., and Steele, D. J. (1984) Illness representation and coping with health threats. In A. Baum, S. E. Taylor, and J. E. Singer (Eds), Handboo ogy and health. London; Erlbaum Murray, M (1999) The storied nature of health and illness. In M. Murray and K. Chamberlain (Eds.), Qualitative health psychology: Theory and methods (pp. 47- 63). Thousand Oaks,CA: Sage Murray, M. and McMillan, C. (1988) Working class women’s view of cancer. Belfast: Ulster Cancer Foundation
Norris, S. L., Engelgao, M. M., Narayan, K. M. (2001) Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 24:561-587 O’Neill, D. P., and Kenny, E. K. (1998) Spirituality and chronic illness. Image: Journal of Nursing Scholarship, 30 (3), 275-280
Obuaku, Chinwe (2014) Essential Medicines in Nigeria Foregrounding Access to Affordable Essential Medicines, African Sociological Review Vol 18: 2, 2014 pp36-53.
Oloyede, O (2012) The management of diabetes among the rural poor in South Africa: A Rural Health Study Unpublished Research Report. University of the Western Cape Orbell, S, Johnston, M., Rowley, D., Espley, A., and Davey, P. (1998). Cognitive representations of illness and functional and affective adjustment following surgery for osteoarthritis. Social Sciences and Medicine, 47, 93- 102
Radley, A (1993) Worlds of illness: Biographical and cultural perspectives on health and disease.
London: Routledge Relf, M. V. (1997) Illuminating meaning and transforming issues of spirituality in HIV disease and AIDS: An application of Parse’s theory of human becoming. Holistic Nursing Practice, 10(1), 68-76
Sebastian, J.R (1994) Definitions and theory underlying vulnerability. In Sebastian, J.R., Bushy, A. (Eds) Special populations in the community: advances in reducing health disparities.
Gaithersburg (MD): Aspen Publishers Scharloo, M., Kaptein, A. A., Williams, J., Hazes, J. M., Willems, L. N. A., Bergman, W., and Rooijmans, H. G. M. (1998) illness perceptions, coping and functioning in patients with rheumatoid arthritis, chronic obstructive pulmonary disease and psoriasis. Journal of Psychosomatic Research, 44, 573-585
William chronic illness: Narrative re-constructions ealth and Illness 6, 174-200