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"If we have to die, we just die": challenges and opportunities for tuberculosis and HIV/AIDS prevention and care in northern Thailand.

Artikel i vetenskaplig tidskrift
Författare Jintana Ngamvithayapong-Yanai
Anna Winkvist
Sarmwai Luangjina
Vinod Diwan
Publicerad i Qualitative health research
Volym 15
Nummer/häfte 9
Sidor 1164-79
ISSN 1049-7323
Publiceringsår 2005
Publicerad vid Institutionen för invärtesmedicin, Avdelningen för klinisk näringslära
Sidor 1164-79
Språk en
Länkar dx.doi.org/10.1177/1049732305281616
Ämnesord Adolescent, Adult, Female, HIV Infections, prevention & control, transmission, Humans, Interviews, Male, Middle Aged, Risk Assessment, Social Control, Informal, Thailand, Tuberculosis, prevention & control, transmission
Ämneskategorier Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

Sammanfattning

In this study, the authors identify opportunities for and challenges in reducing the risks of tuberculosi (TB) and HIV/AIDS transmission in Thailand. They carried out more than six repeated in-depth interviews with each of 13 participants who have been newly diagnosed with TB, 7 of whom were HIV positive, and their caregivers, until the patient recovered from TB or died. They performed extensive observations during relevant private and public activities and analyzed the data using grounded theory, focusing on behaviors affecting risk of transmission. Out of strong virtue, many caregivers felt a responsibility to care for their ill loved ones, thus putting themselves at risk of transmission. For the older generation, this was unimportant, as they had already completed their life cycle ("let it be"). However, strong human bonds encouraged the patients to complete TB treatment until cured or deceased. The authors discuss strategies to build on appropriate behaviors.

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