Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.

<h4>Background</h4>Globally, more than 10 million people are infected with Trypanosoma cruzi, which causes about 20 000 annual deaths. Although Chagas disease is endemic to certain regions of Latin America, migratory flows have enabled its expansion into areas where it was previously unk...

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Autores principales:	Laia Ventura-Garcia, Maria Roura, Christopher Pell, Elisabeth Posada, Joaquim Gascón, Edelweis Aldasoro, Jose Muñoz, Robert Pool
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4b4aca7ad6934404b2e85f277ce03f23
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spelling	oai:doaj.org-article:4b4aca7ad6934404b2e85f277ce03f232021-11-18T09:16:54ZSocio-cultural aspects of Chagas disease: a systematic review of qualitative research.1935-27271935-273510.1371/journal.pntd.0002410https://doaj.org/article/4b4aca7ad6934404b2e85f277ce03f232013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24069473/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Background</h4>Globally, more than 10 million people are infected with Trypanosoma cruzi, which causes about 20 000 annual deaths. Although Chagas disease is endemic to certain regions of Latin America, migratory flows have enabled its expansion into areas where it was previously unknown. Economic, social and cultural factors play a significant role in its presence and perpetuation. This systematic review aims to provide a comprehensive overview of qualitative research on Chagas disease, both in endemic and non-endemic countries.<h4>Methodology/principal findings</h4>Searches were carried out in ten databases, and the bibliographies of retrieved studies were examined. Data from thirty-three identified studies were extracted, and findings were analyzed and synthesized along key themes. Themes identified for endemic countries included: socio-structural determinants of Chagas disease; health practices; biomedical conceptions of Chagas disease; patient's experience; and institutional strategies adopted. Concerning non-endemic countries, identified issues related to access to health services and health seeking.<h4>Conclusions</h4>The emergence and perpetuation of Chagas disease depends largely on socio-cultural aspects influencing health. As most interventions do not address the clinical, environmental, social and cultural aspects jointly, an explicitly multidimensional approach, incorporating the experiences of those affected is a potential tool for the development of long-term successful programs. Further research is needed to evaluate this approach.Laia Ventura-GarciaMaria RouraChristopher PellElisabeth PosadaJoaquim GascónEdelweis AldasoroJose MuñozRobert PoolPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 7, Iss 9, p e2410 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Laia Ventura-Garcia Maria Roura Christopher Pell Elisabeth Posada Joaquim Gascón Edelweis Aldasoro Jose Muñoz Robert Pool Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.
description	<h4>Background</h4>Globally, more than 10 million people are infected with Trypanosoma cruzi, which causes about 20 000 annual deaths. Although Chagas disease is endemic to certain regions of Latin America, migratory flows have enabled its expansion into areas where it was previously unknown. Economic, social and cultural factors play a significant role in its presence and perpetuation. This systematic review aims to provide a comprehensive overview of qualitative research on Chagas disease, both in endemic and non-endemic countries.<h4>Methodology/principal findings</h4>Searches were carried out in ten databases, and the bibliographies of retrieved studies were examined. Data from thirty-three identified studies were extracted, and findings were analyzed and synthesized along key themes. Themes identified for endemic countries included: socio-structural determinants of Chagas disease; health practices; biomedical conceptions of Chagas disease; patient's experience; and institutional strategies adopted. Concerning non-endemic countries, identified issues related to access to health services and health seeking.<h4>Conclusions</h4>The emergence and perpetuation of Chagas disease depends largely on socio-cultural aspects influencing health. As most interventions do not address the clinical, environmental, social and cultural aspects jointly, an explicitly multidimensional approach, incorporating the experiences of those affected is a potential tool for the development of long-term successful programs. Further research is needed to evaluate this approach.
format	article
author	Laia Ventura-Garcia Maria Roura Christopher Pell Elisabeth Posada Joaquim Gascón Edelweis Aldasoro Jose Muñoz Robert Pool
author_facet	Laia Ventura-Garcia Maria Roura Christopher Pell Elisabeth Posada Joaquim Gascón Edelweis Aldasoro Jose Muñoz Robert Pool
author_sort	Laia Ventura-Garcia
title	Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.
title_short	Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.
title_full	Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.
title_fullStr	Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.
title_full_unstemmed	Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.
title_sort	socio-cultural aspects of chagas disease: a systematic review of qualitative research.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/4b4aca7ad6934404b2e85f277ce03f23
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Socio-cultural aspects of Chagas disease: a systematic review of qualitative research.

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