Perspectivas comunitarias e institucionales acerca del cáncer cervicouterino en indígenas del Amazonas colombiano.
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| Title: | Perspectivas comunitarias e institucionales acerca del cáncer cervicouterino en indígenas del Amazonas colombiano. |
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| Alternate Title: | Community and Institutional Perspectives on Cervical Cancer in Indigenous People of the Colombian Amazon. Perspectivas comunitárias e institucionais sobre o câncer de colo de útero em indígenas da Amazônia colombiana. |
| Authors: | López-Ríos, Jennifer Marcela1, Ramos-Jaraba, Sara Milena2, Garcés-Palacio, Isabel C.3 icristina.garces@udea.edu.co |
| Source: | Revista Ciencias de la Salud. may-ago2024, Vol. 22 Issue 2, p1-17. 17p. |
| Subjects: | CYTOLOGY, CERVIX uteri tumors, ATTITUDES toward illness, QUALITATIVE research, INTERVIEWING, SHAMANISM, INDIGENOUS women, CONTENT analysis, RESEARCH evaluation, COMMUNITIES, ATTITUDES of medical personnel, RESEARCH methodology, PAP test, HEALTH of Indigenous peoples, DISEASE risk factors |
| Geographic Terms: | COLOMBIA |
| Abstract (English): | Introduction: Information on cancer in Colombian indigenous populations is scarce, the objective of this study was to know the community and health care providers' perspectives on cervical cancer (CaCU) in indigenous women of the Colombian Amazon. Materials and methods: Qualitative study, derived from a mixed methods research of convergent triangulation, 40 semi-structured interviews were conducted, including health professionals and key community actors represented by curacas, traditional doctors or shamans, midwives, health promoters, public health assistants, leaders, grandfathers, grandmothers, and indigenous women in general. The content analysis technique was used for the analysis. Results: Four categories emerged: (a) conceptions and risk factors surrounding cancer in general and CaCU; (b) western and ancestral care and attention practices for CaCU; (c) sociocultural and health system difficulties for the prevention and attention of CaCU, and (d) recommendations for strengthening CaCU prevention. Conclusion: Participants recognize cervical cytology as a way to prevent cancer and although participants mentioned some cultural and personal aspects that could constitute a barrier to cervical cancer prevention and control, the greatest emphasis was given to structural problems of the health system, lack of cultural integration and difficulties of access to screening, diagnosis and treatment. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: la información en cáncer en poblaciones indígenas colombianas es escasa; de ahí que el objetivo de este estudio sea conocer las perspectivas comunitarias y de los prestadores de servicios de salud acerca del cáncer de cuello uterino (CaCU) en mujeres indígenas del Amazonas colombiano. Materiales y métodos: estudio cualitativo, derivado de una investigación de métodos mixtos de triangulación convergente. Se realizaron 40 entrevistas semiestructuradas que incluían profesionales de la salud y actores clave comunitarios representados en curacas, médicos tradicionales o chamanes, parteras, promotores de salud, auxiliares de salud pública, líderes y lideresas, abuelos, abuelas y mujeres indígenas en general. Para el análisis se utilizó la técnica de análisis de contenido. Resultados: emergieron cuatro categorías: 1) concepciones y factores de riesgo alrededor del cáncer en general y el CaCU, 2) prácticas de cuidado y de atención occidentales y ancestrales para el CaCU, 3) dificultades socioculturales y del sistema de salud para la prevención y atención del CaCU y 4) recomendaciones para el fortalecimiento de la de prevención del CaCU. Conclusión: los participantes reconocen la citología cervicouterina como una forma de prevenir el cáncer y aunque los participantes mencionaron algunos aspectos culturales y personales que podrían constituirse en una barrera para la prevención y control del CaCU, se hizo hincapié en los problemas estructurales del sistema de salud, la falta de integración cultural y las dificultades de acceso al tamizaje, diagnóstico y tratamiento. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Introdução: a informação sobre o câncer nas populações indígenas colombianas são escassas, o objetivo deste estudo foi conhecer as perspectivas da comunidade e dos prestadores de serviços de saúde sobre o câncer do colo do útero (CaCU), em mulheres indígenas da Amazônia colombiana. Materiais e métodos: estudo qualitativo, derivado de uma investigação de métodos mistos de triangulação convergente. Foram realizadas 40 entrevistas semiestruturadas que incluíram profissionais de saúde e principais atores comunitários representados em curacas, médicos tradicionais ou xamãs, parteiras, promotores de saúde, assistentes de saúde pública, lideranças, avôs, avós e mulheres indígenas em geral. Para a análise foi utilizada a técnica de análise de conteúdo. Resultados: emergiram quatro categorias, a) concepções e fatores de risco em torno do câncer em geral e do CaCU; b) cuidados e práticas de cuidado ocidentais e ancestrais para CaCU; c) dificuldades socioculturais e do sistema de saúde para a prevenção e cuidado do CaCU, e d) recomendações para fortalecer a prevenção de CaCU. Conclusão: as participantes reconhecem a citologia cervical como forma de prevenção do câncer e embora as participantes tenham mencionado alguns aspectos culturais e pessoais que poderiam constituir uma barreira para a prevenção e controle do câncer do colo do útero, a maior ênfase foi dada aos problemas estruturais do sistema de saúde, a falta de integração cultural e as dificuldades de acesso ao rastreio, ao diagnóstico e ao tratamento. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 179524041 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Perspectivas comunitarias e institucionales acerca del cáncer cervicouterino en indígenas del Amazonas colombiano. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Community and Institutional Perspectives on Cervical Cancer in Indigenous People of the Colombian Amazon.<br />Perspectivas comunitárias e institucionais sobre o câncer de colo de útero em indígenas da Amazônia colombiana. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22López-Ríos%2C+Jennifer+Marcela%22">López-Ríos, Jennifer Marcela</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Ramos-Jaraba%2C+Sara+Milena%22">Ramos-Jaraba, Sara Milena</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Garcés-Palacio%2C+Isabel+C%2E%22">Garcés-Palacio, Isabel C.</searchLink><relatesTo>3</relatesTo><i> icristina.garces@udea.edu.co</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Ciencias+de+la+Salud%22">Revista Ciencias de la Salud</searchLink>. may-ago2024, Vol. 22 Issue 2, p1-17. 17p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CYTOLOGY%22">CYTOLOGY</searchLink><br /><searchLink fieldCode="DE" term="%22CERVIX+uteri+tumors%22">CERVIX uteri tumors</searchLink><br /><searchLink fieldCode="DE" term="%22ATTITUDES+toward+illness%22">ATTITUDES toward illness</searchLink><br /><searchLink fieldCode="DE" term="%22QUALITATIVE+research%22">QUALITATIVE research</searchLink><br /><searchLink fieldCode="DE" term="%22INTERVIEWING%22">INTERVIEWING</searchLink><br /><searchLink fieldCode="DE" term="%22SHAMANISM%22">SHAMANISM</searchLink><br /><searchLink fieldCode="DE" term="%22INDIGENOUS+women%22">INDIGENOUS women</searchLink><br /><searchLink fieldCode="DE" term="%22CONTENT+analysis%22">CONTENT analysis</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+evaluation%22">RESEARCH evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22COMMUNITIES%22">COMMUNITIES</searchLink><br /><searchLink fieldCode="DE" term="%22ATTITUDES+of+medical+personnel%22">ATTITUDES of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+methodology%22">RESEARCH methodology</searchLink><br /><searchLink fieldCode="DE" term="%22PAP+test%22">PAP test</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+of+Indigenous+peoples%22">HEALTH of Indigenous peoples</searchLink><br /><searchLink fieldCode="DE" term="%22DISEASE+risk+factors%22">DISEASE risk factors</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22COLOMBIA%22">COLOMBIA</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: Information on cancer in Colombian indigenous populations is scarce, the objective of this study was to know the community and health care providers' perspectives on cervical cancer (CaCU) in indigenous women of the Colombian Amazon. Materials and methods: Qualitative study, derived from a mixed methods research of convergent triangulation, 40 semi-structured interviews were conducted, including health professionals and key community actors represented by curacas, traditional doctors or shamans, midwives, health promoters, public health assistants, leaders, grandfathers, grandmothers, and indigenous women in general. The content analysis technique was used for the analysis. Results: Four categories emerged: (a) conceptions and risk factors surrounding cancer in general and CaCU; (b) western and ancestral care and attention practices for CaCU; (c) sociocultural and health system difficulties for the prevention and attention of CaCU, and (d) recommendations for strengthening CaCU prevention. Conclusion: Participants recognize cervical cytology as a way to prevent cancer and although participants mentioned some cultural and personal aspects that could constitute a barrier to cervical cancer prevention and control, the greatest emphasis was given to structural problems of the health system, lack of cultural integration and difficulties of access to screening, diagnosis and treatment. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: la información en cáncer en poblaciones indígenas colombianas es escasa; de ahí que el objetivo de este estudio sea conocer las perspectivas comunitarias y de los prestadores de servicios de salud acerca del cáncer de cuello uterino (CaCU) en mujeres indígenas del Amazonas colombiano. Materiales y métodos: estudio cualitativo, derivado de una investigación de métodos mixtos de triangulación convergente. Se realizaron 40 entrevistas semiestructuradas que incluían profesionales de la salud y actores clave comunitarios representados en curacas, médicos tradicionales o chamanes, parteras, promotores de salud, auxiliares de salud pública, líderes y lideresas, abuelos, abuelas y mujeres indígenas en general. Para el análisis se utilizó la técnica de análisis de contenido. Resultados: emergieron cuatro categorías: 1) concepciones y factores de riesgo alrededor del cáncer en general y el CaCU, 2) prácticas de cuidado y de atención occidentales y ancestrales para el CaCU, 3) dificultades socioculturales y del sistema de salud para la prevención y atención del CaCU y 4) recomendaciones para el fortalecimiento de la de prevención del CaCU. Conclusión: los participantes reconocen la citología cervicouterina como una forma de prevenir el cáncer y aunque los participantes mencionaron algunos aspectos culturales y personales que podrían constituirse en una barrera para la prevención y control del CaCU, se hizo hincapié en los problemas estructurales del sistema de salud, la falta de integración cultural y las dificultades de acceso al tamizaje, diagnóstico y tratamiento. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Portuguese) Group: Ab Data: Introdução: a informação sobre o câncer nas populações indígenas colombianas são escassas, o objetivo deste estudo foi conhecer as perspectivas da comunidade e dos prestadores de serviços de saúde sobre o câncer do colo do útero (CaCU), em mulheres indígenas da Amazônia colombiana. Materiais e métodos: estudo qualitativo, derivado de uma investigação de métodos mistos de triangulação convergente. Foram realizadas 40 entrevistas semiestruturadas que incluíram profissionais de saúde e principais atores comunitários representados em curacas, médicos tradicionais ou xamãs, parteiras, promotores de saúde, assistentes de saúde pública, lideranças, avôs, avós e mulheres indígenas em geral. Para a análise foi utilizada a técnica de análise de conteúdo. Resultados: emergiram quatro categorias, a) concepções e fatores de risco em torno do câncer em geral e do CaCU; b) cuidados e práticas de cuidado ocidentais e ancestrais para CaCU; c) dificuldades socioculturais e do sistema de saúde para a prevenção e cuidado do CaCU, e d) recomendações para fortalecer a prevenção de CaCU. Conclusão: as participantes reconhecem a citologia cervical como forma de prevenção do câncer e embora as participantes tenham mencionado alguns aspectos culturais e pessoais que poderiam constituir uma barreira para a prevenção e controle do câncer do colo do útero, a maior ênfase foi dada aos problemas estruturais do sistema de saúde, a falta de integração cultural e as dificuldades de acesso ao rastreio, ao diagnóstico e ao tratamento. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.12804/revistas.urosario.edu.co/revsalud/a.12595 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 17 StartPage: 1 Subjects: – SubjectFull: CYTOLOGY Type: general – SubjectFull: CERVIX uteri tumors Type: general – SubjectFull: ATTITUDES toward illness Type: general – SubjectFull: QUALITATIVE research Type: general – SubjectFull: INTERVIEWING Type: general – SubjectFull: SHAMANISM Type: general – SubjectFull: INDIGENOUS women Type: general – SubjectFull: CONTENT analysis Type: general – SubjectFull: RESEARCH evaluation Type: general – SubjectFull: COMMUNITIES Type: general – SubjectFull: ATTITUDES of medical personnel Type: general – SubjectFull: RESEARCH methodology Type: general – SubjectFull: PAP test Type: general – SubjectFull: HEALTH of Indigenous peoples Type: general – SubjectFull: DISEASE risk factors Type: general – SubjectFull: COLOMBIA Type: general Titles: – TitleFull: Perspectivas comunitarias e institucionales acerca del cáncer cervicouterino en indígenas del Amazonas colombiano. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: López-Ríos, Jennifer Marcela – PersonEntity: Name: NameFull: Ramos-Jaraba, Sara Milena – PersonEntity: Name: NameFull: Garcés-Palacio, Isabel C. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: may-ago2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 16927273 Numbering: – Type: volume Value: 22 – Type: issue Value: 2 Titles: – TitleFull: Revista Ciencias de la Salud Type: main |
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