Acute gastrointestinal illness in an African Indigenous population: the lived experience of Uganda's Batwa.

Autor:	Patterson K; Dept of Population Medicine, University of Guelph, 50 Stone Rd E, Guelph, Ontario N1G 2W1, Canada kpatte08@uoguelph.ca., Clark S; School of Public Health, Imperial College, London, UK sierra.clark@mail.mcgill.ca., Berrang-Ford L; Priestley International Centre for Climate, University of Leeds, Leeds, UK l.berrangford@leeds.ac.uk., Lwasa S; Department of Geography, Makerere University, Kampala, Uganda shuaiblwasa@gmail.com., Namanya D; Ugandan Ministry of Health, Kampala, Uganda didamanya@yahoo.com., Twebaze F; Department of Geography, Makerere University, Kampala, Uganda ftwebaze2@gmail.com., Team IR; Indigenous Health Adaptation to Climate Change (IHACC) Research Team: James Ford, Cesar Carcamo, Alejandro Llanos, Victoria Edge, Lea Berrang-Ford, Shuaib Lwasa, Didacus Namanya and Sherilee Harper, School of Public Health, University of Alberta, Edmonton, Alberta T6G 2R3, Canada ihacc@ualberta.ca., Harper SL; School of Public Health, University of Alberta, Edmonton, Alberta T6G 2R3, Canada sherilee.harper@ualberta.ca.
Jazyk:	angličtina
Zdroj:	Rural and remote health [Rural Remote Health] 2020 Jan; Vol. 20 (1), pp. 5141. Date of Electronic Publication: 2020 Jan 21.
DOI:	10.22605/RRH5141
Abstrakt:	Introduction: Indigenous populations in low-income regions are often the most acutely affected by social gradients that impact health, including high burdens of infectious disease. Using a mixed methods approach, this study characterized the lived experience of acute gastrointestinal illness (AGI) in an Indigenous Batwa population in south-western Uganda. Methods: Quantitative data analyses were conducted on data from three cross-sectional census surveys of Batwa conducted in January 2013 (n=583), January 2014 (n=569) and April 2014 (n=540). Using a 14-day recall period, cases of AGI were defined as three or more loose stools or any vomiting in a 24-hour period. These analyses were supplemented by qualitative data from key informant interviews (n=11 interviews) and Batwa focus group discussions (n=61 participants). Results: From the surveys, episodes of diarrhea and episodes of vomiting lasted on average 3.6 (95%CI 2.3-4.3) and 3.0 (95%CI 2.1-3.9) days, and individuals experienced an average of 4.3 (95%CI 3.9-4.8) and 2.6 (95%CI 2.1-3.1) loose stools and vomiting episodes in 24 hours. Focus group participants and key informants indicated that episodes of AGI for Batwa were not limited to symptom-based consequences for the individual, but also had economic, social and nutritional impacts. Conclusion: Despite efforts to increase health literacy in disease transmission dynamics, risks and prevention measures, the perceived barriers and a lack of benefits still largely underscored adopting positive AGI prevention behaviors. This study moved beyond surveillance and provided information on the broader community-level burden of AGI and highlighted the current challenges and opportunities for improved uptake of AGI prevention measures for the Batwa.
Databáze:	MEDLINE
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