Barriers to accessing the culturally sensitive healthcare that could decrease the disabling effects of arthritis in a rural Mayan community: a qualitative inquiry

Clinical Rheumatology
Adalberto Loyola-SanchezIngris Pelaez-Ballestas

Abstract

The impact of living with arthritis in a rural Mexican Mayan community along with the barriers encountered by people living with this chronic condition were investigated in this study. The community needs around this health issue were investigated by conducting an ethnographic study using data obtained during two time periods (August 2012-April 2013 and December 2013-December 2014). During the first period, fieldwork observations and interviews with 65 individuals, which included people with arthritis, health professionals, traditional health providers, and community leaders were undertaken. During the second period, 46 community meetings were conducted to identify the needs associated with arthritis in the municipality. Data were analyzed following a modified version of the Framework approach. The results show that arthritis reduces the health-related quality of life of the people in Chankom through a process of disablement, conditioning a need to access culturally sensitive healthcare. Availability, attainability, and acceptability barriers prevent access to this type of healthcare and result from power imbalance between indigenous and non-indigenous people. There is a need to develop culturally sensitive rehabilitation servi...Continue Reading

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Citations

May 15, 2016·Clinical Rheumatology·Ingris Peláez-BallestasRubén Burgos-Vargas
Jul 17, 2018·Annals of the Rheumatic Diseases·Ingris Peláez-BallestasUNKNOWN Latin American Study Group of Rheumatic Diseases in Indigenous Peoples (GLADERPO)
Jun 7, 2020·Clinical Rheumatology·Vicente JuárezBernardo A Pons Estel
Jul 1, 2020·Reumatología clinica·Rosana QuintanaIngris Peláez-Ballestas

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