[Social representations of cardiovascular disease in the Tanvè Health Study (TAHES) cohort in Benin].

Représentations sociales des maladies cardio-vasculaires dans la cohorte Tanvè Health Study (TAHES) au Bénin.
Africa Afrique Benin Bénin Cardiovascular disease Social representations Tanvè maladie cardiovasculaire représentations sociales

Journal

Annales de cardiologie et d'angeiologie
ISSN: 1768-3181
Titre abrégé: Ann Cardiol Angeiol (Paris)
Pays: France
ID NLM: 0142167

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 31 05 2021
accepted: 01 07 2021
pubmed: 15 9 2021
medline: 15 12 2021
entrez: 14 9 2021
Statut: ppublish

Résumé

To describe the social representations associated with cardiovascular diseases (CVD) in the village of Tanvè in Benin. Focus groups discussions and semi-structured interviews were conducted among participants of Tanvè Health Study (TAHES) cohort. Audio recordings were made during the interviews, as well as some note-taking. Data were organized by themes and analyzed to identify key representations that underlie attitudes and health care practices. A total of 19 subjects (including 11 women) participated in 2 focus groups and 17 (including 5 women) in individual interviews. Etymologies of CVD's names evoke either clinical signs (example: ''tesisi glô mɛ'' [can't stand up]), guessed etiology (example: ''kuvitɔ zɔn'' [ghosts' disease]) or a local adaptation of a biomedical name (example: ''a'tension'' [from hypertension]), to cite the example of stroke. According to beliefs about etiology, diseases were classed as ''simple'' or "organic" diseases ("azɔn yaya") and ''supernatural'' or ''induced'' diseases linked to "azé" [immaterial witchcraft] or "bô" [material bewitchment]. Chronic or recurrent diseases usually end up in the ''supranatural'' category and induce the consultation of "bokɔnɔ᷉" (diviner) or other religious for diagnosis. Health care seeking refer to modern medicine, "amanɔn" (leaf-based care), "bokɔnɔ᷉" or traditional religious (various rites) and Christians (prayers). Social representations of CVD in this community are based on ancestral beliefs, but are also influenced by modern knowledge. Taking them into account could improve quality of health to fulfill communities' care needs.

Identifiants

pubmed: 34517975
pii: S0003-3928(21)00086-X
doi: 10.1016/j.ancard.2021.07.003
pii:
doi:

Types de publication

Journal Article

Langues

fre

Sous-ensembles de citation

IM

Pagination

183-190

Informations de copyright

Copyright © 2021 Elsevier Masson SAS. All rights reserved.

Auteurs

S A Amidou (SA)

Laboratoire des Maladies Chroniques et Neurologiques (LEMACEN), Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Bénin; INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Neuroépidémiologie tropicale, Institut d'épidémiologie et de neurologie tropicale, GEIST, Limoges, France. Electronic address: salmaneamidou@gmail.com.

Y C Houehanou (YC)

Laboratoire des Maladies Chroniques et Neurologiques (LEMACEN), Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Bénin.

P Lacroix (P)

INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Neuroépidémiologie tropicale, Institut d'épidémiologie et de neurologie tropicale, GEIST, Limoges, France.

Holy Bezanahary (H)

Département de chirurgie thoracique et de médecine vasculaire, CHU Dupuytren, Limoges, France.

P-M Preux (PM)

INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Neuroépidémiologie tropicale, Institut d'épidémiologie et de neurologie tropicale, GEIST, Limoges, France.

D S Houinato (DS)

Laboratoire des Maladies Chroniques et Neurologiques (LEMACEN), Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Bénin; INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Neuroépidémiologie tropicale, Institut d'épidémiologie et de neurologie tropicale, GEIST, Limoges, France.
Service de médecine interne et polyclinique, CHU Dupuytren, Limoges, France.

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