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dc.contributor.authorBlasco-Hernandez, Teresa 
dc.contributor.authorGarcía-San Miguel, Lucía
dc.contributor.authorNavaza, Bárbara
dc.contributor.authorNavarro, Miriam
dc.contributor.authorBenito, Agustin
dc.identifier.citationGlob Health Action. 2016 Mar 11;9:30201.es_ES
dc.description.abstractIn Europe, Spain has the highest number of people with Chagas disease (CD). Bolivian migrants account for 81% of the reported cases. One of the priorities in controlling the disease is prevention of mother-to-child transmission. Despite under-diagnosis in Spain being estimated at 90%, there are currently few studies that explore the social and cultural dimensions of this disease. The aim of this study was to explore the knowledge and experiences of Bolivian women with CD, in order to generate a useful understanding for the design and implementation of public health initiatives. Qualitative study based on semi-structured interviews, triangular groups, and field notes. Fourteen Bolivian women with CD living in Madrid. The participants were aware that the disease was transmitted through the vector, that it could be asymptomatic, and that it could also be associated with sudden death by heart failure. They opined that the treatment as such could not cure the disease but only slow it down. There was a sense of indifference along with a lack of understanding of the risk of contracting the disease. Participants who presented with symptoms, or those with relatives suffering from the disease, were concerned about fatalities, cardiac problems, and possible vertical transmission. There was also a fear of being rejected by others. The disease was described as something that affected a large number of people but only showed up in a few cases and that too after many years. There was a widespread assumption that it was better not to know because doing so, allows the disease to take hold. Disease risk perception was very low in Bolivian women living in Madrid. This factor, together with the fear of being screened, may be contributing to the current rate of under-diagnosis.es_ES
dc.description.sponsorshipThe authors have declared that no competing interests exist. The study was funded by Fundación Mundo Sano. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.es_ES
dc.publisherTaylor & Francis es_ES
dc.subjectChagas diseasees_ES
dc.subjectNeglected tropical diseaseses_ES
dc.subjectQualitative researches_ES
dc.subject.meshChagas Disease es_ES
dc.subject.meshHealth Education es_ES
dc.subject.meshHealth Knowledge, Attitudes, Practicees_ES
dc.subject.meshInfectious Disease Transmission, Verticales_ES
dc.subject.meshBolivia es_ES
dc.subject.meshFemale es_ES
dc.subject.meshGrounded Theory es_ES
dc.subject.meshHumans es_ES
dc.subject.meshInterviews as Topic es_ES
dc.subject.meshMass Screening es_ES
dc.subject.meshNeglected Diseases es_ES
dc.subject.meshPublic Health es_ES
dc.subject.meshQualitative Research es_ES
dc.subject.meshSpain es_ES
dc.subject.meshTransients and Migrants es_ES
dc.titleKnowledge and experiences of Chagas disease in Bolivian women living in Spain: a qualitative study.es_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderFundación Mundo Sano es_ES
dc.identifier.journalGlobal Health Actiones_ES
dc.rights.accessRightsopen accesses_ES

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