云南疟疾及防治的医学人类学研究  

Medical Anthropological Study on Malaria and Its Prevention and Control in Yunnan

作　　者：李萍 陈金星 LI Ping;CHEN Jinxing(College of Marxism,Kunming Medical University,Kunming 650500,China)

机构地区：[1]昆明医科大学马克思主义学院,云南昆明650500

出　　处：《医学与哲学》2024年第14期55-59,共5页Medicine and Philosophy

基　　金：2022年昆明医科大学新时代大思政课建设创新团队项目(CXTD202218);2022年昆明医科大学参与云南省-大湄公河次区域合作中的公共卫生治理研究创新团队项目(CXTD202217);2024年昆明医科大学校级研究项目(KYDJZX24318)。

摘　　要：疟疾在云南的边疆少数民族地区长期肆虐有着深刻的多元文化背景。民族文化的因素是云南疟疾难以防治的重要原因,普遍存在的鬼神观念和巫师的仪式治疗对疟疾防治极其不利,使得少数民族群体对疟疾的致病因素、治疗和预防、择医习惯、社会应对等产生了认知偏差,这是造成云南疟疾防治“最困难”的原因之一。这种现象的背后是人的利益、权力以及文化上的特性等因素在发挥作用,所以云南的疟疾防治除了在给予常规医疗和特效药物之外,还要注重医疗的文化适应性,破除疟疾的神秘性。Malaria has long plagued the border areas of Yunnan inhabited by ethnic minorities,within a complex multicultural backdrop.Ethnic cultural factors significantly hinder the prevention and treatment of malaria in Yunnan.Widespread beliefs in spirits and shamanic ritual therapies are particularly detrimental,leading to misconceptions among ethnic minorities regarding the causes,treatment,prevention,choice of medical practitioners,and social responses to malaria.These cultural factors contribute to making malaria control in Yunnan"extremely challenging".Behind this phenomenon are factors such as human interests,power dynamics,and cultural characteristics,all influencing the situation.Therefore,in addition to providing conventional medical care and effective drugs,malaria control in Yunnan also requires a focus on cultural adaptation in healthcare practices and involves a process of demystifying the disease.

关 键 词：云南疟疾 医学人类学 神秘性 巫师 

分 类 号：R-05[医药卫生]