||Some behavioral factors in the control of tuberculosis
in a rural county.
||AME REV RESPIR DIS 1962, 85, 200-210.
Many of the problems of TB control are more human
than technical, involving factors on both sides of the equation,
representing the relation between the provision and administration
of control measures, on one side, and the acceptance of such measures
by the general population, on other. The present study identifies
some of these behavioral factors on the basis of an analysis of
the relation between the TB control program and local health behaviour
in one low-income rural county in eastern Kentucky, USA, where TB
death rates are still twice the national average.
Certain behavioural variables (cultural, social,
psychologic, physiologic and physical environmental) impacted every
step of the TB control process, from case finding to treatment and
follow-up observation. Fundamental economic problems were found,
both in the limited funds for health programs and personnel and,
in the chronically depressed local economy that fostered low standards
of living. In addition, the characteristic pattern of health behaviour
proceeded from denial or acceptance of symptoms, through reliance
on home or patent remedies or faith healing, to only partially accepted
modern medicine. Therefore, it was determined that those aspects
of TB control (the TB tests etc.) which required the least personal
effort, the least modification of culturally sanctioned beliefs
and the fewest rearrangements of customary social relations were
most likely to be accepted and vice versa.
|KEYWORDS: SOCIAL BEHAVIOUR; USA.