Understandings of stroke in rural Malaysia: ethnographic insights

Yap, Kwong Hsia, Warren, Narelle, Allotey, Pascale and Reidpath, Daniel D., (2019). Understandings of stroke in rural Malaysia: ethnographic insights. Disability and Rehabilitation, 41(20), 1-9

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  • Sub-type Journal article
    Author Yap, Kwong Hsia
    Warren, Narelle
    Allotey, Pascale
    Reidpath, Daniel D.
    Title Understandings of stroke in rural Malaysia: ethnographic insights
    Appearing in Disability and Rehabilitation
    Volume 41
    Issue No. 20
    Publication Date 2019-06-06
    Place of Publication Online
    Publisher Taylor & Francis Group
    Start page 1
    End page 9
    Language eng
    Abstract Background: Stroke is a public health concern in Malaysia but local beliefs and lay understandings of stroke have not been examined before. Explanatory models provide a way for people to make sense of their illness and influence health seeking behaviors, in a locally relevant way. Methods: Drawing on ethnographic research from rural Malaysia, this descriptive article explores ethnic Malaysian-Chinese stroke survivors’ lay understandings of . Eighteen community-dwelling stroke survivors aged 50–83 took part in the study. Results: Causation of stroke was derived from cultural, biomedical and social sources. Participants also drew simultaneously from both biomedical and traditional explanations of stroke to develop their own understanding of etiology. Similarities with biomedical causation and other studies from different cultures were found. Participants’ typically focused on the more immediate effects of stroke and often do not attribute causation and association with their comorbid conditions which are also risk factors of stroke. Conclusion: Lack of knowledge about stroke and its symptoms was evident in participants’ account. Findings emphasize the importance of knowledge based health interventions, especially in health education strategies for stroke survivors to reduce delays to diagnosis and potentially improve health outcomes post-stroke.
    Keyword Stroke
    ethnography
    lay models
    explanatory models
    older adults
    Copyright Holder Informa UK Limited
    Copyright Year 2019
    Copyright type All rights reserved
    DOI 10.1080/09638288.2019.1624841
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    Created: Mon, 05 Aug 2019, 17:24:08 JST by Nur Madihah Mat Latip on behalf of UNU IIGH