Ideology and illness experiences of women in Guatemala.
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Biomedical subjects
Publications and source records attributed to J S Boyle.
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Health and illness behaviour occur within a cultural context. Ethnographic methodology facilitates an investigation of the context in which people's health beliefs and practices evolve as well as serving to identify the cultural components of health and illness. Ethnography is primarily an inductive mode of research which may utilize several methods of data collection. Participant observation, used in conjunction with interviewing, is the most frequently used data-gathering technique. Sampling procedures in ethnography must be addressed in relation to persons interviewed and/or observed, events to be seen, topics to be considered and time frames to be established. The ethnographic method creates difficulties in establishing reliability as techniques for gathering data are highly individualistic and involve a complex admixture of observations, structured and unstructured interviews, and other procedures. The lengthy stay in a community, as well as the extensive and in-depth data-collection procedures contribute to validity of the findings and their interpretation. Data analysis is time consuming and complex. Ethnography is concerned with the context of discovery, rather than verification, and leads to narrative descriptions and interpretations of cultural phenomena. Ethnography is a means for gaining access to the health beliefs and practices of a culture. In a practice profession such as nursing, improved understanding of the meaning of clients' behaviour will enhance nursing judgements and improve nursing care.
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This ethnographic study describes how a group of women with chronic pelvic pain (CPP) learned to develop self-care strategies that allowed them to function in their culturally prescribed roles throughout their illnesses. The sample consisted of 12 European American and 2 African American women from 19 to 52 years of age who had experienced CPP for the previous 6 months to 12 years. Data were collected by means of interviews and participant observations in a CPP clinic. Interviews were audiotaped and transcribed verbatim onto the Ethnograph and analyzed by the constant comparative method. Women's experiences with CPP were described as a process of self-care consisting of three strategies: assessing the need for self-care, developing self-care practices, and sustaining self-care practices.
This article examines ethnographic data collected from indigenous Alaskan women who participated in a menstrual cycle study conducted by The Tremin Trust Research Program, initially known as the Menstruation and Reproductive History Program (MRH). In the 1960s, the MRH program was expanded to Alaska to study non-Caucasian women's menstrual cycles. In addition, an ethnographer collected data through participation observation from some 345 women who participated in the MRH study. These data were recorded in field notebooks during site visits to Alaskan villages. Major themes and contextual information were identified in the data that described the daily lives of the women and their experiences as research participants. Eskimo women described the cultural conflicts that arose during the conduct of the menstrual studies and problems encountered when the investigators failed to account for the traditional gender roles in Eskimo society. Cultural differences were apparent when the women described the culturally inappropriate health education provided by the research team. The goals of the menstrual cycle study emphasized research progress rather than the health needs of the research participants; this emphasis accentuated the severity of health problems and the lack of health services experienced by Eskimo women.
This qualitative study explored the broad aspects of stress and coping in the work and home experiences of pregnant women who worked in the service industry. The participants described home roles of mother, spouse/partner, and homemaker that were particularly valued and significant. Work provided income and a cultural setting for socialization, personal growth, and social support. The participants coped with the additional demands of pregnancy by adopting health promotion measures and scheduling routines at work and home in different ways. However, pregnant working women often are pulled in many directions at once, and their health eventually may be affected.
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