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PubMed2003

Non-communicable diseases, political economy, and culture in Africa: anthropological applications in an emerging pandemic.

So-called 'diseases of lifestyle' are playing a major role in epidemiological transitions in many developing countries. Stratifying, urbanizing, and ageing African populations face rising levels of non-communicable diseases (NCDs). This article examines the need for anthropological perspectives on the causes, prevention, and control of NCDs, such as diabetes and hypertension, in Africa. Anthropologists have been silent on these topics in African public health for a decade or more. Community-oriented field studies on structural and socio-cultural aspects of NCDs are urgently needed. There can be little doubt of the benefits to be gained from a multi-disciplinary approach to NCD study and intervention for developing countries. However, key institutions setting the research agenda are doing so without the input of anthropologists or social epidemiologists, and without an emphasis on social science capacity strengthening in African countries.

Africa↗
PubMed1993

[Risk factors for non-communicable diseases in a metropolitan area in the south of Brazil. Prevalence and simultaneity].

Three-quarters of deaths in Rio Grande do Sul State, Brazil, are due to non-communicable diseases-cardiovascular diseases, alone, being responsible for 35% of them. To evaluate the prevalence of risk factors for these diseases, a household survey of 1,157 randomly sampled individuals between 15 and 64 years of age was undertaken in 1986 and 1987 in census tracts of 4 areas of the city of Porto Alegre. The age- and sex-adjusted prevalence of smoking was 40%, hypertension 14%, obesity 18%, overall sedentary life-style 47%, and excessive alcohol consumption 7%. Thirty-nine percent of the sample presented two or more of these five risk factors, and only 22% of men and 21% of women had none of them. The high frequencies and simultaneous presence of these risk factors indicate their importance for programs aimed at the prevention of non-communicable diseases and the promotion of adult health.

Adolescent↗
PubMed2006

Informing about diagnosis, relapse and progression of disease--communication with the terminally III cancer patient.

This chapter focuses on four crucial situations representing important challenges for physician-patient communication: diagnosis, relapse, progression of disease and terminal illness. The psychological aspects of each situation are discussed and a framework for communication is provided. The aim of the chapter is to invite the oncology clinician to think about these different stages of disease and to support him or her in the communication with the patient. Communication with cancer patients is a difficult task in clinical practice and it is especially challenging when informing about diagnosis and prognosis, when relapse occurs or when the disease is progressing. Physician-patient communication has undergone considerable changes and has become-compared to decades before, when medicine was based on a more paternalistic model of care--a central duty and challenge of the oncology clinician. The following chapter aims to discuss key elements of communication in the above-mentioned specific situations; it is based on our clinical experience as psycho-oncologists and teachers of communication skills training (Razavi and Stiefel 1994; Stiefel and Razavi 1994; Razavi et al. 2003; Berney and Stiefel 2004; Delvaux et al. 2005; Voelter et al. 2005; Bragard et al. 2006).

Communication↗