The epidemiology of ‘bewitchment’ as a lay-reported cause of death in rural South Africa
Identifieur interne : 003E95 ( Main/Curation ); précédent : 003E94; suivant : 003E96The epidemiology of ‘bewitchment’ as a lay-reported cause of death in rural South Africa
Auteurs : Edward Fottrell [Suède, Royaume-Uni] ; Stephen Tollman [Afrique du Sud] ; Peter Byass [Suède] ; Frederick Golooba-Mutebi [Ouganda] ; Kathleen Kahn [Afrique du Sud]Source :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2012-08.
Descripteurs français
- Wicri :
- topic : épidémiologie, Diagnostic médical, Santé publique, Santé génésique.
English descriptors
- KwdEn :
- Acute illness, African origin year, Agincourt, Agincourt hdss, Agincourt health, Behaviour, Bewitchment, Bewitchment deaths, Cause category, Clinical medicine, Community understanding, Cumulative household deaths, Current study, Epidemiol, Epidemiol community health, Epidemiology, External causes, Global health, Global health research, Greater proportion, Hdss, Healthcare, Household characteristics, Important factor, Indigenous beliefs, Interva, Likely causes, Local language, Maternal deaths, Medical causes, Medical diagnoses, Medical diagnosis, Medical registration, More terminal illness duration, Mortality fractions, Multivariate analysis, Older adults, Other causes, Other deaths, Oxford university press, Physician diagnoses, Physician review, Premature mortality, Probable cause, Probable causes, Public health, Reproductive health, Single cause, Social cohesion, Social research, Socioeconomic factors, Such cases, Sudden deaths, Surveillance system, Terminal illnesses, Traditional beliefs, Traditional healthcare, Umea, Umea centre, Umea university, Verbal autopsies, Verbal autopsy, Vital events, Wealth group, Western healthcare, Witchcraft, Witchcraft belief.
- Teeft :
- Acute illness, African origin year, Agincourt, Agincourt hdss, Agincourt health, Behaviour, Bewitchment, Bewitchment deaths, Cause category, Clinical medicine, Community understanding, Cumulative household deaths, Current study, Epidemiol, Epidemiol community health, Epidemiology, External causes, Global health, Global health research, Greater proportion, Hdss, Healthcare, Household characteristics, Important factor, Indigenous beliefs, Interva, Likely causes, Local language, Maternal deaths, Medical causes, Medical diagnoses, Medical diagnosis, Medical registration, More terminal illness duration, Mortality fractions, Multivariate analysis, Older adults, Other causes, Other deaths, Oxford university press, Physician diagnoses, Physician review, Premature mortality, Probable cause, Probable causes, Public health, Reproductive health, Single cause, Social cohesion, Social research, Socioeconomic factors, Such cases, Sudden deaths, Surveillance system, Terminal illnesses, Traditional beliefs, Traditional healthcare, Umea, Umea centre, Umea university, Verbal autopsies, Verbal autopsy, Vital events, Wealth group, Western healthcare, Witchcraft, Witchcraft belief.
Abstract
Background Cases of premature death in Africa may be attributed to witchcraft. In such settings, medical registration of causes of death is rare. To fill this gap, verbal autopsy (VA) methods record signs and symptoms of the deceased before death as well as lay opinion regarding the cause of death; this information is then interpreted to derive a medical cause of death. In the Agincourt Health and Demographic Surveillance Site, South Africa, around 6% of deaths are believed to be due to ‘bewitchment’ by VA respondents. Methods Using 6874 deaths from the Agincourt Health and Socio-Demographic Surveillance System, the epidemiology of deaths reported as bewitchment was explored, and using medical causes of death derived from VA, the association between perceptions of witchcraft and biomedical causes of death was investigated. Results The odds of having one's death reported as being due to bewitchment is significantly higher in children and reproductive-aged women (but not in men) than in older adults. Similarly, sudden deaths or those following an acute illness, deaths occurring before 2001 and those where traditional healthcare was sought are more likely to be reported as being due to bewitchment. Compared with all other deaths, deaths due to external causes are significantly less likely to be attributed to bewitchment, while maternal deaths are significantly more likely to be. Conclusions Understanding how societies interpret the essential factors that affect their health and how health seeking is influenced by local notions and perceived aetiologies of illness and death could better inform sustainable interventions and health promotion efforts.
Url:
- https://api.istex.fr/document/D1E7808BA05EAAB78684835EFDEB54D15BC854A2/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402739
DOI: 10.1136/jech.2010.124305
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<front><div type="abstract">Background Cases of premature death in Africa may be attributed to witchcraft. In such settings, medical registration of causes of death is rare. To fill this gap, verbal autopsy (VA) methods record signs and symptoms of the deceased before death as well as lay opinion regarding the cause of death; this information is then interpreted to derive a medical cause of death. In the Agincourt Health and Demographic Surveillance Site, South Africa, around 6% of deaths are believed to be due to ‘bewitchment’ by VA respondents. Methods Using 6874 deaths from the Agincourt Health and Socio-Demographic Surveillance System, the epidemiology of deaths reported as bewitchment was explored, and using medical causes of death derived from VA, the association between perceptions of witchcraft and biomedical causes of death was investigated. Results The odds of having one's death reported as being due to bewitchment is significantly higher in children and reproductive-aged women (but not in men) than in older adults. Similarly, sudden deaths or those following an acute illness, deaths occurring before 2001 and those where traditional healthcare was sought are more likely to be reported as being due to bewitchment. Compared with all other deaths, deaths due to external causes are significantly less likely to be attributed to bewitchment, while maternal deaths are significantly more likely to be. Conclusions Understanding how societies interpret the essential factors that affect their health and how health seeking is influenced by local notions and perceived aetiologies of illness and death could better inform sustainable interventions and health promotion efforts.</div>
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