[Micro and Macro Social Work Practice in the Context of Tuberculosis].

Eva M Moya, Silvia M Chavez-Baray, Omar Martínez
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Abstract

The study of tuberculosis (TB) in the U.S.-Mexico border involves the consideration of three key components, which are complex and interrelated: the difficulty tracking and providing appropriate TB care due to the epidemiological and pathological characteristics of TB; the border itself is a geographical and epidemiological area that interweaves two nations, two cultures, two health systems and different laws; and the need for prevention and treatment approaches to TB that involve comprehensive clinical care and prevention while also taking into consideration stigma, social context and knowledge. This manuscript describes the work of ten studies conducted in Mexico and in the U.S.-Mexico border region from 2006 to 2013. It also provides an understanding of the social and public health implications of TB, the environment and communities, as well as the identification and application of advocacy and social mobilization practices. The work presented provides an understanding of different interventions related to adherence, stigma reduction, person-centered approaches, and effective micro and macro practices in social work.

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[结核病背景下的微观和宏观社会工作实践]。
对美墨边境地区结核病(TB)的研究需要考虑三个复杂且相互关联的关键因素:由于结核病的流行病学和病理学特征,跟踪和提供适当的结核病护理存在困难;边境地区本身是一个地理和流行病学区域,交织着两个国家、两种文化、两种卫生系统和不同的法律;结核病的预防和治疗方法需要涉及全面的临床护理和预防,同时还要考虑耻辱感、社会背景和知识。本手稿介绍了 2006 年至 2013 年期间在墨西哥和美墨边境地区开展的十项研究工作。它还介绍了结核病对社会和公共卫生、环境和社区的影响,以及宣传和社会动员实践的确定和应用。所介绍的工作让人们了解了与坚持治疗、减少耻辱感、以人为本的方法以及社会工作中有效的微观和宏观做法有关的各种干预措施。
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