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Revista argentina de reumatología

versión impresa ISSN 0327-4411versión On-line ISSN 2362-3675

Resumen

LOMBARDO, Emilio et al. Experience on the health-disease-care process in patients with rheumatoid arthritis belonging to the Wichí community of Mission Chaqueña “El Algarrobal”, Salta. Rev. argent. reumatolg. [online]. 2022, vol.33, n.3, pp.129-135. ISSN 0327-4411.  http://dx.doi.org/10.47196/rar.v33i3.671.

Introduction:

the prevalence of rheumatoid arthritis (RA) in the Wichí community has already been published, representing the highest reported by the Grupo Latinoamericano para el Estudio de las Enfermedades Reumáticas en los Pueblos Originarios (GLADERPO). The objective was to describe the experience of the health-disease-care process of patients with RA from the Wichí community of Misión Chaqueña “El Algarrobal”, Salta.

Materials and methods:

study with ethnographic design. Semi-structured interviews and recorded observations were conducted. Interview and observation guides were used. The aspects included were: conception of the health-disease process; perception of RA in daily life, access to the health system, use of traditional resources and traditional medicine.

Results:

ten interviews were conducted. The most relevant aspects were the conception of the health-disease process, associated with past social trauma and the concept of “Wichí good will”. The combination of strategies to improve pain (biomedicine, traditional medicine and religious accompaniment) was evidenced. In addition, a unidirectional relationship with the health system was observed.

Conclusions:

RA is a disease with a negative impact on the Wichí community. Other activities from other disciplines are necessary to improve access to the health system and continuity of treatment.

Palabras clave : rheumatoid arthritis; ethnographic study; Wichí community; social trauma.

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