PDF(Pubmed)
Abstract：
(1) Background: COVID-19 disruptions offer researchers insight into how pandemics are at once biological and social threats, as communities struggle to construct meaning from novel challenges to their ontological status quo. Multiple epistemes, in which public health imperatives confront and negotiate locally derived knowledge and traditions, vie for legitimacy and agency, resulting in new cultural forms. (2) Methods: To investigate the context and construction of community responses, a systematic review of qualitative literature was conducted with the aim of evaluating those insights provided by empirical, social field research in low- and middle-income countries since the onset of COVID-19. Six scholarly databases were searched for empirical, qualitative, field-based, or participatory research that was published in peer-reviewed journals between December 2019 and August 2021. (3) Results: Twenty-five studies were selected for data extraction, following critical appraisal for methodological rigor by two independent reviewers, and were then analyzed thematically. Faced with unprecedented social ruptures, restrictions in social and physical mobility, and ever-looming uncertainties of infection, financial insecurity, stigma, and loss, communities worldwide reacted in multiple and complex ways. Pervasive misinformation and fear of social rejection resulted in noncompliance with pandemic sanctions, resistance, and increased isolation, allowing the spread of the disease. The meaning of, and understandings about, COVID-19 were constructed using traditional, religious, and biomedical epistemologies, which were occasionally in conflict with each other. Innovations and adaptations, through syntheses of traditional and biomedical discourses and practice, illustrated community resilience and provided models for successful engagement to improve public health outcomes. (4) Conclusion: Local context and community engagement were indispensable considerations when enacting effective public health interventions to meet the challenges of the pandemic.
摘要：
(1)背景：COVID-19的破坏为研究人员提供了关于大流行是如何同时构成生物和社会威胁的见解，随着社区努力从新颖的挑战到它们的本体论现状来构建意义。多个认识论，公共卫生的当务之急是面对和谈判当地衍生的知识和传统，争夺合法性和代理权，产生新的文化形式。(2)方法:调查社区反应的背景和建构,对定性文献进行了系统的回顾，目的是评估实证提供的这些见解，自COVID-19爆发以来，低收入和中等收入国家的社会领域研究。对六个学术数据库进行了实证搜索，定性，基于字段，或在2019年12月至2021年8月期间在同行评审期刊上发表的参与性研究。(3)结果:选择25个研究进行数据提取,在两名独立审查员对方法的严密性进行了严格评估之后，然后进行了主题分析。面对前所未有的社会破裂，社会和身体流动性的限制，以及迫在眉睫的感染不确定性，财政不安全，污名,和损失，世界各地的社区以多种复杂的方式作出反应。普遍存在的错误信息和对社会排斥的恐惧导致不遵守大流行制裁，阻力,与世隔绝，允许疾病的传播。的含义,以及关于，COVID-19是用传统的，宗教,和生物医学认识论，它们偶尔会发生冲突。创新和适应，通过对传统和生物医学话语和实践的综合，说明了社区的复原力，并为成功参与改善公共卫生结果提供了模型。（4）结论：在制定有效的公共卫生干预措施以应对大流行的挑战时，当地环境和社区参与是必不可少的考虑因素。
