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功能性胃肠病(FGIDs)中的多元文化因素

Multicultural aspects in functional gastrointestinal disorders (FGIDs)

来源:Scopus 发布时间:2016-6-21
作者:Fang X, Francisconi CF, Fukudo S, Gerson MJ, Kang JY, Schmulson W MJ, Sperber AD.
机构: 中国北京,中国医学科学院、北京协和医学院、北京协和医院,胃肠病科
期刊: GASTROENTEROLOGY 2016年5月5期150卷

Cross-cultural factors are important in functional gastrointestinal disorders (FGIDs). In the setting of FGIDs, the aims of this review were as follows: (1) to engender interest in global aspects; (2) to gain a clearer understanding of culture, race, and ethnicity, and their effect on patient care and research; (3) to facilitate cross-cultural clinical and research competency; and (4) to improve and foster the quality and conduct of cross-cultural, multinational research. Cultural variables inevitably are present in the physician-patient context. Food and diets, which differ among cultural groups, are perceived globally as related to or blamed for symptoms. From an individual perspective, biological aspects, such as genetics, the microbiome, environmental hygiene, cytokines, and the nervous system, which are affected by cultural differences, all are relevant. Of equal importance are issues related to sex, symptom reporting and interpretation, and family systems. From the physician's viewpoint, understanding the patient's explanatory model of illness, especially in a cultural context, affects patient care and patient education in a multicultural environment. Differences in the definition and use of complementary and alternative medicine and other issues related to health care services for FGIDs are also a relevant cross-cultural issue. This article highlights the importance of cross-cultural competence in clinical medicine and research. © 2016 by the AGA Institute.

通讯作者:Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1(#)Shuaifuyuan, Dongcheng District, Beijing, 100730, China.
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