Evidence map›Paper›PMID 32571404›Full record

ArticleInternational journal for equity in health2020

Towards an indigenous definition of health: an explorative study to understand the indigenous Ecuadorian people's health and illness concepts.

Estefanía Bautista-Valarezo, Víctor Duque, Adriana Elizabeth Verdugo Sánchez, Viviana Dávalos-Batallas, Nele R M Michels, Kristin Hendrickx, Veronique Verhoeven

Abstract read
In one paragraph

Article in International journal for equity in health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Experiences of Pain Among Indigenous Peoples Globally: A Qualitative Systematic Review.The International journal of health planning and management · 2026
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  15. Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Estefanía Bautista-ValarezoDepartamento de Ciencias de la Salud, Universidad Técnica Particular de Loja, San Cayetano alto s/n, 1101608, Loja, CP, Ecuador. mebautista@utpl.edu.ec.ORCID 0000-0002-6012-3403
Víctor DuqueDepartamento de Ciencias de la Salud, Universidad Técnica Particular de Loja, San Cayetano alto s/n, 1101608, Loja, CP, Ecuador.
Adriana Elizabeth Verdugo SánchezUniversidad de Cuenca, Cuenca, Ecuador.
Viviana Dávalos-BatallasDepartamento de Ciencias de la Salud, Universidad Técnica Particular de Loja, San Cayetano alto s/n, 1101608, Loja, CP, Ecuador.
Nele R M MichelsDepartment of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Antwerp, Belgium.
Kristin HendrickxDepartment of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Antwerp, Belgium.
Veronique VerhoevenDepartment of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Antwerp, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsAn intercultural society facilitates equitable and respectful interrelations. Knowing and understanding each other's sociocultural and linguitic contexts is a prerequisite for an intercultural society. This study explores the concepts of health and illness among healers of indigenous ethnicities in Southern Ecuador.

methodsA qualitative observational study with eleven focus groups was conducted in three locations in Southern Ecuador; a total of 110 participants the Shuar, Kichwa and Mestizo ethnic groups were included. A phenomenological and hermeneutic analysis was conducted.

resultsFourteen main subtopics around of two predefined themes, i.e., "Health" and "Illness" were identified: 1) four bodies, 2) religiosity, 3) health as a good diet, 4) health as god's blessing or a gift, 5) health as balance/ harmony, 6) health as community and social welfare, 7) health as potentiality or a skill, 8) health as peacefulness, 9) heath as individual will, 10) illness as an imbalance, 11) illness as bad energy, 12) illness as a bad diet, 13) illness as suffering or worry, and 14) illness from God, Nature and People illness. By analysing all the topics' and subtopics' narratives, a health and illness definition was developed. The principal evidence for this new framework is the presence of interculturality as a horizontal axis in health. The indigenous perspective of health and illness focus on a balance between 4 bodies: the physical, spiritual, social and mental bodies. Additionally, "good health" is obtained through of the good diet and balanced/harmony.

conclusionIndigenous healers in Southern Ecuador have views on health and illness that differ from the Western biomedical model of care. These different views must be recognized and valued in order to build an intercultural (health) system that empowers both ancestral and modern medical knowledge and healing.

Indexed as

Attitude to HealthAdultAgedAged, 80 and overChronic DiseaseEcuadorEthnicityFemaleFocus GroupsHealthy LifestyleHumansIndigenous PeoplesMaleMiddle AgedQualitative ResearchHealthIllnessIndigenousLatin AmericaTraditional medicine

Identifiers

PMID32571404
PMCPMC7310150

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.