UNASSIGNED: The impact of living with @entity625 in a rural Mexican Mayan community along with the barriers encountered by @entity1 living with this chronic condition were investigated in this study. The community needs around this health issue were investigated by conducting an ethnographic study using data obtained during two time periods (August 2012-April 2013 and December 2013-December 2014). During the first period, fieldwork observations and interviews with 65 individuals, which included @entity1 with @entity625 , health professionals, traditional health providers, and community leaders were undertaken. During the second period, 46 community meetings were conducted to identify the needs associated with @entity625 in the municipality. Data were analyzed following a modified version of the Framework approach. The results show that @entity625 reduces the health-related quality of life of the @entity1 in Chankom through a process of disablement, conditioning a need to access culturally sensitive healthcare. Availability, attainability, and acceptability barriers prevent access to this type of healthcare and result from power imbalance between indigenous and non-indigenous @entity1 . There is a need to develop culturally sensitive rehabilitation services for @entity1 living with @entity625 in Chankom. Mayan @entity1 should be involved in the design and implementation of these services. Moreover, it is important to improve our understanding of the processes behind the healthcare access inequities identified in this study by attending to the historical generation of current social, economical, cultural, and political structures.

Barriers to accessing the culturally sensitive healthcare that could decrease the disabling effects of XXXX in a rural Mayan community: a qualitative inquiry.

@entity1 :: ('9606', 'Species') :: ['people'] @entity625 :: ('MESH:D001168', 'Disease') :: ['arthritis']
@entity625 :: (MESH:D001168,Disease) :: ['arthritis']
