<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-1429</journal-id>
<journal-title><![CDATA[Revista Costarricense de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. salud pública]]></abbrev-journal-title>
<issn>1409-1429</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Salud Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-14292019000200172</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Conocimientos, creencias, percepciones y la búsqueda de tratamiento para la lepra en Costa Rica]]></article-title>
<article-title xml:lang="en"><![CDATA[Knowledge, beliefs and perceptions regarding leprosy treatment seeking in Costa Rica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Chavarría]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza Aguirre]]></surname>
<given-names><![CDATA[Azálea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Hernández]]></surname>
<given-names><![CDATA[Germana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Costarricense de Investigación y Enseñanza en Nutrición y Salud Unidad Salud y Nutrición ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Antropología Social  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>28</volume>
<numero>2</numero>
<fpage>172</fpage>
<lpage>184</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-14292019000200172&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-14292019000200172&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-14292019000200172&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo: Identificar conocimientos, creencias y percepciones relacionadas con la búsqueda del tratamiento de la lepra en Costa Rica desde la perspectiva de la persona con la enfermedad y en el contexto de la vida cotidiana.  Métodos:  Se llevó a cabo un estudio cualitativo de carácter exploratorio a partir de 24 entrevistas semi-estructuradas a personas con lepra o con antecedente de haber padecido lepra entre 23 a 88 años de edad que se atendieron en el sistema de salud público costarricense. Se utilizó una selección de informantes.  Resultados:  Los informantes no consultaron hasta que los síntomas fueron difíciles de manejar. En cuanto a las creencias sobre cómo adquirieron la lepra, algunos informantes desconocen su causa. Los sentimientos de vulnerabilidad en relación con este padecimiento y valoración de la gravedad de los síntomas percibidos como también la revaluación de algunos signos de alarma que son comunes a la lepra no fueron atribuidos a la enfermedad, a pesar de poseer antecedentes-familiares. Para muchos de los informantes la palabra lepra tiene connotaciones sociales de oprobio, y la consecuencia es que la propia persona que padece lepra se estigmatiza al sentirse un "leproso identificable".  Conclusión:  La forma en que las personas interpretan la lepra influye en la búsqueda de ayuda. Urge la implementación de acciones de capacitación dirigidas a las personas con lepra, sus familias, comunidades y personal de salud para generar abordajes articulados y efectivos que permitan prevenir la enfermedad o una detección oportuna.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: Identify knowledge, beliefs and perceptions regarding treatment seeking in Costa Rica from the perspective of the person with the disease and in daily life context.  Methods:  An exploratory qualitative study was carried out based on 24 semi-structured interviews with people with leprosy or leprosy history between 23 and 88 years old who were treated by the Costa Rican Public Health System. Informants´ selection was used.  Results:  Informants did not attend to medical care until the symptoms were difficult tomanage. For beliefs about how they got leprosy, some of them do not know their cause. Despite the fact that most of them have a family history, vulnerability feelings in relation to their condition, severity assessment of perceived symptoms as well as some warning signs that are common to leprosy were not attributed to it. For many informants the word leprosy has social opprobrium meaning, and the consequence is that the person who suffers leprosy stigmatizes himself as an"identifiable leper."  Conclusion:  The way people understand leprosy influence help seeking. Information actions must be aimed to people with leprosy, their families, communities and health care providers in order to generate articulated and effective approaches for disease prevention or timely detection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lepra]]></kwd>
<kwd lng="es"><![CDATA[conocimientos]]></kwd>
<kwd lng="es"><![CDATA[creencias]]></kwd>
<kwd lng="es"><![CDATA[percepciones.]]></kwd>
<kwd lng="en"><![CDATA[Leprosy]]></kwd>
<kwd lng="en"><![CDATA[knowledge]]></kwd>
<kwd lng="en"><![CDATA[beliefs]]></kwd>
<kwd lng="en"><![CDATA[perceptions]]></kwd>
</kwd-group>
</article-meta>
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