Foundations for effective strategies to control sexually transmitted infections: Voices from rural Kenya
Achieving maximal benefit from clinic-based, sexually transmitted infection (STI) control strategies requires that persons seek treatment at public clinics. Community-based, ethnographic research methods were used to examine patterns of health-seeking behavior for sexually transmitted infections in...
Gespeichert in:
| Veröffentlicht in: | AIDS care 1999-02, Vol.11 (1), p.95-113 |
|---|---|
| 1. Verfasser: | |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 113 |
|---|---|
| container_issue | 1 |
| container_start_page | 95 |
| container_title | AIDS care |
| container_volume | 11 |
| creator | MOSS, W. |
| description | Achieving maximal benefit from clinic-based, sexually transmitted infection (STI) control strategies requires that persons seek treatment at public clinics. Community-based, ethnographic research methods were used to examine patterns of health-seeking behavior for sexually transmitted infections in western Kenya. Illness narratives of sexually transmitted infections provided the basis for an analysis of sequential steps in health-seeking behavior, namely recognition, classification, overcoming stigma, identification of treatment options and selection of a course of therapy. A variety of terms were used to identify STI, including multiple terms referring to "women's disease". The stigma associated with STI, reflected in the terminology, was based on a set of beliefs on the causes, contagiousness and sequelae of STI, and resulted in delays in seeking treatment. Five commonly used treatment options were identified, with multiple sources of care often used concurrently. The desire for privacy, cost and belief in the efficacy of traditional medicines strongly influenced health-seeking behaviour. A belief that sexually transmitted infections must be transmitted in order to achieve cure was professed by several respondents and promoted by a traditional healer. Implications for STI control strategies are derived, including the development of educational messages and the design of clinics. |
| doi_str_mv | 10.1080/09540129948234 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_journals_201407500</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69938098</sourcerecordid><originalsourceid>FETCH-LOGICAL-c568t-cedb6774aec57b1e70f53bed1c86faaff600b7de7058d85143d3ef4ad6ab5b573</originalsourceid><addsrcrecordid>eNqFks1rFDEYh4Modq1ePUoQkV62vpl8e5Niq1jwol6HTD50SmZSk4x2_3uz7opW0D0F8j7Pj5fkh9BjAqcEFLwAzRmQTmumOsruoBWhAtbAOLmLVtvhuk3JEXpQyhUAdCDgPjoiwCjTSqzQl_O0zM7UMc0Fh5SxD8HbOn7zuNRsqv88-oJrwjbNNaeIi79ZTIwb3KZzmcZavcPj_FNqGS_xpzTapoScJpyXbCJ-5-eNeYjuBROLf7Q_j9HH89cfzt6sL99fvD17dbm2XKi6tt4NQkpmvOVyIF5C4HTwjlglgjEhCIBBunbPlVOcMOqoD8w4YQY-cEmP0fNd7nVOXxdfaj-NxfoYzezTUnqhNVWg1WGQCKJoxw-CXAqtOrlNPPkvSKQgkmjeiYOZRHZMENANfPoXeJWWPLcX7DsgDCQHaNDpDrI5lZJ96K_zOJm86Qn025r0t2vShCf71GWYvPsD3_WiAc_2gCnWxND-2o7lNycJ79R2O73DWgFSnsz3lKPrq9nElH859J87sIPubaWvN5X-AK-W6RA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>201407500</pqid></control><display><type>article</type><title>Foundations for effective strategies to control sexually transmitted infections: Voices from rural Kenya</title><source>MEDLINE</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Taylor & Francis:Master (3349 titles)</source><creator>MOSS, W.</creator><creatorcontrib>MOSS, W.</creatorcontrib><description>Achieving maximal benefit from clinic-based, sexually transmitted infection (STI) control strategies requires that persons seek treatment at public clinics. Community-based, ethnographic research methods were used to examine patterns of health-seeking behavior for sexually transmitted infections in western Kenya. Illness narratives of sexually transmitted infections provided the basis for an analysis of sequential steps in health-seeking behavior, namely recognition, classification, overcoming stigma, identification of treatment options and selection of a course of therapy. A variety of terms were used to identify STI, including multiple terms referring to "women's disease". The stigma associated with STI, reflected in the terminology, was based on a set of beliefs on the causes, contagiousness and sequelae of STI, and resulted in delays in seeking treatment. Five commonly used treatment options were identified, with multiple sources of care often used concurrently. The desire for privacy, cost and belief in the efficacy of traditional medicines strongly influenced health-seeking behaviour. A belief that sexually transmitted infections must be transmitted in order to achieve cure was professed by several respondents and promoted by a traditional healer. Implications for STI control strategies are derived, including the development of educational messages and the design of clinics.</description><identifier>ISSN: 0954-0121</identifier><identifier>EISSN: 1360-0451</identifier><identifier>DOI: 10.1080/09540129948234</identifier><identifier>PMID: 10434986</identifier><identifier>CODEN: AIDCEF</identifier><language>eng</language><publisher>Abingdon: Taylor & Francis Group</publisher><subject>Acquired Immunodeficiency Syndrome - prevention & control ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; AIDS/HIV ; Anthropology, Cultural ; Biological and medical sciences ; Communicable Disease Control - organization & administration ; Community Services ; Female ; General populations ; Health Behavior ; Health care ; Health Care Utilization ; Health Education ; Helpseeking ; HIV Infections - prevention & control ; Humans ; Kenya ; Kenya - epidemiology ; Male ; Medical sciences ; Medicine, African Traditional ; Middle Aged ; Population ; Prevention and actions ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Rural Areas ; Rural Health ; Rural Health Services - organization & administration ; Sexually transmitted diseases ; Sexually Transmitted Diseases - prevention & control ; STD ; Traditional Medicine ; Treatment ; Venereal Diseases</subject><ispartof>AIDS care, 1999-02, Vol.11 (1), p.95-113</ispartof><rights>Copyright Taylor & Francis Group, LLC 1999</rights><rights>1999 INIST-CNRS</rights><rights>Copyright Carfax Publishing Company Feb 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c568t-cedb6774aec57b1e70f53bed1c86faaff600b7de7058d85143d3ef4ad6ab5b573</citedby><cites>FETCH-LOGICAL-c568t-cedb6774aec57b1e70f53bed1c86faaff600b7de7058d85143d3ef4ad6ab5b573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/09540129948234$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/09540129948234$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,780,784,12837,27915,27916,30990,30991,33766,59636,60425</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1715289$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10434986$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MOSS, W.</creatorcontrib><title>Foundations for effective strategies to control sexually transmitted infections: Voices from rural Kenya</title><title>AIDS care</title><addtitle>AIDS Care</addtitle><description>Achieving maximal benefit from clinic-based, sexually transmitted infection (STI) control strategies requires that persons seek treatment at public clinics. Community-based, ethnographic research methods were used to examine patterns of health-seeking behavior for sexually transmitted infections in western Kenya. Illness narratives of sexually transmitted infections provided the basis for an analysis of sequential steps in health-seeking behavior, namely recognition, classification, overcoming stigma, identification of treatment options and selection of a course of therapy. A variety of terms were used to identify STI, including multiple terms referring to "women's disease". The stigma associated with STI, reflected in the terminology, was based on a set of beliefs on the causes, contagiousness and sequelae of STI, and resulted in delays in seeking treatment. Five commonly used treatment options were identified, with multiple sources of care often used concurrently. The desire for privacy, cost and belief in the efficacy of traditional medicines strongly influenced health-seeking behaviour. A belief that sexually transmitted infections must be transmitted in order to achieve cure was professed by several respondents and promoted by a traditional healer. Implications for STI control strategies are derived, including the development of educational messages and the design of clinics.</description><subject>Acquired Immunodeficiency Syndrome - prevention & control</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>AIDS/HIV</subject><subject>Anthropology, Cultural</subject><subject>Biological and medical sciences</subject><subject>Communicable Disease Control - organization & administration</subject><subject>Community Services</subject><subject>Female</subject><subject>General populations</subject><subject>Health Behavior</subject><subject>Health care</subject><subject>Health Care Utilization</subject><subject>Health Education</subject><subject>Helpseeking</subject><subject>HIV Infections - prevention & control</subject><subject>Humans</subject><subject>Kenya</subject><subject>Kenya - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine, African Traditional</subject><subject>Middle Aged</subject><subject>Population</subject><subject>Prevention and actions</subject><subject>Public Health</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Rural Areas</subject><subject>Rural Health</subject><subject>Rural Health Services - organization & administration</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - prevention & control</subject><subject>STD</subject><subject>Traditional Medicine</subject><subject>Treatment</subject><subject>Venereal Diseases</subject><issn>0954-0121</issn><issn>1360-0451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFks1rFDEYh4Modq1ePUoQkV62vpl8e5Niq1jwol6HTD50SmZSk4x2_3uz7opW0D0F8j7Pj5fkh9BjAqcEFLwAzRmQTmumOsruoBWhAtbAOLmLVtvhuk3JEXpQyhUAdCDgPjoiwCjTSqzQl_O0zM7UMc0Fh5SxD8HbOn7zuNRsqv88-oJrwjbNNaeIi79ZTIwb3KZzmcZavcPj_FNqGS_xpzTapoScJpyXbCJ-5-eNeYjuBROLf7Q_j9HH89cfzt6sL99fvD17dbm2XKi6tt4NQkpmvOVyIF5C4HTwjlglgjEhCIBBunbPlVOcMOqoD8w4YQY-cEmP0fNd7nVOXxdfaj-NxfoYzezTUnqhNVWg1WGQCKJoxw-CXAqtOrlNPPkvSKQgkmjeiYOZRHZMENANfPoXeJWWPLcX7DsgDCQHaNDpDrI5lZJ96K_zOJm86Qn025r0t2vShCf71GWYvPsD3_WiAc_2gCnWxND-2o7lNycJ79R2O73DWgFSnsz3lKPrq9nElH859J87sIPubaWvN5X-AK-W6RA</recordid><startdate>19990201</startdate><enddate>19990201</enddate><creator>MOSS, W.</creator><general>Taylor & Francis Group</general><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8BJ</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>JBE</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2S</scope><scope>M7N</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope></search><sort><creationdate>19990201</creationdate><title>Foundations for effective strategies to control sexually transmitted infections: Voices from rural Kenya</title><author>MOSS, W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c568t-cedb6774aec57b1e70f53bed1c86faaff600b7de7058d85143d3ef4ad6ab5b573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Acquired Immunodeficiency Syndrome - prevention & control</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>AIDS/HIV</topic><topic>Anthropology, Cultural</topic><topic>Biological and medical sciences</topic><topic>Communicable Disease Control - organization & administration</topic><topic>Community Services</topic><topic>Female</topic><topic>General populations</topic><topic>Health Behavior</topic><topic>Health care</topic><topic>Health Care Utilization</topic><topic>Health Education</topic><topic>Helpseeking</topic><topic>HIV Infections - prevention & control</topic><topic>Humans</topic><topic>Kenya</topic><topic>Kenya - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine, African Traditional</topic><topic>Middle Aged</topic><topic>Population</topic><topic>Prevention and actions</topic><topic>Public Health</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Rural Areas</topic><topic>Rural Health</topic><topic>Rural Health Services - organization & administration</topic><topic>Sexually transmitted diseases</topic><topic>Sexually Transmitted Diseases - prevention & control</topic><topic>STD</topic><topic>Traditional Medicine</topic><topic>Treatment</topic><topic>Venereal Diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MOSS, W.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>International Bibliography of the Social Sciences</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database (ProQuest)</collection><collection>Sociology Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>AIDS care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MOSS, W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Foundations for effective strategies to control sexually transmitted infections: Voices from rural Kenya</atitle><jtitle>AIDS care</jtitle><addtitle>AIDS Care</addtitle><date>1999-02-01</date><risdate>1999</risdate><volume>11</volume><issue>1</issue><spage>95</spage><epage>113</epage><pages>95-113</pages><issn>0954-0121</issn><eissn>1360-0451</eissn><coden>AIDCEF</coden><abstract>Achieving maximal benefit from clinic-based, sexually transmitted infection (STI) control strategies requires that persons seek treatment at public clinics. Community-based, ethnographic research methods were used to examine patterns of health-seeking behavior for sexually transmitted infections in western Kenya. Illness narratives of sexually transmitted infections provided the basis for an analysis of sequential steps in health-seeking behavior, namely recognition, classification, overcoming stigma, identification of treatment options and selection of a course of therapy. A variety of terms were used to identify STI, including multiple terms referring to "women's disease". The stigma associated with STI, reflected in the terminology, was based on a set of beliefs on the causes, contagiousness and sequelae of STI, and resulted in delays in seeking treatment. Five commonly used treatment options were identified, with multiple sources of care often used concurrently. The desire for privacy, cost and belief in the efficacy of traditional medicines strongly influenced health-seeking behaviour. A belief that sexually transmitted infections must be transmitted in order to achieve cure was professed by several respondents and promoted by a traditional healer. Implications for STI control strategies are derived, including the development of educational messages and the design of clinics.</abstract><cop>Abingdon</cop><pub>Taylor & Francis Group</pub><pmid>10434986</pmid><doi>10.1080/09540129948234</doi><tpages>19</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0954-0121 |
| ispartof | AIDS care, 1999-02, Vol.11 (1), p.95-113 |
| issn | 0954-0121 1360-0451 |
| language | eng |
| recordid | cdi_proquest_journals_201407500 |
| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis:Master (3349 titles) |
| subjects | Acquired Immunodeficiency Syndrome - prevention & control Adolescent Adult Aged Aged, 80 and over AIDS/HIV Anthropology, Cultural Biological and medical sciences Communicable Disease Control - organization & administration Community Services Female General populations Health Behavior Health care Health Care Utilization Health Education Helpseeking HIV Infections - prevention & control Humans Kenya Kenya - epidemiology Male Medical sciences Medicine, African Traditional Middle Aged Population Prevention and actions Public Health Public health. Hygiene Public health. Hygiene-occupational medicine Rural Areas Rural Health Rural Health Services - organization & administration Sexually transmitted diseases Sexually Transmitted Diseases - prevention & control STD Traditional Medicine Treatment Venereal Diseases |
| title | Foundations for effective strategies to control sexually transmitted infections: Voices from rural Kenya |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T07%3A26%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Foundations%20for%20effective%20strategies%20to%20control%20sexually%20transmitted%20infections:%20Voices%20from%20rural%20Kenya&rft.jtitle=AIDS%20care&rft.au=MOSS,%20W.&rft.date=1999-02-01&rft.volume=11&rft.issue=1&rft.spage=95&rft.epage=113&rft.pages=95-113&rft.issn=0954-0121&rft.eissn=1360-0451&rft.coden=AIDCEF&rft_id=info:doi/10.1080/09540129948234&rft_dat=%3Cproquest_pubme%3E69938098%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=201407500&rft_id=info:pmid/10434986&rfr_iscdi=true |