健康社會學(xué)的最終目標(biāo)是研究健康和疾病的關(guān)鍵因素和社會影響,以及醫(yī)療機(jī)構(gòu)或?qū)I(yè)的所處的社會結(jié)構(gòu)�；谶@一認(rèn)識,本研究討論了影響艾滋病的母嬰傳播的社會經(jīng)濟(jì)和認(rèn)知因素。在撒哈拉以南的非洲地區(qū),母嬰傳播艾滋病毒被認(rèn)為是艾滋病毒/艾滋病傳播的重要途徑之一。目前,在撒哈拉以南的非洲,五歲以下兒童的死亡率接近10%。在馬里,盡管根據(jù)“健康五號”的人口統(tǒng)計調(diào)查（2012）顯示患病率很低,僅為1.3%,但必須指出,艾滋病是馬里死亡的主要原因之一。2016年,馬里新增5900例艾滋病死亡和感染的人,已經(jīng)接受治療或預(yù)防艾滋病傳染給孩子的孕婦比例為35%。由于母嬰傳播,約有1600名兒童新感染了艾滋病毒（WHO,2016）。母嬰傳播獲得護(hù)理和治療服務(wù)的方式受到許多因素的影響,這些因素影響了婦女尋求健康照顧的決定。該博士論文是健康社會學(xué)領(lǐng)域的一部分,它探討了在馬里巴馬科地區(qū),艾滋病毒/艾滋病母嬰傳播的社會經(jīng)濟(jì)和感知因素。它有助于減少在巴馬科母嬰傳播艾滋病毒的比例。所有這些問題使我們能夠探索在馬里巴馬科預(yù)防母嬰傳播艾滋病毒失敗的真正原因。在方法論上,本文采用了混合方法設(shè)計,采用定量和定性研究方法對巴馬科母嬰傳播艾... 

【文章來源】：華中師范大學(xué)湖北省 211工程院校 教育部直屬院校

【文章頁數(shù)】：215 頁

【學(xué)位級別】：博士

【文章目錄】：
Acknowledgements
摘要
ABSTRACT
Chapter 1 Introduction
    1.1 Background of the Study
    1.2 Statement of the Problem
    1.3 Research Questions
        1.3.1 Main question
        1.3.2 Secondary questions
    1.4 Purpose of the Study
        1.4.1 Specific Objectives:
    1.5 Chapter Outline of the Thesis
Chapter 2 Conceptual and Theoretical Framework
    2.1 Review of the literature
    2.2. Governance of the health system in Mali
        2.2.1 Health at the community level
        2.2.2 Structure of the Ministry of Health
        2.2.3 Sector approach
        2.2.4 Geographic coverage in PMTCT service
    2.3 Theoretical Framework
        2.3.1 Medical Profession Construction and Disease
        2.3.2 Sick, Diseases and Social Life
        2.3.3 AIDS as Chronic Disease
        2.3.4 MTCT of HIV and Social Relations Theory
    2.4 Operational Definition
        2.4.1 HIV Transmission from Mother to Child
        2.4.2 Factors
    2.5 Hypothesis Construction
        2.5.1 Main Hypothesis
        2.5.2 Specific Hypotheses
Chapter 3 Methodology
    3.1 Epistemological Approach
        3.1.1 Design of Study
    3.2 Presentation of Study Area
        3.2.1 Presentation of Mali
        3.2.2 District of Bamako
        3.2.3 Location of Study
    3.3 Instrument and Procedure of Data Collection
        3.3.1 Investigation
        3.3.2. Questionnaire Survey Method
        3.3.3 In-depth interview
        3.3.4 Variable and Measurement
        3.3.5 Validity and Reliability of Study Instruments
    3.4 Participant of Study
    3.5 Data Analysis
        3.5.1 Quantitative Data Analysis
        3.5.2 Qualitative Data Analysis
    3.6 Ethical Consideration and Confidentiality of Participants
        3.6.1 Negotiation of the Study Area
        3.6.2 Consent and Confidentiality of Participants
        3.6.3 Documents and Authorization Procedure for the Study
        3.6.4 Informed Consent of the Participant
        3.6.5 Privacy by Anonymity and Confidentiality
        3.6.6 Difficulties of the Ground and Means Employed
Chapter 4 Socioeconomic and Perceptive Factors of HIV-TMTC
    4.1 Results and Explanations of Quantitative Data
        4.1.1 Descriptive and Exploratory Results
            4.1.1.1 Demographic Characteristics of Respondents
            4.1.1.2 Descriptive of Variables Distribution
            4.1.1.3 Statistical Description of the Mean
            4.1.1.4 Explanation of Descriptive and Exploratory Results
        4.1.2 Results and Explanations of Correlation Study
            4.1.2.1 Sociocultural Variables
            4.1.2.2 Economic Variables
            4.1.2.3 Perception on MTCT Variables
            4.1.2.4 Perception on Care Services Variables
            4.1.2.5 HIV Transmission from Mother to Child
            4.1.2.6 Explanation
        4.1.3 Multiple Regression Result and Explanation
            4.1.3.1 Sociocultural Variables on MTCT
            4.1.3.2 Economic Variables on MTCT
            4.1.3.3 Perceptions on HIV Transmission from Mother to Child
            4.1.3.4 Perceptions Variables about Care Services
            4.1.3.4 Explanation
        4.1.4 Result and Explanation of ANOVA Test
            4.1.4.1 Comparison of Group's Means Difference
            4.1.4.2 Explanation of Anova Test Results
    4.2 Results and Explanations of Qualitative Data
        4.2.1 Sociocultural Factors of HIV Transmission from Mother to Child
            4.2.1.1 Denial of the Disease
            4.2.1.2 Sharing of Serological Status
            4.2.1.3 The Breaking of Social and Family
            4.2.1.4 Human Role in Mother to Child Transmission of HIV
            4.2.1.5 Signs and Stigmatization
        4.2.2 Economic Factors of HIV Transmission from Mother to Child
        4.2.3 Perception of Women Living with HIV on MTCT
        4.2.4 Explanation of Qualitative Results
            4.2.4.1 Difficulties of The Prevention of HIV Transmission Mother to Child
            4.2.4.2 Life Experiences of Women Seropositive
            4.2.4.3 Relations with the Healthcare System
            4.2.4.4 Marginalization of Women Living with HIV in Mali
    4.3 Comparison of Both Findings
Chapter 5 Discussion and Conclusion
    5.1 Discussion of the Results
        5.1.1 Interpretation
            5.1.1.1 Sociocultural Factors of HIV Transmission from Mother to Child
            5.1.1.2 Economic Factors of HIV Transmission from Mother to Child
            5.1.1.3 Perception Factors of HIV Transmission from Mother to Child
        5.1.2 Outcome Limitation
        5.1.3 Specific Implication of Study
        5.1.4 General Implication of Study
    5.2 Conclusion
References
Appendix A
Appendix B
Chinese Summary of Thesis Dissertation



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