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博茨瓦納18至49歲外來工人的HIV/AIDS知識態(tài)度和性行為狀況研究

發(fā)布時間:2023-08-03 17:57
  背景:艾滋病毒/艾滋病是一個真正的緊急情況影響南部非洲,特別是博茨瓦納,在2008的成年人口中,占主導(dǎo)地位的比例是17.1%。由于工作場所和他們的伴侶的長期分離,移民工人很容易感染艾滋病病毒。雖然已經(jīng)做了很多在於工人和卡車司機(jī)的研究,沒有太多的研究探討移民工人的危險(xiǎn)變量,然而移民工人構(gòu)成在博茨瓦納和非洲南部最大的職業(yè)總。這項(xiàng)研究背后的動機(jī)是確定農(nóng)民工參與性風(fēng)險(xiǎn)的行為因素,尊至他們有更大的風(fēng)險(xiǎn)感染艾滋病毒。方法:一個橫截面的解釋性研究,分析博茨瓦納的外來務(wù)工人員變量增加的性行為模式和擴(kuò)展艾滋病病毒的危險(xiǎn)。在博茨瓦納的首都哈博羅內(nèi)和第二大城市弗朗西斯敦,采用一個標(biāo)準(zhǔn)問卷形式的結(jié)構(gòu)面試給900熟練和半熟練的農(nóng)民工。從二元和多元回歸分析,找出連接與受訪者的性風(fēng)險(xiǎn)行為貢獻(xiàn)因素。結(jié)果:它是有趣地注意到艾滋病毒的傳播課程的困惑不認(rèn)可之間移徙工人,尤其是被蚊子叮咬(p=0.04;或0.593,95%ci[0.354 0.993]),共享的器物,再到個人感染(p=0.01;或0.082,95 %CI[0.011-0.602])。參與者被要求他們是否認(rèn)為艾滋病毒/艾滋病是一個為其他人如商業(yè)性工作者或同性戀...

【文章頁數(shù)】:197 頁

【學(xué)位級別】:博士

【文章目錄】:
LIST OF APPENDICES LIST OF ACRONYMS 摘要 ABSTRACT CHAPTER 1 Introduction
1.1 Statement of the Problem
1.2 Research questions
1.3 Main Objective
    1.3.1 Other objective
1.4 Significance of the Study
1.5 Operational definitions
1.6 Conceptual framework CHAPTER 2 Literature Review
2.0 Overview about HIV/AIDS
2.1 Risk factors for HIV transmission
    2.1.1 Biological factors
    2.1.2 Behavioural factors
    2.1.3 Social factors
2.2 Risk sexual behaviours in Migrants
2.3 Knowledge, attitudes and practices concerning HIV preventionamong migrants in Botswana
2.4 Association between socio-demographic characteristics and risk behaviours
2.5 Association between Knowledge to health education and risk behaviours
2.6 Alcohol related risk behaviour
2.7 Drug-related risk behaviours
2.8 Migration as a contributing factor
2.9 Migrant labour
    2.9.1 Truck drivers
2.10 Dissertation structure CHAPTER 3 Methodology
3.1 Study Area
    3.1.1 Profile of Botswana
    3.1.2 Profile of Gaborone
    3.1.3 AIDS in Gaborone
    3.1.4 Profile of Francistown
    3.1.5 Francistown demographic and health
3.2 Theoretical Framework
3.3 Study plan
3.4 Study Population
3.5 Sampling Technique
    3.5.1 Exclusion criteria
    3.5.2 Inclusion criteria
3.6 Data Collection Techniques and Research Instruments
3.7 Sample size
3.8 Data collection Procedure
    3.8.1 Gain access to key respondents
    3.8.2 Having sufficient resources for data collection
    3.8.3 Procedure for assistance and guidance
    3.8.4 Develop a clear data collection timeline
    3.8.5 Provide for unanticipated events
3.9 The data analysis
3.10 Logistic Regression Model
3.11 Variables
3.12 Pilot study
3.13 Ethical Considerations CHAPTER 4 Results
4.1 Socio-demographic characteristics
    4.1.1 Age distribution
    4.1.2 Education and training
    4.1.3 Marital status
    4.1.4 Gender
    4.1.5 Number of children
    4.1.6 Nature of work and employment position
    4.1.7 Salary distribution
4.2 Living conditions
4.3 Migration patterns
4.4 Alcohol consumption
4.5 Access to health care
    4.5.1 Empirical results and the economic interpretations
4.6 Knowledge about HIV/AIDS among Migrants
    4.6.1 Knowledge about HIV/AIDS bivariate results
    4.6.2 Knowledge about HIV/AIDS multivariate results
    4.6.3 Knowledge of STI and AIDS
4.7 Attitude about HIV/AIDS among Migrants
    4.7.1 Awareness of HIV infection and protection
    4.7.2 Attitude about HIV/AIDS multivariate results
    4.7.3 Multivariate analyses on knowledge and attitudes about HIV/AIDS
4.8 Sexual risk behaviour
    4.8.0 Knowledge about sexual behaviour
    4.8.1 Sex with multiple partners
    4.8.2 Unprotected sex and condom use
    4.8.4 Sexual Behaviour for commercial sex workers
4.9 Factors associated with having an extra partner in the last six months
4.10 Factors associated with having transactional sex
4.11 Bivariate factors associated with drinking alcohol
4.12 Bivariate factors associated with drug use
4.13 Multivariate factors associated with having an extra partner in the last six months
4.14 Multivariate factors associated with having transactional sex
4.15 Multivariate factors associated with having unprotected sex CHAPTER 5 Discussion
5.1 Socio-demographic factors
    5.1.1 Age distribution
    5.1.2 Place of birth
    6.1.3 Educational level and training
    5.1.4 Marriage and partners
    5.1.5 Employment and salary
5.2 Migration patterns
    5.2.1 Migration to partners
5.3 Alcohol consumption
5.4 Knowledge about HIV/AIDS
5.5 Sexual transmitted infection awareness
5.6 Access to health
5.7 Sexual risk behaviours
    5.7.1 Multiple partners
    5.7.2 Migration and multiple partners
    5.7.3 Living conditions and multiples partners
    5.7.4 Socio-demographic Factors and multiple partners
5.8 Transactional sex
    5.8.1 Socio-demographic factor and transactional sex
    5.8.2 Migration and transactional sex
5.9 Commercial sex
5.10 Unprotected sex
5.11 Different levels of unprotected sex with main partners and additional partner
5.12 Association of unprotected sex with main partner's long and casual partners
5.13 HIV/AIDS awareness and unprotected sex CHAPTER 6 Conclusion and Recommendation
6.1 Conclusion
6.2 Recommendations
    6.2.1 Recommendations for Service Providers and Policy Makers
    6.2.2 Recommendations for Future Research
6.3 Limitations of the study REFERENCES DEDICATION ACKNOWLEDGEMENTS PUBLICATION APPENDIX
Appendix 1. Questionnaire HIV/AIDS risk behaviours
Appendix 2. Guideline questions for migrant sex workers
Appendix 3. Consent form for the participants of the study
Appendix 4: other results 學(xué)位論文評閱及答辯情況表



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