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Research On The Relation Of Social Capital And AIDS Related Knowledge, Attitude And Behavior Among Female Sex Workers

Posted on:2012-08-03Degree:MasterType:Thesis
Country:ChinaCandidate:L Q ZhongFull Text:PDF
GTID:2154330335481228Subject:Social Medicine and Health Management
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Background: Since 1980s, the French sociologist Bourdieu proposed "social cap-ital" as a new term, social capital in sociology, economics and other areas of re-search emerge in endlessly.In recent years, along with the social capital is widely introduce health field,social capital and health relationship is a focus of many scholars. Social capital and health at home and abroad Most of the studies focused on the relationship between social capital and self rated health, mortality, and mental health. System comprehensive social capital and linked to AIDS preven-tion and control in AIDS prevention staff at all levels of a new front topic.Sexually transmitted has become the main transmission way of Chinese AIDS. Among FSWs (Female sex workers, hereinafter referred to as FSWs) is a sexually transmitted disease (Sexually Transmitted Disease hereinafter referred to as STD) and human immunodeficiency virus (Human Immunodeficiency Virus hereinafter referred to as HIV) infection among high, spread is the most dangerous source of HIV.Current research mainly is focused on the domestic populations of epidemi-ological and behavioral intervention among female sex workers, our study of so-cial capital as the starting point to understand the characteristics of the social cap-ital of commercial sex workers, for the containment of AIDS through sexual transmission and spread it a strategic work Has a practical meaning of sustainable development.Aim:?Understanding of Female sex workers (FSWs) in the status of social capi-tal;Grasp the status of AIDS prevention among FSWs; Analysis of the impact of social capital among FSWs factors; Impact of AIDS-related knowledge of FSWs, attitude and behavior of social capital the key elements.Methods: In this study, convenience samples of law in September 2010 to No-vember 2010 in Fuyang City in Anhui Province, Bengbu City, Ma On Shan City, the city of Wuhu, mainly to take on sensitive issues face to face interviews and self-administered in two ways. Information on dual use EpiData3.0 software double entry, the use of SPSS15.0 software for statistical analysis. Measurement data using the mean±standard deviation, using analysis of variance or nonpara-metric tests were compared; count data rate or form than that used chi-square test or Fisher exact test to compare, test levelα= 0.05; factors used logistic regression analysis.Results: (1)This study investigated a total of 594 Female sex workers, 594 ques-tionnaires, 583 valid questionnaires, the effective response rate of 98.1%. (2) Sta-tus of social capital among Female sex workers: survey of 494 people (84.7%) had close family links, 517 (88.7%) had close contacts of friends, 183 people (31.4%) lived alone in a room away from their families, 435 people (74.6 %), of-ten neighbors, friends, colleagues to chat, 225 (38.6%) indicated that most people are concerned about their own; 447 (76.7%) did not participate in any organiza-tion, that organization had carried out activities occasionally 72 (52.9%) In the past year to participate in the community / workplace collective activity or meet-ing from 1 to 3 of 91 (29.7%);340 (58.3%) in the face of trouble to the very close relationship with only 1 to 2 people complained difficulties, 70 people (12.0%) think that nobody cares to help, can get help from parents or other primary Family (57.1%), followed by relatives and friends (52.6%), difficulties in family life, in need of financial support and material help, can not be helped 96 people (16.5%), can get help from parents or primary Other family members (53.8%), followed by relatives and friends (53.8%); Survey of 534 people (91.6%) expressed confidence in their own relatives, friends and family, 164 people (28.1%) said they did not trust in the workplace / living area of people, 489 people (83.9%) trust the owner of the workplace, 541 (92.8%) trust the CDC or hospital medical staff, and 557 (95.5%) trust the health education staff. (3) Impact of social capital in the trust factors were age (OR = 3.519), education level (OR = 4.242; OR = 3.409; OR = 4.898); social support factors, including drinking situation (OR = 2.278), house-hold per capita monthly income (OR = 3.973; OR = 4.745; OR = 5.888), health insurance type (OR = 2.632); Social participation of factors including age (OR = 0.472), religion (OR = 2.510), household per capita monthly income (OR = 0.169; OR = 0.247; OR = 0.282), previous occupation (OR = 0.345), place Type (OR = 1.768); The impact of factors such as social networks in the working hours (OR = 0.614; OR = 0.475), drinking situation (OR = 0.471; OR = 0.302), to join the cas-es (OR = 0.501); factors of social relations only with religious beliefs (OR = 0.339). (4) Questionnaire reliability and validity of social capital: the question-naire Cronbach'sαcoefficient was 0.711, construct validity, and extracted five principal components can explain 59.515% of the total of the total variation; (5) FSWs effects of AIDS: Knowledge about AIDS among female sex workers was 73.3%; 58.0% of respondents said people with AIDS are not allowed / infected, continue to work; recently, with the guests of a female sex was 60.2% condom use, most recently occurred with regular sexual partners Condom use during sex was 46.7%; 35.5% of respondents self-report appeared in the past six months, lower body discomfort, increased vaginal discharge, lower abdominal pain of non-menstrual symptoms such as sexually transmitted diseases; the onset of symptoms, 88 (42.5% ) To the maternal and child health centers or hospital gy-necology clinic, 35 (16.9%) to a private clinic. (6) AIDS knowledge and influen- cing factors in trust (OR = 42.804) and social support (OR = 0.227; OR = 0.325); attitude factors of trust (OR = 4.268), social support (OR = 0.341), social partici-pation ( OR = 1.951) and social networks (OR = 3.026); behavior of the trust fac-tors (OR = 0.180; OR = 0.126), social support (OR = 3.592; OR = 0.267 OR = 0.220) and social networks (OR = 2.325). Social effects of AIDS prevention among female sex workers had no effect.Conclusion: (1) Social capital used in this study the use of questionnaires among female sex workers have good reliability and validity; (2) Confidence among fe-male sex workers in different different objects, including a higher degree of pro-fessional trust, and trust of the general staff is low; single source of social support, mainly from the parents or other family members, relatives and friends; organiza-tions and community participation in water in the average Low, the organization is mainly involved in sports organizations; social networks in general, still need to be strengthened; the majority of sex workers and neighbors / friends / colleagues harmonious relationship between the social relationship was good. (3) Impact of social capital among female sex workers main factors include: age, education, drinking, family per capita income, health insurance type, religion, previous oc-cupation, location type, engaged in work time, entry situation. (4) Knowledge of AIDS among female sex workers by the trust and the impact of social support, trust, play a positive role, social support play a negative role; attitude of AIDS among female sex workers by the social network, social participation, social sup-port and trust of influence, social networks, social participation, Play an active role in the trust, social support play a negative role; behavior of AIDS among fe-male sex workers by the social network, social support and trust of influence, so-cial networks and trust have a positive effect, the role of social support has both positive and negative effects; social relations Effects of AIDS prevention among female sex workers had no effect.Suggestions: (1) To establish and improve the social support system among fe-male sex workers; (2) Give full play to peer education, non-governmental organi-zations; (3) Explore the social networks among female sex workers interventions; (4) Improve social relations among female sex workers.
Keywords/Search Tags:Social capital, Female sex workers, AIDS, Trust, Social support, So-cial participation, Social network, Social relations
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