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Investigation of Vulnerable Behavior Intervention and Community Point-to-surface Intervention for Teenagers in Prison of Chongqing

Author: RanJia
Tutor: XiongHongYan
School: Third Military Medical University
Course: Epidemiology and Biostatistics,
Keywords: Labor camp for teenagers Vulnerability AIDS Mental Health Intervention Point spread
CLC: D926.8
Type: Master's thesis
Year: 2010
Downloads: 86
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Abstract


Young people vulnerable to sexual behavior and AIDS related high-risk behavior prevention and control work has been a difficult and controversial issue, it inevitably involves a country of laws, policies, and ethical aspects of the problem. However, this is a not a thing to be ignored and must be resolved, it is related to personal, family and community health and harmonious development. Labor camp for young people as a special group, the occurrence of drug abuse, sexual promiscuity and sex with HIV / AIDS high-risk behavior is a relatively high proportion of high-risk groups are infected with HIV / AIDS. Using them in during the transformation of the labor to carry out HIV / AIDS intervention is necessary to control HIV / AIDS is of great significance in the spread of the whole society. The baseline survey information point of view, accept and educate young people to labor camp for students, young age, low education level, a sense of right and wrong, they have had sexual experience before most of jail, and there is drug abuse, assault and multiple sex partners other high-risk behavior, HIV / AIDS prevention and control work of focus groups. Foreign experience has proven, health education, and encourage them to adopt safe behavior of those who are most at risk of infection and spread of HIV in a timely manner, it is possible to avoid the HIV / AIDS pandemic, one of the most cost-effective method. Due to the special nature of the groups, the data is difficult to share inspection is one of the few youth survey data can be found in the labor camp, and foreign-related research are described preliminary observation, the survey sample, the scope and content of a lack of systematic and in-depth sex. Domestic issues related to epidemiological studies or a blank. Understand the vulnerability feature of this group, reveals that group health present conditions, and to explore the key risk factors, and in-depth exploration outside labor camp for teenagers vulnerability reduce the innovative work mode, this study improve the labor camp for teenagers healthy level of work, further labor camp for teenagers AIDS prevention knowledge, life skills, vocational skills training and behavioral intervention, and its \role, to explore and establish monitoring systems related to labor camp for young people in the region and to intervene in the new model. The results show that: a labor camp for teenagers fragile sexual behavior is much higher than the general population. The 1.1 daily behavior and general youth groups are quite different. From the survey results, the labor camp for young people into the drug proportion (40.2%), like access to cafes, bars and other places. These results suggest that, should take effective measures to contain tobacco, alcohol, health education refused to drugs, reversing the smoking, drinking, drug abuse, younger age trend to reduce the occurrence of such dangerous behavior. 1.2 reeducation through labor Adolescent AIDS related of fragile sexual behavior of high fat. Their first sex at an average age of a minor group was 14.16 years old, the adult group was 15.48 years old. Commercial sexual partners accounted for the proportion of first time sexual activity is much higher than the normal population, a minor group accounted for 23.81%, 14.29% adult. Minor group has always insisted on condom use and only 9.52%, the adult has been to insist on condom use accounted for only 10.71%. 1.3 reeducation through labor to the lack of knowledge of the Adolescent AIDS. AIDS prevention knowledge the general awareness minor group of only 32.51%, only 40.75% of the adult. AIDS Core Knowledge the general awareness minor group was 77.63%, only 74.33 percent of the adult. These results suggest that the labor camp for young people may be due to its earlier into the community, so that it acts closer to adults, and there are significant differences in in-school youths. Simultaneously exist in the same population in the AIDS epidemic, drugs and unsafe sex, not only greatly increase the risk of HIV infection in the population itself, and also become the way to the spread of AIDS from high risk groups to the general population. 2. Detention adolescent mental behavior analysis of reeducation through labor adolescent mental problem serious. Psychological and behavioral findings show that minor of group anxiety score (SAS) standards are divided into 45.35 ± 12.75, the adult anxiety score (SAS) standard is divided into 44.24 ± 10.38; minor group depression scores (SDS) standards are divided into 55.89 ± 11.63, of adult depression scores (SDS) standard is divided into 55.42 ± 9.18, were higher than the national norm, but SDS and SAS scores between the two groups was no significant difference. The minor group social support total score of 33.77 ± 6.36, 33.85 ± 5.35, adult standard is divided into are lower than with the national norm. The Eysenck Personality scoring results show years labor camp for young people with mental qualitative tendencies, withdrawal, personality was introverted, hi aggressive disturb, lack of sense of right and wrong, it is difficult to adapt to the external environment, attacks and hatred performance, the ability to adapt to the environment is poor, with many criminals personality characteristics consistent. Reeducation through labor adolescents within intervention results analysis of AIDS-related knowledge can improve quickly, after the intervention. Survey of AIDS prevention knowledge awareness have significantly improved through various forms of intervention, in which the adolescent group total awareness rate from 32.51% to 79.75%, adult total awareness rate increased from 40.75% before the intervention to 73.50%. Significantly improve the core knowledge awareness of AIDS survey, in which a minor group overall awareness rate increased to 93.48% from 77.63% before the intervention, adult total awareness rate increased to 85.46% from 74.33% before the intervention. But part of the problem awareness needs to be further improved. Psychological and behavioral little improvement for a short time. Through long-term psychological intervention we found a minor group depression scores, anxiety scores improved significantly (p lt; 0.05), close to the normal level; Eysenck Personality ratings an improving trend, but before and after the difference was not statistically significant (p gt; 0.05). Adult depression scores, anxiety scores improved significantly (p lt; 0.05), close to the normal level; Eysenck Personality ratings (EPQ) rated E (extraversion) norm level in the remaining scores improved trend but before and after the difference was not statistically significant (p gt; 0.05). We can see the gradual and long-term psychological intervention characteristics, obviously well-efficacy is a relatively long process from the start of intervention to promote long-term ongoing psychological intervention. 4. Community \. Evaluate and compare the (non-intervention group), B (simple missionary group), C (scene profound education group), D (positive communication training group), E (psychological - social - family integrated intervention group) five groups before and after the intervention. effect. The results showed, through various forms of intervention, intervention object AIDS prevention knowledge awareness significantly improve, groups B, C, D, E prevention knowledge overall awareness were increased to 77.50% from 30.21%, 82.03 %, 78.33%, 84.37%. The intervention to consolidate the results of the four point source diffusion strategies in a short period of time can increase the subjects to grasp the extent of the knowledge of AIDS scene profound education effect is slightly better than the other two ways. 4.2 a positive communication training group and psychological - social - family intervention group improved the subjects psychological and emotional state is slightly better than the rest of group. The results found by comparing each group psychological intervention after the group of B, C, D, E, anxiety, depression scores have improved to some extent, and the D and E groups the Eysenck personality Ratings (EPQ) in E points (internal and external to the ) and N sub (emotional stability) than the other two groups to improve significantly (p lt; 0.05). 5 network intervention effectiveness and practicality of the platform needs to be validated. Psychological and behavioral grooming information platform aimed at the use of network information technology high school youth behavior, AIDS knowledge, psychological quality, ideological dynamic information network management, and gradually establish a disease control expert psychological counseling, psychological counseling for individuals mechanism for long-term specification to provide a scientific intervention, state-of-the-art, modern and efficient information management platform. But just created due to its effectiveness and practicality needs to be validated.

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CLC: > Political, legal > Legal > Chinese law > Justice system > Reeducation through labor system
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