Dissertation > Excellent graduate degree dissertation topics show

Exploratory Study on HIV Related Sexual Risk Behaviors and Factors Influencing Condom Use Behaviour Change among Floating Population

Author: JiangXiaoMei
Tutor: LvFan
School: Disease Control and Prevention Center
Course: Epidemiology and Biostatistics,
Keywords: AIDS / STD Floating population Risky sexual behavior Condoms Behavior change
CLC: R193
Type: Master's thesis
Year: 2008
Downloads: 215
Quote: 0
Read: Download Dissertation

Abstract

Background Currently, sexually transmitted gradually become China's AIDS epidemic, the main route of transmission; floating population growth is one of the important factors to promote the epidemic rise. Change personal behavior is the most important way to reduce the spread of AIDS, behavior change theory to understand why people engage in dangerous behavior or adoption of health behavior. Consider the public health challenges of the rapid response measures to reduce the floating population of risky sexual behaviors, promote condom use behavior change is of great significance to the large number of floating population and the AIDS epidemic in progress. The aim of the present study was aimed at understanding HIV-related sexual risk behaviors floating population happened, and condom use, to explore the potential impact of factors of the reasons floating population risky sexual behaviors and condom use behavior change, public education and interventions for the floating population of AIDS prevention provide the basis and recommendations. Methods inflow ground city of Dongguan City as a research site, the use of a cross-sectional survey of a combination of qualitative and quantitative research methods. The study five occupational groups, including the building of the floating population, temporary employment, factory-built, accommodation and catering, and entertainment, a stratified purposeful extraction convenient sample. Qualitative study to take in-depth personal interviews, interviews outline behavior change stage theory based; quantitative research survey. Quantitative data Epidata3.0 building a database entry, SPSS12.0 statistical analysis; interviewed condom use behavior qualitative research based on the stage of change model is divided into before the intention, intent, preparation, action and maintenance of five stages, taking content analysis The interview results were coded, classified and summarized. The results of this study obtained 1108 valid questionnaires were personal in-depth interviews with 25 people. 1, the study of AIDS / STD risk sexual behavior study occurred in the most recent year in commercial sex, temporary behavior object premarital cohabitation and unmarried ratio were 4.2%, 7.1% and 9.9%, respectively, different career types Asia population differences were statistically significant (P lt; 0.001), male construction workers and temporary employees, a higher proportion of commercial sex in the last year, 9.6% and 6.3%, respectively; leisure and entertainment services recently occurred in temporary behavioral highest proportion, 17.1%; respectively, 5.4% of men and 13.2% of unmarried women surveyed cohabiting with the love object, including a higher proportion of female entertainment venues staff accommodation and catering services personnel, were 20.0 % and 7.7%. 2, the background and causes of risky sexual behaviors, attitudes and behavior study sexual concept that male floating population of commercial sex is normal, unmarried young premarital cohabitation is very common, and accompanied by a temporary act. The floating population risky sexual behaviors occurred mainly due to the need to address the physical needs and longing for love / marriage relationship, sexual behavior and sometimes become friends socially, the work of social entertainment and Troubleshooting depressed boring outlets. In addition, the spread of the sex industry, \3, condom use and behavior change stage gender and sexed affect the use of condoms. Male rate of condom use in a commercial sex was 80.0% higher than the non-commercial behavior (temporary and unmarried cohabiting sexual behavior) 55.9% rate of condom use (χ ~~ 2 = 5.59, P = 0.018); female temporary sexual partners use condoms ratio of 77.4%, higher than the unmarried cohabiting sexual partners, condom use ratio of 53.9% (χ to 2 = 4.18, P = 0.041). Recent rate of condom use in a commercial sex of male and female subjects were 80.0% and 63.6%, respectively, consistent condom use in commercial sex ratio of 64.7% and 30.0% in the last year; condom use in the last time temporary behavior ratio of 62.8%, the proportion of men and women use were 55.1%, 77.4%, lower than the proportion of men using women (χ to 2 = 4.09, P = 0.04), the most recent year temporary behavior every time the rate of condom use only 25.0%; men and women surveyed last proportion of the use of condoms with regular sexual partners in a sexual relationship were 21.9% and 30.9%, lower than the proportion of men using women (χ ~~ 2 = 4.91, P = 0.027), married and the the unmarried subjects most recent sexual relations with regular partners use condoms proportion were 21.8%, 55.1%, married persons to use less than the unmarried (of χ ~~ 2 = 26.23, P = 0.000). Interviews object Whoring male floating population is prepared to insist on using condoms behavior change and subsequent stage, of which two-thirds (8/12) in the maintenance phase; temporary acts of the respondents in the intention and subsequent stages of behavior change, half of them (4/8) in the maintenance phase; the extramarital (former) regular sexual partners the respondents almost in condom use two extreme stage, never used (5/9) even no intention (4/9), or stick with the (3/9). 4, insist on using condoms behavior change part of the study of the influence factors and certain types of sexual partners, condom use with the first time with this type of sexual partners to use condoms when having sex with the same part of the subjects experienced a behavior change process . Awareness of STD / AIDS and unwanted pregnancies susceptibility at different stages of change, responsibility, self-re-evaluation, the use of a condom the pros and cons of the decision-making trade-offs and refuse unsafe sexual self-efficacy than the obvious difference. In behavior change late stage, a higher level of cognitive and performance. Cognitive and performance level of the middle and earlier stage by low or no use of other contraceptive measures hinder the use of condoms in behavior change. The conclusion that migrants are prone to vulnerable populations of HIV-related sexual risk behaviors. The crowd correct and incorrect promiscuous awareness of HIV and sexually transmitted diseases, and the potential of a variety of sexual partners, sexually active. Considerable size of the Asian population reporting multiple sexual partners, the the influential commercial sex, temporary behavior, premarital sex, extramarital cohabitation risky sexual behavior, gender and sexed condom use, but unprotected sexual intercourse widespread floating population and their sexual partners in the risk of infection of HIV, STI and unintended pregnancy. The floating population is the AIDS prevention focus groups. The main reason for including dangerous sex: the desire to desire, depression and boredom and other negative emotions, communication, work and entertainment, such as positive social occasions of friends involved in risky sexual behaviors prone and longing for love / marriage relationship. Floating population condom use behavior change main factors include: understanding of disease susceptibility, a sense of responsibility, self re-evaluation, the use of condoms weigh the pros and cons, and self-efficacy. The choice of contraceptive methods hinder the use of condoms. The results suggest that the the floating population lacks easy perceptual knowledge and sense of responsibility for AIDS / STD awareness and prevention of AIDS related attitude dispersed reasonable decision and into the lower capacity to act. This crowd is an urgent need to correct publicity and interventions related knowledge. Effective and comprehensive AIDS prevention interventions should be integrated model of psychological, social, and behavioral intervention. The community should be concerned about the flow of life and mental health of the population, to promote healthy sexual attitudes, the concept of love and social behavior norms. Insist on using condoms behavioral change is the focus of public education. Should adopt comprehensive measures to promote sexual responsibility at the same time, improve the understanding of the current population and health risks, and provide them with the necessary condom use cognitive and behavioral skills and communication skills. Appropriate HIV prevention interventions must cover both the inflow and outflow, the emphasis on early school reproductive health education.

Related Dissertations

CLC: > Medicine, health > Preventive Medicine,Health > Health care organizations and career ( Health Management ) > Health education and publicity
© 2012 www.DissertationTopic.Net Mobile