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A Study of the Vulnerability of HIV Infection among Cross-border Marriages in Tengchong County

Author: TanSi
Tutor: ZhangKaiNing
School: Kunming Medical College
Course: Epidemiology and Health Statistics
Keywords: Cross-border marriages Myanmar nationality daughter - in - law AIDS Social networks Vulnerability
CLC: R193
Type: Master's thesis
Year: 2010
Downloads: 86
Quote: 1
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Abstract

The purpose about Tengchong County, Yunnan Province, cross-border marriage crowd demographic characteristics, the awareness of AIDS and HIV infection status of Myanmar nationals wife before and after the cross-border social network status as well as Chinese nationals husband before and after the cross-border social network status, analysis of AIDS vulnerability of the population. Provide a basis for future cross-border marriage crowd AIDS prevention information, and provide valuable information for the evaluation of AIDS prevention and control measures and their effects. Methods A literature review, experts discuss and investigate the site research and other methods to determine the location, and the development of the questionnaire. 821 cross-border marriage and family in Tengchong County, 18 townships, census, conducting household survey. At the same time, the use of stratified cluster sampling method to extract the 13 towns in 18 townships, Burma membership daughter-in-law of its cross-border marriage and family, the the Chinese nationals husband cross-border personal social network before and after a cross-sectional survey. The most commonly used enzyme-linked immunosorbent assay (ELISA), through cooperation with the Centers for Disease Control and Maternal and Child Health Hospital in Tengchong County, Tengchong County, all cross-border marriage crowd HIV antibody test. Tengchong County, the results and found that (1) cross-border marriage and family exposed to AIDS among the high risk, the infection rate is much higher than the local general population. Among them, the the Myanmar nationals wife AIDS infection rate of 2.0%, the Chinese nationality husband AIDS infection rate of 1.4%, no statistically significant difference between the two. (2) cross-border marriage crowd AIDS endogenous vulnerability. First, the cross-border marriage crowd as a typical representative of the socially marginalized populations, sociological characteristics determine its lack of the ability to respond to AIDS. Cross-border marriage mainly to the fact that marriage, the lack of legal protection. This part of the crowd is the low level of education, 45.1 percent of Myanmar nationality wife did not receive education, more than half of Chinese nationality husband not completed the nine-year compulsory education. And age mostly concentrated between 20-40 years old, sexually active stage. Second, AIDS awareness is very low, more than one fifth of respondents had never heard of AIDS. Known population, there is a serious misunderstanding. Such as \(3) cross-border marriage crowd AIDS exogenous vulnerable enhanced. Currently, the majority of Burmese nationality daughter-in-law of social network has a small-scale, low heterogeneity, high convergence. This network structure is not very conducive to the uptake of resources and support network between members. Compared with that before the cross-border Burma membership daughter-in-law of social network behind the reduced social resources, social support major pathway has also undergone a change. The majority of Chinese nationality husband social network also has a small scale, heterogeneity, convergence close high, is also a relatively fragile structure of the network. Overall resource intake capacity of the Chinese nationality husband better than Burma membership daughter-in-law, not only the network size is higher than the foreign spouse, more importantly, all walks of life and cultural level crowd constitutes reasonable. In addition, the Chinese-born husband is inferior to the network structure in China in Myanmar during social network. (4), the Myanmar nationals wife social networks, the scale of impact factors of 3 are \(5) in the form of health education, 80.1% of the population choose TV as the media, AIDS health education. Second, 44.3% agree with the doctors in rural areas as the main force of the AIDS health education. For training, lectures, theatrical performances, a lower degree of acceptance, the reasons for further research. Countermeasures and suggestions to make the following recommendations for cross-border marriage AIDS among high-risk, the current situation as well as the lack of capacity to respond, first of all, fully aware of the urgency of the AIDS prevention and control of cross-border marriage crowd; Second aware geographical changes in Myanmar nationals wife vulnerability enhancements and Chinese nationals husband AIDS; once again, for the cross-border marriage crowd AIDS endogenous vulnerability, combined with population characteristics AIDS health education, to raise AIDS knowledge, skills; Finally, through the organization of a series of activities to expand cross-border marriage crowd of social interaction scale of the population, occupational exposure range, improve resource uptake to reduce AIDS exogenous fragile.

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