巴马科-马里艾滋病毒母婴传播的社会经济与认知因素
发布时间：2021-06-25 06:20
健康社会学的最终目标是研究健康和疾病的关键因素和社会影响,以及医疗机构或专业的所处的社会结构。基于这一认识,本研究讨论了影响艾滋病的母婴传播的社会经济和认知因素。在撒哈拉以南的非洲地区,母婴传播艾滋病毒被认为是艾滋病毒/艾滋病传播的重要途径之一。目前,在撒哈拉以南的非洲,五岁以下儿童的死亡率接近10%。在马里,尽管根据“健康五号”的人口统计调查（2012）显示患病率很低,仅为1.3%,但必须指出,艾滋病是马里死亡的主要原因之一。2016年,马里新增5900例艾滋病死亡和感染的人,已经接受治疗或预防艾滋病传染给孩子的孕妇比例为35%。由于母婴传播,约有1600名儿童新感染了艾滋病毒（WHO,2016）。母婴传播获得护理和治疗服务的方式受到许多因素的影响,这些因素影响了妇女寻求健康照顾的决定。该博士论文是健康社会学领域的一部分,它探讨了在马里巴马科地区,艾滋病毒/艾滋病母婴传播的社会经济和感知因素。它有助于减少在巴马科母婴传播艾滋病毒的比例。所有这些问题使我们能够探索在马里巴马科预防母婴传播艾滋病毒失败的真正原因。在方法论上,本文采用了混合方法设计,采用定量和定性研究方法对巴马科母婴传播艾...
【文章来源】：华中师范大学湖北省 211工程院校 教育部直属院校
【文章页数】：215 页
【学位级别】：博士
【文章目录】：
Acknowledgements
摘要
ABSTRACT
Chapter 1 Introduction
1.1 Background of the Study
1.2 Statement of the Problem
1.3 Research Questions
1.3.1 Main question
1.3.2 Secondary questions
1.4 Purpose of the Study
1.4.1 Specific Objectives:
1.5 Chapter Outline of the Thesis
Chapter 2 Conceptual and Theoretical Framework
2.1 Review of the literature
2.2. Governance of the health system in Mali
2.2.1 Health at the community level
2.2.2 Structure of the Ministry of Health
2.2.3 Sector approach
2.2.4 Geographic coverage in PMTCT service
2.3 Theoretical Framework
2.3.1 Medical Profession Construction and Disease
2.3.2 Sick, Diseases and Social Life
2.3.3 AIDS as Chronic Disease
2.3.4 MTCT of HIV and Social Relations Theory
2.4 Operational Definition
2.4.1 HIV Transmission from Mother to Child
2.4.2 Factors
2.5 Hypothesis Construction
2.5.1 Main Hypothesis
2.5.2 Specific Hypotheses
Chapter 3 Methodology
3.1 Epistemological Approach
3.1.1 Design of Study
3.2 Presentation of Study Area
3.2.1 Presentation of Mali
3.2.2 District of Bamako
3.2.3 Location of Study
3.3 Instrument and Procedure of Data Collection
3.3.1 Investigation
3.3.2. Questionnaire Survey Method
3.3.3 In-depth interview
3.3.4 Variable and Measurement
3.3.5 Validity and Reliability of Study Instruments
3.4 Participant of Study
3.5 Data Analysis
3.5.1 Quantitative Data Analysis
3.5.2 Qualitative Data Analysis
3.6 Ethical Consideration and Confidentiality of Participants
3.6.1 Negotiation of the Study Area
3.6.2 Consent and Confidentiality of Participants
3.6.3 Documents and Authorization Procedure for the Study
3.6.4 Informed Consent of the Participant
3.6.5 Privacy by Anonymity and Confidentiality
3.6.6 Difficulties of the Ground and Means Employed
Chapter 4 Socioeconomic and Perceptive Factors of HIV-TMTC
4.1 Results and Explanations of Quantitative Data
4.1.1 Descriptive and Exploratory Results
4.1.1.1 Demographic Characteristics of Respondents
4.1.1.2 Descriptive of Variables Distribution
4.1.1.3 Statistical Description of the Mean
4.1.1.4 Explanation of Descriptive and Exploratory Results
4.1.2 Results and Explanations of Correlation Study
4.1.2.1 Sociocultural Variables
4.1.2.2 Economic Variables
4.1.2.3 Perception on MTCT Variables
4.1.2.4 Perception on Care Services Variables
4.1.2.5 HIV Transmission from Mother to Child
4.1.2.6 Explanation
4.1.3 Multiple Regression Result and Explanation
4.1.3.1 Sociocultural Variables on MTCT
4.1.3.2 Economic Variables on MTCT
4.1.3.3 Perceptions on HIV Transmission from Mother to Child
4.1.3.4 Perceptions Variables about Care Services
4.1.3.4 Explanation
4.1.4 Result and Explanation of ANOVA Test
4.1.4.1 Comparison of Group's Means Difference
4.1.4.2 Explanation of Anova Test Results
4.2 Results and Explanations of Qualitative Data
4.2.1 Sociocultural Factors of HIV Transmission from Mother to Child
4.2.1.1 Denial of the Disease
4.2.1.2 Sharing of Serological Status
4.2.1.3 The Breaking of Social and Family
4.2.1.4 Human Role in Mother to Child Transmission of HIV
4.2.1.5 Signs and Stigmatization
4.2.2 Economic Factors of HIV Transmission from Mother to Child
4.2.3 Perception of Women Living with HIV on MTCT
4.2.4 Explanation of Qualitative Results
4.2.4.1 Difficulties of The Prevention of HIV Transmission Mother to Child
4.2.4.2 Life Experiences of Women Seropositive
4.2.4.3 Relations with the Healthcare System
4.2.4.4 Marginalization of Women Living with HIV in Mali
4.3 Comparison of Both Findings
Chapter 5 Discussion and Conclusion
5.1 Discussion of the Results
5.1.1 Interpretation
5.1.1.1 Sociocultural Factors of HIV Transmission from Mother to Child
5.1.1.2 Economic Factors of HIV Transmission from Mother to Child
5.1.1.3 Perception Factors of HIV Transmission from Mother to Child
5.1.2 Outcome Limitation
5.1.3 Specific Implication of Study
5.1.4 General Implication of Study
5.2 Conclusion
References
Appendix A
Appendix B
Chinese Summary of Thesis Dissertation
本文编号：3248675
【文章来源】：华中师范大学湖北省 211工程院校 教育部直属院校
【文章页数】：215 页
【学位级别】：博士
【文章目录】：
Acknowledgements
摘要
ABSTRACT
Chapter 1 Introduction
1.1 Background of the Study
1.2 Statement of the Problem
1.3 Research Questions
1.3.1 Main question
1.3.2 Secondary questions
1.4 Purpose of the Study
1.4.1 Specific Objectives:
1.5 Chapter Outline of the Thesis
Chapter 2 Conceptual and Theoretical Framework
2.1 Review of the literature
2.2. Governance of the health system in Mali
2.2.1 Health at the community level
2.2.2 Structure of the Ministry of Health
2.2.3 Sector approach
2.2.4 Geographic coverage in PMTCT service
2.3 Theoretical Framework
2.3.1 Medical Profession Construction and Disease
2.3.2 Sick, Diseases and Social Life
2.3.3 AIDS as Chronic Disease
2.3.4 MTCT of HIV and Social Relations Theory
2.4 Operational Definition
2.4.1 HIV Transmission from Mother to Child
2.4.2 Factors
2.5 Hypothesis Construction
2.5.1 Main Hypothesis
2.5.2 Specific Hypotheses
Chapter 3 Methodology
3.1 Epistemological Approach
3.1.1 Design of Study
3.2 Presentation of Study Area
3.2.1 Presentation of Mali
3.2.2 District of Bamako
3.2.3 Location of Study
3.3 Instrument and Procedure of Data Collection
3.3.1 Investigation
3.3.2. Questionnaire Survey Method
3.3.3 In-depth interview
3.3.4 Variable and Measurement
3.3.5 Validity and Reliability of Study Instruments
3.4 Participant of Study
3.5 Data Analysis
3.5.1 Quantitative Data Analysis
3.5.2 Qualitative Data Analysis
3.6 Ethical Consideration and Confidentiality of Participants
3.6.1 Negotiation of the Study Area
3.6.2 Consent and Confidentiality of Participants
3.6.3 Documents and Authorization Procedure for the Study
3.6.4 Informed Consent of the Participant
3.6.5 Privacy by Anonymity and Confidentiality
3.6.6 Difficulties of the Ground and Means Employed
Chapter 4 Socioeconomic and Perceptive Factors of HIV-TMTC
4.1 Results and Explanations of Quantitative Data
4.1.1 Descriptive and Exploratory Results
4.1.1.1 Demographic Characteristics of Respondents
4.1.1.2 Descriptive of Variables Distribution
4.1.1.3 Statistical Description of the Mean
4.1.1.4 Explanation of Descriptive and Exploratory Results
4.1.2 Results and Explanations of Correlation Study
4.1.2.1 Sociocultural Variables
4.1.2.2 Economic Variables
4.1.2.3 Perception on MTCT Variables
4.1.2.4 Perception on Care Services Variables
4.1.2.5 HIV Transmission from Mother to Child
4.1.2.6 Explanation
4.1.3 Multiple Regression Result and Explanation
4.1.3.1 Sociocultural Variables on MTCT
4.1.3.2 Economic Variables on MTCT
4.1.3.3 Perceptions on HIV Transmission from Mother to Child
4.1.3.4 Perceptions Variables about Care Services
4.1.3.4 Explanation
4.1.4 Result and Explanation of ANOVA Test
4.1.4.1 Comparison of Group's Means Difference
4.1.4.2 Explanation of Anova Test Results
4.2 Results and Explanations of Qualitative Data
4.2.1 Sociocultural Factors of HIV Transmission from Mother to Child
4.2.1.1 Denial of the Disease
4.2.1.2 Sharing of Serological Status
4.2.1.3 The Breaking of Social and Family
4.2.1.4 Human Role in Mother to Child Transmission of HIV
4.2.1.5 Signs and Stigmatization
4.2.2 Economic Factors of HIV Transmission from Mother to Child
4.2.3 Perception of Women Living with HIV on MTCT
4.2.4 Explanation of Qualitative Results
4.2.4.1 Difficulties of The Prevention of HIV Transmission Mother to Child
4.2.4.2 Life Experiences of Women Seropositive
4.2.4.3 Relations with the Healthcare System
4.2.4.4 Marginalization of Women Living with HIV in Mali
4.3 Comparison of Both Findings
Chapter 5 Discussion and Conclusion
5.1 Discussion of the Results
5.1.1 Interpretation
5.1.1.1 Sociocultural Factors of HIV Transmission from Mother to Child
5.1.1.2 Economic Factors of HIV Transmission from Mother to Child
5.1.1.3 Perception Factors of HIV Transmission from Mother to Child
5.1.2 Outcome Limitation
5.1.3 Specific Implication of Study
5.1.4 General Implication of Study
5.2 Conclusion
References
Appendix A
Appendix B
Chinese Summary of Thesis Dissertation
本文编号：3248675
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