乡村社区艾滋病歧视状况的调查研究

发布时间：2018-04-10 09:44

本文选题：获得性免疫缺陷综合征　切入点：歧视　出处：《山西医科大学》2008年硕士论文

【摘要】： 目的:了解乡村社区内部围绕艾滋病而产生的社会歧视的具体情形及水平;探索影响乡村社区内部围绕艾滋病而引发的社会歧视的相关因素。方法:自设调查问卷,对乡村社区的艾滋病患者与感染者(PLWHAS)所感受到的社会歧视与普通村民针对PLWHAS的社会歧视情况及影响因素进行调查;并分别对导致两类人群不同歧视水平的影响因素进行多元回归分析,以分析当地社区中影响歧视水平的主要因素。结果:共调查PLWHAS194人,其中男性104人,女性90人;普通村民246人,男性141人,女性105人。与艾滋病相关的社会歧视的形式主要集中在个体层次的社会互动,如直接身体接触及与饮食相关的社会活动中,而在帮助料理红白喜事等承载着道德张力的社会互动以及非直接身体接触中,呈现出较低程度的歧视;PLWHAS的身份公开程度与社会歧视水平有关(F值=7.686,P＜0.01);PLWHAS所报告的导致社会歧视的核心情绪特点为“恐惧”。经多元回归分析:PLWHAS所感受到社会歧视水平的7个主要影响因素有:幸福感因子(忧郁或愉快的心境)、身份公开、社交范围、家庭人口数、幸福感因子(对情感和行为的控制)、感染途径、接受宣传;可归结为4个核心理论要素:艾滋病感染者的社会地位、对其他村民健康的威胁、对艾滋病预防知识的认知、个性特征。普通村民对PLWHAS的社会歧视受到9个主要因素的影响:总体幸福感因子(对非传播途径的错误知识)、理智、本村疫情、幸福感因子(对健康的担心)、本村亲戚、防治态度、保守、接受宣传、AIDS防治知识得分;也可归结为4个核心理论要素:普通村民的个性心理特征、对艾滋病防治知识的认知、对疾病的恐惧以及宗亲关系强度。结论:艾滋病相关的社会歧视在乡村社区中仍广泛存在,乡村社区中因艾滋病而引起的社会歧视不单是人们对艾滋病的恐惧而引发的社会排斥,其与村民的个性心理特征、乡村的传统社会文化及村民对艾滋病防治知识的掌握程度均有关。艾滋病患者本身身份的公开程度可能会增加社会歧视。
[Abstract]:Objective: to understand the specific situation and level of social discrimination caused by AIDS in rural communities, and to explore the relevant factors affecting social discrimination caused by AIDS in rural communities.Methods: a self-designed questionnaire was designed to investigate the social discrimination felt by AIDS patients and PLWHASs in rural communities and the social discrimination of ordinary villagers against PLWHAS and its influencing factors.Multivariate regression analysis was carried out to analyze the main factors influencing the discrimination level in the local community.Results: a total of 104men and 90 females were investigated in PLWHAS194, and 246,141males and 105females in ordinary villagers.AIDS-related forms of social discrimination are concentrated in individual levels of social interaction, such as direct physical contact and diet-related social activities,And in the social interactions and indirect physical contacts that help to take care of red and white events and other moral tensions,The low degree of discrimination in PLWHAS was related to the level of social discrimination (P < 0.01). The core emotional characteristic of PLWHAS which led to social discrimination was "fear".Through multiple regression analysis, 7 main factors influencing the social discrimination level were: happiness factors (melancholy or happy mood, open identity, social range, family size, etc.)Well-being factors (emotional and behavioral control, infection channels, acceptance of publicity; can be summed up in four core theoretical elements: the social status of AIDS infected, the threat to the health of other villagers, the knowledge of AIDS prevention,Personality traitsThe social discrimination of ordinary villagers towards PLWHAS is affected by nine main factors: general well-being factors (false knowledge of non-transmission routes, reason, epidemic situation in the village, well-being factors (health concern, relatives of the village, prevention and cure attitude, conservatism, etc.)The scores of AIDS prevention and treatment knowledge were also summed up as four core theoretical elements: the personality psychological characteristics of ordinary villagers, the knowledge of AIDS prevention and treatment, the fear of disease and the intensity of kinship relationship.Conclusion: AIDS-related social discrimination still exists widely in rural communities. The social discrimination caused by AIDS in rural communities is not only the social exclusion caused by people's fear of AIDS, but also the personality psychological characteristics of villagers.Rural traditional social culture and villagers on AIDS prevention and control knowledge are related.The disclosure of the identity of people living with AIDS may increase social discrimination.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R183

【相似文献】