a Social Science Department , Program for HIV Prevention and Treatment (PHPT), Institut de Recherche pour le Développement (IRD), France, and Chiang Mai University , Chiang Mai , Thailand (UMI 174-PHPT).
Cult Health Sex. 2013;15 Suppl 3(Suppl 3):S383-400. doi: 10.1080/13691058.2013.814807. Epub 2013 Aug 9.
Data from ethnically diverse north-western Thailand with recent migrants from Myanmar (Burma) and China allow testing of hypotheses concerning between- and within-community differences in predominantly Yunnanese Chinese, Hmong and Lahu ethnic minority villages versus ethnic majority Thai villages. Topics include knowledge of HIV transmission, prevention and treatment, avoidance of people infected with HIV and constraints to use of health services. Respondents include women with one or more children under age five and their husbands/partners. Ethnicity is consistently associated with socioeconomic characteristics, knowledge of HIV transmission, prevention and treatment, avoidance of people living with HIV and AIDS, and constraints to use of services. Chinese community residents had the lowest levels of knowledge of HIV, especially with regard to mother-to-child transmission, the most intent to avoid contact with people living with HIV and AIDS, and the highest levels of constraints to using services, including ineligibility for government healthcare and limited Thai language ability. Associations of counselling with Thai language ability, and more knowledge and less avoidance of people living with HIV and AIDS, suggest that language-appropriate health education may help overcome disparities.
来自泰国西北部的民族多样性数据，包括最近从缅甸和中国移民而来的人，允许对主要来自云南的中国少数民族村庄、苗族和拉祜族村庄与泰国多数民族村庄之间的社区内和社区间差异进行假设检验。研究课题包括对 HIV 传播、预防和治疗的了解、对感染 HIV 的人的回避以及对使用卫生服务的限制。受访者包括有一个或多个五岁以下子女的妇女及其丈夫/伴侣。种族始终与社会经济特征、对 HIV 传播、预防和治疗、避免与 HIV 和艾滋病感染者接触以及对使用服务的限制有关。中国社区居民对 HIV 的了解程度最低，特别是对母婴传播的了解程度，他们最希望避免与 HIV 和艾滋病感染者接触，而且对使用服务的限制程度最高，包括没有资格获得政府医疗保健和有限的泰语能力。咨询与泰语能力的关联，以及更多的知识和对 HIV 感染者的回避较少，表明语言适宜的健康教育可能有助于缩小差距。
