alliancehpsr_zhang_impacthivaidschina

alliancehpsr_zhang_impacthivaidschina - The Open AIDS...

Info icon This preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
The Open AIDS Journal, 2011, 5, 67-73 67 1874-6136/11 2011 Bentham Open Open Access Impact of HIV/AIDS on Social Relationships in Rural China Yurong Zhang 1 , Xiulan Zhang 1 , Tamara Hanko Aleong 2 and Esme Fuller-Thomson *,2 1 School of Social Development and Public Policy, Beijing Normal University, Beijing, China 2 Factor-Inwentash Faculty of Social Work, University of Toronto, Canada Abstract: Social support promotes greater medical compliance, better immune system functioning and slows the progress of HIV/AIDS. One in every 50 People Living With HIV/AIDS (PLWHA) is Chinese, yet little is known about the impact of HIV/AIDS on social relationships in China. This study compares the characteristics of those who report that HIV/AIDS had a substantial impact versus a modest impact on their social relationships. We obtained data from a survey of 866 PLWHA in rural China, which was conducted in 2006-2007 in the three Chinese provinces with the highest prevalence of HIV/AIDS. Chi-square test and multiple logistic regression were performed. The analysis shows that PLWHA who had full-blown AIDS (OR= 1.53; 95% CI=1.09-2.13) and those who were poor (OR=2.19; 95% CI=1.52-3.16) reported greater impact on their social relationships. The results lay a solid foundation for designing effective policy initiatives and intervention programs aimed at alleviating the impact of HIV/AIDS on social relationships and improving the quality of life of PLWHA. Keywords: HIV/AIDS, China, social relationships, developing world, social support. INTRODUCTION In the mid-1990s, the epidemic of HIV/AIDS spread to central China, primarily through unsafe practices of blood collection. In the following years, HIV transmission through blood and plasma donations and transfusion became effectively contained by new regulations for blood and plasma collection stations. By 2007, the main mode of transmission had shifted to heterosexual transmission (37.9%) [1]. Approximately 740,000 Chinese are now HIV positive indicating that one in every 50 People Living With HIV/AIDS (PLWHA) in the world [2, 3]. Research in Western countries has shown that HIV/AIDS is associated with high rates of co-morbid health problems [4], disability [5, 6], and work discrimination [7]. In the United States, the estimated cost of 40,000 newly diagnosed individuals with HIV was $36.4 billion, including $6.7 billion in direct medical costs and $29.7 billion in productivity losses [8]. In China, the economic impact of HIV/AIDS is estimated to be between RMB 22.5 billion ($2.8 billion U.S.) and RMB 40 billion ($5 billion US) [9]. Rural migrants, who relocate to cities for work, are an emerging high-risk group. The link between population migration and spread of HIV/AIDS has been well established [10]. With an estimated 130 million rural migrant workers [11], China is experiencing the largest internal migration in the history of the world. Migrants often leave their spouses and children behind in their natal village and therefore return regularly for visits. Thus, the potential for the spread of HIV from urban to rural locations is substantial [12-14]. The
Image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern