MIGRATION FOR WORK, MENTAL HEALTH AND AIDS IN MALI

马里的工作移民、心理健康和艾滋病

• 批准号: 6111184
• 负责人: Carmi Schooler
• 金额: --
• 依托单位: NATIONAL INSTITUTE OF MENTAL HEALTH
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6111184
• 关键词: AIDS; Africa; cholesterol; clinical research; culture; depression; employment /unemployment; health behavior; human migration; human subject; interview; mental health; mental health epidemiology; rural area; schizophrenia; socioeconomics; socioenvironment

In collaboration with the Centre Regional de Medecine Traditionelle in Bandiagara Mali, this project investigates how migration for work and other socio-environmental factors affect the occurrence of AIDS and the nature of AIDS related attitudes and behaviors, as well as mental and physical health in the Dogon (primarily farmers), Fulani (primarily herders) and Bozo (primarily fishermen) ethnic groups. It involves an interview of a representative sample of 1002 rural Malians between 16 and 48 years old. Besides the questions dealing with AIDS, the interview examines the social and environmental conditions of the respondents and their socio- cultural attitudes. It also measures psychological functioning and includes a screen for schizophrenia and depressive illnesses. The data collection phase of the project was completed. Interviews and related medical tests were carried out on a representative sample of 1002 respondentsC334 from each ethnic group. This was done using a sampling plan that stratified the respondents in each ethnic group in terms of community size and exposure to Western influence. This last year the data has been coded and priliminary analyses have begun. These analyses indicate that even these rural Malian respondents have a quite accurate understanding of AIDS and the way it is transmitted. Despite this they rarely use condoms although condoms use is significantly greater among the younger than the older respondents. Analyses of the prevalence of mental illness in this population suggests that schizophrenia is relatively rare although depressive illnesses do occur relatively frequently. The incidence of mental problems differs among the three ethnic groups we examined. The hypothesis that the Malian ethnic group was particularly affected by migration for work was confirmed although this group actually had a lower level of mental problems than the other groups. This year a paper describing the development and the carrying out of this unusual research project was accepted for publication.

与区域发展中心协作 在马里班加卡拉的传统医学，这个项目调查 工作移民和其他社会环境因素 影响艾滋病的发生与艾滋病的性质有关 态度和行为，以及心理和身体健康 Dogon(主要是农民)、Fulani(主要是牧民)和Bozo (主要是渔民)族群。它涉及到对一位 1002名16至48岁农村马里人的代表性样本 很多年了。除了与艾滋病有关的问题外，采访 考察了社会和环境状况 受访者及其社会文化态度。它还测量了 心理功能，并包括精神分裂症筛查 以及抑郁性疾病。项目的数据收集阶段 已经完成了。进行了面谈和相关的医学测试 在1002个有代表性的样本C334上进行了调查 少数民族。这是使用分层抽样计划完成的 每个民族的受访者在社区规模和 暴露在西方影响之下。去年的数据一直是 编码和初步分析已经开始。这些分析表明 即使是这些马里农村受访者也有相当准确的 了解艾滋病及其传播方式。尽管如此 他们很少使用避孕套，尽管避孕套的使用率很高 在年轻人中比在年长的受访者中更多。分析了 这一人群中精神疾病的流行表明 精神分裂症相对罕见，尽管抑郁性疾病会 相对频繁地发生。精神问题的发生率 在我们考察的三个民族中存在差异。假说 马里民族特别受到移民的影响 工作得到了确认，尽管这组人实际上有较低的 心理问题水平高于其他组。今年的一篇论文 描述了这一不同寻常的发展和实现 研究项目被接受出版。