Behavioral epidemiological study on AIDS orphans, drug abuse and juvenile delinquency focusing on the role and function of families

我们对药物滥用和预防艾滋病的教育进行了探讨。其调查是以行为研究为基础的。他们的基本动机是通过对泰国北部、冲绳和斋田的监测，寻求预防艾滋病的有效方法。研究对象是泰国中小学约1000名学生及其家长。日本人大约有10,000人，由学生和他们的父母组成。他们对艾滋病和毒品的知识、态度和行为进行了仔细的审查。1.艾滋病在泰国的传播及其背景2.避孕套教育和健康教育现状3.传统价值观和态度对预防艾滋病的影响4.吸毒与艾滋病的相互关系及相关健康教育体系5.多因素结构对艾滋病知识、态度和行为的影响这些论点说明，泰国成年人与艾滋病和吸毒有关的行为受当地习俗和传统价值观的影响很大。因此，公共卫生方面的短期教育预计会带来这一领域的改善，但实际上带来的改善最少。相比之下，学校健康教育使成人安全套使用率从0%提高到10%。然而，由于艾滋病流行的下降趋势，学校健康教育一削弱，安全套使用率就下降到几乎为0%。这一现象印证了持续学校健康教育的重要性。学校对药物滥用的指导也是有效的。这些问题也与青少年犯罪有关。本研究运用多元分析和项目反应理论，阐明了知识、态度和思维方式是导致这些问题的根本原因。

We have inquired into the education for drug abuse and AIDS prevention. Its investigations are based on the behavioral studies. They are basically motivated to pursue the effective method to prevent AIDS by the surveillance of Northern Thailand, Okinawa and Saitama.The subjects are about 1,000 students and their parents in primary and secondary schools of Thailand. The Japanese are about 10,000 subjects that consist of the students and their parents. Their knowledge, attitude and behavior toward AIDS and drugs had been scrutinized. As a result, we summarize the following five arguments and findings.1.The spread of AIDS in Thailand and its background2.Education for condom and present condition of health instruction3.The influence of traditional sense of values and attitude toward AIDS prevention4.The interrelationship between drug abuse and AIDS and the related health education system5.Multivariate factor structure on AIDS knowledge, attitude and behaviorThese arguments elucidates that Thai adults' behaviors, which are related with AIDS and drug abuse, are highly influenced by local custom and traditional sense of values. Hence, the short term education run in public health is expected to bring about and actually brought about least improvement in this sphere. In contrast, the school health education enabled to raise the adult condom usage rate from 0% range to 10%. However, no sooner had the school health education weakened because of the declining tendency of AIDS epidemic than the condom usage rate fell to almost 0%. This phenomenon endorses the importance of the continuous school health education. School instruction of drug abuse is also effective. These problems are also related with juvenile delinquency. This study explicates that knowledge, attitude and way of thinking underlies these problems by using the multivariate analysis and the Item Response Theory.