Zhou, Hong Mei, 1972-. Social meaning of HIV/AIDS to drug injecting females : exploratory qualitative research in Kunming, China . Master's Degree(Health Social Science). Mahidol University. : Mahidol University, 2004.
Social meaning of HIV/AIDS to drug injecting females : exploratory qualitative research in Kunming, China
Abstract:
Considering the increasing number of HIV/AIDS cases in China and the
growing health problem among injecting drug users (IDUs) who are females, an
exploratory qualitative study aimed at identifying the social meaning of HIV/AIDS to
female IDUs has been conducted among 30 female IDUs in Kunming, China. The
research objectives were reached through exploring the life of female IDUs with
heroin. The results of this study were drawn from in-depth interviews and
participatory observation.
The findings of this study show that all the respondents know the modes of HIV
transmission because of their experience in detoxification centers. They perceived the
severity of and the susceptibility to HIV infection. However, low condom use and
high needle sharing were common among the female IDUs. When female IDUs
craved heroin, HIV/AIDS means nothing, at that time even death is not a concern.
AIDS means a life threatening disease to female IDUs only after their satisfaction
from a heroin injection and securing enough money for another injection, or when
they are free from heroin abuse.
The results show that female IDUs are living a desperate life with heroin abuse.
Struggling with seeking money and heroin, all respondents hated being addicted to
heroin and had attempted suicide as a solution. Being out of the main society, they
regarded their partners as their real friends and their clients as their only non-druguser
friends, who they often had high risk behaviors with. To female IDUs the high
risk behaviors are not only the behaviors of, but the access to heroin, money, trust and
friendship. Therefore, this situation created their social understanding of HIV/AIDS.
The findings of this study suggest that prevention strategies of HIV/AIDS
among female IDUs should be developed with consideration of the social meaning of
HIV/AIDS to female IDUs.