滞日ブラジル人に対する効果的予防啓発法開発のための準実験的介入研究(The Latin Project) Part I  研究デザインとベースライン調査の結果

  • 木原 正博
    神奈川県立がんセンター臨床研究所研究第三科 (予防疫学)
  • 岩木 エリーザ
    財団法人エイズ予防財団 CRI-ativos
  • 木原 雅子
    International Program, Center for AIDS Prevention Studies (CAPS), University of California
  • 市川 誠一
    神奈川県立衛生短期大学衛生技術科公衆衛生, 横浜
  • 大屋 日登美
    神奈川県立衛生短期大学衛生技術科公衆衛生, 横浜

書誌事項

タイトル別名
  • A Quasi-experimental Intervention Trial toward Developing Effective HIV Prevention Programs for Brazilian Immigrants in Japan (The Latin Project)
  • タイニチ ブラジルジン ニ タイスル コウカテキ ヨボウ ケイハツホウ カイハツ ノ タメ ノ ジュンジッケンテキ カイニュウ ケンキュウ The Latin Project 1 ケンキュウ デザイン ト ベースライン チョウサ ノ ケッカ
  • Part I: 研究デザインとベースライン調査の結果

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抄録

Introduction: Though approximately 210, 000 Brazilian immigrants are living in Japan and an increasing number of Latin Americans have been reported to the National HIV/AIDS Surveillance Committee, few studies have been done nor has any HIV/AIDS prevention or care program targeting this population been developed to date. This paper describes the results of a baseline survey of a quasi-experimental intervention trial toward developing effective HIV/AIDS prevention programs among Brazilian immigrants in Japan.<BR>Materials and Methods: Using a self-administered questionnaire, HIV/AIDS-related knowledge, attitudes toward people with HIV/AIDS, HIV testing, and sexual behavior was surveyed among the immigrants in 1996. They were recruited consecutively at the Brazil Bank or Brazilian shops located in 4 separate areas where Brazilian immigrants are concentrated.HIV/AIDS-related knowledge was surveyed also among Japanese subjects randomly sampled for comparison. Response rates were 92.8% (n=451) and 66.6% (n=1, 391), respectively.<BR>Results: Only 21% of the Brazilian respondents were aware of free and anonymous HIV testing at public health centers as opposed to >60% of the Japanese, suggesting that Brazilian immigrants were marginalized in terms of HIV-related information and services from mainstream Japanese society. Furthermore, less than half of them were aware of appropriate timing for HIV tests, HIV-STD synergism, and sexual transmission of chlamydia. Regarding HIV tests, 6.8% have been tested in Japan, and 36.8% of those who have not had an HIV test felt that they should be tested. Importantly, a great majority of the Brazilian immigrants fear that they would be fired or even deported if they were found to be HIV-positive, discouraging them from taking an HIV test. Behavioral risk was noted to be relatively high as 60% of the respondents indicated they have had casual sex and more than 30% of them reported that they never or rarely used a condom during casual sex.<BR>Conclusion: Brazilian immigrants are potentially at high risk toward HIV infection due to a lack of access to HIV-related information and services in Japan and on account of sexual behavior.

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