Sexual risk behaviours and sexual abuse in persons with severe mental illness in Uganda: a qualitative study.
Sexual risk behaviours and sexual abuse in persons with severe mental illness in Uganda: a qualitative study.
复制标题
DOI：
10.1371/journal.pone.0029748
复制
发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Thorson A
中科院分区：
文献类型：
--
作者：
Lundberg P;Johansson E;Okello E;Allebeck P;Thorson A
严重精神病患者从事危险的性行为，在高收入国家艾滋病毒感染率很高。撒哈拉以南非洲的SMI患者的性行为和艾滋病毒风险知之甚少。在这项定性研究中，我们探索了SMI如何影响乌干达的性危险行为和性健康风险。对7名男性和13名女性18-49岁的精神病患者进行了个人半结构式访谈。参与者在临床稳定并能够给予知情同意的情况下在医院接受采访。访谈记录使用明显的内容分析进行分析，得出以下类别：(1)疾病发作期间的偶然性行为，(2)非伴侣的强奸，(3)伴侣的剥削，(4)非一夫一妻制的伴侣，以及(5)不活跃的性行为。我们的发现表明，SMI通过促进偶然性行为、剥削性和非一夫一妻制的性关系以及非伴侣的性侵犯，加剧了受访女性的性脆弱性。由于男性样本很少，而且男性的描述几乎没有可变性，因此无法在受访男性的SMI和更高的性风险行为之间建立联系。我们的发现还表明，SMI导致性生活不活跃是由于性欲下降，而在男性中，则是由于难以形成亲密关系。总体而言，我们的研究强调了在乌干达的背景下，SMI和性别不平等如何有助于在SMI患者中形成性风险行为和性健康风险，包括艾滋病毒风险。
Persons with severe mental illness (SMI) engage in risky sexual behaviours and have high prevalence of HIV in high-income countries. Little is known about sexual behaviours and HIV risk among persons with SMI in sub-Saharan Africa. In this qualitative study we explored how SMI may influence sexual risk behaviours and sexual health risks in Uganda. Individual semi-structured interviews were conducted with 7 male and 13 female psychiatric patients aged 18–49 years. Participants were interviewed in hospital when clinically stable and capable of giving informed consent. Interview transcripts were analysed using manifest content analysis, generating the categories: (1) casual sex during illness episodes, (2) rape by non-partners, (3) exploitation by partners, (4) non-monogamous partners, and (5) sexual inactivity. Our findings suggest that SMI exacerbated sexual vulnerability in the women interviewed, by contributing to casual sex, to exploitative and non-monogamous sexual relationships, and to sexual assault by non-partners. No link could be established between SMI and increased sexual risk behaviours in the men interviewed, due to a small sample of men, and given that men's accounts showed little variability. Our findings also suggest that SMI caused sexual inactivity due to decreased sexual desire, and in men, due to difficulties forming an intimate relationship. Overall, our study highlights how SMI and gender inequality can contribute to the shaping of sexual risk behaviours and sexual health risks, including HIV risk, among persons with SMI in this Ugandan setting.
登录
查看更多内容
DOI：
10.1186/1755-7682-2-16
发表时间：
2009-06-01
期刊：
International archives of medicine
影响因子：
--
作者：
Bakare, Muideen O;Agomoh, Ahamefule O;Okonkwo, Kevin O
通讯作者：
Okonkwo, Kevin O
影响因子：
4.5
作者：
Karamagi, Charles A. S.;Tumwine, James K.;Heggenhougen, Kristian
通讯作者：
Heggenhougen, Kristian
影响因子：
12.8
作者：
Carey, MP;Carey, KB;Kalichman, SC
通讯作者：
Kalichman, SC
影响因子：
4.4
作者：
Meade, Christina S.;Kershaw, Trace S.;Sikkema, Kathleen J.
通讯作者：
Sikkema, Kathleen J.
影响因子：
73.3
作者：
De Hert, Marc;Correll, Christoph U.;Leucht, Stefan
通讯作者：
Leucht, Stefan