If, when and how to tell: a qualitative study of HIV disclosure among young women in Zimbabwe.
If, when and how to tell: a qualitative study of HIV disclosure among young women in Zimbabwe.
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是否、何时以及如何告知：津巴布韦年轻女性艾滋病毒披露的定性研究。
DOI：
10.1016/s0968-8080(12)39637-7
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发表时间：
2012
影响因子：
--
通讯作者：
Dunbar,MeganS
中科院分区：
文献类型：
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作者：
Zamudio-Haas,Sophia;Mudekunye-Mahaka,Imelda;Lambdin,BarrotH;Dunbar,MeganS
在津巴布韦的绍纳文化中，对生育的高度重视给妇女带来了生孩子的巨大压力。因此，对感染艾滋病毒的年轻妇女来说，披露艾滋病毒状况可以成为争取支持控制生育的一项核心战略。本文报告了对津巴布韦城市28名16-20岁的艾滋病毒感染者进行定性访谈的结果，并讨论了这些结果如何有助于为这一人群制定更好的政策和方案。无论他们目前的关系状态如何，受访者都将披露描述为浪漫伴侣关系的转折点，一方面讲述了具有重大影响的压力经历，如虐待和遗弃，另一方面则是支持和爱。除了一名参与者外，所有参与者都处于一段忠诚的关系中，大多数人都向以前或现在的伴侣透露过，大约一半的披露经历导致了不良反应。调查结果表明，性健康和生殖健康服务必须做更多的工作，帮助感染艾滋病毒的年轻妇女在实现理想生育能力的背景下，应对披露信息的复杂性。
In the Shona culture of Zimbabwe, a high regard for childbearing contributes to strong pressures on women to have children. For young women living with HIV, consequently, disclosure of HIV status can be a central strategy to garner support for controlling fertility. This paper reports findings from qualitative interviews with 28 young women aged 16–20 living with HIV in urban Zimbabwe and discusses how these findings can contribute to better policies and programs for this population. Regardless of their current relationship status, interview participants described disclosure as a turning point in romantic partnerships, recounting stressful experiences with major ramifications such as abuse and abandonment on the one hand, and support and love on the other. All but one participant had been in a committed relationship, and most had disclosed to a previous or current partner, with about half of disclosure experiences resulting in adverse reactions. Findings suggest that sexual and reproductive health services must do more to help young women living with HIV negotiate the complexities of disclosure in the context of achieving desired fertility.© 2012 Reproductive Health Matters