Defining Male Support During and After Pregnancy From the Perspective of HIV-Positive and HIV-Negative Women in Durban, South Africa
Defining Male Support During and After Pregnancy From the Perspective of HIV-Positive and HIV-Negative Women in Durban, South Africa
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DOI：
10.1111/j.1542-2011.2011.00029.x
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发表时间：
2011-07-01
影响因子：
2.7
通讯作者：
Groves, Allison K.
中科院分区：
文献类型：
--
作者：
Maman, Suzanne;Moodley, Dhayendre;Groves, Allison K.
导言：在孕期和产后期给予男性更多的支持可能会改善母亲和儿童的健康状况。为了制定有效的策略来吸引男性，我们需要首先了解男性目前的参与方式和他们更大程度参与的障碍。方法：我们在南非德班的一家公共诊所对30名艾滋病毒阳性妇女和16名艾滋病毒阴性妇女进行了深入访谈。访谈被录音、转录、翻译和编码以供分析。结果：尽管不到四分之一的女性报告她们的伴侣陪她们去诊所，但她们描述了从伴侣那里得到其他材料和心理社会支持。更多的艾滋病毒阳性女性报告说，她们的伴侣没有参与或不支持，在某些情况下，直接威胁和暴力经历使她们害怕伴侣的参与。讨论：我们需要拓宽视角，通过这种视角来考虑怀孕期间和产后的男性支持，并承认男性参与并不总是符合女性的最佳利益。在诊所之外吸引支持性伙伴，并吸收其他重要的社交网络成员，是努力增加对妇女支持的下一步重要步骤。《助产士妇女健康杂志》2011；56：325-331(C)2011，美国护士-助产士学会。
Introduction: Greater male support during pregnancy and in the postpartum period may improve health outcomes for mothers and children. To develop effective strategies to engage men, we need to first understand the ways that men are currently engaged and the barriers to their greater involvement.Methods: We conducted in-depth interviews in isiZulu with 30 HIV-positive women and 16 HIV-negative women who received prenatal care from a public clinic in Durban, South Africa. Interviews were audiotaped, transcribed, translated, and coded for analysis.Results: Although less than a quarter of women reported that their partners accompanied them to the clinic, they described receiving other material and psychosocial support from partners. More HIV-positive women reported that their partners were not involved or not supportive, and in some cases direct threats and experiences with violence caused them to fear partner involvement.Discussion: We need to broaden the lens through which we consider male support during pregnancy and in the postpartum period and acknowledge that male involvement may not always be in the best interest of women. Engaging supportive partners outside of the clinic setting and incorporating other important social network members are important next steps in the effort to increase support for women. J Midwifery Womens Health 2011; 56: 325-331 (C) 2011 by the American College of Nurse-Midwives.