"Who am I? Where am I?" Experiences of married young women in a slum in Islamabad, Pakistan

"Who am I? Where am I?" Experiences of married young women in a slum in Islamabad, Pakistan
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DOI:
10.1186/1471-2458-9-265
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发表时间:
2009-07-28
期刊:
影响因子:
4.5
通讯作者:
Rubenson, Birgitta
Rubenson, Birgitta
中科院分区:
医学2区
文献类型:
--
作者:
Hamid, Saima;Johansson, Eva;Rubenson, Birgitta

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背景:在巴基斯坦,15-19岁的妇女中有16%已婚。许多人在初潮后不久就结婚了。本研究探讨了准备和实际经验的婚姻生活(配偶间的关系,性活动和怀孕)之间的青少年women.Methods:在已婚的青少年妇女居住在伊斯兰堡的贫民窟10个被选中的帮助下,一个社区卫生工作者和接受采访的定性,直到达到饱和。他们在不同场合接受了三次面谈。叙事结构被用来探讨参与者如何代表他们的背景,社会状况,决策和配偶的沟通,以及他们如何解释,理解和管理婚姻生活和bore.Results:两个类别确定的受访者要么服从接受或提交受害者出现。属于接受组的已婚年轻妇女生活在妥协的条件下,但对自己的处境感到满意。他们比另一组认为自己是受害者的人年龄大。然而,没有一个受访者觉得自己已经为婚姻做好了准备。属于受害群体的妇女由于无法科普妻子、家庭照料者和子女养育者的职责而遭受身体和言语虐待。他们的情况是复杂的家庭内部的权力dynamics.Conclusion:性知识可以为他们未来的生活做好准备,让他们更好地控制自己的生育。需要在国家一级处理青少年发展和生活技能教育问题。需要采取创新的干预措施,向处境不利家庭的年轻妇女伸出援手并提供支助。
Background: In Pakistan, 16% of the women aged 15-19 years are married. Many get married shortly after they attain menarche. This study explores the preparedness for and actual experiences of married life (inter-spousal relationship, sexual activity and pregnancy) among adolescent women.Methods: Among married adolescent women residing in a slum of Islamabad ten were selected with the help of a community health worker and interviewed qualitatively till saturation was reached. They were interviewed three times at different occasions. Narrative structuring was used to explore how the participants represented their background, social situation, decision making and spousal communication and how they explained, understood and managed married life and bore children.Results: Two categories identifying the respondents as either submissive-accepting or submissive-victims emerged. The married young women who belonged to the accepting group lived under compromised conditions but described themselves as satisfied with their situation. They were older than the other group identifying themselves as victims. However, none of the respondents felt prepared for marriage. Women belonging to the victimized group experienced physical and verbal abuse for their inability to cope with the duties of a wife, caretaker of the home and bearer of children. Their situation was compounded by the power dynamics within the household.Conclusion: Knowledge about sexuality could prepare them better for the future life and give them more control of their fertility. Adolescent development and life skills education need to be addressed at a national level. There is need for innovative interventions to reach out and provide support to young women in disadvantaged homes.