Community attitudes towards childbearing and abortion among HIV-positive women in Nigeria and Zambia.
Community attitudes towards childbearing and abortion among HIV-positive women in Nigeria and Zambia.
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DOI：
10.1080/13691058.2012.745271
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Arulogun O
中科院分区：
文献类型：
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作者：
Kavanaugh ML;Moore AM;Akinyemi O;Adewole I;Dzekedzeke K;Awolude O;Arulogun O
尽管对艾滋病毒阳性妇女继续妊娠和终止妊娠的耻辱感已被记录在案，但迄今为止，很少有研究调查了对一种结果与另一种结果的相对耻辱感。本研究旨在描述社区对艾滋病毒阳性妇女怀孕的两种可能的选择性结果（人工流产或分娩）的态度，以确定哪一种会引起更多的耻辱感，并记录社区成员对每种结果的耻辱感态度的特征。数据来自基于社区的对育龄男女的访谈，赞比亚为2401人，尼日利亚为2452人。双变量和多变量分析显示，两国的受访者绝大多数支持艾滋病毒阳性孕妇继续生育，但在无法获得抗逆转录病毒治疗（ART）的情况下，对人工流产的支持略高。赞比亚受访者对艾滋病毒阳性妇女堕胎的态度比尼日利亚受访者更污名化。特别是在赞比亚，妇女对艾滋病毒阳性妇女堕胎的态度比男子更轻蔑。从性健康和生殖健康及权利的角度来看，应鼓励努力帮助艾滋病毒阳性妇女预防意外怀孕，并在她们确实怀孕时支持她们作出怀孕决定，以消除本文所记载的社会耻辱。
Although stigma towards HIV-positive women for both continuing and terminating a pregnancy has been documented, to date few studies have examined relative stigma towards one outcome versus the other. This study seeks to describe community attitudes towards each of two possible elective outcome of an HIV-positive woman’s pregnancy – induced abortion or birth – to determine which garners more stigma and document characteristics of community members associated with stigmatising attitudes towards each outcome. Data come from community-based interviews with reproductive-aged men and women, 2401 in Zambia and 2452 in Nigeria. Bivariate and multivariate analyses revealed that respondents from both countries overwhelmingly favoured continued childbearing for HIV-positive pregnant women, but support for induced abortion was slightly higher in scenarios in which anti-retroviral therapy (ART) was unavailable. Zambian respondents held more stigmatising attitudes towards abortion for HIV-positive women than did Nigerian respondents. Women held more stigmatising attitudes towards abortion for HIV-positive women than men, particularly in Zambia. From a sexual and reproductive health and rights perspective, efforts to assist HIV-positive women in preventing unintended pregnancy and to support them in their pregnancy decisions when they do become pregnant should be encouraged in order to combat the social stigma documented in this paper.