Men's Roles in Women's Abortion Trajectories in Urban Zambia
Men's Roles in Women's Abortion Trajectories in Urban Zambia
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DOI：
10.1363/43e4017
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发表时间：
2017-06-01
影响因子：
4.4
通讯作者：
Murray, Susan F.
中科院分区：
文献类型：
--
作者：
Freeman, Emily;Coast, Ernestina;Murray, Susan F.
背景：鉴于不安全堕胎造成的孕产妇发病率和死亡率持续存在，特别是在非洲，迫切需要了解堕胎决策过程。然而，很少有人知道男性的影响和参与妇女的堕胎决策和护理seeking.METHODS：一项定性研究进行了最大的公共提供堕胎相关的护理在赞比亚。主题框架分析被用来分类和综合数据进行深入访谈，在2013年与71名妇女谁接受了安全堕胎和41谁接受护理后不完全（不安全）aborte.RESULTS：男性影响妇女是否寻求安全或不安全堕胎;他们的行动，缺乏行动和预期的行动，消极和积极的，反映了更广泛的性别不平等。被男子抛弃，以及由于害怕男子的反应或干涉而避免向他们透露怀孕的愿望，对一些妇女寻求堕胎的决定、寻求堕胎的保密性和紧迫性以及所承担的风险程度都有重要影响。然而，其他妇女讨论了男子对她们寻求堕胎护理的积极影响。在这种设置的合法性和可用性低的认识，堕胎，一些男人利用他们更大的社会和经济资源，以促进安全堕胎提供信息和支付care.CONCLUSIONS：增加知识的合法性和可用性的安全堕胎是至关重要的，不仅在性活跃的妇女，但也在那些他们倾诉，包括男性。
CONTEXT: Given that maternal morbidity and mortality from unsafe abortion persist, especially in Africa, there is a pressing need to understand the abortion decision-making process. However, little is known about men's influence on and involvement in women's abortion decision making and care seeking.METHODS: A qualitative study was conducted at the largest public provider of abortion-related care in Zambia. Thematic framework analysis was used to categorize and synthesize data from in-depth interviews conducted in 2013 with 71 women who received a safe abortion and 41 who received care following an incomplete (unsafe) abortion.RESULTS: Men influenced whether women sought a safe or unsafe abortion; their actions, lack of action and anticipated actions-negative and positive-reflected broader gender inequities. Abandonment by men, and the desire to avoid disclosing pregnancy to men because of fear of their reactions or interference, were important influences on some women's decision to seek abortion, on the secrecy and urgency with which abortion was pursued and on the level of risk assumed. However, other women discussed men's positive influences on their abortion care seeking. In this setting of low awareness of the legality and availability of abortion, some men used their greater social and economic resources to facilitate safe abortion by providing information and paying for care.CONCLUSIONS: Increasing knowledge about the legality and availability of safe abortion is vital not only among sexually active women, but also among those they confide in, including men.