Couple perspectives on unintended pregnancy in an area with high HIV prevalence: A qualitative analysis in Rakai, Uganda.
Couple perspectives on unintended pregnancy in an area with high HIV prevalence: A qualitative analysis in Rakai, Uganda.
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艾滋病毒患病率较高的地区对意外怀孕的夫妇观点:乌干达拉凯的定性分析。
DOI:
10.1080/17441692.2018.1449233
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发表时间:
2018-08
影响因子:
3.3
通讯作者:
Santelli JS
中科院分区:
文献类型:
--
作者:
Grilo SA;Catallozzi M;Heck CJ;Mathur S;Nakyanjo N;Santelli JS
Understanding how couples perceive a recent unintended pregnancy in the context of HIV infection and high levels ofgender inequality may provide insights for prevention of undesired pregnancy. We used data from 24 in-depth interviews with 8 HIV-serodiscordant and 4 seroconcordant couples living in rural Uganda and interviewed separately; between 15–49 years and one or both identified the pregnancy as unintended. A dyadic analysis was performed to understand each partner’s perspectives on experiences of a specific pregnancy. We used the social ecological model to guide the analysis. Issues of agency were commonly invoked in describing pregnancy. Women often cited factors that demonstrated a lack of control when making decisions about continuing the pregnancy. Men often expressed a lack of agency or control over preventing their female partner from becoming pregnant. There was much disagreement between partners about intentions regarding the specific pregnancy. Likewise, lack of communication about child-spacing and pregnancy intentions was common among couples. HIV serostatus played a role in some discussions of pregnancy intention among sero-discordant couples. This qualitative analysis supports prior quantitative research on the complexity of pregnancy intentions. A lack of agency at the individual level was compounded by a lack of communication between partners.
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影响因子:
2.1
作者:
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通讯作者:
Hussain, Rubina
影响因子:
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DOI:
10.1363/4002814
发表时间:
2014-03-01
影响因子:
4.4
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DOI:
10.1016/j.ijgo.2012.07.003
发表时间:
2013-01-01
影响因子:
3.8
作者:
Pallitto, Christina C.;Garcia-Moreno, Claudia;Watts, Charlotte
通讯作者:
Watts, Charlotte