'I am always crying on the inside': a qualitative study on the implications of infertility on women's lives in urban Gambia.
'I am always crying on the inside': a qualitative study on the implications of infertility on women's lives in urban Gambia.
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DOI：
10.1186/s12978-018-0596-2
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发表时间：
2018-09-12
影响因子：
3.4
通讯作者：
Coene G
中科院分区：
文献类型：
--
作者：
Dierickx S;Rahbari L;Longman C;Jaiteh F;Coene G
人们日益认识到，撒哈拉以南非洲的不孕症是一个严重的社会和公共卫生问题。目前关于不孕症的研究很少明确考虑到女性之间的差异。然而，女性如何经历不孕症是由她们不同的社会地位形成的。本研究探讨了不孕不育对冈比亚城市妇女生活的影响，旨在深入了解这与性别和文化规范以及不同的社会地位之间的关系。定性数据通过访谈（33）、小组讨论（13）、参与性观察（14）和非正式对话（31）收集。目的和雪球抽样技术被用来确定参与者。使用NVivo 11对数据进行主题分析。结果表明，冈比亚城市妇女生育的社会压力很大。由于无法适应自己的性别角色，不孕妇女面临着经济问题、社会耻辱以及婚姻中的情感和身体暴力。所有女性都表达了创伤、压力和悲伤的感觉。本研究中使用的交叉方法强调了不同的体位如何影响妇女的不孕症经历。社会经济地位高的城市妇女由于她们的经济地位、职业生涯，有时还由于她们的教育背景，在她们的婚姻和更广泛的社区中具有更强大的地位。相比之下，社会经济背景较低的妇女更有可能面临不孕症的社会耻辱。冈比亚大多数不孕妇女的生活特点是性别和产前规范、文化信仰和道德关切、文化习俗以及获得保健的机会有限所造成的社会痛苦。交叉方法是为公共卫生和社会政策提供信息的有效工具，因为它突出了在特定情况下某些群体如何比其他群体更脆弱。
There is an increasing awareness that infertility in Sub-Saharan Africa constitutes a severe social and public health problem. Few of the existing studies on infertility explicitly take into account the differences between women. However, how women experience infertility is formed by their various social positions. This research explores the implications of infertility on women’s lives in urban Gambia and aims to provide an in-depth understanding of how this relates to gender and cultural norms as well as different social positions. Qualitative data were collected through interviews (33), group discussions (13), participatory observations (14) and informal conversations (31). Purposive and snowball sampling techniques were used to identify participants. The data was analysed thematically using NVivo 11. Results showed that there was strong social pressure on urban women in The Gambia to procreate. Unable to conform to their gender role, women with infertility were confronted with financial problems, social stigma, as well as emotional and physical violence in their marriage. All women expressed feelings of trauma, stress and sadness. The intersectional approach used in this study highlighted how different positions influenced women’s experiences of infertility. Urban women with a high socio-economic status had a more powerful position within their marriages and the broader community, due to their financial position, professional career and, sometimes, their educational background. In contrast, women from a lower socio-economic background were more likely to be harshly confronted with the social stigma of infertility. The lives of most women with infertility in The Gambia are characterized by social suffering resulting from gender and pro-natal norms, cultural beliefs and moral concerns, cultural practices and limited access to health care. An intersectional approach is an effective tool to inform public health and social policy since it highlights how, in specific situations, certain groups are more vulnerable than others.
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影响因子：
5.4
作者：
Gueta, Keren
通讯作者：
Gueta, Keren
影响因子：
3.8
作者：
Batool, Shahida Syeda;de Visser, Richard Oliver
通讯作者：
de Visser, Richard Oliver
影响因子：
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作者：
Gerrits, T
通讯作者：
Gerrits, T
影响因子：
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通讯作者：
de Kok, Bregje Christina
影响因子：
1.4
作者：
Batool, Syeda Shahida;de Visser, Richard Oliver
通讯作者：
de Visser, Richard Oliver