Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis.
Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis.
复制标题
DOI：
10.1089/apc.2015.0260
复制
发表时间：
2016-02
影响因子：
4.9
通讯作者：
Berg M
中科院分区：
文献类型：
--
作者：
Carlsson-Lalloo E;Rusner M;Mellgren Å;Berg M
有效的抗逆转录病毒治疗的普及使艾滋病毒在预期寿命方面相当于一种慢性病。与性和生殖有关的需求是整体健康和福祉的核心。进行了解释性的元合成，以综合和评估艾滋病毒抗体阳性妇女的性和生殖经验如何在定性研究中描述。共纳入了18项经同行审查的定性研究，其中共有588名艾滋病毒抗体呈阳性的受访妇女。这些研究来自亚洲和非洲大陆以外资源丰富的国家。通过分析得出的论点综合表明，艾滋病毒感染是性行为和生殖方面的一个负担。负担的重量可能更重或更轻。使艾滋病毒负担加重的条件是：艾滋病毒作为一种障碍，恐惧和损失的感觉，而母亲身份，精神信仰和支持性关系使艾滋病毒负担减轻。这些发现对于通过解决使艾滋病毒感染负担减轻的条件来发展最佳卫生保健非常重要。在今后的研究中，有必要不仅注重审查艾滋病毒抗体阳性妇女的性行为和关系如何表现出来，而且注重保健专业人员应如何在性行为和生殖方面向妇女提供充分的支助。
The increased access to effective antiretroviral treatment (ART) has made HIV comparable to a chronic disease in terms of life expectancy. Needs related to sexuality and reproduction are central to overall health and well-being. An interpretative meta-synthesis was performed to synthesize and assess how HIV-positive women's experiences of sexuality and reproduction have been described in qualitative studies. A total of 18 peer-reviewed qualitative studies were included, which comprised a total of 588 HIV-positive interviewed women. The studies originated from resource-rich countries outside the Asian and African continents. The analysis, resulting in a lines-of-argument synthesis, shows that HIV infection was a burden in relation to sexuality and reproduction. The weight of the burden could be heavier or lighter. Conditions making the HIV burden heavier were: HIV as a barrier, feelings of fear and loss, whereas motherhood, spiritual beliefs, and supportive relationships made the HIV burden lighter. The findings are important in developing optimal health care by addressing conditions making the burden of HIV infection lighter to bear. In future research there is a need to focus not only on examining how HIV-positive women's sexual and relationships manifest themselves, but also on how health care professionals should provide adequate support to the women in relation to sexuality and reproduction.