'I have to pretend that I don't care': Stigma management among unmarried young mothers in South-Western Nigeria
'I have to pretend that I don't care': Stigma management among unmarried young mothers in South-Western Nigeria
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DOI：
10.1080/17441692.2023.2291699
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发表时间：
2024-12-31
影响因子：
3.3
通讯作者：
Hoggart，Lesley
中科院分区：
文献类型：
--
作者：
Oluseye，Ayomide;Waterhouse，Philippa;Hoggart，Lesley
年轻母亲经常遭受羞辱和歧视，影响到她们及其子女的生活。本文探讨了污名管理策略及其在尼日利亚农村年轻母亲的有效性。从尼日利亚西南部的Ife-East招募了10名关键线人和24名年轻母亲。半结构化采访的数据显示，社会对怀孕青少年和年轻母亲的不认可是常见的经历。妇女使用了一系列的策略，积极科普污名，包括：相信宿命，回避，隐瞒，同居。这些战略可被视为减少消极定型观念和歧视的工具。然而，它们也产生了意想不到的后果，使许多年轻妇女的困难处境更加复杂，使她们面临不利的后果，包括基于性别的暴力、重复怀孕、心理健康状况不佳和服务利用率低。结果表明，需要制定政策框架，通过解决早孕和母性的负面框架并促进为年轻母亲提供支持性环境，积极打击耻辱感。卫生专业人员需要接受培训，提供消除污名化的服务，以鼓励年轻母亲寻求帮助，并减少在获得服务方面先前存在的不平等，政策需要包括解决年轻母亲权利和保护她们免受暴力和虐待的措施。
Young mothers often encounter stigma and discrimination, affecting their lives and that of their children. This paper explores stigma management strategies and their effectiveness for young mothers in rural Nigeria. Ten key informants and 24 young mothers were recruited from Ife-East in South-Western Nigeria. Data from semi-structured interviews showed that societal disapproval of pregnant teenagers and young mothers were common experiences. Women used a range of strategies to actively cope with stigma including: belief in predestination, avoidance, concealment, and cohabitation. These strategies could be seen as tools to mitigate negative stereotypes and discrimination. However, they also had the unintended consequences of compounding many young women’s difficult circumstances and exposing them to adverse outcomes, including gender-based violence, repeat pregnancies, poor mental health, and low uptake of services. The results show the need for policy frameworks to actively combat stigma by addressing the negative framing of early pregnancy and motherhood and promoting supportive environments for young mothers. Health professionals need to be trained to offer de-stigmatising services to encourage young mothers to seek help and reduce pre-existing inequities in access to services, and policies need to include measures that address the rights of young mothers and protect them from violence and abuse.