Safer sex and reproductive choice: Findings from "Positive Women: Voices and Choices" in Zimbabwe
Safer sex and reproductive choice: Findings from "Positive Women: Voices and Choices" in Zimbabwe
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DOI：
10.1016/s0968-8080(03)02284-5
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发表时间：
2003-11-01
影响因子：
--
通讯作者：
Maposhere, C
中科院分区：
文献类型：
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作者：
Feldman, R;Maposhere, C
积极的女性：“声音和选择”是妇女艾滋病毒/艾滋病感染者国际共同体制定的一个宣传研究项目，目的是探讨艾滋病毒/艾滋病对妇女性生活和生殖生活的影响，质疑侵犯妇女权利的行为，并倡导改善政策和服务。津巴布韦的项目是三个国家中的第一个项目，于1998年至2001年进行。本文介绍了津巴布韦研究报告中的一些调查结果。它表明，艾滋病毒抗体阳性妇女在诊断出艾滋病毒之前并不知道自己处于危险之中，性别规范和对丈夫/伴侣的经济依赖限制了妇女控制其性生活和生殖生活的能力。艾滋病毒抗体阳性妇女不应性活跃或霍韦子女的偏见意味着妇女不向保健工作者透露她们的状况，使她们的需求难以得到承认或解决。在婚姻中使用避孕套被认为是不适当的。年轻的无子女妇女想要怀孕，通常尽管以前流产和死胎。有几个孩子的妇女希望避免再次怀孕，在艾滋病毒诊断后，避孕药具和避孕套的使用明显增加，特别是在参加支助小组的妇女中。安全堕胎几乎完全无法实现，尽管从技术上讲，法律允许这样做，需要为妇女提供更好的经济机会，以及综合怀孕和分娩、计划生育、性传播感染和艾滋病毒相关服务，这些服务应考虑到艾滋病毒抗体阳性妇女的需要。(C)2003年生殖健康问题。All rights reserved.
Positive Women: Voices and Choices was an advocacy-research project developed by the International Community of Women Living with HIV/AIDS to explore the impact of HIV/AIDS on women's sexual and reproductive lives, challenge the violation of their rights and advocate improvements in policy and services. The project in Zimbabwe, the first one in three countries, was carried out from 1998 to 2001. This article presents selected findings from the Zimbabwe research report. It shows that HIV-positive women were unaware they were at risk before on HIV diagnosis, and that gender norms and economic dependence on husbands/partners restricted women's ability to control their sexual and reproductive lives. Prejudices that HIV-positive women should not be sexually active or hove children meant women did not disclose their status to health workers, making it difficult for their needs to be acknowledged or addressed. Condom use was considered inappropriate in marriage. Younger childless women wanted to become pregnant, often in spite of previous miscarriage and stillbirths. Women with several children wanted to avoid further pregnancies, and contraceptive and condom use increased markedly after HIV diagnosis, especially among those attending support groups. Safe abortion was almost entirely inaccessible, though technically the low would hove permitted it. Better economic opportunities for women, and integrated pregnancy and delivery core, family planning, STI and HIV-related services ore needed which take account of HIV-positive women's needs. (C) 2003 Reproductive Health Matters. All rights reserved.