"We Don't Fear HIV. We Just Fear Walking around Pregnant.": A Qualitative Analysis of Adolescent Sexuality and Pregnancy Stigma in Informal Settlements in Kisumu, Kenya.
"We Don't Fear HIV. We Just Fear Walking around Pregnant.": A Qualitative Analysis of Adolescent Sexuality and Pregnancy Stigma in Informal Settlements in Kisumu, Kenya.
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DOI：
10.1111/sifp.12178
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发表时间：
2021-12
影响因子：
2.1
通讯作者：
Truong HM
中科院分区：
文献类型：
--
作者：
Miller LE;Zamudio-Haas S;Otieno B;Amboka S;Odeny D;Agot I;Kadede K;Odhiambo H;Auerswald C;Cohen CR;Bukusi EA;Truong HM
在肯尼亚，青少年怀孕率很高，避孕措施使用率很低，青少年性行为受到歧视。我们描述了对性和怀孕耻辱的看法如何影响基苏木非正式定居点青少年的决策。我们采用有目的的抽样方法，招募了120名年龄在15-19岁之间的青春期男孩和女孩进行焦点小组讨论。采用了半结构化访谈指南，以了解社会规范和社区对性健康和生殖健康的态度。我们使用框架方法分析数据。青少年性行为的社会耻辱和对怀孕的相关恐惧作为性活动的明确标志成为主要主题。这种耻辱感导致青少年害怕社会报复，但并没有因为额外的耻辱感而导致更频繁地使用避孕措施。这种恐惧的强烈程度在女孩身上表现得最为明显，导致一些人寻求不安全的，有时是致命的堕胎，并考虑自杀。对怀孕的恐惧超过了对感染艾滋病毒的恐惧，因为艾滋病毒被认为是可以治疗的，而且不那么受歧视。我们的研究结果表明，这些青少年对怀孕的恐惧主要是由于担心他们的社区会发现他们的性行为活跃。迫切需要采取干预措施，以解决青少年对性的污名化问题，并防止产生负面后果。
In Kenya, adolescent pregnancy rates are high, contraception utilization is low, and adolescent sexuality is stigmatized. We describe how perceptions of sexuality and pregnancy stigma influence decision-making among adolescents in the informal settlements of Kisumu. We used purposive sampling to recruit 120 adolescent boys and girls ages 15-19 for focus group discussions. A semi-structured interview guide was used to elicit social norms and community attitudes about sexual and reproductive health. We analyzed the data using the Framework Approach. The social stigma of adolescent sexuality and the related fear of pregnancy as an unambiguous marker of sexual activity emerged as main themes. This stigma led adolescents to fear social retribution but did not lead to more frequent contraception use due to additional stigma. The intensity of this fear was most acutely expressed by girls, leading some to seek unsafe, sometimes fatal, abortions, and to contemplate suicide. Fear of pregnancy outweighed fear of contracting HIV which was viewed as both treatable and less stigmatized. Our findings illustrate how fear of pregnancy among these adolescents is driven primarily by fears that their community will discover that they are sexually active. Interventions are urgently needed to address adolescent sexual stigma and to prevent negative outcomes.
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DOI：
10.1016/s0020-7292(12)60017-4
发表时间：
2012-09-01
影响因子：
3.8
作者：
Leyandowski, Brooke A.;Kalilani-Phiri, Linda;Mhango, Chisale
通讯作者：
Mhango, Chisale
影响因子：
6
作者：
Espinoza C;Samandari G;Andersen K
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影响因子：
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作者：
Moseson, Heidi;Mahanaimy, Moria;Gerdts, Caitlin
通讯作者：
Gerdts, Caitlin
影响因子：
3.1
作者：
Mohamed, Shukri F.;Izugbara, Chimaraoke;Egesa, Caroline
通讯作者：
Egesa, Caroline
影响因子：
3.9
作者：
Crowley, Jenny L.;High, Andrew C.;Thomas, Lindsey J.
通讯作者：
Thomas, Lindsey J.