Economic and social dimensions influencing safety of induced abortions amongst young women who sell sex in Zimbabwe.
Economic and social dimensions influencing safety of induced abortions amongst young women who sell sex in Zimbabwe.
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DOI：
10.1080/26410397.2021.1881209
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发表时间：
2021-12
影响因子：
6
通讯作者：
Zambezi P
中科院分区：
文献类型：
--
作者：
Chareka S;Crankshaw TL;Zambezi P
在全球范围内，妇女在获得安全堕胎服务方面经历不平等，在法律的堕胎受到高度限制的国家，这种情况最为严重。关于撒哈拉以南非洲卖淫女青年堕胎的数据非常有限。我们进行了30个焦点小组讨论和42个深入访谈（IDIs）之间的YWSS（16-24岁）在城市和城市周边地区的津巴布韦，以及IDIs之间的16个同伴教育工作者，5个医疗保健提供者和4个关键的线人。我们的调查结果表明，堕胎发生在津巴布韦的女青年和女青年中，但堕胎的安全程度仍然存在问题。该国限制堕胎的法律的背景和性工作的非法性是堕胎秘密性质的关键决定因素。社会经济问题是堕胎决策的关键。年轻、费用和缺乏转诊网络助长了不安全堕胎，即使在提供安全堕胎服务的情况下也是如此。许多女青年会不知道堕胎后护理服务的存在，并求助于自我管理的堕胎后护理。年轻和卖淫在经济和社会层面上联合收割机和相互作用，产生的脆弱性大于经历不安全堕胎的总和。
Globally, women, experience inequities in access to safe abortion services and this is most acutely felt in country contexts where legal abortions are highly restricted. Data around abortion amongst young women who sell sex (YWSS) in sub-Saharan Africa are very limited. We conducted 30 focus group discussions and 42 in-depth interviews (IDIs) amongst YWSS (16–24 years) in urban and peri-urban areas of Zimbabwe, as well as IDIs amongst 16 peer educators, five health care providers and four key informants. Our findings indicate that abortions occur amongst YWSS in Zimbabwe but there remain questions over the extent of safety of abortions. The restrictive legal context around abortion and illegality of sex work in the country are key determinants underlying the clandestine nature of abortions. Socioeconomic concerns are key in decision-making around abortions. Youth, cost and lack of referral networks contribute towards unsafe abortions, even when safe abortion services are available. Many YWSS are not aware of the availability of post abortion care (PAC) services and resort to self-administered PAC. Being young and selling sex combine and interact on the economic and social levels to produce vulnerabilities greater than their sum to experiencing unsafe abortion.
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