The complexity of consent: women's experiences testing for HIV at an antenatal clinic in Durban, South Africa.
The complexity of consent: women's experiences testing for HIV at an antenatal clinic in Durban, South Africa.
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DOI：
10.1080/09540120903311508
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发表时间：
2010-05
期刊：
影响因子：
1.7
通讯作者：
Moodley D
中科院分区：
文献类型：
--
作者：
Groves AK;Maman S;Msomi S;Makhanya N;Moodley D
知情同意历来是确保艾滋病毒检测自主权的基石。然而，最近对艾滋病毒检测全球指南的修改导致了关于需要哪些政策规定来确保同意在检测方面仍然有意义的实质性辩论。尽管怀孕期间的检测率不成比例，但孕妇对艾滋病毒检测过程的看法在检测讨论中没有得到充分体现。本研究探讨了妇女的经验，艾滋病毒检测和同意过程中的公共产前诊所在南非。定性访谈25名妇女进行了产前检查或婴儿免疫接种后，艾滋病毒检测访问在诊所。访谈被转录，翻译和编码分析。根据妇女对同意接受艾滋病毒检测的选择的看法，将她们分为三组。使用矩阵进行跨类别和跨病例比较。一半的女性描述了在决定测试时有明确的选择。其他人则不太清楚自己的选择。一些妇女认为她们在检测艾滋病毒方面别无选择。没有一名妇女说她们在没有签署同意书的情况下接受了检测。我们发现，一半的妇女的叙述说明了提供者强迫她们在接受产前护理时进行艾滋病毒检测的直接和间接方式。由于新的艾滋病毒检测指南在不同的环境中实施，因此必须监测妇女的检测经历，以确保妇女作出知情、自愿选择的权利不受侵犯。此外，还需要建立检测模式，使我们能够实现更广泛的公共卫生目标，同时尊重妇女的自主权。
Informed consent has historically been a cornerstone to ensuring autonomy during HIV testing. However, recent changes to global guidance on HIV testing have led to substantial debate on what policy provisions are necessary to ensure that consent remains meaningful in the context of testing. Despite disproportionate rates of testing during pregnancy, pregnant women's perspectives on the HIV testing process are underrepresented in the testing discourse. This study explores women's experiences with HIV testing and the consent process in a public antenatal clinic in South Africa. Qualitative interviews with 25 women were conducted at the clinic at either an antenatal visit or an infant immunization visit that followed HIV testing. Interviews were transcribed, translated, and coded for analysis. Women were categorized into one of the three groups based on their perceptions of choice in consenting for an HIV test. Matrices were used to allow for cross-category and cross-case comparison. Half of the women described having a clear choice in their decision to test. Others were less clear about their choice. Some women felt they had no choice in testing for HIV. None of the women stated that they were tested without having signed a consent form. We found that half of the women's narratives illustrated direct and indirect ways in which providers coerced them into taking an HIV test while receiving antenatal care. As the new guidance on HIV testing is implemented in different settings, it is critical to monitor women's testing experiences to ensure that a woman's right to make an informed, voluntary choice is not violated. Furthermore, models of testing that allow us to meet broader public health goals while simultaneously respecting women's autonomy are needed.
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影响因子：
12.7
作者：
Karim, QA;Karim, SSA;Susser, M
通讯作者：
Susser, M
影响因子：
105.7
作者：
De Cock, KM;Johnson, AM
通讯作者：
Johnson, AM
影响因子：
2.1
作者：
Childress, JF;Faden, RR;Nieburg, P
通讯作者：
Nieburg, P
DOI：
10.2471/blt.05.025536
发表时间：
2006-01-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Rennie, Stuart;Behets, Frieda
通讯作者：
Behets, Frieda
影响因子：
3.7
作者：
Wolf, Leslie E.;Donoghoe, Alexis;Lane, Tim
通讯作者：
Lane, Tim