Spousal communication on reproductive illness among rural women in southern India

Spousal communication on reproductive illness among rural women in southern India
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DOI:
10.1080/13691050110095559
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发表时间:
2002-04-01
影响因子:
2.2
通讯作者:
Dasvarma, GL
Dasvarma, GL
中科院分区:
医学3区
文献类型:
--
作者:
Santhya, KG;Dasvarma, GL

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促进配偶间成功的沟通,作为促进在生殖健康问题上共同决策和分担责任的一项关键战略。利用一项调查已婚女性生殖道感染(RTIs)危险因素的大规模研究数据,我们调查了432名有症状的女性和256名有症状的男性关于生殖疾病的配偶间沟通程度及其对预防和治疗行为的影响。数据来源于在印度南部泰米尔纳德邦农村的五个村庄进行的横断面实地调查。配偶之间关于呼吸道感染症状经历的交流非常有限,而且对有症状的男女及其伴侣的预防行为没有任何影响。然而,有症状的男性/女性的治疗行为受到配偶沟通的显著影响。缺乏配偶沟通似乎是个人和集体对可能的生殖感染症状的原因的看法、关于男女可接受行为的文化规范以及基于性别和非性别的不平等的后果。
Successful inter-spousal communication is promoted as a key strategy to fostering shared decision making and responsibilities on reproductive health matters. With data from a large-scale study examining the risk factors of reproductive tract infections (RTIs) in married women, we investigated the extent of inter-spousal communication about reproductive illnesses and its influence on preventive and curative behaviours among 432 symptomatic women and 256 symptomatic men. Data derive from a cross-sectional field investigation conducted in five villages in rural Tamil Nadu in south India. Spousal communication on the experience of symptoms of RTIs was remarkably limited, and it did not have any influence on the preventive behaviour of the symptomatic men/women and their partners. However, the curative behaviour of symptomatic men/women was significantly influenced by spousal communication. Lack of spousal communication seems to be the consequences of the individual and collective perceptions about the causes of symptoms of possible RTIs, cultural norms about acceptable behaviours of men and women, and gender- and non-gender-based inequalities.