Gender, power and intimate relationships over the life course among Ethiopian female peer educators living with HIV.
Gender, power and intimate relationships over the life course among Ethiopian female peer educators living with HIV.
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感染艾滋病毒的埃塞俄比亚女性同伴教育工作者生命历程中的性别、权力和亲密关系。
DOI：
10.1080/13691058.2018.1487999
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
DelRio,Carlos
中科院分区：
文献类型：
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作者：
Hussen,SophiaAhmed;Argaw,MeronGurji;Tsegaye,Mulugeta;Andes,KarenL;Gilliard,Danielle;DelRio,Carlos
从历史上看，埃塞俄比亚妇女在个人、关系和社区层面面临着许多性别平等方面的挑战；这种不平等可能导致感染艾滋病毒的风险增加。过去二十年来，在改变政策和规范以减少性别不平等方面取得了一些进展。我们试图了解一群感染艾滋病毒的埃塞俄比亚妇女的婚姻和其他浪漫/性关系是如何受到性别规范、关系权力动态和生命过程中艾滋病毒状况的影响的。我们对19名在埃塞俄比亚亚的斯亚贝巴一家大型诊所担任同伴教育者的艾滋病毒感染妇女进行了深入采访。在回顾他们的早期生活时，参与者经常描述以强奸、强迫婚姻和隐瞒艾滋病毒为特征的创伤前关系。在被诊断患有艾滋病毒之后，参与者最近的关系体现了一种更加平等的动态，其特征是相互支持艾滋病毒护理参与和开放沟通。参与者的叙述说明了令人鼓舞的例子，说明艾滋病毒阳性妇女即使在多重障碍的情况下也能形成和维持公平和令人满意的个人关系。
Historically, Ethiopian women have faced numerous challenges to gender equity at the individual, relational and community levels; such inequalities can lead to increased risk of HIV acquisition. Over the past two decades, some progress has been made towards changing policies and norms to reduce gender inequality. We sought to understand the ways in which marriage and other romantic/sexual relationships of a group of Ethiopian women living with HIV had been impacted by gender norms, relational power dynamics and HIV status over the life course. We conducted in-depth interviews with 19 women living with HIV who were working as peer educators at a large clinic in Addis Ababa, Ethiopia. Reflecting on their early lives, participants often described traumatic prior relationships characterised by rape, forced marriage and HIV nondisclosure. In the aftermath of being diagnosed with HIV, participants’ more recent relationships embodied a more egalitarian dynamic characterised by mutual support for HIV care engagement and open communication. Participants’ narratives illustrate encouraging examples of ways in which HIV-positive women can form and maintain equitable and satisfying personal relationships even in the context of obstacles at multiple levels.