Female Sex Workers' Experiences with Intended Pregnancy and Antenatal Care Services in Southern Tanzania
Female Sex Workers' Experiences with Intended Pregnancy and Antenatal Care Services in Southern Tanzania
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DOI：
10.1111/j.1728-4465.2015.00015.x
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发表时间：
2015-03-01
影响因子：
2.1
通讯作者：
Kerrigan, Deanna L.
中科院分区：
文献类型：
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作者：
Beckham, Sarah W.;Shembilu, Catherine R.;Kerrigan, Deanna L.
了解女性性工作者（FSW）的怀孕经历，特别是在艾滋病毒和性传播感染（STI）高发病率的背景下，对于定制服务以满足其需求至关重要。本研究探讨了坦桑尼亚两个地区的FSW在计划怀孕和获得产前护理和艾滋病毒检测方面的经验。进行了30次深入访谈和3次焦点小组讨论。性工作者试图怀孕以获得作为母亲的尊重，避免耻辱和/或巩固关系，有时会对自己及其伴侣的健康构成风险。怀孕的FSW通常寻求产前护理服务，但很少透露自己的职业，使提供适当的护理变得复杂。产前保健服务带来了特别的挑战，保健工作者有时拒绝向没有丈夫陪伴的妇女提供所有诊所服务。几名参与者报告说，在分娩前得不到护理。与会者报告说，性工作者和未婚妇女在获得保健服务方面存在困难，鉴于撒哈拉以南非洲的性工作者中艾滋病毒和性传播感染率很高，这种困难具有潜在的社会和健康后果。
Understanding the pregnancy experiences of female sex workers (FSWs), especially in the context of high rates of HIV and sexually transmitted infections (STIs), is essential to tailoring services to meet their needs. This study explores FSWs' experiences with intended pregnancy and access to antenatal care and HIV testing in two regions of Tanzania. Thirty in-depth interviews and three focus group discussions were conducted. FSWs sought to become pregnant to gain respect as mothers, to avoid stigma, and/or to solidify relationships, sometimes posing risks to their own and their partners' health. Pregnant FSWs generally sought antenatal care (ANC) services but rarely disclosed their occupation, complicating provision of appropriate care. Accessing ANC services presented particular challenges, with health care workers sometimes denying all clinic services to women who were not accompanied by husbands. Several participants reported being denied care until delivery. The difficulties participants reported in accessing health care services as both sex workers and unmarried women have potential social and health consequences in light of the high levels of HIV and STIs among FSWs in sub-Saharan Africa.