Holding the line: family responses to pregnancy and the desire for a child in the context of HIV in Vietnam
Holding the line: family responses to pregnancy and the desire for a child in the context of HIV in Vietnam
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DOI：
10.1080/13691050801915192
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发表时间：
2008-01-01
影响因子：
2.2
通讯作者：
Hardon, Anita
中科院分区：
文献类型：
--
作者：
Oosterhoff, Pauline;Nguyen Thu Anh;Hardon, Anita
世界各地的卫生服务机构为怀孕或想要怀孕的艾滋病毒阳性妇女以及伴侣感染艾滋病毒的妇女提供了许多指导方针。这些准则是针对妇女的，而且越来越多地也针对男子，但很少或根本不注意家庭其他成员在生育决定中的作用。这项研究着眼于影响有hiv阳性成员的家庭生育决定的因素。在越南，整个家庭在决定妇女是否应该怀孕和是否要生孩子方面起着至关重要的作用。这一决定不仅是在亲密家庭的背景下作出的，而且也是在祖先的影响和文化中给予他们的权重下作出的。这方面的关键是父母和祖父母需要有男性后代。卫生工作者分享这些关于首选家庭组成的想法，并支持男性和女性寻求男性后代。政策和指导方针应考虑到这些额外的家庭因素和目标，作为设计减少艾滋病毒传播的适当方案的基础。
Health services around the world offer many guidelines for HIV-positive women who are pregnant or who want to become pregnant, and for women with HIV infected partners. These guidelines are addressed to women and, increasingly, also to men, but pay little or no attention to the role of other members of the family in fertility decisions. This study looked at factors influencing decisions about fertility in families with an HIV-positive member. In Vietnam, the whole family takes a crucial role in deciding whether a woman should become pregnant and whether she will keep her child. This decision is taken in the context not only of the close family but also under the influence of ancestors and the weight given to them within the culture. Key in this regard is the need for parents and grandparents to have male offspring. Health workers share these ideas about preferred family composition and support men and women in the quest for male offspring. Policies and guidelines should take into account these additional family factors and goals as a basis for the design of appropriate programmes to reduce HIV transmission.