Sexuality and childbearing as it is experienced by women living with HIV in Sweden: a lifeworld phenomenological study.
Sexuality and childbearing as it is experienced by women living with HIV in Sweden: a lifeworld phenomenological study.
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DOI：
10.1080/17482631.2018.1487760
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发表时间：
2018-12
影响因子：
1.8
通讯作者：
Rusner M
中科院分区：
文献类型：
--
作者：
Carlsson-Lalloo E;Berg M;Mellgren Å;Rusner M
抗逆转录病毒治疗的有效性减少了艾滋病毒的性传播和母婴传播。为了为感染艾滋病毒的女性提供最佳支持，医疗保健提供者需要加深对艾滋病毒、性行为和生育的了解。本研究的目的是描述瑞典艾滋病毒感染者所经历的性行为和生育现象。数据是通过对 18 名艾滋病毒阳性女性进行面向现象的访谈收集的。进行了基于现象学哲学的反思性生活世界分析，描述了现象的意义结构。这一现象的本质是，对艾滋病毒及其传染性的看法深刻影响着性习惯以及与怀孕和生育有关的考虑。这些看法是结合妇女自身及其环境对艾滋病毒的了解和解释而形成的。其组成部分进一步描述了其本质：传播风险对责任提出要求；艾滋病毒的传染性限制了性行为和生育；有关艾滋病毒传播的知识可以提供自信的选择和决策；重新创造性和生育。尽管如果治疗得当，艾滋病毒的传播风险很低，但我们的研究表明，艾滋病毒呈阳性的女性感觉或多或少具有传染性，这会影响性行为以及与怀孕和分娩有关的决策。
The effectiveness of antiretroviral treatment has reduced sexual HIV transmission and mother-to-child-transmission. To optimally support women living with HIV, health care providers need deepened knowledge about HIV, sexuality and childbearing. The aim of this study was to describe the phenomenon sexuality and childbearing as experienced by women living with HIV in Sweden. Data were collected by phenomenon-oriented interviews with 18 HIV-positive women. A reflective lifeworld analysis based on phenomenological philosophy was conducted, describing the meaning structure of the phenomenon. The essence of the phenomenon is that perceptions about HIV and its contagiousness profoundly influence sexual habits and considerations in relation to pregnancy and childbearing. These perceptions are formed in combination with knowledge and interpretations about HIV by the women themselves and by their environments. The essence is further described by its constituents: Risk of transmission imposes demands on responsibility; The contagiousness of HIV limits sexuality and childbearing; Knowledge about HIV transmission provides confident choices and decisions; and To re-create sexuality and childbearing. Although HIV has a low risk of transmission if being well treated, our study shows that HIV-positive women feel more or less contagious, which influences sexuality and decision-making in relation to become pregnant and give birth.
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影响因子：
4.9
作者：
Bova, C;Durante, A
通讯作者：
Durante, A
影响因子：
--
作者：
Bharat, Shalini;Mahendra, Vaishali Sharma
通讯作者：
Mahendra, Vaishali Sharma
影响因子：
2.6
作者：
Adam, Barry D.;Elliott, Richard;English, Ken
通讯作者：
English, Ken
影响因子：
3.8
作者：
Attia, Suzanna;Egger, Matthias;Low, Nicola
通讯作者：
Low, Nicola
影响因子：
4.9
作者：
Carlsson-Lalloo E;Rusner M;Mellgren Å;Berg M
通讯作者：
Berg M