'I still desire to have a child': a qualitative analysis of intersectional HIV- and childlessness-related stigma in rural southwestern Uganda.
'I still desire to have a child': a qualitative analysis of intersectional HIV- and childlessness-related stigma in rural southwestern Uganda.
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DOI：
10.1080/13691058.2021.2023761
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发表时间：
2023-03
影响因子：
2.2
通讯作者：
Matthews, Lynn T.
中科院分区：
文献类型：
--
作者：
Pratt, Madeline C.;Owembabazi, Moran;Muyindike, Winnie;Kaida, Angela;Marrazzo, Jeanne M.;Bangsberg, David R.;Bwana, Mwebesa B.;Psaros, Christina;Turan, Janet;Atukunda, Esther C.;Matthews, Lynn T.
这项研究探讨了交叉形式的艾滋病毒血清不同的夫妇在乌干达农村未满足的生殖目标所经历的耻辱。父母混合方法研究包括131名有怀孕计划的艾滋病毒感染妇女，在9个月内提供全面的艾滋病毒预防咨询和护理。与37名女性和7名男性伴侣进行了深入访谈，以探讨护理经验和使用更安全的受孕策略。这项二次分析探讨了如何在知情的情况下制定怀孕计划和预防艾滋病毒的行为。制定了以下主题：（1）与艾滋病毒和不育症有关的污名化形式引起的伙伴关系冲突，助长了基于性别的暴力、伙伴关系的解除和追求新的伙伴关系;（2）文化和性别规范迫使男子和妇女孕育和维持伙伴关系，而针对血清不同的夫妇的污名化使这种关系更加复杂;（3）对伴侣参与安全受孕策略的程度较低感到沮丧，导致这些艾滋病毒预防方法的使用减少;（4）卫生保健提供者的支持促进了继续受孕的希望，并有助于克服耻辱感。在受艾滋病毒影响的伙伴关系中，这些相互交叉的耻辱形式可能会影响艾滋病毒的预防。为了满足其生殖需要，伴侣可能会增加艾滋病毒传播的机会，因为他们与更多的伴侣进行无安全套性行为，并减少对预防战略的遵守。今后的研究方案应考虑将生育咨询与生殖保健和性保健结合起来。
This study explored the intersecting forms of stigma experienced by HIV-serodifferent couples with unmet reproductive goals in rural Uganda. The parent mixed-methods study, which included 131 HIV-exposed women with plans for pregnancy, offered comprehensive HIV prevention counselling and care over a nine-month period. In-depth interviews were conducted with 37 women and seven male partners to explore care experiences and the use of safer conception strategies. This secondary analysis explored how challenges conceiving informed pregnancy plans and HIV prevention behaviours. The following themes were developed (1) partnership conflicts arise from HIV- and infertility-related forms of stigma, contributing to gender-based violence, partnership dissolution and the pursuit of new partners; (2) cultural and gender norms pressure men and women to conceive and maintain partnerships, which is complicated by the stigma directed towards serodifferent couples; (3) frustration with low partner participation in safer conception strategies led to the decreased use of these methods of HIV prevention; (4) health care provider support promotes continued hope of conception and helps overcome stigma. In HIV-affected partnerships, these intersecting forms of stigma may impact HIV prevention. Seeking to fulfil their reproductive needs, partners may increase HIV transmission opportunities as they engage in condomless sex with additional partners and decrease adherence to prevention strategies. Future research programmes should consider the integration of fertility counselling with reproductive and sexual health care.
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影响因子：
6.1
作者：
Dyer, Silke;Lombard, Carl;Van der Spuy, Zephne
通讯作者：
Van der Spuy, Zephne
影响因子：
2.4
作者：
Diaz, Parris;Reddy, Pritika;Ramasamy, Ranjith
通讯作者：
Ramasamy, Ranjith
影响因子：
15.8
作者：
Mascarenhas MN;Flaxman SR;Boerma T;Vanderpoel S;Stevens GA
通讯作者：
Stevens GA
影响因子：
3.4
作者：
Dierickx S;Rahbari L;Longman C;Jaiteh F;Coene G
通讯作者：
Coene G
影响因子：
4.4
作者：
Joseph Davey D;West S;Umutoni V;Taleghani S;Klausner H;Farley E;Shah R;Madni S;Orewa S;Kottamasu V;Rice V;Robbin Z;Wall KM
通讯作者：
Wall KM