Social support among HIV-positive and HIV-negative adolescents in Umlazi, South Africa: changes in family and partner relationships during pregnancy and the postpartum period.
Social support among HIV-positive and HIV-negative adolescents in Umlazi, South Africa: changes in family and partner relationships during pregnancy and the postpartum period.
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DOI：
10.1186/s12884-015-0542-z
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发表时间：
2015-05-17
影响因子：
3.1
通讯作者：
Moodley D
中科院分区：
文献类型：
--
作者：
Hill LM;Maman S;Groves AK;Moodley D
在南非，怀孕在青少年中很常见，但在这方面，青少年在怀孕和产后期间的社会经历仍未得到充分研究。我们的目的是探索青春期妇女发现和披露她们的怀孕和艾滋病毒状况如何影响她们与家庭成员和性伴侣的关系，特别关注在这段时间内支持是否以及如何发生变化。我们对15名HIV阳性和HIV阴性的青春期妇女进行了深入的半结构化访谈，她们要么怀孕，要么在过去18个月内从南非乌姆拉齐的一家城市诊所分娩。访谈被录音、转录、翻译和编码以供分析。年轻女性描述了她们在怀孕和产后与家人和伴侣的关系中的压力和不稳定，尽管在艾滋病毒状况披露之前和期间，女性经历的压力通常比向家人和伴侣披露怀孕的压力要小。在怀孕消息披露后立即经历了一段不稳定的时期后，家庭成为并仍然是年轻妇女物质和情感支持的主要来源。女性在怀孕期间讨论了与伴侣的亲密程度，但很少有女性在产后与伴侣建立亲密关系。支助经历并不因艾滋病毒状况而异。各方案应该意识到，在这群年轻女性中，与怀孕有关的问题比与艾滋病毒有关的问题相对重要。让家庭成员参与，对于确保向这一年轻孕妇群体提供社会支持，以及鼓励及时开始产前护理至关重要。
Pregnancy is common among adolescents in South Africa, yet the social experiences of adolescents during the pregnancy and postpartum period remain understudied in this context. We aimed to explore how adolescent women’s discovery and disclosure of both their pregnancy and HIV status affected their relationships with family members and sexual partners, with a particular focus on whether and how support changed throughout this time period. We conducted in-depth semi-structured interviews with 15 HIV-positive and HIV-negative adolescent women who were either pregnant or had delivered in the last 18 months from one urban clinic in Umlazi, South Africa. Interviews were audiotaped, transcribed, translated, and coded for analysis. Young women described stress and instability in their relationships with family and partners during pregnancy and the postpartum period, though prior to and during HIV-status disclosure women generally experienced less stress than in disclosing their pregnancy to family members and partners. After a destabilizing period immediately following pregnancy disclosure, families became and remained the primary source of material and emotional support for the young women. Women discussed heightened closeness with their partners during pregnancy, but few women had close relationships with their partners postpartum. Support experiences did not differ by HIV status. Programs should be aware of the relative importance of pregnancy-related concerns over HIV-related concerns in this population of young women. Engaging family members is critical in ensuring social support for this population of young pregnant women, and in encouraging timely initiation of antenatal care.
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影响因子：
2.7
作者：
James, Sindiwe;Van Rooyen, Dalena;Struempher, Juanita
通讯作者：
Struempher, Juanita
影响因子：
3.2
作者：
Ekama SO;Herbertson EC;Addeh EJ;Gab-Okafor CV;Onwujekwe DI;Tayo F;Ezechi OC
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影响因子：
1.7
作者：
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通讯作者：
Weiss SM
DOI：
10.1111/j.1931-2393.2004.tb00022.x
发表时间：
2004-09-01
影响因子：
5.8
作者：
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通讯作者：
Herold, JM
影响因子：
7.7
作者：
Chen, Xi-Kuan;Wen, Shi Wu;Walker, Mark
通讯作者：
Walker, Mark