Tuberculosis and the sexual and reproductive lives of women in Bangladesh.
Tuberculosis and the sexual and reproductive lives of women in Bangladesh.
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DOI：
10.1371/journal.pone.0201134
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Jansen W
中科院分区：
文献类型：
--
作者：
Barua M;Van Driel F;Jansen W
当她们不符合与性和生殖有关的规范时，孟加拉国妇女往往面临被遗弃的境地，因此被剥夺了活跃的性生活、婚姻关系和母亲身份。关于结核病(TB)等污名化疾病如何限制女性的生殖健康和性生活，人们知之甚少。本文来源于孟加拉国纳辛迪区和达卡一项关于结核病对妇女性健康和生殖健康及权利的影响的更大规模的研究，旨在填补这一空白。根据对9名患有或患有结核病的已婚妇女、4名丈夫和2名婆婆的采访，本文强调，结核病阻碍妇女性生活和生殖生活的方式取决于她们家庭和社区内的耻辱、她们与丈夫的关系、母亲身份、她们的生活安排、她们对家庭的经济贡献和/或她们对结核病诊断的披露。有孩子的妇女和支持她们的丈夫在她们的姻亲中保持着更强的地位，不太可能被孤立或拒绝。病人的叙述表明，卫生工作者的指示影响了他们关于性交或禁欲的决定。未来的研究应该检查患者从卫生工作者那里得到的关于他们的生活和睡眠安排、性交和怀孕的指示，以及关于结核病治疗和预防的政策文件。
When they do not meet norms related to sexuality and reproduction, Bangladeshi women often face abandonment and are thus deprived of an active sexual life, a marital relationship, and motherhood. Little is known about how a stigmatised disease such as tuberculosis (TB) may constrain the reproductive health and sexual lives of women. This article, derived from a larger study on the impact of TB on women’s sexual and reproductive health and rights in Narsingdi district and Dhaka, Bangladesh, aims to fill this gap. Based on interviews with nine married women who have or had TB, four husbands, and two mothers-in-law, this article highlights that the ways in which TB impedes on the sexual and reproductive lives of women depends on the stigma within their family and community, their relationships with their husbands, motherhood, their living arrangements, their economic contribution to the family and/or their disclosure of their TB diagnosis. Women with children and supportive husbands retain a stronger position among their in-laws and are less likely to be isolated or rejected. The patients’ narratives revealed that the instructions of health workers influenced their decisions about intercourse or abstinence. Future studies should examine the instructions patients receive from health workers regarding their living and sleeping arrangements, sexual intercourse, and pregnancy, as well as policy documents on TB treatment and prevention.
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