HIV INFECTED WOMEN'S REPRODUCTION DECISION MAKING PROCESS

HIV 感染妇女的生育决策过程

• 批准号: 6107638
• 负责人: DONNA B BARNES
• 金额: $ 10.36万
• 依托单位: CALIFORNIA STATE UNIVERSITY HAYWARD
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-06-01 至 2000-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6107638
• 关键词: HIV infections; behavioral /social science research tag; clinical research; decision making; ethics; female; gender difference; human subject; induced abortion; interview; pregnancy; racial /ethnic difference; social class; women's health

Since the Center for Disease Control first stated, "Infected women [with HIV] should be advised to consider delaying pregnancy until more is known about perinatal transmission of the virus" (Centers for Disease Control, 1985:725) there has been a debate about personal reproductive rights versus community and public health responsibilities. Studies in the literature reported no difference between the reproductive decisions of infected and uninfected women. Relatively little is known about how HIV- infected women make reproductive decisions. This study will investigate HIV-infected women's decision-making processes about childbirth and abortion, focusing on how race, ethnicity, class, gender and HIV illness influence decisions. Face-to-face, one hour interviews will be conducted with a sample (n-60) of HIV-infected women recruited from social support groups in Oakland, California (n-30), and Syracuse, New York (n-30). The interviews will be audio-recorded, transcribed and analyzed using grounded theory and domain analysis qualitative methods. A sub-sample of people (n=50) who influence HIV-infected women's decision-making processes will develop from the sample. Results from this study will provide a more representative vie of how women, particularly women of color, with HIV make decisions about childbirth and abortion. Additionally, the study will provide knowledge concerning those people with whom HIV-infected women interact in the process of making reproductive decisions. This new information will suggest how others, where appropriate, can most effectively assist women in the decision-making process. Moreover, this knowledge will offer direction for innovative approaches to providing the most informed, useful HIV services and education for women.

自从疾病控制中心首次声明，“感染妇女[与 HIV]应建议考虑推迟怀孕，直到了解更多信息 关于病毒的围产期传播”（疾病控制中心， 1985：725）一直存在着关于个人生殖权利的争论 与社区和公共卫生责任相比较。 的研究 文献报道， 感染和未感染的女性。 关于艾滋病毒是如何传播的，我们知之甚少。 受感染的妇女作出生育决定。 本研究将调查 受艾滋病毒感染的妇女关于分娩的决策过程， 堕胎，重点关注种族、民族、阶级、性别和艾滋病毒疾病 影响决策。 面对面，一个小时的面试将进行 与HIV感染妇女样本（n-60） 从社会支持中招募 加州奥克兰（n-30）和纽约锡拉丘兹（n-30）的群体。的 访谈将被录音，转录和分析使用接地 理论和领域分析定性方法。 A sub-sample子sample样本of people （n=50）影响感染艾滋病毒妇女决策过程的妇女将 从样品中发展出来。 这项研究的结果将提供更多 关于女性，特别是有色人种女性如何感染艾滋病毒的代表性观点 决定生育和堕胎。 此外，该研究 将提供有关艾滋病毒感染者的知识 妇女在作出生育决定的过程中相互影响。 这个新 信息将建议其他国家如何酌情最大限度地 在决策过程中有效协助妇女。而且这 知识将为创新方法提供方向， 为妇女提供最知情、最有用的艾滋病毒服务和教育。