HIV INFECTED WOMEN'S REPRODUCTION DECISION MAKING PROCESS

HIV 感染妇女的生育决策过程

• 批准号: 6335040
• 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: 2000
• 资助国家: 美国
• 起止时间: 2000-06-01 至 2001-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6335040
• 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.

自疾病控制中心首次声明以来，“受感染的女性[ HIV] 应建议考虑推迟怀孕，直至了解更多信息 关于病毒的围产期传播”（疾病控制中心， 1985:725）关于个人生殖权利一直存在争论 与社区和公共卫生责任。 研究领域 文献报道，生殖决定之间没有差异 感染和未感染的妇女。 对于艾滋病毒如何传播，人们知之甚少。 受感染的妇女做出生育决定。 本研究将调查 艾滋病毒感染妇女关于分娩和生育的决策过程 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。 将进行一小时的面对面访谈 从社会支持中招募艾滋病毒感染妇女样本（n-60） 加利福尼亚州奥克兰 (n-30) 和纽约州锡拉丘兹 (n-30) 的团体。这 访谈将被录音、转录并使用接地分析进行分析 理论和领域分析定性方法。 人的子样本 (n=50) 影响艾滋病毒感染妇女决策过程的人将 从样品中开发。 这项研究的结果将提供更多 女性，尤其是有色人种女性如何感染艾滋病毒的代表性观点 做出有关分娩和堕胎的决定。 此外，该研究 将提供有关艾滋病毒感染者的知识 妇女在做出生育决定的过程中相互作用。 这个新的 信息将表明其他人如何在适当的情况下最能 有效协助妇女参与决策过程。而且，这 知识将为创新方法提供方向，以提供 为妇女提供最知情、最有用的艾滋病毒服务和教育。