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Social Stigma and Childbearing for Women Living With HIV/AIDS

机译:艾滋病毒/艾滋病妇女的社会污名和生育

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As more women become infected with HIV, the issue of childbearing becomes increasingly salient. A more nuanced understanding of women's situations is needed to provide high-quality and relevant services and support. We examined reproductive decision making among 20 women living with HIV through in-depth interviews. These women made decisions within situations of chaos, instability, and trauma, which often limited their ability to make truly informed choices about their lives and childbearing. Despite their HIV, many of the women wanted children, but experienced stigmatization related both to their HIV and to their decisions to have children. This stigmatization came from multiple sources, including health care providers, some of whom encouraged their patients to abort pregnancies because of their HIV. Participants, however, demonstrated resistance to stigmatization, through building supportive communities and developing trusting relationships with HIV providers. These results support the need for specialized HIV care for women of childbearing age.
机译:随着越来越多的妇女感染艾滋病毒,生育问题变得越来越突出。为了提供高质量和相关的服务和支持,需要对妇女状况有更细微的了解。我们通过深入访谈,检查了20名艾滋病毒感染者的生殖决策能力。这些妇女在混乱,不稳定和遭受创伤的情况下做出决定,这常常限制了她们对自己的生活和生育能力做出真正明智选择的能力。尽管有艾滋病毒,但许多妇女还是想要孩子,但是遭受了侮辱,既与艾滋病毒有关,也与她们决定生孩子有关。这种污名化来自多个方面,包括医疗保健提供者,其中一些人鼓励其患者因感染艾滋病毒而中止妊娠。但是,参与者通过建立支持性社区并与艾滋病毒提供者建立了信任关系,表现出对污名化的抵制。这些结果支持需要对育龄妇女进行专门的艾滋病毒护理。

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