"我们主要关注的是预防怀孕,而不是预防艾滋病毒......":年轻人在预防意外怀孕和艾滋病毒时的看法和优先事项。

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ajar-African Journal of Aids Research Pub Date : 2024-10-01 Epub Date: 2024-03-01 DOI:10.2989/16085906.2023.2279646
Jewelle Js Methazia, Tshegofatso P Bessenaar, Sarah E Baum
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引用次数: 0

摘要

在南非,年轻人感染人类免疫缺陷病毒(HIV)和意外怀孕的比例很高,这仍然是一个令人担忧的问题。本研究采用定性方法,旨在探讨 18 至 24 岁的年轻人如何看待计划外怀孕和感染艾滋病毒的风险,以及他们如何优先考虑并采取行动预防这两个问题。研究从南非的三个省份招募了 54 名年轻人:他们来自南非的三个省份:夸祖鲁-纳塔尔省、东开普省和豪滕省。数据收集工作于 2016 年 5 月至 6 月间进行。所有数据收集工作均采用标准化讨论指南和半结构化英语访谈指南亲自进行。我们与年轻人进行了八次焦点小组讨论,并与十几岁就为人父母的年轻人进行了三次深入访谈。我们利用以社会建构主义框架为基础的主题分析来评估数据中的模式和关联。受访者表示,意外怀孕和艾滋病在他们的同龄人中很普遍,但对这两个问题的优先考虑程度不同。与艾滋病相比,预防怀孕是更优先考虑的问题,也是更大的威胁。受访者对感染艾滋病毒的担心较少,因为感染艾滋病毒被认为是不可见的,而且由于治疗的有效性和易用性,感染艾滋病毒不会被判死刑。与其他慢性病和计划外怀孕相比,艾滋病毒被认为更容易控制,负担更轻。我们的研究表明,计划外怀孕和艾滋病预防干预措施应优先满足年轻人控制生育的主要愿望,但也要鼓励他们制定包括艾滋病预防在内的性健康和生殖健康综合目标。我们的研究结果表明,迫切需要为年轻人提供综合预防艾滋病和怀孕的生物医学疗法。未来的计划需要灵活创新,以解决年轻人对艾滋病和怀孕的不同优先级的倾向,并且需要重新唤起预防艾滋病的紧迫感。
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"We mostly focus on preventing pregnancy, we don't really focus on preventing HIV … ": Young people's perceptions and priorities when preventing unplanned pregnancy and HIV.

In South Africa, the high rate of human immunodeficiency virus (HIV) infection among young people and unplanned pregnancies remains a concern. Using a qualitative approach, this study aimed to explore how young people between 18 and 24 years old perceive the risk of unplanned pregnancy and HIV, and how they give priority to and act to prevent both concerns. Fifty-four young people were recruited from three provinces in South Africa: KwaZulu-Natal, Eastern Cape, and Gauteng. Data collection took place between May and June in 2016. All data collection was carried out in person using a standardised discussion guide and a semi-structured interview guide in English. We conducted eight focus group discussions with young people and three in-depth interviews with young people who had become parents in their teens. We utilised thematic analysis grounded in a social constructionist framework to assess patterns and associations in the data. Respondents reported unplanned pregnancy and HIV as prevalent among their peers, but prioritised both concerns differently. Preventing pregnancy was a greater priority and threat than HIV. Respondents were less concerned about being infected with HIV which was perceived as invisible and not a death sentence because of the efficacy and ease of use of treatment. HIV was considered comparatively more manageable and less burdensome than other chronic illnesses and unplanned pregnancy. Our study suggests unplanned pregnancy and HIV prevention interventions should prioritise responding to young people's primary desire to control their fertility, but also encourage them to have holistic sexual and reproductive health goals that include HIV prevention. Our findings suggest a pressing need for biomedical therapies that offer combined HIV and pregnancy prevention for young people. Future programmes need to be agile and innovative in addressing young people's tendency to prioritise HIV and pregnancy differently, and they need to revive the sense of urgency to prevent HIV.

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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
期刊最新文献
Framing HIV and AIDS in competitive authoritarian democracies. Case study of the print press in Mozambique, 1986-2020. The factor structure of the Centre for Epidemiological Studies Depression Scale (CESD-R-20) among South African antiretroviral therapy users. Understanding depression, anxiety and stress in young people living with HIV in Ghana. "We mostly focus on preventing pregnancy, we don't really focus on preventing HIV … ": Young people's perceptions and priorities when preventing unplanned pregnancy and HIV. Assessing the pertinence and usefulness of HIV and AIDS indicators for evaluating clinical care quality: Perspectives of health care professionals.
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