Investigating the role of stigma on fertility desire among HIV-positive women in Bangkok, Thailand: a qualitative study
| Autor: | Shannon M. Fuller, Annette H. Sohn, Natasha Mehta, Jennifer Ho, Phiangjai Boonsuk |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Epidemiology media_common.quotation_subject Immunology Population Stigma (botany) Context (language use) Fertility Microbiology HIV women fertility desire stigma Thailand 03 medical and health sciences Social support 0302 clinical medicine Virology medicine 030212 general & internal medicine education Original Research media_common education.field_of_study 030505 public health Public health Public Health Environmental and Occupational Health QR1-502 Risk perception Infectious Diseases Family medicine Public aspects of medicine RA1-1270 0305 other medical science Psychology Qualitative research |
| Zdroj: | Journal of Virus Eradication Journal of Virus Eradication, Vol 4, Iss 3, Pp 165-169 (2018) |
| ISSN: | 2055-6640 |
| DOI: | 10.1016/s2055-6640(20)30269-7 |
| Popis: | Objectives The Thai Ministry of Public Health is committed to reaching the United Nations’ goal of zero new HIV infections, zero AIDS-related deaths, and zero discrimination towards people living with HIV by 2030. While significant progress has been made towards the first two targets, stigma against women living with HIV (WLHIV), particularly in the context of their desire to have and raise children, remains an issue. Methods We conducted interviews with WLHIV (n=10) who expressed a desire to have a child or delivered an infant within 2 years of the study date, and key informants (KI) involved in their medical care and social support. We asked women about their HIV diagnosis, thoughts about pregnancy, desires to have children, and perceived stigma. KIs were asked about their perceptions of stigma towards WLHIV and policies or recommended actions to reduce discrimination towards this population. Results While the WLHIV reported that their healthcare providers had generally been supportive of them having children, internalised stigma and the perceived risk of or actual discrimination by community members negatively impacted fertility desire and peripartum experiences among the study participants. KIs confirmed similar sources of discrimination, emphasising more internalised and community-based stigma rather than from healthcare providers. Both groups highlighted the importance of increasing community education and awareness about HIV to reduce stigma. Conclusions Complex issues around stigma and discrimination specific to women with HIV should be addressed at the community level in order to reach the goal of zero discrimination against all people living with HIV in Thailand. |
| Databáze: | OpenAIRE |
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