Myer L, Morroni C, Cooper D
Infectious Diseases Epidemiology Unit, School of Public Health & Family Medicine, University of Cape Town, South Africa.
AIDS Care. 2006 Oct;18(7):772-6. doi: 10.1080/09540120500409283.
While the ability to lead a healthy sexual life and to choose whether and when to have children are well-established features of reproductive health and human rights, issues surrounding sexual activity and childbearing among HIV-infected women and men have received little attention in sub-Saharan Africa. We conducted a semi-structured, cross-sectional survey at 26 primary health care clinics in South Africa to investigate community attitudes towards sexual activity and reproduction by HIV-infected individuals. Of the 843 women interviewed, slightly less than half (43%, n = 361) thought that people living with HIV/AIDS should remain sexually active if they choose, while 13% (n = 113) said they thought that people living with HIV/AIDS should have children if they wished to do so. In multivariate analysis, negative attitudes towards both sexuality and childbearing were persistently associated with not knowing someone infected with HIV (p = 0.001 and 0.043, respectively). These findings suggest that the sexual and reproductive health rights of HIV-infected women and men may be an important target as part of efforts to reduce HIV/AIDS-related stigma. Health policies and services are required to reinforce the reproductive rights of HIV-infected individuals in South Africa and other countries in sub-Saharan Africa where HIV is most prevalent.
虽然能够过上健康的性生活以及选择是否生育和何时生育是生殖健康和人权的既定特征，但在撒哈拉以南非洲，感染艾滋病毒的男女的性活动和生育问题很少受到关注。我们在南非的26家初级保健诊所进行了一项半结构化横断面调查，以调查社区对感染艾滋病毒者性活动和生育的态度。在接受采访的843名女性中，略少于一半（43%，n = 361）认为感染艾滋病毒/艾滋病的人如果愿意可以保持性活跃，而13%（n = 113）表示她们认为感染艾滋病毒/艾滋病的人如果愿意可以生育。在多变量分析中，对性和生育的消极态度一直与不认识感染艾滋病毒的人有关（分别为p = 0.001和0.043）。这些发现表明，感染艾滋病毒的男女的性健康和生殖健康权利可能是减少与艾滋病毒/艾滋病相关耻辱感努力的一个重要目标。在南非以及艾滋病毒最为流行的撒哈拉以南非洲其他国家，需要卫生政策和服务来加强感染艾滋病毒者的生殖权利。
