Hussain Rafat, Khan Adeel
School of Health, University of New England, Armidale, Australia.
Health Care Women Int. 2008 May;29(5):468-83. doi: 10.1080/07399330801949541.
In this article we explore women's perceptions and experiences of sexual violence in marital relationships and its effects on reproductive health. We conducted a qualitative study composed of key informant interviews, focus group discussions, and in-depth interviews in two low- to middle-income areas of Karachi, Pakistan. Results show sexual coercion and nonconsensual sex were common and not limited to abusive relationships. Difficulties in negotiating safe sex resulted in unwanted pregnancies, some leading to unsafe abortions. The women reported escalation of violence during pregnancy to be common. Social norms prevented disclosure of sexual violence leading to limited support or intervention or both. The link between women's social status, marital violence, and reproductive health is discussed.
在本文中，我们探讨了女性对婚姻关系中性暴力的认知和经历及其对生殖健康的影响。我们在巴基斯坦卡拉奇的两个中低收入地区进行了一项定性研究，该研究包括关键信息人访谈、焦点小组讨论和深入访谈。结果显示，性胁迫和非自愿性行为很常见，且不限于虐待关系。在协商安全性行为方面存在困难导致意外怀孕，有些意外怀孕导致不安全堕胎。这些女性报告称，孕期暴力升级的情况很常见。社会规范阻碍了性暴力的披露，导致获得的支持或干预有限，或两者皆有限。本文还讨论了女性社会地位、婚姻暴力和生殖健康之间的联系。
