University of Bern, Institute of Social and Preventive Medicine, Finkenhubelweg 11, CH-3012 Bern, Switzerland; Swiss Tropical and Public Health Institute, Switzerland.
Soc Sci Med. 2012 May;74(9):1311-23. doi: 10.1016/j.socscimed.2011.11.032. Epub 2012 Jan 28.
This paper reports on a systematic review of qualitative research about vaginal practices in sub-Saharan Africa, which used meta-ethnographic methods to understand their origins, their meanings for the women who use them, and how they have evolved in time and place. We included published documents which were based on qualitative methods of data collection and analysis and contained information on vaginal practices. After screening, 16 texts were included which dated from 1951 to 2008. We found that practices evolve and adapt to present circumstances and that they remain an important source of power for women to negotiate challenges that they face. Recent evidence suggests that some practices may increase a woman's susceptibility to HIV and other sexually transmitted infections. The success of new female-controlled prevention technologies, such as microbicides, might be determined by whether they can and will be used by women in the course of their daily life.
本文报告了一项关于撒哈拉以南非洲地区阴道实践的定性研究的系统综述，该研究采用元民族志方法来理解其起源、使用者的意义，以及它们如何随着时间和地点的变化而演变。我们纳入了基于定性数据收集和分析方法并包含阴道实践信息的已发表文献。经过筛选，共有 16 篇文献符合纳入标准，文献发表时间为 1951 年至 2008 年。我们发现，这些实践在不断演变和适应现实情况，并且仍然是女性应对所面临挑战的重要权力来源。最近的证据表明，一些实践可能会增加女性感染艾滋病毒和其他性传播感染的易感性。新的女性控制预防技术（如杀微生物剂）的成功与否可能取决于这些技术在女性日常生活中是否能够并且将会被使用。
