Villela Wilza Vieira, Barbosa Regina Maria, Portella Ana Paula, de Oliveira Luzia Aparecida
Programa de Pós Graduação em Ciências da Saúde, Universidade Federal de São Paulo, São Paulo, SP.
Cien Saude Colet. 2012 Jul;17(7):1709-19. doi: 10.1590/s1413-81232012000700009.
The impact of HIV/AIDS infection on the decision of women living with HIV/AIDS to interrupt a pregnancy remains an understudied topic. In an effort to understand the influence of HIV/AIDS diagnosis on abortion practices, a qualitative study was carried out in seven Brazilian municipalities with women living with HIV/AIDS who reported inducing an abortion at some point in their lives. This study presents the analysis of interviews with thirty women who became pregnant after diagnosis. The results show that for some women, infection was the primary motive for terminating their pregnancy, while for others, the motives for abortion were predominantly related to life circumstances. The decision to abort due to HIV infection is not the same for all women. It is related to the timing of the diagnosis and other aspects of the woman's life during her pregnancy, such as the relationship with her partner, her job and family support. The results suggest the need for more attention from health services to the reproductive decisions of women living with HIV/Aids; the incorporation of men into sexual and reproductive health prevention actions; and a deeper discussion of the illegality of abortion in Brazil and its harmful consequences for women, men, and children.
艾滋病毒/艾滋病感染对感染艾滋病毒/艾滋病的妇女终止妊娠决定的影响仍是一个研究不足的课题。为了解艾滋病毒/艾滋病诊断对堕胎行为的影响，在巴西七个城市对曾报告在人生某个阶段进行过堕胎的感染艾滋病毒/艾滋病的妇女开展了一项定性研究。本研究呈现了对30名诊断后怀孕的妇女的访谈分析。结果显示，对一些妇女而言，感染是终止妊娠的主要动机，而对另一些妇女来说，堕胎动机主要与生活状况有关。因感染艾滋病毒而堕胎的决定对所有妇女来说并不相同。这与诊断时间以及妇女孕期生活的其他方面有关，比如与伴侣的关系、工作和家庭支持。结果表明，卫生服务需要更多关注感染艾滋病毒/艾滋病妇女的生殖决定；将男性纳入性健康和生殖健康预防行动；以及对巴西堕胎非法性及其对妇女、男子和儿童的有害后果进行更深入的讨论。
