J Assoc Nurses AIDS Care. 2014 Mar-Apr;25(2):145-57. doi: 10.1016/j.jana.2013.01.008. Epub 2013 Mar 21.
A qualitative investigation was conducted to explore the experience of African women living in the United Kingdom after being diagnosed with HIV during pregnancy. Participants (N = 12) completed a demographic questionnaire and participated in one-to-one semi-structured interviews. The interview addressed multiple personal, interpersonal, and systemic issues related to HIV, as well as HIV in the context of motherhood. Data were analyzed using interpretative phenomenological analysis. Themes that emerged included: (a) HIV being part of one's wider tapestry, (b) community and systemic influences and responses to HIV, (c) experiencing a different story of HIV, and (d) the mother-child relationship. Strikingly, the aspect of HIV these women reported finding most distressing was their inability to breastfeed, which seemed central to their cultural identity as mothers. Clinical recommendations and implications are made.
一项定性研究旨在探讨在英国被诊断出 HIV 阳性的非洲裔妇女的怀孕经历。参与者(N=12)完成了一份人口统计问卷,并参加了一对一的半结构化访谈。访谈涉及与 HIV 相关的多个个人、人际和系统问题,以及 HIV 在母性背景下的问题。数据使用解释性现象学分析进行分析。出现的主题包括:(a)HIV 是一个人更广泛的生活经历的一部分;(b)社区和系统影响以及对 HIV 的反应;(c)经历了 HIV 的不同故事;(d)母子关系。引人注目的是,这些女性报告发现最痛苦的 HIV 方面是她们无法进行母乳喂养,这似乎是她们作为母亲的文化身份的核心。提出了临床建议和影响。