Izugbara Chimaraoke O, Egesa Carolyne, Okelo Rispah
African Population and Health Research Center, Nairobi, Kenya.
African Population and Health Research Center, Nairobi, Kenya.
Soc Sci Med. 2015 Sep;141:9-18. doi: 10.1016/j.socscimed.2015.07.019. Epub 2015 Jul 21.
Public health discourses on safe abortion assume the term to be unambiguous. However, qualitative evidence elicited from Kenyan women treated for complications of unsafe abortion contrasted sharply with public health views of abortion safety. For these women, safe abortion implied pregnancy termination procedures and services that concealed their abortions, shielded them from the law, were cheap and identified through dependable social networks. Participants contested the notion that poor quality abortion procedures and providers are inherently dangerous, asserting them as key to women's preservation of a good self, management of stigma, and protection of their reputation, respect, social relationships, and livelihoods. Greater public health attention to the social dimensions of abortion safety is urgent.
公共卫生领域关于安全堕胎的论述认为这个术语是明确无误的。然而，从因不安全堕胎并发症接受治疗的肯尼亚女性那里获取的定性证据，与公共卫生领域对堕胎安全性的看法形成了鲜明对比。对这些女性而言，安全堕胎意味着终止妊娠的程序和服务要能隐瞒她们的堕胎行为、使她们免受法律制裁、价格低廉且能通过可靠的社会网络找到。参与者对劣质堕胎程序和提供者本质上就危险这一观念提出质疑，坚称它们对于女性维护良好自我形象、应对污名化、保护自己的声誉、尊严、社会关系和生计至关重要。公共卫生领域迫切需要更多地关注堕胎安全的社会层面。
