East Leah, Peters Kath, Jackson Debra
University of New England, School of Health, Armidale, NSW, Australia.
School of Nursing & Midwifery, Western Sydney University, Penrith, NSW, Australia.
J Clin Nurs. 2017 Aug;26(15-16):2342-2352. doi: 10.1111/jocn.13723. Epub 2017 Mar 6.
To explore women's stories of contracting a sexually transmitted infection from a male partner and elucidate the gendered constructs and violence experienced that made the women vulnerable to these infections.
Violence against women can result in both physical and psychological consequences and expose women to multiple health risks including sexual health adversity.
Feminist storytelling approach.
Qualitative interviews were conducted with 10 women. All data underwent thematic analysis.
Findings from this study revealed the women were vulnerable to contracting sexually transmitted infection/s from their male sexual partners as a result of unequal gender and abusive relationship dynamics. Subsequently, contracting a sexual infection within this context potentially increased their vulnerability in both current and future relationships, through their loss of self-confidence and perceived ability to have a trusting loving heterosexual relationship as women with sexually transmitted infection/s.
Women in relationships in which they are subordinate to their male partner are at heightened risk of sexual health adversity, including contracting a sexually transmitted infection. Contracting a sexually transmitted infection within the context of an abusive relationship can further increase women's vulnerability to dominant male partners, thus further exposure to sexual risk and adversity.
Nurses working in clinical settings are well placed to conduct opportunistic screening of women's sexual health, including assessment of sexually transmitted infections and the nature of the encounter in which they were contracted. Thorough assessment can potentially identify relationship and personal factors that can increase a woman's risk to both sexual adversity and forms of abuse. Also, if women do divulge that they have suffered abuse, nurses are positioned to provide support and guidance in implementing strategies to minimise risk as well as referring them to specialised services.
探究女性感染男性伴侣传播的性传播感染的经历，并阐明使女性易受这些感染的性别建构和所遭受的暴力。
对女性的暴力行为会导致身体和心理后果，并使女性面临多种健康风险，包括性健康方面的不利情况。
女性主义叙事方法。
对10名女性进行了定性访谈。所有数据都进行了主题分析。
本研究的结果显示，由于性别不平等和虐待性的关系动态，这些女性易感染男性性伴侣传播的性传播感染。随后，在这种情况下感染性传播疾病可能会增加她们在当前和未来关系中的脆弱性，因为她们作为感染性传播疾病的女性，会失去自信以及拥有信任和相爱的异性恋关系的感知能力。
在与男性伴侣关系中处于从属地位的女性，面临性健康不利情况的风险更高，包括感染性传播感染。在虐待关系中感染性传播感染会进一步增加女性对占主导地位的男性伴侣的脆弱性，从而进一步暴露于性风险和不利情况。
在临床环境中工作的护士很适合对女性的性健康进行机会性筛查，包括评估性传播感染以及感染时的接触性质。全面评估有可能识别出会增加女性性不利情况和虐待形式风险的关系和个人因素。此外，如果女性确实透露她们遭受过虐待，护士有能力在实施降低风险策略方面提供支持和指导，并将她们转介到专门服务机构。
