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“半是女人,半是男人;他们就是这样让我感觉的”:一项关于约旦农村女性不孕经历的定性研究

'Half a woman, half a man; that is how they make me feel': a qualitative study of rural Jordanian women's experience of infertility.

作者信息

Daibes Mayada A, Safadi Reema R, Athamneh Tarek, Anees Iman F, Constantino Rose E

机构信息

a School of Nursing , Philadelphia University , Amman , Jordan.

b Maternity and Child Health Department, School of Nursing , University of Jordan , Amman , Jordan.

出版信息

Cult Health Sex. 2018 May;20(5):516-530. doi: 10.1080/13691058.2017.1359672. Epub 2017 Aug 16.

Abstract

Infertility is a health problem encompassing physical, psychological and social consequences that may threaten women's quality of life. Few studies have been conducted in Jordan examining rural women's experiences of infertility. This study aimed to explore responses to infertility and its consequences in the Jordanian rural sociocultural context. Using a descriptive qualitative design, data were collected between April and September 2016 from a fertility clinic in a military hospital in Northern Jordan. Semi-structured interviews were conducted with 14 purposively selected Jordanian women. Data were analysed using thematic analysis. Findings revealing women's responses to infertility included: submission and docility, self-isolation, internalisation and persistence in getting pregnant by seeking modern and traditional methods of treatment. The impact of infertility complicated women's everyday living through their experiences of violence, kinship and patriarchal interference, stigma, negative perceptions of the infertile woman, and other's surveillance of their sexuality. Women living in rural areas of Jordan have negative experiences of infertility that are ingrained in sociocultural beliefs about fertility and reproduction. Healthcare professionals are encouraged to raise public awareness about infertility's adverse consequences and to help families by enhancing positive responses to infertility.

摘要

不孕症是一个涉及身体、心理和社会后果的健康问题,可能会威胁到女性的生活质量。在约旦,针对农村女性不孕症经历的研究很少。本研究旨在探讨约旦农村社会文化背景下对不孕症及其后果的应对情况。采用描述性定性设计,于2016年4月至9月间从约旦北部一家军事医院的生育诊所收集数据。对14名经过有目的挑选的约旦女性进行了半结构化访谈。采用主题分析法对数据进行分析。研究结果显示,女性对不孕症的应对方式包括:顺从和温顺、自我孤立、内化以及通过寻求现代和传统治疗方法坚持怀孕。不孕症的影响通过她们在暴力、亲属关系和父权干涉、耻辱感、对不孕女性的负面看法以及他人对其性行为的监视等方面的经历,使女性的日常生活变得复杂。生活在约旦农村地区的女性对不孕症有负面经历,这些经历深深植根于关于生育和繁殖的社会文化观念中。鼓励医疗保健专业人员提高公众对不孕症不良后果的认识,并通过增强对不孕症的积极应对来帮助家庭。

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