School of Social Work, McMaster University, Hamilton, ON, Canada.
Cult Health Sex. 2020 Apr;22(4):429-443. doi: 10.1080/13691058.2019.1604996. Epub 2019 Apr 29.
This paper describes findings from an institutional ethnography that arose out of the concerns of women living with HIV in Ontario, Canada, regarding the disclosure of their HIV status while accessing perinatal care. The enquiry traces the connections between women's experiences of perinatal care, the activities of healthcare providers delivering such care and the ruling relations that organise women's experiences and healthcare providers' activities. Focusing on HIV disclosure as a concern expressed by women, the findings make visible the day-to-day, routinised practices of healthcare providers working in perinatal care for women living with HIV, as well as the ideological discourses of 'fear of contagion' and 'AIDS hysteria' that contributed to producing the kinds of care experiences that were articulated by women. Opportunities to strengthen perinatal care policies and practices for women living with HIV are discussed.
本文描述了一项机构民族志研究的结果，该研究源于加拿大安大略省感染艾滋病毒的女性对在接受围产期护理时披露艾滋病毒状况的担忧。该调查追踪了女性在围产期护理中的体验、提供此类护理的医疗保健提供者的活动以及组织女性体验和医疗保健提供者活动的统治关系之间的联系。本文将艾滋病毒披露作为女性关注的问题，揭示了为感染艾滋病毒的女性提供围产期护理的医疗保健提供者的日常例行实践，以及导致女性表达的那种护理体验的“对传染的恐惧”和“艾滋病恐慌”的意识形态话语。本文还讨论了为感染艾滋病毒的女性加强围产期护理政策和实践的机会。
