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求子之路:探索加纳不孕不育治疗模式。

Quest for Conception: Exploring Treatment Patterns Associated with Infertility in Ghana.

机构信息

Department of Sociology, School of Social Sciences, University of Ghana, Legon.

出版信息

Afr J Reprod Health. 2020 Jun;24(2):27-39. doi: 10.29063/ajrh2020/v24i2.3.

Abstract

Due to the pronatalist orientation of the Ghanaian society and the social consequences of childlessness, infertile persons adopt several health seeking strategies in their bid to have their own children. This study therefore explored the health seeking behaviour of infertile Ghanaians and the factors that influence this behavior. The study adopted a qualitative research approach. Forty-five semi-structured in-depth interviews were used to collect data. The findings suggest that treatment seeking behaviour of infertile Ghanaians was motivated largely by perceived cause and belief in the efficacy of a treatment form. Two main treatment seeking patterns emerged from the data, hierarchical and concurrent treatment seeking behaviours. Although participants combined spiritual healing with either herbal or orthodox medicine, a combination of orthodox and herbal seemed inappropriate to them. The findings of this study should have implications for healthcare workers in general as the quest for biological parenthood and the treatment seeking behaviours employed by the infertile could be detrimental to the health of these individuals. For instance, the use of unregulated herbalists and itinerant herbal medicine sellers, as well as the over reliance on spiritual healing could have dire implications for health.

摘要

由于加纳社会的生育倾向以及不孕不育带来的社会后果,不孕不育者会采取多种健康寻求策略来生育自己的孩子。因此,本研究旨在探讨加纳不孕不育者的健康寻求行为以及影响这些行为的因素。本研究采用了定性研究方法。研究使用了 45 次半结构化深入访谈来收集数据。研究结果表明,加纳不孕不育者的治疗寻求行为主要受到对治疗方法的疗效和原因的看法的影响。研究结果还显示,治疗寻求行为存在两种主要模式:层次化和同时性治疗寻求行为。尽管参与者将精神治疗与草药或正统医学相结合,但他们认为同时使用正统医学和草药是不合适的。这项研究的结果应该对一般医疗工作者具有启示意义,因为对生物父母身份的追求以及不孕不育者所采用的治疗寻求行为可能对这些人的健康造成不利影响。例如,使用不受监管的草药师和流动草药卖家,以及过度依赖精神治疗,可能会对健康产生严重影响。

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