Schuler S R, Choque M E, Rance S
Empowerment of Women Program, JSI Research and Training Institute, Arlington, VA 22209.
Stud Fam Plann. 1994 Jul-Aug;25(4):211-21.
Results of an ethnographic study suggest that, despite stereotypes to the contrary, urban Aymara women in Bolivia want to regulate their fertility, and sociocultural norms support fertility regulation. However, the norms also make such regulation difficult to achieve. One barrier is a deep suspicion of modern medicine and medical practitioners, who are not seen as reliable sources of information. This suspicion is reinforced when the quality of health services is inadequate. Among urban Aymara, the level of acceptability of most modern methods of contraception is low. Many would prefer to use traditional methods, even when use of these methods entails considerable sacrifice and risk of conflict with their partners, unwanted pregnancies, and recourse to unsafe abortion.
一项人种志研究结果表明,尽管存在相反的刻板印象,但玻利维亚城市中的艾马拉族女性希望控制生育,并且社会文化规范也支持生育控制。然而,这些规范也使得这种控制难以实现。一个障碍是对现代医学和医生的深深怀疑,他们不被视为可靠的信息来源。当卫生服务质量不足时,这种怀疑会加剧。在城市艾马拉族中,大多数现代避孕方法的可接受程度较低。许多人更愿意使用传统方法,即使使用这些方法需要做出相当大的牺牲,并且有与伴侣发生冲突、意外怀孕以及诉诸不安全堕胎的风险。