关键词: HIV impacts infertility intersection sub-Saharan Africa

来  源:   DOI:10.1177/09564624241254867

Abstract:
BACKGROUND: In Sub-Saharan Africa (SSA), HIV (Human Immunodeficiency Virus) prevalence among reproductive-aged women remains high, and infertility among these women is common. The social consequences for these women are yet to be explored. This scoping review summarises the social consequences of living with HIV and infertility for SSA women.
METHODS: This scoping review of published peer-reviewed literature focused on the intersection of infertility and living with HIV among women in SSA. We followed the PRISMA guidelines for scoping reviews. We searched PubMed, Web of Science and SCOPUS and included all original research reports which met the inclusion criteria; women in Sub-Saharan Africa, living with HIV, and infertility.
RESULTS: Fourteen papers met the inclusion criteria. Both HIV diagnosis and infertility were reported as stigmatising experiences for women who desire to have children. The stigma of infertility had a greater negative impact on women than that of an HIV diagnosis. Familial, community support, and medical intervention were perceived vital to ensure women feel de-stigmatised and in control of their future, even without children.
CONCLUSIONS: This is the first review demonstrating the social consequences of HIV and infertility on SSA women. Further research and interventions are needed to reduce the social consequences of infertility within SSA.
摘要:
背景:在撒哈拉以南非洲(SSA),育龄妇女中的HIV(人类免疫缺陷病毒)患病率仍然很高,这些女性的不孕症很常见。对这些妇女的社会影响尚待探讨。本范围审查总结了艾滋病毒感染和不孕症对SSA妇女的社会后果。
方法:对已发表的同行评审文献进行范围审查,重点关注SSA妇女中不孕症和感染艾滋病毒的交集。我们遵循PRISMA指南进行范围审查。我们搜索了PubMed,WebofScienceandSCOPUSandincludesalloriginalresearchreportswhichmettheincludingcriteria;womeninSub-SaharaAfrica,与艾滋病毒一起生活,和不孕症。
结果:14篇论文符合纳入标准。据报道,艾滋病毒诊断和不孕症都是希望生育孩子的妇女的耻辱经历。与艾滋病毒诊断相比,不孕症的污名对妇女的负面影响更大。家族性,社区支持,人们认为医疗干预对于确保妇女感到不受侮辱并控制自己的未来至关重要,即使没有孩子。
结论:这是第一次审查,证明了艾滋病毒和不孕症对SSA妇女的社会影响。需要进一步的研究和干预措施来减少SSA内不孕症的社会后果。
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