RESUMO
The purpose of the researchers in this study was to investigate how women who were being tested for HIV during their pregnancies were evaluating, conceptualizing, and negotiating their risk of infection. The study included two focus groups and 20 in-depth interviews with 30 patients, ages 17-38 years, from diverse ethnic/racial, social, and economic backgrounds. Qualitative analyses of the interview transcripts revealed support for the idea that pregnant women have a responsibility to minimize risks to their fetus, with all interviewees describing actions to minimize those risks while pregnant. Two sub-themes emerged that were related to the presence of differences in how interviewees conceptualized risk depending on the type of risk being discussed. In the case of diet and lifestyle influences, interviewees framed their health and the health of the fetus as connected. In contrast, when the issue of HIV risk and testing was raised, the interviewees described the risk of HIV to themselves and their fetuses as separate concerns and, with few exceptions, reported no effort to reduce the risk of becoming infected while pregnant (beyond consenting to HIV screening while receiving prenatal care). Findings suggest the importance of developing HIV prevention messages that counter the compartmentalization of risk during pregnancy.
Assuntos
Infecções por HIV/diagnóstico , Infecções por HIV/prevenção & controle , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Complicações Infecciosas na Gravidez/diagnóstico , Adolescente , Adulto , Feminino , Grupos Focais , Infecções por HIV/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Entrevistas como Assunto , Programas de Rastreamento , Gravidez , Complicações Infecciosas na Gravidez/prevenção & controle , Cuidado Pré-Natal , Pesquisa Qualitativa , Fatores de Risco , Assunção de Riscos , Comportamento Sexual , Adulto JovemRESUMO
This exploratory study brings together two lines of inquiry on (a) college campus-based responses to sexual and intimate partner violence among students, and (b) the characteristics, experiences, and challenges unique to commuter students and commuter institutions of higher education. Using qualitative analysis of 14 in-depth interviews with campus personnel and focus groups with a total of 71 students on three commuter campuses in the Pacific Northwest, we offer a detailed description of the experiences and characteristics of commuter students as they pertain to sexual and relationship violence programming and prevention, the associated nature of commuter campus communities, and the resulting lack of visibility of the issue of sexual and relationship violence on commuter campuses. We conclude that creative, tailored approaches to prevention and response services on commuter campuses are needed to address the unique circumstances and challenges facing commuter campus students.