Oliffe John L, Gerbrandt Julieta S, Bottorff Joan L, Hislop T Gregory
School of Nursing, University of British Columbia, Vancouver, British Columbia.
Health Promot Pract. 2010 Jul;11(4):562-71. doi: 10.1177/1524839908328990. Epub 2009 Jan 7.
Although health promotion programs can positively influence health practices, men typically react to symptoms, rather than maintain their health, and are more likely to deny than discuss illness-related issues. Prostate cancer support groups (PCSGs) provide an intriguing exception to these practices, in that men routinely discuss ordinarily private illness experiences and engage with self-health. This article draws on individual interview data from 52 men, and participant observations conducted at the meetings of 15 groups in British Columbia, Canada to provide insights to how groups simultaneously facilitate health promotion and illness demotion. The study findings reveal how an environment conducive to men's talk was established to normalize prostate cancer and promote the individual and collective health of group members. From a gendered perspective, men both disrupted and embodied dominant ideals of masculinity in how they engaged with their health at PCSGs.
尽管健康促进项目能够对健康行为产生积极影响,但男性通常对症状做出反应,而非维护自身健康,而且比起讨论与疾病相关的问题,他们更倾向于否认。前列腺癌支持小组(PCSGs)是这些行为中的一个有趣的例外,因为男性会定期讨论通常较为私密的患病经历,并关注自身健康。本文利用了对52名男性的个人访谈数据,以及在加拿大不列颠哥伦比亚省15个小组的会议上进行的参与者观察,以深入了解这些小组如何同时促进健康提升和疾病缓解。研究结果揭示了一个有利于男性交流的环境是如何建立起来的,从而使前列腺癌正常化,并促进小组成员的个人和集体健康。从性别角度来看,男性在前列腺癌支持小组中对待自身健康的方式既打破了又体现了男性气质的主导观念。