Dept of Social Policy and Social Work, University of York, United Kingdom.
Reprod Biomed Online. 2013 Sep;27(3):261-70. doi: 10.1016/j.rbmo.2013.04.017. Epub 2013 May 16.
Biopsychosocial approaches in infertility and cancer services and research pay limited attention to 'social dimensions'. Additionally, existing cancer-related male infertility research is dominated by sperm banking studies even though fertility-related social concerns in the long term are reported to have an adverse effect on wellbeing. This paper considers whether social influences affected the fertility-related experiences of 28 men interviewed as part of a mixed-gender qualitative study of 'South Asian' and 'White' cancer survivors and their professional carers. Findings are reported under: managing stigma; sexuality and virility; ambiguity in fertile status; relationship to sperm; and meaning of fatherhood. Gender and other social influences were ambiguous, fluid and subtle--yet powerful. Combinations were neither standard nor static, indicating the dangers of practitioners stereotyping, and/or assuming homogeneity of, (in)fertile men and being unaware of their own socialized expectations. Social structures and attitudes towards valued male social roles as well as the men's psychological capacity and bodily state appear to affect experience. Men may more readily be engaged if practitioners proactively attend to the impact of social concerns, including employment and financial matters, on their perceived capacity to be fathers as a route into raising issues of sexuality and fertility.
不孕不育和癌症服务与研究中的生物心理社会方法对“社会层面”关注有限。此外，现有的与癌症相关的男性不育研究主要集中在精子库研究上，尽管据报道，与生育相关的长期社会问题对幸福感有不利影响。本文考虑了社会影响是否影响了 28 名男性的生育相关经历，这些男性是“南亚”和“白人”癌症幸存者及其专业护理人员的混合性别定性研究的一部分。研究结果报告如下：应对污名化；性行为和男子气概；生育能力的模糊性；与精子的关系；以及父亲身份的意义。性别和其他社会影响是模糊的、流动的和微妙的——但却很强大。组合既不是标准的，也不是静态的，这表明从业者刻板印象的危险，以及/或对（可）生育男性的同质性假设，以及对自身社会化期望的认识不足。社会结构和对有价值的男性社会角色的态度，以及男性的心理能力和身体状况，似乎都会影响到体验。如果从业者主动关注社会问题对他们作为父亲的感知能力的影响，包括就业和财务问题，那么男性可能更容易参与进来，这是解决性行为和生育能力问题的途径。
