Hiebert Bradley, Leipert Beverly, Regan Sandra, Burkell Jacquelyn
1 Western University, London, Ontario, Canada.
Am J Mens Health. 2018 Jul;12(4):863-876. doi: 10.1177/1557988316649177. Epub 2016 May 11.
Beginning as early as 2009, recent shifts in Canadian health care delivery indicate that access to health information is essential to promote and maintain a healthy population. It is important to understand how and where various populations, such as underresourced rural populations, access health information so that public health agencies can develop and deliver appropriate information with, for, and in these contexts. There is a paucity of research that specifically examines how rural Canadian men seek health information; therefore, this review aimed to conceptualize this process based on three dynamic key constructs: health patterns of rural Canadians, health information-seeking behaviors, and rural gender identities. This conceptual theoretical literature review included 91 articles at the intersection of these three constructs. Discussion focuses on how residing in a rural region influences men's health and health care access. Health information-seeking behaviors are discussed in terms of social networks and framed with a rural context. Connell's theory of masculinity provides a useful approach to dissecting how rural men's gender identities influence their health attitudes, and how such attitudes are embedded in rural social and cultural norms. Each major construct-health in rural Canada, health information seeking, and rural gender identities-is discussed to highlight how specific embodiments of masculinity may promote and inhibit men's health information-seeking and positive health behaviors.
早在2009年起，加拿大医疗服务提供方面的近期转变表明，获取健康信息对于促进和维持健康人口至关重要。了解不同人群，如资源匮乏的农村人口，如何以及从何处获取健康信息非常重要，这样公共卫生机构才能在这些背景下，为这些人群开发并提供合适的信息。专门研究加拿大农村男性如何寻求健康信息的研究很少；因此，本综述旨在基于三个动态关键概念来概念化这一过程：加拿大农村居民的健康模式、健康信息寻求行为以及农村性别认同。这一概念性理论文献综述纳入了这三个概念交叉领域的91篇文章。讨论聚焦于居住在农村地区如何影响男性的健康和医疗服务获取。健康信息寻求行为从社会网络的角度进行讨论，并置于农村背景中。康奈尔的男性气质理论为剖析农村男性的性别认同如何影响其健康态度，以及这种态度如何嵌入农村社会和文化规范提供了有用的方法。对每个主要概念——加拿大农村地区的健康、健康信息寻求以及农村性别认同——进行了讨论，以突出男性气质的具体表现形式如何促进和抑制男性的健康信息寻求及积极健康行为。
