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在南非,针对男性的性别转变项目在增加男性艾滋病毒检测以及促进他们参与艾滋病毒护理和治疗方面能发挥什么作用?

What role can gender-transformative programming for men play in increasing men's HIV testing and engagement in HIV care and treatment in South Africa?

作者信息

Fleming Paul J, Colvin Chris, Peacock Dean, Dworkin Shari L

机构信息

a Center on Gender Equity and Health, Division of Global Public Health , University of California , San Diego , USA.

b Division of Social and Behavioural Sciences, School of Public Health and Family Medicine , University of Cape Town , Cape Town , South Africa.

出版信息

Cult Health Sex. 2016 Nov;18(11):1251-64. doi: 10.1080/13691058.2016.1183045. Epub 2016 Jun 7.

Abstract

Men are less likely than women to test for HIV and engage in HIV care and treatment. We conducted in-depth interviews with men participating in One Man Can (OMC) - a rights-based gender equality and health programme intervention conducted in rural Limpopo and Eastern Cape, South Africa - to explore masculinity-related barriers to HIV testing/care/treatment and how participation in OMC impacted on these. Men who participated in OMC reported an increased capability to overcome masculinity-related barriers to testing/care/treatment. They also reported increased ability to express vulnerability and discuss HIV openly with others, which led to greater willingness to be tested for HIV and receive HIV care and treatment for those who were living with HIV. Interventions that challenge masculine norms and promote gender equality (i.e. gender-transformative interventions) represent a promising new approach to address men's barriers to testing, care and treatment.

摘要

男性进行HIV检测以及接受HIV护理和治疗的可能性低于女性。我们对参与“一个男人就能做到”(OMC)项目的男性进行了深入访谈。该项目是在南非林波波省农村地区和东开普省开展的一项基于权利的性别平等与健康项目干预措施,旨在探究与男性气质相关的HIV检测/护理/治疗障碍,以及参与OMC项目如何对这些障碍产生影响。参与OMC项目的男性报告称,他们克服与男性气质相关的检测/护理/治疗障碍的能力有所增强。他们还报告说,表达脆弱性并与他人公开讨论HIV的能力有所提高,这使得他们更愿意接受HIV检测,对于感染HIV的人来说,也更愿意接受HIV护理和治疗。挑战男性规范并促进性别平等的干预措施(即性别变革性干预措施)是解决男性检测、护理和治疗障碍的一种有前景的新方法。

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