被迫成为自己的医生——坦桑尼亚医疗系统中男男性行为者的耻辱经历
Being forced to become your own Doctor - Men who have Sex with Men's Experiences of Stigma in the Tanzanian Healthcare System.
作者信息
Larsson Markus, Ross Michael W, Månsson Sven-Axel, Nyoni Joyce, Shio Jasmine, Agardh Anette
机构信息
Division for Social Medicine and Global Health, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden.
Program in Human Sexuality, Department of Family Medicine, University of Minnesota, Minneapolis, USA.
出版信息
Int J Sex Health. 2016;28(2):163-175. doi: 10.1080/19317611.2016.1158763. Epub 2016 Mar 3.
Abstract
OBJECTIVE
To acquire a deepened understanding of how stigma in healthcare affects health-seeking behaviours of same-sex practising men in Tanzania.
METHODS
In-depth interviews with twelve men were conducted in Dar es Salaam, 2012. Data were interpreted through qualitative content analysis.
RESULTS
Narratives revealed that men's healthcare perceptions were shaped by previous encounters, rumours in gay community, norms and legislation around homosexuality. Fears of exposure aggravated men's possibilities of giving full anamnesis and detached them from formal healthcare services.
CONCLUSIONS
Stigma in healthcare might lead to severe public health problems due to perceived exclusion from the health system by sexual minorities.
摘要
目的
更深入地了解坦桑尼亚医疗保健中的污名化如何影响男同性恋者的就医行为。
方法
2012年在达累斯萨拉姆对12名男性进行了深入访谈。通过定性内容分析对数据进行解读。
结果
访谈结果显示，男性的医疗保健观念受到以往经历、同性恋群体中的传言、围绕同性恋的规范和立法的影响。对暴露的恐惧增加了男性提供完整病史的难度，并使他们远离正规医疗服务。
结论
由于性少数群体认为被排除在医疗系统之外，医疗保健中的污名化可能导致严重的公共卫生问题。
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