成年男性对性传播疾病和艾滋病毒/艾滋病的生殖健康需求探索。

Exploration of reproductive healthcare needs among adult men regarding sexual transmitted diseases and HIV/AIDS.

作者信息

Karimi Leila, Najmabadi Khadijeh Mirzaii, Ebadi Abbas, Pormehr-Yabandeh Asiyeh

机构信息

Ph.D. Candidate of Reproductive Health, Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences Mashhad, Iran.

Associate Professor, Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences Mashhad, Iran.

出版信息

Electron Physician. 2017 Sep 25;9(9):5250-5256. doi: 10.19082/5250. eCollection 2017 Sep.

DOI:10.19082/5250

PMID:29038705

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5633221/

Abstract

INTRODUCTION

One of the most important public health issues is men's sexual and reproductive health. Men are the most important counterparts in the prevention of sexual transmitted diseases and HIV/AIDS. A low level of men's referral to utilize healthcare services and the stigmatization of reporting sexually transmitted diseases in society due to cultural issues calls for the designation of strategies for improving the men's healthcare conditions. In addition, it is required to assess men's healthcare needs with consideration of cultural-contextual, social, and economic issues. The aim of this study was to explore the reproductive healthcare needs of men regarding sexual transmitted diseases and HIV/AIDS.

METHODS

This was a qualitative study with 34 men and six women from the general population; health policymakers, reproductive health providers, and clergies were collected in two large cities of Iran, including Tehran and Mashhad, in 2015 through individual in-depth interviews. Participants were chosen through purposive sampling. In-depth individual interviews were conducted to collect data. All interviews were transcribed verbatim and using data analysis through conventional qualitative content analysis. Data were analyzed using conventional qualitative content analysis with MAXqda.

RESULTS

The data analysis resulted in the development of four themes and 10 categories. The themes were "men's educational empowerment," "appropriate sociocultural background with advocacy," "organizing sexual needs based on sexual ethics, religious doctrine and women's empowerment," and "meeting men's preventive, caring and welfare needs."

CONCLUSION

Because men's reproductive health is intertwined with public health, data collected regarding men's healthcare needs with the consideration of social and cultural factors can be used for designing strategies for reducing the incidence/prevalence rates of STDs and HIV/AIDS.

摘要

引言

男性性健康和生殖健康是最重要的公共卫生问题之一。男性是预防性传播疾病和艾滋病毒/艾滋病的关键对象。由于文化问题，男性利用医疗保健服务的转诊率较低，且社会上对报告性传播疾病存在污名化现象，因此需要制定改善男性医疗保健状况的策略。此外，还需要在考虑文化背景、社会和经济问题的基础上评估男性的医疗保健需求。本研究的目的是探讨男性在性传播疾病和艾滋病毒/艾滋病方面的生殖保健需求。

方法

这是一项定性研究，于2015年在伊朗的两个大城市德黑兰和马什哈德，通过个人深度访谈收集了34名男性和6名女性、卫生政策制定者、生殖健康服务提供者和神职人员的信息。参与者通过目的抽样法选取。通过深度个人访谈收集数据。所有访谈均逐字转录，并采用传统定性内容分析法进行数据分析。使用MAXqda软件通过传统定性内容分析法对数据进行分析。