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在撒哈拉以南非洲地区,男性规范在男性进行 HIV 检测中扮演了什么角色?:范围综述。

What Role Do Masculine Norms Play in Men's HIV Testing in Sub-Saharan Africa?: A Scoping Review.

机构信息

Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, USA.

Division of Global Health, School of Medicine, University of California San Diego, San Diego, CA, USA.

出版信息

AIDS Behav. 2018 Aug;22(8):2468-2479. doi: 10.1007/s10461-018-2160-z.


DOI:10.1007/s10461-018-2160-z
PMID:29777420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6459015/
Abstract

Men living with HIV/AIDS in sub-Saharan Africa are less likely to test for HIV than women. We conducted a scoping review in May of 2016 to identify how masculine norms influence men's HIV testing in sub-Saharan Africa. Our review yielded a total of 13 qualitative studies from 8 countries. Masculine norms create both barriers and facilitators to HIV testing. Barriers included emotional inexpression, gendered communication, social pressures to be strong and self-reliant, and the fear that an HIV positive result would threaten traditional social roles (i.e., husband, father, provider, worker) and reduce sexual success with women. Facilitators included perceptions that HIV testing could restore masculinity through regained physical strength and the ability to re-assume the provider role after accessing treatment. Across sub-Saharan Africa, masculinity appears to play an important role in men's decision to test for HIV and further research and interventions are needed to address this link.

摘要

撒哈拉以南非洲地区的男男性行为者比女性更不可能接受 HIV 检测。我们在 2016 年 5 月进行了一项范围界定审查,以确定男性气质规范如何影响撒哈拉以南非洲地区男性的 HIV 检测。我们的审查共从 8 个国家获得了 13 项定性研究。男性气质规范对 HIV 检测既构成了障碍,也提供了便利。障碍包括情感表达受限、性别沟通、保持坚强和自立的社会压力,以及担心 HIV 阳性结果会威胁到传统的社会角色(即丈夫、父亲、供养者、工人),并降低与女性的性成功。促进因素包括 HIV 检测可以通过恢复体力和在获得治疗后重新承担供养者角色来恢复男子气概的看法。在撒哈拉以南非洲地区,男子气概似乎在男性接受 HIV 检测的决定中发挥了重要作用,需要进一步研究和干预措施来解决这一联系。

相似文献

[1]
What Role Do Masculine Norms Play in Men's HIV Testing in Sub-Saharan Africa?: A Scoping Review.

AIDS Behav. 2018-8

[2]
A scoping review on the role of masculine norms in men's engagement in the HIV care continuum in sub-Saharan Africa.

AIDS Care. 2019-11

[3]
Men "missing" from population-based HIV testing: insights from qualitative research.

AIDS Care. 2016

[4]
Men's Refashioning of Masculine Identities in Uganda and Their Self-Management of HIV Treatment.

Qual Health Res. 2019-2-14

[5]
Dividuality, masculine respectability and reputation: how masculinity affects men's uptake of HIV treatment in rural eastern Uganda.

Soc Sci Med. 2013-4-28

[6]
Men's late presentation for HIV care in Eastern Uganda: The role of masculinity norms.

PLoS One. 2022

[7]
'Dented' and 'resuscitated' masculinities: the impact of HIV diagnosis and/or enrolment on antiretroviral treatment on masculine identities in rural eastern Uganda.

SAHARA J. 2014

[8]
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?

Cult Health Sex. 2016-11

[9]
Gendered health institutions: examining the organization of health services and men's use of HIV testing in Malawi.

J Int AIDS Soc. 2020-6

[10]
Masculinity and HIV: Dimensions of Masculine Norms that Contribute to Men's HIV-Related Sexual Behaviors.

AIDS Behav. 2016-4

引用本文的文献

[1]
Developing a male-specific counselling curriculum for HIV treatment in Malawi.

Gates Open Res. 2025-7-28

[2]
Acceptability, feasibility, and factors affecting implementation of a gender-sensitivity training for HIV providers and staff in Uganda: a mixed methods, quasi-experimental controlled pilot trial.

BMC Public Health. 2025-5-24

[3]
Knowledge of HIV status among men aged 20-35 years in Lusaka, Zambia: Findings from a pilot time location sampling survey in the "Yaba Guy Che" (for the guys) study.

Trop Med Int Health. 2025-7

[4]
Young men's barriers to and facilitators of utilising HIV-testing services in South Africa.

South Afr J HIV Med. 2025-1-30

[5]
Understanding gender inequities in antimicrobial resistance: role of biology, behaviour and gender norms.

BMJ Glob Health. 2025-1-20

[6]
Men's Satisfaction with General Health Services is Associated with Future Use of HIV Testing in Malawi: A Community-Representative Survey.

AIDS Behav. 2024-8

[7]
Equity in HIV/AIDS services requires optimization of mainstreaming sectors in Ethiopia.

BMC Public Health. 2024-6-1

[8]
Understanding the Stigma Experience of Men Living with HIV in Sub-Saharan Africa: A Qualitative Meta-synthesis.

AIDS Behav. 2024-8

[9]
Predictors of prior HIV testing and acceptance of a community-based HIV test offer among male bar patrons in northern Tanzania.

PLOS Glob Public Health. 2024-2-26

[10]
Predictors of never testing for HIV among sexually active individuals aged 15-56 years in Rwanda.

Sci Rep. 2024-1-26

本文引用的文献

[1]
Gender Norms, Gender Role Conflict/Stress and HIV Risk Behaviors Among Men in Mpumalanga, South Africa.

AIDS Behav. 2018-6

[2]
The Association Between Men's Concern About Demonstrating Masculine Characteristics and Their Sexual Risk Behaviors: Findings from the Dominican Republic.

Arch Sex Behav. 2016-11-14

[3]
"If you don't take a stand for your life, who will help you?": Men's engagement in HIV care in KwaZulu-Natal, South Africa.

Psychol Men Masc. 2016-7

[4]
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?

Cult Health Sex. 2016-11

[5]
Evaluation of a male engagement intervention to transform gender norms and improve family planning and HIV service uptake in Kabale, Uganda.

Glob Public Health. 2016-4-24

[6]
The risks of partner violence following HIV status disclosure, and health service responses: narratives of women attending reproductive health services in Kenya.

J Int AIDS Soc. 2016-3-31

[7]
The importance of masculinity and gender norms for understanding institutional responses to HIV testing and treatment strategies.

AIDS. 2016-1-2

[8]
Masculinity and HIV: Dimensions of Masculine Norms that Contribute to Men's HIV-Related Sexual Behaviors.

AIDS Behav. 2016-4

[9]
Cracking the code: getting men tested in rural Africa.

AIDS. 2016-1

[10]
Systematic review and meta-analysis of community and facility-based HIV testing to address linkage to care gaps in sub-Saharan Africa.

Nature. 2015-12-3

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