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