Division of Social and Behavioural Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Lancet HIV. 2019 Mar;6(3):e191-e200. doi: 10.1016/S2352-3018(19)30032-3. Epub 2019 Feb 15.
The importance of men in the global HIV response is increasingly recognised. In most settings, men are less engaged in HIV services and have worse health outcomes than women. The multiple gender, social, economic, political, and institutional factors behind these patterns are well documented. More recently, researchers have been reporting evidence on strategies aimed at improving the engagement of men in HIV services. Several promising approaches exist, including community-based outreach programmes, gender-transformative interventions to shift gender norms and practices, and the development of more responsive, male-friendly health services. Challenges remain, however, in terms of cost and sustainability, intersecting inequalities like race and class, and the difficulty of changing community-level gender norms. Future research should focus on developing theory-informed interventions and evaluations, on improving the understanding of specific subpopulations of men, and on broadening the evidence base beyond the few countries that produce most research in this field.
男性在全球艾滋病应对中的重要性日益得到认可。在大多数情况下,男性参与艾滋病服务的程度较低,健康状况比女性差。造成这种模式的多种性别、社会、经济、政治和体制因素都有详细记录。最近,研究人员报告了旨在提高男性参与艾滋病服务的策略的证据。存在几种有前途的方法,包括基于社区的外展方案、改变性别规范和做法的性别转变干预措施,以及开发更具响应性、对男性友好的卫生服务。然而,在成本和可持续性方面、种族和阶级等交叉不平等问题以及改变社区一级性别规范的困难方面,仍存在挑战。未来的研究应侧重于制定基于理论的干预措施和评估,加深对男性特定亚群的理解,并扩大证据基础,超越该领域产生大部分研究的少数几个国家。
Lancet HIV. 2019-2-15
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