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文莱达鲁萨兰国男性的健康求助行为:整个生命历程中的男子气质和男性身份认同。

Health help-seeking by men in Brunei Darussalam: masculinities and 'doing' male identities across the life course.

机构信息

PAP Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei.

Institute of Health and Society, Newcastle University, Newcastle Upon Tyne, UK.

出版信息

Sociol Health Illn. 2019 Jul;41(6):1071-1087. doi: 10.1111/1467-9566.12885. Epub 2019 Mar 25.

Abstract

Using data collected through semi-structured interviews and focus group discussions with 37 adult men living in Brunei Darussalam, this paper explores how masculinities and expectations about male roles across the life course influence men's perceptions, of and attitudes towards health and health help-seeking behaviour. Bruneian men gave accounts that consistently spoke of a series of masculine roles and associated attributes and behaviours, which mapped across the life course. Men described health and the steps that they had taken to protect their health in terms of responsibilities associated with being a breadwinner, provider of support for parents, role model and leader of the family. Whilst adherence to Bruneian norms about masculinity could obstruct men's engagement with health help-seeking, we also found that men mobilised their understanding of Bruneian masculinity such that it provided culturally legitimate way of engaging in health help-seeking. We conclude by considering implications for further development of conceptualisations of masculinities, particularly responding to the call to consider Connell's theory of 'hegemonic masculinity' in the context of the Global South. We also consider the implications of the findings of this research for policy and practice in provision of health promotion and services in Brunei.

摘要

本文通过对 37 名居住在文莱达鲁萨兰国的成年男性进行半结构化访谈和焦点小组讨论收集数据,探讨了男性气质和对男性角色的期望如何影响男性对健康的看法和寻求健康帮助的行为。文莱男性的描述始终一致地谈到了一系列男性角色以及与之相关的属性和行为,这些角色贯穿了整个生命周期。男性将健康和他们为保护健康而采取的措施描述为养家糊口、为父母提供支持、榜样和家庭领袖的责任。虽然坚持文莱的男性气质规范可能会阻碍男性寻求健康帮助,但我们也发现,男性利用他们对文莱男性气质的理解,为寻求健康帮助提供了文化上合法的途径。最后,我们考虑了对男性气质概念进一步发展的影响,特别是考虑到在全球南方背景下回应考虑康奈尔的“霸权男性气质”理论的呼吁。我们还考虑了这一研究结果对文莱提供健康促进和服务的政策和实践的影响。

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