Obach Alexandra, Sadler Michelle, Aguayo Francisco, Bernales Margarita
Programa de Estudios Sociales en Salud, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Departamento de Historia y Ciencias Sociales, Facultad de Artes Liberales, Universidad Adolfo Ibáñez, Santiago, Chile.
Rev Panam Salud Publica. 2018 Dec 27;42:e124. doi: 10.26633/RPSP.2018.124. eCollection 2018.
To describe, based on the perceptions of adolescents and health service staff, the ways in which adolescent boys interact with sexual and reproductive health services, the changes perceived in this area over time, and the strategy ('Friendly Spaces' for adolescent health) to reach out to boys.
An ethnographic, qualitative study was conducted in Friendly Spaces for adolescent and young adult health in five municipalities belonging to Chile's Metropolitan Region. The research methods used were semi-structured interviews ( = 38), discussion groups ( = 5), and participant observation.
A masculinities perspective was [TN: "un enfoque de masculinidades". Or simply: "Masculine perspectives were…"] felt to be missing in adolescent sexual and reproductive health care, which is perceived to be an area geared primarily toward females. Most adolescent boys perceive health services as distant and visit them only in case of emergency. Male attendance is low at sexual and reproductive health services in Friendly Spaces within primary health care centers. However, services outside these centers attract boys in larger numbers, for example, one that is exclusively devoted to providing adolescent health care and integrated services in schools.
Greater provision of adolescent sexual and reproductive health services does not necessarily translate into increased male access. For such an increase to occur, it is important to engage boys in addressing issues that capture their interest, bring health services closer to them, strengthen intersectoral work, and incorporate a masculinities perspectives in their care.
基于青少年和卫生服务人员的认知，描述青春期男孩与性健康和生殖健康服务的互动方式、该领域随时间推移所察觉到的变化，以及针对男孩的“青少年健康友好空间”策略。
在智利首都大区的五个市开展了一项针对青少年和青年健康友好空间的人种志定性研究。采用的研究方法包括半结构化访谈（n = 38）、讨论组（n = 5）和参与观察。
人们认为在青少年性健康和生殖健康护理中缺少男性气质视角，该领域主要被视为面向女性。大多数青春期男孩认为卫生服务机构距离遥远，只有在紧急情况下才会前往就诊。在初级卫生保健中心的青少年健康友好空间中，男性前往性健康和生殖健康服务机构的比例较低。然而，这些中心之外的服务机构吸引了更多男孩，例如一个专门在学校提供青少年保健和综合服务的机构。
增加青少年性健康和生殖健康服务的提供并不一定意味着男性就诊机会的增加。为了实现这一增长，重要的是让男孩参与解决他们感兴趣的问题，使卫生服务更贴近他们，加强部门间合作，并在护理中纳入男性气质视角。
