School of Nursing, University of British Columbia, Vancouver, BC, Canada.
Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, Kelowna, BC, Canada.
Health Promot Int. 2020 Oct 1;35(5):1230-1240. doi: 10.1093/heapro/daz101.
Long-standing commentaries about men's reticence for accessing clinical medical services, along with the more recent recognition of men's health inequities, has driven work in community-based men's health promotion. Indeed, the 2000s have seen rapid growth in community-based programs targeting men, and across this expanse of innovative work, experiential and empirical insights afford some important lessons learnt, and caveats to guide existing and future efforts. The current article offers eight lessons learnt regarding the design, content, recruitment, delivery, evaluation and scaling of community-based men's health promotion programs. Design lessons include the need to address social determinants of health and men's health inequities, build activity-based programming, garner men's permission and affirmation to shift masculine norms, and integrate content to advance men's health literacy. Also detailed are lessons learnt about men-friendly spaces, recruitment and retention strategies, the need to incrementally execute program evaluations, and the limits for program sustainability and scaling. Drawing from diverse community-based programs to illustrate the lessons learnt, caveats are also detailed to contextualize and caution some aspects of the lessons that are shared. The express aim of discussing lessons learnt and their caveats, reflected in the purpose of the current article, is to guide existing and future work in the ever growing field of community-based men's health promotion.
长期以来,人们一直认为男性不愿接受临床医疗服务,而最近人们也认识到男性健康存在不平等现象,这推动了以社区为基础的男性健康促进工作。事实上,在 21 世纪,针对男性的以社区为基础的项目迅速增多,在这一大规模的创新工作中,经验和实证洞察提供了一些重要的经验教训和注意事项,以指导现有和未来的努力。本文提供了关于社区为基础的男性健康促进项目的设计、内容、招募、实施、评估和扩展的八项经验教训。设计方面的经验教训包括解决健康的社会决定因素和男性健康不平等问题、建立以活动为基础的规划、争取男性的许可和认可以改变男性规范,以及整合内容以提高男性健康素养。本文还详细介绍了关于男性友好空间、招募和保留策略的经验教训,需要逐步执行方案评估,以及方案可持续性和扩展的限制。本文通过不同的以社区为基础的项目来说明所吸取的经验教训,同时也详细说明了注意事项,以说明所分享的经验教训的某些方面的背景和警示。讨论经验教训及其注意事项的明确目的,反映在本文的目的中,是为了指导以社区为基础的男性健康促进这一日益发展的领域的现有和未来工作。
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