Johns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Johns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Abidjan, Côte d'Ivoire.
PLoS One. 2019 Oct 23;14(10):e0223414. doi: 10.1371/journal.pone.0223414. eCollection 2019.
This qualitative research study explored the role of masculinity in men's engagement in the HIV care continuum in Côte d'Ivoire. The researchers conducted 73 in-depth interviews and 28 focus group discussions with 227 Ivoirian men between November and December 2016 across three urban sites. Participants in the study expressed that fear was the primary barrier to HIV testing and treatment. These men described five value domains-health, sexuality, work and financial success, family, and social status. Men saw HIV as a direct threat to their agency and strength with respect to each of these value domains, thus shedding light on their reluctance to discover their HIV status through HIV testing. With this data, the researchers created the Masculine Values Framework, a descriptive framework of masculine values that can be applied to better understand the behavior men exhibit in Côte d'Ivoire in the face of HIV. The Masculine Values Framework offers practical guidance for developing gender-sensitive HIV-focused social and behavior change programming in Côte d'Ivoire and similar contexts to reach the UNAIDS 90-90-90 targets.
这项定性研究探讨了男性气质在科特迪瓦男性参与艾滋病毒护理连续体中的作用。研究人员于 2016 年 11 月至 12 月在三个城市地点对 227 名科特迪瓦男性进行了 73 次深入访谈和 28 次焦点小组讨论。研究参与者表示，恐惧是艾滋病毒检测和治疗的主要障碍。这些男性描述了五个价值领域——健康、性、工作和财务成功、家庭和社会地位。男性认为艾滋病毒直接威胁到他们在这些价值领域的代理权和力量，因此揭示了他们不愿意通过艾滋病毒检测来发现自己的艾滋病毒状况。有了这些数据，研究人员创建了“男性价值观框架”，这是一个描述性的男性价值观框架，可以用来更好地理解科特迪瓦男性在面对艾滋病毒时的行为。男性价值观框架为在科特迪瓦和类似情况下制定以性别为敏感的艾滋病毒为重点的社会和行为改变规划提供了实用指导，以实现联合国艾滋病规划署 90-90-90 目标。
