在每个人的利益范围内，但没有任何人负责：助产士在初级保健中对男性性健康和生殖健康及权利的预防工作的想法和经验。
In everybody's interest but no one's assigned responsibility: midwives' thoughts and experiences of preventive work for men's sexual and reproductive health and rights within primary care.
机构信息
Department of Women's and Children's Health, Uppsala University, Akademiska sjukhuset, SE-751 85, Uppsala, Sweden.
Sophiahemmet University, Box 5605, SE-114 86, Stockholm, Sweden.
出版信息
BMC Public Health. 2019 Oct 30;19(1):1423. doi: 10.1186/s12889-019-7792-z.
BACKGROUND
Sexual and reproductive health and rights (SRHR) have historically been regarded as a woman's issue. It is likely that these gender norms also hinder health care providers from perceiving boys and men as health care recipients, especially within the area of SRHR. The aim of this study was to explore midwives' thoughts and experiences regarding preventive work for men's sexual and reproductive health and rights in the primary care setting.
METHODS
An exploratory qualitative study. Five focus group interviews, including 4-5 participants in each group, were conducted with 22 midwives aged 31-64, who worked with reproductive, perinatal and sexual health within primary care. Data were analysed by latent content analysis.
RESULTS
One overall theme emerged, in everybody's interest, but no one's assigned responsibility, and three sub-themes: (i) organisational aspects create obstacles, (ii) mixed views on the midwife's role and responsibility, and (iii) beliefs about men and women: same, but different.
CONCLUSIONS
Midwives believed that preventive work for men's sexual and reproductive health and rights was in everybody's interest, but no one's assigned responsibility. To improve men's access to sexual and reproductive health care, actions are needed from the state, the health care system and health care providers.
背景
性与生殖健康和权利（SRHR）历来被视为女性问题。这些性别规范很可能也阻碍了医疗保健提供者将男孩和男性视为医疗保健的接受者，尤其是在 SRHR 领域。本研究旨在探讨助产士对男性性与生殖健康和权利预防工作的想法和经验，该工作在初级保健环境中开展。
方法
一项探索性定性研究。对 22 名年龄在 31-64 岁之间、从事生殖、围产期和性健康工作的助产士进行了 5 次焦点小组访谈，每组有 4-5 名参与者。采用潜在内容分析法对数据进行分析。
结果
出现了一个总体主题，即每个人都感兴趣，但没有人负责，以及三个子主题：（i）组织方面的障碍，（ii）对助产士角色和责任的看法不一，以及（iii）对男性和女性的看法：相同，但不同。
结论
助产士认为男性性与生殖健康和权利的预防工作符合每个人的利益，但没有人负责。为了改善男性获得性和生殖保健的机会，需要国家、医疗保健系统和医疗保健提供者采取行动。
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