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将男性自愿医学性割礼纳入男性气质规范以预防艾滋病毒:来自肯尼亚基苏木的研究结果。

Integration of voluntary male medical circumcision for HIV prevention into norms of masculinity: findings from Kisumu, Kenya.

机构信息

Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA.

Nyanza Reproductive Health Society, Kisumu, Kenya.

出版信息

Cult Health Sex. 2021 Oct;23(10):1451-1463. doi: 10.1080/13691058.2020.1829057. Epub 2020 Oct 5.

DOI:10.1080/13691058.2020.1829057
PMID:33016854
Abstract

While it is clear that in many communities ideas about masculinity and circumcision are connected, it is still unclear how young Kenyan men in the former Nyanza province from the traditionally non-circumcising Luo people perceive voluntary medical male circumcision as connected to masculinity and the role of voluntary medical male circumcision in the transition from boyhood to manhood. The objective of this study was to explore norms of masculinity and the decision-making process among Luo young men to provide a better understanding of how circumcision and masculinity relate to cultural norms within this community. The methodology consisted of eight FGDs with male peer groups and 24 in-depth interviews to elicit young men's perceptions of masculinity and voluntary medical male circumcision. Findings from thematic analysis reveal that young men described several key characteristics of masculinity including responsibility, bravery and sexual attractiveness. For some young men, voluntary medical male circumcision has embedded itself into cultural norms of masculinity by being a step in the transition from boyhood to manhood and by being a marker of some of these masculine characteristics. In the case of voluntary medical male circumcision, there may be opportunities to integrate other programming that helps men transition into healthy adulthood.

摘要

虽然很明显,在许多社区中,关于男子气概和割礼的观念是相互关联的,但目前尚不清楚前尼亚萨兰省(现肯尼亚西部省)来自传统上不割礼的卢奥人群中的年轻肯尼亚男性如何将自愿的医学男性割礼视为与男子气概有关,以及自愿的医学男性割礼在从男孩到成年男子的过渡中所扮演的角色。本研究的目的是探讨卢奥年轻男性的男子气概规范和决策过程,以便更好地了解割礼和男子气概如何与该社区的文化规范相关联。研究方法包括八组男性同龄人群的焦点小组讨论和 24 次深入访谈,以了解年轻男性对男子气概和自愿的医学男性割礼的看法。主题分析的结果表明,年轻男性描述了男子气概的几个关键特征,包括责任感、勇敢和性吸引力。对一些年轻男性来说,自愿的医学男性割礼已经融入了男子气概的文化规范,因为它是从男孩到成年男子过渡的一个步骤,也是这些男子气概特征的标志之一。在自愿的医学男性割礼方面,可能有机会整合其他有助于男性过渡到健康成年期的项目。

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A review of public health, social and ethical implications of voluntary medical male circumcision programs for HIV prevention in sub-Saharan Africa.对撒哈拉以南非洲地区预防艾滋病毒的自愿男性割礼项目的公共卫生、社会和伦理影响进行回顾。
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