de Almeida Márcio Soares, Carneiro Bruna Rafaela, Santos Albert Ramon Oliveira, da Silva Pires Claudia Geovana, Santos Fransley Lima, de Sousa Álvaro Francisco Lopes, de Sousa Anderson Reis, Pereira Álvaro, de Oliveira Layze Braz, Carneiro Liliane Moretti, Mendes Isabel Amélia Costa
Federal University of Bahia, Salvador, Brazil.
Santa Casa College, Salvador, Bahia, Brazil.
Belitung Nurs J. 2024 Feb 28;10(1):96-104. doi: 10.33546/bnj.3008. eCollection 2024.
Men's health is influenced by a complex interplay of social, economic, and cultural determinants. Understanding how these aspects affect the health of adult cisgender men in medium and high-complexity healthcare settings is essential for improving healthcare services and promoting better health outcomes.
This study aimed to analyze the health status of adult cisgender men in medium and high-complexity healthcare settings based on social determinants and conditioners.
This study employed a qualitative design involving 45 adult cisgender men receiving care in medium/high complexity services in Bahia, Brazil. Semi-structured interviews were conducted from July 2019 to February 2020, and data were interpreted based on Dahlgren and Whitehead's Model of Social Determinants of Health using deductive thematic analysis.
Proximal determinants included biological aspects, preventive behaviors, lifestyle/social life, and aging processes. Intermediate factors included work conditions, access/utilization of healthcare services/medications, and psychosocial factors. Macro determinants involved income distribution, power dynamics, resource allocation, health inequalities/iniquities, morbidity, culture, political decisions, environmental factors, and structural elements.
The health status of men in medium/high complexity care was profoundly influenced by structural social determinants. These determinants impacted healthcare attention, service organization, cultural influences, the reproduction of hegemonic masculinity patterns, lifestyle, social support, and socioeconomic conditions necessary to realize the right to health. Nursing practices should conduct comprehensive assessments that extend beyond physical health indicators.
男性健康受到社会、经济和文化决定因素复杂的相互作用影响。了解这些因素如何影响中高复杂性医疗环境中成年顺性别男性的健康，对于改善医疗服务和促进更好的健康结果至关重要。
本研究旨在基于社会决定因素和调节因素分析中高复杂性医疗环境中成年顺性别男性的健康状况。
本研究采用定性设计，涉及45名在巴西巴伊亚州接受中/高复杂性服务护理的成年顺性别男性。2019年7月至2020年2月进行了半结构化访谈，并使用演绎主题分析，基于达尔格伦和怀特黑德的健康社会决定因素模型对数据进行了解释。
近端决定因素包括生物学方面、预防行为、生活方式/社会生活和衰老过程。中间因素包括工作条件、医疗服务/药物的获取/使用以及心理社会因素。宏观决定因素涉及收入分配、权力动态、资源分配、健康不平等/不公平、发病率、文化、政治决策、环境因素和结构要素。
中/高复杂性护理中男性的健康状况受到结构性社会决定因素的深刻影响。这些决定因素影响了医疗关注、服务组织、文化影响、霸权男性气质模式的再现、生活方式、社会支持以及实现健康权所需的社会经济条件。护理实践应进行全面评估，而不仅仅局限于身体健康指标。
