Chavalala Lazarros, Lebese Rachel Tsakani, Makhado Lufuno
Department of Public Health, Faculty of Health Sciences, University of Venda, Thohoyandou 0950, South Africa.
Healthcare (Basel). 2024 Nov 21;12(23):2320. doi: 10.3390/healthcare12232320.
The health-seeking behavior of men is a public health concern and is associated with poor health outcomes and lower life expectancy among men. Masculinity norms are among the factors contributing to men's poor health-seeking behavior. This study explored the views and experiences of purposively selected nurses on men's health-seeking behavior. Through qualitative descriptive design, individual semi-structured interviews were conducted with 14 professional nurses, and collected data were audio recorded and transcribed verbatim. Tech's eight steps were used to analyze data and guide the development of the main themes and sub-themes. Trustworthiness was ensured through credibility, confirmability, dependability, and transferability. Ethical approval was granted by the University of Venda Research ethics committee with reference number FHS/21/PH/26/1215. Self-medication, a lack of trust in Western medicine, and the use of traditional healers were identified as reasons men underutilize health care services. Men were viewed as people who consult heath care services when illness is severe, feel uncomfortable with female nurses, and value respect from clinicians. Cultural norms still remain a barrier among men in this study setting, as men did not feel comfortable with their private parts being physically examined by female clinicians. There is a need to take note of cultural norms impacting health care service usage by men.
男性的健康寻求行为是一个公共卫生问题,与男性健康状况不佳和预期寿命较低有关。男性气质规范是导致男性健康寻求行为不佳的因素之一。本研究探讨了经过有目的挑选的护士对男性健康寻求行为的看法和经历。通过定性描述设计,对14名专业护士进行了个人半结构化访谈,收集的数据进行了录音并逐字转录。采用了Tech的八个步骤来分析数据,并指导主要主题和子主题的形成。通过可信度、可证实性、可靠性和可转移性确保了研究的可信度。文达大学研究伦理委员会批准了伦理审查,参考编号为FHS/21/PH/26/1215。自我用药、对西医缺乏信任以及使用传统治疗师被确定为男性未充分利用医疗服务的原因。男性被视为在病情严重时才会咨询医疗服务、对女护士感到不自在且重视临床医生尊重的人群。在本研究环境中,文化规范仍然是男性面临的一个障碍,因为男性对女临床医生检查其私处感到不自在。有必要关注影响男性医疗服务使用的文化规范。