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探寻男性在性健康、生殖健康、权利与正义中的角色:过去、现在与未来

Locating Men in Sexual and Reproductive Health, Rights, and Justice: Past, Present, Futures.

作者信息

Strong Joe, Coast Ernestina, Chiweshe Malvern

出版信息

Stud Fam Plann. 2025 Jun;56(2):332-344. doi: 10.1111/sifp.70003. Epub 2025 May 8.

DOI:10.1111/sifp.70003
PMID:40344228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12205726/
Abstract

Since the International Conference on Population and Development in 1994, global policies, and agenda-setting milestones have emphasized that universal sexual and reproductive health and rights (SRHR) are unattainable without the meaningful engagement and inclusion of men. Despite this, the field of SRHR continues to struggle with how and in what ways men can and should be included in research, programs, and policies. In this commentary, we argue that the programmatic focus of SRHR limits the capacity to produce the data and evidence needed to inform gender transformational change. For men to be meaningfully engaged with by SRHR, researchers need an analytic lens that can capture the manifestations and outcomes of gender and power. We consider the conceptual complementarities between two theoretical frameworks: hegemonic masculinities and Reproductive Justice. We contend that bringing together these conceptual approaches to men and SRHR offers an analytic framework to iterate and innovate approaches to research. Such changes will allow for a greater interrogation of gender and power and the production of data and evidence necessary to grapple with the ongoing injustices that curtail people's sexual and reproductive freedoms.

摘要

自1994年国际人口与发展会议以来,全球政策以及议程设定的里程碑都强调,若没有男性的切实参与和纳入,普遍的性健康和生殖健康及权利(SRHR)便无法实现。尽管如此,性健康和生殖健康及权利领域在如何以及以何种方式将男性纳入研究、项目和政策方面仍在苦苦挣扎。在这篇评论中,我们认为性健康和生殖健康及权利的项目重点限制了生成用以指导性别转型变革所需数据和证据的能力。为了让男性切实参与到性健康和生殖健康及权利事务中,研究人员需要一个能够捕捉性别和权力的表现形式及结果的分析视角。我们考虑了霸权男性气质和生殖正义这两个理论框架之间的概念互补性。我们认为,将这些关于男性和性健康及生殖健康及权利的概念方法结合起来,提供了一个分析框架,用于迭代和创新研究方法。这样的变革将使人们能够更深入地审视性别和权力,并生成应对持续存在的不公正现象所需的数据和证据,这些不公正现象限制了人们的性自由和生殖自由。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9177/12205726/c49907cbffdd/SIFP-56-332-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9177/12205726/c49907cbffdd/SIFP-56-332-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9177/12205726/c49907cbffdd/SIFP-56-332-g001.jpg

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本文引用的文献

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Thirty years of 'strange bedmates': The ICPD and the nexus of population control, feminism, and family planning.三十年的“奇特盟友”:国际人口与发展会议以及人口控制、女权主义和计划生育的关系
Popul Stud (Camb). 2025 Feb 4:1-21. doi: 10.1080/00324728.2024.2441824.
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The EMERGE framework to measure empowerment for health and development.用于衡量健康和发展赋权的 EMERGE 框架。
Soc Sci Med. 2024 Jun;351(Suppl 1):116879. doi: 10.1016/j.socscimed.2024.116879. Epub 2024 May 31.
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A Review of the Cultural Gender Norms Contributing to Gender Inequality in Ghana: An Ecological Systems Perspective.
从生态系统视角审视加纳导致性别不平等的文化性别规范
J Int Womens Stud. 2023 Oct;25(7).
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Engaging men and boys in sexual and reproductive health and rights.让男性参与性与生殖健康及权利事务。
BMJ. 2024 May 10;385:q1042. doi: 10.1136/bmj.q1042.
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Masculinities and sexual and reproductive health and rights: a global research priority setting exercise.男性气质与性健康和生殖健康及权利:全球研究重点设定工作
Lancet Glob Health. 2024 May;12(5):e882-e890. doi: 10.1016/S2214-109X(24)00053-6.
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"Even when you write with a pencil there is an eraser to clean it": Examining men's conceptualisations of and involvement in emergency contraceptive use in Accra, Ghana.“即便你用铅笔书写,也会有橡皮擦来擦拭干净”:审视加纳阿克拉男性对紧急避孕的概念理解及参与情况
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"If I Am Ready": Exploring the relationships between masculinities, pregnancy, and abortion among men in James Town, Ghana.《若我准备好》:探索加纳詹姆斯敦男性的男子气概、怀孕与人工流产之间的关系。
Soc Sci Med. 2022 Dec;314:115454. doi: 10.1016/j.socscimed.2022.115454. Epub 2022 Oct 15.
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Towards gender-transformative SRHR: a statement in reply to EUPHA and offer of a working definition.迈向性别变革性的性健康和生殖健康:对欧洲公共卫生协会的回应声明及工作定义提议
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Sex Reprod Health Matters. 2022 Dec;30(1):2040774. doi: 10.1080/26410397.2022.2040774.
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Popul Stud (Camb). 2021 Dec;75(sup1):221-234. doi: 10.1080/00324728.2021.1996623.