tailieunhanh - báo cáo khoa học: " Masculinity as a barrier to men’s use of HIV services in Zimbabwe"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Masculinity as a barrier to men’s use of HIV services in Zimbabwe | Skovdal et al. Globalization and Health 2011 7 13 http content 7 1 13 H2 globalization 7 AND HEALTH RESEARCH Open Access Masculinity as a barrier to men s use of HIV services in Zimbabwe 1 1 2 2 2 3 Morten Skovdal Catherine Campbell Claudius Madanhire Zivai Mupambireyi Constance Nyamukapa and Simon Gregson2 3 Abstract Background A growing number of studies highlight men s disinclination to make use of HIV services. This suggests there are factors that prevent men from engaging with health services and an urgent need to unpack the forms of sociality that determine men s acceptance or rejection of HIV services. Methods Drawing on the perspectives of 53 antiretroviral drug users and 25 healthcare providers we examine qualitatively how local constructions of masculinity in rural Zimbabwe impact on men s use of HIV services. Results Informants reported a clear and hegemonic notion of masculinity that required men to be and act in control to have know-how be strong resilient disease free highly sexual and economically productive. However such traits were in direct conflict with the good patient persona who is expected to accept being HIV positive take instructions from nurses and engage in health-enabling behaviours such as attending regular hospital visits and refraining from alcohol and unprotected extra-marital sex. This conflict between local understandings of manhood and biopolitical representations of a good patient can provide a possible explanation to why so many men do not make use of HIV services in Zimbabwe. However once men had been counselled and had the opportunity to reflect upon the impact of ART on their productivity and social value it was possible for some to construct new and more ART-friendly versions of masculinity. Conclusion We urge HIV service providers to consider the obstacles that prevent many men from accessing their services and argue for community-based and driven initiatives that facilitate safe and .