Missing men's messages: does the reproductive health approach respond to men's sexual health needs?
Missing men's messages: does the reproductive health approach respond to men's sexual health needs?
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DOI：
10.1080/136910500300769
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发表时间：
2000-04-01
期刊：
影响因子：
--
通讯作者：
Hawkes, S
中科院分区：
文献类型：
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作者：
Collumbien, M;Hawkes, S
在1994年国际人口与发展会议之后，世界已看到模式的转变，从侧重计划生育方案转向更普遍的生殖和性健康。本文考虑了传统上对妇女健康和计划生育的重视如何导致男性的性健康需求被忽视。对艾滋病毒和性传播感染控制规划的兴趣日益增加，从而形成了以男性为目标提供保健服务的生物医学依据。为了规划适当的健康干预措施，需要更多地了解男性如何看待自己的性健康。来自奥里萨邦（印度）和孟加拉国农村地区的独特数据说明了男子对其性健康问题的看法，并表明男子愿意寻求治疗。虽然公共部门的规划人员和卫生规划人员可能把注意力集中在性传播感染的控制上，但两项研究中的男性都表示，他们主要关注的问题更多地涉及性心理障碍问题。公共部门方案未能认识到男性性健康问题，可能导致男性继续在不受管制和可能效率低下的私营部门寻求治疗其所有性健康问题（包括性传播感染）。要使解决男子性健康需要的方案有效，这些方案的范围和覆盖范围就必须全面，就像目前针对妇女的方案一样。
Following the 1994 International Conference on Population and Development, the world has seen a shift in paradigm away from focused family planning programmes towards reproductive and sexual health more generally. This paper considers how the traditional emphasis on women's health and family planning can result in men's sexual health needs being overlooked. A biomedical rationale to target men with health services evolved from the rising interest in control programmes for HIV and sexually transmitted infections (STIs). To plan appropriate health interventions more needs to be known about how men perceive their sexual health. Unique data from Orissa (India) and rural Bangladesh illustrate men's perceptions of their sexual health problems and demonstrate that men are willing to seek care. While public sector programmers and health planners may be focusing their attention on the control of STIs, men in both studies indicated that their major concerns relate more to matters of psychosexual disorders. The failure of public sector programmes to take cognisance of male sexual health problems may lead to men continuing to seek care for all their sexual health problems (including STIs) in the unregulated and possibly ineffective private sector. If programmes addressing the sexual health needs of men are to be effective, they will need to be comprehensive in their scope and coverage, just as they are now aiming to be for women.