Working "Upstream": Why We Shouldn't Use Heterosexual Women as Health Promotion Change Agents in HIV-Prevention Interventions Aimed at Heterosexual Men
Working "Upstream": Why We Shouldn't Use Heterosexual Women as Health Promotion Change Agents in HIV-Prevention Interventions Aimed at Heterosexual Men
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DOI：
10.1080/07399332.2015.1005305
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发表时间：
2015-11-02
影响因子：
1.4
通讯作者：
Gahagan, Jacqueline
中科院分区：
文献类型：
--
作者：
Drake, Carly;Gahagan, Jacqueline
由于性别不平等的持续存在，这种趋势变得越来越麻烦，利用旨在改善男性求医行为的认知行为干预措施无法解决助长艾滋病毒/艾滋病传播的根深蒂固的社会、经济和政治不平等，例如性别歧视和贫困。这些方法通常依赖于对男性和女性的概括，并将赋予女性权力视为一个关键目标，尽管对这一概念的定义并不可靠。在此，我们利用促进健康的原则，特别是健康的决定因素，来反思和批评目前的干预措施，并提出让男性和女性都参与改变男性寻求健康行为的替代方案规划模式，并在流行病的上游而不是下游工作。
The use of cognitive-behavioral interventions that aim to improve men's health-seeking behaviors via womena trend that grows increasingly troublesome as gender inequality persistscannot address the deep-seated social, economic, and political inequalities contributing to the spread of HIV/AIDS, such as sexism and poverty. Such methods often rely on generalizations about men and women and regard female empowerment as a key goal, despite employing shaky definitions of the concept. Here we use the principles of health promotion, particularly determinants of health, to reflect upon and critique current interventions and present alternative programming models that engage both men and women in changing men's health-seeking behaviors and working upstream rather than downstream of the epidemic.