What role can gender-transformative programming for men play in increasing men's HIV testing and engagement in HIV care and treatment in South Africa?

What role can gender-transformative programming for men play in increasing men's HIV testing and engagement in HIV care and treatment in South Africa?
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DOI:
10.1080/13691058.2016.1183045
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发表时间:
2016-11
期刊:
Culture, health & sexuality
影响因子:
--
通讯作者:
Dworkin SL
Dworkin SL
中科院分区:
其他
文献类型:
--
作者:
Fleming PJ;Colvin C;Peacock D;Dworkin SL

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男子比妇女更不可能进行艾滋病毒检测和参与艾滋病毒护理和治疗。我们对参与“一个人可以”(OMC)的男性进行了深入访谈,这是一项在南非林波波省和东开普省农村开展的基于权利的性别平等和健康方案干预措施,目的是探讨与男性有关的艾滋病毒检测/护理/治疗障碍,以及参与OMC如何影响这些障碍。参加OMC的男性报告说,克服与男性有关的检测/护理/治疗障碍的能力有所提高。他们还报告说,表达脆弱性和与他人公开讨论艾滋病毒问题的能力有所提高,从而使艾滋病毒感染者更愿意接受艾滋病毒检测和接受艾滋病毒护理和治疗。挑战男性规范和促进性别平等的干预措施(即改变性别的干预措施)是解决男子在检测、护理和治疗方面的障碍的一种有希望的新方法。
Men are less likely than women to test for HIV and engage in HIV care and treatment. We conducted in-depth interviews with men participating in One Man Can (OMC) – a rights-based gender equality and health program intervention conducted in rural Limpopo and Eastern Cape, South Africa – to explore masculinity-related barriers to HIV testing/care/treatment and how participation in OMC impacted these. Men who participated in OMC reported an increased capability to overcome masculinity-related barriers to testing/care/treatment. They also reported increased ability to express vulnerability and discuss HIV openly with others, which led to greater willingness to be tested for HIV and receive HIV care and treatment for those who were living with HIV. Interventions that challenge masculine norms and promote gender equality (i.e. gender-transformative interventions) represent a promising new approach to address men’s barriers to testing, care, and treatment.
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