Evaluating men's involvement as a strategy in sexual and reproductive health promotion
Evaluating men's involvement as a strategy in sexual and reproductive health promotion
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DOI：
10.1093/heapro/dah312
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发表时间：
2004-09-01
影响因子：
2.7
通讯作者：
Hubley, J
中科院分区：
文献类型：
--
作者：
Sternberg, P;Hubley, J
自1994年国际人口与发展会议承认男子是促进性健康和生殖健康的合法目标以来，已过去近10年。这一认识源于1980年代和1990年代许多健康促进机构的经验，这些机构认识到，如果不与男子合作，改变将非常困难或不可能。有人提议，男子应该参与，因为他们的积极参与对方案的成功和赋予妇女权力至关重要。然而，男子应在促进健康方面发挥积极作用的想法并非没有受到批评，他们对男子参与的效力以及他们的参与对妇女和儿童的影响提出了严重的问题。为了研究从男性参与中吸取的教训，本文回顾了针对异性恋男性的干预措施的评估。24项研究符合纳入标准（报告了针对异性恋男性的性健康和生殖健康领域的干预措施，并包含评估数据）。通过对这些研究的回顾，作者认为，有一些证据表明，使用媒体方法可能是一种成功的策略，而一些认知行为改变方法的应用可能存在一些问题。然而，很少有干预措施是针对异性恋男子的，也很少有干预措施成为详细评价的对象，这一事实表明，需要有更多的干预措施和更好的评价，不仅要审查男子的参与过程，还要审查这些干预措施对男子本人及其家庭生活的影响。现实情况是，尽管男子可能不再被视为问题的一部分，但他们尚未被视为解决问题的一部分。
Nearly, 10 years has passed since the 1994 International Conference on Population and Development recognized men as legitimate targets for sexual and reproductive health promotion. This recognition was born of the experience of many health promoting agencies in the 1980s and 1990s who realized that without working with men, change would be very difficult or impossible. It was proposed that men should be involved because their active participation was crucial to the success of programs and to the empowerment of women. However the idea that men should play an active role in health promotion has not been without its critics, who have posed serious questions about the efficacy of involving men and the effects their involvement would have on women and children. In an effort to examine the lessons learned from men's involvement, this paper reviews published evaluations of interventions that have targeted heterosexual men. Twenty-four studies that met the criteria for inclusion (reported on interventions in areas of sexual and reproductive health that targeted heterosexual men and contained evaluation data) were found. From their review of these studies, the authors suggest that there is some evidence that the use of media approaches may be a successful strategy and that there may be some problems with the application of some cognitive behavior change approaches. However, the fact that few interventions have targeted heterosexual men and have been the subject for detailed evaluation suggests that there is a need for more interventions and better evaluations, which would examine not only the process of men's involvement, but also their impact on the lives of both the men themselves and their families. The reality is that although perhaps no longer regarded as part of the problem, men have yet to be seen as part of the solution.