'Not the swab!' Young men's experiences with STI testing
'Not the swab!' Young men's experiences with STI testing
复制标题
DOI：
10.1111/j.1467-9566.2009.01222.x
复制
发表时间：
2010-01-01
影响因子：
2.9
通讯作者：
Goldenberg, Shira
中科院分区：
文献类型：
--
作者：
Shoveller, Jean A.;Knight, Rod;Goldenberg, Shira
在加拿大，性传播感染率很高，而且还在上升，特别是在年轻男子中。同时，人们对青年男子在性传播感染检测服务方面的需求知之甚少，对影响青年男子寻求性健康行为的社会文化和结构因素也知之甚少。为了更好地理解这一现象，我们采访了来自加拿大不列颠哥伦比亚省的45名男性（15-25岁）。我们的研究揭示了结构性力量（如性传播感染检测程序）如何与社会文化因素（如对男性和女性的看法）相互作用，以塑造年轻男性的性传播感染检测经验。性传播感染检测的特点是既有潜在的性体验（例如，在生殖器检查期间害怕勃起），又有年轻男子在临床服务场所暴露男性身体时经历多种脆弱性的过程。作为回应，与会者借鉴了男性的主导理想，以重申他们占主导地位的异性规范的性别身份。尽管在一个促进性健康的时代长大，但参与者并不认为他们有权与其他男性讨论性健康问题。关注青年男子对性传播感染检测的看法是我们改革方法的一个起点，以解决社会文化和结构因素如何塑造这些经历的问题。
In Canada, STI rates are high and rising, especially amongst young men. Meanwhile, the needs of young men regarding STI testing services are poorly understood, as are the socio-cultural and structural factors that influence young men's sexual health-seeking behaviours. To better understand this phenomenon, we draw on interviews with 45 men (ages 15-25) from British Columbia, Canada. Our research reveals how structural forces (e.g. STI testing procedures) interact with socio-cultural factors (e.g. perceptions of masculinities and feminities) to shape young men's experiences with STI testing. STI testing was characterised as both a potentially sexualised experience (e.g. fears of getting an erection during genital examinations), and as a process where young men experience multiple vulnerabilities associated with exposing the male body in clinical service sites. In response, participants drew on dominant ideals of masculinity to reaffirm their predominately hetero-normative gender identities. Despite growing up in an era where sexual health promotion efforts have been undertaken, participants did not feel they had permission to engage in discussions with other men about sexual health issues. Attending to young men's perspectives on STI testing represents a starting point in reforming our approaches to addressing how socio-cultural and structural factors shape these experiences.