Changing men or changing health systems? A scoping review of interventions, services and programmes targeting men's health in sub-Saharan Africa.
Changing men or changing health systems? A scoping review of interventions, services and programmes targeting men's health in sub-Saharan Africa.
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DOI：
10.1186/s12939-021-01428-z
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发表时间：
2021-03-31
影响因子：
4.8
通讯作者：
Diaconu K
中科院分区：
文献类型：
--
作者：
Beia T;Kielmann K;Diaconu K
性和性别已被证明会影响健康素养、寻求健康的行为和健康结果。然而，研究性别与健康之间联系的研究主要集中在女性健康上，这是长期的全球健康优先事项。我们研究了全球健康研究中关注“失踪男性”的文献，特别是记录了针对撒哈拉以南非洲男性健康问题的干预措施、计划和服务的实证研究。在这些研究中，我们确定了男性和男性健康的主要概念，以及这些概念如何影响男性健康干预措施和服务的设计。这是对已发表的灰色文献的范围审查。经过全面检索，我们在综述中纳入了 56 项研究。我们对所有研究进行了参考书目分析，并使用归纳方法来分析涉及男性和服务设计概念的文本摘录。根据性别敏感度对服务、干预措施或计划进行分类的现有框架经过调整并用于后者的分析。从纳入的研究中，我们区分了男性在项目和干预措施中被概念化的四种主要方式：男性被不同地描述为“看门人”； “阳刚”男人、“边缘”男人和“客户”。此外，我们将研究中描述的干预措施、服务或计划的性别敏感性分为以下几类：性别中立、合作、敏感和变革。所描述的干预措施主要是性别中立或性别伙伴关系，有关变革性干预措施的可用数据有限。卫生系统的设计特点——主要侧重于实现妇女获得和接受服务——可能会导致后者的差距，导致男性难以获得和参与卫生服务。本次审查强调了撒哈拉以南非洲卫生系统转型的必要性，以更多地考虑男性健康问题和寻求健康的模式。在线版本包含可在 10.1186/s12939-021-01428-z 获取的补充材料。
Sex and gender have been shown to influence health literacy, health seeking behaviour, and health outcomes. However, research examining the links between gender and health has mainly focused on women’s health, which is a long-standing global health priority. We examine literature focused on the ‘missing men’ in global health research, in particular empirical studies that document interventions, programmes, and services targeting men’s health issues in Sub-Saharan Africa. Within these studies, we identify dominant conceptualisations of men and men’s health and how these have influenced the design of men’s health interventions and services. This is a scoping review of published and grey literature. Following comprehensive searches, we included 56 studies in the review. We conducted a bibliographic analysis of all studies and used inductive methods to analyse textual excerpts referring to conceptualizations of men and service design. An existing framework to categorise services, interventions, or programs according to their gender-responsiveness was adapted and used for the latter analysis. From the included studies, we distinguished four principal ways in which men were conceptualized in programs and interventions: men are variously depicted as ‘gatekeepers’; ‘masculine’ men, ‘marginal’ men and as ‘clients. Additionally, we classified the gender-responsiveness of interventions, services or programmes described in the studies within the following categories: gender-neutral, −partnering, −sensitive and -transformative. Interventions described are predominantly gender-neutral or gender-partnering, with limited data available on transformative interventions. Health systems design features – focused mainly on achieving women’s access to, and uptake of services – may contribute to the latter gap leading to poor access and engagement of men with health services. This review highlights the need for transformation in sub-Saharan African health systems towards greater consideration of men’s health issues and health-seeking patterns. The online version contains supplementary material available at 10.1186/s12939-021-01428-z.
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DOI：
10.1080/13691058.2015.1035751
发表时间：
2015
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Dworkin SL;Fleming PJ;Colvin CJ
通讯作者：
Colvin CJ
影响因子：
2.6
作者：
Abeid M;Muganyizi P;Mpembeni R;Darj E;Axemo P
通讯作者：
Axemo P
影响因子：
11.1
作者：
Baker P;Dworkin SL;Tong S;Banks I;Shand T;Yamey G
通讯作者：
Yamey G
影响因子：
1.6
作者：
Bessinger, R;Katende, C;Gupta, N
通讯作者：
Gupta, N
影响因子：
2.6
作者：
Chikovore J;Hart G;Kumwenda M;Chipungu GA;Corbett L
通讯作者：
Corbett L