Men's sexual health matters: promoting reproductive health in an international context
Men's sexual health matters: promoting reproductive health in an international context
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DOI：
10.1046/j.1365-3156.2000.00594.x
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发表时间：
2000-07-01
影响因子：
3.3
通讯作者：
Hart, G
中科院分区：
文献类型：
--
作者：
Hawkes, S;Hart, G
最近对控制性传播感染的关注导致对男子性健康的关注增加。这种兴趣主要集中在“鼓励和使男子能够对他们的性行为和生殖行为以及他们的社会和家庭角色负责”的战略上（联合国，1994年）。男子被认为有“责任”，而妇女则被认为有“权利"就生殖健康作出选择，并获得适当和有效的服务。在此，有人认为，虽然为男子提供防治性传播感染的服务和干预措施绝不应以牺牲妇女的服务和干预措施为代价，但在临床上，诊断和治疗男子性传播感染往往比资源贫乏环境中的妇女更容易，也更有效。事实上，这可能证明是控制性传播感染蔓延的有效战略，从而减轻妇女因其并发症而承受的过重负担。该文件审查了与改善男子性健康和生殖健康服务提供有关的关键问题，特别是：男性人口的异质性;目前对男子性行为的了解;性行为的作用;资源贫乏国家研究性行为的方法;男子自己对性健康和生殖健康的关切;以及他们在哪里和如何获得治疗。有人认为，如果我们希望男子作为负责任的伙伴充分参与改善和保护自己和他人的性健康和生殖健康，现在就应该确定和解决男子的性健康需要。
Recent concern regarding the control of sexually transmitted infections (STIs) has resulted in an increased interest in the sexual health of men. This interest has primarily focused on strategies to 'encourage and enable men to take responsibility for their sexual and reproductive behaviour and their social and family roles' (United Nations, 1994). Whilst men are deemed to have 'responsibilities', women are said to have 'rights' with regard to making choices about reproductive health and accessing appropriate and effective services. Here it is argued that, whilst provision of services and interventions against STIs in men should never be at the expense of those for women, it is often clinically easier and more effective to diagnose and treat men with STIs compared to women in resource-poor settings. Indeed, this may prove to be an effective strategy in controlling the spread of STIs, and hence reducing the disproportionate burden of their complications suffered by women. The paper reviews key issues in relation to improved service delivery for sexual and reproductive health in men, notably: the heterogeneity of male populations; current knowledge regarding men's sexual behaviour; the role of sexuality; methods of studying sexual behaviour in resource poor countries; men's own concerns in relation to sexual and reproductive health; and where and how they access treatment. It is argued that the time has now come to determine and address men's sexual health needs if we are to expect them to participate fully as responsible partners in improving and protecting their own and others' sexual and reproductive health.