'Let men into the pregnancy'-Men's perceptions about being tested for Chlamydia and HIV during pregnancy
'Let men into the pregnancy'-Men's perceptions about being tested for Chlamydia and HIV during pregnancy
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DOI：
10.1016/j.midw.2012.02.001
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发表时间：
2013-04-01
期刊：
影响因子：
2.7
通讯作者：
Essen, Birgitta
中科院分区：
文献类型：
--
作者：
Christianson, Monica;Boman, Jens;Essen, Birgitta
目的：研究如何预防艾滋病毒和沙眼衣原体（CT）的传播，探讨是否在怀孕期间筛查男性可能是一种创新的方式，以达到男性，以增加检测，并避免目前的性别责任。设计：一个探索性的研究策略与深入的访谈和分析通知接地理论的原则。设置：瑞典的北方部分。参与者：20名20多岁和30岁出头的男性/即将成为父亲的男性接受了CT和HIV检测，并就他们对怀孕期间接受检测的看法进行了采访。六个类别涉及男性的风险认知，不测试男性的原因，与测试相关的好处和负面后果，对男性的激励措施和怀孕期间对男性进行检测的可选时间。大多数男性认为他们自己患CT或HIV的风险接近于零，信任他们稳定的伴侣，并且不认为男性是传播者。他们不了解男性如何在CT或艾滋病毒传播中发挥作用，或者这些感染如何对儿童产生负面影响。然而，很少有受访者认为将男性排除在检测之外有任何合乎逻辑的理由，大多数人对怀孕期间对男性进行筛查持积极态度。关键结论：男性的性健康以及社会和生物学行为将影响女性及其孩子的健康怀孕和分娩期间。只要准爸爸不算在这个'黑社会'，有一个风险，CT和艾滋病毒感染的成人和婴儿将继续是一个悬而未决的problem.Implications为practice：从这项研究的知识可以有助于影响积极的态度之间的卫生保健提供者，并激励政策的变化。(C)2012爱思唯尔有限公司保留所有权利。
Objective: to investigate how to prevent transmission of HIV and Chlamydia trachomatis (CT) by exploring whether screening of men during pregnancy may be an innovative way to reach men, to increase detection, and to avoid the present gendered responsibility.Design: an explorative research strategy with in-depth interviews and an analysis informed by grounded theory principles was used.Setting: the northern part of Sweden.Participants: twenty men/becoming fathers in their twenties and early thirties were offered CT and HIV testing and were interviewed about their perceptions about being tested during pregnancy.Findings: Six categories emerged that concerned the men's risk perceptions, reasons for not testing men, benefits and negative consequences associated with being tested, incentive measures for reaching men and the optional time for testing men during pregnancy. The majority of the men perceived their own risk for having CT or HIV to be close to zero, trusted their stable partner, and did not see men as transmitters. They did not understand how men could play a role in CT or HIV transmission or how these infections could negatively affect the child. However, few informants could see any logical reasons for excluding men from testing and the majority was positive towards screening men during the pregnancy.Key conclusions: men's sexual health and behaviour on social and biological grounds will affect the health of women and their children during pregnancy and childbirth. As long as expectant fathers do not count in this 'triad', there is a risk that CT and HIV infections in adults and infants will continue to be an unsolved problem.Implications for practice: knowledge from this research can contribute to influencing the attitudes among health-care providers positively, and inspiring policy changes. (C) 2012 Elsevier Ltd. All rights reserved.