Provider love in an informal settlement: Men's relationships with providing women and implications for HIV in Kampala, Uganda
Provider love in an informal settlement: Men's relationships with providing women and implications for HIV in Kampala, Uganda
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DOI：
10.1016/j.socscimed.2021.113847
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发表时间：
2021-03-23
影响因子：
5.4
通讯作者：
Schmidt-Sane, Megan M.
中科院分区：
文献类型：
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作者：
Schmidt-Sane, Megan M.
自1980年代首次出现艾滋病毒以来，乌干达在控制艾滋病毒流行方面取得了进展。虽然该国女性的新感染率较高，但城市地区的男性由于开始治疗较晚和服药不一致，面临着与艾滋病相关的死亡风险更高。虽然性别分析已经被用来描述女性S感染艾滋病毒的脆弱性，但关于男性气概，特别是不同形式的男性气概如何影响男性S的脆弱性，我们知之甚少。这项研究报告了乌干达城市低收入男性的人种学数据(2016-2019)。这项研究使用性别和权力理论来描述在乌干达坎帕拉城市的一个非正式定居点中，男性S与女性性工作者之间的关系是如何由女性提供者(？提供者爱？)以及男性家属。这个样本中的年轻男性大多没有工作，他们的日常生活依赖于他们的人际关系。随着性别角色的颠倒，年轻男性发现自己无法像巴干达男性所期望的那样实现男性理想。相反，这个样本中的男性在他们的关系中面临着更少的权力，男性尊严的丧失，以及在社区中声誉的下降。在这种背景下，性别、经济斗争、权力和亲密关系的交叉重新塑造了男性-S艾滋病毒的脆弱性。针对男性的艾滋病毒/艾滋病公共卫生规划应考虑男子气概、权力和经济斗争的不同模式，以及它们如何影响艾滋病毒结果。
Uganda has made progress in controlling the HIV epidemic since it first emerged in the 1980s. While new infections in the country are higher among women, men in urban areas face a higher risk of AIDS-related mortality due to starting treatment later and taking medication inconsistently. While gender analyses have been used to describe women?s HIV vulnerability, less is known about how masculinity, and especially different forms of masculinity, affect men?s vulnerability. This study reports on data from an ethnography (2016?2019) with lowincome men in urban Uganda. This study uses gender and power theory to describe how men?s relationships with female sex workers in an informal settlement in urban Kampala, Uganda are characterized by female providers (?provider love?) and male dependents. Young men in this sample, largely jobless, rely on their relationships for daily survival. As gender roles reverse, young men find themselves unable to attain masculine ideals as expected of Baganda men. Instead, men in this sample face less power in their relationships, a loss of masculine respectability, and diminished reputations in the community. These intersections of gender, economic struggle, power, and intimacy reconfigure men?s HIV vulnerability in this setting. Public health programming on HIV/ AIDS for men should consider different patterns of masculinity, power, and economic struggle and how they impact HIV outcomes.