Masculinity, social context and HIV testing: an ethnographic study of men in Busia district, rural eastern Uganda.
Masculinity, social context and HIV testing: an ethnographic study of men in Busia district, rural eastern Uganda.
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DOI：
10.1186/1471-2458-14-33
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发表时间：
2014-01-13
影响因子：
4.5
通讯作者：
Seeley JA
中科院分区：
文献类型：
--
作者：
Siu GE;Wight D;Seeley JA
在非洲许多地区的高流行环境中，男性接受艾滋病毒检测的比例仍然很低。通过关注男性气质，本研究探讨了影响乌干达东部农村布西亚地区Mam-Kiror地区男性获得艾滋病毒检测的社会背景和关系。从2009年至2010年，对26名男子进行了深入访谈：9人正在接受艾滋病毒治疗，8人接受了检测但放弃了治疗，6人未接受检测但怀疑感染了艾滋病毒，3人患有与艾滋病毒无关的其他健康问题。参与观察补充了这些数据。进行了专题分析。Mam-Kiror的男性气质主要分为两类，一类是基于“声誉”，另一类是基于“体面”，尽管它们的一些理想是重叠的。不同形式的男性尊重导致了HIV检测的不同动机。男性将艾滋病毒检测定位为在社会背景和男性参与的关系中理解的社会过程，而不是完全自主的事业。妻子的弱势权力意味着，与坦率讨论艾滋病毒风险和检测的朋友和同事相比，她们对男性检测的影响较小。夫妻测试暴露了男性的婚外情，威胁到了男性的尊严。害怕在竞争伴侣的情况下破坏性机会是男性进行测试的一个障碍。把男人塑造成有弹性的人意味着他们会推迟承认问题并寻求测试。然而，履行对家庭的责任和义务的受人尊敬的男性理想是男性寻求艾滋病毒检测和治疗的强大动力。在布西亚的马姆基罗尔盛行的两种主要形式的男性理想，导致男性进行艾滋病毒检测的动机不同。声誉上的男子气概在很大程度上与夫妻测试、社区外展测试和测试服务组织的要求不一致，使男性不愿进行测试。相反，作为一个受人尊敬的男人，关心履行自己的家庭角色意味着接受治疗以延长寿命，这鼓励了男性进行检测。艾滋病毒支持机构应考虑各种检测选择如何使男性在寻求检测服务方面被边缘化，并解决阻碍获得检测服务的障碍。
Uptake of HIV testing by men remains low in high prevalence settings in many parts of Africa. By focusing on masculinity, this study explores the social context and relations that shape men’s access to HIV testing in Mam-Kiror, Busia district, rural eastern Uganda. From 2009–2010 in-depth interviews were undertaken with 26 men: nine being treated for HIV, eight who had tested but dropped out of treatment, six not tested but who suspected HIV infection and three with other health problems unrelated to HIV. These data were complemented by participant observation. Thematic analysis was undertaken. There were two main categories of masculinity in Mam-Kiror, one based on ‘reputation’ and the other on ‘respectability’, although some of their ideals overlapped. The different forms of masculine esteem led to different motives for HIV testing. Men positioned HIV testing as a social process understood within the social context and relationships men engaged in rather than an entirely self-determined enterprise. Wives’ inferior power meant that they had less influence on men’s testing compared to friends and work colleagues who discussed frankly HIV risk and testing. Couple testing exposed men’s extra-marital relationships, threatening masculine esteem. The fear to undermine opportunities for sex in the context of competition for partners was a barrier to testing by men. The construction of men as resilient meant that they delayed to admit to problems and seek testing. However, the respectable masculine ideal to fulfil responsibilities and obligations to family was a strong motivator to seeking an HIV test and treatment by men. The two main forms of masculine ideals prevailing in Mam-Kiror in Busia led men to have different motives for HIV testing. Reputational masculinity was largely inconsistent with the requirements of couple testing, community outreach testing and the organisation of testing services, discouraging men from testing. Conversely, concern to perform one’s family roles as a respectable man meant accessing treatment to extend one’s life, which encouraged men to test. HIV support agencies should reflect on how various testing options might marginalise men from seeking testing services and address the barriers that hinder access.
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影响因子：
5.4
作者：
Obermeyer, Carla Makhlouf;Sankara, Augustin;Parsons, Michelle
通讯作者：
Parsons, Michelle
影响因子：
1.4
作者：
Perks, Rachel
通讯作者：
Perks, Rachel
DOI：
10.1080/09540120701687059
发表时间：
2008-01-01
影响因子：
1.7
作者：
Msuya, S. E.;Mbizvo, E. M.;Stray-Pedersen, B.
通讯作者：
Stray-Pedersen, B.
影响因子：
3.3
作者：
Matovu, Joseph K. B.;Makumbi, Fredrick E.
通讯作者：
Makumbi, Fredrick E.
DOI：
10.1097/01.aids.0000327435.28538.18
发表时间：
2008-08
期刊：
AIDS (London, England)
影响因子：
--
作者：
Greig A;Peacock D;Jewkes R;Msimang S
通讯作者：
Msimang S