" . . . I Should Maintain a Healthy Life Now and Not Just Live as I Please . . . ": Men's Health and Fatherhood in Rural South Africa.
" . . . I Should Maintain a Healthy Life Now and Not Just Live as I Please . . . ": Men's Health and Fatherhood in Rural South Africa.
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DOI：
10.1177/1557988315586440
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发表时间：
2016-11
期刊：
影响因子：
--
通讯作者：
Clarke L
中科院分区：
文献类型：
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作者：
Hosegood V;Richter L;Clarke L
本研究考察了南非夸祖鲁-纳塔尔省农村男性健康和健康行为的社会背景，特别是与父亲和父亲的关系。对51名说祖鲁语的男性进行了个别访谈和焦点小组讨论。从对抄本的分析中，出现了与男子健康有关的三个主题：(a)在描述“好”父亲和“坏”父亲时，健康状况和健康行为相互交织；(b)在男子自己的叙述中，对健康和健康状况的积极叙述占主导地位；(c)父亲对健康行为的转变和积极强化的叙述。这项研究表明，健康父亲的理想是普遍存在的，在这种理想中，男性的健康不仅对男性本身，而且对家庭和社区中的其他人都具有实际和象征性的重要性。该研究还表明，男性会尊重那些设法与自己的亲生孩子相处的父亲，而这些孩子不是总统，或者是那些在非亲生孩子身上扮演父亲角色的父亲（社会父亲）。在南非，男子保健干预措施主要侧重于与艾滋病毒和性健康有关的问题。从男子角度获得的新见解表明，如果保健干预措施包括承认和支持男子在社会和生物学上做父亲的愿望和亲身经历，可能会得到积极的反应。此外，调查结果表明，关于男子参与家庭的数据对撒哈拉以南非洲的男子健康研究具有价值。
This study examines the social context of men’s health and health behaviors in rural KwaZulu-Natal, South Africa, particularly in relationship to fathering and fatherhood. Individual interviews and focus groups were conducted with 51 Zulu-speaking men. Three themes related to men’s health emerged from the analysis of transcripts: (a) the interweaving of health status and health behaviors in descriptions of “good” and “bad” fathers, (b) the dominance of positive accounts of health and health status in men’s own accounts, and (c) fathers’ narratives of transformations and positive reinforcement in health behaviors. The study reveals the pervasiveness of an ideal of healthy fathers, one in which the health of men has practical and symbolic importance not only for men themselves but also for others in the family and community. The study also suggests that men hold in esteem fathers who manage to be involved with their biological children who are not coresident or who are playing a fathering role for nonbiological children (social fathers). In South Africa, men’s health interventions have predominantly focused on issues related to HIV and sexual health. The new insights obtained from the perspective of men indicate that there is likely to be a positive response to health interventions that incorporate acknowledgment of, and support for, men’s aspirations and lived experiences of social and biological fatherhood. Furthermore, the findings indicate the value of data on men’s involvement in families for men’s health research in sub-Saharan Africa.