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首页> 外文期刊>Reproductive Health >Echoes of old HIV paradigms: reassessing the problem of engaging men in HIV testing and treatment through women’s perspectives
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Echoes of old HIV paradigms: reassessing the problem of engaging men in HIV testing and treatment through women’s perspectives

机译：古老的艾滋病病毒范式的回响：通过妇女的观点重新评估让男性参与艾滋病毒检测和治疗的问题

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Background With the introduction of 2016 World Health Organization guidelines recommending universal antiretroviral therapy (ART), there has been increased recognition of the lack of men engaging in HIV testing and treatment. Studies in sub-Saharan Africa indicate there have been challenges engaging men in HIV testing and HIV-positive men into treatment. Methods This qualitative study explored women’s perspective of their male partner’s attitudes towards HIV and ART and how it shapes woman’s experience with ART. Data were collected through in-depth interviews and focus group discussions with HIV-positive pregnant and postpartum women on Option B+ and health care workers in Malawi and Zimbabwe. In Malawi, 19 in-depth interviews and 12 focus group discussions were conducted from September–December 2013. In Zimbabwe, 15 in-depth interviews and 21 focus-group discussions were conducted from July 2014–March 2014. Results The findings highlighted that many men discourage their partners from initiating or adhering to ART. One of the main findings indicated that despite the many advancements in HIV care and ART regimens, there are still many lingering negative beliefs about HIV and ART from the earlier days of the epidemic. In addition to existing theories explaining men’s resistance to/absence in HIV testing and treatment as a threat to their masculinity or because of female-focused health facilities, this paper argues that men’s aversion to HIV may be a result of old beliefs about HIV and ART which have not been addressed. Conclusions Due to lack of accurate and up to date information about HIV and ART, many men discourage their female partners from initiating and adhering to ART. The effect of lingering and outdated beliefs about HIV and ART needs to be addressed through strengthened communication about developments in HIV care and treatment. Universal ART offers a unique opportunity to curb the epidemic, but successful implementation of these new guidelines is dependent on ART initiation and adherence by both women and men. Strengthening men’s understanding about HIV and ART will greatly enhance women’s ability to initiate and adhere to ART and improve men’s health.
机译：背景技术随着2016年世界卫生组织（WHO）推荐通用抗逆转录病毒疗法（ART）的指南的出台，人们越来越认识到缺乏从事HIV检测和治疗的男性。撒哈拉以南非洲地区的研究表明，让男性参与艾滋病毒检测和艾滋病毒阳性男性的治疗面临挑战。方法：这项定性研究探讨了女性对男性伴侣对艾滋病毒和抗病毒治疗态度的看法，以及它如何塑造女性对抗病毒治疗的经验。通过与艾滋病毒呈阳性的孕妇和产后妇女就方案B +以及马拉维和津巴布韦的卫生保健工作者进行的深入访谈和焦点小组讨论，收集了数据。 2013年9月至12月，在马拉维进行了19次深度访谈和12次焦点小组讨论。2014年7月至2014年3月，在津巴布韦进行了15次深度访谈和21次焦点小组讨论。结果调查结果突出表明，许多男人不鼓励他们的伴侣发起或坚持抗逆转录病毒疗法。主要发现之一表明，尽管在艾滋病毒护理和抗病毒治疗方案方面取得了许多进步，但从该流行病的早期开始，人们仍然对艾滋病毒和抗病毒治疗存有许多挥之不去的消极信念。除了现有的理论可以解释男性对艾滋病毒检测和治疗的抵抗/缺乏，因为其威胁男性气质或由于女性为中心的医疗机构，本文认为男性对艾滋病毒的厌恶可能是对艾滋病毒和抗病毒药物的古老信念的结果尚未解决。结论由于缺乏有关HIV和ART的准确和最新信息，许多男性不鼓励其女性伴侣发起和坚持抗逆转录病毒疗法。关于艾滋病毒和抗病毒治疗的根深蒂固的观念的影响需要通过加强关于艾滋病毒治疗和治疗发展的交流来解决。通用抗逆转录病毒疗法为遏制该流行病提供了独特的机会，但是成功实施这些新指南取决于男女双方对抗逆转录病毒疗法的发起和坚持。增强男性对艾滋病毒和抗病毒治疗的了解将大大增强女性发起和坚持抗病毒治疗的能力，并改善男性健康。

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