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首页> 外文期刊>SAHARA-J >Sexual and reproductive health perceptions and practices as revealed in the sexual history narratives of South African men living in a time of HIV/AIDS
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Sexual and reproductive health perceptions and practices as revealed in the sexual history narratives of South African men living in a time of HIV/AIDS

机译：艾滋病毒/艾滋病时代南非男子的性历史叙述中所揭示的性健康和生殖健康观念与习俗

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The frequent positioning of men's sexual risk-taking as driving the HIV/AIDS epidemic in South Africa has triggered interest in men's sexual and reproductive health (SRH) perceptions, attitudes, and practices. Much research, however, presents men as a homogenous group, and focuses on the quantifiable aspects of male sexual behaviors, providing an inadequate basis for understanding men's SRH needs and addressing the gendered aspects of HIV prevention. This study used sexual history narratives to yield more nuanced and contextualized understandings of male sexuality as it relates to SRH. Fifty sexual life history individual interviews and 10 focus-group discussions (FGDs) with men, as well as 25 sexual life history interviews with women, were conducted with participants purposively sampled from three age categories: (18–24, 25–55, and 55+ years), a wide range of cultural and racial backgrounds, and in urban and rural sites across 5 provinces in South Africa. Interviews and FGDs elicited stories of participant's early knowledge of sex and sexual experimentation and then explored sexual relationships and experiences in adulthood—including engagement with HIV risks and SRH management. The data were analyzed using a thematic approach. Many male participants conformed to dominant norms of masculinity associated with a high risk of sexually transmitted infections including HIV, such as having regular unprotected sex, reluctance to test for HIV, and poor SRH-seeking behaviors. Yet, the narrative accounts reveal instances of men taking steps to protect their own SRH and that of their partners, and the complex ways in which hegemonic gender norms influence men and women's SRH. Ultimately, the study points to the value of sexual biographies for gaining a deeper understanding of male sexuality, and the social structures, meanings, and experiences that underlie it. Such insights are critical to more effectively engaging men in HIV prevention efforts.
机译：在南非，男性经常性冒险作为推动艾滋病毒/艾滋病流行的定位，引发了人们对男性性健康和生殖健康（SRH）的观念，态度和习俗的兴趣。然而，许多研究将男性视为同质的群体，并且侧重于男性性行为的可量化方面，为了解男性的性健康和生殖健康需求和处理艾滋病毒预防的性别方面提供了不足的基础。这项研究使用性历史叙述来对与SRH相关的男性性行为产生更细微和上下文相关的理解。与男性进行了50次性生活史个人访谈和10次针对男性的焦点小组讨论（FGD），以及对女性的25次性生活史访谈，目的是从以下三个年龄段中抽取样本：（18-24、25-55和55岁以上），广泛的文化和种族背景以及南非5个省的城市和乡村地区。访谈和FGD引发了参与者对性和性实验的早期了解的故事，然后探讨了成年后的性关系和经历，包括参与HIV风险和SRH管理。使用主题方法分析数据。许多男性参与者符合主要的男性气质规范，与包括艾滋病毒在内的性传播感染的高风险相关，例如，定期进行无保护的性行为，不愿意接受艾滋病毒检测以及寻求SRH的不良行为。然而，叙述性叙述揭示了男人采取措施保护自己的性健康和生殖健康以及其伴侣的生殖器官的实例，以及霸权性别规范影响男女性健康和生殖健康的复杂方式。最终，该研究指出性传记对于深入了解男性性行为及其基础的社会结构，意义和经历的价值。这些见解对于使男性更有效地参与艾滋病预防工作至关重要。

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