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首页> 外文期刊>AIDS care. >Male involvement in antenatal HIV counseling and testing: exploring men's perceptions in rural Malawi
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Male involvement in antenatal HIV counseling and testing: exploring men's perceptions in rural Malawi

机译：男性参与产前艾滋病毒咨询和检测：探索马拉维农村地区男性的观念

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摘要

Antenatal care can act as an excellent tool to improve access to HIV counseling and testing services. This paper investigates an issue that may weaken its potential, namely lack of male involvement. We explored married men's perceptions of HIV in pregnancy and male involvement in antenatal HIV testing and counseling in Southern Malawi through 11 focus group discussions and a cross-sectional survey (n =388). The main findings were that men were largely unaware of available antenatal HIV testing and counseling services, and perceived it overall problematic to attend female-oriented health care. Most men supported provision of antenatal HIV testing. They perceived husbands to participate in the process indirectly through spousal communication, being faithful during pregnancy, and supporting the wife if found HIV-positive. Involvement of husbands was compromised by men's reluctance to learn their HIV status and the threat that HIV poses on marriage. Men stressed the importance of prior spousal agreement of antenatal HIV testing and considered HIV testing without their consent a valid reason for divorce. We suggest that male involvement in antenatal HIV testing requires refocusing of information and health services to include men. To avoid negative social outcomes for women, comprehensive and early involvement of men is essential.
机译：产前保健可以作为改善获得艾滋病毒咨询和检测服务机会的绝佳工具。本文研究了可能削弱其潜力的问题，即缺乏男性参与。通过11个焦点小组讨论和一项横断面调查（n = 388），我们探讨了已婚男性对怀孕期间HIV的看法以及男性在马拉维南部参与产前HIV检测和咨询的观念。主要发现是，男性在很大程度上不了解可利用的产前艾滋病毒检测和咨询服务，并认为参加面向女性的医疗保健总体上存在问题。大多数男人支持提供产前艾滋病毒检测。他们认为丈夫通过配偶沟通间接参与这一过程，在怀孕期间保持忠诚，并在发现艾滋病毒呈阳性的情况下支持妻子。男性不愿了解其艾滋病毒状况以及艾滋病毒对婚姻构成的威胁损害了丈夫的参与。男子强调了事先配偶同意进行产前艾滋病毒检测的重要性，并认为未经他们同意而进行艾滋病毒检测是离婚的正当理由。我们建议男性参与产前艾滋病毒检测需要重新调整信息和卫生服务的重点，以包括男性。为了避免对妇女产生不利的社会后果，男人全面和早日参与至关重要。

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