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首页> 外文期刊>AIDS care. >'No one can ask me 'Why do you take that stuff?'': men's experiences of antiretroviral treatment in South Africa.
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'No one can ask me 'Why do you take that stuff?'': men's experiences of antiretroviral treatment in South Africa.

机译：“没有人会问我'你为什么要吃这些东西？'”：南非男性抗逆转录病毒治疗的经历。

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摘要

This paper examines the way gender shaped the health behaviours, health care experiences and narratives of HIV-positive men initiating antiretroviral treatment in South Africa. We conducted participant observation and in-depth, semi-structured interviews with eight men enrolled in a public HIV treatment programme in a rural health district in KwaZulu-Natal. We also interviewed their family members and programme staff. The study found that men's narratives and experiences of antiretroviral therapy (ART) were complex. Descriptions of control and coping juxtaposed with low self-esteem and guilt. Improvements in health following treatment increased optimism about the future but were readily undermined by men's concerns about being unable to meet strongly gendered expectations in relation to family and work. Alcohol use and abuse by men themselves or by family members was found to be an important issue influencing disclosure, uptake and adherence. Given messages discouraging alcohol use during treatment, men reported self-imposed delays to enrolment while they tried to stop or reduce alcohol use, although none had sought advice or professional help in doing so. Men also felt very threatened by alcohol abuse by family members fearing accidental disclose, insults and violence. With regards to health providers, men held strong views as to appropriate and professional behaviour by programme staff, particularly regarding confidentiality. As ART programmes in Africa become established and evolve, we not only need to identify barriers to men's access and adherence but monitor their health and treatment experiences. These findings suggest that the issue of alcohol and ART warrants further investigation. Additional training for primary health care providers and counsellors on health promotion with men may be useful.
机译：本文研究了性别如何影响在南非发起抗逆转录病毒治疗的HIV阳性男性的健康行为，保健经历和叙述。我们对八名参加夸祖鲁-纳塔尔省农村卫生区公共艾滋病治疗计划的男性进行了参与者观察和半结构化的深入访谈。我们还采访了他们的家庭成员和计划人员。研究发现，男人的叙述和抗逆转录病毒疗法（ART）的经历很复杂。控制和应对的描述与低自尊和内co感并列。接受治疗后健康状况的改善使人们对未来充满了乐观，但由于男性担心无法在家庭和工作方面满足性别强烈的期望，因此容易受到损害。男性或家庭成员的饮酒和滥用被认为是影响信息披露，摄取和坚持的重要问题。鉴于有消息劝阻治疗期间饮酒，男性报告他们试图停止或减少饮酒时自我推迟入学，尽管没有人寻求建议或专业帮助。男子还感到家人受到酒精滥用的威胁，他们担心意外泄露，侮辱和暴力。关于卫生保健提供者，男人对计划人员的适当和专业行为，尤其是保密性持有强烈的看法。随着非洲抗逆转录病毒疗法计划的建立和发展，我们不仅需要确定阻碍男性获得和遵守的障碍，还需要监测其健康和治疗经验。这些发现表明，酒精和抗逆转录病毒的问题值得进一步调查。对初级保健提供者和心理医生进行男性健康促进的额外培训可能是有用的。

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