Bringing fear into focus: The intersections of HIV and masculine gender norms in Côte d’Ivoire


Autoři: Danielle Amani Naugle aff001;  Natalie Jean Tibbels aff001;  Zoé Mistrale Hendrickson aff001;  Abdul Dosso aff002;  Lynn Van Lith aff001;  Elizabeth C. Mallalieu aff001;  Anne Marie Kouadio aff003;  Walter Kra aff004;  Diarra Kamara aff002;  Patricia Dailly-Ajavon aff002;  Adama Cissé aff002;  Kim Seifert-Ahanda aff005;  Sereen Thaddeus aff005;  Stella Babalola aff001;  Christopher J. Hoffmann aff006
Působiště autorů: Johns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America aff001;  Johns Hopkins Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Abidjan, Côte d’Ivoire aff002;  Sociology Department, Félix Houphouët-Boigny University in Cocody, Abidjan, Côte d’Ivoire aff003;  Sociology Department, Alassane Ouattra University, Bouaké, Côte d’Ivoire aff004;  United States Agency for International Development, Washington, DC, United States of America aff005;  School of Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America aff006
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223414

Souhrn

This qualitative research study explored the role of masculinity in men’s engagement in the HIV care continuum in Côte d’Ivoire. The researchers conducted 73 in-depth interviews and 28 focus group discussions with 227 Ivoirian men between November and December 2016 across three urban sites. Participants in the study expressed that fear was the primary barrier to HIV testing and treatment. These men described five value domains–health, sexuality, work and financial success, family, and social status. Men saw HIV as a direct threat to their agency and strength with respect to each of these value domains, thus shedding light on their reluctance to discover their HIV status through HIV testing. With this data, the researchers created the Masculine Values Framework, a descriptive framework of masculine values that can be applied to better understand the behavior men exhibit in Côte d’Ivoire in the face of HIV. The Masculine Values Framework offers practical guidance for developing gender-sensitive HIV-focused social and behavior change programming in Côte d’Ivoire and similar contexts to reach the UNAIDS 90-90-90 targets.

Klíčová slova:

Antiretroviral therapy – Behavior – Fear – HIV – HIV diagnosis and management – Human families – Social status – Sense of agency


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2019 Číslo 10