Dividuality, masculine respectability and reputation: How masculinity affects men's uptake of HIV treatment in rural eastern Uganda

Siu, Godfrey Etyang; Seeley, Janet; Wight, Daniel

doi:10.1016/j.socscimed.2013.04.025

Cited by 115 publications

(170 citation statements)

References 29 publications

Supporting

Mentioning

156

Contrasting

Unclassified

Order By: Relevance

“…In Uganda, for example, women are seen as home makers, perform household chores, submissive to males, especially their partners, and are expected to be economically dependent on men, while men are responsible for material provision, are decision makers, are family heads, and are expected to have multiple sexual partners (Beohut-Betts, 2005;Cornwall, 2005;Nyanzi, NyanziWokholi, & Kalina, 2008;Siu, Seeley, & Wight, 2013;Wyrod, 2008).…”

Section: Theoretical Framework: Sexuality Masculinity and Sex Workmentioning

confidence: 99%

Relationship dynamics and sexual risk behaviour of male partners of female sex workers in Kampala, Uganda

Mbonye

Siu

Kiwanuka

et al. 2016

African Journal of AIDS Research

Self Cite

View full text Add to dashboard Cite

Male regular partners of female sex workers represent an important population to reach with HIV-prevention interventions. In this paper we discuss the relationship dynamics and HIV/STI risk behaviour of men involved with self-identified female sex workers (FSW) in Kampala. Between 2011 and 2014 we conducted repeat in-depth interviews with 42 male partners of FSWs attending a clinic for women at high risk of HIV-infection in Kampala. Men publicly struggled with the stigma of dating women who are considered to be engaged in a shamed profession, but privately saw meaning in these relationships. In coping with the stigma, some described the work of their partners in terms that distanced them from sex work, while others struggled to have the control that `being a man' demanded since they could not monitor all movements of their partners. Dealing with HIV disclosure was hard, and seeking support difficult for some of the men leading to missed opportunities and guilt. Despite challenges, relationships with sex workers offered men some benefits such as access to much needed care and treatment. A few men also admitted to being motivated by material and financial benefits from sex workers who they perceived as being rich and this was one factor that helped them sustain the relationships. These findings offer insights into the complex relationship dynamics within high risk sexual partnerships but the findings suggest that effective interventions that are couple centred can be established to promote better health.

show abstract

Section: Theoretical Framework: Sexuality Masculinity and Sex Workmentioning

confidence: 99%

Relationship dynamics and sexual risk behaviour of male partners of female sex workers in Kampala, Uganda

Mbonye

Siu

Kiwanuka

et al. 2016

African Journal of AIDS Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…Cabe mencionar que, en la fase crónica, las manifestaciones físicas de la enfermedad no solo generan condiciones para la afectación de la masculinidad al alejarse de los ideales hegemónicos, sino que también permiten la emergencia de una masculinidad que reconozca la vulnerabilidad física y emocional, y promueva el autocuidado a través de un estilo de vida saludable que incluya la toma del medicamento, el ejercicio, el descanso o el no forzarse en el ámbito laboral (Lynch et al, 2010;Siu et al, 2013;Siu et al, 2014). Esta reconstrucción de la masculinidad implica la adopción de un rol de paciente que resulta fundamental no solo para la extensión del tiempo de sobrevida o el aplazamiento de infecciones oportunistas al adherirse al tratamiento y mantener la relación con los servicios de salud, sino que permite normalizar la vida con este padecimiento crónico.…”

Section: Discussionunclassified

“…No obstante, la presencia de procesos de estigmatización social (Parker & Aggleton, 2002) establece un límite a la transformación de la masculinidad, pues los varones pueden ocultar el diagnóstico por el temor a la discriminación y por el temor a la pérdida del respeto en el espacio público, por medio del cuestionamiento de su fortaleza física, el control de la sexualidad o el cambio de las jerarquías en la relación de pareja (Lynch et al, 2010;Siu et al, 2013).…”

Section: El Diagnósticounclassified

“…De esta manera, los varones pueden reconstruir su masculinidad a partir de la aceptación de su vulnerabilidad (Lynch et al, 2010), la adopción de un estilo de vida saludable (Siu et al, 2013;Siu et al, 2014) y la continuación del trabajo sin forzar demasiado al cuerpo (Mfecane, 2008).…”

Section: Vivir Con Vihunclassified

“…No obstante, los varones que viven con VIH también hacen alusión a un proceso de construcción de "masculinidades resucitadas", asociado con las posibilidades brindadas por el acceso y la adherencia al tratamiento, tales como la aceptación del diagnóstico y de su vulnerabilidad (Lynch et al, 2010), la adopción de un estilo de vida saludable, la recuperación de la salud, continuar trabajando, formar una familia o seguir cuidando de sus hijos y establecer relaciones más igualitarias con sus parejas (Siu, Seeley, & Wight, 2013;Siu et al, 2014), el control de la sexualidad y el cambio de su valoración, así como el cuidado en sus relaciones sexuales (Mfecane, 2008).…”

Section: Introductionunclassified

See 2 more Smart Citations

Masculinidades emergentes a través de la trayectoria del padecimiento: implicaciones para el cuidado de la salud de varones que viven con VIH

Avendaño

Luis

2017

Univ Psychol

View full text Add to dashboard Cite

Se realizaron entrevistas a profundidad a doce varones, para comprender el sentido que atribuyen a su vivencia con el VIH y la forma en que construyen su masculinidad, en relación con los ideales hegemónicos presentes en su contexto sociocultural. Los resultados indican que durante el transcurso del padecimiento existe una transformación de su masculinidad, pues al reconocer la vulnerabilidad física, social y emocional que conlleva el diagnóstico de VIH, construyen una masculinidad alternativa que permite mantener el auto-cuidado y normalizar la vida con el padecimiento. Los elementos de esta masculinidad emergente deben ser comprendidos por los servicios de salud y considerados durante el tratamiento para facilitar su atención integral.

show abstract

HIV self‐testing: breaking the barriers to uptake of testing among men and adolescents in sub‐Saharan Africa, experiences from STAR demonstration projects in Malawi, Zambia and Zimbabwe

Hatzold

Gudukeya²,

Mutseta³

et al. 2019

J Intern AIDS Soc

137

120

View full text Add to dashboard Cite

Introduction Social, structural and systems barriers inhibit uptake of HIV testing. HIV self‐testing ( HIVST ) has shown promising uptake by otherwise underserved priority groups including men, young people and first‐time testers. Here, we use characteristics of HIVST kit recipients to investigate delivery to these priority groups during HIVST scale‐up in three African countries. Methods Kit distributors collected individual‐level age, sex and testing history from all clients. These data were aggregated and analysed by country (Malawi, Zambia and Zimbabwe) for five distribution models: local community‐based distributor ( CBD : door‐to‐door, street and local venues), workplace distribution ( WD ), integration into HIV testing services ( IHTS ), or public health facilities ( IPHF ) and during demand creation for voluntary male medical circumcision ( VMMC ). Used kits were collected and re‐read from CBD and IHTS recipients. Results Between May 2015 and July 2017, 628,705 HIVST kits were distributed in Malawi (172,830), Zambia (190,787) and Zimbabwe (265,091). Community‐based models, the first to be established, accounted for 519,658 (82.7%) of kits distributed, with 275,419 (53.0%) used kits returned. Subsequent model diversification delivered 54,453 (8.7%) test‐kits through IHTS , 23,561 (3.7%) through VMMC , 21,183 (3.4%) through IPHF and 9850 (1.7%) through WD . Men took 294,508 (48.2%) kits, and 263,073 (43.1%) went to young people (16 to 24 years). A higher proportion of male self‐testers (65,577; 22.3%) were first‐time testers than women (54,096; 17.1%) with this apparent in Zimbabwe (16.2% vs. 11.4%), Zambia (25.4% vs. 17.7%) and Malawi (27.9% vs. 25.9%). The highest proportions of first‐time testers were in young (16 to 24 years) and older (>50 years) men (country‐ranges: 18.7% to 35.9% and 13.8% to 26.8% respectively). Most IHTS clients opted for HIVST in preference to standard HTS in each of 12 delivery sites, with those selecting HIVST having lower HIV prevalence, potentially due to self‐selection. Conclusions HIVST delivered at scale using several different models reached a high proportion of men, young people and first‐time testers in Malawi, Zambia and Zimbabwe, some of whom may not have tested otherwise. As men and young people have limited uptake under s...

show abstract

Dividuality, masculine respectability and reputation: How masculinity affects men's uptake of HIV treatment in rural eastern Uganda

Cited by 115 publications

References 29 publications

Relationship dynamics and sexual risk behaviour of male partners of female sex workers in Kampala, Uganda

Relationship dynamics and sexual risk behaviour of male partners of female sex workers in Kampala, Uganda

Masculinidades emergentes a través de la trayectoria del padecimiento: implicaciones para el cuidado de la salud de varones que viven con VIH

HIV self‐testing: breaking the barriers to uptake of testing among men and adolescents in sub‐Saharan Africa, experiences from STAR demonstration projects in Malawi, Zambia and Zimbabwe

Contact Info

Product

Resources

About