Sociocultural Factors Shaping Fatherhood and Men's Participation in Antenatal Care in Rural Sub-Saharan Africa: A Scoping Review.

IF 2.7 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sociology of health & illness Pub Date : 2025-09-01 DOI:10.1111/1467-9566.70084

Anthony Shuko Musiwa, Webster Mavhu, Owen Nyamwanza, Agatha Nyambi, Maya Stevens-Uninsky, Nadia Rehman, Naharin Sultana Anni, Roseline Dzekem Dine, Elizabeth Chadambuka, Rachel Couban, Lawrence Mbuagbaw

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Abstract

Men's participation is critical to improving antenatal care (ANC) utilisation and mother and child health in sub-Saharan Africa (SSA). Additionally, current reviews typically examine sociocultural determinants narrowly as barriers or facilitators of men's direct involvement in biomedical ANC activities. We aimed to consolidate existing literature on sociocultural factors shaping fatherhood and men's participation in ANC in rural SSA to inform tailored interventions. We conducted a scoping review, searching 10 online databases (African Index Medicus, Africa Journals Online, CINAHL, Cochrane Library, EMBASE, MEDLINE/PubMed, PsycINFO, Sociology Collection, Social Sciences Abstract and Social Sciences Citation Index) for peer-reviewed articles that reported studies on fatherhood and men's participation in ANC in rural SSA, systematically analysed primary or secondary data, employed a qualitative, quantitative or mixed methods design and were published between January 2000 and October 2024 in any language. We included 77 articles reporting 58 qualitative, 6 quantitative and 13 mixed-methods studies conducted in 15 SSA countries. We identified 12 themes demonstrating that local sociocultural conceptions, norms, dynamics and experiences intricately shape fatherhood and men's participation in many different forms of ANC in rural SSA. We recommend interventions that reflect local realities and research that employs Afrocentric approaches to centre marginalised perspectives in rural SSA.

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社会文化因素塑造父亲和男子参与产前保健在撒哈拉以南非洲农村：范围审查。

在撒哈拉以南非洲，男子的参与对于改善产前保健的利用和母婴健康至关重要。此外，目前的审查通常将社会文化决定因素狭隘地视为男性直接参与生物医学ANC活动的障碍或促进因素。我们的目的是整合现有的关于社会文化因素影响父亲身份和男性在农村地区参与ANC的文献，以便为量身定制的干预措施提供信息。我们对10个在线数据库（African Index Medicus, Africa Journals online， CINAHL, Cochrane Library， EMBASE, MEDLINE/PubMed, PsycINFO，社会学Collection，社会科学文摘和社会科学引文索引）进行了范围审查，检索同行评议的文章，这些文章报道了农村SSA中父亲身份和男性参与ANC的研究，系统地分析了主要或次要数据，采用了定性、在2000年1月至2024年10月期间以任何语言出版的定量或混合方法设计。我们纳入了在15个SSA国家进行的58项定性研究、6项定量研究和13项混合方法研究的77篇文章。我们确定了12个主题，表明当地的社会文化观念、规范、动态和经验错综复杂地塑造了父权和男性参与农村SSA许多不同形式的非国大。我们建议采取反映当地实际情况的干预措施，并进行研究，采用以非洲为中心的方法，集中农村SSA的边缘化观点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sociology of health & illness Multiple-

CiteScore

6.10

自引率

6.90%

发文量

156

期刊介绍： Sociology of Health & Illness is an international journal which publishes sociological articles on all aspects of health, illness, medicine and health care. We welcome empirical and theoretical contributions in this field.