我们被区别对待:南非诊所里男同性恋者的经历。

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Tshivhase T Ravele, Raikane J Seretlo, Mathildah M Mokgatle
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引用次数: 0

摘要

背景:男男性行为者(MSM)被认为是需要专门保健服务以满足其保健需求的关键人群。这是因为他们的性行为。男男性行为者在获得公共卫生保健设施的保健服务时会遇到积极和消极的经历。本研究探讨并描述男男性行为者在公共医疗机构获得医疗服务的经验。这项研究是在位于南非豪登省东部的Ekurhuleni区进行的。方法:采用描述性、探索性、定性的方法,对男男性接触者的就医经历进行调查。深入访问了17名18岁及以上的男男性行为者。结果:总体而言,男男性接触者在获得医疗服务时既有消极体验,也有积极体验。然而,主要是公共医疗机构的负面影响,而私营医疗机构的积极影响。结论:男男性行为者的负面经历、卫生保健工作者对他们的评判和歧视态度以及卫生保健机构中满足其特定卫生保健需求的资源和卫生保健服务的稀缺或不可得性造成了人际和结构性障碍,阻碍了男男性行为者获得卫生保健服务。贡献:这些研究结果表明,需要对医护人员进行真正的护理培训,分配资源和医疗服务,以解决医疗机构中男男性行为者特定的医疗需求,并为他们创造一个便利的环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
We are treated differently: Experiences of men who have sex with men in South African clinics.

Background: Men who have sex with men (MSM) are regarded as a key population that needs specialised healthcare services to address their healthcare needs. This is because of their sexual practices. Men who have sex with men encounter positive and negative experiences when accessing healthcare services in public health care facilities. This study explored and described the experiences of MSM about accessing healthcare services in public healthcare facilities. The study was conducted in Ekurhuleni district, situated in the East of Gauteng province, South Africa.

Methods: A descriptive, explorative, qualitative approach was employed to investigate the experiences of MSM about accessing healthcare services. In-depth interviews were conducted with 17 MSM aged 18 years and above.

Results: Overall, MSM had both negative and positive experiences when accessing healthcare services. However, mainly the negative in the public healthcare facilities, whereas positive were experienced in the private healthcare facilities.

Conclusion: The negative experiences of MSM, the judgemental and discriminatory attitudes of healthcare workers towards them and the scarcity or unavailability of resources and healthcare services to address their specific healthcare needs in healthcare facilities have created interpersonal and structural barriers, which prevent MSM from accessing healthcare services.Contribution: These findings suggest the need for the training of healthcare workers to be truly caring, the allocation of resources and healthcare services to addressing MSM-specific healthcare needs in healthcare facilities and the creation of an accommodating environment for them.

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来源期刊
South African Family Practice
South African Family Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
1.50
自引率
20.00%
发文量
79
审稿时长
25 weeks
期刊介绍: South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.
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