2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Background: Delay by men in seeking healthcare results in their higher
|
|
|
|
|
|
|
|
|
|
mortality while on HIV or tuberculosis (TB) treatment and contributes to
|
|
|
|
|
|
|
|
|
|
ongoing community-level disease transmission before going on treatment.
|
|
|
|
|
|
|
|
|
|
Objective: To understand masculinity''s role in delay in healthcare
|
|
|
|
|
|
|
|
|
|
seeking for men, with a focus on TB-suggestive symptoms.
|
|
|
|
|
|
|
|
|
|
Design: Data were collected between March 2011 and March 2012 in
|
|
|
|
|
|
|
|
|
|
low-income suburbs in urban Blantyre using focus group discussions with
|
|
|
|
|
|
|
|
|
|
community members (n = 8) and health workers (n = 2), in-depth
|
|
|
|
|
|
|
|
|
|
interviews with 20 TB patients (female = 14) and 20 uninvestigated
|
|
|
|
|
|
|
|
|
|
chronic coughers (female = 8), and a 3-day participatory workshop with
|
|
|
|
|
|
|
|
|
|
27 health stakeholder representatives. The research process drew to a
|
|
|
|
|
|
|
|
|
|
large extent on grounded theory principles in the manner of Strauss and
|
|
|
|
|
|
|
|
|
|
Corbin (1998) and also Charmaz (1995).
|
|
|
|
|
|
|
|
|
|
Results: Role descriptions by both men and women in the study
|
|
|
|
|
|
|
|
|
|
universally assigned men as primary material providers for their
|
|
|
|
|
|
|
|
|
|
immediate family, that is, the ones earning and bringing livelihood and
|
|
|
|
|
|
|
|
|
|
additional material needs. In a context where collectivism was valued,
|
|
|
|
|
|
|
|
|
|
men were also expected to lead the provision of support to wider kin.
|
|
|
|
|
|
|
|
|
|
Successful role enactment was considered key to achieving recognition as
|
|
|
|
|
|
|
|
|
|
an adequate man; at the same time, job scarcity and insecurity, and low
|
|
|
|
|
|
|
|
|
|
earnings gravely impeded men. Pressures to generate continuing income
|
|
|
|
|
|
|
|
|
|
then meant constantly looking for jobs, or working continuously to
|
|
|
|
|
|
|
|
|
|
retain insecure jobs or to raise money through self-employment. All this
|
|
|
|
|
|
|
|
|
|
led men to relegate their health considerations.
|
|
|
|
|
|
|
|
|
|
Conclusions: Early engagement with formal healthcare is critical to
|
|
|
|
|
|
|
|
|
|
dealing with TB and HIV. However, role constructions as portrayed for
|
|
|
|
|
|
|
|
|
|
men in this study, along with the opportunity costs of acknowledging
|
|
|
|
|
|
|
|
|
|
illness seem, in conditions of vulnerability, important barriers to
|
|
|
|
|
|
|
|
|
|
care-seeking. There is a need to address hidden care-seeking costs and
|
|
|
|
|
|
|
|
|
|
to consider more complex interventions, including reducing precarity, in
|
|
|
|
|
|
|
|
|
|
efforts to improve men''s engagement with their health.'
|
|
|
|
|
affiliation: 'Chikovore, J (Corresponding Author), Human Sci Res Council, Sexually
|
|
|
|
|
Transmitted Infect \& TB, HIV AIDS, 750 Mary Thipe Rd, ZA-4001 Durban, South Africa.
|
|
|
|
|
|
|
|
|
|
Chikovore, Jeremiah, Human Sci Res Council, Sexually Transmitted Infect \& TB, HIV
|
|
|
|
|
AIDS, ZA-4001 Durban, South Africa.
|
|
|
|
|
|
|
|
|
|
Hart, Graham, UCL, Sch Life \& Med Sci, London, England.
|
|
|
|
|
|
|
|
|
|
Kumwenda, Moses; Chipungu, Geoffrey A., Helse Nord TB Initiat, Coll Med, Blantyre,
|
|
|
|
|
Malawi.
|
|
|
|
|
|
|
|
|
|
Kumwenda, Moses; Corbett, Liz, Malawi Liverpool Wellcome Res Programme, Blantyre,
|
|
|
|
|
Malawi.
|
|
|
|
|
|
|
|
|
|
Corbett, Liz, London Sch Hyg \& Trop Med, London WC1, England.'
|
|
|
|
|
article-number: '26292'
|
|
|
|
|
author: Chikovore, Jeremiah and Hart, Graham and Kumwenda, Moses and Chipungu, Geoffrey
|
|
|
|
|
A. and Corbett, Liz
|
|
|
|
|
author-email: jchikovore@hsrc.ac.za
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Chikovore
|
|
|
|
|
given: Jeremiah
|
|
|
|
|
- family: Hart
|
|
|
|
|
given: Graham
|
|
|
|
|
- family: Kumwenda
|
|
|
|
|
given: Moses
|
|
|
|
|
- family: Chipungu
|
|
|
|
|
given: Geoffrey A.
|
|
|
|
|
- family: Corbett
|
|
|
|
|
given: Liz
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.3402/gha.v8.26292
|
|
|
|
|
eissn: 1654-9880
|
|
|
|
|
files: []
|
|
|
|
|
journal: GLOBAL HEALTH ACTION
|
|
|
|
|
keywords: 'Malawi; masculinity; tuberculosis; healthcare seeking; gender; provider;
|
|
|
|
|
|
|
|
|
|
qualitative; low income'
|
|
|
|
|
keywords-plus: 'ANTIRETROVIRAL THERAPY; HELP-SEEKING; GENDER; HIV; HEALTH; MASCULINITY;
|
|
|
|
|
|
|
|
|
|
SYMPTOMS; BEHAVIOR; PREVENTION; PREVALENCE'
|
|
|
|
|
language: English
|
|
|
|
|
number-of-cited-references: '60'
|
|
|
|
|
orcid-numbers: 'Hart, Graham/0000-0001-9676-6577
|
|
|
|
|
|
|
|
|
|
Chikovore, Jeremiah/0000-0002-4910-6952
|
|
|
|
|
|
|
|
|
|
Corbett, Elizabeth/0000-0002-3552-3181
|
|
|
|
|
|
|
|
|
|
Kumwenda, Moses Kelly/0000-0003-3091-7330'
|
|
|
|
|
pages: 1-9
|
|
|
|
|
papis_id: 3b8d84f1d8a85fc39f15ab33e2917c5a
|
|
|
|
|
ref: Chikovore2015merecough
|
|
|
|
|
researcherid-numbers: 'Hart, Graham J/C-1591-2008
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '32'
|
|
|
|
|
title: '`For a mere cough, men must just chew Conjex, gain strength, and continue
|
|
|
|
|
working'': the provider construction and tuberculosis care-seeking implications
|
|
|
|
|
in Blantyre, Malawi'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000352006200001
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '9'
|
|
|
|
|
volume: '8'
|
|
|
|
|
web-of-science-categories: Public, Environmental \& Occupational Health
|
|
|
|
|
year: '2015'
|
