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