男性とセックスする男性のための総合的な臨床ケア: 総合的なアプローチ
Kenneth H Mayer1, Linda-Gail Bekker, Ron Stall
1Fenway Health, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA. khmayer@gmail
Lancet (London, England)
|July 24, 2012
まとめ
男性と性交する男性 (MSM) は,生物学的要因と社会的汚名によって,ユニークな健康上の課題に直面しています. 文化に敏感な介護と地域社会の支援は,健康格差の解決と福祉の促進に不可欠です.
科学分野:
- 公衆衛生は公衆衛生である.
- 社会学 社会学 社会学とは
- 医療倫理 医療倫理について
背景:
- 男性とセックスする男性 (MSM) は,HIVやSTIに対する感受性の増加を含む,ユニークな健康格差を経験します.
- 社会的なスティグマ,ホモフォビア,ジェンダーの非適合性は,MSMの間でうつ病や不安などのメンタルヘルス問題に寄与しています.
- 既存のヘルスケアモデルは,MSMの特定のニーズに適切に対応できないことが多い.
研究 の 目的:
- 男性とセックスする男性 (MSM) のユニークな医療ニーズを強調する.
- 文化的に敏感なMSMのための臨床ケアプログラムの必要性を強調する.
- MSMに対する尊重と開示を促進する医療慣行を提唱する.
主な方法:
- MSM集団における健康格差に関する文献レビュー.
- 精神的および身体的健康上の結果に社会的汚名を及ぼす影響の分析.
- 文化的に有能な医療提供のためのベストプラクティスの検討.
主要な成果:
- MSMは,生物学的リスクと心理的社会的要因の両方を扱う専門的な医療を必要とします.
- 文化に敏感なプログラムは,健康格差と有害な結果を軽減するために不可欠です.
- 医療提供者は,健康情報の開示を促進するために,敬意をもって関与しなければなりません.
結論:
- MSMに対する最適な臨床治療は,基本的人権です.
- 社会的なスティグマに対処し,コミュニティの支援を促進することは,MSMの健康を改善する上で重要なものです.
- MSMに対するレジリエンスと資産ベースの介入に関するさらなる研究が必要である.
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