PDF(Pubmed)
Abstract：
Gender-responsive healthcare is critical to advancing men\'s health given that masculinities intersect with other social determinants to impact help-seeking, engagement with primary healthcare, and patient outcomes. A scoping review was undertaken with the aim to synthesize gender-responsive approaches used by healthcare providers (HCPs) to engage men with primary healthcare. MEDLINE, PubMed, CINAHL, and PsycINFO databases were searched for articles published between 2000 and February 2024. Titles and abstracts for 15,659 citations were reviewed, and 97 articles met the inclusion criteria. Data were extracted and analyzed thematically. Thirty-three approaches were synthesized from across counseling/psychology, general practice, social work, nursing, psychiatry, pharmacy, and unspecified primary healthcare settings. These were organized into three interrelated themes: (a) tailoring communication to reach men; (b) purposefully structuring treatment to meet men\'s health needs, and (c) centering the therapeutic alliance to retain men in care. Strength-based and asset-building approaches focused on reading and responding to a diversity of masculinities was reinforced across the three findings. While these approaches are recommended for the judicious integration into health practitioner education and practice, this review highlighted that the evidence remains underdeveloped, particularly for men who experience health inequities. Critical priorities for further research include intersectional considerations and operationalizing gender-responsive healthcare approaches for men and its outcomes, particularly at first point-of-contact encounters.
摘要：
性别敏感的医疗保健对于促进男性健康至关重要，因为男性气质与其他社会决定因素交叉影响寻求帮助，参与初级医疗保健，和患者结果。进行了范围审查，目的是综合医疗保健提供者（HCP）使用的性别敏感方法，以使男性参与初级医疗保健。MEDLINE,PubMed,CINAHL,和PsycINFO数据库搜索了2000年至2024年2月之间发表的文章。审查了15659篇引文的标题和摘要，97条符合纳入标准。对数据进行主题提取和分析。从咨询/心理学中综合了33种方法，一般实践，社会工作,护理,精神病学,药房,和未指定的初级医疗保健环境。这些被组织为三个相互关联的主题：（a）定制沟通以接触男性；（b）有目的地结构化治疗以满足男性的健康需求，(c)以治疗联盟为中心，留住男性。在这三个发现中，以力量为基础的资产建设方法侧重于阅读和应对男性气质的多样性。虽然建议将这些方法明智地融入健康从业者的教育和实践，这项审查强调了证据仍然不发达，特别是对于那些经历健康不平等的男人。进一步研究的关键优先事项包括交叉考虑和实施针对男性的促进性别平等的医疗保健方法及其结果，特别是在第一次接触时。
