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Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions

Tuberculosis (TB) is treatable but is the leading infectious cause of death worldwide, with men over-represented in some key aspects of the disease burden. Men’s TB epidemiological scenario occurs within a wider public health and historical context, including their prior sidelining in health discuss...

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Autores principales: Chikovore, Jeremiah, Pai, Madhukar, Horton, Katherine Chisholm, Daftary, Amrita, Kumwenda, Moses Kelly, Hart, Graham, Corbett, Elizabeth Lucy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223013/
https://www.ncbi.nlm.nih.gov/pubmed/32371568
http://dx.doi.org/10.1136/bmjgh-2019-002255
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author Chikovore, Jeremiah
Pai, Madhukar
Horton, Katherine Chisholm
Daftary, Amrita
Kumwenda, Moses Kelly
Hart, Graham
Corbett, Elizabeth Lucy
author_facet Chikovore, Jeremiah
Pai, Madhukar
Horton, Katherine Chisholm
Daftary, Amrita
Kumwenda, Moses Kelly
Hart, Graham
Corbett, Elizabeth Lucy
author_sort Chikovore, Jeremiah
collection PubMed
description Tuberculosis (TB) is treatable but is the leading infectious cause of death worldwide, with men over-represented in some key aspects of the disease burden. Men’s TB epidemiological scenario occurs within a wider public health and historical context, including their prior sidelining in health discussions. Differences are however noticeable in how some Western countries and high TB and HIV burden low and middle-income countries (LMIC) including in Africa have approached the subject(s) of men and health. The former have a comparatively long history of scholarship, and lately are implementing actions targeting men’s health and wellness, both increasingly addressing multilevel social and structural determinants. In contrast, in the latter men have received attention primarily for their sexual practices and role in HIV and AIDS and gender-based violence; moreover, interventions, guided by the public health approach, have stressed short-term, measurable and medical goals. Debates and the limited available empirical literature on men’s engagement with TB-related healthcare are nevertheless indicating need for a shift, within TB work with men in high burden LMICs towards, structural and multicomponent interventions.
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spelling pubmed-72230132020-05-15 Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions Chikovore, Jeremiah Pai, Madhukar Horton, Katherine Chisholm Daftary, Amrita Kumwenda, Moses Kelly Hart, Graham Corbett, Elizabeth Lucy BMJ Glob Health Analysis Tuberculosis (TB) is treatable but is the leading infectious cause of death worldwide, with men over-represented in some key aspects of the disease burden. Men’s TB epidemiological scenario occurs within a wider public health and historical context, including their prior sidelining in health discussions. Differences are however noticeable in how some Western countries and high TB and HIV burden low and middle-income countries (LMIC) including in Africa have approached the subject(s) of men and health. The former have a comparatively long history of scholarship, and lately are implementing actions targeting men’s health and wellness, both increasingly addressing multilevel social and structural determinants. In contrast, in the latter men have received attention primarily for their sexual practices and role in HIV and AIDS and gender-based violence; moreover, interventions, guided by the public health approach, have stressed short-term, measurable and medical goals. Debates and the limited available empirical literature on men’s engagement with TB-related healthcare are nevertheless indicating need for a shift, within TB work with men in high burden LMICs towards, structural and multicomponent interventions. BMJ Publishing Group 2020-05-04 /pmc/articles/PMC7223013/ /pubmed/32371568 http://dx.doi.org/10.1136/bmjgh-2019-002255 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Analysis
Chikovore, Jeremiah
Pai, Madhukar
Horton, Katherine Chisholm
Daftary, Amrita
Kumwenda, Moses Kelly
Hart, Graham
Corbett, Elizabeth Lucy
Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions
title Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions
title_full Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions
title_fullStr Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions
title_full_unstemmed Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions
title_short Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions
title_sort missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions
topic Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223013/
https://www.ncbi.nlm.nih.gov/pubmed/32371568
http://dx.doi.org/10.1136/bmjgh-2019-002255
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