男同性恋者和前列腺癌:从隐藏人群的声音中学习

M. Drummond, James A. Smith, Shaun M. Filiault
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引用次数: 1

摘要

10年前,我们发表了一项关于男同性恋者和前列腺癌的研究。这篇论文为患有前列腺癌的男同性恋者发出了声音,他们的声音在很大程度上被忽视了,或者在某些方面被沉默了。幸运的是,自我们的研究发表以来,这一领域的工作已经兴起。本章以第一作者穆雷·德拉蒙德(Murray Drummond)的个人小插曲开始,为同性恋者和前列腺癌在初级卫生保健水平上的认知提供重要的背景信息。然后,我们利用当代健康促进学术来讨论我们对男性健康促进的了解,并描述这种促进与男同性恋者和前列腺癌的关系。然后,我们用我们研究中最初的男同性恋前列腺癌患者群体所表达的一些担忧来阐明他们所面临的关键问题——在许多情况下,他们将继续面临这些问题。然后,面对当代西方文化中快速变化的LGBTQI权利(以及缺乏权利),我们反思了与这些问题相关的一些法律方面。最后,我们根据这些男性在疾病方面面临的社会文化、法律和身体健康问题,描述了一条前进的道路。
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Gay Men and Prostate Cancer: Learning from the Voices of a Hidden Population
C H A P T E R S U M M A R Y Ten years ago, we published a study on gay men and prostate cancer. The paper gave a voice to gay men with prostate cancer whose voices had been largely unheard or, in some respects, silenced. Fortunately, there has been a groundswell of work in this area since the publication of our study. This chapter begins with a personal vignette of the first author, Murray Drummond, to provide important contextual information for how gay men and prostate cancer are perceived at a primary healthcare level. We then draw on contemporary health promotion scholarship to discuss what is known about men’s health promotion and describe how this promotion intersects with gay men and prostate cancer. We then use some of the concerns voiced by the original group of gay men with prostate cancer in our study to illuminate the key issues they faced — and in many cases continue to face. We then reflect on some of the legal aspects associated with these concerns in the face of the rapidly changing landscape of LGBTQI rights (and lack thereof) in contemporary Western cultures. We conclude by describing a way forward in light of the sociocultural, legal, and physical health concerns these men face with respect to their illness.
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