RT Journal Article
SR Electronic
T1 Missing men with tuberculosis: the need to address structural influences and implement targeted and multidimensional interventions
JF BMJ Global Health
JO BMJ Global Health
FD BMJ Publishing Group Ltd
SP e002255
DO 10.1136/bmjgh-2019-002255
VO 5
IS 5
A1 Jeremiah Chikovore
A1 Madhukar Pai
A1 Katherine Chisholm Horton
A1 Amrita Daftary
A1 Moses Kelly Kumwenda
A1 Graham Hart
A1 Elizabeth Lucy Corbett
YR 2020
UL http://gh.bmj.com/content/5/5/e002255.abstract
AB 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.