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1.
Health Promot Pract ; 23(2): 325-330, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-35285328

RESUMEN

The higher education system globally is inherently inequitable. Discriminatory practices and oppressive power dynamics are particularly prevalent in the South African higher education landscape, which is characterized by a legacy of colonialism and apartheid. As a result, although students from a wide range of backgrounds are increasingly participating in higher education, many students who do not fit the dominant status quo question their belonging within these spaces. Students' experiences of alienation within higher education can have profoundly negative physical, pyschosocial, and education outcomes. However, students also display agency in negotiating the exclusionary institutional cultures within their universities and succeed despite these experiences. Photovoice methodology can be a useful tool for critiquing and highlighting such agentic practices, and for foregrounding the voices of students. In this research brief, we reflect on two photovoice projects that sought to examine the complexity of students' experiences of belonging and alienation in higher education in South Africa. Our findings illustrate that although students may experience alienation on campus, they may also create spaces of belonging, "speak back" to, and challenge the exclusions inherent to campus life.


Asunto(s)
Trastornos Mentales , Estudiantes , Humanos , Universidades
2.
Omega (Westport) ; 86(1): 218-240, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33076754

RESUMEN

Suicide is a serious but under-researched public health problem in Bangladesh. In light of this, we sought to explore the association between masculinities and suicide. We interviewed 20 family members/friends of men who died by suicide across 12 rural areas of the Jhenaidah district, Bangladesh. We found that male suicide was attributed to men's inability to fulfil hegemonic masculine demands such as financial provision and meeting the sexual needs of their spouses. Suicide was also linked to men's loss of self-respect and respect from others. Some participants mentioned that men committed suicide as an act of self-sacrifice, while others cited mental and physical illness. As a result of these findings, we propose that addressing socio-cultural and religious issues associated with men's troubles may help to prevent suicide. At the same time, changing the restrictive gender roles and masculinity-related ideals is also needed to counter the problem.


Asunto(s)
Masculinidad , Suicidio , Bangladesh , Humanos , Masculino , Hombres , Autoimagen
3.
Omega (Westport) ; 84(2): 582-595, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32050852

RESUMEN

This is the first ever research in Bangladesh that provides understanding about men's postsuicide attempt reflections from a district called Jhenaidah which is assumed to be a high suicide-prone area in the country. Employing qualitative semistructured interviews with 17 men who have attempted suicide, aged 18 years and older, this research finds the survivors encountered several immediate reactions from others specifically targeting toward demeaning their masculinity. Nonetheless, they adopted several means to cope with the postsuicide episode that are thematically arranged as self-deprecation, rebuilding oneself, revenge vis-à-vis forgiveness, and impulses to escape vis-à-vis nonreactive. The postattempt episodes of the survivors are likely to be moved toward further risk factors. Therefore, it is important to take protective measures for the survivors. Specific to this district, developing a context-specific suicide prevention model, targeting the risk population could be a possible solution to the problems associated with the postattempt episodes.


Asunto(s)
Salud del Hombre , Hombres , Bangladesh , Humanos , Masculino , Masculinidad , Intento de Suicidio
5.
Cult Health Sex ; 17 Suppl 2: S144-58, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26073936

RESUMEN

Over the last two decades, a focus on challenging and transforming dominant forms of masculinity and engaging boys and men towards gender equality and healthy masculinities has permeated South African social and health sciences and the humanities. This focus on men and boys has also been evident in intervention and activist work. However, the turn to boys, men and masculinities has not gone without resistance, contestation and contradictions. A range of localised and global realities has frustrated much of the enthusiasm for rapid, sweeping and concrete changes regarding gender justice and the making of progressive masculinities. Among the discursive and material forces that oppose work that engages boys and men are those to do with income-related issues, race and racism, cultural traditions and gender itself. Because of this, it is contended that engagement with boys and men needs to consider not only gender but also economic inequality, poverty and unemployment, divisions created by race, and struggles around tradition. This paper discusses these forces that undermine and counteract work with boys and men and how we might work through resistance in engaging with men and boys.


Asunto(s)
Cultura , Identidad de Género , Masculinidad , Femenino , Humanos , Masculino , Investigación Cualitativa , Grupos Raciales/psicología , Identificación Social , Factores Socioeconómicos , Sudáfrica
6.
Lancet ; 374(9694): 1011-1022, 2009 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-19709732

RESUMEN

Violence and injuries are the second leading cause of death and lost disability-adjusted life years in South Africa. The overall injury death rate of 157.8 per 100,000 population is nearly twice the global average, and the rate of homicide of women by intimate partners is six times the global average. With a focus on homicide, and violence against women and children, we review the magnitude, contexts of occurrence, and patterns of violence, and refer to traffic-related and other unintentional injuries. The social dynamics that support violence are widespread poverty, unemployment, and income inequality; patriarchal notions of masculinity that valourise toughness, risk-taking, and defence of honour; exposure to abuse in childhood and weak parenting; access to firearms; widespread alcohol misuse; and weaknesses in the mechanisms of law enforcement. Although there have been advances in development of services for victims of violence, innovation from non-governmental organisations, and evidence from research, there has been a conspicuous absence of government stewardship and leadership. Successful prevention of violence and injury is contingent on identification by the government of violence as a strategic priority and development of an intersectoral plan based on empirically driven programmes and policies.


Asunto(s)
Costo de Enfermedad , Prioridades en Salud/organización & administración , Violencia/prevención & control , Heridas y Lesiones/prevención & control , Accidentes/estadística & datos numéricos , Causas de Muerte , Personas con Discapacidad/estadística & datos numéricos , Composición Familiar/etnología , Femenino , Armas de Fuego , Necesidades y Demandas de Servicios de Salud , Humanos , Masculino , Responsabilidad Parental , Años de Vida Ajustados por Calidad de Vida , Asunción de Riesgos , Administración de la Seguridad , Valores Sociales , Factores Socioeconómicos , Sudáfrica/epidemiología , Trastornos Relacionados con Sustancias/complicaciones , Violencia/estadística & datos numéricos , Heridas y Lesiones/epidemiología
7.
Crisis ; 41(4): 304-312, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31657639

RESUMEN

Background: Suicide and attempted suicide are a serious but under-explored public health problem in Bangladesh. Survey estimates suggest that Jhenaidah District, one of the 64 districts that make up Bangladesh, is one of the highest suicide-prone regions in Bangladesh. Relatively little is known about the magnitude of suicide attempts in the district. Aims: This article describes the incidence of suicide and suicide attempts for Jhenaidah, Bangladesh for the period 2010-2018. Method: Primary descriptive analysis was performed on routine data collected by a Bangladesh-based nongovernment organization (NGO): Societies for Voluntary Activities (SOVA). Results: A total of 22,675 suicide attempts and 3,152 suicides occurred in the district. The rate of suicide attempts was found to be 136.35/100,000 and the suicide rate was found to be 20.6/100,000 in Jhenaidah. The subdistrict Sadar had the highest incidence of suicide attempt (38.09%) and suicide (33.47%). Poisoning was the most common method of suicide attempt for both males (77.07%) and females (77%). Limitations: Many cases of suicide attempts and suicide are unreported in Bangladesh owing to stigmatization; only reported cases form part of this investigation. Conclusion: Jhenaidah has very high rates of suicide and suicide attempts that surpass the global and Bangladesh averages. Although females demonstrate higher suicide rates, male suicide rates have gradually increased over the study period. Future studies are called for to better understand the local patterns and dynamics of fatal and nonfatal suicidal behaviors. Developing a sub-district-, district-, and national-level suicide prevention strategy ought to be considered a priority.


Asunto(s)
Intento de Suicidio/estadística & datos numéricos , Suicidio Completo/estadística & datos numéricos , Asfixia , Bangladesh/epidemiología , Humanos , Incidencia , Intoxicación , Distribución por Sexo , Intento de Suicidio/tendencias , Suicidio Completo/tendencias
8.
Glob Health Action ; 11(1): 1458937, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29690854

RESUMEN

BACKGROUND: In light of the global health burden of violence, which is predominantly perpetrated by men, studies have explored the relationship between masculinities and violence. However, there is a relative lack of work focusing on non-hegemonic men and masculinities in relation to violence. Such work has the potential to advance violence prevention work. OBJECTIVE: This article aims to show the shifting relationship between constructions of violent and non-violent masculinity in the talk of a genderqueer man. The article also aims to demonstrate how qualitative approaches are able to reveal the complexity and contradiction in accounts of masculine identities as these are negotiated within the context of the research interview. METHODS: The article is based on a case study of Adam, a middle-class, 'white', 'genderqueer' man who participated in a larger study which explored the ways in which gender is constructed within 18 South African families. Adam's interview is analysed using a Foucauldian discourse analysis. RESULTS: The analysis demonstrates the complex and contradictory process involved in negotiating and resisting a violent version of masculinity. Constructing male violence as rooted in particular psychosocial and cultural assumptions, rather than as an automatic biological response, enables Adam to resist this violence. This deconstruction of violent masculinity is linked to Adam's 'genderqueer' identity or 'in-betweenness', which facilitates a critical consciousness in relation to notions of gender. The analysis also demonstrates how notions of masculinity are deliberated and co-constructed within the relational context of the interview. CONCLUSIONS: This article shows that resisting and reformulating masculinity in non-violent ways is a complex process. This suggests that violence prevention efforts need to focus on the creation of spaces for ongoing dialogues about non-violence. As demonstrated by the context of the interview, relational, conversational spaces have the potential to facilitate the co-construction of non-violent masculinities.


Asunto(s)
Masculinidad , Minorías Sexuales y de Género/psicología , Violencia/psicología , Adulto , Humanos , Masculino
9.
Glob Health Action ; 9: 31122, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27293123

RESUMEN

BACKGROUND: High rates of violence and HIV have been documented within the South African context. Constructions of masculinity and femininity that position men as dominant and highly sexually active and women as subordinate and acquiescent have been found to contribute towards gender inequality. This inequality is in turn related to negative health consequences, specifically violence against women, children, and other men, as well as sexual risk. Within this context it becomes important to explore how problematic constructions of gender are being (re)produced and how these constructions are being challenged. Families have been identified as key sites in which gender is both constructed and enacted on a daily basis and it is within this space that children are first exposed to notions of gender. OBJECTIVE: This article draws from a study that was intended to expand on the limited understandings of the ways in which gender (in)equality is constructed and conveyed within the context of South African families on an everyday basis. DESIGN: Children and parents in 18 families from a range of different material and cultural backgrounds were interviewed about the meanings and practices of gender within their homes. Data were analysed using a Foucauldian discourse analysis. RESULTS: The data reveal how problematic constructions of masculinity and femininity are (re)produced but also challenged within a range of different families. Gender and gender (in)equality are therefore routinely accomplished in complex ways. CONCLUSIONS: These findings have important implications for promoting gender equality and therefore for disrupting violence and sexual risk as gendered health issues.

10.
Glob Health Action ; 8: 27649, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26228996

RESUMEN

BACKGROUND: South Africa has a significant violence problem. The exposure of girls and women to interpersonal violence is widespread, and the victimization of men, especially to severe and homicidal forms of aggression, is of considerable concern, with male homicide eight times the global rate. In the last two decades, there have been a plethora of South African policies to promote safety. However, indications suggest that the policy response to violence is not coherently formulated, comprehensive, or evenly implemented. OBJECTIVE: This study examines selected South African national legislative instruments in terms of their framing and definition of violence and its typology, vulnerable populations, and prevention. DESIGN: This study comprises a directed content analysis of selected legislative documents from South African ministries mandated to prevent violence and its consequences or tasked with the prevention of key contributors to violence. Documents were selected using an electronic keyword search method and analyzed independently by two researchers. RESULTS: The legislative documents recognized the high levels of violence, confirmed the prioritization of selected vulnerable groups, especially women, children, disabled persons, and rural populations, and above all drew on criminological perspectives to emphasize tertiary prevention interventions. There is a policy focus on the protection and support of victims and the prosecution of perpetrators, but near absent recognition of men as victims. CONCLUSIONS: There is a need to broaden the policy framework from primarily criminological and prosecutorial perspectives to include public health contributions. It is likewise important to enlarge the conceptions of vulnerability to include men alongside other vulnerable groups. These measures are important for shaping and resourcing prevention decisions and strengthening primary prevention approaches to violence.


Asunto(s)
Derecho Penal/organización & administración , Políticas , Seguridad/legislación & jurisprudencia , Violencia/legislación & jurisprudencia , Violencia/prevención & control , Factores de Edad , Víctimas de Crimen/legislación & jurisprudencia , Personas con Discapacidad/legislación & jurisprudencia , Femenino , Humanos , Masculino , Población Rural , Factores Sexuales , Sudáfrica , Poblaciones Vulnerables/legislación & jurisprudencia
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