ArticleSAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance2014
'Dented' and 'resuscitated' masculinities: the impact of HIV diagnosis and/or enrolment on antiretroviral treatment on masculine identities in rural eastern Uganda.
Article in SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Being HIV positive and staying on antiretroviral therapy in Africa: A qualitative systematic review and theoretical model.PloS one · 2019Pooled it
- Preferences for TB treatment and support delivery models among people living with TB in Eastern Cape, South Africa: a discrete choice experiment.Journal of the International AIDS Society · 2025Article
- "You're in an Image of a Man but Not a Man": A Qualitative Analysis of Intersectional Stigma Among Men with HIV Experiencing Subfertility in Rural Southwestern Uganda.AIDS and behavior · 2025Article
- "I am adhering to HIV treatment so that I can live to support her": A qualitative study of upward intergenerational support in South Africa.Journal of global health · 2024Article
- Intergenerational spillover effects of antiretroviral therapy in sub-Saharan Africa: a scoping review and future directions for research.BMJ global health · 2023Article
- Protocol for the pilot quasi-experimental controlled trial of a gender-responsive implementation strategy with providers to improve HIV outcomes in Uganda.Pilot and feasibility studies · 2022Article
- Conflicted masculinities: understanding dilemmas and (re)configurations of masculinity among men in long-term relationships with female sex workers, in Kampala, Uganda.Culture, health & sexuality · 2022Article
- Examining Masculinities to Inform Gender-Transformative Violence Prevention Programs: Qualitative Findings From Rakai, Uganda.Global health, science and practice · 2022Article
- Article
- The Intersection of Inequitable Gender Norm Endorsement and HIV Stigma: Implications for HIV Care Engagement for Men in Ugandan Fishing Communities.AIDS and behavior · 2021Article
- Masculinity, resources, and retention in care: South African men's behaviors and experiences while engaged in TB care and treatment.Social science & medicine (1982) · 2021Article
- Development and Acceptability of a Tablet-Based App to Support Men to Link to HIV Care: Mixed Methods Approach.JMIR mHealth and uHealth · 2020Article
- Article
- Promoting HIV Testing by Men: A Discrete Choice Experiment to Elicit Preferences and Predict Uptake of Community-based Testing in Uganda.Applied health economics and health policy · 2020Article
- Using a Social Support Framework to Understand How HIV Positive Kenyan Men Engage in PMTCT/EID Care: Qualitative Insights From Male Partners.AIDS and behavior · 2020Article
- A scoping review on the role of masculine norms in men's engagement in the HIV care continuum in sub-Saharan Africa.AIDS care · 2019Article
- Men's Refashioning of Masculine Identities in Uganda and Their Self-Management of HIV Treatment.Qualitative health research · 2019Article
- Masculinity and engagement in HIV care among male fisherfolk on HIV treatment in Uganda.Culture, health & sexuality · 2019Article
- How Do We Get Partners to Test for HIV?: Predictors of Uptake of Partner HIV Testing Following Individual Outpatient Provider Initiated HIV Testing in Rural Uganda.AIDS and behavior · 2017Article
- Understanding the relationship between couple dynamics and engagement with HIV care services: insights from a qualitative study in Eastern and Southern Africa.Sexually transmitted infections · 2017Article
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Authors and funding
3 authors.
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Abstract
There is limited research on the impact of HIV or its treatment on men's identity construction and gender roles in sub-Saharan Africa. Based on in-depth research with 26 men in rural Uganda, this article discusses men's vulnerabilities and shifting gender relations and sense of masculinity resulting from HIV infection or enrolment on treatment in eastern Uganda. The findings suggest two broad categories of masculinity: respectable and reputational. HIV infection and illness dented masculinity as men lost authority within the domestic sphere. A weakened provider role and over-reliance on wives and children undermined masculinity as family head, and social sanctioning of their sexual activity, undermined conventional masculine identities predicted on reputation. However, treatment led to a more reflexive approach to demonstrating masculinity, increased attentiveness to health and restored hope to father children free of HIV, resuscitating respectable masculinities. The balance between eroded and restored masculinity varied between men by their treatment history, age, family composition and state of health. HIV support agencies need to pay attention to the way HIV and antiretroviral treatment (ART) influence men's perception of their masculinity and support them to overcome the anxieties about dented or eroded masculinity, while building on the positive ways in which treatment restores masculinity to support men's adherence to HIV treatment. In particular, there is a need to support men's engagement in productive activities that bring income so that men can regain their provider roles following ART and restore their respectability in both the public and the domestic sphere.
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