Belitung Nursing Journal
Vol. 10 No. 1 (2024): January - February

Exploring men’s health in medium and high complexity care in Brazil: A deductive thematic analysis of social determinants

Márcio Soares de Almeida (Federal University of Bahia, Salvador, Brazil)
Bruna Rafaela Carneiro (Federal University of Bahia, Salvador, Brazil)
Albert Ramon Oliveira Santos (Santa Casa College, Salvador, Bahia, Brazil)
Claudia Geovana da Silva Pires (Federal University of Bahia, Salvador, Brazil)
Fransley Lima Santos (Federal University of Bahia, Salvador, Brazil)
Alvaro Francisco Lopes de Sousa (Institute of Teaching and Research, Sírio Libanês Hospital, Brazil)
Anderson Reis de Sousa (Federal University of Bahia, Salvador, Brazil)
Álvaro Pereira (Federal University of Bahia, Salvador, Brazil)
Layze Braz de Oliveira (University of São Paulo at Ribeirão Preto College of Nursing, Brazil)
Liliane Moretti Carneiro (Federal University of Mato Grosso do Sul, Brazil)
Isabel Amélia Costa Mendes (University of São Paulo at Ribeirão Preto College of Nursing, Brazil)



Article Info

Publish Date
28 Feb 2024

Abstract

Background: Men’s health is influenced by a complex interplay of social, economic, and cultural determinants. Understanding how these aspects affect the health of adult cisgender men in medium and high-complexity healthcare settings is essential for improving healthcare services and promoting better health outcomes. Objective: This study aimed to analyze the health status of adult cisgender men in medium and high-complexity healthcare settings based on social determinants and conditioners. Methods: This study employed a qualitative design involving 45 adult cisgender men receiving care in medium/high complexity services in Bahia, Brazil. Semi-structured interviews were conducted from July 2019 to February 2020, and data were interpreted based on Dahlgren and Whitehead’s Model of Social Determinants of Health using deductive thematic analysis. Results: Proximal determinants included biological aspects, preventive behaviors, lifestyle/social life, and aging processes. Intermediate factors included work conditions, access/utilization of healthcare services/medications, and psychosocial factors. Macro determinants involved income distribution, power dynamics, resource allocation, health inequalities/iniquities, morbidity, culture, political decisions, environmental factors, and structural elements. Conclusion: The health status of men in medium/high complexity care was profoundly influenced by structural social determinants. These determinants impacted healthcare attention, service organization, cultural influences, the reproduction of hegemonic masculinity patterns, lifestyle, social support, and socioeconomic conditions necessary to realize the right to health. Nursing practices should conduct comprehensive assessments that extend beyond physical health indicators.

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Journal Info

Abbrev

bnj

Publisher

Subject

Nursing

Description

BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based ...