Homens e saúde: discutindo interações no serviço da atenção primária

Abstract

The man's health as question appears to be approached and studied from the behavior of risk adopted by the own subjects about sex male, many often rooted in the dictates of a hegemonic masculinity socially imposed. This behavior depicts certain absence of responsibility of men in relation to health care do not admit a state of weakness or fragility caused by disease. In Brazil the issue is no less serious well studies show that man does not have prevention habits and more the men themselves are placed in the margins of public health policits, aimed primarily for women. From then on is regarded as fundamental to think the inclusion of men in the decisions regarding health because the rates of male mortality and morbidity have been gaining importance on the national scene due to the incidence of malignant neoplasms and traffic accidents, mainly. This study aimed to investigate the conceptions of men users of a health service in primary care, the city of Vitória, about health and service offered to the population. It utilizes as a reference the production of Georges Canguilhem (1904-1995) that in general considers health for its normative plasticity i.e. the individual has the ability to incorporate their own rules to new situations without losing the capacity for action. The study included 35 users of the health service with aged between 25 and 54 years old. The information were collected through open interviews which allowed access the questions about the reality in regarding the health practice of that men and were evaluated by content analysis. It was observed among other things that most men still have their health actions aimed only to times of extreme need or they only seek the health service when their situation interferes with something of greater importance as work. Notes that 94.2% of participants have a preference and feel included when the health service is offered in time is compatible with the work. However, men are not seen included in programs or activities of the health units determined by the Ministry of Health as the gateway to the Unique Health System. In addition, notes also that 22.8% of that male population yet have the initiative to seek the service as a means of promotion and prevention of it health and may signal the institution of other existential modes in relation to the hegemonic model of masculinity once it seems to appear a new culture of men more worried about their health. However, we must remember that is a process slow gradual and demand time to be effective. It is hoped that those results may to generate subsist for the reflection about the public health politics aimed at the man.