The lived experience of violence and health-related risks among street sex workers in Uyo, Nigeria.
This study examined the lived experience of violence and health-related risks among street sex workers in Uyo, Nigeria. Data were collected through in-depth, individual interviews with 27 female sex workers recruited through venue-based snowball sampling. Thematic coding and analysis were undertaken on interview transcripts. Findings show that sex workers experienced physical, emotional, sexual and economic violence linked to the criminalisation and stigmatisation of sex work. Violence, perpetrated by clients, police, sexual partners and co-sex workers, was used to coerce unprotected sex and free and unacceptable sexual se...
Source: Culture, Health and Sexuality - August 13, 2019 Category: International Medicine & Public Health Authors: Nelson EE Tags: Cult Health Sex Source Type: research

Young adult US-born Latina women's thoughts, feelings and beliefs about unintended pregnancy.
Abstract Current measures of unintended pregnancy underestimate the co-occurring, complex set of social, cultural, economic and structural factors that influence how women interpret unintended pregnancy. The purpose of this study was to prospectively explore young adult US-born Latinas' thoughts, feelings and beliefs about pregnancy, specifically unintended pregnancies and the sociocultural factors identified as contributors to those beliefs. In-depth interviews (n = 20) were conducted with US-born, English-speaking Latinas aged 18-25 years in south Florida. Seventeen participants did not inte...
Source: Culture, Health and Sexuality - August 6, 2019 Category: International Medicine & Public Health Authors: Hernandez ND, Chandler R, Nava N, Tamler I, Daley EM, Baldwin JA, Buhi ER, O'Rourke K, Romero-Daza N, Grilo S Tags: Cult Health Sex Source Type: research

Family planning and Afghan refugee women and men living in Melbourne, Australia: new opportunities and transcultural tensions.
This study highlights the ways in which Afghan women and men are changing in relation to their family planning beliefs and practices, and the opportunities, challenges and transcultural tensions they experience as they navigate these issues in Australia. PMID: 31354105 [PubMed - as supplied by publisher] (Source: Culture, Health and Sexuality)
Source: Culture, Health and Sexuality - July 29, 2019 Category: International Medicine & Public Health Authors: Russo A, Lewis B, Ali R, Abed A, Russell G, Luchters S Tags: Cult Health Sex Source Type: research

Young rural women's perceptions of sexual infidelity among men in Cambodia.
This study explored how young women in rural Cambodia conceptualise men's extramarital affairs. Semi-structured, in-depth interviews were conducted in the Khmer language with 43 female high school students in three rural provinces. Thematic analysis was used to identify themes and sub-categories from the participants' responses. Many participants accepted men's infidelity and verbally supported traditional cultural beliefs and practices regarding male dominance within sex and relationships. They attributed their future husbands' infidelity to their own behaviour and/or justified the act as a consequence of work-related mob...
Source: Culture, Health and Sexuality - July 26, 2019 Category: International Medicine & Public Health Authors: Thapa R, Yang Y, Chan S Tags: Cult Health Sex Source Type: research

HIV and sexually transmitted infection knowledge among women who have sex with women in four Southern African countries.
This study examined the demographic and social factors contributing to female-to-female STI/HIV transmission knowledge among Southern African women who have sex with women using an integrated model of health literacy. In collaboration with community-based organisations in Botswana, Namibia, South Africa and Zimbabwe, data were collected through anonymous surveys (N = 591). Multivariable stepwise forward logistic regression assessed independent associations between participant characteristics and high vs. low knowledge using five items. Overall, 64.4% (n = 362) of women had high knowledge; 35.6% ...
Source: Culture, Health and Sexuality - July 26, 2019 Category: International Medicine & Public Health Authors: Paschen-Wolff MM, Reddy V, Matebeni Z, Southey-Swartz I, Sandfort T Tags: Cult Health Sex Source Type: research

Power relations in sexual agreements among male couples in Southern Africa.
Abstract Sexual agreements between same-sex practising men facilitate communication about health promotion activities, including HIV prevention. In African contexts, male couples negotiate their sexual agreements in relation to rigid cultural prescriptions about male power and privilege, intense hostility towards same-sex sexualities and persistent heterogendered socio-cultural norms. Yet the impact of such norms on relationship practices and HIV risk among male couples remains inadequately explored. This qualitative study examined the role of gendered power disparities in establishing sexual agreements among male...
Source: Culture, Health and Sexuality - July 26, 2019 Category: International Medicine & Public Health Authors: Essack Z, Lynch I, Kaunda CJ, Stephenson R, Darbes L, Van Rooyen H Tags: Cult Health Sex Source Type: research

Gender identity and sexual orientation development among young adult transgender men sexually active with cisgender men: 'I had completely ignored my sexuality … that's for a different time to figure out'.
This study explores sexual orientation and gender identity development among a sample of young adult transgender men who have sex with men. In-depth interviews using a modified life history method were conducted with 18 young men. Interview transcripts were coded using open, narrative and focused coding methods. Participants discussed milestones in the development of their sexuality and gender identity that map onto existing models, but also described ways in which these processes overlap and intersect in distinct ways. Findings highlight the need for human development models of sexual orientation and gender identity that ...
Source: Culture, Health and Sexuality - July 26, 2019 Category: International Medicine & Public Health Authors: Hereth J, Pardee DJ, Reisner SL Tags: Cult Health Sex Source Type: research

Protecting young Black female sexuality.
Abstract In the USA, Black girls and women face significant health disparities and disproportionately experience violence, racism, discrimination, stereotype messaging and elevated STI/HIV rates. Research shows the importance of familial systems and effective communication in decreasing risky behaviours among Black girls. This grounded theory study explored the sociocultural conditions that influence the process of becoming a sexual Black woman. Analytic results of interviews with 20 Black women identified protection as a major category associated with Black female sexual development and related risk behaviour. Th...
Source: Culture, Health and Sexuality - July 22, 2019 Category: International Medicine & Public Health Authors: Crooks N, King B, Tluczek A Tags: Cult Health Sex Source Type: research

Experiences of sexual and gender minorities in an urban enclave of Haiti: despised, beaten, stoned, stabbed, shot and raped.
Abstract Studies of sexual and gender minorities in Haiti and globally typically involve HIV research and programming with men who have sex with men. We conducted focus groups with individuals in Haiti's Cité Soleil slum whose assigned gender at birth matched neither their gender identity nor contextual heteronormative constructions of gender roles, i.e. transwomen and transmen. The Yogyakarta Principles provided the study framework. Focus group participants offered emic perspectives on overall well-being, identities, biopsychosocial strengths and HIV-protective and risk factors. We found that gender expres...
Source: Culture, Health and Sexuality - July 18, 2019 Category: International Medicine & Public Health Authors: Rahill GJ, Joshi M, Galea J, Ollis J Tags: Cult Health Sex Source Type: research

Abortion exile: navigating Mexico's fractured abortion landscape.
Abstract This paper develops the concept of 'abortion exile' to understand the situation of women who are forced to travel for abortion services because the procedure is outlawed, stigmatized, unaffordable or otherwise inaccessible in their place of residence. A number of legislative, economic, and moral mechanisms conspire to deny women abortion rights at home such that they must journey within and across national borders in pursuit of needed abortion care. While anthropologists have examined the movement of women and men in search of fertility care that is unavailable at home, attention to the situation of women...
Source: Culture, Health and Sexuality - July 11, 2019 Category: International Medicine & Public Health Authors: Ona Singer E Tags: Cult Health Sex Source Type: research

Sexual violence and safety: the narratives of transwomen in online forums.
Abstract An online forum analysis was conducted to explore experiences of sexual violence and safety among transwomen, with a particular focus on transwomen of colour. Four online forums were chosen for the analysis. Three key themes were identified: dating and violence in intimate relationships; fear of violence and safety strategies; and coping after sexual assault. Forum posters faced heightened gender policing and scrutiny, due to not conforming to normative ideals of femininity. Femininity was also predicated on white, middle-class status, and associated with domesticity and romance. As a result, expressions ...
Source: Culture, Health and Sexuality - July 9, 2019 Category: International Medicine & Public Health Authors: Noack-Lundberg K, Liamputtong P, Marjadi B, Ussher J, Perz J, Schmied V, Dune T, Brook E Tags: Cult Health Sex Source Type: research

A qualitative study of heterosexual men's attitudes toward and practices of receiving anal stimulation.
This study examines the practice of and attitudes toward anal sexual stimulation among 30 heterosexual undergraduate men attending a UK university. While scientific and popular belief throughout the twentieth century has considered anal pleasure to be only for gay or gender non-conforming men, we find participants discuss such pleasure openly, and some have explored physically receiving anal pleasure. Participants did not stigmatise sexual pleasure derived from anal play, challenging cultural narratives that conflate anal receptivity with being gay. We document how ignorance around the best practices for anal sex may imped...
Source: Culture, Health and Sexuality - June 28, 2019 Category: International Medicine & Public Health Authors: Wignall L, Scoats R, Anderson E, Morales L Tags: Cult Health Sex Source Type: research

Educating men about vaginal microbicides: considerations from Kenya.
Abstract Men desire to be involved in their partner's decision-making about vaginal microbicide use. This coincides with women's desire to inform male partners about their microbicide use. Educating men about microbicides may enhance acceptability and generate critical support for the female participants of microbicide trials. In this multiphase mixed-methods study, we adapted an educational intervention on vaginal microbicides and tested it among men (n = 45) to determine its effect on men's knowledge regarding HIV/STI, vaginal microbicides and microbicide trials. We also conducted focus group discu...
Source: Culture, Health and Sexuality - June 26, 2019 Category: International Medicine & Public Health Authors: Gitome SW, Kwena ZA, Harper CC, Cohen CR, Bukusi EA Tags: Cult Health Sex Source Type: research

Constructing, reproducing and challenging masculinities in a participatory intervention in urban informal settlements in South Africa.
Abstract Participatory interventions with men and boys to transform masculinities are increasingly common to improve health and reduce intimate partner violence and HIV-related risk. Yet, despite this, there has been little consideration of how facilitators' own masculinities shape interventions. In this analysis of Stepping Stones and Creating Futures, a gender-transformative programme delivered to young men (aged 18-30 years) in urban informal settlements in Durban, South Africa we explore how facilitators' masculinities were employed to engender change in the masculinities of participants. We argue facilitators...
Source: Culture, Health and Sexuality - June 18, 2019 Category: International Medicine & Public Health Authors: Gibbs A, Myrttinen H, Washington L, Sikweyiya Y, Jewkes R Tags: Cult Health Sex Source Type: research

Bacha posh in Afghanistan: factors associated with raising a girl as a boy.
Abstract This paper examines the factors associated with the cultural phenomenon of bacha posh in Afghanistan (in which girls are dressed and raised as boys), which occurs against a background of rigid gender norms and the male-centric nature of Afghan families. Survey data were collected from 1463 women in two provinces of Afghanistan, Kabul and Nangarhar. The primary outcome is a nominal variable, derived from the question, 'Do you have any girl in your family who has been raised for any time as a boy?' Independent variables comprise women's socio-demographic characteristics, family composition, economic charact...
Source: Culture, Health and Sexuality - June 17, 2019 Category: International Medicine & Public Health Authors: Corboz J, Gibbs A, Jewkes R Tags: Cult Health Sex Source Type: research

Actives, passives and power: heteronormative gender norms and their implications for intimate partner violence among men who have sex with men in Tajikistan.
Abstract Global research reveals that gender-role norms have a profound effect on socio- and psycho-sexual expression (e.g. sexual positioning) among gay and bisexual men, which in turn may affect mental health and sexual risks. However, little is known about these factors among gay and bisexual men in Muslim-majority countries such as Tajikistan. Using a combination of in-depth individual interviews and focus-group assessments, this exploratory, qualitative study examined how gender roles might function as a social determinant for the practice of sexual positioning, which in turn may influence intimate partner vi...
Source: Culture, Health and Sexuality - June 11, 2019 Category: International Medicine & Public Health Authors: Hall CD, Ibragimov U, Luu MN, Wong FY Tags: Cult Health Sex Source Type: research

Identifying the challenges of interdisciplinary research on pornography use.
Abstract This paper explores some the difficulties in undertaking a large-scale systematic review of pornography research literature. Its authors come from different disciplines across the humanities and social sciences, and work within an interdisciplinary team. The research project aims to understand pornography's relationship with its audiences, particularly considering the relationship between pornography consumption and healthy sexual development. Offering a conversational account of research experiences on the project so far, the paper illustrates some key tensions and ongoing points of discussion in researc...
Source: Culture, Health and Sexuality - June 5, 2019 Category: International Medicine & Public Health Authors: Litsou K, Byron P Tags: Cult Health Sex Source Type: research

Adolescent pregnancy and social norms in Zambia.
Abstract Early pregnancy occurs frequently in Zambia and is considered a public health issue. The aim of this study was to improve understanding of how gendered sexual norms make young unmarried girls vulnerable to unintended pregnancies in a specific context. It combined individual interviews and focus group discussions with girls and boys aged 13-18 years and the parents of other young people of this same age, with peer interviews with girls aged 13-20 years at four sites in the southern province of Zambia. For girls, sexual relationships and early pregnancies were at odds with dominant norms and w...
Source: Culture, Health and Sexuality - June 5, 2019 Category: International Medicine & Public Health Authors: Svanemyr J Tags: Cult Health Sex Source Type: research

Sexual identity and confidence in medicine: an analysis of national survey data.
Abstract The institution of medicine has at times been associated with the pathologisation of sexual minority individuals. Studies also show that sexual minority individuals sometimes encounter discrimination or hostility when interacting with medical professionals. The current study asks whether this results in a systematic lack of confidence in medicine among sexual minority groups, which could have consequences for these groups' utilisation of health care. Using nationally representative data from the US General Social Survey, the current study investigates whether gay, lesbian and bisexual individuals have les...
Source: Culture, Health and Sexuality - May 31, 2019 Category: International Medicine & Public Health Authors: Scheitle CP, Platt LF Tags: Cult Health Sex Source Type: research

Intersectional minority stress disparities among sexual minority adults in the USA: the role of race/ethnicity and socioeconomic status.
We examined whether there are differences in reports of minority stressors by race/ethnicity and socioeconomic status, and whether socioeconomic status moderates the associations between race/ethnicity and minority stressors. We analysed data from Project Stride, a community-based sample of 396 self-identified lesbian, gay and bisexual adults in New York City. We conducted a hierarchical multiple regression analysis to examine the associations between race/ethnicity and socioeconomic status on minority stressors. In adjusted models, African American and Latino sexual minority adults experienced greater anticipated stigma r...
Source: Culture, Health and Sexuality - May 30, 2019 Category: International Medicine & Public Health Authors: Shangani S, Gamarel KE, Ogunbajo A, Cai J, Operario D Tags: Cult Health Sex Source Type: research

Definitions of sex and intimacy among gender and sexual minoritised groups in urban India.
Abstract Understandings of sex and intimacy carry important implications for individuals' behaviours and health. In many research studies, sex is narrowly defined as penile-vaginal intercourse, which may exclude the experiences of sexual and gender minoritised individuals. Likewise, sexual intimacy, or intimacy related to sexual experience between two or more people, is under-researched. Even less is known about how sexual and gender minoritised individuals in countries such as India understand these concepts. This qualitative study included focus group discussions and interviews conducted in three urban areas in ...
Source: Culture, Health and Sexuality - May 30, 2019 Category: International Medicine & Public Health Authors: Bowling J, Blekfeld-Sztraky D, Simmons M, Dodge B, Sundarraman V, Lakshmi B, Dharuman SD, Herbenick D Tags: Cult Health Sex Source Type: research

Young women's perceptions and experiences of sexual risk in Suva, Fiji.
We describe nine forms of sexual risk identified by young iTaukei women, and group these risks into three clusters - social risks, physical risks and intimate relational risks. We discuss how young women prioritise these risks differently depending on context, location and relationship. Findings point to a critical mismatch between current public health risk priorities and those risks identified as most important in the lives of young iTaukei women. Findings have important implications for strengthening sexual and reproductive health policy and practice in Fiji. PMID: 31144607 [PubMed - as supplied by publisher] (Sour...
Source: Culture, Health and Sexuality - May 30, 2019 Category: International Medicine & Public Health Authors: Mitchell E, Rae Bennett L Tags: Cult Health Sex Source Type: research

Women's expectations of healthcare providers in the context of reproductive abuse in Australia.
This study has important implications for the development of best practice guidelines for healthcare providers responding to reproductive abuse in female patients. PMID: 31130070 [PubMed - as supplied by publisher] (Source: Culture, Health and Sexuality)
Source: Culture, Health and Sexuality - May 25, 2019 Category: International Medicine & Public Health Authors: Srinivasan S, Marino J, Hegarty K, Tarzia L Tags: Cult Health Sex Source Type: research

Knowledge, attitudes and practices related to hepatitis C among gay and bisexual men in the era of direct-acting antivirals: implications for treatment and prevention.
This study explored knowledge, attitudes and practices related to HCV among 194 gay and bisexual men collected through an online survey in Australia. Overall, respondents had high levels of HCV knowledge; however, only 76% knew about the availability of new treatments for HCV. Men's knowledge of their own HCV testing history was uncertain, with one in six unaware if they had ever been tested. Among men who reported recent drug injecting, one-third had been injected by someone else, and two-thirds had injected someone else, indicating a subculture of cross-administering within sexualised drug-use networks. We argue that the...
Source: Culture, Health and Sexuality - May 25, 2019 Category: International Medicine & Public Health Authors: Brener L, Murphy DA, Ellard J, Cama E, Fraser N, Murray J Tags: Cult Health Sex Source Type: research

'I want the heart of fierceness to arise within us': maintaining public space to promote HIV-related health with House Ball Community members in an era of gentrification.
Abstract The House Ball Community consists of sexual, gender and ethnic minority youth who form family-like houses and compete in balls. Many rely on community-based organisations as venues for socialising and accessing health-related resources. In recent years, urban gentrification has challenged the economic survival of the organisations that serve this community and its members. Between 2016 and 2017, we conducted 45 in-depth interviews with houses and gay families in the San Francisco Bay Area and regular participant observation at community events, including balls. In addition to forcing community organisatio...
Source: Culture, Health and Sexuality - May 3, 2019 Category: International Medicine & Public Health Authors: Wong JO, Benjamin M, Arnold EA Tags: Cult Health Sex Source Type: research

Conflict and care in sexual and reproductive health services for young mothers in urban South Africa.
Abstract In South Africa, sexual and reproductive health services aim to facilitate access to and utilisation of care to young people. We draw on narrative interviews with 45 young mothers and six health care providers delivering sexual and reproductive health services at an urban health centre, to understand how young mothers experienced services in relation to ante- and post-natal care, including termination services. Although health care providers emphasised what they considered young women's 'ignorance' and 'irresponsibility' as central to early and unintended pregnancy; they also expressed their sympathy and ...
Source: Culture, Health and Sexuality - April 30, 2019 Category: International Medicine & Public Health Authors: Pillay N, Manderson L, Mkhwanazi N Tags: Cult Health Sex Source Type: research

Women's experiences of fistula-related stigma in Uganda: a conceptual framework to inform stigma-reduction interventions.
Abstract Fistula-related stigma is common. The absence of a unifying conceptual framework prevents a nuanced understanding of the nature of fistula-related stigma, comparison across contexts and the ability to contrast with other stigmas. It also hinders intervention development. We conducted in-depth interviews or focus groups with 60 women who had undergone fistula surgery 6-24 months prior at Mulago Hospital in Kampala, Uganda in 2014. Transcripts were analysed for experiences and consequences of enacted, anticipated and internalised stigma. Narratives revealed experiences with enacted stigma, including ...
Source: Culture, Health and Sexuality - April 30, 2019 Category: International Medicine & Public Health Authors: El Ayadi AM, Barageine JK, Miller S, Byamugisha J, Nalubwama H, Obore S, Korn A, Sukumar S, Kakaire O, Mwanje H, Lester F, Turan JM Tags: Cult Health Sex Source Type: research

Keeping secrets, disclosing health information: an institutional ethnography of the social organisation of perinatal care for women living with HIV in Canada.
Abstract This paper describes findings from an institutional ethnography that arose out of the concerns of women living with HIV in Ontario, Canada, regarding the disclosure of their HIV status while accessing perinatal care. The enquiry traces the connections between women's experiences of perinatal care, the activities of healthcare providers delivering such care and the ruling relations that organise women's experiences and healthcare providers' activities. Focusing on HIV disclosure as a concern expressed by women, the findings make visible the day-to-day, routinised practices of healthcare providers working i...
Source: Culture, Health and Sexuality - April 29, 2019 Category: International Medicine & Public Health Authors: Ion A Tags: Cult Health Sex Source Type: research

Resilience or detachment? Coping strategies among termination of pregnancy health care providers in two South African provinces.
Abstract There is global recognition that competent and willing health care providers remain the most important determinant of safe abortion or termination of pregnancy services. The psychosocial well-being of providers is critical to the provision of responsive termination of pregnancy services. In light of the dearth of scholarly attention on termination of pregnancy providers' coping strategies in low- and middle-income countries, this paper explores coping strategies among these providers in the urban Gauteng and the mixed rural-urban North West provinces of South Africa. During 2015, in-depth interviews were ...
Source: Culture, Health and Sexuality - April 29, 2019 Category: International Medicine & Public Health Authors: Teffo M, Rispel L Tags: Cult Health Sex Source Type: research

Exploring gender differences in sexual and reproductive health literacy among young people from refugee backgrounds.
Abstract Young refugees often have limited access to sexual health information and resources in their places of resettlement. However, there is currently little research examining differences in sexual health literacy between young refugee men and women. Consequently, this study employed qualitative research methods to better understand sexual health literacy, sources of information and perceived barriers to access across groups of refugee men and women between the ages of 18 and 24 years old. Three focus groups and 12 interviews were conducted with 25 refugee men and women living in the metropolitan Atlant...
Source: Culture, Health and Sexuality - April 29, 2019 Category: International Medicine & Public Health Authors: Kaczkowski W, Swartout KM Tags: Cult Health Sex Source Type: research

Experiences with abortion counselling in Mexico City and Colombia: addressing women's fears and concerns.
Abstract Despite liberalised abortion laws in Colombia and Mexico City, ongoing abortion-related stigma and lack of knowledge of abortion laws can impede access to care. Organisations offering abortion services may support women seeking services by providing counselling and information. We conducted 30 in-depth interviews with women in Colombia and Mexico City after their abortion to understand their feelings of stigma, fears and concerns before accessing services, and how abortion counselling addressed those concerns. Women in both regions cited concerns about abortion safety, fears of judgement from community me...
Source: Culture, Health and Sexuality - April 25, 2019 Category: International Medicine & Public Health Authors: Keefe-Oates B, Makleff S, Sa E, Forero LJ, Mendoza D, Olaya MA, Avila Morales F, Friedman J, Baum SE Tags: Cult Health Sex Source Type: research

Reproductive identities following an HIV diagnosis: strategies in the face of biographical disruption.
This study explores how living with HIV affects fertility desires and reproductive identities in a context where HIV is highly stigmatised and parenthood is highly valued. We conducted interviews with 30 women and 30 men living with HIV, and 30 health care providers in Iringa, Tanzania. Using the conceptual framework of biographical disruption, we analysed interviews to characterise strategies participants living with HIV employed to regain a sense of normalcy. We found that living with HIV had consequences that disrupted notions of reproductive identity and that these disruptions influenced fertility desires and safer con...
Source: Culture, Health and Sexuality - April 23, 2019 Category: International Medicine & Public Health Authors: Pollard R, Saleem H Tags: Cult Health Sex Source Type: research

Clinics as spaces of costly disclosure: HIV/STI testing and anticipated stigma among gay, bisexual and queer men.
Abstract Gay, bisexual and queer men in Singapore are disproportionately represented in prevalent HIV infections, relative to the general population. While anticipated stigma has been found to be a barrier to HIV/STI testing among gay, bisexual and queer men, little effort has been made to contextualise such stigma within the broader sociocultural milieu. We conducted 35 in-depth interviews with a purposively recruited sample of men in Singapore with a focus on topics such as sexual identity development, formative sexual experiences and HIV/STI testing experience. Interviews were analysed through thematic analysis...
Source: Culture, Health and Sexuality - April 12, 2019 Category: International Medicine & Public Health Authors: Tan RKJ, Kaur N, Kumar PA, Tay E, Leong A, Chen MI, Wong CS Tags: Cult Health Sex Source Type: research

Extramarital relationships in the Vietnamese migrant community in Laos: reasserting patriarchal ideologies and double standards.
Abstract Undocumented migration from Central Vietnam to Laos stretches Vietnamese families and generates marital tensions and social anxieties around the extramarital relationships that migrant husbands establish with vợ hầu (second wives), an emic term that encompasses mistresses and more stable partners. This paper sheds light on these processes via an ethnographic study on how migration from Central Vietnam to Savannakhet - a town located in Central Laos bordering Thailand - shapes family formation, marital relationships and double standards in gender and sexuality. It argues that husbands and first and sec...
Source: Culture, Health and Sexuality - April 12, 2019 Category: International Medicine & Public Health Authors: Lainez N, Nguyen T Tags: Cult Health Sex Source Type: research

The myth of LGBTQ mobilities: framing the lives of gender- and sexually diverse Australians between regional and urban contexts.
Abstract Gender- and sexually diverse youth are often represented in popular discourses through concepts of movement and mobility. Conceptual stories of LGBTQ youth transitions to adulthood in particular are marked by narratives of movement from regional (rural and/or small towns) to major urban areas. Although not wholly outside lived experience, a cultural myth that portrays the experience of gender- and sexually diverse young people entering into 'adulthood' via such mobility continues to circulate in scholarship, popular media, personal accounts of coming out, support resources and self-help guidance documents...
Source: Culture, Health and Sexuality - April 12, 2019 Category: International Medicine & Public Health Authors: Cover R, Aggleton P, Rasmussen ML, Marshall D Tags: Cult Health Sex Source Type: research

Negotiating access to the Nigerian healthcare system: the experiences of HIV-positive men who have sex with men.
Abstract Men who have sex with men in sub-Saharan Africa continue to have a disproportionately higher burden of HIV than their counterparts in the general population. In this qualitative study, barriers to participants accessing healthcare services in Nigeria, a country where same-sex relationships are criminalised and considered societally abhorrent, were explored. Four focus group discussions and 21 semi-structured interviews were conducted with HIV-positive men who have sex with men recruited from 3 NGOs in Abuja and Lagos, Nigeria in 2016. Interviews were transcribed verbatim and analysed thematically using NV...
Source: Culture, Health and Sexuality - April 8, 2019 Category: International Medicine & Public Health Authors: Balogun A, Bissell P, Saddiq M Tags: Cult Health Sex Source Type: research

The health impacts of violence perpetrated by police, military and other public security forces on gay, bisexual and other men who have sex with men in El Salvador.
Abstract Gay, bisexual and other men who have sex with men face both high levels of violence and a disproportionate burden of poor health outcomes. We explored violence perpetrated against Salvadoran gay, bisexual and other men who have sex with men by public security forces; perceived motivations of violence; and impacts on health. We conducted structured qualitative interviews with 20 participants and used systematic coding and narrative analysis to identify emergent themes. Nearly all participants described the physical, emotional, sexual and/or economic violence by public security forces. Most attributed being...
Source: Culture, Health and Sexuality - April 8, 2019 Category: International Medicine & Public Health Authors: Davis DA, Morales GJ, Ridgeway K, Mendizabal M, Lanham M, Dayton R, Cooke J, Santi K, Evens E Tags: Cult Health Sex Source Type: research

Alcohol use in fishing communities and men's willingness to participate in an alcohol, violence and HIV risk reduction intervention: qualitative findings from Rakai, Uganda.
This study examined drinking norms, barriers and facilitators to engagement in a risk reduction programme, and ideas for tailoring. Results showed that alcohol use is common in fishing villages. While men and women drink, gendered notions of femininity deem alcohol largely unacceptable for women. Plastic sachets of liquor were the most common alcoholic drink. Participants did not understand the definition of 'hazardous drinking', but recognised connections between drinking, violence and sexual risk-taking. The idea of an alcohol, IPV and HIV risk reduction intervention was supported, but barriers need to be addressed, incl...
Source: Culture, Health and Sexuality - April 8, 2019 Category: International Medicine & Public Health Authors: Bonnevie E, Kigozi G, Kairania R, Ssemanda JB, Nakyanjo N, Ddaaki WG, Ssekyewa C, Wagman JA Tags: Cult Health Sex Source Type: research

What does inclusive sexual and reproductive healthcare look like for bisexual, pansexual and queer women? Findings from an exploratory study from Tasmania, Australia.
Abstract Increased awareness of the health disparities faced by lesbian, gay, bisexual, transgender, intersex and queer (LGBTIQ) people has driven the need for LGBTIQ-inclusive medical practices internationally. However, despite bisexual, pansexual and queer women's increased sexual health risks and reduced engagement with health services, there is little qualitative research examining their healthcare experiences. In addition, healthcare practitioners continue to report lack of awareness and competence in inclusive practice, particularly regarding these groups. To address these gaps in the literature and practice...
Source: Culture, Health and Sexuality - April 8, 2019 Category: International Medicine & Public Health Authors: Grant R, Nash M, Hansen E Tags: Cult Health Sex Source Type: research

The association between religiosity and pregnancy acceptability among Latino/a young adults: does generational status matter?
This study sought to expand this literature by examining the relationship between religiosity and pregnancy acceptability and assessing effect modification by generational status and gender in a national sample of young Latino/a cisgender women and men of various ancestral backgrounds currently in relationships. In multivariable logistic regression models, there was a positive association between importance of religion and pregnancy acceptability for both men and women; being highly or moderately religious was associated with elevated odds of finding a pregnancy acceptable. Effect modification by generational status was si...
Source: Culture, Health and Sexuality - April 1, 2019 Category: International Medicine & Public Health Authors: Rodriguez AL, Arcara J, Deardorff J, Gomez AM Tags: Cult Health Sex Source Type: research

Story Circles and abortion stigma in Mexico: a mixed-methods evaluation of a new intervention for reducing individual level abortion stigma.
This study presents the results of an evaluation of a Story Circles intervention to reduce individual level abortion stigma among women who have experienced abortion in Mexico. Using a mixed-methods approach, the study explored whether participation in the intervention reduced 18 women's experience of stigma one month after having participated. The study used the Individual Level Abortion Stigma Scale (ILAS Scale), qualitative interviews and focus groups to gain an understanding of women's experiences of the intervention and any changes in stigmatising feelings. Findings suggest that the Story Circles offered women a place...
Source: Culture, Health and Sexuality - April 1, 2019 Category: International Medicine & Public Health Authors: Belfrage M, Ortíz Ramírez O, Sorhaindo A Tags: Cult Health Sex Source Type: research

Donor insemination disclosure in social networks: heterosexual couples' experiences.
This study focuses on how parents and aspiring parents manage information about infertility and donor insemination within their social networks. Fifteen Belgian couples were interviewed as part of a parenthood research project. Thematic analysis resulted in the identification of four themes. The first of these reveals how the social context can best be understood as a continuous confrontation with social expectations. A second theme highlights the diverse ways in which couples manage personal information in this confronting context. The third theme stresses how couples manage information about donor insemination so as to b...
Source: Culture, Health and Sexuality - April 1, 2019 Category: International Medicine & Public Health Authors: Kerckhof M, Van Parys H, Pennings G, De Sutter P, Buysse A, Provoost V Tags: Cult Health Sex Source Type: research

Confidence to manage menstruation at home and at school: findings from a cross-sectional survey of schoolgirls in rural Bangladesh.
This study investigated girls' confidence to undertake menstrual management tasks at home and in school environments using cross-sectional data from a survey of 1,359 schoolgirls in Bangladesh. At home, 57% of girls reported they were 'very confident' undertaking tasks to manage their menstrual bleeding, while this figure was only 7% at school. We assessed personal, interpersonal and environmental contributors for each context. The use of sanitary pads was positively associated with confidence to manage menstruation at home, while other menstrual hygiene practices were unrelated. In multivariable models, features of sanita...
Source: Culture, Health and Sexuality - April 1, 2019 Category: International Medicine & Public Health Authors: Hennegan J, Sol L Tags: Cult Health Sex Source Type: research

Shared decision-making around anal cancer screening among black bisexual and gay men in the USA.
Abstract Shared decision-making is a strategy to achieve health equity by strengthening patient-provider relationships and improve health outcomes. There is a paucity of research examining these factors among patients who identify as sexual or gender minorities and racial/ethnic minorities. Through intrapersonal, interpersonal and societal lenses, this project evaluates the relationship between intersectionality and shared decision-making around anal cancer screening in Black gay and bisexual men, given their disproportionate rates of anal cancer. Thirty semi-structured, one-on-one interviews and two focus groups ...
Source: Culture, Health and Sexuality - April 1, 2019 Category: International Medicine & Public Health Authors: Acree ME, McNulty M, Blocker O, Schneider J, Williams H'S Tags: Cult Health Sex Source Type: research

Widening cracks in patriarchy: mothers and daughters navigating gender norms in a Mumbai slum.
Abstract Inequitable gender norms can be harmful to girls' and boys' health and sexuality. Programmatic approaches that help renegotiate gendered power relationships are sorely needed. This qualitative study reveals how Parivartan, a sport-based intervention in a Mumbai informal settlement, helped families resist inequitable gender norms that limited girls' mobility in public spaces. Fifteen girl athletes were interviewed in two rounds of face-to-face in-depth interviews. Results identify the strategies girls' mothers used to support their daughters' participation in the programme when they feared their husbands' ...
Source: Culture, Health and Sexuality - March 19, 2019 Category: International Medicine & Public Health Authors: Cislaghi B, Bankar S, Verma RK, Heise L, Collumbien M Tags: Cult Health Sex Source Type: research

Transgender and non-binary Australians' experiences with healthcare professionals in relation to fertility preservation.
Abstract While transitioning gender historically precluded many transgender people from conceiving (more) children, there is now the option to undertake fertility preservation. However, the uptake of this option to date has been low. In order to extend existing limited research on the topic, this paper draws on responses to a questionnaire survey provided by 409 transgender and non-binary adults in Australia, which explored their experiences related to fertility preservation. The paper specifically focuses on the experiences of 295 participants who responded to open-ended questions about their experiences with, an...
Source: Culture, Health and Sexuality - March 18, 2019 Category: International Medicine & Public Health Authors: Bartholomaeus C, Riggs DW Tags: Cult Health Sex Source Type: research

Who decides to have sex? Exploring the perceptions of Timorese women and men through a reproductive justice lens.
Abstract Despite national policies to support sexual rights, Timorese women are constrained when making sexual and reproductive health decisions. Contextual understanding of sexual decision making is vital for effective engagement by sexual and reproductive health service providers with communities. An intersectional reproductive justice approach broadens the sexual rights lens allowing for an examination of multi-system factors impacting on sexual rights and health. Using the Matrix of Domination as a conceptual framework, we explored Timorese perceptions around decisions to have sex, and examined intersecting sy...
Source: Culture, Health and Sexuality - February 26, 2019 Category: International Medicine & Public Health Authors: Wallace HJ, McDonald S, Belton S, Isolina Miranda A, da Costa E, da Conceicao Matos L, Henderson H, Taft A Tags: Cult Health Sex Source Type: research

Exploring beliefs and experiences underlying self-stigma among sex workers in Hanoi, Vietnam.
Abstract Sex workers are among the most stigmatised people globally, with sex workers in Vietnam being no exception. Self-stigma affects sex workers adversely, harming psychological health and acting as a barrier to seeking health care. To inform programmes and interventions to improve well-being, identifying unhelpful or negative core beliefs may provide the basis from which individuals can be supported. With this in mind, this study aimed to gain the perspective of sex workers in Vietnam on the contexts of their working lives. Data were collected in Hanoi. Fourteen semi-structured interviews were conducted with ...
Source: Culture, Health and Sexuality - February 22, 2019 Category: International Medicine & Public Health Authors: Huber J, Ferris France N, Nguyen VA, Nguyen HH, Thi Hai Oanh K, Byrne E Tags: Cult Health Sex Source Type: research

'I dodged the stigma bullet': Canadian sex workers' situated responses to occupational stigma.
Abstract Stigma attached to sex workers' occupation, sometimes disparagingly referred to as 'prostitution' or 'whore' stigma, is a fundamental challenge for people in sex work. Yet sex workers are not powerless when confronting occupational stigma. We employed thematic analysis with data from in-person interviews conducted in 2012-13 with a diverse sample of 218 adult sex workers in Canada. Our participants perceived a high degree of occupational stigma, which they responded to and managed using four main strategies. First, some participants internalised negative discourses about their sex work and accepted their ...
Source: Culture, Health and Sexuality - February 22, 2019 Category: International Medicine & Public Health Authors: Benoit C, Maurice R, Abel G, Smith M, Jansson M, Healey P, Magnuson D Tags: Cult Health Sex Source Type: research

Pathologising diversity: medical websites offering female genital cosmetic surgery in Australia.
Abstract Female genital cosmetic surgery (FGCS) is increasingly popular. Medical organisations report concern about adverse outcomes and inadequate clinical indications. Given the Internet's role in health decisions, we aimed to discover what was being communicated about FGCS on Australian provider websites. Thematic analysis of 31 prominent websites identified six themes: seeking aesthetic perfection; resisting natural diversity; gaining from FGCS; indications for surgery; a simple procedure; and ethical practice. Desirable vulvas were represented as 'neat' and 'youthful'. Sites promoted a discourse in which to b...
Source: Culture, Health and Sexuality - February 22, 2019 Category: International Medicine & Public Health Authors: Chibnall K, McDonald K, Kirkman M Tags: Cult Health Sex Source Type: research