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Culture, Health & Sexuality

Orlando O Harris
This study explored the experiences of young Jamaican men who have sex with men who engaged in transactional sex as a result of homelessness, family neglect or limited financial resources. It further examined the circumstances that affect their immediate or delayed decisions around sexual risk and increased vulnerability for HIV infection. Barriers experienced when accessing condoms, healthcare, HIV testing and other prevention services are also described. Twenty in-depth interviews and one focus group with 10 participants in various parishes in Jamaica were conducted...
November 16, 2018: Culture, Health & Sexuality
Katelyn M Sileo, Elizabeth Reed, Williams Kizito, Jennifer A Wagman, Jamila K Stockman, Rhoda K Wanyenze, Harriet Chemusto, William Musoke, Barbara Mukasa, Susan M Kiene
This study explored the intersection of masculinity and HIV care engagement among fishermen and other male fisherfolk on antiretroviral therapy (ART) in Wakiso District, Uganda. We conducted 30 in-depth interviews with men on ART recruited from HIV treatment sites and used a thematic analysis approach. Since HIV diagnosis and ART initiation, men had adopted masculine identities more conducive to HIV care engagement. The masculine roles of worker and provider, husband and sexual partner and the appearance of physical strength were compromised by HIV, but restored by ART's positive effects on health...
November 13, 2018: Culture, Health & Sexuality
Luis Felipe Rios, Vera Paiva, Sandra Brignol
In Brazil, men who practise receptive anal sex (passivos) and both insertive and receptive anal sex (versáteis) are at greater risk of HIV infection than men who practise only insertive anal sex (ativos). In this study, which combined participant observation, 25 biographical interviews and a behavioural survey of 380 self-identified men who had sex with men in the metropolitan region of Recife (Brazil), we investigated how the sex-gender system, through body stylisation (masculine and effeminate) engenders desire and sexual positioning in men's sexual scenes...
November 13, 2018: Culture, Health & Sexuality
Anna Wahlberg, Birgitta Essén, Sara Johnsdotter
In every society where non-therapeutic female circumcision (FC) occurs, so too does non-therapeutic male circumcision (MC). In the past few decades, the norm in Euro-American societies has been to distinguish between the practices: FC is banned, while MC is condoned or encouraged. We explored Somalis' post-migration perceptions of FC and MC, while considering that they once lived in a society where both practices were widely accepted and now live in a society where there is a legal ban on FC alongside acceptance of MC...
November 9, 2018: Culture, Health & Sexuality
Szu-Ying Chiang, John Fenaughty, Mathijs F G Lucassen, Theresa Fleming
Sexual and/or gender minority young people who are also members of an ethnic minority can experience unique challenges. Limited research draws directly on the mental health experiences of these 'double minority' youth. This study focused on Chinese sexual/gender minority youth in New Zealand. It sought to explore features they found challenging for, or supportive of, their mental health and wellbeing. Semi-structured interviews were conducted with 11 Chinese sexual/gender minority participants aged between 19 and 29 years old and residing in Auckland, New Zealand...
November 9, 2018: Culture, Health & Sexuality
Neetu A John, Jeffrey Edmeades, Lydia Murithi, Iman Barre
Child marriage is prevalent in Africa, with almost 40% of girls being married before age 18. Although child marriage is linked to a range of adverse outcomes, including intimate partner violence, little is known about the quality of these marriages in terms of the levels of communication, trust, equality, intimacy, conflict, marital satisfaction or happiness. We used both quantitative and qualitative data to examine how exact age at first marriage influenced multiple domains of relationship quality in Ethiopia...
November 9, 2018: Culture, Health & Sexuality
Treena Orchard, Angela Murie, Holli-Lynn Elash, Mary Bunch, Cathy Middleton, Danielle Sadakhom, Tor Oiamo, Cecilia Benoit
Most spatially-oriented studies about health, safety and service provision among women in street sex work have taken place in large urban cities and document how the socio-legal and moral surveillance of geographical spaces constrain their daily movements and compromise their ability to care for themselves. Designed to contribute new knowledge about the broader socio-cultural and environmental landscape of sex work in smaller urban centres, we conducted qualitative interviews and social mapping activities with thirty-three women working in a medium-sized Canadian city...
October 31, 2018: Culture, Health & Sexuality
Jae Sevelius, Laura Rebecca Murray, Nilo Martinez Fernandes, Maria Amelia Veras, Beatriz Grinsztejn, Sheri A Lippman
In Brazil, little data is available to inform HIV prevention programming for travestis and transgender ('trans') women, despite the existence of a social movement that has gained strength in recent years. We conducted formative research in Rio de Janeiro to gather trans women's perspectives on combination HIV prevention approaches. Framing the analysis within the model of gender affirmation, we found that several social and contextual factors inhibited participants' access to HIV prevention and treatment. Experienced and anticipated gender-related discrimination and HIV stigma were linked to the avoidance of HIV testing, health services and HIV status disclosure...
October 31, 2018: Culture, Health & Sexuality
Jonathan Maupin, Joseph Hackman
Reproductive preferences and the spread of low fertility norms occupy a key position in debates regarding the causal mechanisms underlying sustained fertility declines. Most of the literature on reproductive preferences focuses on stability and variability of adult fertility preferences, and their relationship with behavioural outcomes. Little work has focused on the developmental origins of these preferences, particularly in populations undergoing rapid social and demographic change. This study explores the utility of integrating the ontogeny of fertility preferences into accounts of fertility declines...
October 29, 2018: Culture, Health & Sexuality
Daniela Leal, Jorge Gato, Fiona Tasker
This study explored the impact of sexual identity on attitudes towards parenthood among childless individuals from Portugal and the United Kingdom (UK). Compared to heterosexuals, lesbians, gay men and bisexuals were less likely to: desire and intend to have children, be concerned about the prospect of childlessness or perceive children as a source of enrichment. They also anticipated more stigma as parents than did heterosexuals. Compared to UK participants, all Portuguese participants, independent of sexual identity, desired and intended more to have children, were more concerned about childlessness, reported higher levels of parental commitment, anticipated less stigma and expected more social support as parents...
October 24, 2018: Culture, Health & Sexuality
Manal Ibrahim Al-Kloub, Hanan J Al-Zein, Maysoon S Abdalrahim, Mona Abdallah Abed
Adolescent pregnancy and early motherhood are associated with poor social and physical outcomes. This study explored the experiences of marriage and motherhood among Jordanian young women. A descriptive qualitative design was employed. Participants (n = 15, age 15-37 years) who had experienced adolescent marriage and motherhood and who lived in eastern Amman, the capital of Jordan, were selected via snowball sampling. Data were collected by tape-recorded face-to-face interviews and analysed thematically...
October 24, 2018: Culture, Health & Sexuality
Nicole De Wet, Christiana Alex-Ojei, Joshua Akinyemi
The literature on intergenerational sexual relationships in Africa focuses predominantly on economic motivations. This paper aims to identify the common reasons for older male sexual partners among young women in South Africa. Data for the study came from the Fourth South African National HIV, Behaviour and Health Survey 2012. A representative sample of 620 young women (15-24 years old) with older male sexual partners was extracted. A multiple logistic regression analysis was conducted to adjust for potential confounders...
October 22, 2018: Culture, Health & Sexuality
Malin Jordal, Gabriele Griffin, Hannes Sigurjonsson
Female genital cutting (FGC) involves the removal of women's external genitalia for non-therapeutic reasons. An estimated 38,000 women living in Sweden have undergone some form of the procedure. These women often belong to marginalised minorities of immigrant women from countries where FGC is widespread. Clitoral reconstructive surgery following FGC has recently been introduced in Sweden. This study investigates women's perceptions of FGC and clitoral reconstructive surgery with a particular focus on: (1) reasons for requesting reconstructive surgery, and (2) FGC-affected women's expectations of the surgery...
October 22, 2018: Culture, Health & Sexuality
Rachel King, Justine Nanteza, Zubayiri Sebyala, Joy Bbaale, Enos Sande, Tonia Poteat, Herbert Kiyingi, Wolfgang Hladik
Transgender women in Kampala face stigma, high HIV acquisition or transmission risk and poor access to health services. We explored the HIV and gender-related contexts of their lives. Snowball sampling was used to enrol 45 participants between July-October 2013. Data collection included audio-computer-assisted self-interviews, qualitative face-to-face interviews and blood tests for HIV and CD4. One in five respondents tested HIV positive. Emergent themes revealed highly varied forms of gender identity and gender expression...
October 17, 2018: Culture, Health & Sexuality
Rachel Lenzi, Catherine Packer, Kathleen Ridgeway, Troy D Moon, Ann F Green, Lazaro González-Calvo, Holly M Burke
Women First was a combined economic and social empowerment intervention implemented between 2010 and 2015 in Zambézia Province, Mozambique. The intervention was designed to reduce adolescent girls' risk of HIV and gender-based violence, improve school attendance and empower girls. However, perceptions of girls' improved respectfulness also emerged as an unanticipated effect during the programme evaluation. In this paper, we explore emic definitions of respect and girls' good behaviour and perceptions of how the intervention caused improvements in behaviour from the perspective of intervention participants, their heads of household, influential men in their lives, and community members...
October 17, 2018: Culture, Health & Sexuality
Marie A Brault, Stephen L Schensul
This paper draws on ethnographic data collected from two low-income communities in Mumbai India to explore types of risk and intimacy associated with marital practices. A rapidly globalising India offers access to media, social networks and changing gender norms that create opportunities for young women. Concurrently, enduring patriarchal norms impact marriage and the development of intimacy. Young women whose parents decide on early arranged marriages face inequity and difficulties in establishing emotional and physical intimacy with their husbands...
October 17, 2018: Culture, Health & Sexuality
Youchun Zhang, Heather Worth, Jing Jun, Karen McMillan, Su Chunyan, Fu Xiaoxing, Yuping Zhang, Zhao Rui, Angela Kelly-Hanku, Cui Jia
This article is born out of an oral history study of 31 elderly homosexual men in four cities in China. It shows the ways in which major events of Chinese history since the birth of the People's Republic in 1949 intervene in personal lives and, in turn, how personal lives are drawn into larger historical events. One of the major themes running through these life narratives is that of love and duty. The interrelationship, as well as the tensions, between duty and love is a central part of the experiences of elderly Chinese homosexual men; their lives have been beset by hardships and duty, as well as by the joys of love, and these have an impact on their health and wellbeing...
October 17, 2018: Culture, Health & Sexuality
Stephen L Schensul, Marie A Brault, Priti Prabhughate, Shweta Bankar, Toan Ha, Deborah Foster
Data from a six-year study of married women's sexual health in a low-income community in Mumbai indicated that almost half the sample of 1125 women reported that they had a negative view of sex with their husbands. Qualitative interviews and quantitative survey data identified several factors that contributed to this diminished interest including: a lack of foreplay, forced sex, the difficulty of achieving privacy in crowded dwellings, poor marital relationships and communication, a lack of facilities for post-sex ablution and a strong desire to avoid conception...
October 17, 2018: Culture, Health & Sexuality
Karyn Fulcher, Leah Shumka, Eric Roth, Nathan Lachowsky
From a health perspective, group sex parties represent risk environments, as multiple sexual partners and polysubstance use associated with these parties may present risk practices for sexually transmitted infection (STI) transmission. At the same time, group sex parties exemplify sex as recreation, expressed in contemporary sociological theory as sex as leisure or play. In this paper, we report on the findings of an exploratory qualitative study conducted with group sex party attendees and hosts/organisers in a mid-sized Canadian city...
October 12, 2018: Culture, Health & Sexuality
Zoé Mistrale Hendrickson, Jill Owczarzak, Sandhya Lohani, Bibhu Thapaliya Shrestha, Carol R Underwood
Limited attention has been given to the effects of labour migration on the reproductive lives of women 'left behind' as their partners travel for work. Drawing on two rounds of qualitative interviews with 20 women in the central hill region of Nepal, this paper examines how global economic processes that lead Nepali men to travel for work also affect women's reproductive work, including childrearing and reproductive decision-making. Women understood their husband's migration to engage in the wage economy as a response to both immediate and long-term goals for their children and family...
October 12, 2018: Culture, Health & Sexuality
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