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Culture, Health & Sexuality

Isabelle Toupin, Kim Engler, Bertrand Lebouché, Joanne Otis, Joseph J Lévy, Mylène Fernet
Little research in Canada has examined the perspectives of women living with HIV on decision-making across the stages of motherhood. In 2004-2005, semi-structured interviews were conducted with 42 African, Caucasian and Haitian HIV-positive women recruited in Montreal. All were or wished to be biological mothers. Transcripts underwent thematic analysis organised by three culturally informed models of motherhood described by the participants, which influenced decision-making and perceived risks. For women who saw motherhood as 'self-fulfilment and completeness', vertical HIV transmission was a primary concern...
July 11, 2018: Culture, Health & Sexuality
Sophia Ahmed Hussen, Meron Gurji Argaw, Mulugeta Tsegaye, Karen L Andes, Danielle Gilliard, Carlos Del Rio
Historically, Ethiopian women have faced numerous challenges to gender equity at the individual, relational and community levels; such inequalities can lead to increased risk of HIV acquisition. Over the past two decades, some progress has been made towards changing policies and norms to reduce gender inequality. We sought to understand the ways in which marriage and other romantic/sexual relationships of a group of Ethiopian women living with HIV had been impacted by gender norms, relational power dynamics and HIV status over the life course...
July 11, 2018: Culture, Health & Sexuality
Helena D Green, Margaret R Weeks, Marcie Berman, Heather I Mosher, Maryann Abbott, Natalie Garcia
It is well known that concerns about sexual risk tend to decline among people in intimate relationships where there is established commitment and trust. In the context of relationships at increased risk for HIV transmission, interactions involving disclosure and partner responsiveness are key to maintaining intimacy and physical safety. This paper explores concepts of risk and sexual intimacy articulated by a community sample of 30 people living with HIV and their intimate relationship partners. Data revealed the shifts in intimate relationship dynamics upon the disclosure of an HIV diagnosis, the importance of intimacy in the context of managing one or both partners' HIV care and responses to new advances in HIV prophylaxis...
June 26, 2018: Culture, Health & Sexuality
Kristin M Kostick, Jean J Schensul
This paper discusses motivations for the use of MDMA among young adults in intimate relationships living in resource poor environments, where structural constraints limit potential for economic mobility and impact upon interpersonal relations. Drawing from in-depth interviews with men and women in intimate relationships with one or more partners, we report the range of motivations for MDMA use and their association with indicators of relationship quality, specifically trust and romantic exclusivity. Findings demonstrate that both men and women use MDMA primarily for the purpose of sexual enjoyment...
June 18, 2018: Culture, Health & Sexuality
Jean J Schensul, Kim E Radda, Candace Corbeil
This paper explores the behaviours and meanings associated with intimacy and sexuality among older adults with diverse partners living in subsidised senior housing. It utilises survey and qualitative data from a mixed methods of ageing/HIV exposure to illustrate gendered views on sexual and intimate behaviours, and attitudes towards transactional/commercial sex. Data suggest that women were cautious about engaging in intimate relationships, while men sought them and the companionship they provided to address loneliness...
June 18, 2018: Culture, Health & Sexuality
Lucia Guerra-Reyes, Ruth A Iguiñiz-Romero
The long-term management and prevention of Zika virus requires understanding of reproductive and sexual health behaviours, including mechanisms of partnered decision-making. In this article, we report on a qualitative study conducted before the arrival of Zika in Iquitos, Peru. We assessed existing patterns of reproductive decision-making among partnered men and women in a community under threat of Zika and discuss how these may impact Zika prevention in the long-term. We used a rapid qualitative assessment methodology, including in-depth semi-structured interviews with partnered women (28) and men (21)...
June 11, 2018: Culture, Health & Sexuality
Jessica Jaiswal, Stuart N Singer, Karolynn Siegel, Helen-Maria Lekas
HIV-related 'conspiracy beliefs' include ideas about the genocidal origin of HIV and the nature and purpose of HIV-related medications. These ideas have been widely documented as affecting myriad health behaviours and outcomes, including birth control use and HIV testing. Most HIV-related research has quantitatively explored this phenomenon, and further qualitative research is necessary to better understand the complexity of these beliefs as articulated by those who endorse them. Moreover, public health in general has over-emphasised the role of the Tuskegee Syphilis Study in explaining mistrust, rather than focus on ongoing social inequalities...
June 8, 2018: Culture, Health & Sexuality
Rebecka Lundgren, Sarah Burgess, Heather Chantelois, Susan Oregede, Brad Kerner, Anna E Kågesten
The years between 10-19 represent a critical stage of human development during which boys and girls learn and embody socially constructed gender norms, with long-term implications for their sexual and reproductive health. This ethnographic cohort study sought to understand how gendered norms and practices develop during the transition from child to young adult in post-conflict northern Uganda. A total of 60 girls and boys aged 10-19 were selected using purposive sampling for in-depth interviews over a three-year period; 47 individuals completed all four interviews...
June 8, 2018: Culture, Health & Sexuality
Ateret Gewirtz-Meydan, Trish Hafford-Letchfield, Liat Ayalon, Yael Benyamini, Violetta Biermann, Alice Coffey, Jeanne Jackson, Amanda Phelan, Peggy Voß, Marija Geiger Zeman, Zdenko Zeman
This study captured older people's attitudes and concerns about sex and sexuality in later life by synthesising qualitative research published on this issue. The systematic review was conducted between November 2015 and June 2016 based on a pre-determined protocol. Key words were used to ensure a precise search strategy. Empirically based, qualitative literature from 18 databases was found. Twenty studies met the inclusion criteria. Thomas and Harden's thematic synthesis was used to generate 'analytical themes' which summarise this body of literature...
June 4, 2018: Culture, Health & Sexuality
Christy E Newman
The 2017 Australian Marriage Law Postal Survey provided an unwelcome reminder that the concepts of queer sexuality and family life continue to be viewed as incompatible by many. However, campaigns in support of marriage equality also provide opportunities to document and disseminate stories of queer belonging within families. This commentary proposes three new ways of understanding and valuing accounts of what family means to LGBTQ communities, based on emerging findings from social research studies. It argues that in post-marriage equality contexts, it is time to learn to accept and to celebrate the differences that exist within every community, including within the diverse forms of families that are made...
May 31, 2018: Culture, Health & Sexuality
Mari Dumbaugh, Wyvine Bapolisi, Ghislain Bisimwa, Marie-Chantale Mwamini, Paula Mommers, Sonja Merten
Modern contraception has created new possibilities for reimagining reproductive norms and has generated new socio-cultural uncertainties in South Kivu province, Democratic Republic of Congo. Using inductive analysis of women's reproductive narratives, this paper explores how women in a high fertility context encounter and integrate recently introduced family planning and modern contraceptive education and services into their lives. As foundational socio-cultural norms confront the new reproductive possibilities offered by contraception, power dynamics shift and norms are called into question, re-interpreted and re-negotiated...
May 30, 2018: Culture, Health & Sexuality
Ingrid Van der Heijden, Jane Harries, Naeemah Abrahams
Notions of womanhood inculcate naturalised ideologies of femininity, sexuality, motherhood and caregiving. The paper asks how disability stigma intersects with womanhood to characterise intimate partnerships in South Africa. In-depth interviews with 30 women with a range of disabilities were conducted in informal settlements in Cape Town. Findings suggest that disability stigma may hamper attainment of normative womanhood and sexual relationships for women with disabilities in South Africa. Limited opportunities to meet potential partners, hegemonic gender expectations and restricted sexual and physical contact shape their intimate partnerships...
May 30, 2018: Culture, Health & Sexuality
Callista K Kahonde, Judith McKenzie, Nathan J Wilson
Although most people with intellectual disability remain under the lifelong care and support of their families, there is a hiatus in research that explores the sexuality of people with intellectual disability within the family setting. Little is known about how the responses of family caregivers align with a human rights approach to the sexuality of people with intellectual disability, particularly in the South African context. This study used a constructivist grounded theory approach to explore how 25 South African family caregivers responded to the sexuality of their young adults with intellectual disability...
May 30, 2018: Culture, Health & Sexuality
Ladan Rahbari
Although different forms of vaginal cleansing practices are common throughout the world, studies relating to Iranian women's experiences are scarce. This study uses the life-story method to give a thick description of one Iranian woman's experience of vaginal practices, and the role nurturing plays in shaping attitudes towards the female genitalia and sexual formation. The study addresses how gendered ideas about femininity, hygiene and the moral body are interconnected. Vaginal practices such as external washing, intravaginal cleaning or douching, the application and insertion of substances and hair removal are discussed...
May 30, 2018: Culture, Health & Sexuality
Claire Kimberly, Robert McGinley
Although engaging in extramarital relationships with permission from spouses has been practised for generations, relatively little is known about those who participate and how they have changed over the years. This study expands on existing research by comparing the demographics and sexual practices of those in swinging and non-swinging communities from the 1980s to those in 2016. Data from the 1980s were collected through membership forms submitted to a swinger organisation and a national dataset conducted in the USA (i...
May 15, 2018: Culture, Health & Sexuality
Laurie James-Hawkins, Cristen Dalessandro, Christie Sennott
Most research investigating how men and women in heterosexual relationships negotiate contraceptive use focuses on the women's point of view. Using a sample of 44 interviews with men attending a western US university, this study examines norms governing men's participation in contraceptive use and pregnancy prevention and their responses to those norms. The paper demonstrates how competing norms around sexual health decision-making and women's bodily autonomy contribute to unintended outcomes that undermine young people's quest for egalitarian sexual relationships...
May 15, 2018: Culture, Health & Sexuality
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No abstract text is available yet for this article.
May 15, 2018: Culture, Health & Sexuality
Lwendo Moonzwe Davis, Kristin Marie Kostick
Women are most exposed to sexual health risks within their marital relationships, primarily due to the sexually risky behaviours of their spouses. Studies show that expanding agency is critical for women to mitigate both physical and sexual health risks and is linked to increased psycho-social well-being and economic independence. Drawing on qualitative and quantitative primary data collected from a peri-urban community in Zambia, this paper explores how women exert agency in a community where few educational and economic opportunities and substantial food insecurity exacerbate women's risk for HIV within their marital relationships...
May 15, 2018: Culture, Health & Sexuality
Katherine LeMasters, Anne Baber Wallis, Razvan Chereches, Margaret Gichane, Ciprian Tehei, Andreea Varga, Katherine Tumlinson
Women in rural Romania face significant health disadvantages. This qualitative pilot study describes the structural disadvantage experienced during pregnancy by women in rural Romania, focusing on the lived experiences of Roma women. We explore how women in rural communities experience pregnancy, their interactions with the healthcare system, and the role that ethnic and social factors play in pregnancy and childbearing. We conducted 42 semi-structured interviews with health and other professionals, seven narrative interviews with Roma and non-Roma women and a focus group with Roma women...
May 15, 2018: Culture, Health & Sexuality
Billie de Haas, Inge Hutter
Teachers can feel uncomfortable teaching sexuality education when the content conflicts with their cultural values and beliefs. However, more research is required to understand how to resolve conflicts between teachers' values and beliefs and those implicit in comprehensive approaches to sexuality education. This study uses cultural schema theory to identify teachers' cultural schemas of teaching sexuality education and the internal conflicts arising between them. In-depth interviews were conducted with 40 secondary school teachers in Kampala, the capital city of Uganda...
May 8, 2018: Culture, Health & Sexuality
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