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Culture, Health & Sexuality

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https://www.readbyqxmd.com/read/28132611/stakeholder-conceptualisation-of-multi-level-hiv-and-aids-determinants-in-a-black-epicentre
#1
Bridgette M Brawner, Janaiya L Reason, Kelsey Hanlon, Barbara Guthrie, Jean J Schensul
HIV has reached epidemic proportions among African Americans in the USA but certain urban contexts appear to experience a disproportionate disease burden. Geographic information systems mapping in Philadelphia indicates increased HIV incidence and prevalence in predominantly Black census tracts, with major differences across adjacent communities. What factors shape these geographic HIV disparities among Black Philadelphians? This descriptive study was designed to refine and validate a conceptual model developed to better understand multi-level determinants of HIV-related risk among Black Philadelphians...
January 30, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28132601/stigma-violence-and-hiv-vulnerability-among-transgender-persons-in-sex-work-in-maharashtra-india
#2
Deepika Ganju, Niranjan Saggurti
Among marginalised groups in India, HIV prevalence is highest among transgender persons; however, little is known about their HIV vulnerability. This study describes transgender sex workers' experiences of stigma and violence, a key driver of the HIV epidemic, and explores their coping responses. In-depth interviews were conducted with 68 respondents in Maharashtra state, India. Findings show that respondents face pervasive stigma and violence due to multiple marginalised social identities (transgender status, sex work, gender non-conformity), which reinforce and intersect with social inequities (economic and housing insecurity, employment discrimination, poverty), fuelling HIV vulnerability at the micro, meso and macro levels...
January 30, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28132599/abjection-objection-subjection-rethinking-the-history-of-aids-in-australian-gay-men-s-futures
#3
Gary W Dowsett
In coining the term 'post-AIDS' some 20 years ago, I was noting the dissolution of a singular and unified experience of HIV and AIDS for gay communities that had been the case until that time. Not only were HIV-positive and HIV-negative gay men having increasingly different experiences, but divergent trajectories were opening up. Since then, many other factors have come into play, for example age and generation; the ascendancy of the biomedical and the technosexual; and the supremacy of neoliberal politics (including sexual politics)...
January 30, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28132590/intimacy-identity-and-relationship-in-the-accounts-of-chinese-immigrants-to-canada-the-contribution-of-narrative-analysis
#4
Christina Sinding, Yanqiu Rachel Zhou
In this paper we use narrative analysis to consider how the discursive resources that come with living 'in between' countries and cultures unfold in personal stories. We do this by presenting a close analysis of two transcripts drawn from a study about the vulnerability to HIV faced by Chinese immigrants to Canada. Our goal is to illustrate the application of narrative analysis and highlight the contributions it can make to conceptualising how transnationalism becomes consequential in accounts of intimate life...
January 30, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28100136/barriers-to-access-and-uptake-of-antiretroviral-therapy-among-hiv-positive-men-who-have-sex-with-men-in-hanoi-vietnam-from-hiv-testing-to-treatment
#5
Hao T M Bui, Giang M Le, Anh Q Mai, Iryna Zablotska-Manos, Lisa Maher
Little is known about the experiences of Vietnamese men who have sex with men in accessing HIV testing and treatment. We aimed to explore barriers to access and uptake of antiretroviral therapy (ART) among HIV-positive men who have sex with men in Hanoi. During 2015, we conducted qualitative interviews with 35 participants recruited using snowball sampling based on previous research and social networks. Key individual impediments to ART uptake included inadequate preparation for a positive diagnosis and the dual stigmatisation of homosexuality and HIV and its consequences, leading to fear of disclosure of HIV status...
January 19, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28100116/physician-opinions-concerning-legal-abortion-in-bogot%C3%A3-colombia
#6
Kaitlyn Stanhope, Roger Rochat, Lauren Fink, Kalie Richardson, Chelsey Brack, Dawn Comeau
Since the decriminalisation of abortion in 2006, women in Colombia have continued to seek clandestine abortions, endangering their health and contributing to maternal mortality and morbidity. The goal of this study was to explore physicians' opinions towards and knowledge about legal abortion in Bogotá, Colombia, and key barriers to the legal abortion access. We conducted 13 key informant interviews followed by a survey with a probability sample of 49 doctors working in public hospitals in Bogotá. Interview and survey data showed lack of technical experience in the provision of abortion and nuanced opinions towards its practice...
January 19, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28100112/abortion-attitudes-among-south-africans-findings-from-the-2013-social-attitudes-survey
#7
Elizabeth A Mosley, Elizabeth J King, Amy J Schulz, Lisa H Harris, Nicole De Wet, Barbara A Anderson
Abortion is legal in South Africa, but over half of abortions remain unsafe there. Evidence suggests women who are (Black) African, of lower socioeconomic status, living with HIV, or residents of Gauteng, KwaZulu-Natal, or Limpopo provinces are disproportionately vulnerable to morbidity or mortality from unsafe abortion. Negative attitudes toward abortion have been documented in purposively sampled studies, yet it remains unclear what attitudes exist nationally or whether they differ across sociodemographic groups, with implications for inequities in service accessibility and health...
January 19, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28074706/christians-cut-popular-religion-and-the-global-health-campaign-for-medical-male-circumcision-in-swaziland
#8
Casey Golomski, Sonene Nyawo
Swaziland faces one of the worst HIV epidemics in the world and is a site for the current global health campaign in sub-Saharan Africa to medically circumcise the majority of the male population. Given that Swaziland is also majority Christian, how does the most popular religion influence acceptance, rejection or understandings of medical male circumcision? This article considers interpretive differences by Christians across the Kingdom's three ecumenical organisations, showing how a diverse group people singly glossed as 'Christian' in most public health acceptability studies critically rejected the procedure in unity, but not uniformly...
January 11, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28074680/sero-discovering-versus-sero-cognisant-initial-challenges-and-needs-of-hiv-serodiscordant-couples-in-porto-alegre-brazil
#9
Shana D Hughes, Hong-Ha M Truong
This paper focuses on challenges faced by heterosexual couples of mixed HIV status in Porto Alegre, Brazil, and argues for more conceptual nuance in our understanding of 'serodiscordance'. Couples' stories, collected over 11 months of qualitative research, demonstrate how profoundly serodiscordance involves both partners and suggest that the timing of relationship formation relative to HIV diagnosis influenced the particular challenges they confronted. In recognition of this variation, we propose the distinction of 'sero-discovering' from 'sero-cognisant' couples...
January 11, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28060572/-believe-it-or-not-the-medical-framing-of-rectal-foreign-bodies
#10
William J Robertson
Medical and lay attention to and intervention for rectal foreign bodies, the presence of an object in the rectum most often via insertion through the anus, has long been a source of humour and suspicion in both medical and public discourses. How do the ways medical providers write and talk to each other about rectal foreign bodies shape and reflect understandings of gender, sexuality and the (im)proper use of the anus and rectum? This paper examines the medical literature on rectal foreign bodies to shed light on the ways in which medical providers frame rectal foreign bodies...
January 6, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28050947/-you-just-can-t-trust-everybody-the-impact-of-sexual-risk-partner-type-and-perceived-partner-trustworthiness-on-hiv-status-disclosure-decisions-among-hiv-positive-black-gay-and-bisexual-men
#11
Jason D P Bird, Michael Eversman, Dexter R Voisin
HIV remains an intractable public health concern in the USA, with infection rates notably concentrated among Black gay and bisexual men. Status disclosure by HIV-positive individuals can be an important aspect of risk reduction but doing so poses dilemmas concerning privacy, stigma and self-protection, especially among populations subjected to multiple types of stigmatisation. Understanding the factors related to the disclosure process can help to inform prevention efforts. Using exploratory in-depth interviews, this qualitative study examines the disclosure process among a sample of twenty HIV-positive Black gay and bisexual men (mean age = 40) recruited through a non-profit health centre in a mid-western city in the USA...
January 4, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28044621/paradoxes-of-an-assimilation-politics-media-production-of-gay-male-belonging-in-the-canadian-vital-public-from-the-tainted-blood-scandal-to-the-present
#12
Rory Crath, Cristian Rangel
Canadian media discourses on gay men's sexuality and political inclusion serve as a rich site for understanding current tensions in debates on sexual citizenship under biopolitical regimes. This paper addresses how public health reporting in one health news media source, Canada's leading newspaper The Globe and Mail, discursively produced contiguous understandings of the moral, social and biological dimensions of gay male subjectivity and sexuality within the context of HIV risk discourses. Specifically, we critically examine the newspaper's coverage of what constitutes the public good when national blood supplies are at stake...
January 3, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28002982/dangerous-girls-and-cheating-boys-zulu-speaking-disabled-young-peoples-constructs-of-heterosexual-relationships-in-kwazulu-natal-south-africa
#13
Paul Chappell
Across South Africa there is a growing body of work that explores gender dynamics in heterosexual relationships between young people aged 15-24 years. This is mainly influenced by the high prevalence of HIV and the incidence of intimate partner violence in this age group. Most studies to date have been based upon non-disabled young people, with limited focus on young disabled people. In an attempt to address this gap, this paper describes findings from a study conducted with 22 Zulu-speaking young people with visual and physical disabilities in KwaZulu-Natal...
December 22, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27931171/-behaving-well-the-transition-to-respectable-womanhood-in-rural-south-africa
#14
Christie Sennott, Sanyu A Mojola
Few studies of the transition to adulthood in Africa analyse young people's own definitions of the events that confer adult status, and how adulthood is actually attained. This paper examines the experience of transitioning to womanhood in rural Mpumalanga Province, South Africa, drawing on interviews with 18 women aged 18-39. Three primary experiences characterised this transition: puberty and emerging body awareness, spending time with boys, and having a child. More important than the timing of these experiences, however, was whether women 'behaved well' and maintained respectability as they transitioned to adulthood...
December 9, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27931168/flirtations-rhetoric-and-aesthetics-this-side-of-seduction
#15
Joni Meenagh
No abstract text is available yet for this article.
December 9, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27921861/understanding-intra-vaginal-and-labia-minora-elongation-practices-among-women-heads-of-households-in-zamb%C3%A3-zia-province-mozambique
#16
Carolyn M Audet, Meridith Blevins, Charlotte Buehler Cherry, Lazaro González-Calvo, Ann F Green, Troy D Moon
Intra-vaginal drying and tightening and labia minora elongation are commonly practised in some parts of southern Africa. We sought to capture data on these practices among women living in Zambézia province, Mozambique. Information was gathered from 3543 female heads of household on > 500 variables, including vaginal practices, in 2014. Women who planned to use intra-vaginal tightening substances had 1.84 times higher odds of ever receiving an HIV test (p < 0.001) and 1.40 times higher odds of at least one antenatal care visit attended during last pregnancy (p = 0...
December 6, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27894219/exposure-to-culturally-sensitive-sexual-health-information-and-impact-on-health-literacy-a-qualitative-study-among-newly-arrived-refugee-women-in-sweden
#17
Pia Svensson, Katarina Carlzén, Anette Agardh
In Sweden, migrants have poorer sexual and reproductive health compared to the general population. Health literacy, in the form of the cognitive and social skills enabling access to health promoting activities, is often poorer among migrants, partly due to language and cultural barriers. Culturally sensitive health education provides a strategy for enhancing health literacy. Since 2012, specially trained civic and health communicators have provided sexual and reproductive health and rights information to newly arrived refugees in Skåne, Sweden...
November 29, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27885963/coping-with-discrimination-among-hiv-positive-black-men-who-have-sex-with-men
#18
Laura M Bogart, Sannisha K Dale, Jana Christian, Kinjal Patel, Gary K Daffin, Kenneth H Mayer, David W Pantalone
In the USA, HIV-positive Black men who have sex with men show large disparities in disease outcomes compared to other racial/ethnic and risk groups. This study examined the strategies that HIV-positive Black men who have sex with men use to cope with different types of discrimination. A total of 27 HIV-positive Black men who have sex with men participated in semi-structured interviews, which were transcribed verbatim and coded using thematic analysis by multiple raters. Major coping themes included reactive avoidance (using behaviours, cognitions and emotions to escape from discrimination), a common reaction to racism; proactive avoidance (avoiding situations in which discrimination is anticipated), manifested as selective disclosure of HIV-serostatus; external attribution for discrimination (versus self-blame), used more for sexual orientation and HIV discrimination; and social support-seeking, which most often emerged in response to racism...
November 25, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27885958/articulating-reproductive-justice-through-reparative-justice-case-studies-of-abortion-in-great-britain-and-south-africa
#19
Catriona Ida Macleod, Siân Beynon-Jones, Merran Toerien
Public health and rights-based approaches to abortion advocacy are well established. Feminists are, however, increasingly using a broader framework of 'reproductive justice', which considers the intersecting conditions that serve to enhance or hinder women's reproductive freedoms, including their capacities to decide about the outcome of their pregnancies. Nonetheless, reproductive justice approaches to abortion are, conceptually, relatively under-developed. We introduce a reparative justice approach as a method of further articulating the concept of reproductive justice...
November 25, 2016: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/27881049/breaking-the-silence-on-abortion-the-role-of-adult-community-abortion-education-in-fostering-resistance-to-norms
#20
Fiona K Bloomer, Kellie O'Dowd, Catriona Macleod
Meanings of abortion in society are constructed within sociohistorical and gendered spaces and manifested through myriad discourses that impact on the perception and treatment of the issue in that society. In societies with powerful oppressive anti-abortion norms, such as Northern Ireland, little is known as to how these norms are resisted by the adult population. This study uses a Foucauldian feminist approach to show how resistance to religious and patriarchal norms can be fostered through adult community abortion education...
November 24, 2016: Culture, Health & Sexuality
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