Giuseppe Troccoli, Angélica Cabezas-Pino, Ana M Alarcón
{"title":"Shifting meanings of HIV among Mapuche people in Chile: transmission, diagnosis and treatment narratives.","authors":"Giuseppe Troccoli, Angélica Cabezas-Pino, Ana M Alarcón","doi":"10.1080/13691058.2025.2524039","DOIUrl":"https://doi.org/10.1080/13691058.2025.2524039","url":null,"abstract":"<p><p>This article explores processes of meaning-making following an HIV diagnosis among Mapuche Indigenous people in Chile, focusing on how understandings of diagnosis, transmission and treatment evolve over time. Drawing on data from qualitative interviews with Mapuche individuals from urban and rural areas in two key regions, the study examines how sexuality, gender and ethnicity intersect to shape these shifting meanings. Key findings underscore the role of medical pluralism, in which biomedical and traditional Mapuche healing practices converge in participants' conceptualisations of HIV. The article emphasises the role of stigma in shaping risk perceptions, delaying diagnosis and complicating treatment engagement. It demonstrates that stigma fosters a distancing from HIV, leading to an underestimation of risk and delayed diagnosis - particularly among women. The study argues that HIV should not be understood as a static public health issue in Indigenous contexts but as a fluid experience shaped by individuals' lived realities. It advocates for research and policy that recognise the dynamism of HIV-related meanings, centre Indigenous perspectives and reduce stigma while improving access to medical and emotional support.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandria L Hahn, Jessica Corcoran, Sydney Fontalvo, Samira Gure, Cecilia Snyder, Victoria McDonald, Mirjam-Colette Kempf, Rebecca Schnall, Amy K Johnson, Randi B Singer
{"title":"'We can't help who we love': The impact of relationship dynamics on women's HIV prevention strategies.","authors":"Alexandria L Hahn, Jessica Corcoran, Sydney Fontalvo, Samira Gure, Cecilia Snyder, Victoria McDonald, Mirjam-Colette Kempf, Rebecca Schnall, Amy K Johnson, Randi B Singer","doi":"10.1080/13691058.2025.2523330","DOIUrl":"https://doi.org/10.1080/13691058.2025.2523330","url":null,"abstract":"<p><p>Relationship dynamics can influence sexual health outcomes and may affect engagement with HIV prevention strategies. This qualitative study explored how women's perceived relationship dynamics impacted their HIV prevention strategies, including condom and Pre-Exposure Prophylaxis (PrEP) use, and HIV testing. Semi-structured interviews were conducted with 34 women at higher risk of HIV acquisition and 40 women living with HIV in the USA, recruited through social media and health clinics. Interviews were audio recorded, professionally transcribed, and analysed using content analysis to identify themes. Participants identified trust, infidelity, and communication as the most salient aspects of their relationships that impacted HIV prevention. Trust fostered emotional security, while infidelity heightened uncertainty about partners' HIV status. Barriers to open communication with partners hindered women from prioritising their health. Participants recommended routine HIV testing with partners, open discussions about sexual health history, and PrEP to protect their health within relationships. The study offers valuable insights to inform the design of tailored HIV prevention strategies for women.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adis López-Bauta, Consuelo Novoa, Félix Cova, Germán Lagos-Sepúlveda, Giuseppina Marsico
{"title":"Rituals of transition during pregnancy in contemporary societies: a scoping review.","authors":"Adis López-Bauta, Consuelo Novoa, Félix Cova, Germán Lagos-Sepúlveda, Giuseppina Marsico","doi":"10.1080/13691058.2025.2531170","DOIUrl":"https://doi.org/10.1080/13691058.2025.2531170","url":null,"abstract":"<p><p>Transition rituals are symbolic practices that structure and give meaning to the experience of pregnancy, supporting the emotional and social adaptation of expectant parents. However, the reinterpretation of these rituals within contemporary contexts, shaped by globalisation and hypermodernity, remains underexplored. This scoping review aimed to characterise pregnancy transition rituals and their transformations in modern society. A systematic search was conducted across Web of Science, Scopus, and EBSCOhost, with no restrictions on language or publication year. Fifteen studies were included, describing four main rituals: Gender Reveal Parties, Baby Showers, Babymoons, and Blessingways. These rituals foster social bonds and help prepare expectant parents for the transition to parenthood. However, each has undergone significant change due to the influence of media, consumerism, and commercialisation, which have contributed to the reinforcement of traditional gender norms and materialist values. In conclusion, despite their continued function as rites of passage, pregnancy rituals reflect a persistent tension between their traditional symbolic meanings and the reinterpretations that emerge within contemporary society. Further research is needed to explore the emotional, social, and symbolic experiences of these rituals from the participants' perspective, considering diverse family structures and socio-cultural contexts.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Flora Madaha, Lindsey K Reif, Alexandra A Cordeiro, Sheila Harvey, Shelley Lees, Fraico Masasi, Athanas Lugata, Florance Nago, Agrey H Mwakisole, Saidi Kapiga, Jennifer A Downs, Joyce Wamoyi
{"title":"Gender equity and intimate partner violence among adolescents and young adults in Tanzania.","authors":"Flora Madaha, Lindsey K Reif, Alexandra A Cordeiro, Sheila Harvey, Shelley Lees, Fraico Masasi, Athanas Lugata, Florance Nago, Agrey H Mwakisole, Saidi Kapiga, Jennifer A Downs, Joyce Wamoyi","doi":"10.1080/13691058.2025.2517291","DOIUrl":"https://doi.org/10.1080/13691058.2025.2517291","url":null,"abstract":"<p><p>Intimate partner violence (IPV) starts at a young age. In Tanzania, 32% of adolescent girls and young women report lifetime experience of physical or sexual IPV. Adolescence is a critical developmental period when young people are establishing beliefs around gender equity and violence and when programmes and interventions may be most influential. This study explored adolescent and young adult perspectives on gender equity and gender roles, and their links to IPV to inform the adaptation and implementation of an evidence-based gender empowerment curriculum for young people in Tanzania. We conducted 24 focus group discussions among young people ages 14-24, adult community members, and community and religious leaders. Five major themes were developed: social acceptance of traditional gender roles and male dominated families; generational divide on support for gender equity; a religious lens on gender equity and the tolerance of violence; the normalisation of violence; and recommendations to promote gender equity. Our findings suggest young people, particularly girls and young women, support gender equity concepts. However, pervasive social norms about traditional gender roles, perpetuated by adults and community leaders, inhibit gender equity. Recommen-dations included involving peers, family, and wider community in gender empowerment education; and engaging religious leaders.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-15"},"PeriodicalIF":1.8,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"'When extramarital sex threatens patriarchy': the <i>iwushi-miri</i> rite among Mgbowo women of southeastern Nigeria.","authors":"Vitalis Nwashindu","doi":"10.1080/13691058.2024.2416224","DOIUrl":"10.1080/13691058.2024.2416224","url":null,"abstract":"<p><p>This study argues that not every instance of extramarital sexual intercourse among the Igbo women of southeastern Nigeria is adulterous. Using the sex-related rite of <i>iwushi-miri</i> (pouring of water) among the Mgbowo women of southeastern Nigeria (Igboland) as an example, the study explores the different means that the women have used in negotiating extramarital relationships, and sexual behaviours in the traditional, colonial and Christian patriarchal environments. The study brings together both ethnographic and feminist cultural resistance research to appraise the distinctions between punishable and culturally permitted extramarital sexual practices, and to highlight the role that extramarital sexual culture played in resisting the patriarchal domination of female sexuality in the age of empire. It also explores the challenges and the responses of Mgbowo women in negotiating extramarital relationships in a modern-day patriarchal setting. It sets out to explore how women's sex power, agency and influence have been silenced in the colonial archives and mainstream scholarship. Through semi-structured interviews, the analysis of material culture, and participant observation, this study provides insight into traditional sexual culture(s), marital intercourse, and sex-related rituals among Mgbowo women.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"915-929"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nguyet Luu, Tanya Drollinger, Katherine C Lafreniere
{"title":"#WhyIDidntReport my sexual violence and its effect on social support.","authors":"Nguyet Luu, Tanya Drollinger, Katherine C Lafreniere","doi":"10.1080/13691058.2024.2411396","DOIUrl":"10.1080/13691058.2024.2411396","url":null,"abstract":"<p><p>An analysis of social media posts using the #WhyIDidntReport hashtag reveals six themes regarding the reasons why survivors of sexual violence do not report the incident to health or social organisations such as police or supervisors. Using just-world theory as a means to examine social reactions to posts of victim's stories, we suggest the reasons for not reporting could be divided into clusters of internal or external barriers. Within the first cluster, three themes reflect survivors who did not report because of external reasons (e.g. victim blaming by the police or other institutions; minimisation of the seriousness of the crime; and reporting costs). In the second cluster, three themes reflect survivors who did not report because of internal reasons (e.g. self-blame, protecting others, and naivety). We find that survivors who did not report sexual violence because of external reasons received significantly more social support, whereas survivors who did not report because of internal reasons received significantly less social support in the form of shares and likes. Overall, these findings support our theorising that the reasons why survivors do not report sexual violence are impactful because, consistent with just-world theorising, they change perceptions of victimhood and therefore the level of social support.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"900-914"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Mayo, Daniel H A Maya, Marc Puccinelli, Elliott R Weinstein, Rosana Smith-Alvarez, Brooke G Rogers, Cassandra Michel, Steven A Safren, Audrey Harkness
{"title":"Exploring Latino cultural factors from the perspective of sexual minority men in the USA.","authors":"Daniel Mayo, Daniel H A Maya, Marc Puccinelli, Elliott R Weinstein, Rosana Smith-Alvarez, Brooke G Rogers, Cassandra Michel, Steven A Safren, Audrey Harkness","doi":"10.1080/13691058.2024.2405938","DOIUrl":"10.1080/13691058.2024.2405938","url":null,"abstract":"<p><p>Existing research on Latino cultural factors mainly focuses on gender and nationality, often overlooking sexual orientation and giving limited attention to the experiences of Latino sexual minority men in the United States of America (USA). This study addressed this gap by exploring how sexual minority men identify, describe and experience Latino cultural factors. Between April and December 2019, semi-structured interviews were conducted with 28 men (ages 18-40, 43% non-US-born) in the greater Miami, Florida area to explore their engagement in HIV prevention and behavioural health services. Secondary qualitative analysis examined five Latino cultural factors (<i>personalismo</i>, <i>machismo</i>, <i>familismo</i>, <i>fatalismo</i> and <i>curanderismo</i>), informed by the existing literature for initial coding and supplemented by the use of an inductive approach, yielding 14 subthemes. Findings revealed that although participants often described cultural factors in their traditional interpretations within the Latino community at large, they also highlighted unique experiences, particularly for relationship-oriented factors like personalismo, machismo and familismo. Sexual orientation stigma shaped participants' experiences of these cultural factors. Study findings enhance knowledge about Latino sexual minority men's lived experiences in the USA, underscoring how cultural factors are perceived both traditionally and uniquely, and emphasises the need for nuanced, culturally tailored assessments in future research.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"852-867"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reproductive futures within a context of uterus transplants in India.","authors":"Arpita Das","doi":"10.1080/13691058.2024.2397464","DOIUrl":"10.1080/13691058.2024.2397464","url":null,"abstract":"<p><p>Reproduction is considered a core event in a cisgender heterosexual woman's life. Several hierarchies exist within the field of reproduction, with reproduction being privileged among people from dominant races, classes, castes, ages, and abilities. In this paper, I explore uterine transplantion as an emerging mode of reproduction, which privileges the experience of pregnancy in addition to genetic relatedness, specifically within the Indian context. The focus is on the socio-cultural and economic discourses surrounding the marketisation of reproductive technologies and how these recalibrate social and familial dynamics concerning reproduction. I argue that the mobilisation of the language of reproduction as a right could potentially transform into reproduction as a duty. Reproductive biopolitics is used as a lens to think through the value of wombs in relation to the bodies they inhabit, and the pressures the marketisation of wombs puts on both recipients and donors.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"820-835"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142124995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-binary narratives: subjectivation and lived experiences in contemporary Italy.","authors":"Salvatore Monaco","doi":"10.1080/13691058.2024.2408340","DOIUrl":"10.1080/13691058.2024.2408340","url":null,"abstract":"<p><p>This paper explores the processes of individual and collective subjectivation experienced by non-binary individuals living in contemporary Italy. Using qualitative methods, the study, which was conducted between July and September 2021, involved a sample of twenty-six young adults aged between eighteen and thirty years. Starting from participants' narratives, the thematic analysis revealed the significance of both physical and virtual support environments in the subjectivation process, taking into account the diverse micro-contexts in which people live. The study's findings underscore the continued need to challenge societal norms and structures that perpetuate discrimination against people who reject exclusive identification with the male or female gender and opt for more fluid and non-traditional definitions of gender identity.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"868-883"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stigmatised as 'promoting' with a duty to report: public healthcare workers providing services to criminalised 'key populations for HIV' under Uganda's 2023 Anti-Homosexuality Act.","authors":"Austin Bryan","doi":"10.1080/13691058.2024.2416534","DOIUrl":"10.1080/13691058.2024.2416534","url":null,"abstract":"<p><p>This paper analyses the experiences of public healthcare workers in Uganda under the Anti Homosexuality Act (AHA) 2023, who specialise in the provision of HIV prevention and treatment services to criminalised 'key populations' for HIV, including men who have sex with men, transgender women, and female sex workers. Utilising in-depth semi-structured interviews with 17 public healthcare workers and participant observation with LGBTQ+ and HIV activists, public health officials, and development workers, this ethnographic study explored the legal, social and ethical challenges that public healthcare providers faced. Public healthcare workers have experienced various types of stigma from their work, including socio-legal stigma from the criminalisation of 'promoting homosexuality', stigma by association with key populations, concealment stigma, and denial. Legal ambiguities stemming from the AHA 2023 have led to security incidents for some public healthcare workers. The study highlights the ethical dilemmas that have arisen from the 'duty to report' clause, which conflicts with professional healthcare ethics of confidentiality, and the role the Ministry of Health played in passing the AHA 2023, instilling confusion about its enforcement, and minimising and denying the risks the legislation has had on Uganda's HIV epidemic.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"930-946"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}