Marcus Cerqueira Sanzi, Sharalyn Jordan, Roberto L Abreu
{"title":"Colonial scripts and fragile queer masculinities: Brazilian gay men navigating effeminacy stigma in Canada.","authors":"Marcus Cerqueira Sanzi, Sharalyn Jordan, Roberto L Abreu","doi":"10.1080/13691058.2026.2661887","DOIUrl":"https://doi.org/10.1080/13691058.2026.2661887","url":null,"abstract":"<p><p>Effeminacy remains a highly policed and racialised site of gender regulation, particularly for racialised queer men navigating migration. Drawing on interviews with six Brazilian queer men living in Canada, this qualitative study examines how effeminacy stigma is experienced, reproduced and resisted within diasporic queer spaces. Guided by frameworks of queer diaspora, postcolonial masculinity and intersectional approaches to health and belonging, the analysis illustrates how migration reconfigures colonial scripts of masculinity through whiteness, homonormativity and peer policing in Canadian 2SLGBTQIA + contexts. Participants described masculinity as a form of social currency that structured safety, desirability and belonging, often requiring self-monitoring. At the same time, themes revealed moments of resistance enacted through language, affect and embodiment, where effeminacy was reclaimed as a site of dignity, relational connection and self-definition. By centring Brazilian queer men-a population understudied in North American queer migration research-the study contributes to critical scholarship on queer diaspora, effeminacy stigma and health and well-being. The findings call for critical attention to intra-community hierarchies that undermine belonging and shape health-relevant experiences among racialised queer migrants.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834745","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}
Natasha Kannemeyer, Christopher Colvin, Zara Trafford, Christine Jansen, Marian Kinnes, Galiema Isaacs, Imiraan Jacobs, Miche Samuels, Hanne Haricharan
{"title":"'Accept the fact that we get older': adolescents' and young people's perspectives of sexual and reproductive health in Cape Town, South Africa.","authors":"Natasha Kannemeyer, Christopher Colvin, Zara Trafford, Christine Jansen, Marian Kinnes, Galiema Isaacs, Imiraan Jacobs, Miche Samuels, Hanne Haricharan","doi":"10.1080/13691058.2026.2664068","DOIUrl":"https://doi.org/10.1080/13691058.2026.2664068","url":null,"abstract":"<p><p>Pregnancy rates among adolescents and young people in South Africa remain high despite the widespread availability of sexual and reproductive health information and contraception being free of charge. Knowledge gaps, misconceptions, and insufficient attention to youth voices are critical barriers to informed decision-making. Support for adolescents and young people is often negatively framed, focusing on sexual abstinence before marriage. This paper explores youth perspectives on sexual and reproductive health information and support. It also examines gaps in contraceptive knowledge, providing insights for public health programmes and interventions. Findings highlight significant gaps in contraceptive knowledge, which contribute to low uptake. The quality and nature of relationships between young people and adults also shapes the support and information provided. For adolescents and young people, trust and feeling understood impact whether adults are perceived as valuable sources of information. Suitable interventions include the creation of safe support spaces for adolescents and young people to develop sexual and reproductive health knowledge and communication skills, access accurate information, and address socioeconomic constraints.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811855","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}
Lisa Irene Jones, Daniela Annalie Lozada Velasteguí, Nicola Wiseman, Neil Harris, Gabriela Bustamante
{"title":"Co-creating menstrual health interventions with university students in Ecuador: findings from a participatory pilot study.","authors":"Lisa Irene Jones, Daniela Annalie Lozada Velasteguí, Nicola Wiseman, Neil Harris, Gabriela Bustamante","doi":"10.1080/13691058.2026.2663055","DOIUrl":"https://doi.org/10.1080/13691058.2026.2663055","url":null,"abstract":"<p><p>This pilot study examined the use of a participatory approach to co-create and prioritise menstrual health actions and interventions with university students in Ecuador. Despite growing recognition of the importance of menstrual health, university students continue to face unmet needs that can affect academic participation and daily life. Between October and November 2023, three in-person workshops engaged a total of 37 students in a structured co-creation process. The first workshop involved collaborative brainstorming, generating 31 proposed actions and interventions organised into four participant-derived categories: resources, support, infrastructure, and education. The second workshop involved thr independent ranking of the actions and interventions using a structured worksheet, with descriptive statistics used to identify a subset of highly prioritised options. The third workshop focused on refining these priorities through guided group discussion. The highest-ranked actions and interventions identified from the participatory process included institutional flexibility for chronic menstrual conditions, education-based initiatives, improved toilet/bathroom access, and student-led support. Rather than providing generalisable evidence of intervention effectiveness or population-level need, this study highlights how participatory, process-oriented methods can help generate a context-specific, student-informed response. Findings highlight the value of participatory approaches in surfacing nuanced, actionable insights in menstrual health research.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-14"},"PeriodicalIF":1.7,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811880","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":"Bargaining with the body: the lived experiences of gay Zimbabwean migrants navigating survival and social integration in Cape Town.","authors":"Rowan Madzamba, Asithandile Nozewu, Christine Anthonissen, Siphesihle Mhlanga, Leslie Swartz, Mike Mösko","doi":"10.1080/13691058.2026.2661307","DOIUrl":"https://doi.org/10.1080/13691058.2026.2661307","url":null,"abstract":"<p><p>South Africa is often viewed as a safe refuge for LGBTQ+ individuals, yet the reality for queer African migrants is marked by insecurity and exclusion. Despite strong constitutional protections, migrants from highly homophobic contexts continue to face discrimination and marginalisation. This article examines how gay Zimbabwean migrants experience and navigate violence, discrimination and marginalisation across their move to South Africa. As part of a larger study, in-depth interviews took place with five men, with a focus on legal precarity, economic exclusion and institutional bias, including housing insecurity, barriers to healthcare and reliance on survival strategies such as sex work. Participants reported sex work as a survival strategy amidst limited economic opportunities and widespread stigma. Participants' experiences reflected a process of double displacement, as they fled persecution at home only to face prejudice and exclusion in South Africa. The findings challenge narratives that position South Africa as a safe haven and instead highlight the gap between formal legal protections and lived realities. Intersectional, trauma-informed, rights-based programmes are needed to improve healthcare access and promote community support for queer African migrants.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811907","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":"Negotiating belonging, risk and agency: discourses of sexuality among young people with migration experience in Southern Sweden.","authors":"Nada Amroussia, Malin Lindroth, Catrine Andersson","doi":"10.1080/13691058.2025.2463116","DOIUrl":"10.1080/13691058.2025.2463116","url":null,"abstract":"<p><p>The study explores sexuality discourses among young people with migration experience in Sweden. Using a qualitative design and a combination of convenience, snowball and purposive sampling, twenty interviews were conducted between October 2021 and August 2023. Participants self-identified as women (8) and men (12), were aged between 17 and 26, and had migrated to Sweden between two months to 16 years ago. Drawing on concepts of cultural and bio-sexual citizenship, discourse analysis was used to identify their interpretative repertoires regarding discourses of sexuality. Three interpretative repertoires were identified. First, there was the positioning repertoire, in which sexuality appears as a border marker for belonging, reflecting how participants positioned themselves regarding discursive constructions of sexuality in mainstream Swedish society and their ethnicised migrant communities. Secondly, there was the risk repertoire, in which sex was constructed as a risk and associated with negative sexual and reproductive health outcomes. This repertoire emphasised the notion of sexual responsibility, entailing adherence to preventive measures, responsible decisions, and maturity. Thirdly, there was the sexual agency repertoire, which referred to how participants negotiated sexual agency at the societal and interpersonal levels. Each repertoire elucidated a hybrid conceptualisation of sexuality through which participants made sense of their sexuality-related experiences and views.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"578-594"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425056","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":"Affective belonging and negotiated authenticity: Vietnamese gay men navigating sexuality, kinship and emotional health in Thailand.","authors":"Mai Phuc Thinh","doi":"10.1080/13691058.2025.2554719","DOIUrl":"10.1080/13691058.2025.2554719","url":null,"abstract":"<p><p>This study examined how Vietnamese gay men negotiate sexuality, kinship, and emotional health during their educational studies in Thailand. Drawing on narrative interviews with ten participants and informed by theories of negotiated authenticity, performativity, and affective belonging, it conceptualises queer identity work as a relational, health-preserving practice rather than a linear 'coming-out' trajectory. Participants described studying abroad as an emotional breathing space from family pressured while also confronting new vulnerabilities shaped by class, national identity, and Thai cultural norms - including restrained public displays of affection and a 'regime of images' that calibrate visibility. Selective disclosure emerged as a key strategy for reducing shame and conflict, maintaining kin ties, and protecting concentration while at university. Kinship obligations grounded in filial duty continued to organise belonging across borders, producing partial openings in the form of episodic moments of recognition and safety without categorical liberation. The research extends lifespan and context-sensitive queer identity models by specifying how affective belonging operates in intra-Asian mobility and by foregrounding its implications for wellbeing. Policy and practice recommendations follow from the findings. Culturally attuned counselling, peer-led support, confidentiality safeguards, and referral pathways can translate affective belonging into institutional arrangements that sustain students' mental health alongside academic success.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"630-642"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130137","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}
Patrick Nyamaruze, Nelson Muparamoto, Russell Armstrong, Kaymarlin Govender
{"title":"The influence of intersectional stigma on mental health, uptake and retention in antiretroviral treatment (ART) programmes for gender and sexuality diverse young people in Zimbabwe.","authors":"Patrick Nyamaruze, Nelson Muparamoto, Russell Armstrong, Kaymarlin Govender","doi":"10.1080/13691058.2025.2462965","DOIUrl":"10.1080/13691058.2025.2462965","url":null,"abstract":"<p><p>Provision of and access to HIV prevention, treatment and care among young gender and sexuality diverse people living with HIV in Zimbabwe occurs in a context characterised by stigma and discrimination based on HIV status and gender identity or sexual orientation. Little is known about the experiences and impact of intersecting stigma on adherence to anti-retroviral treatment (ART) among members of this group. To fill this gap, we conducted a concurrent mixed methods study to collect data through self-administered questionnaires and in-depth interviews among young men who have sex with men and transgender women. More than one-third of the participants scored above 10 on the CESD-10, with 5% in the highest band (>20), indicating the potential for a significant mental health burden. Experiences of intersectional stigma were common, impacting participants' mental health. Experiences and anxieties regarding the potential for stigma and discrimination contributed to threats to ART adherence and influenced commitment to staying on treatment. However, despite the many potential risks to adherence, participants utilised various means to remain adherent. Programmes to alleviate intersectional stigma among young gender and sexuality diverse people should seek to strengthen existing intrapersonal and interpersonal resources and enhance mental health.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"562-577"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440100","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}
Mounica Katragadda, Kathleen Broussard, Jesalyn Vinkemulder, Hannah Brennen, Elexus Kelly, Emily S Mann
{"title":"Parental influences on contraceptive autonomy among adolescents in the Southern USA.","authors":"Mounica Katragadda, Kathleen Broussard, Jesalyn Vinkemulder, Hannah Brennen, Elexus Kelly, Emily S Mann","doi":"10.1080/13691058.2025.2546003","DOIUrl":"10.1080/13691058.2025.2546003","url":null,"abstract":"<p><p>Research on contraceptive coercion among adolescent and young adult women in the USA focuses primarily on clinicians and male sexual partners. Less recognised is how parents may limit their daughters' autonomy to decide when and if to initiate or discontinue prescription-based contraception and to use their preferred method. This study used thematic content analysis of interviews conducted with 46 adolescent and young adult women living in the southern USA regarding their parents' efforts to control their contraceptive decision-making and use during adolescence. The analysis found that participants' parents constrained their contraceptive autonomy in three distinct ways. First, parents who prohibited their daughters' prescription contraceptive use in general were influenced by conservative religious beliefs and sexual stigma. Second, parents who insisted their daughters specifically not use hormonal contraception perceived it to be harmful. Third, parents who required their daughters' prescription contraceptive use insisted they use oral contraceptive pills or a hormonal IUD. Some parents who initially forbade their daughters from using prescription contraception later pressured them to initiate use once they reached the age of majority. The study findings indicate that efforts to enhance young women's contraceptive autonomy should engage parents in supporting their daughters' sexual and reproductive health and well-being.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"595-606"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945970","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}
Pablo K Valente, Maria Amelia S M Veras, Michael Pena, Paula G C Carvalho, Jose L Gomez, Elizabeth O'Connell, Katie B Biello
{"title":"Experiences and preferences for HIV prevention modalities among transgender women and <i>travesti</i> sex workers in São Paulo, Brazil: a qualitative study.","authors":"Pablo K Valente, Maria Amelia S M Veras, Michael Pena, Paula G C Carvalho, Jose L Gomez, Elizabeth O'Connell, Katie B Biello","doi":"10.1080/13691058.2025.2552490","DOIUrl":"10.1080/13691058.2025.2552490","url":null,"abstract":"<p><p>Transgender women and <i>travesti</i> sex workers in Brazil underutilise HIV prevention services. Understanding preferences and decision-making regarding HIV prevention can help develop new programmes to meet their needs. We conducted semi-structured interviews with 26 transgender women and travesti sex workers in São Paulo, Brazil. Interviews examined experiences with and perceptions of condoms, non-occupational post-exposure prophylaxis (nPEP), daily oral pre-exposure prophylaxis (PrEP), and injectable PrEP. Transcripts were thematically analysed. Participants' median age was 34.5 years and most (80%) were Black or Brown (<i>parda</i>). Sixteen (62%) reported previous or current daily oral PrEP use. Most participants perceived nPEP and PrEP as important given barriers to condom use (eg regular partners, financial incentives by clients, alcohol and drug use, and rape). Initiation of nPEP after condomless sex and rape was described, with many going on to take PrEP after an nPEP course. Injectable PrEP was perceived to facilitate adherence, but there were concerns related to the previous use of industrial liquid silicone. Future interventions should address syndemic barriers to condom and PrEP use and engage regular partners of transgender women and travestis in prevention. Long-acting HIV prevention modalities that do not involve intramuscular injections may help increase PrEP access and use.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"618-629"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029215","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}
Ronald Osei Mensah, Daniel Opoku, Agyemang Frimpong
{"title":"The dual faces of polygyny and ageing in Ghana: cultural status <i>vs.</i> social strain.","authors":"Ronald Osei Mensah, Daniel Opoku, Agyemang Frimpong","doi":"10.1080/13691058.2025.2547023","DOIUrl":"10.1080/13691058.2025.2547023","url":null,"abstract":"<p><p>This study examines the multifaceted impact of polygyny on ageing among Ghanaian men in the Manso Nkwanta District of the Ashanti Region. Grounded in a life course perspective, it employs a descriptive phenomenological approach to explore the lived experiences of 33 men aged 60 and above, all of whom have been in polygynous marriages for at least 10 years. Drawing on in-depth, semi-structured interviews conducted in both English and Twi, the study addresses three core questions: how polygyny intersects with ageing; the perceived benefits and challenges of polygynous unions; and the relationship between polygyny and socially unacceptable behaviours. The findings suggest that, while polygyny may offer benefits, such as increased social prestige, economic productivity, and emotional support, it also amplifies vulnerabilities in later life, including deteriorating health, financial insecurity, and household tensions. The study concludes that polygyny operates as a dynamic social institution that both supports and complicates the ageing process, highlighting the need for culturally sensitive policy measures and community-based support systems.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"607-617"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945972","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}