Culture, Health & Sexuality最新文献_第10页

Addressing sexual health concerns in Tanzania: perceived barriers among healthcare professionals and students in the "training for health professionals" study. 解决坦桑尼亚的性健康问题："卫生专业人员培训 "研究中卫生保健专业人员和学生感知到的障碍。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-09-01 Epub Date: 2024-01-29 DOI: 10.1080/13691058.2024.2306227

Agnes F Massae, Lucy R Mgopa, Zobeida E Bonilla, Inari Mohammed, B R Simon Rosser, Stella E Mushy, Michael W Ross, Dorkasi L Mwakawanga, Ever Mkonyi, Gift G Lukumay, James Wadley, Dickson A Mkoka, Maria Trent

{"title":"Addressing sexual health concerns in Tanzania: perceived barriers among healthcare professionals and students in the \"training for health professionals\" study.","authors":"Agnes F Massae, Lucy R Mgopa, Zobeida E Bonilla, Inari Mohammed, B R Simon Rosser, Stella E Mushy, Michael W Ross, Dorkasi L Mwakawanga, Ever Mkonyi, Gift G Lukumay, James Wadley, Dickson A Mkoka, Maria Trent","doi":"10.1080/13691058.2024.2306227","DOIUrl":"10.1080/13691058.2024.2306227","url":null,"abstract":"Little is known about the factors that may prevent healthcare professionals as key stakeholders from exploring sexual health issues in Tanzania. This study examined healthcare professionals' perspectives on the barriers to addressing sexual health concerns in practice. In June 2019, we conducted an exploratory qualitative study involving 18 focus group discussions among healthcare professionals (n = 60) and students (n = 61) in the health professions (midwifery, nursing, medicine) in Dar es Salaam, Tanzania. Study participants and design were purposively selected and stratified. We used a focus group discussion guide in Kiswahili. Data were transcribed in Kiswahili and translated into English. A thematic analysis approach was used for data analysis. Two themes were developed: (1) differences between health care professional and patient socio-demographic characteristics; (2) health care system and patients' backgrounds, such as communication barriers, lack of confidentiality and privacy within health facilities, type of clinical presentation and complaint, patient behaviours, and their clinical background. Several key barriers prevented sexual health communication between healthcare professionals and patients, affecting the quality of sexual health service delivery. Additional sexual health clinical training is warranted for health professions students and professionals to optimise sexual health care delivery in a culturally conservative country like Tanzania.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1217-1231"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139570021","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}

引用次数: 0

'We had that abortion together': abortion networks and access to il/legal abortions in Turkey. 我们一起堕胎"：土耳其的堕胎网络和获得非法/合法堕胎的机会。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-09-01 Epub Date: 2024-01-09 DOI: 10.1080/13691058.2023.2301410

Sinem Esengen

{"title":"'We had that abortion together': abortion networks and access to il/legal abortions in Turkey.","authors":"Sinem Esengen","doi":"10.1080/13691058.2023.2301410","DOIUrl":"10.1080/13691058.2023.2301410","url":null,"abstract":"Abortion was legalised in Turkey in 1983 with a 10-week limit, restrictions on who could provide abortions, and spousal or parental consent requirements. Currently, although abortion is legal, because of structural barriers, access is restricted (O'Neil, Altuntaş, and Keskin 2020). This study aimed to investigate how women strategically mobilise their social networks to overcome such restrictions to abortion care. Drawing from 25 in-depth interviews with urban-educated cis-women aged 24-30, I identify three groups within abortion networks: included, excluded and ambiguous. While included groups comprised largely of female family and friends, excluded groups were male family members and organisations, and the ambiguous category included health professionals and partners. Supporting findings in other contexts, individuals initially utilise their abortion networks to access the provider, they then build abortion solidarity networks to act as buffers against groups they wish to exclude during the abortion experience. Additionally, I show that excluded and ambiguous networks also impact abortion access, decision-making, and experience, even pushing individuals to follow through with illegal or semi-legal abortion procedures. Findings draw attention to the structural boundaries surrounding abortion laws, how patriarchal institutions make access to abortion care and abortion networks challenging, and how social networks may be utilised to alleviate such obstacles.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1119-1133"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402142","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}

引用次数: 0

'I never see anyone like myself represented in discussions about endometriosis': priorities of LGBTQIA + endometriosis patients in New Zealand. 在有关子宫内膜异位症的讨论中，我从未见过像我这样的人"：新西兰 LGBTQIA + 子宫内膜异位症患者的优先考虑事项。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-08-28 DOI: 10.1080/13691058.2024.2394650

Katherine Ellis, Wayne Armour, Rachael Wood

{"title":"'I never see anyone like myself represented in discussions about endometriosis': priorities of LGBTQIA + endometriosis patients in New Zealand.","authors":"Katherine Ellis, Wayne Armour, Rachael Wood","doi":"10.1080/13691058.2024.2394650","DOIUrl":"https://doi.org/10.1080/13691058.2024.2394650","url":null,"abstract":"Limited information is available regarding the experiences and perspectives of LGBTQIA + patients internationally, and no literature exists for New Zealand. Twenty-eight LGBTQIA + endometriosis patients took part in asynchronous, online text-based discussions about their experiences navigating endometriosis diagnosis and management in Aotearoa New Zealand. Their qualitative responses were coded in an iterative thematic manner. The mean delay to diagnosis of this cohort was 10.2 ± 5.6 years from symptom onset, longer than previously reported delays in Aotearoa New Zealand. Participants shared a strong discomfort with the predominant focus of endometriosis management strategies on penetrative sex and pregnancy, and the sense they were dismissed if prioritising these functions was not their priority. Several potential improvements to current treatment and care for LGBTQIA + endometriosis patients were generally agreed upon by the cohort, including research to better understand a practice approach for managing the symptoms of transmasculine patients; expanding the management strategies for patients who are not prioritising fertility and penetrative sex; improving awareness of LGBTQIA + people and experiences amongst medical practitioners to reduce homophobia, transphobia, misogyny, misgendering and mistreatment in care; and the development of gender-neutral spaces for the support of patients who feel uncomfortable in cisgender women-centric endometriosis spaces.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-21"},"PeriodicalIF":1.8,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142085935","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}

引用次数: 0

Managing the business of sex: swinger club managers and sexual health promotion. 管理性事业：交换俱乐部经理和性健康推广。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-08-27 DOI: 10.1080/13691058.2024.2394648

Chris Haywood

{"title":"Managing the business of sex: swinger club managers and sexual health promotion.","authors":"Chris Haywood","doi":"10.1080/13691058.2024.2394648","DOIUrl":"https://doi.org/10.1080/13691058.2024.2394648","url":null,"abstract":"The increased popularity of swinger clubs across the UK in the past two decades has not been met with commensurate public health initiatives or interventions that engage with the relationship between swinger clubs and sexual health. Consequently, the responsibility for sexual health promotion within these establishments largely depends on the discretion of club managers. Drawing on data from semi-structured interviews with 10 managers from across the UK, the study suggests that the managers' perceptions of the club-consumer relationship shape the nature of sexual health promotion. Three distinct approaches were evident in the research: those who perceive sexual health promotion as financially detrimental; those who see it as an individual rather than a collective club concern; and those who consider it as part of a broader social community responsibility. These findings highlighted an implicit beneficence of managers towards their customers; a shared assumption that an ideal consumer was heterosexual, partnered and in their forties; and differing perceptions of manager responsibility towards the sexual health of customers. The paper concludes by suggesting that the swinger community is a blind spot in sexual health discussion in the UK and that by talking to the managers of swinger clubs we can further develop our understanding of the area.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072243","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}

引用次数: 0

Sexual healthcare to meet the needs of sexuality and gender diverse aboriginal young people: imagined possibilities. 满足不同性取向和性别的土著年轻人需求的性保健：想象的可能性。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-08-24 DOI: 10.1080/13691058.2024.2394649

Heather McCormack, Michelle Dickson, Thomas Harrington, Mahlia Garay, Robert Whybrow, Julie Mooney-Somers, Peter Aggleton, Lise Lafferty, Elke Mitchell, Jessica Morris, Bridget Haire

{"title":"Sexual healthcare to meet the needs of sexuality and gender diverse aboriginal young people: imagined possibilities.","authors":"Heather McCormack, Michelle Dickson, Thomas Harrington, Mahlia Garay, Robert Whybrow, Julie Mooney-Somers, Peter Aggleton, Lise Lafferty, Elke Mitchell, Jessica Morris, Bridget Haire","doi":"10.1080/13691058.2024.2394649","DOIUrl":"https://doi.org/10.1080/13691058.2024.2394649","url":null,"abstract":"In Australia, Aboriginal young people who are lesbian, gay, bisexual, trans, queer or otherwise sexuality and gender diverse (LGBTQ+) are recognised within several overlapping priority populations in state and federal sexually transmissible infection and HIV strategies. However, limited research has documented their unique sexual health experiences, needs and preferences. In this qualitative study, semi-structured interviews were conducted with 10 LGBTQ+ Aboriginal young people aged 16-24 years in New South Wales. Interviews incorporated questions about service access, positive and negative experiences and self-determined healthcare priorities. We conducted a strengths-based thematic analysis to understand the issues of greatest importance in sexual healthcare for participants. Using the framework of 'imaginaries', we explored how participants imagined sexual healthcare that would meet their individual and cultural needs. The dominant imaginary centred on respect, representation and the as-yet-unrealised possibility of sexual healthcare designed by and for people who shared the intersection of Aboriginal and LGBTQ+ experience. We identified individual-level, service-level and societal-level factors influencing this imaginary, including relationships, accessibility and experiences of racism. Analysing the imaginaries constructed by LGBTQ+ Aboriginal young people of empowering, culturally safe sexual healthcare that is 'for them' provides insight into potential service design to improve sexual health outcomes for this population.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046388","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}

引用次数: 0

Reconciling moral discourses on choice, risk and pronatalism: the politics of elective egg freezing in Singapore. 协调关于选择、风险和代孕的道德论述：新加坡选择性冷冻卵子的政治。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-08-17 DOI: 10.1080/13691058.2024.2391936

Gracia J Lee

{"title":"Reconciling moral discourses on choice, risk and pronatalism: the politics of elective egg freezing in Singapore.","authors":"Gracia J Lee","doi":"10.1080/13691058.2024.2391936","DOIUrl":"https://doi.org/10.1080/13691058.2024.2391936","url":null,"abstract":"This article examines the framing of choice, risk and pronatalism in Singapore's debate on elective egg freezing, beginning from the government's review of the ban in 2012 and ending in 2023 when the procedure was legalised. It demonstrates the possibility of reconciling liberal discourses on reproductive choice with technocritical discourses on egg freezing as a risky and oppressive pronatalist technology. While medical complications, false hope and commercial abuse were longstanding concerns in Singapore, these risks were perceived as reconcilable with choice through an age limit, mandatory counselling and comparative frames from the national and international regulatory context. Additionally, low fertility rates and efforts to advance gender equality enabled the reconciliation of choice and pronatalism as policy justifications, while the construction of female candidates' heteronormative reproductive desire framed pronatalism in women-centric ways. Such reconciliation was facilitated by Singapore's strong interventionist culture which normalises paternalism and pronatalism. Within this context and through actors' articulation of policy ideas, elective egg freezing was reinterpreted as a technology with manageable risks, and a hope technology for women and nation. A moral Singapore State which permits elective egg freezing while supporting the interests of women and society was thus co-produced by politicians, journalists and doctors.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-15"},"PeriodicalIF":1.8,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995514","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}

引用次数: 0

First Nations music and social emotional wellbeing and health among LGBTIQA+SB First Nations peoples: a review of the literature. 原住民音乐与 LGBTIQA+SB 原住民的社会情感福祉和健康：文献综述。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-08-15 DOI: 10.1080/13691058.2024.2387674

Kristy Apps, Naomi Sunderland, Te Oti Rakena

{"title":"First Nations music and social emotional wellbeing and health among LGBTIQA+SB First Nations peoples: a review of the literature.","authors":"Kristy Apps, Naomi Sunderland, Te Oti Rakena","doi":"10.1080/13691058.2024.2387674","DOIUrl":"https://doi.org/10.1080/13691058.2024.2387674","url":null,"abstract":"Music has been linked to improved social and emotional wellbeing for First Nations Peoples, yet little research directly explores the link between music and social emotional wellbeing of Lesbian, Gay, Bisexual, Transgender, Intersex, Queer, Asexual, Sistergirl, and Brotherboy (LGBTIQA+SB) First Nation Peoples in Australia. This article reports on a hybrid scoping narrative review of existing literature that explores LGBTIQA+SB social emotional wellbeing and potential links to music practices, such as music listening, performance, and composing. Findings suggest that music and creative practices can be linked to feelings of elation, positive self-regard, and safety. Music and performance can promote and celebrate the diversity and complexities of Queer First Nations people and identities through art and performance, enhancing a sense of belonging and links to community, generating feelings of pride, and contributing to knowledge sharing. Community connections built through creative arts and digital platforms are seen as enhancing social emotional wellbeing for First Nations Lesbian, Gay, Bisexual, Transgender, Intersex, Queer/Questioning, Brotherboy, Sistergirl people.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-21"},"PeriodicalIF":1.8,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987549","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}

引用次数: 0

What counts as mutilation-and who should decide? Disrupting dominant discourses on genital cutting and modification. 什么算切割--谁来决定？打破关于切割和改造生殖器的主流论调。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-08-12 DOI: 10.1080/13691058.2024.2388438

Brian D Earp, Jasmine Abdulcadir, Arianne Shahvisi

引用次数: 0

Cripping and queering gender-based violence prevention: bridging disability justice, queer joy, and consent education. 预防性别暴力的 "瘸腿 "和 "同性恋"：将残疾公正、同性恋快乐和同意教育结合起来。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-08-10 DOI: 10.1080/13691058.2024.2380768

J J Wright, Caitlin A Manuel

{"title":"Cripping and queering gender-based violence prevention: bridging disability justice, queer joy, and consent education.","authors":"J J Wright, Caitlin A Manuel","doi":"10.1080/13691058.2024.2380768","DOIUrl":"10.1080/13691058.2024.2380768","url":null,"abstract":"Although frequently relegated to the periphery in conversations about gender-based violence prevention, the disabling impacts of traumatised subjectivity both affect survivors' abilities to fully participate in sex and contribute to survivors being more than twice as likely to be sexually (re)victimised compared to peers without trauma histories. In this paper, we seek to crip and queer approaches to gender-based violence prevention, particularly consent education, by learning from 2SLGBTQ+ and disabled trauma survivors' affective experiences of queer, crip sexual joy and the radically messy ways in which they establish their own care networks for deeply pleasurable sex through the principles of disability justice. Refusing pathologising understandings of survivors as those who need to be cured, we highlight traumatised subjectivity as emblematic of the ambiguity and ambivalence inherent in sex as well as the possibilities for caring, consensual sex that moves beyond the concept of consent employed in colonial, neoliberal capitalist societies' binary (Yes/No) consent laws. Drawing on the work of crip and queer theorists such as Mia Mingus, Alison Kafer, Leah Piepzna-Samarasinha, and J. Logan Smilges, we reveal how disability justice principles, such as interdependence, collective access, and access intimacy, offer transformative understandings for anti-violence efforts.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912095","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}

引用次数: 0

Women’s experiences of needing abortion care whilst incarcerated: a systematic review of the international literature 妇女在被监禁期间需要堕胎护理的经历：对国际文献的系统性审查

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-08-06 DOI: 10.1080/13691058.2024.2386050

Conor Murray, Emma Campbell, Dean Burns, Rachel Roth, Dorothy Newbury-Birch, Fiona Bloomer

引用次数: 0