{"title":"Disrupting menstrual stigma at work? A thematic analysis of menstrual leave policy announcements across five countries.","authors":"Meaghan Furlano","doi":"10.1080/13691058.2024.2418406","DOIUrl":"https://doi.org/10.1080/13691058.2024.2418406","url":null,"abstract":"<p><p>Menstrual leave is a policy allowing menstruators to take paid or unpaid time off work if experiencing painful menstrual cycle-related symptoms or illnesses. Scholars have displayed an increased interest in menstrual leave, primarily owing to the rise in companies offering menstrual leave. Efforts have been made to theorise the potential benefits and drawbacks of menstrual leave. Building on prior work, this article conducts a thematic analysis of twelve menstrual leave policy announcements from companies in five countries. Guided by an intersectional feminist theoretical framework, the article uncovers two themes in menstrual leave policy announcements: (1) recognition of menstrual stigma and the potential to normalise menstruation and menstrual health; and (2) the potential for increased worker power. It subsequently develops two critical arguments: (1) menstrual leave may perpetuate (hetero)sexist beliefs and attitudes, and (2) menstrual leave may reify individual responsibility to manage menstruation and facilitate a positive culture around menstrual leave. This research adds to menstruation literature by being one of the few studies to investigate company-level menstrual leave policy announcements in a transnational context. A broader conceptualisation of menstrual leave, including the transition to 'menstrual flexibility' as an umbrella term, could help such policies become equity tools.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496574","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":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-21","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}
Margarita Cilveti-Lapeira, José M Rodríguez-Molina, Esther López-Trenado
{"title":"Key aspects in the development of gender identity and sexual orientation according to trans and gender diverse people: a qualitative approach.","authors":"Margarita Cilveti-Lapeira, José M Rodríguez-Molina, Esther López-Trenado","doi":"10.1080/13691058.2024.2416541","DOIUrl":"https://doi.org/10.1080/13691058.2024.2416541","url":null,"abstract":"<p><p>For decades, the sexuality of trans and gender diverse people has been researched from a pathologising and medical perspective. This approach makes assumptions about the experiences of trans people, limiting concern for unique and individual experiences, especially for those with non-binary or gender diverse identities. A growing number of articles however are beginning to take the viewpoints of trans people seriously, taking into consideration their unique experiences and insights within the context of sexual and romantic relationships. This study examines the development of gender identity and sexual orientation of a group of trans individuals in Spain. Thirteen self-identified trans participants were interviewed about their sexual orientation, gender identity and the interplay between both those aspects. A constructivist grounded theory methodology was employed to analyse the data. Five major categories were identified: reinterpreting experiences through identification with gender identity and sexual orientation; questioning gender identity and sexual orientation norms; understanding the interplay between gender identity and sexual orientation; developing as a couple; and building a community. Findings highlight the dynamic and relational nature of gender identity and sexual orientation and provide further insight into the interaction of these aspects in the development of trans and gender diverse identities.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459969","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}
Tony Sandset, Trang Pham, Do Dang Dong, Sara L M Davis
{"title":"Sexual and reproductive health and digital human rights: a study with people living with HIV and key populations in Vietnam.","authors":"Tony Sandset, Trang Pham, Do Dang Dong, Sara L M Davis","doi":"10.1080/13691058.2024.2411406","DOIUrl":"https://doi.org/10.1080/13691058.2024.2411406","url":null,"abstract":"<p><p>This study draws from qualitative research conducted using a participatory action framework with 47 young adults who identified as people living with HIV, men who have sex with men, transgender, non-binary, or sex workers in Vietnam. The research objectives were to explore their experiences using mobile phones to access sexual and reproductive (SRH) health information and support and the impact of the digital turn in health on their autonomy, privacy and equality. The research was conducted through key informant interviews, focus group discussions, and digital ethnography. The project utilised a participatory action research framework. The research was led by the Vietnam Network of People Living with HIV within the frame of a three-country study, and the authors describe how the network used the findings to advance policy. The paper concludes by proposing participatory action research as a useful methodology for studying human rights and digital health governance.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459970","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}
Arabella Mundie, Amy B Mullens, Erich C Fein, Sara F E Bell, Joseph Debattista, Armin Ariana, Kirstie Daken, Kathryn Wenham, Charles F Gilks, Pamela Doherty, Jo Durham, Zhihong Gu, Judith A Dean
{"title":"University students' access and use of sexual and reproductive health services in Australia.","authors":"Arabella Mundie, Amy B Mullens, Erich C Fein, Sara F E Bell, Joseph Debattista, Armin Ariana, Kirstie Daken, Kathryn Wenham, Charles F Gilks, Pamela Doherty, Jo Durham, Zhihong Gu, Judith A Dean","doi":"10.1080/13691058.2024.2410834","DOIUrl":"https://doi.org/10.1080/13691058.2024.2410834","url":null,"abstract":"<p><p>University attendance can lead to changes in sexual behaviour that place people at increased risk of negative sexual and reproductive health (SRH) experiences; however, relatively few studies have explored access to and use of SRH services by university students in Australia. A convenience sample of students (<i>N</i> = 4291) from five universities completed an online survey to examine barriers and facilitators to accessing SRH services. Descriptive statistics were used to analyse variations by gender, sexuality, and enrolment status. Content analyses were conducted on responses to two open-ended questions. Over half (59%, 2934) had never spoken to a health professional about SRH issues. Of the 41% (1357) who had, female, non-binary/gender diverse, and Australian-born students were significantly more likely to have done so than students identifying as male, heterosexual, or as an international student. Frequently reported barriers to use of SRH services were 'feeling embarrassed', 'being judged' and 'not knowing where to go'. LGBTQIA+ students along with international and overseas-born domestic students faced specific access barriers. Recommendations targeting student-identified barriers to access are offered, calling for universities to support student wellbeing by providing supportive, non-judgemental, and inclusive SRH promotion and health services that cater to needs of diverse student cohorts.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388738","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":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-05","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}
Augustina Dechegme Achigibah, Melody AmdjadFar, John K Krugu, Robert A C Ruiter, Fraukje E F Mevissen
{"title":"The end point of it is abstinence: a qualitative analysis of underlying factors influencing Christian leaders' adoption and implementation of sex and sexuality education in Bolgatanga, Ghana.","authors":"Augustina Dechegme Achigibah, Melody AmdjadFar, John K Krugu, Robert A C Ruiter, Fraukje E F Mevissen","doi":"10.1080/13691058.2024.2311138","DOIUrl":"10.1080/13691058.2024.2311138","url":null,"abstract":"<p><p>Adolescents' sexual and reproductive health challenges are of global public health concern and good quality sexual and reproductive health (SRH) education has an important role to play in addressing these negative sexual health outcomes. Yet in most Sub-Saharan African countries including Ghana, there is limited implementation of SRH education. Several environmental factors hinder the implementation of SRH education with the attitudes expressed by religious leaders having a major impact. We conducted semi-structured interviews with 15 Christian leaders in Bolgatanga, Ghana, to explore the factors influencing their decision to adopt and implement SRH education. Findings show that although Christian leaders were aware of (unsafe) sexual practices among adolescents, they held a conservative position on SRH education. While leaders were open to educating adolescents about sexual health, most held the opinion that SRH education for adolescents should be limited to abstinence-only and not acknowledge sexual activity or promote contraceptive use. Beliefs related to sexual morality, the perceived cause(s) of teenage pregnancy, and perceived responsibility for SRH education influenced Christian leaders' thinking about SRH education. Implementing SRH education programmes to address young people's sexual behaviour will require intervention programmes to change Christian leaders' beliefs and attitudes towards SRH education.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139746281","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}
Chunqing Lin, Diep Bich Nguyen, Lynn Nguyen, Trang Thu Nguyen, Li Li, Le Minh Giang
{"title":"Navigating cultural and gender aspects of stigma among women living with HIV in Vietnam.","authors":"Chunqing Lin, Diep Bich Nguyen, Lynn Nguyen, Trang Thu Nguyen, Li Li, Le Minh Giang","doi":"10.1080/13691058.2024.2318428","DOIUrl":"10.1080/13691058.2024.2318428","url":null,"abstract":"<p><p>Women living with HIV often face intersecting challenges of stigma and gender inequality. In Vietnam, this issue is potentially exacerbated by the patriarchal culture. From December 2021 to March 2022, we conducted in-depth interviews with 30 women living with HIV in Hanoi to better understand their experiences and the coping mechanisms to navigate HIV stigma, cultural beliefs and gender norms. The interviews explored various topics including women's social and family roles in Vietnam, HIV-related beliefs, stigma and its impact on one's health and coping strategies. Participants reported stereotypes that assumed that women living with HIV had either engaged in sex work or behaved promiscuously. These stereotypes render them vulnerable to judgement and discrimination owing to widespread expectations of female virtue. As a result, women living with HIV often enacted non-disclosure and self-isolation to avoid stigma. This self-stigmatisation negatively impacted their healthcare-seeking, employment opportunities and ability to fulfil traditional family-caring roles. Conversely, many participants exhibited resilience with the support of family and peers. Overall, the complex interplay between gender, culture and HIV stigma underscores the importance of developing culturally appropriate, multifaceted approaches to engaging family and peers, modifying gender-based discriminatory social practices and enhancing women's self-efficacy and empowerment in Vietnam.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11393182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140118946","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}
Timothy Krulic, Graham Brown, Sara Graham, Anthony McCarthy, Adam Bourne
{"title":"Stepping out of secrecy: heterosexuality, quality of life, and experiences of HIV peer navigation in Australia.","authors":"Timothy Krulic, Graham Brown, Sara Graham, Anthony McCarthy, Adam Bourne","doi":"10.1080/13691058.2024.2308667","DOIUrl":"10.1080/13691058.2024.2308667","url":null,"abstract":"<p><p>Heterosexual people make up a small, but growing proportion of people living with HIV in Australia. This article draws on semi-structured interviews with thirteen heterosexual men and women living with HIV to examine the bearing that sexual identity had on their participation in a peer navigation programme. Our analyses consider the influence of sexuality and gender on the quality of peer relations and the effects of HIV-related stigma on health service engagement and quality of life. Gender and sexuality were significant factors in establishing understanding, acceptance, and community for participants. Having their heterosexuality mirrored by a peer was affirming for men. Women instead emphasised their gendered experiences of HIV. Otherwise, participants' narratives suggested that an experienced peer could reassure, guide interactions with community and services, and ease treatment-related and nonclinical aspects of life. We see peer navigation as a promising intervention to improve the quality of life for heterosexual people living with HIV. Person-centred support from a peer may be particularly important in HIV service environments adapting to the needs of heterosexual people. Peer navigation programmes should promote choice and employ peers of diverse experiences. Implications for referral and the improvement of social services for heterosexual people living with HIV are discussed.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729227","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}
Elizabeth Valdez, Mira Weil, Saharra Dixon, Jazmine Chan, Tiarra Fisher, Alya Simoun, Justine Egan, Aline Gubrium
{"title":"Using youth participatory action research to explore the impacts of structural violence on LGBTQIA + youth health.","authors":"Elizabeth Valdez, Mira Weil, Saharra Dixon, Jazmine Chan, Tiarra Fisher, Alya Simoun, Justine Egan, Aline Gubrium","doi":"10.1080/13691058.2024.2403108","DOIUrl":"https://doi.org/10.1080/13691058.2024.2403108","url":null,"abstract":"<p><p>Queerphobia is defined as society's negative attitude towards LGBTQIA + people, translating into structures that marginalise LGBTQIA + people and contribute to health inequities that cause real harm and can be understood as structural violence. The purpose of this article is to explore what historically marginalised youth in a youth participatory action research (YPAR) project characterise as the big picture issues affecting the lives of LGBTQIA + youth. We used participatory arts-based methods to conduct community and identity building, define research questions and photo prompts, conduct data collection, engage in group thematic analysis, and make recommendations at the state policy level. We also conducted individual semi-structured interviews with participants. Our findings can be grouped into three main themes: LGBTQIA + youth may feel it is safer to remain closeted; queerphobia perpetuates housing instability; and queerphobia functions as a structural barrier to social services. Youth also developed state level policy recommendations to address the structural issues causing harm to LGBTQIA + youth health. Recommendations included increasing access to affordable housing and LGBTQIA + inclusive foster and group homes, and advocating for government-funded LGBTQIA + specific healthcare practices for LGBTQIA + youth. More youth-driven data are needed that centre those directly impacted by structural violence and associated health outcomes.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343138","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}