{"title":"Navigating LGBTQ+ visibility in Poland: evidence from a community experiencing minority stress.","authors":"Barbara Chojnacka, Edyta Sielicka","doi":"10.1080/13691058.2024.2439569","DOIUrl":"10.1080/13691058.2024.2439569","url":null,"abstract":"<p><p>The aim of this study was to analyse the visibility management strategies used by individuals within the LGBTQ+ community in Poland. Narrative interviews were conducted with ten adults who had experienced minority stress, affecting their family, school, professional and social lives. In the process of coming out, all the interviewees had adopted at least two visibility management strategies. These strategies included avoidance, pretence/fitting in, escape, aggression/defence, and openness. Findings contribute to understanding of the visibility management strategies used by individuals who experience minority stress and illustrate the individual aspects of the visibility management process as influenced by the family and social context. The conclusions reached should be treated as the starting point for further research on visibility management among gender and sexuality minority individuals in Poland.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1163-1178"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823975","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}
Susan C S Chong, Gene Lim, Kirsty Machon, Heather Mugwagwa, Jennifer Johnson, Roslyn Le Gautier, Jennifer Power
{"title":"Missing voices: building women living with HIV's meaningful engagement in HIV clinical and cure research.","authors":"Susan C S Chong, Gene Lim, Kirsty Machon, Heather Mugwagwa, Jennifer Johnson, Roslyn Le Gautier, Jennifer Power","doi":"10.1080/13691058.2024.2408353","DOIUrl":"10.1080/13691058.2024.2408353","url":null,"abstract":"<p><p>Women living with HIV are consistently under-represented in HIV clinical trials, including cure trials. Little is known about how cisgender women living with HIV in Australia perceive HIV cure research, their level of trust in research institutions/staff, and factors salient to participation in HIV cure trials. Semi-structured interviews were conducted with women living with HIV and clinicians working with women living with HIV to investigate motivations and barriers to gender-equitable representation in HIV clinical research. Participant motivations for participation included altruistic desires to benefit younger women, and to optimise resulting interventions. Women living with HIV expressed optimism that a cure would dispel HIV-related stigma and brings about substantial material improvement to their lives. Reluctance to participate related to concerns regarding potential side-effects, antiretroviral treatment interruption, and impacts on fertility. Unfamiliarity with trials, confidentiality concerns and logistical difficulties were also cited. Lastly, onerous eligibility criteria, clinicians' assumptions about women's willingness and ability to meaningfully provide consent to participation were cited as barriers which could be addressed. Bolstering women's participation in HIV cure research requires consideration of factors relating to reproductive health, analytical treatment interruption, and recruitment. Engaging women living with HIV in trial design and promotion may help overcome these issues.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1097-1113"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343133","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":"'The abortion gave me my life back': the long-term impact of access to self-managed medication abortion through telemedicine on women's lives in legally restricted countries.","authors":"Romy Frances van den Dungen, Rebecca Gomperts","doi":"10.1080/13691058.2024.2408337","DOIUrl":"10.1080/13691058.2024.2408337","url":null,"abstract":"<p><p>Approximately 753 million women (38%) of reproductive age live in countries with restrictive abortion laws. To overcome these legal constraints, women access safe self-managed medication abortions through telemedicine abortion services. This study aimed to explore the long-term impact of accessing a self-managed medication abortion through telemedicine service on women's lives in countries with restrictive abortion laws. We conducted interviews with eleven women (from eleven different countries) who accessed a self-managed medication abortion through online telemedicine between 2014 and 2018 in a legally restricted country. We analysed interviews thematically. Three key themes were developed: (1) access to abortion positively impacted life plans; (2) the negative influence of the legally restricted environment wore off and their well-being improved; (3) participants are now using their own experiences to help others by either sharing information or facilitating access to abortion. In summary, our findings highlight the positive impact of access to self-managed medication abortion and underline the importance of ensuring access to abortion for everyone.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1085-1096"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343136","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":"The medical consultation as a site for governing abortion.","authors":"Erica Millar","doi":"10.1080/13691058.2024.2449514","DOIUrl":"10.1080/13691058.2024.2449514","url":null,"abstract":"<p><p>Australian abortion law channels abortion seekers into consultations with medical professionals. This article draws on clinical guidelines on abortion care to analyse three features of the medical consultation: counselling, contraceptive counselling, and dating ultrasounds. Reading clinical guidelines as a means by which the state attempts to enrol medical professionals into systems of governance, it argues that the medical consultation is a site at which abortion seekers are incited to think, feel and act according to norms of gender that naturalise parenthood and birth for pregnant people as well as the biopolitical aim to increase the use of contraception to reduce abortions. Norms of the medical consultation are productive of abortion exceptionalism and decentre the needs, authority and embodied experiences of abortion seekers. After unpacking how these norms circulate in clinical guidelines on abortion care, this article turns briefly to an alternative model of care developed in self-managed abortion activist scholarship. This model underlines the regulatory norms currently embedded within medical consultations while also providing a pathway through which they can be reconfigured to better centre and support abortion seekers.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1210-1225"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062568","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":"Exploring the relationship between medically unnecessary childhood penile circumcision and adult mental health.","authors":"Leeanne Morris","doi":"10.1080/13691058.2024.2447433","DOIUrl":"10.1080/13691058.2024.2447433","url":null,"abstract":"<p><p>There is increasing recognition of the need to address the diverse experiences of individuals subjected to medically unnecessary, non-voluntary genital cutting in childhood. This includes children with intersex traits undergoing 'normalisation' surgeries and those with anatomically normative genitalia, such as female genital cutting or male circumcision. While most research on non-therapeutic childhood penile circumcision centres on the physical risks and benefits, far less attention has been given to the potential long-term mental health impacts, particularly from a psychotherapeutic perspective. This article adds to the existing literature by amplifying the voices of individuals who feel silenced. It presents a qualitative analysis of five interviews with men who believe their childhood circumcision negatively impacted their mental health. The analysis identifies three super-ordinate themes, highlighting the need for grief and trauma work to process unresolved psychological distress. However, the study acknowledges that these experiences may not reflect those of the broader circumcised population. Finally, the research underscores the importance of counselling professionals being adequately informed to support individuals reporting circumcision-related mental health challenges, and offers recommendations for effective therapeutic interventions aligned with existing theories of grief, trauma, and attachment.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":"27 9","pages":"1195-1209"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144905681","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":"Preparing to play: a thematic analysis of bottom training in gay men's fist-play.","authors":"Jarred H Martin","doi":"10.1080/13691058.2024.2408358","DOIUrl":"10.1080/13691058.2024.2408358","url":null,"abstract":"<p><p>Anal fisting amongst gay men has been characterised as a risky form of sexual play, particularly for the bottoming (receptive) playmate. This view may be oversimplistic and fail to recognise how fist-bottoms ready themselves for fist-play through preparatory journeys of bottom training. This study explored how gay men who bottom in fist-play understand bottom training and how this understanding informs their personal sense of pleasure, risk, and safety. Unstructured individual interviews were conducted with 8 gay men who play as fist-bottoms. An inductive thematic analysis was conducted on the data, from which four main themes were developed: (1) training the body to play; (2) training for headspace; (3) training to understand pleasure; and (4) training by rules. Taken together, the findings highlight how fist-bottoms understand their bottom training as both a formative and transformative process that shapes their corporeal, psychological, erotic, and subcultural knowledge and skills to navigate play. Through bottom training, fist-bottoms explore and attune their understanding of what is safe and pleasurable, as well as riskier play.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1114-1128"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343135","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":"Sprouting sideways: queer temporalities and kinship in donor conception.","authors":"Rikke Andreassen, Giselle Newton, Ulrika Dahl","doi":"10.1080/13691058.2024.2446260","DOIUrl":"10.1080/13691058.2024.2446260","url":null,"abstract":"<p><p>Temporal constructs are central to reproduction and kinship, as epitomised by the pervasive concept of the biological clock within public imaginaries. While queer scholarship has problematised linear models of kinship and reproductive temporality, the specific temporalities associated with donor-conceived families have received less scholarly attention, despite the increasing prevalence of these family structures. In this article, we explore the question: how does donor conception reconfigure temporal logics. More specifically, we ask how does donor conception challenge (hetero)normative temporalities and kinship organisations. We examine donor conception through narratives of the embodied and intimate experiences of key stakeholders in the form of clinical staff, parents and donor-conceived adults, across case studies conducted in Denmark, Sweden and Australia. Our analysis illuminates distinct temporal perspectives: for clinic staff, donors exist in a static present; for recipient parents, the donor's past is integrated into the present; and for donor-conceived adults, the donor is embedded within fragile futurities. We propose the concept of sideways temporalities to capture the queering of temporal logics in donor conception, characterised by non-normative scale (e.g. extensive sibling networks) and velocity (e.g. immediate matching via DNA testing).</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1179-1194"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977918","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}
Elise Burton Johnson, McKay C Ross, Riley Ure, David M Erekson, Melissa Goates-Jones
{"title":"'Hoping for a life that isn't just surviving:' a qualitative study on sexual minority college students' experiences with identity formation and coming out at a religious institution in the USA.","authors":"Elise Burton Johnson, McKay C Ross, Riley Ure, David M Erekson, Melissa Goates-Jones","doi":"10.1080/13691058.2024.2439026","DOIUrl":"10.1080/13691058.2024.2439026","url":null,"abstract":"<p><p>This study explores the identity formation and coming out experiences of 14 sexual minority students at a religiously affiliated university in the USA. Participants described their experiences of cultural, religious, and societal pressure that extended the process of self-acceptance and identity disclosure. We used consensual qualitative research method to analyse each interview. Our analysis led to the identification of eight domains: identity formation; barriers to understanding identity; evolution of label; adoption of label, avoidance of label; coming out process; barriers to coming out; and reactions to coming out. Self-defining moments such as adopting an affirming identity label, disclosing that identity to others, and beginning to initiate non-heterosexual relationships, formed the basis of these domains. Overall, we found that participants described some experiences identified in previous literature. However, we also analysed new information which indicates that the coming out process is lengthy, heavily dependent on context, and problematic issues may arise throughout a lifetime. Findings point to under-researched factors influencing the complexities sexual minority students face within conservative religious institutions.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1147-1162"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892252","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":"The role of we-ness in Chinese serodiscordant male couples' coping with HIV: a mixed-methods study.","authors":"Rong Fu, Jianhua Hou, Chen Chen, Yuzhou Gu, Nancy Xiaonan Yu","doi":"10.1080/13691058.2024.2428814","DOIUrl":"10.1080/13691058.2024.2428814","url":null,"abstract":"<p><p>Men who have sex with men represent a significant portion of new HIV diagnoses in China. Guided by the systemic transactional model and interdependence theory, we examined the mediating role of 'we-ness' between dyadic coping and HIV-specific support among Chinese serodiscordant male couples, and how cultural interdependence shapes this we-ness. We employed a mixed-methods design which included a cross-sectional survey of 234 couples and qualitative interviews with 20 couples. Using the actor-partner interdependence mediation model, our quantitative analysis found that (1) both positive and negative dyadic coping had significant actor effects but nonsignificant partner effects on HIV-specific support, and (2) we-ness mediated both dyadic coping strategies and HIV-specific support, with significant actor-actor effects and partner-actor effects. Our qualitative inquiry identified that we-ness is fundamentally shaped by couples' negotiated pattern of interdependence, characterised by selective independence in HIV care alongside interdependence in HIV prevention. Our findings advance theoretical understanding by demonstrating we-ness as a critical mediating mechanism and reveal how couples' negotiated interdependence extends beyond the traditional continuum between dependence and independence. Findings suggest the need for culturally embedded interventions that recognise couples' shared we-ness and strategic negotiation in HIV management.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1129-1146"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709375","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 A McConnell, Yelizaveta Aleksyuk, Michelle Birkett
{"title":"Structural factors shape racial differences in neighbourhood-level HIV risk environments for young men who have sex with men.","authors":"Elizabeth A McConnell, Yelizaveta Aleksyuk, Michelle Birkett","doi":"10.1080/13691058.2025.2544776","DOIUrl":"https://doi.org/10.1080/13691058.2025.2544776","url":null,"abstract":"<p><p>Despite lower or comparable rates of individual HIV risk behaviours, Black young men who have sex with men in the USA experience disproportionately high rates of HIV. This calls for the exploration of network- and neighbourhood-level determinants of HIV vulnerabilities. Research highlights how Black young men who have sex with men are more likely to reside in low-resource neighbourhoods, to be affiliated with a broader range of neighbourhoods, and to be embedded in densely connected, racially homophilous sexual networks. Using a risk environments framework, this study examines how structural factors (such as racial segregation, resource inequality, poverty, community violence, and racist policing) influence the neighbourhood characteristics affecting Black, Latino, and White young men who have sex with men in Chicago. In turn, neighbourhood-level factors may drive racial disparities in HIV by influencing the consequences of individual risk behaviours. This study suggests that addressing these disparities by targeting the structural factors that shape risk environments is important in reducing HIV-related risk. It contributes to a growing body of work calling for multilevel, equity-focused approaches to HIV prevention among young men who have sex with men in the USA.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945888","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}