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":"https://doi.org/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":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-08-26","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}
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":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-08-21","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}
Nina Van Eekert, Heba M Mohammed, Omaima El-Gibaly, Sarah Van de Velde
{"title":"Understanding the role of medicalisation in mothers' decision-making on daughters' female genital cutting in Assiut, Egypt.","authors":"Nina Van Eekert, Heba M Mohammed, Omaima El-Gibaly, Sarah Van de Velde","doi":"10.1080/13691058.2025.2529865","DOIUrl":"10.1080/13691058.2025.2529865","url":null,"abstract":"<p><p>In recent decades, female genital cutting (FGC) has become increasingly medicalised (with the practice being performed by health professionals) in Egypt. Whilst various national and international policies condemn medicalised FGC, the basis for these policies frequently rests on moral arguments and presumed outcomes rather than rigorously derived evidence. What remains largely unaddressed in debate on the shift towards medicalisation of FGC is an understanding of the decision to medicalise, viewed through the lens of the practising communities involved. Therefore, in this paper, we explore how mothers weigh the different options regarding their daughter's FGC (a traditional cut, a medicalised cut, or no cut at all) and the meanings attributed to these options. After interviewing 25 mothers in Assiut, Egypt on their decision-making, we identified two main narratives, which each provide a different answer to the question of how the choice to (not) medicalise a girl's cut is embedded in the choice of whether or not to cut. The narrative of aligning with community expectations emphasises that the practice is primarily driven by community norms and beliefs and remains the main driver behind FGC. Here, whether to turn to a healthcare provider to perform a girl's cut is decided after the decision whether a girl will be cut. In the second narrative, the narrative of observable need, families typically turn to healthcare providers with the question of whether or not to cut their daughter rather than the question who should perform their daughter's cut.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882388","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}
Patrice Ngangue, Gbetogo Maxime Kiki, Koadiyama Boiyenli, Nestor Bationo, Danièle Yopa, Eric E Dossa
{"title":"Religious leaders' perspectives on preventing adolescent pregnancy in Soudougui, Burkina Faso: a qualitative study.","authors":"Patrice Ngangue, Gbetogo Maxime Kiki, Koadiyama Boiyenli, Nestor Bationo, Danièle Yopa, Eric E Dossa","doi":"10.1080/13691058.2025.2540473","DOIUrl":"https://doi.org/10.1080/13691058.2025.2540473","url":null,"abstract":"<p><p>Adolescence is a critical period for sexual and reproductive health, with teenage pregnancy contributing significantly to maternal and neonatal mortality, especially in low- and middle-income countries. This study explores the role of religious leaders in addressing teenage pregnancy. Using a descriptive qualitative research design, 18 religious leaders from various faiths were interviewed in Soudougui in May 2022. Semi-structured interviews captured their perceptions, knowledge and views about preventive strategies regarding teenage pregnancy. Thematically analysed and contextualised. Findings highlight the influential role of religious leaders in shaping community norms in relation to sexual and reproductive health. They utilised their authority to provide age-appropriate, value-based sexual education emphasising chastity, parental involvement and responsible behaviour. Strategies included requiring civil marriage before a religious ceremony, delaying conjugal responsibilities post-marriage and providing support to girls experiencing early pregnancy as part of an effort to reduce community stigma. Views about contraception were divided, reflecting doctrinal differences and barriers to interfaith collaboration. Religious leaders offer significant potential for culturally sensitive public health interventions. However, optimising sexual and reproductive health outcomes for adolescents requires integrating evidence-based practices with religious teachings, fostering interfaith cooperation and building capacity to align public health goals with traditional values.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862188","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":"'We are aspiring to something that is not achievable by natural means': a material-semiotic rendition of 'technologies of the self', steroid use, and social media among queer men in Winnipeg, Canada.","authors":"Jared Star, Robert Lorway","doi":"10.1080/13691058.2025.2544778","DOIUrl":"https://doi.org/10.1080/13691058.2025.2544778","url":null,"abstract":"<p><p>This study examines the socio-cultural dimensions of anabolic-androgenic steroid use among queer men in Winnipeg, Canada, addressing a gap in research that often focuses on risks and harms. Using qualitative methods, 17 semi-structured interviews were conducted with current, former, and potential anabolic-androgenic steroid users. Findings reveal that anabolic-androgenic steroid use extends beyond individual health risks, acting as a 'technology of the self' that fosters physical transformation, personal empowerment, and social belonging. Participants highlighted the influence of social media and queer community aesthetics, navigating tensions between idealised body norms and lived realities. For many, anabolic-androgenic steroid use enhanced self-worth and social connections but simultaneously reinforced hegemonic masculinity and systemic inequities, particularly for men of colour. These practices reflect deeply intertwined relationships between the body, identity, and notions of community. The study criticises interventions narrowly focused on harm, advocating for compassionate, culturally informed policies that address the lived experiences and aspirations of queer men who use anabolic-androgenic steroids. By situating their use within broader socio-technical and ethical fields, the research calls for nuanced approaches that acknowledge the intersecting pressures shaping engagement with body enhancement practices.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862205","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}
Willian Roger Dullius, H Logan Michaelson, Fatemeh Habibi Nameghi, Lynn McCleary, Silvana Alba Scortegagna, Sheila O'Keefe-McCarthy
{"title":"Using arts-based methods to understand LGBT+ experiences of accessing the Brazilian health care system.","authors":"Willian Roger Dullius, H Logan Michaelson, Fatemeh Habibi Nameghi, Lynn McCleary, Silvana Alba Scortegagna, Sheila O'Keefe-McCarthy","doi":"10.1080/13691058.2025.2539357","DOIUrl":"https://doi.org/10.1080/13691058.2025.2539357","url":null,"abstract":"<p><p>All over the world, health care professionals continue to display discriminatory attitudes and behaviours towards LGBT+ people. This arts-based secondary analysis analyses the narratives of 116 LGBT+ individuals as they sought to navigate the Brazilian health care system. Participants described the health care they received as a form of erasure that was detrimental to their own perceived self-worth and overall health and mental well-being. LGBT+ people are subjected to overwhelming discrimination at all ages. Participants articulated not being able to live freely and having to hide or deny their own sexuality and gender identity to obtain equitable access to health care. Having to do this was described as having to live a non-life in a martyr-like existence. Recognition of this 'non-life' existence urges us not to accept the status quo. It calls on us to initiate social change within educational institutions and health systems internationally to disrupt and reject discrimination and oppression of this kind.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-14"},"PeriodicalIF":1.7,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854823","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":"'I just want the pain to go away': religious coping and sexual trauma recovery in South African, marginalised contexts.","authors":"Leona Morgan, Sarojini Nadar, Ines Keygnaert","doi":"10.1080/13691058.2025.2544780","DOIUrl":"https://doi.org/10.1080/13691058.2025.2544780","url":null,"abstract":"<p><p>There is increased recognition of the need to engage with psychosocial diversity in the psychotherapeutic treatment of sexual violence. Using a decolonial feminist community psychology lens, this paper explores how religious practices shape the trauma experiences of adult survivors of childhood sexual abuse in the Cape Flats region of South Africa. Drawing on data from qualitative semi-structured interviews and integrative trauma-informed care sessions with thirteen women who experienced childhood sexual abuse, this research explores how religion influences adult survivors' efforts to process childhood sexual abuse and seek healing. Characterised by structural inequities, intergenerational trauma and limited mental health services resulting from apartheid, the Cape Flats provides a context in which religion plays a paradoxical role in study participants' lives. Insights from reflexive inductive thematic analysis suggest that religion may provide supportive meaning, but also perpetuates trauma suppression through spiritual bypassing and premature forgiveness. This dynamic occurs where cultural and religious norms discourage trauma disclosure and institutionalised faith practices lack specialised trauma care. Integrative trauma-informed care sessions enable participants to engage with their trauma authentically, while cultivating an empowering connection to their faith. These findings highlight the necessity for trauma recovery approaches that address the intersections of structural inequity, gender and spirituality.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144834413","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":"Intimacy and identity negotiation in online asexual communities: beyond normative assumptions.","authors":"Gabriele Caruso, Elvira Celardi","doi":"10.1080/13691058.2025.2542842","DOIUrl":"https://doi.org/10.1080/13691058.2025.2542842","url":null,"abstract":"<p><p>The study highlights the crucial role of asexual communities in challenging traditional conceptualisations of intimacy, which have historically viewed physical closeness and sexual attraction as inherently linked. Specifically, the analysis focuses on how AVEN (Asexual Visibility and Education Network) members experience physical closeness, also examining the intersection of asexuality and kinks. Through a sentiment analysis conducted on 3,436 comments posted on the AVEN online community, undertaken using Natural Language Processing (NLP) tools, recurring themes and predominant emotions expressed by users were identified. The findings, enriched by data from 16 AVEN members semi-structured online interviews, emphasise the individualised nature of intimacy preferences among members of the asexual community, where physical closeness often serves as an emotional rather than sexual medium. The results challenge conventional intimacy frameworks, advocating for a more inclusive and nuanced understanding of human connections, supporting the development of a more liveable environment for asexual individuals.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803848","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":"Religion, culture and sexuality in Africa: critical ethnographic perspectives.","authors":"Marian Burchardt, Rijk van Dijk","doi":"10.1080/13691058.2025.2540174","DOIUrl":"https://doi.org/10.1080/13691058.2025.2540174","url":null,"abstract":"","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793704","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}
Wenxue Zou, Carrie Cui Zhang Meadows, Yan Yan, Ruofan Zhao
{"title":"Beyond labels: narratives of oscillating identities, stigma and well-being among Chinese gay men.","authors":"Wenxue Zou, Carrie Cui Zhang Meadows, Yan Yan, Ruofan Zhao","doi":"10.1080/13691058.2025.2539358","DOIUrl":"https://doi.org/10.1080/13691058.2025.2539358","url":null,"abstract":"<p><p>Gay men remain significantly marginalised in China due to entrenched cultural norms emphasising masculinity and family lineage, as well as issues of legitimacy. This study explores how young gay men in China navigate societal and intra-community stigma and the strategies they employ to manage its impact on their identity and mental well-being. Drawing on interviews with 19 participants, a critical discourse analysis of their narratives reveals a hierarchical group structure based on perceived masculinity, which creates distinctions between 'deserving' and 'undeserving' gay identities. Many participants adhere to a standardised aesthetic framework characterised by a sexualised gaze. Their perceptions of self and others often exhibit internal conflicts, and their sense of belonging appears to contribute minimally to societal change. The study highlights how Chinese gay culture is fragmented by limited openness, inclusivity, and diversity. This fragmentation results in a focus on defining 'homosexuality' itself rather than the potential of same-sex relationships to promote collective social change. In this study there was a notable disinterest among participants in consolidating a cohesive group identity, with individuals prioritising personal status over achieving a cultural consensus, thereby creating obstacles to pursuing greater social acceptance and asserting rights as part of a gay community.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788479","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}