Emma Byrnes, Deborah Loxton, Deborah Bateson, Melissa Harris
{"title":"Australian women's experiences of contraception and pregnancy planning in the context of chronic disease.","authors":"Emma Byrnes, Deborah Loxton, Deborah Bateson, Melissa Harris","doi":"10.1080/13691058.2025.2529867","DOIUrl":"https://doi.org/10.1080/13691058.2025.2529867","url":null,"abstract":"<p><p>In women's reproductive health, access to, and use of, contraception is important, as the choices women make about contraception impact their bodily autonomy and play a significant role in their overall health. Despite this, women with chronic disease are more likely to use less effective contraceptive methods that place them at an increased risk of an unintended pregnancy. To better understand Australian women's experiences of contraception use and pregnancy planning in the context of chronic disease, we conducted a qualitative study with 23 women from the 1989-95 cohort of the Australian Longitudinal Study on Women's Health. Data were analysed using discourse analysis with a focus on gender performance and self-sacrifice. Our findings indicated two primary discourses which include the complexity of managing contraception as a part of preconception care in the context of chronic disease and the prioritisation of competing health demands. Insights from this research indicate that women require contraception that is tailored to their individual needs. This study demonstrates the need for contraceptive providers to be informed of the physical and psychological side effects and behavioural impacts of contraception and the potential implications for chronic disease status and management.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774866","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}
Amrita Namasivayam, Philip J Schluter, Sarah Namutamba, Sarah Lovell
{"title":"\"A sweet in a polythene is not sweet\": men's perceptions of their roles and experiences with family planning in East Uganda.","authors":"Amrita Namasivayam, Philip J Schluter, Sarah Namutamba, Sarah Lovell","doi":"10.1080/13691058.2024.2406472","DOIUrl":"10.1080/13691058.2024.2406472","url":null,"abstract":"<p><p>The significance of men's influence as partners in contraceptive decision-making and family size is often understated, particularly in patriarchal societies. Understanding men's experiences and perceptions of family planning is necessary to address women's unmet needs for contraception. This study examined men's involvement in contraceptive use and decision-making in the Busoga region of east Uganda. Twenty-four in-depth interviews were conducted with both male users and non-users of contraception living in urban and rural areas. Among participants, differences in preferred family size were influenced by competing norms valuing large families and economic wellbeing as reflections of men's role as a provider. Although the majority of interviewees were not opposed in principle to contraception, some men felt contraceptives undermined their own desire for a larger family. Men who supported family planning cited the economic benefits of smaller, healthier families and being able to fulfil their role as the primary breadwinner. Resistance to vasectomy and perceptions of condom use as protection against unwanted pregnancies and STIs/HIV in casual relationships, meant participants were unlikely to use male contraceptives. Efforts to increase contraceptive uptake among men should recognise the socio-cultural context of men's place within Ugandan society, to design reproductive health initiatives that engage men effectively.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"963-978"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343129","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":"Rapping about pleasure: the role of Black women's rap music in shaping Black women's sexual attitudes.","authors":"Andrea A Lewis","doi":"10.1080/13691058.2024.2424228","DOIUrl":"10.1080/13691058.2024.2424228","url":null,"abstract":"<p><p>Black women's sexuality has historically been constrained by stereotypes and a discourse focused on risks rather than pleasure. Early Black women rappers initiated vital conversations about sexual pleasure, with contemporary Black women rappers continuing to challenge norms and define Black women's sexualities. Grounded in Hip-Hop Feminism and Sexual Script Theory, this study explores how Black women interpret and find meaning in sexual pleasure-focused lyrics in Black women's rap music and how these interpretations shape their sexual self-concepts and navigation of systemic oppression. Through semi-structured interviews with 20 Black women aged 20-42 years who frequently listen to Black women rappers, thematic and discourse analysis identified three key themes: (a) prioritising sexual pleasure as a means of self-empowerment; (b) practising assertiveness as a means to achieving sexual pleasure; and (c) celebrating the body as an act of sexual pleasure. Black women rappers' unapologetic discussion of sexual pleasure empowers Black women to reclaim sexuality on their own terms, independent of dominant societal narratives. This study extends existing literature on Hip-Hop Feminism by demonstrating the transformative potential of culturally relevant media in fostering sex-positive attitudes and advocates for incorporating these messages into sexual health education for Black women.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1070-1084"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616224","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}
Jaime Garcia-Iglesias, Sophie Atherton, Peter Aggleton
{"title":"From AIDS to COVID-19, and back again.","authors":"Jaime Garcia-Iglesias, Sophie Atherton, Peter Aggleton","doi":"10.1080/13691058.2024.2408336","DOIUrl":"10.1080/13691058.2024.2408336","url":null,"abstract":"<p><p>This paper examines the influence of the COVID-19 pandemic on memories and metaphors associated with the earlier AIDS epidemic. It argues that while previous research has focused on how HIV informs COVID-19, the reverse relationship has received insufficient attention. The authors propose a more comprehensive understanding of the issues, using insights from the sociology of memory. Experiences during COVID-19 not only reshape perceptions of HIV in the present but also transform how we remember the AIDS crisis of the past. We discuss the impact of these pandemics particularly for gay and bisexual men and their connected communities. Doing so underscores the co-construction of collective memories in the present, suggesting that COVID-19 has not only redefined our experience of HIV, but it has also reframed our understanding of the earlier AIDS crisis. We conclude by highlighting the potential for these transformations to be leveraged for empowerment, political action and change. Revisiting and reframing our memories of AIDS in the light of COVID-19 can open up new avenues for optimism and positive engagement.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"979-991"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343131","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":"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":"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":" ","pages":"1023-1038"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","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}
Bryan Humberto Fallas-Rodríguez, Vivian Vílchez-Barboza, Derby Muñoz-Rojas, Jaime Alonso Caravaca-Morera
{"title":"Self-care practices during the gender transition of Costa Rican transgender men.","authors":"Bryan Humberto Fallas-Rodríguez, Vivian Vílchez-Barboza, Derby Muñoz-Rojas, Jaime Alonso Caravaca-Morera","doi":"10.1080/13691058.2024.2417706","DOIUrl":"10.1080/13691058.2024.2417706","url":null,"abstract":"<p><p>Relatively little is known about the unique needs and issues faced by transgender men and their self-care practices during gender transition. This study aimed to analyse self-care practices during gender transition through the life histories of a group of Costa Rican transgender men. A qualitative study with a sociohistorical design employing a thematic life history approach was conducted with fourteen participants between April and September 2022. Data were analysed using Content Analysis. Three categories were developed concerning self-care: (i) the shaping of self-care practices throughout different life stages; (ii) self-care practices related to masculinising the body; and (iii) self-care practices on the margins of a cisheteronormative society. The identified self-care practices took place with the goal of materialising men's gender identity socially, legally and medically. While self-care plays a key role in supporting individuals throughout the transition process, it is limited in its capacity to ensure comprehensive well-being. The social prejudice and violence encountered by transgender men poses a challenge to achieving full well-being. External pressures and adversities limit the effectiveness of self-care practices, highlighting the need for broader systemic change to enhance the overall health and wellness of transgender men in Costa Rica.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1007-1022"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496575","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}
Kyle Tan, Nabil B Husni, Jun Wei Liow, Shian-Ling Keng, Amirul Hakim Shamsudin, Thilaga Sulathireh
{"title":"Sexuality and gender change efforts in Malaysia - proximal stressors and mental ill-health amongst LGBT+ adults.","authors":"Kyle Tan, Nabil B Husni, Jun Wei Liow, Shian-Ling Keng, Amirul Hakim Shamsudin, Thilaga Sulathireh","doi":"10.1080/13691058.2024.2424225","DOIUrl":"10.1080/13691058.2024.2424225","url":null,"abstract":"<p><p>Despite growing international criticism of actions and efforts to change sexual orientation and gender identity, such efforts remain prevalent in Malaysia. Using data from a nationwide community-based survey, this study examined the prevalence of these efforts amongst LGBT+ adults and the association between exposure to them and mental health outcomes. Participants (<i>n</i> = 521) completed an online survey assessing exposure to efforts to change their sexual orientation and/or gender identity, internalised LGBT-phobia, negative future expectations, and several mental health variables. Just under sixty-four percent (<i>n</i> = 333) of participants reported having experienced change efforts, with the most common perpetrators being family members, friends and religious organisations or people. Recent (past year) and past exposure to change efforts (over one year ago) were each associated with significantly higher odds of suicidal ideation, non-suicidal self-injury, and suicide attempts. Participants with recent exposure to change efforts also reported elevated internalised LGBT-phobia and negative future expectations compared to those who lacked such experience. A content analysis of participants' open-ended responses documented the perceived impact of change efforts on proximal stressors and mental health and wellbeing. Recommendations are made for national authorities and healthcare bodies to ban efforts to change sexual orientation and gender identity in Malaysia.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1054-1069"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767026","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":"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":" ","pages":"992-1006"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","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}
Hnin Aye Kyu, Rassamee Chotipanvithayakul, Edward Braddon McNeil, Nyan Lin Thu
{"title":"Cultural taboos and low sexual and reproductive health literacy among university students in Magway city, Myanmar.","authors":"Hnin Aye Kyu, Rassamee Chotipanvithayakul, Edward Braddon McNeil, Nyan Lin Thu","doi":"10.1080/13691058.2024.2420704","DOIUrl":"10.1080/13691058.2024.2420704","url":null,"abstract":"<p><p>University students in Myanmar experience a high prevalence of sexual and reproductive health (SRH) problems including unintended pregnancies and sexually transmitted infections. These are compounded by pervasive cultural taboos surrounding sex and sexuality. Sexual and reproductive health literacy is crucial to addressing these problems. Four focus group discussions with 33 university students revealed how cultural taboos act as barriers across five SRH literacy subdomains: accessing, comprehending, criticising and applying SRH information, and communicating with healthcare providers. Students primarily relied on online health information rather than face-to-face discussions. Many students considered SRH information to be 'dirty' and experienced feelings of shame, guilt and fear of being blamed or disrespected while seeking healthcare. They therefore hesitated to visit healthcare providers and sought SRH services only in urgent medical situations. Additionally, all SRH literacy subdomains were influenced by cultural taboos surrounding sex: societal denial towards youth premarital sex, and the perception of sexual matters as embarrassing and inappropriate. Advocacy is needed to promote positive societal attitudes towards sexual matters and youth premarital sex, signalling the value of culturally tailored digital SRH literacy interventions using vernacular language. Healthcare providers should offer non-judgemental youth-centred services to promote SRH literacy among students.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1039-1053"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564151","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}
Whitney C Irie, Maya Terry, Oluwabukola Apata, Jazmyne Simmons, Sannisha K Dale, Julia L Marcus, Oni Blackstock
{"title":"'Educating, demystifying, destigmatising': Black women's perspectives on effective PrEP messaging in the USA.","authors":"Whitney C Irie, Maya Terry, Oluwabukola Apata, Jazmyne Simmons, Sannisha K Dale, Julia L Marcus, Oni Blackstock","doi":"10.1080/13691058.2025.2538213","DOIUrl":"10.1080/13691058.2025.2538213","url":null,"abstract":"<p><p>Black cisgender women in the USA are disproportionately affected by HIV but remain underrepresented in HIV-related pre-exposure prophylaxis (PrEP) messaging. Despite PrEP's efficacy in preventing HIV, uptake among Black cisgender in the USA women remains low. This qualitative study explored how PrEP messaging can better resonate with Black women's interests and needs by focusing on their experiences and preferences. We conducted semi-structured interviews with 30 Black cisgender women in the Midwest region of the USA between October and December 2022, capturing a diverse sample (US-born, African-born, and first-generation women of African descent). Thematic analysis developed four key themes: (1) the need for culturally tailored PrEP messaging strategies; (2) the importance of an empowering, inclusive tone and language; (3) challenging the perception that current PrEP advertising is primarily aimed at men who have sex with men and transgender women; and (4) the vital role of trusted voices, particularly Black women and community leaders, in promoting PrEP. Participants stressed that hearing about PrEP from individuals who share their racial, cultural, and gender identities would increase their comfort and engagement. Public health initiatives should prioritise culturally specific messaging that reflects Black women's lived experiences in the USA to reduce HIV disparities and promote equitable PrEP access.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752639","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}