{"title":"'You shoot it up your vagina and that's supposed to heal it?': Black women's perceptions of vaginal steaming in the USA.","authors":"Brenice Duroseau, Kasey Vigil, Leah R Murdock, Praise Iyiewuare, Shemeka Thorpe","doi":"10.1080/13691058.2026.2618749","DOIUrl":"10.1080/13691058.2026.2618749","url":null,"abstract":"<p><p>Vaginal steaming, a practice rooted in traditional medicine and popularised in wellness culture, has gained both biomedical concern and social interest. Although often framed as medically risky or scientifically unfounded, little is known about how Black women in the USA, whose reproductive health experiences are shaped by systemic neglect, commodification, and historical trauma, perceive this practice. Guided by a Black feminist lens, this qualitative study explored perceptions of vaginal steaming among eight Black women aged 23 to 70 through semi-structured interviews and thematic analysis. While only one participant had personal experience with vaginal steaming, all offered layered appraisals of the practice. Two central themes were evident: negotiating meaning and risk; and pathways of knowledge and influence. Participants expressed mixed perspectives with some viewing vaginal steaming as potentially empowering or restorative, while others questioned its safety, cost, and medical credibility. Information about vaginal steaming circulated primarily through interpersonal and digital networks, in which women engaged critically with wellness messages rather than accepting them unexamined. Findings suggest that US Black women's engagement with vaginal steaming reflects broader processes of autonomy, collective knowledge making, and critical navigation of consumer wellness culture insights that can inform more culturally responsive sexual and reproductive health communication.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1122-1132"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146092437","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":"Period poverty and sustainable menstrual hygiene practices in Fiji.","authors":"Sojin Lim, Kate Martin","doi":"10.1080/13691058.2026.2720896","DOIUrl":"https://doi.org/10.1080/13691058.2026.2720896","url":null,"abstract":"<p><p>This study examines the sociocultural dimensions of period poverty and their relationship to sustainable menstrual hygiene management (MHM) through a qualitative case study of rural communities in Fiji. Fieldwork was conducted in four remote Fijian communities using talanoa methodology. The findings indicate that sociocultural stigma surrounding menstruation persists, although its intensity varies depending on community size and generational attitudes. The provision of free reusable pads encourages greater dialogue about menstruation between men and women and thereby contributed to reducing menstrual taboos within families and communities. However, limited water access, inadequate sanitation infrastructure, and enduring sociocultural stigma continued to impede effective MHM and the sustainable use of reusable products. Environmental awareness relating to menstrual waste remains limited. Addressing period poverty in Fiji requires context-specific programmes and interventions on MHM education for both women and men, not only in the community but also in schools and workplaces, while greater attention is given to improving water and sanitation infrastructure in remote settlements and villages.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863960","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}
Heather M Tucker, Don Catherine Awuor, Anita Mbanda, Rebecca Odhiambo, Saige Porter, Emmy Igonya
{"title":"Heterosexual 'situationships' and HIV exposure for sexual and gender minority persons assigned female at birth in the Western Kenyan context.","authors":"Heather M Tucker, Don Catherine Awuor, Anita Mbanda, Rebecca Odhiambo, Saige Porter, Emmy Igonya","doi":"10.1080/13691058.2025.2515199","DOIUrl":"10.1080/13691058.2025.2515199","url":null,"abstract":"<p><p>Sexual and gender minority persons assigned female at birth (hereafter referred to as lesbian, bisexual, queer, transgender, intersex, gender non-conforming, non-binary and other sexual and gender minority persons, or LBQT+ persons) experience extreme vulnerabilities to negative sexual health outcomes due to intersectional stigma in the Western Kenyan context. To navigate the structural violence created by this intersectional stigma, many LBQT+ persons manoeuvre heterosexual 'situationships', or relationships with cis-gender men. While such relationships help them to navigate economic inequalities and gendered expectations, they create vulnerability to intimate partner violence, and negative sexual and reproductive health outcomes, as well as the risk of acquiring HIV. Reflecting on the findings from a three month long feminist ethnographic study in Kisumu, Kenya, this paper explores the lived realities of LBQT+ persons, including those within heterosexual 'situationships', and the need to navigate compulsory heterosexual norms. The paper aims to challenge any conception that members of this group may not be vulnerable to HIV, highlighting the need to include the group and its specific needs in HIV and sexual and reproductive health interventions, research and programming, and calling for greater attention to the structural stigma its members experience as a barrier to health.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1025-1036"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332612","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}
Michelle Xu, Pamela Lotke, Melissa Figueroa, Nora Doty, Jonathan Baum
{"title":"Reproductive health and ChatGPT: an evaluation of AI-Generated responses to commonly asked abortion questions.","authors":"Michelle Xu, Pamela Lotke, Melissa Figueroa, Nora Doty, Jonathan Baum","doi":"10.1080/13691058.2025.2517289","DOIUrl":"10.1080/13691058.2025.2517289","url":null,"abstract":"<p><p>Recent assessments of ChatGPT in relation to a variety of pregnancy-related questions have shown mixed results. Rapidly evolving rules and regulations in the USA have led to a confusing abortion landscape, making up-to-date and evidence-based abortion information essential to those considering an abortion. The purpose of this study was to evaluate ChatGPT as a source of information for commonly asked medication and procedural abortion questions by performing a qualitative analysis. We queried ChatGPT-3.5 on ten fact-based abortion questions and ten clinical scenario abortion questions. Query responses were graded by three complex family planning physicians to be 'acceptable' or 'unacceptable' and 'complete' or 'incomplete'. The responses were then compared to evidence-based research published by the American College of Obstetricians and Gynaecologists (ACOG), the Society of Family Planning (SFP), PubMed-indexed evidence, as well as physician clinical experience. In our assessment, a grade of acceptable was given to 65% of responses, however a grade of complete was only given to 8% of responses. In general, fact-based questions were more accurate than clinical questions. Our analysis of ChatGPT suggested it can regurgitate facts found online, but it still lacks the ability to provide understanding and context to clinical scenarios that clinicians are better equipped to navigate.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1053-1065"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474162","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":"Postpartum as a site of sexual script renegotiation and intensification among women socialised within purity culture.","authors":"Ashley Hudson","doi":"10.1080/13691058.2026.2726337","DOIUrl":"https://doi.org/10.1080/13691058.2026.2726337","url":null,"abstract":"<p><p>This interview study examined how postpartum women socialised within the Purity Culture Movement (PCM) in the USA navigated inherited sexual scripts during the transition to motherhood. Purity Culture, a religious system emphasising premarital abstinence, modesty, and sexual obligation within marriage, is widely associated with sexual shame and relational strain. Less is known about how women rework these beliefs after childbirth. Fifteen postpartum women were recruited from faith-informed maternal communities across the USA and screened to include those reporting either high or low sexual satisfaction. Interviews were analysed using reflexive thematic analysis within an interpretive feminist framework. Four processes were identified through which purity-based meanings were destabilised, renegotiated, or intensified. Bodily change, sexual pain, marital communication, and faith-based reinterpretation were key sites of negotiation. Women described moral responsibility, distance from their own desire and silence about sexual health, alongside embodied reclamation, shared rewriting of sexual scripts and greater flexibility in belief. Relational safety, access to clinical language and care, and theological flexibility distinguished renegotiation from intensification. Postpartum emerged as a bifurcated life-stage in which inherited religious sexual scripts may be reinforced or remade, with implications for culturally responsive sexual healthcare and for scholarship on religion and sexuality.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148873178","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":"Beyond the waiting room: exploring male participation in maternal health care in Nyasa District, Tanzania.","authors":"Fredy E Ndunguru, Kastory A Mbunda","doi":"10.1080/13691058.2025.2609885","DOIUrl":"10.1080/13691058.2025.2609885","url":null,"abstract":"<p><p>This study examined male participation in maternal healthcare in Nyasa District, southern Tanzania. Although health policies emphasise men's involvement, it is often narrowly defined as physical presence at antenatal or delivery facilities. Using a qualitative case study with 45 semi-structured interviews and four focus group discussions with men and women, the research explored how men actually engage in maternal care. Thematic analysis revealed that men's contributions extend well beyond clinic attendance to include financial and logistical support, birth preparedness, household assistance, emotional care, family planning participation, and monitoring maternal wellbeing. Women appreciated these forms of involvement but also reported persistent inequities, particularly in contraceptive decision-making, where male authority often prevailed. Limited clinic attendance was largely shaped by structural and livelihood constraints rather than disengagement, including subsistence farming, informal work, long travel distances, and gendered clinic environments. In the context of rural poverty and evolving gender norms, men's participation reflects both continuity and change in household gender relations. The study highlights the need for a comprehensive, context-sensitive understanding of male involvement that recognises relational care, addresses power imbalances, and informs inclusive, gender-equitable, and locally responsive maternal health policies and interventions.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1076-1088"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145892397","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":"Counselling men involved in unintended pregnancy.","authors":"Hege Follestad, Anita Berg","doi":"10.1080/13691058.2025.2516115","DOIUrl":"10.1080/13691058.2025.2516115","url":null,"abstract":"<p><p>This study examined counsellors' experiences of supporting men during pregnancy-related decision-making processes in the context of unintended pregnancy. Research has demonstrated that men often feel excluded or neglected during pregnancy and childbirth, with health personnel struggling to meet their needs in a field that is widely regarded as being woman centred. This study utilised data from two focus groups, comprising a total of 13 counsellors, conducted at a Norwegian health service offering counselling to individuals who are pregnant and uncertain. In the study, counsellors acknowledged that unintended pregnancies can also be crises for men, who have unique needs. Counsellors expected men to be involved in decision-making but faced challenges ensuring this involvement did not compromise the rights of women. To navigate these power dynamics and men's emotions, counsellors must maintain awareness of their personal values, striving for neutrality and openness to men's perspectives. These findings recognise the different reactions and involvements of men facing unintended pregnancy and stress the importance of inclusivity in pregnancy option counselling.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1037-1052"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144301309","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":"Holding the system together with tape: Social workers' experiences in migrant sexual and reproductive health services in Türkiye.","authors":"Aslı Saban, Merve Deniz Pak Güre","doi":"10.1080/13691058.2025.2611417","DOIUrl":"10.1080/13691058.2025.2611417","url":null,"abstract":"<p><p>This study examined the experiences of social workers providing sexual and reproductive health and rights (SRHR) services to migrant populations in Türkiye. Using a qualitative phenomenological approach, in-depth interviews were conducted with 25 social workers, and data were analysed through thematic analysis. Findings were organised under three headings: intersectional vulnerabilities in migrant communities; institutional and individual challenges for social workers; and recommendations for strengthening SRHR-focused social work. Legal precarity, cultural differences, and information gaps created complex SRHR needs among migrants. Participants reported role ambiguity, institutional neglect, and emotional burden, which reduced their capacity to deliver sustainable and rights-based care. Access to SRHR services for migrants-particularly those of uncertain legal status-remained structurally constrained, highlighting a key barrier undermining long-term service sustainability. Informal coping strategies and peer support helped manage emotional strain, yet were insufficient without structural backing. Study findings underscore the need for culturally responsive, coordinated, and ethically grounded SRHR provision. They also call for rights-based and status-independent service models to ensure equitable access for all individuals. Strengthening social work practice in migrant SRHR settings in Türkiye requires investment in training, supervision, and interdisciplinary collaboration to improve both service quality and practitioner well-being.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1098-1112"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145948383","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}
Daniel Green, Alison Sutton-Ryan, Kimberly van Vulpen, Michèle M Schlehofer, Jeffrey Willey
{"title":"Healthcare experiences of transgender and gender diverse adults in rural areas in US 'affirming' states.","authors":"Daniel Green, Alison Sutton-Ryan, Kimberly van Vulpen, Michèle M Schlehofer, Jeffrey Willey","doi":"10.1080/13691058.2026.2616282","DOIUrl":"10.1080/13691058.2026.2616282","url":null,"abstract":"<p><p>Transgender and gender diverse adults experience significant health disparities, including accessing and utilising healthcare services. Geographic location appears to impact health disparities with rural-residing transgender and gender diverse adults experiencing less healthcare access, utilisation of services, and ultimately worse health outcomes compared to their urban-residing peers. However, less is known about the unique experiences of transgender and gender diverse adults living in rural areas within states in the USA that have enacted policies protecting access to and/or extending benefits for gender-affirming healthcare. In this study, fifteen adults participated in interviews describing their healthcare experiences in one rural community within US states that had enacted policies protecting access to and/or extending benefits for gender-affirming healthcare. Findings suggest residing in a state with these protections and benefits may not sufficiently address issues with access and patient experience. Negative findings included a lack of healthcare services, the need to travel long distances for healthcare, a lack of consistent healthcare, and experiences of discrimination. Positive findings included local support services and affirming healthcare providers. These findings can inform medical providers and policymakers about persistent issues related to the access and use of healthcare services by transgender and gender diverse adults.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1113-1121"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003084","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}
María Virginia Cordero-Cordero, Sofía Palacios-Jerves, Elena Jerves-Hermida, Jessica Castillo-Nuñez
{"title":"'There is no option; we do not have the option to say no': sexual consent among Ecuadorian adolescents and young women.","authors":"María Virginia Cordero-Cordero, Sofía Palacios-Jerves, Elena Jerves-Hermida, Jessica Castillo-Nuñez","doi":"10.1080/13691058.2025.2608877","DOIUrl":"10.1080/13691058.2025.2608877","url":null,"abstract":"<p><p>Sexual consent is central to healthy sexual relationships and helps prevent sexual violence. Despite its importance, however, the subject has rarely been studied in Ecuador, a country where rates of sexual violence against young women are particularly high. This study explored adolescents' and young women's views on sexual consent. Using a qualitative approach, four focus groups were conducted with 30 participants aged between 15 and 24 years from public and private schools and universities in the Ecuadorian cities of Cuenca and Azogues. Data were subjected to thematic analysis. The findings suggest is a lack of good quality sexuality education in the formal education system. This means that adolescent girls and young women do not know how to communicate consent assertively. Based on traditional gender roles, they are expected to be available to satisfy male desires, often giving false consent and minimising their emotions, failing to recognise violence for what it is. Study findings results highlight the need for a better understanding of sexual consent. This would make women more aware of their own sexual desires and how to communicate them, which could help to prevent violence.</p>","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1066-1075"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145862279","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}