Culture, Health & Sexuality最新文献_第7页

Indigenous research methods for healing sexual trauma with Cree women. 采用本土研究方法治愈克里族妇女的性创伤。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-11 DOI: 10.1080/13691058.2024.2346532

Josie C Auger, Janelle Baker, Lorraine Cardinal, Angela James, Melissa Jay, Sharon Loonskin

引用次数: 0

The medicalisation of female genital cutting in Kenya: a threefold exposition. 肯尼亚切割女性生殖器的医学化：三重论述。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-11 DOI: 10.1080/13691058.2024.2363412

Jolien Inghels, Sarah Van de Velde, Naomi Biegel, Samuel Kimani, Nina Van Eekert

{"title":"The medicalisation of female genital cutting in Kenya: a threefold exposition.","authors":"Jolien Inghels, Sarah Van de Velde, Naomi Biegel, Samuel Kimani, Nina Van Eekert","doi":"10.1080/13691058.2024.2363412","DOIUrl":"https://doi.org/10.1080/13691058.2024.2363412","url":null,"abstract":"In Kenya, the prevalence of Female Genital Cutting (FGC) is slowly decreasing. Simultaneously, the practice is increasingly being performed by healthcare providers rather than traditional circumcisers, which may pose the risk of legitimising the practice. To date, the underlying mechanisms remain poorly understood. Using the 1998, 2008-09, and 2014 Kenyan Demographic Health Surveys, this study aims to enhance understanding by mapping both FGC prevalence and medicalisation rates across birth cohorts and ethnic groups. Additionally, the study delves into data from the Kisii community, where FGC medicalisation is particularly high, to examine the association between medicalisation and a mother's social position, as she is typically the primary decision-maker regarding the practice. Findings reveal that the coexisting trends of decreasing prevalence and increasing medicalisation exhibit significant ethnic variation. Among the Kisii, greater wealth is associated with higher odds of a medicalised cut compared to a traditional cut, while higher education and media use are linked to higher odds of not undergoing cutting at all compared to a medicalised cut. Our findings nuance the international community's premise that the medicalisation of FGC hinders the eradication of the practice.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300276","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}

引用次数: 0

LGBTQ+ disclosure: challenges and possibilities. LGBTQ+ 披露：挑战与可能性。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-07 DOI: 10.1080/13691058.2024.2360989

Maya Rabins, Jill Brennan-Cook, Gillian Jackson, Amie Koch

引用次数: 0

Taking matters into our own hands? Hierarchies of power and knowledge in online framings of IUD self-removal. 自己的事情自己做？网上宫内节育器自行取出框架中的权力和知识等级。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-07 DOI: 10.1080/13691058.2024.2362292

Kristina Saunders

{"title":"Taking matters into our own hands? Hierarchies of power and knowledge in online framings of IUD self-removal.","authors":"Kristina Saunders","doi":"10.1080/13691058.2024.2362292","DOIUrl":"https://doi.org/10.1080/13691058.2024.2362292","url":null,"abstract":"This article examines how intrauterine device (IUD) self-removal is framed in online sources containing the views of contraceptive providers. While research has explored power and knowledge hierarchies in clinical interactions between contraceptive users and providers, and has highlighted the safety of IUD self-removal, little is known about how self-removal is represented by providers in accessible online sources that may be relied upon by contraceptive users for information. A discourse analysis of 42 provider-generated online sources found that provider authority over contraception is reinforced through biomedical constructions of risk and safety in framings of self-removal. The data reveal how the sharing of self-removal experiences between IUD users via online platforms was perceived to threaten contraceptive provider expertise, resulting in the dismissal of users' experiential knowledge. While some sources were supportive, the framings of self-removal discussed in this paper typically mirror the unequal power relations of in-person contraceptive user/provider interactions. The sources analysed therefore demonstrate how power and knowledge hierarchies are reproduced and extend beyond clinical interactions to the digital context, reflecting broader socio-structural controls over bodies, knowledge, and reproductive decision-making.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283273","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}

引用次数: 0

One person, many changes: a socioecological qualitative analysis of the experiences of transfeminine individuals undergoing feminising gender-affirming hormone therapy. 一个人，许多变化：对接受女性化性别确认激素疗法的变性人的经历进行社会生态学定性分析。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-03 DOI: 10.1080/13691058.2024.2358099

James A Fowler, Sarah Warzywoda, Mera Reyment, Tyson Crilly, Nia Franks, Fiona Bisshop, Penny Wood, Judith A Dean

{"title":"One person, many changes: a socioecological qualitative analysis of the experiences of transfeminine individuals undergoing feminising gender-affirming hormone therapy.","authors":"James A Fowler, Sarah Warzywoda, Mera Reyment, Tyson Crilly, Nia Franks, Fiona Bisshop, Penny Wood, Judith A Dean","doi":"10.1080/13691058.2024.2358099","DOIUrl":"10.1080/13691058.2024.2358099","url":null,"abstract":"Gender-affirming hormone therapy (GAHT) comes with many physical, psychological, and social changes that are often considered in isolation. This research uses a socioecological lens with a sample of 15 Australian transfeminine individuals to investigate the changes experienced during GAHT. Semi-structured interviews were conducted in 2022, with verbatim transcripts analysed using deductive thematic analysis with Bronfenbrenner's Socioecological Model (SEM) as a framework. Analyses revealed two themes intersecting multiple levels of the SEM. Theme 1 contained two sub-themes and broadly encapsulated how interactions with others influenced GAHT experiences. Sub-theme 1 spoke to how stigma creates positive or negative experiences (through the macrosystem, the exosystem, and proximal processes), while sub-theme 2 described how GAHT causes internal changes that promoted stronger interpersonal relationships (person and proximal processes). Theme 2 described how changes occurred over time, with some changes being temporary, and others being delayed (person and time). These themes highlight the interconnected nature of the physical, psychological, and social changes and experiences that can occur during GAHT. Best-practice care for trans people undergoing GAHT needs to be multi-faceted and holistic in order to embed support across different SEM components.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141198974","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}

引用次数: 0

Fertility preservation and protection: young women's decision-making about contraceptive use in Zimbabwe. 保存和保护生育能力：津巴布韦年轻妇女关于避孕药具使用的决策。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-01 Epub Date: 2023-09-20 DOI: 10.1080/13691058.2023.2258175

Constancia V Mavodza, Constance R S Mackworth-Young, Rangarirayi Nyamwanza, Portia Nzombe, Ethel Dauya, Chido Dziva Chikwari, Mandikudza Tembo, Rashida A Ferrand, Sarah Bernays

{"title":"Fertility preservation and protection: young women's decision-making about contraceptive use in Zimbabwe.","authors":"Constancia V Mavodza, Constance R S Mackworth-Young, Rangarirayi Nyamwanza, Portia Nzombe, Ethel Dauya, Chido Dziva Chikwari, Mandikudza Tembo, Rashida A Ferrand, Sarah Bernays","doi":"10.1080/13691058.2023.2258175","DOIUrl":"10.1080/13691058.2023.2258175","url":null,"abstract":"The study explored social and health system influences on young women's decision-making about family planning in a community setting with low uptake. Seventy-two semi-structured interviews were conducted between April 2020 and November 2021, with both young women accessing, and healthcare workers providing, a community-based integrated package of HIV and sexual and reproductive health services (CHIEDZA) in Zimbabwe. Data were thematically analysed. Although long-acting contraception was freely available as part of the CHIEDZA initiative, uptake was low. Young women's contraception choices were influenced by a desired reproductive sequence, which reflected prevailing social norms and was conveyed by peers and female relatives. Nulliparous young women preferred short-term contraception and avoided hormonal contraceptives prepartum to 'preserve' their fertility. Once fertility had been confirmed within marriage through the birth of a child, hormonal contraceptive use became socially permissible. Healthcare workers, cognisant of community discourse, sensitively proposed alternative approaches. Increasing the availability of correct and adequate information and commodities is critical to improving the uptake of contraceptives for young women, but it is insufficient alone. Recognising and responding to local contextual understandings which frame considerations of appropriateness is paramount. Successful implementation of family planning interventions requires engaging with social norms and the influential groups that perpetuate them.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41111448","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}

引用次数: 0

Sexual and reproductive health literacy of culturally and linguistically diverse young people in Australia: a systematic review. 澳大利亚文化和语言多样的年轻人的性健康和生殖健康素养：一项系统综述。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-01 Epub Date: 2023-09-27 DOI: 10.1080/13691058.2023.2256376

Alison Lirios, Amy B Mullens, Kirstie Daken, Claire Moran, Zhihong Gu, Yibeltal Assefa, Judith A Dean

{"title":"Sexual and reproductive health literacy of culturally and linguistically diverse young people in Australia: a systematic review.","authors":"Alison Lirios, Amy B Mullens, Kirstie Daken, Claire Moran, Zhihong Gu, Yibeltal Assefa, Judith A Dean","doi":"10.1080/13691058.2023.2256376","DOIUrl":"10.1080/13691058.2023.2256376","url":null,"abstract":"Young people from culturally and linguistically diverse backgrounds experience barriers accessing sexual and reproductive health (SRH) information and care. This systematic review, utilising a pre-determined protocol, performed according to PRISMA guidelines, explored SRH knowledge, attitudes and information sources for young (16-24 years) culturally and linguistically diverse background people living in Australia, to gain understanding of their sexual health literacy. CINAHL, Embase, MEDLINE, PubMed and Scopus were systematically searched with inclusion criteria applied to 216 articles. After title and abstract screening, backward/forward searching, and full-text review of 58 articles, 13 articles from eight studies were identified. Thematic analysis, guided by core constructs from cultural care theory, identified three themes: (1) SRH knowledge varied by topic but was generally low; (2) young people's attitudes and beliefs were influenced by family and culture; however, 'silence' was the main barrier to sexual health literacy; and (3) Access to SRH information was limited. To attain sexual health literacy and equitable access to culturally-congruent and responsive SRH information and care, there is a need for theory-informed strategies and policies that address the diverse social, cultural and structural factors affecting young culturally and linguistically diverse background people, especially the 'silence' or lack of open SRH communication they experience.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41093840","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}

引用次数: 0

'I could see myself doing something like that': US women's engagement with characters who experience abortion, adoption and surrogacy on Little Fires Everywhere. 我可以看到自己做这样的事情"：美国女性与《小火遍地》中经历堕胎、领养和代孕的角色的互动。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-01 Epub Date: 2023-08-07 DOI: 10.1080/13691058.2023.2242436

Stephanie Herold, Gretchen Sisson

{"title":"'I could see myself doing something like that': US women's engagement with characters who experience abortion, adoption and surrogacy on Little Fires Everywhere.","authors":"Stephanie Herold, Gretchen Sisson","doi":"10.1080/13691058.2023.2242436","DOIUrl":"10.1080/13691058.2023.2242436","url":null,"abstract":"Building on existing scholarship examining how audiences interpret reproductive experiences on film and television, we investigate how viewers make meaning of representations of motherhood, abortion, adoption, and surrogacy on the Hulu television miniseries Little Fires Everywhere. We recruited twenty-one participants to watch the series and conducted three virtual focus groups of seven women each. Based on the racial identities of the main characters in the series, we segmented these groups by race: one group each of white women, Black women, and Chinese American women. Focus groups were facilitated by moderators who matched the racial and ethnic backgrounds of each group. We asked participants about their overall reactions to the series, their impressions of various characters, and each reproductive health plotline. Participants expressed both tender and critical reactions to characters who endured motherhood, surrogacy and adoption, yet most participants were overtly critical of Lexie, the character who obtained an abortion. We argue that this is likely because the character of Lexie is written as largely unsympathetic, leaving audiences with little opportunity to form a parasocial relationship with her. We discuss the implications of this for cultural conversations and understandings of abortion more broadly.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9943935","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}

引用次数: 0

'It feels meaningful': How informal mental health caregivers in an LGBTQ community interpret their work and their role. 感觉很有意义"：男女同性恋、双性恋和变性者社区中的非正式心理健康护理人员如何解释他们的工作和角色。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-01 Epub Date: 2023-09-14 DOI: 10.1080/13691058.2023.2256833

Shane Worrell, Andrea Waling, Joel Anderson, Anthony Lyons, Christopher A Pepping, Adam Bourne

{"title":"'It feels meaningful': How informal mental health caregivers in an LGBTQ community interpret their work and their role.","authors":"Shane Worrell, Andrea Waling, Joel Anderson, Anthony Lyons, Christopher A Pepping, Adam Bourne","doi":"10.1080/13691058.2023.2256833","DOIUrl":"10.1080/13691058.2023.2256833","url":null,"abstract":"Many members of lesbian, gay, bisexual, trans and gender diverse, and queer (LGBTQ) communities provide informal mental health support to peers. This type of support is valuable for people who receive it - even helping to prevent suicide. It is also meaningful to those who provide it. In this article, we focus on how LGBTQ people derive meaning from their experiences of supporting peers. In-depth interviews with 25 LGBTQ people in Melbourne, Australia, indicate that those providing informal mental health support to fellow community members recognise their roles as meaningful in three main ways: in terms of self, relationships and communities. Recognising the meanings that LGBTQ caregivers derive from helping fellow community members provides useful information service providers and policymakers seeking to better address mental distress in LGBTQ communities and support caregivers. It is useful to understand this meaningful work in an LGBTQ context as caregiving that challenges gendered and heteronormative assumptions about what care is, and who provides it.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235527","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}

引用次数: 0

Prostate cancer-related sexual dysfunction - the significance of social relations in men's reconstructions of masculinity. 与前列腺癌相关的性功能障碍--社会关系在男性男性气质重建中的意义。

IF 2.2 3区医学

Culture, Health & Sexuality Pub Date : 2024-06-01 Epub Date: 2023-09-04 DOI: 10.1080/13691058.2023.2250410

Anna-Maija Talvitie, Hanna Ojala, Teuvo Tammela, Ilkka Pietilä

{"title":"Prostate cancer-related sexual dysfunction - the significance of social relations in men's reconstructions of masculinity.","authors":"Anna-Maija Talvitie, Hanna Ojala, Teuvo Tammela, Ilkka Pietilä","doi":"10.1080/13691058.2023.2250410","DOIUrl":"10.1080/13691058.2023.2250410","url":null,"abstract":"Narrating illness experiences in a culturally acceptable manner is essential for retaining quality of life after the disruptive event of being diagnosed for prostate cancer. Psychological pressures caused by treatment side-effects such as erectile dysfunction require reinterpretation of the meanings and impacts of these side-effects on masculinity. This helps maintain coherence in men's lives. We studied how men employ culturally available discursive strategies (compensation, redefinition, recontextualisation, and normalisation) in reconstructing masculinity and sexuality. Our data consists of 22 interviews of heterosexual Finnish prostate cancer patients who had undergone surgery. The aim was to analyse the ways in which various life situations and social relations shaped and limited the use of these strategies. Discourse analysis revealed that older age, a supportive spouse, children, supportive male friends, and good health - were key elements men used in reconstructing a coherent new self-image and conception of life following cancer treatment. Men with sexually active male friends, men without families, younger men and men with new intimate relationships struggled to develop a new version of their masculinity. Being able to effectively utilise certain aspects of one's life situation in re-constructing masculinity is important in maintaining quality of life despite troublesome treatment side-effects.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10144493","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}

引用次数: 0