Culture, Health & Sexuality最新文献_第7页

Stigmatised as 'promoting' with a duty to report: public healthcare workers providing services to criminalised 'key populations for HIV' under Uganda's 2023 Anti-Homosexuality Act. 被污名化为有义务报告的 "宣传"：根据乌干达 2023 年的《反同性恋法》，公共医疗工作者为被定罪的 "艾滋病关键人群 "提供服务。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-07-01 Epub Date: 2024-10-26 DOI: 10.1080/13691058.2024.2416534

Austin Bryan

{"title":"Stigmatised as 'promoting' with a duty to report: public healthcare workers providing services to criminalised 'key populations for HIV' under Uganda's 2023 Anti-Homosexuality Act.","authors":"Austin Bryan","doi":"10.1080/13691058.2024.2416534","DOIUrl":"10.1080/13691058.2024.2416534","url":null,"abstract":"This paper analyses the experiences of public healthcare workers in Uganda under the Anti Homosexuality Act (AHA) 2023, who specialise in the provision of HIV prevention and treatment services to criminalised 'key populations' for HIV, including men who have sex with men, transgender women, and female sex workers. Utilising in-depth semi-structured interviews with 17 public healthcare workers and participant observation with LGBTQ+ and HIV activists, public health officials, and development workers, this ethnographic study explored the legal, social and ethical challenges that public healthcare providers faced. Public healthcare workers have experienced various types of stigma from their work, including socio-legal stigma from the criminalisation of 'promoting homosexuality', stigma by association with key populations, concealment stigma, and denial. Legal ambiguities stemming from the AHA 2023 have led to security incidents for some public healthcare workers. The study highlights the ethical dilemmas that have arisen from the 'duty to report' clause, which conflicts with professional healthcare ethics of confidentiality, and the role the Ministry of Health played in passing the AHA 2023, instilling confusion about its enforcement, and minimising and denying the risks the legislation has had on Uganda's HIV epidemic.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"930-946"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496576","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

'How can you worry about employment and survival at the same time?': employment and mental health among precariously employed cisgender and transgender sexual minority adult men in Toronto, Canada. 你怎么能同时担心就业和生存问题？"：加拿大多伦多就业不稳定的顺性别和变性性少数群体成年男性的就业和心理健康问题。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-07-01 Epub Date: 2024-09-29 DOI: 10.1080/13691058.2024.2408349

David J Kinitz, Lori E Ross, Ellen MacEachen, Dionne Gesink

{"title":"'How can you worry about employment and survival at the same time?': employment and mental health among precariously employed cisgender and transgender sexual minority adult men in Toronto, Canada.","authors":"David J Kinitz, Lori E Ross, Ellen MacEachen, Dionne Gesink","doi":"10.1080/13691058.2024.2408349","DOIUrl":"10.1080/13691058.2024.2408349","url":null,"abstract":"This study addresses a gap in the labour market and occupational health literatures among sexual and gender minority workers by exploring the relationship between precarious employment and mental health through a political economy framework. Narratives from 20 cisgender and transgender sexual minority men were analysed to uncover the production of employment and mental health inequities. Results are presented temporally, including employment readiness, looking for work, and on the job, illuminating the social and structural processes that underly participants' stories of precarious employment and mental health. A cyclical pattern was identified whereby participants' mental ill-health resulted in separation from the labour market and increased employment precarity that subsequently further impacted their mental health. Interventions and programmes must consider multipronged approaches that address all aspects of this syndemic, including social stigma and discrimination towards sexual and gender minority people and improved access to stable employment, mental healthcare, and adequate social welfare systems.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"884-899"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142343132","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 never see anyone like myself represented in discussions about endometriosis': priorities of LGBTQIA + endometriosis patients in New Zealand. 在有关子宫内膜异位症的讨论中，我从未见过像我这样的人"：新西兰 LGBTQIA + 子宫内膜异位症患者的优先考虑事项。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-07-01 Epub Date: 2024-08-28 DOI: 10.1080/13691058.2024.2394650

Katherine Ellis, Wayne Armour, Rachael Wood

{"title":"'I never see anyone like myself represented in discussions about endometriosis': priorities of LGBTQIA + endometriosis patients in New Zealand.","authors":"Katherine Ellis, Wayne Armour, Rachael Wood","doi":"10.1080/13691058.2024.2394650","DOIUrl":"10.1080/13691058.2024.2394650","url":null,"abstract":"Limited information is available regarding the experiences and perspectives of LGBTQIA + patients internationally, and no literature exists for New Zealand. Twenty-eight LGBTQIA + endometriosis patients took part in asynchronous, online text-based discussions about their experiences navigating endometriosis diagnosis and management in Aotearoa New Zealand. Their qualitative responses were coded in an iterative thematic manner. The mean delay to diagnosis of this cohort was 10.2 ± 5.6 years from symptom onset, longer than previously reported delays in Aotearoa New Zealand. Participants shared a strong discomfort with the predominant focus of endometriosis management strategies on penetrative sex and pregnancy, and the sense they were dismissed if prioritising these functions was not their priority. Several potential improvements to current treatment and care for LGBTQIA + endometriosis patients were generally agreed upon by the cohort, including research to better understand a practice approach for managing the symptoms of transmasculine patients; expanding the management strategies for patients who are not prioritising fertility and penetrative sex; improving awareness of LGBTQIA + people and experiences amongst medical practitioners to reduce homophobia, transphobia, misogyny, misgendering and mistreatment in care; and the development of gender-neutral spaces for the support of patients who feel uncomfortable in cisgender women-centric endometriosis spaces.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"799-819"},"PeriodicalIF":1.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142085935","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

Transgender and other gender minoritised assigned female at birth young adults' perceptions of and experiences with human papillomavirus vaccination. 跨性别者和其他性别少数群体在出生时被指定为女性的年轻人对人乳头瘤病毒疫苗接种的看法和经验。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-06-24 DOI: 10.1080/13691058.2025.2519512

Allison Rhodes, Tara Ahmadi, Allegra R Gordon, Gabriel R Murchison, Holly B Fontenot, Jennifer Potter, Madina Agénor

{"title":"Transgender and other gender minoritised assigned female at birth young adults' perceptions of and experiences with human papillomavirus vaccination.","authors":"Allison Rhodes, Tara Ahmadi, Allegra R Gordon, Gabriel R Murchison, Holly B Fontenot, Jennifer Potter, Madina Agénor","doi":"10.1080/13691058.2025.2519512","DOIUrl":"https://doi.org/10.1080/13691058.2025.2519512","url":null,"abstract":"Transgender and other gender minoritised individuals have lower human papillomavirus (HPV) vaccine completion rates than the general population, and little is known about how gender minoritised young adults perceive and experience HPV vaccination. The aim of this study was to characterise perceptions of, experiences with, and recommendations to facilitate access to HPV vaccination among transgender and other gender minoritised assigned female at birth (AFAB) young adults in the greater Boston area. In 2020, in-depth interviews were conducted in Boston with a purposive community sample of 34 transgender and other gender minoritised AFAB young adults aged 18-26. Thematic analysis was used to examine participants' HPV vaccine perceptions and experiences. Participants reported that gendered representations of the HPV vaccine, lack of relevant HPV vaccine education, and previous negative experiences with healthcare led to low prioritisation of, and at times avoidance of, HPV vaccination. Participants had inadequate and at times inaccurate understandings of the HPV vaccine and called for increased education of the public and healthcare providers on HPV vaccination for this vulnerable population. Targeted interventions providing transgender and other gender minoritised AFAB individuals with culturally responsive care and tailored information about the HPV vaccine are needed.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483446","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

Reproductive health and ChatGPT: an evaluation of AI-Generated responses to commonly asked abortion questions. 生殖健康和ChatGPT：对人工智能生成的对常见堕胎问题的回答的评价。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-06-23 DOI: 10.1080/13691058.2025.2517289

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":"https://doi.org/10.1080/13691058.2025.2517289","url":null,"abstract":"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.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.8,"publicationDate":"2025-06-23","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}

引用次数: 0

Heterosexual 'situationships' and HIV exposure for sexual and gender minority persons assigned female at birth in the Western Kenyan context. 在肯尼亚西部，异性恋“情况”和出生时被指定为女性的性和性别少数群体的艾滋病毒暴露。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-06-20 DOI: 10.1080/13691058.2025.2515199

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":"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.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-06-20","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}

引用次数: 0

'Just get a clearer idea of who I am': LGBTQIA+ people's experiences of abortion care in Aotearoa New Zealand following law reform. “只是更清楚地了解我是谁”：法律改革后新西兰奥特罗阿LGBTQIA+人群在堕胎护理方面的经历。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-06-19 DOI: 10.1080/13691058.2025.2520293

George Parker, Suzanne Miller, Sally Baddock, Elizabeth Kerekere, Chelsea D'Cruz

{"title":"'Just get a clearer idea of who I am': LGBTQIA+ people's experiences of abortion care in Aotearoa New Zealand following law reform.","authors":"George Parker, Suzanne Miller, Sally Baddock, Elizabeth Kerekere, Chelsea D'Cruz","doi":"10.1080/13691058.2025.2520293","DOIUrl":"https://doi.org/10.1080/13691058.2025.2520293","url":null,"abstract":"Sexual and reproductive healthcare (SRH) is recognised internationally as a human right, but inequities exist in both access to, and outcomes from, SRH in some populations. LGBTQIA+ people accessing abortion services can have harmful experiences related to embedded norms that construct abortion care as being for cisgender heterosexual women. In Aotearoa New Zealand, legislative reform has decriminalised and liberalised abortion care to improve access and reduce outcome inequities. We conducted semi-structured interviews with ten LGBTQIA+ abortion service users, aiming to understand from them what constitutes safe and accessible abortion care, and to examine how well newly reformed abortion services are serving this community. Our reflexive thematic analysis informed by the transformative paradigm identified three themes: navigating a double stigma to access abortion; invisibility as epistemic harm in abortion care; self-determining the abortion pathway as antidote. Findings demonstrated aspects of abortion services that were working well for LGBTQIA+ people, as well as harms resulting from gender and sexuality norms embedded in services that erase LGBTQIA+ people as service users. To meet LGBTQIA+ people's needs, abortion services should continue to offer flexible and multiple pathways into and through care but also need to develop strategies to address cis-heteronormativities across all service levels.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-16"},"PeriodicalIF":1.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324637","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

Counselling men involved in unintended pregnancy. 为意外怀孕的男性提供咨询。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-06-16 DOI: 10.1080/13691058.2025.2516115

Hege Follestad, Anita Berg

引用次数: 0

The entangled coexistence of materiality and subjectivity: a new materialist analysis of China's jiese community. 物质性与主体性的纠缠共存：中国华人社区的新唯物主义分析。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-06-16 DOI: 10.1080/13691058.2025.2516118

Ennan Wu, Hang Liu

{"title":"The entangled coexistence of materiality and subjectivity: a new materialist analysis of China's jiese community.","authors":"Ennan Wu, Hang Liu","doi":"10.1080/13691058.2025.2516118","DOIUrl":"10.1080/13691058.2025.2516118","url":null,"abstract":"The article utilised a perspective grounded in new materialism and agential realism to understand and explore China's jiese community (whose members commit to abstaining from masturbation and pornography). Data were collected through online ethnography and semi-structured interviews with 11 self-identified jieyou, conducted between 2021 and 2023 via the online Abstinence Bar and the Zhengqi mobile application. Study findings revealed that the occurrence of jiese behaviours and the development of an abstainer identity are not solely driven by individual agency but by dynamic intra-actions between individual subjectivity and multiple material factors. Importantly, jiese cannot be disentangled from specific material factors and contextual conditions. It emerges as the outcome of the intra-actions between technology, culture, the body, and the environment, while also representing a dynamic process of subjectivity co-constituted with these materialities within a particular context. Ultimately jiese is perhaps best understood as a condition or 'situation'. Lastly, study findings highlight how materiality not only possesses the agency to shape subjective behaviour but also that the subject, through reflection and practice, actively adapts to and reshapes itself within the constraints of materiality. This process facilitates the integration of materiality and subjectivity, through a co-constitutive and dynamic interplay.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-17"},"PeriodicalIF":1.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309627","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

'Without support, you are just alone': relational food insecurity among a sample of gay men in India. “没有支持，你就是一个人”：印度同性恋男性样本中的关系性食物不安全。

IF 1.8 3区医学

Culture, Health & Sexuality Pub Date : 2025-06-12 DOI: 10.1080/13691058.2025.2514179

Phillip Joy, Sainath Yeminedi, Deborah Norris, Linda Mann

引用次数: 0