Culture, Health & Sexuality最新文献_第9页

Intersectional differences in access to sexual and reproductive health information among the Zezuru and Karanga peoples in Zimbabwe. 津巴布韦泽祖鲁族和卡兰加族在获得性健康和生殖健康信息方面的交叉差异。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-29 DOI: 10.1080/13691058.2026.2702631

Mavis Soko, Divane Nzima

{"title":"Intersectional differences in access to sexual and reproductive health information among the Zezuru and Karanga peoples in Zimbabwe.","authors":"Mavis Soko, Divane Nzima","doi":"10.1080/13691058.2026.2702631","DOIUrl":"https://doi.org/10.1080/13691058.2026.2702631","url":null,"abstract":"In this study we examine how intersecting gendered and ethnic identities shape access to sexual and reproductive health (SRH) information among Zezuru and Karanga people in rural Zimbabwe. While SRH policies in Zimbabwe promote universal access, they overlook intra-ethnic differences that produce uneven patterns of knowledge, service engagement, and autonomy. Using the theory of intersectionality, we investigate how cultural norms, religious beliefs, and socio-economic structures interact to create differentiated access to information and services. Data were collected through a cross-sectional quantitative survey conducted in Mashonaland East and Masvingo. The sample consisted of 418 respondents aged 18-49, selected using stratified multistage sampling. To analyse the data, we used descriptive and inferential statistics. Results show significant disparities where 84.3% (Karanga) compared to 55.9% (Zezuru) reported limited access to information. Additionally, men reported lower engagement with SRH information and services than women. Access to SRH information was shaped by intersecting factors including gender, ethnicity, religion, education, and livelihood insecurity. Findings call for SRH programmes and interventions that are locally entrenched, culturally responsive, and supported by strengthened community-based health systems.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599924","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

Men's understanding of three different measures of transactional sex: a cognitive interview study among men in Rakai, Uganda. 男性对交易性行为的三种不同衡量标准的理解：乌干达拉凯男性的认知访谈研究。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-29 DOI: 10.1080/13691058.2026.2692716

Holly M Nishimura, Neema Nakyanjo, Margaret W Gichane, William Ddaaki, Anne C Kiyingi, Emmanuel Mukwana, Fred Nalugoda, Charles Ssekyewa, Julie Denison, M Kate Grabowski, Joseph Kagaayi, Caitlin E Kennedy

{"title":"Men's understanding of three different measures of transactional sex: a cognitive interview study among men in Rakai, Uganda.","authors":"Holly M Nishimura, Neema Nakyanjo, Margaret W Gichane, William Ddaaki, Anne C Kiyingi, Emmanuel Mukwana, Fred Nalugoda, Charles Ssekyewa, Julie Denison, M Kate Grabowski, Joseph Kagaayi, Caitlin E Kennedy","doi":"10.1080/13691058.2026.2692716","DOIUrl":"10.1080/13691058.2026.2692716","url":null,"abstract":"Lack of valid and reliable measures and inconsistent transactional sex measurement has resulted in poor understanding of the practice, particularly among men. To improve transactional sex measurement and facilitate comparison across studies, we examined how men comprehend and respond to three common transactional sex measures. Cognitive interviews were conducted with 25 sexually active adult men in Rakai, Uganda and data were thematically analysed. Most men responded affirmatively to the three transactional sex measures, but there was variation in responses across measures. The two measures that assessed relationship motivation and gendered norms of material provision for sex showed better comprehension and consistency than the measure without these components. For these two measures, a substantial proportion of men answered \"yes\", but justified their answer by describing general expectations that men provide for their partners, rather than describing material exchange in a specific relationship, which was not what the measures intended capture. A measure developed by Wamoyi and colleagues appeared to most accurately measure transactional sex. Our findings support future measures that include a clear statement of motivation and account for gendered norms of giving and receiving. Given this heterogeneity in measurement, our study enhances understanding of common transactional sex measures.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-14"},"PeriodicalIF":1.6,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599988","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

Health and strength in the margins: an intersectional analysis of zines authored by queer and transgender communities of colour. 边缘的健康和力量：对有色人种酷儿和变性社区撰写的杂志的交叉分析。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-27 DOI: 10.1080/13691058.2026.2696291

Carolyn A Fan, Arianna Abalos, Jared Estrada, Rina Le, Rue M, Ffion Mabale, Anntika Nguyen, Gillian Wang, Emma Wu, Megha Ramaswamy, Stephen J Mooney, Wendy E Barrington

{"title":"Health and strength in the margins: an intersectional analysis of zines authored by queer and transgender communities of colour.","authors":"Carolyn A Fan, Arianna Abalos, Jared Estrada, Rina Le, Rue M, Ffion Mabale, Anntika Nguyen, Gillian Wang, Emma Wu, Megha Ramaswamy, Stephen J Mooney, Wendy E Barrington","doi":"10.1080/13691058.2026.2696291","DOIUrl":"https://doi.org/10.1080/13691058.2026.2696291","url":null,"abstract":"Zines, in the form of independently published print media, are underutilised resources for learning about the health of marginalised communities. Aligning our paper with critical approaches, we examined zines entries (n = 33) authored by Queer and Transgender Black, Indigenous, and other People of Colour (QTBIPOC) for themes of health, strength, oppression and intersectionality. Zines were retrieved from two archives: the ZAPP Zine Collection and POC Zine Project. Analysis of the zine dataset was conducted by a group of undergraduate public health students using participatory qualitative content analysis. We found that QTBIPOC used zines as a means to convey trusted health resources and information. QTBIPOC shared their perspectives and experiences on the multi-level and intersectional nature of racism, oppression, and strength through health topics such as mental health, violence, and structural and social determinants of health. QTBIPOC sought to dismantle, expand, and complicate standard notions about systems of power and intersectionality through their unique lived experiences. This paper demonstrates the feasibility of using zines as a data source for health research and highlights the depth of insight that can be developed using the voices of the QTBIPOC community.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590466","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

Barriers to sexual and reproductive health information among young Black women in the USA: caregiver and structural influences. 美国年轻黑人妇女获得性健康和生殖健康信息的障碍：照顾者和结构性影响。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-24 DOI: 10.1080/13691058.2026.2704978

Sophia Peron, Anita Oppong, Fatemeh Sadat Hosseini, Neha Raghunath, Jillian Watt, Samyuktha Thotta, Suheera Haq, Sravya Lingam, Christina Ross

{"title":"Barriers to sexual and reproductive health information among young Black women in the USA: caregiver and structural influences.","authors":"Sophia Peron, Anita Oppong, Fatemeh Sadat Hosseini, Neha Raghunath, Jillian Watt, Samyuktha Thotta, Suheera Haq, Sravya Lingam, Christina Ross","doi":"10.1080/13691058.2026.2704978","DOIUrl":"10.1080/13691058.2026.2704978","url":null,"abstract":"Young Black women in the USA face systemic barriers to accessing accurate sexual and reproductive health (SRH) knowledge, relying on peers or the internet due to inadequate education and cultural biases. This reliance can lead to SRH misinformation. This study aimed to identify the barriers they encountered in obtaining SRH information. A qualitative approach was used to collect data from 37 young Black women aged 18-22, and 32 caregivers from Connecticut. Participants were divided into five focus groups and asked questions related to SRH education, accessibility, and needs. Data were analysed using thematic analysis. Findings revealed significant gaps in SRH education. Schools provided basic reproductive anatomy lessons, but failed to provide comprehensive information on STI prevention, healthy relationships, and contraceptive use. Cultural and familial beliefs influenced conversations with trusted adults in conservative households where discussions of sexual activity were avoided, in favour of abstinence. Young Black women frequently turned to peers or the internet to supplement their SRH information. This research lays the groundwork for further exploration of SRH disparities and development of solutions to empower young black women's SRH.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583569","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

At the shift: Norwegian abortion providers between policy and practice. 转变：挪威堕胎提供者在政策和实践之间。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-24 DOI: 10.1080/13691058.2026.2698829

Lotta Maria Vilhelmiina Linjala, Anna Solveig Kolz, Marte E S Haaland, Carolina Rau

{"title":"At the shift: Norwegian abortion providers between policy and practice.","authors":"Lotta Maria Vilhelmiina Linjala, Anna Solveig Kolz, Marte E S Haaland, Carolina Rau","doi":"10.1080/13691058.2026.2698829","DOIUrl":"https://doi.org/10.1080/13691058.2026.2698829","url":null,"abstract":"This study investigated abortion providers' experiences during Norway's recent regulatory transition extending the time allowed for self-determined abortion from 12 to 18 weeks. Through semi-structured interviews with 12 healthcare professionals, we captured abortion care providers' views on their work and expectations about the regulatory shift. Despite finding abortion care meaningful and supporting patients' autonomy, providers expressed significant anxiety about the reform, revealing a paradox in which supportive providers feared the effects of a liberalising policy. This anxiety stemmed from practical concerns about capacity associated with challenges in managing pain, complications, and emotional intensity in terminations after 12 weeks rather than moral objections. Healthcare workers felt responsible for adapting to new regulations without being informed about the practical implications for their work. Our findings suggest that gestational age may shape providers' emotional and possibly moral experience of abortion work in ways that are difficult to articulate within progressive contexts. This study demonstrates that expanding abortion access requires more than legislative change. Attention to abortion care providers' working conditions and expectations is crucial for translating progressive policies into good abortion care.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148583556","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

'If you cherish your body, you shouldn't get pregnant': bodily costs of childbearing in influencing Chinese female university students' fertility intentions. “爱惜自己的身体，就不要怀孕”：生育身体成本对中国女大学生生育意愿的影响

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-23 DOI: 10.1080/13691058.2026.2701930

Jiayu Xu, Yiyue Huangfu

{"title":"'If you cherish your body, you shouldn't get pregnant': bodily costs of childbearing in influencing Chinese female university students' fertility intentions.","authors":"Jiayu Xu, Yiyue Huangfu","doi":"10.1080/13691058.2026.2701930","DOIUrl":"https://doi.org/10.1080/13691058.2026.2701930","url":null,"abstract":"This paper engages with 'the bodily costs of childbearing' or the negative physical consequences of pregnancy and childbirth and examines their role in shaping Chinese female university students' fertility intentions. A thematic analysis informed by corporeal realism was conducted with 30 semi-structured interviews with female university students without childbearing experience. The findings reveal that women's fear of bodily costs originates from perceived physical harm but is amplified by socio-structural factors, particularly post-feminist discourses that recast these costs as key to women's autonomous self-management. Yet fear alone does not determine fertility intentions. Three interpretive patterns of response were evident: bodily costs as a disease to be avoided by those who reject motherhood; bodily costs as a necessary sacrifice for those who embrace them; and bodily costs as a calculable exchange for those who remain uncertain. Across these patterns, women neither passively succumb to fear nor exercise unconstrained choice. Rather, they engage in the selective appropriation of socially available discourses, constructing meanings that align with their orientations towards motherhood. The body emerges not as a fixed site of suffering but as a negotiated terrain in which social structure and individual agency influence reproductive decision-making.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561110","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

When women's HIV prevention becomes unstable: findings from a longitudinal qualitative study in Sierra Leone. 当妇女艾滋病毒预防变得不稳定：来自塞拉利昂纵向定性研究的结果。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-22 DOI: 10.1080/13691058.2026.2706642

Eric Nzirakaindi Ikoona, Lucy Namulemo, Ronald Kaluya, Rebecca Ikoona, Foday Sahr

{"title":"When women's HIV prevention becomes unstable: findings from a longitudinal qualitative study in Sierra Leone.","authors":"Eric Nzirakaindi Ikoona, Lucy Namulemo, Ronald Kaluya, Rebecca Ikoona, Foday Sahr","doi":"10.1080/13691058.2026.2706642","DOIUrl":"https://doi.org/10.1080/13691058.2026.2706642","url":null,"abstract":"HIV prevention among women is often described as movement from risk recognition to protective action. Structural and gender factors shape whether that movement occurs. Less clear is how these factors change over time and how these changes affect women's capacity to sustain prevention. This longitudinal qualitative study examined this temporal gap in Sierra Leone. Forty-eight interviews were conducted across Western Area Urban, Bo and Kenema. They included women who were re-interviewed 12 months after a parent study, male participants recruited through female-partner referral or HIV community networks, and community health workers. Data were analysed using thematic analysis, trajectory comparison and a typology of male partner orientations. Women who previously discussed HIV testing or negotiated protection could lose this capacity when income, relational safety or partner support deteriorated; others rebuilt it through income, osusu participation, service contact and social support. Analysis of male participants' accounts identified three male partner orientations in relation to women's HIV prevention: protective complicity, dismissive gatekeeping, and fearful avoidance. Structural instability emerged as a useful analytic lens for understanding changing enabling conditions. Prevention programmes may need to protect women's privacy, reduce economic and relationship barriers and keep services accessible, rather than assume one-time behaviour change will last.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548176","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

Perceptions of masculinity and relationship power among young men in Durban and Soweto, South Africa. 南非德班和索韦托年轻人对男子气概和关系权力的看法。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-20 DOI: 10.1080/13691058.2026.2696290

Campion Zharima, Amanda Rowlands, Andrew Gibbs, Smanga Mkhwanazi, Janan Janine Dietrich, Mags Beksinska, Angela Kaida, Kalysha Closson

{"title":"Perceptions of masculinity and relationship power among young men in Durban and Soweto, South Africa.","authors":"Campion Zharima, Amanda Rowlands, Andrew Gibbs, Smanga Mkhwanazi, Janan Janine Dietrich, Mags Beksinska, Angela Kaida, Kalysha Closson","doi":"10.1080/13691058.2026.2696290","DOIUrl":"https://doi.org/10.1080/13691058.2026.2696290","url":null,"abstract":"Masculinities influence sexual, reproductive, and mental health outcomes and health seeking behaviours, as they intersect with socioeconomic, cultural and political forces. In post-apartheid South Africa, racialised inequities and social change shape how young men navigate gender and relationships. This paper explores how young men living in urban informal settlements understand masculinity and relationship power. Cognitive interviews were conducted with 17 men aged 21-30 from Durban and Soweto, reflecting on their sexual relationships while responding to a 13-item Sexual Relationship Power (SRP) scale. Thematic analysis was undertaken. Findings revealed three interconnected themes on participants' perceptions and enactments of masculinity: (1) tradition versus transition, where cultural identity and evolving gender norms influence domestic labour and relationship roles; (2) control as care, highlighting how surveillance of women's mobility and appearance, and possessiveness were framed as protection; and (3) masculinity and the power to decide, where decision-making was negotiated through culturally informed expectations of male authority, emotional insecurity and shifting relationship power dynamics. Participants' masculinities ranged from traditional to egalitarian, demonstrating how masculinity is contextually and relationally performed. Findings underscore the need for contextually grounded, gender transformative programmes and interventions that address masculinity as multiple, dynamic and relational rather than as a static identity.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-14"},"PeriodicalIF":1.6,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535452","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

Testing as trust, condoms as suspicion: relational moralities and HIV prevention among young people in Tanzania. 测试是信任，避孕套是怀疑：坦桑尼亚年轻人的关系道德和艾滋病预防。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-18 DOI: 10.1080/13691058.2026.2701920

Benedicto Osward Luvanda, Richard Sambaiga, Joseph Joachim Olomy

{"title":"Testing as trust, condoms as suspicion: relational moralities and HIV prevention among young people in Tanzania.","authors":"Benedicto Osward Luvanda, Richard Sambaiga, Joseph Joachim Olomy","doi":"10.1080/13691058.2026.2701920","DOIUrl":"https://doi.org/10.1080/13691058.2026.2701920","url":null,"abstract":"HIV prevention among young people in sub-Saharan Africa is often understood as an individual response to epidemiological risk, yet in many East African contexts prevention is negotiated within relationships shaped by trust, morality, and social recognition. Drawing on data from a mixed-methods study conducted with 460 young people and 24 key informants in Tanzania's Southern Highlands, this study examines how relational commitment reshapes the meanings of HIV testing and condom use. Quantitative findings show that 68.2% of respondents reported HIV testing in the past 12 months, and testing increased with higher levels of relational commitment, whereas consistent condom use, reported by 47.5%, did not follow the same pattern. Qualitative narratives reveal a clear moral distinction: testing in committed relationships is framed as a collaborative act of care and reassurance that affirms trust, while condom negotiation is often interpreted as signalling suspicion or possible infidelity. These findings show that HIV prevention operates within relational moralities that differentiate forms of protection and highlight the need to approach prevention as a cultural and communicative process. Study findings thereby extend sexuality scholarship on intimacy, risk, and prevention in Tanzania.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497020","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

Navigating lines of flight through the healthcare system: LGBTQ+ resistance and the reinvention of access. 通过医疗保健系统导航航线：LGBTQ+的阻力和访问的重新发明。

IF 1.6 3区医学

Culture, Health & Sexuality Pub Date : 2026-07-17 DOI: 10.1080/13691058.2026.2703219

M M L Avelino, João Mário Pessoa Júnior

{"title":"Navigating lines of flight through the healthcare system: LGBTQ+ resistance and the reinvention of access.","authors":"M M L Avelino, João Mário Pessoa Júnior","doi":"10.1080/13691058.2026.2703219","DOIUrl":"https://doi.org/10.1080/13691058.2026.2703219","url":null,"abstract":"This study analyses how LGBTQ+ healthcare users and healthcare professionals navigate and reconfigure access to healthcare within Brazil's Sistema Único de Saúde (Unified Health System) in contexts shaped by institutional LGBTQ-phobia. The study employed a qualitative intervention-research design informed by cartography. Fieldwork was conducted in a family health clinic in northeastern Brazil and combined participant observation with semi-structured interviews with LGBTQ+ healthcare users and healthcare professionals. The analysis conceptualises access not as a linear process but as a set of negotiated pathways, mapped as five routes of access to healthcare: facilitated access; access 'by force'; unnoticed access; access through detours; and access through support networks. These routes reveal how access is continuously produced through relational practices, micropolitical negotiations and collective arrangements that both reproduce and disrupt institutional norms. The findings position agency as a central analytical axis, demonstrating how subjects and professionals actively invent alternative forms of care in response to institutional violence and exclusion.","PeriodicalId":10799,"journal":{"name":"Culture, Health & Sexuality","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469477","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