Hani Rukh-E-Qamar, Isabella Kakish, Ana-Maria Dumitrache, Rehma Khan, Crystal C. Yang, Naomi Phung, Harini P. Aiyer, Saba Al-Leswas, Yasemin Erdogan, Roma Ranade, Marianne Djigo, Ksenia Kholina
{"title":"“It’s not just some cookie cutter that you have to fit into”: A qualitative study of immigrant women and girls’ needs, experiences, and barriers to sexual and reproductive health education in Canada","authors":"Hani Rukh-E-Qamar, Isabella Kakish, Ana-Maria Dumitrache, Rehma Khan, Crystal C. Yang, Naomi Phung, Harini P. Aiyer, Saba Al-Leswas, Yasemin Erdogan, Roma Ranade, Marianne Djigo, Ksenia Kholina","doi":"10.3138/cjhs-2023-0054","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0054","url":null,"abstract":"Sexual and reproductive health (SRH) education is important for all individuals. Immigrant women and girls frequently experience barriers to accessing SRH services and encounter discrimination in educational settings. Thus, it is critical to evaluate if the needs of immigrant women and girls are met with the current SRH education. In this study, three focus group discussions (FGDs) were conducted with immigrant women ( n = 10) living across Canada, with the goal of identifying key barriers and areas of improvement for the SRH curriculum. Our FGDs revealed four main themes: (1) barriers to accessing SRH education, (2) limitations of mainstream SRH, (3) alternative means of accessing SRH information, and (4) features of more inclusive SRH education. Main barriers to effective and inclusive SRH education in this group included language and cultural aspects. Moreover, the current Canadian SRH curriculum was experienced by participants as Western-centric, heteronormative, and disconnected from other aspects of health and wellness. Participants emphasized the need for consideration of safety and accessibility when creating educational spaces and resources. We recommend that our findings be used by the respective Minister of Education in each province of Canada, in order to improve Canadian SRH educational programmes and to better meet the needs of diverse populations.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"124 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anvita Dixit, Dipesh Suvarna, Joyce Arthur, Angel M. Foster
{"title":"Belief-based denial of contraception and abortion care in Canada: A scoping review","authors":"Anvita Dixit, Dipesh Suvarna, Joyce Arthur, Angel M. Foster","doi":"10.3138/cjhs-2023-0055","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0055","url":null,"abstract":"Although contraception and abortion are considered medically necessary services, providers in Canada are permitted to deny services and referrals on the basis of their personal beliefs or conscience. Belief-based denial, sometimes referred to as “conscientious objection,” remains a controversial issue leading to barriers to access and provision of care. We carried out a scoping review to explore what is currently known about the belief-based denial of contraception and abortion care in Canada. We used a predefined framework to search for relevant sources and found a total of 97 articles including 27 peer-reviewed articles, 47 media articles, and 23 articles from reproductive health organizations, published since 1990. The literature we found shows that policy has been a key area of discussion; sources also focus on conceptually defining belief-based denial and advocacy efforts for reproductive rights. There is a stark lack of peer-reviewed literature documenting and examining the impact of belief-based denial of contraception and abortion care on those denied care in Canada.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"108 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141812390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabrielle Lafontaine, Sandrine Dubé, Jasmine Bédard, Alex Lehoux, A. Brassard, M. Lafontaine, K. Péloquin, A. Brault-Labbé, Patrick Gosselin
{"title":"Intolerance of uncertainty, intimacy, and sexual well-being among first-time parents","authors":"Gabrielle Lafontaine, Sandrine Dubé, Jasmine Bédard, Alex Lehoux, A. Brassard, M. Lafontaine, K. Péloquin, A. Brault-Labbé, Patrick Gosselin","doi":"10.3138/cjhs-2023-0048","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0048","url":null,"abstract":"Although many challenges inherent to the birth of a first child are likely to interfere with new parent couples’ sexuality, sexual well-being has often been neglected during the transition to parenthood. Considering the numerous uncertainties arising in this period, it is relevant to study whether first-time parents’ intolerance of uncertainty could contribute to their lower sexual well-being and explore whether their perception of intimacy could explain this association. The aim of this study was to investigate the roles of intolerance of uncertainty and intimacy in first-time parents’ sexual well-being (i.e., sexual desire and sexual satisfaction). A total of 211 couples expecting their first child were recruited in a province of Canada to participate in a broader longitudinal study. Bearing mothers and their partners answered validated questionnaires measuring sexual desire, sexual satisfaction, intolerance of uncertainty, depression symptoms, and perceived intimacy at 4, 8, and 12 months postpartum. Dyadic path analyses revealed that, controlling for postpartum depression symptoms at 12 months postpartum, mothers’ intolerance of uncertainty at 4 months postpartum was associated with both partners’ lower sexual satisfaction at 12 months postpartum through their own lower perception of intimacy at 8 months postpartum. Mothers’ intolerance of uncertainty at 4 months postpartum was also associated with partners’ lower sexual desire at 12 months postpartum through their own lower perception of intimacy at 8 months postpartum. Better understanding these individual and interpersonal factors associated with first-time parents’ sexual well-being could help in educating expecting couples and preventing sexual challenges they may encounter.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"132 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141811617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashrah Lucas, François Poulin, Marie-Aude Boislard
{"title":"Late sexual transition: Achievement of developmental tasks and well-being in emerging adulthood","authors":"Ashrah Lucas, François Poulin, Marie-Aude Boislard","doi":"10.3138/cjhs-2023-0046","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0046","url":null,"abstract":"According to the social clock and statistical norms, a transition into sexual activity after age 18 years is considered late. This longitudinal study examines whether late sexual transition is related to delays in the achievement of developmental tasks and lower psychological well-being in emerging adulthood for heterosexual individuals. A sample of 300 participants (61.3% women) was assessed annually from age 15 to 22 years and again at age 25, of which 43 reported sexual intercourse at age 19 or older or remained virgins in emerging adulthood. Results indicate that late sexual transition, particularly for men, is prospectively associated with still being at school, working fewer hours per week, being single and having no kids at age 25. It is also positively associated with depression and anxiety symptoms, interpersonal sensitivity, hostility, lower self-esteem, and lower happiness. This study enriches the understanding of slower developmental trajectories and the associations between late sexual transition and subsequent trajectories in emerging adulthood.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"17 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"At a loss for words: A qualitative exploration of female genital knowledge among obstetrics and gynecology patients","authors":"Taylor Roebotham, Colleen MacKenzie, Taryn Taylor","doi":"10.3138/cjhs-2023-0045","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0045","url":null,"abstract":"Patient health literacy, including basic anatomy knowledge, leads to improved communication and better health outcomes. Limited empirical data suggests that external genital anatomy may represent a particular knowledge gap. To inform future health literacy improvement efforts, we explored patient perspectives about how gynecologic anatomical literacy is generated and applied. Twenty semi-structured interviews with obstetrics and gynecology patients at a tertiary care centre were conducted to explore their knowledge of female genital anatomy and the origins of that knowledge. Thematic analysis was performed comparatively and iteratively, informed by principles of constructivist grounded theory. Participants highlighted an overwhelming lack of health education and high levels of internalized shame, leaving them ill-equipped to engage in conversations about their genitalia with healthcare providers. To combat this, participants attempted to construct knowledge for themselves; however, many grappled to identify reliable sources of information and felt uncertainty when communicating about their bodies. These findings contribute to an ongoing conversation about how an avoidance of naming may perpetuate the passivity and embarrassment that women experience regarding their reproductive health. Healthcare providers are well-situated to improve patient self-perception by using purposeful language and working to address both patient knowledge and activation.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"3 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141822479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond barks and bodies: Pup play and body image in gay, bi, trans, and queer men through a Deleuzian lens","authors":"Phillip Joy, Kinda Wassef, Olivia Bonardi, Megan Aston, Olivier Ferlatte","doi":"10.3138/cjhs-2023-0042","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0042","url":null,"abstract":"Body image is a complex issue that affects individuals from all genders and sexual orientations. Within the queer community pup play is a BDSM-related activity where participants take on the role of a pup/dog, complete with barking, crawling, and other canine behaviors. In this research, we explored how identifying as a pup shapes the body image of gay, bisexual, queer, and trans (GBQT) men using a Deleuzian approach. The process of cellphilming included attendance of three online workshops and the creation of a short cellphilm about their body image. Seventeen participants across five groups completed the workshops and submitted a cellphilm. Data was analyzed through discourse analysis, and while our analysis includes workshop quotes and film excerpts, the true depth of the films, capturing elements like lighting and sound, goes beyond the transcribed words. Three overarching discursive considerations are reported: (i) reinforcing body standards for GBTQ men, (ii) capacity for changing feelings about bodies, and (iii) becoming a pup. Participants suggested that although the pup community is more accepting of diverse bodies, hegemonic body standards for GBTQ men still apply. However, participants also described how identifying as a pup and connecting with others in the pup community was a way to navigate body image tensions.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"125 s1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141015060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stéphanie Black, Sarah Watt, Brett Koenig, T. Salway
{"title":"“You have to be a bit of a rogue teacher” – A qualitative study of sex educators in Metro Vancouver","authors":"Stéphanie Black, Sarah Watt, Brett Koenig, T. Salway","doi":"10.3138/cjhs-2023-0047","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0047","url":null,"abstract":"Comprehensive sex education (CSE) is evidence-based, addresses a wide variety of topics, and is inclusive of sexual and gender minority (SGM) experiences. However, teachers are often not trained to deliver CSE and are uncomfortable teaching it. This can lead to the omission of important topics and leave youth dissatisfied with their sex education. Thus, more research is needed to understand educator needs/approaches when delivering sex education and how educators incorporate SGM-affirming content. We conducted fifteen interviews with sex educators in Metro Vancouver, British Columbia (BC), Canada, in autumn 2021, to understand current approaches to and gaps in the provision of CSE. We used an interpretive descriptive methodology. Personal and structural factors constrain the delivery of CSE in BC. Personal factors include motivation, teacher comfort/knowledge, personal trauma, and fear of pushback. Structural factors include inequitable access to parent advisory council funding, Learning Standards design, and the peripheral nature of sex education. Participant recommendations for the future of sex education include increased mandatory pre-service and in-service training, the implementation of “sex education mentors” in each district, an online hub of resources, and government funding for community-based educators. We recommend (1) that government funding be allocated for at least one trained sex educator in every school district who can coach and mentor teachers; (2) the creation and promotion of an online information hub which includes lesson plans, videos, and resources for teachers; (3) and that teachers’ colleges create mandatory courses on teaching CSE.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"1429 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140773788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Muise, Amanda Bockaj, Lucia F. O'Sullivan, S. Ronis
{"title":"Attachment style and distress in couples experiencing sexual desire discrepancy","authors":"M. Muise, Amanda Bockaj, Lucia F. O'Sullivan, S. Ronis","doi":"10.3138/cjhs-2023-0011","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0011","url":null,"abstract":"Intimate partners’ sexual desire for each other can fluctuate throughout the course of their relationship, and greater difference between partners’ habitual level of sexual desire (i.e., sexual desire discrepancy [SDD]) is linked to lower sexual and relationship satisfaction ( Mark, 2015 ). Although some couples view SDD as a natural and normal part of a sexual relationship, others experience significant distress and may seek therapy. Based on a prominent literature on attachment among couples ( Birnbaum & Reis, 2019 ; Mark et al., 2018 ; Mikulincer & Shaver, 2007 ), the current study incorporated an actor-partner interdependence model to examine the dyadic associations between insecure attachment style (i.e., anxious, avoidant) and sexual desire among couples experiencing distressing or non-distressing levels of SDD. Couples ( N = 202; 51% female, 48% male, 1% different gender; M = 28 years old, SD = 5.05) were recruited through social media (e.g., Instagram, Twitter) and completed a survey assessing sexual distress, adult attachment style, and sexual desire. Although anxious and avoidant attachment did not moderate an association between SDD and sexual distress, higher levels of avoidant attachment were associated with sexual distress for the individual, but not with their partner’s distress. Findings suggest attachment may be essential for understanding individuals’ experience of sexual distress when coping with discrepant levels of sexual desire in romantic relationships.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"185 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140764701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth Jalbert, D. Lafortune, V. Lapointe, Jonathan Bonneau
{"title":"Disgust Responses to Virtual Erotica: Analysis of Their Interaction with Sexual Anxiety and Immersive Tendencies","authors":"Elizabeth Jalbert, D. Lafortune, V. Lapointe, Jonathan Bonneau","doi":"10.3138/cjhs-2023-0040","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0040","url":null,"abstract":"Previous research suggests that experiencing disgust in sexual contexts may negatively impact sexual satisfaction and functioning. However, little is known about the mechanisms (e.g., sexual anxiety) that influence or underlie sex-related disgust. Additionally, immersive tendencies may play a role in shaping emotional experiences when presented with sexual cues. Recent technological advancements, especially in virtual reality (VR), offer a promising avenue to explore emotions in simulated intimate and sexual interactions. This study aimed to examine the influence of sexual anxiety and immersive tendencies on reported levels of disgust when exposed to virtual erotica. A sample of 59 participants (≥18 years) completed self-report questionnaires of sexual anxiety and immersive tendencies. Levels of disgust were assessed during exposure to synthetic virtual characters engaging in erotic behaviours of increasing intensity across six scenarios, ranging from flirting to nudity, masturbation, and orgasm. Linear mixed models were performed on observed data. Higher levels of sexual anxiety were significantly associated with increased disgust throughout the immersive experience (β = 0.48), while greater immersive tendencies were significantly linked to lower disgust ratings (β = −0.66). Additionally, disgust ratings significantly increased with the intensity of the virtual sexual stimuli (β = 0.48). Virtual erotica shows promise as a tool to investigate sex-related disgust and its related mechanisms, such as sexual anxiety and immersive tendencies.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"8 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140397187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perceptions of Professional Stakeholders on Perpetration Prevention Programs Designed to Prevent Sexual Offending Against Children","authors":"Skye Stephens, Jennifer McArthur","doi":"10.3138/cjhs-2023-0041","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0041","url":null,"abstract":"There has been an increasing focus on the development of perpetration prevention programs designed to prevent the onset of sexual offending against children (online and offline). The present study involved a thematic analysis of 20 professional stakeholders in Nova Scotia who participated in a semi-structured interview that occurred prior to the development and implementation of a perpetration prevention program. Results highlighted that stakeholders saw value in a perpetration prevention program aimed at preventing the onset of sexual offending against children. Stakeholders noted that program content should address sexual-based concerns, focus on improving mental health and well-being, and consider the role of trauma. Stakeholders also emphasized the importance of creating a safe therapeutic environment. Several barriers were identified that focused on recruitment challenges, the role of fear and stigma, and the inclusion of diverse clients and facilitators. The importance of leveraging community organizations and supports was also highlighted. Implications of the findings are discussed in relation to perpetration prevention programming.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"3 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140397318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}