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}
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}
{"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}
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}
Danielle de Moissac, J. Graham, N. R. Gueye, Kailey Penner
{"title":"Sexual health practices: A comparison of international and domestic students on Canadian campuses","authors":"Danielle de Moissac, J. Graham, N. R. Gueye, Kailey Penner","doi":"10.3138/cjhs-2023-0026","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0026","url":null,"abstract":"Since 2011, an increasing incidence of sexually transmitted infections and risky sexual practices has been reported among young adults in Canada. However, research on sexual risk behaviours of international students in North America is limited, despite an increasing number of students from abroad attending higher education institutions on this continent. This article shares research findings comparing the sexual practices of international and domestic students in five postsecondary institutions in three Canadian provinces (Manitoba, Ontario, Quebec). Two hundred forty-two international students and 1220 domestic students took part in the bilingual online and paper-based survey. Female international students were less likely to be sexually active than international male, domestic male, and domestic female students. International students were significantly less likely to partake in many risky sexual behaviours, such as inconsistent condom use and unplanned sex after consuming alcohol or drugs. However, male international students were more likely to report having multiple sexual partners than male domestic students. These findings are relevant to those who counsel and advise postsecondary students on Canadian campuses and for healthcare practitioners to better understand postsecondary students’ sexual practices. Strategies to enhance sexual health and knowledge include targeted promotion of safe sexual practices and sexual education in postsecondary institutions.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139888632","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}
Danielle de Moissac, J. Graham, N. R. Gueye, Kailey Penner
{"title":"Sexual health practices: A comparison of international and domestic students on Canadian campuses","authors":"Danielle de Moissac, J. Graham, N. R. Gueye, Kailey Penner","doi":"10.3138/cjhs-2023-0026","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0026","url":null,"abstract":"Since 2011, an increasing incidence of sexually transmitted infections and risky sexual practices has been reported among young adults in Canada. However, research on sexual risk behaviours of international students in North America is limited, despite an increasing number of students from abroad attending higher education institutions on this continent. This article shares research findings comparing the sexual practices of international and domestic students in five postsecondary institutions in three Canadian provinces (Manitoba, Ontario, Quebec). Two hundred forty-two international students and 1220 domestic students took part in the bilingual online and paper-based survey. Female international students were less likely to be sexually active than international male, domestic male, and domestic female students. International students were significantly less likely to partake in many risky sexual behaviours, such as inconsistent condom use and unplanned sex after consuming alcohol or drugs. However, male international students were more likely to report having multiple sexual partners than male domestic students. These findings are relevant to those who counsel and advise postsecondary students on Canadian campuses and for healthcare practitioners to better understand postsecondary students’ sexual practices. Strategies to enhance sexual health and knowledge include targeted promotion of safe sexual practices and sexual education in postsecondary institutions.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"98 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139828429","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}
Todd A. Coleman, Samson Tse, Lucas Gergyek, Ruth Cameron, Simon Coulombe, Charlie E. Davis, R. Travers, Ciann L. Wilson, Michael Woodford
{"title":"Community and sociodemographic factors associated with disclosure of sexual orientation and comfort in discussing care needs in primary care: results from the OutLook Study","authors":"Todd A. Coleman, Samson Tse, Lucas Gergyek, Ruth Cameron, Simon Coulombe, Charlie E. Davis, R. Travers, Ciann L. Wilson, Michael Woodford","doi":"10.3138/cjhs-2022-0057","DOIUrl":"https://doi.org/10.3138/cjhs-2022-0057","url":null,"abstract":"Lesbian, gay, bisexual, and diverse sexual orientation minorities are disproportionately represented in the prevalence of adverse health conditions, even in Canada, suggested as one of the more progressive countries when it comes to social acceptance and human rights protections. This highlights the inclusion of sexual orientation identity as a point of consideration when providers interact with patients and to consider facilitating sexual orientation identity disclosure when accessing health care. This study explored factors associated with different facets of sexual orientation disclosure to primary care providers. A cross-sectional survey of sexual orientation minority participants, 16 years or older, living, working, or residing in Waterloo Region was distributed ( n = 437). Modified Poisson regression methods modelled (a) comfort sharing sexual orientation with their regular primary care provider (RPCP), (b) disclosure of sexual orientation to their RPCP, and (c) talking to their RPCP about health issues related to their sexual orientation. Increasing outness within one’s social network was consistently significant across all three outcomes of comfort, disclosure, and talking about health issues related to sexual orientation. Self-esteem was also identified as salient in comfort and when talking to providers. The authors also observed significant associations between sexual orientation identity and relationship status variables. Findings highlight important factors to consider in discussing and disclosing sexual orientation identity and associated health issues with health care providers. Implications for practice include training new health care providers and providing opportunities for continued education for established providers to ensure appropriate care is provided based on sexual orientation.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"105 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140475341","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":"Prevalence rates and identification of nonconsensual sexual experiences among gay, bisexual, and other men who have sex with men in Canada","authors":"Raymond M. McKie, E. Reissing","doi":"10.3138/cjhs-2023-0028","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0028","url":null,"abstract":"Gay, bisexual, and other men who have sex with men (GBMSM) have been identified as a population at higher risk of experiencing non-consensual sexual experiences (NSEs). However, previous research studies examining the prevalence of NSEs in this population have been limited by inconsistent terminology and a lack of research on the topic. The main focus of this study was to compare the effectiveness of using self-labels versus behavioural indicators to measure the prevalence of NSEs experienced in adulthood in GBMSM and contribute to more accurate prevalence rates in the Canadian context. A total of 346 participants were recruited from various social media platforms in Canada. The study used a two-part question that asked participants if they had ever been sexually assaulted or raped, followed by a question about other nonconsensual sexual experiences. The study also used a formal behavioural measure, the Sexual Experiences Survey, to assess the prevalence of NSEs. The results indicated that a two-part question and the formal measure reported similar prevalence rates of NSEs—64.5% and 66.8% respectively. Overall prevalence of NSEs was very high in this sample, and people of colour and trans men reported even higher rates. Depending on the context, the parsimonious choice of questioning persons on the NSE history may be valid, however, only if applied in the context of asking for rape and assault as well as other NSEs that may not be captured by these definitions. The study highlights the importance of using consistent terminology and effective measurement methods when studying the prevalence of NSEs in GBMSM. These findings may have important implications for developing interventions and for obtaining more accurate prevalence rates in a variety of settings without having to use a longer, more formalized measure.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"278 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140473790","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":"The discursive construction of self-diagnosed “Pornography addiction”","authors":"Alicia Shevlin, Gavin Ivey","doi":"10.3138/cjhs-2023-0034","DOIUrl":"https://doi.org/10.3138/cjhs-2023-0034","url":null,"abstract":"Addiction is a term recently extended to problem sexual behaviours. Proponents of pornography addiction (PA) argue that pornography is comparable to drugs in its impact on brain processes and behaviour, producing effects similar to substance abuse disorders. Critics, however, assert that PA lacks diagnostic validity, that supporting research is methodologically unsound, and that diagnosis obscures the social contexts and discursive practices in which sexual behaviours are embedded. This study investigates how self-identified pornography addicts describe their experiences and explores the implicit motives and meanings at play in this identity construction. Using a psychoanalytically informed discursive methodology, the authors analyzed interviews with 10 self-identified pornography addicts, focusing on the meaning of self-diagnosis, the process of self-labelling, and participants’ psychological investment in diagnosis. Participants perceived an enslavement to desire as central to their addiction identities. Underlying this identity work were defences and conflicts about power, gender, sexuality, and perversion, as well as histories of disturbed attachment and deprivation by parental figures. The PA diagnosis counteracted feelings of shame and allowed participants to speak more freely about their difficulties. However, it also precluded more nuanced self-understandings and identity possibilities. The article concludes with a discussion of the mental health and psychotherapeutic implications of those presenting with self-diagnosed PA.","PeriodicalId":506318,"journal":{"name":"The Canadian Journal of Human Sexuality","volume":"97 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140479044","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}