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Article
Publication date: 28 October 2020

Augustine Bala Nalah, Azman Azlinda and Singh Jamir Singh Paramjit

The purpose of this study is to explore the influence of harmful cultural practices and its implications on stigmatization and the spread of HIV infection among people diagnosed…

Abstract

Purpose

The purpose of this study is to explore the influence of harmful cultural practices and its implications on stigmatization and the spread of HIV infection among people diagnosed with HIV in North Central Nigeria. It will help to identify the cultural values that pose a threat to the social, health and psychological well-being of the members of the society. This study will provide recommendations through educational teachings to community leaders and policymakers for health-care protection through Human Rights Act.

Design/methodology/approach

This study uses the qualitative phenomenological research design through a face-to-face in-depth interview to collect data using the audio recorder and field notes. Purposive sampling technique was used to recruit, from three selected hospitals, 20 participants aged 18 years–56 years who gave their consent by filling the informed consent form between April 2019 and July 2019. The data collected were analyzed through thematic analysis using ATLAS.ti 8 software. Also, thematic network analysis was used to visualize the themes, sub-themes and quotations.

Findings

The study findings indicate that sociocultural factors and HIV stigma in Nigeria are significant psychosocial problems that have adverse implications for health and psychological well-being. These problems contribute to the harmful traditional practices, thereby making people vulnerable to contracting HIV infection. The nontherapeutic practices of female genital mutilation, sexual intercourse during menstruation and tribal marks or scarification cause medical complications such as vesicovaginal fistula, rectovaginal fistula and HIV infection. Also, the practice of 18 months of sexual abstinence during breastfeeding predisposes couples to extramarital affairs and HIV infections. The findings also reveal that lack of education contributes to gender inequality.

Originality/value

The research uses a scientific method using ATLAS.ti 8 software for the transcription, organization and thematic analysis of the qualitative data. The study findings will benefit specifically the young girls and women who are usually the victims of the harmful cultural practices of female genital mutilation, gender inequality, sexual intercourse during menstruation and lack of female education in North Central Nigeria. Also, this study will serve as a relevant document and guide for policy implementation of Human and Child Rights Acts against all harmful cultural practices and gender inequality.

Details

International Journal of Human Rights in Healthcare, vol. 14 no. 2
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 18 November 2021

Flore Deboscker, Mathieu Nacher, Antoine Adenis, Florence Huber, Aude Lucarelli, Laura Asensio, Marie Daniel, Vanessa Schiemsky and Timothee Bonifay

Incarcerated women are a vulnerable population in terms of sexual and reproductive health. In French Guiana, most incarcerated women come from unsafe environments and are…

Abstract

Purpose

Incarcerated women are a vulnerable population in terms of sexual and reproductive health. In French Guiana, most incarcerated women come from unsafe environments and are incarcerated because of drug trafficking. Medical follow-up processes used in prison (medical assessment on arrival, and then two half-days per week upon request but without an obstetrician-gynecologist) does not allow for a thorough assessment of the impact of incarceration on women prisoners’ health to take place. In the absence of data, the purpose of this study was to describe incarcerated women’s experiences in relation to sexual and reproductive health.

Design/methodology/approach

Semi-structured interviews were conducted among French-speaking adult women who had been incarcerated for at least four months in a French Guianan prison. Menstruation, contraception, pregnancy, abortion, sexually transmitted infections and sexuality were described by means of interpretative phenomenological analysis.

Findings

A total of 14 women were interviewed. They suffered from menstrual cycle disorders, poor hygiene and menstrual insecurity. They appeared to have emotionally disinvested sexuality. However, intra-prison sexual activity existed for some (masturbation, conjugal prison visits, homosexual intercourse between fellow prisoners). Homosexual relations were a source of discrimination. Being pregnant while incarcerated was viewed negatively. A lack of knowledge about sexual and reproductive health and high-risk behaviors such as piercing and tattooing practices were widespread.

Originality/value

Incarceration is a vulnerable time for women’s sexual and reproductive health. Sexual activity exposes women to risks and discrimination that should be taken into account in a multidisciplinary approach adapted to the prison environment.

Details

International Journal of Prisoner Health, vol. 18 no. 4
Type: Research Article
ISSN: 1744-9200

Keywords

Book part
Publication date: 23 November 2017

Yvonne Vissing

This paper explores the benefits of teaching young people about sex through a sexual debut framework.

Abstract

Purpose

This paper explores the benefits of teaching young people about sex through a sexual debut framework.

Methodology/approach

Dominant conceptual frameworks that shape young people’s introduction to sexual intimacy are analyzed.

Findings

Sexual debut is a process by which young people are given the power to decide the who, what, when, where, why, and how of their first sexual encounters. The evolution and nuances of young people’s first sexual engagements can be understood through the interface of culture, social, and psychological contexts, language, actions, experiences, and how they transform those processes into their own conceptualization of sexual behavior and involvement with it.

Research limitations/implications

This framework explains a process by which young people engage in particular sexual acts at a particular time and place with a certain partner. It allows for future data gathering and analysis to refine this model.

Practical implications

Benefits of teaching children they have power to influence with whom they want to become sexually active, what types of sexual activities they want to experience, when they wish to engage in those actions, and where they occur should reduce the risk of abuse, rape, and harm.

Social implications

The debut model challenges abstinence approaches to sex education. The implications of this research reinforce the United Nations Convention on the Rights of the Child to support young people’s participation to influence their lives and well-being.

Originality/value

It provides a realistic view of sexual experimentation and has the potential to reduce risk and increase young people’s well-being.

Details

Gender, Sex, and Sexuality Among Contemporary Youth
Type: Book
ISBN: 978-1-78714-613-6

Keywords

Book part
Publication date: 15 July 2021

Neriman Açıkalın

Sexual politics, in other terms, affecting sexuality to a political attribution can be traced back to the rise of class society. Politics may be defined as the methods, tactics…

Abstract

Sexual politics, in other terms, affecting sexuality to a political attribution can be traced back to the rise of class society. Politics may be defined as the methods, tactics, and strategies applied to maintain the continuity of a system. When sexual politics are handled in the context of the subject of this work, the relationship between the sexes manifests itself as the domination of one gender (masculine) on the other (feminine). The patriarchal ideology, which determines the relationship between women and men, has also a deeply rooted sexual culture on how the sexual relationship between two people (hetero or homosexual) should be interpreted. In this work, the sociological meaning of offering sexuality against money or any other benefit will be questioned. In this study, a total of 44 women have been interviewed in depth, 31 of whom work in brothels, and 13 on the street. In this perspective, the working conditions of the women in the prostitution market have been considered on the bases of pimp-woman, lover (dost)-woman, and client-woman relations. Based on the study findings, the assumption that the exploiting of women will be eliminated by improving the working conditions in the prostitution market means not only normalising the public thought which will expose the women to all kinds of use, but also disregarding the mechanisms that force women to practice prostitution and remain helpless, and creating gender inequality.

Details

A New Social Street Economy: An Effect of The COVID-19 Pandemic
Type: Book
ISBN: 978-1-80117-124-3

Keywords

Article
Publication date: 1 January 2008

Wendy Macdowall, Kaye Wellings, Judith Stephenson and Anna Glasier

This paper aims to examine whether greater consideration should be given to the timing of sexual health interventions within the calendar year.

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Abstract

Purpose

This paper aims to examine whether greater consideration should be given to the timing of sexual health interventions within the calendar year.

Design/methodology/approach

The paper uses a review of the literature.

Findings

The evidence points to seasonality in a number of areas of sexual health among young people, including: the timing of first intercourse and conceptions, both of which peak in the summer and over Christmas; abortions which peak approximately two months later in February and late summer and sexually transmitted infections, which peak over the summer and autumn. In the case of conceptions there is evidence that the seasonal pattern among young people is different from that of adults. Potential explanations fall into four main categories: biological; behavioural; social, and service‐related.

Research limitations/implications

Many of the studies included in this review are from the USA, and some are based on either small samples or specific risk groups, which raises questions of representativeness and generalisability. Further, it is notable how little research there has been regarding seasonal variations in other aspects of sexual behaviour, such as risk reduction practice and other potential explanatory factors such as health‐seeking behaviour and availability of services.

Practical implications

The findings consistently point to periods of heightened sexual activity among young people in the summer and over Christmas, and suggest that greater consideration should indeed be given to the timing of sexual health interventions within the calendar year.

Originality/value

To the best of the authors' knowledge, no other review of this kind has yet been found.

Details

Health Education, vol. 108 no. 1
Type: Research Article
ISSN: 0965-4283

Keywords

Book part
Publication date: 15 September 2022

Josie Hamper

Fertility apps are digital tools for recording menstruation and bodily signs of fertility, with the aim of predicting future ovulation dates. For women trying to conceive, these…

Abstract

Fertility apps are digital tools for recording menstruation and bodily signs of fertility, with the aim of predicting future ovulation dates. For women trying to conceive, these predictions can be used to time heterosexual intercourse or insemination close to ovulation and thus increase chances of conception. This chapter explores women's use of fertility-tracking apps and the consequences of this for their experiences of trying to conceive in heterosexual relationships. I draw on findings from a thematic analysis of app content and interviews with women in the United Kingdom who had used apps to help them conceive, to show how these apps are often present in the in-between or transitional times and spaces of reproductive life. Apps are used to increase chances of pregnancy, but they are also used to navigate the many uncertainties of trying to conceive. Through a critical engagement with notions of control, anticipation and awareness, I explore how apps shape and are shaped by an increasingly demanding social and cultural context of reproduction.

Details

Technologies of Reproduction Across the Lifecourse
Type: Book
ISBN: 978-1-80071-733-6

Keywords

Open Access
Article
Publication date: 20 August 2021

Siobhan Warrington, Mimi Coultas, Mitali Das and Effat Nur

In Bangladesh, as elsewhere, menstruation is surrounded by stigma, silence, and shame. Despite being a critical part of women’s and girls’ sexual and reproductive health and…

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Abstract

Purpose

In Bangladesh, as elsewhere, menstruation is surrounded by stigma, silence, and shame. Despite being a critical part of women’s and girls’ sexual and reproductive health and rights (SRHR), it remains significantly under-researched and addressed. However, the focus on menstrual health (MH) programming is growing globally, with increased awareness of the importance of holistic and rights-based approaches. This case study aims to examine and reflect upon the MH landscape and programming in Bangladesh, assessing the progress, challenges, and potential ways forward.

Design/methodology/approach

This case study is based on a non-systematic review of recent global and national literature, eight semi-structured interviews, a review of national television adverts and the authors’ experiences of MH research and programming in Bangladesh.

Findings

Hygiene-based education delivered through schools is a common entry point for MH programming in Bangladesh, with limited activities conducted in communities (including with men and boys) and through media. The focus of MH programming has tended to be narrow, with insufficient recognition of the wider gender equality and health implications of menstruation. There are growing efforts to coordinate MH work by different agencies and to collectively advocate for increased government engagement. While significant progress has been made, this case study identifies several gaps and tensions that reflect the complexity of addressing MH.

Originality/value

This case study presents an overview of recent MH experiences and programming in Bangladesh. It recognises the different sectors, sites and stakeholders involved, and includes experiences and perspectives of practitioners, academics, and programme participants.

Details

International Journal of Human Rights in Healthcare, vol. 14 no. 4
Type: Research Article
ISSN: 2056-4902

Keywords

Book part
Publication date: 30 June 2004

Carol A.B Warren

The medical suppression of female sexuality in Victorian society has long been the subject of historical and cultural scholarship, with documentation not only of textual threats…

Abstract

The medical suppression of female sexuality in Victorian society has long been the subject of historical and cultural scholarship, with documentation not only of textual threats by religious and medical “experts,” but also of surgical assaults on female reproductive systems (Longo, 1979, 1986; Scull & Favreau, 1986; Sheehan, 1997). Less well known is the apparent obverse: the use of medical techniques to stimulate the female genitalia as a means of treating hysteria and other mental disorders (Maines, 1999; Schleiner, 1995). In this paper, I trace the cultural history (mainly Anglo-American) of the psychiatric enhancement, as well as repression, of female sexual pleasure, through various genital treatments, including the surgical and the electrical.1 I then make the case that these “opposite” treatments are, in the context of Victorian society, two sides of the same coin of the patriarchal, medical control of female sexuality.2

Details

Gendered Perspectives on Reproduction and Sexuality
Type: Book
ISBN: 978-0-76231-088-3

Book part
Publication date: 30 June 2004

Kathryn M Yount and Deborah L Balk

Ritual female genital practices, widespread throughout Africa, are essential to gender identification and often are a pre-requisite for marriage. More severe forms of the…

Abstract

Ritual female genital practices, widespread throughout Africa, are essential to gender identification and often are a pre-requisite for marriage. More severe forms of the practice, which are common in parts of Northeastern Africa, are also believed to enhance a woman’s childbearing capacity. Here, we critically review the gender- and class-based theories that explain the origins and persistence of female genital practices and the factors that precipitate social change. We also critically review evidence of the association of certain forms of the practice with various health, demographic, and social consequences. Our review exposes several methodological limitations of existing research that preclude population-based inferences about the medical and social implications of these practices and suggest that existing policies targeting such practices draw more on concerns over human rights than on scientific evidence about their sequelae. This review nevertheless exposes a potential contradiction between local justifications for and consequences of certain forms of the practice. Namely, despite an intended function of female genital practices to enhance a woman’s marital capital, certain forms may ironically lead to marital instability and dissolution through their negative effects on the health and reproductive capacity of women. We conclude with recommendations for research to examine the salience and implications of this potential paradox for women in Northeastern Africa.

Details

Gendered Perspectives on Reproduction and Sexuality
Type: Book
ISBN: 978-0-76231-088-3

Article
Publication date: 1 October 2004

Hedy Ditchfield and Jan Burns

The paper reviews the evidence for vulnerability in women with learning disabilities to a range of physical and mental health problems, with special emphasis on menstruation. It…

Abstract

The paper reviews the evidence for vulnerability in women with learning disabilities to a range of physical and mental health problems, with special emphasis on menstruation. It goes on to describe a qualitative research project on the experience of learning‐disabled women in relation to menstruation, and concludes by emphasising the need for services to communicate information on this subject in more sensitive and appropriate ways.

Details

Tizard Learning Disability Review, vol. 9 no. 4
Type: Research Article
ISSN: 1359-5474

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