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Book part
Publication date: 8 December 2023

Angela M. Kaufman-Parks, Monica A. Longmore, Wendy D. Manning and Peggy C. Giordano

The majority of emerging adults in the United States spend time in cohabiting unions. Prior research has suggested that higher levels of sexual non-exclusivity may exist among…

Abstract

The majority of emerging adults in the United States spend time in cohabiting unions. Prior research has suggested that higher levels of sexual non-exclusivity may exist among those in cohabiting relationships compared to marital unions. Although these basic patterns have been explored in prior work, research examining the potential reasons why levels of sexual non-exclusivity differ by union status has been limited. Drawing on a relational perspective and using the fifth wave of data from the Toledo Adolescent Relationships Study (TARS), the present study found that higher levels of sexual non-exclusivity in cohabiting relationships were explained by intimate relationship characteristics and sexual histories rather than sociodemographic factors, partner heterogamy, or partner- and couple-level drug use. These findings highlighted that understanding the higher rates of sexually non-exclusive experiences in cohabiting relationships, compared to marital relationships, requires attention to specific dynamics of the intimate partnership and prior relational experiences of both partners. The study concluded that cohabitation has a unique place in emerging adults’ relationship landscape and may set the groundwork for future relationship functioning.

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Cohabitation and the Evolving Nature of Intimate and Family Relationships
Type: Book
ISBN: 978-1-80455-418-0

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Book part
Publication date: 10 August 2023

Joselito G. Gutierrez, Tisha Isabelle M. De Vergara and Clarence M. Batan

This chapter examines the life histories of selected teenage Filipino fathers relative to their experiences of dating, courtship, and the discovery, engagement, and…

Abstract

This chapter examines the life histories of selected teenage Filipino fathers relative to their experiences of dating, courtship, and the discovery, engagement, and experimentation with risk-taking behaviors such as smoking, drinking alcohol, and premarital sex. Using an interpretative phenomenological analysis (IPA), this study conducts family genogram and in-depth semi-structured interviews among eight teenage fathers. In so doing, it interrogates the consequences of sexual behaviors to the well-being of their respective families of orientation as well as the future of their expected family of procreation. The chapter argues how the risks of teenage fatherhood in the Philippines are relatively mitigated by the general conservative culture of Filipino families and the Catholic sense of religious orientation that seems to provide resilience captured in three themed experiences of “natauhan” (realization), “pinangatawanan” (accountability), and “pinanindigan” (owning responsibility). Thus, this chapter unravels the voices of young Filipino teenage fathers who straddles, on the one hand, the risk of premarital sex and pregnancy, and on the other hand, the challenges of responsible parenthood. In conclusion, the chapter provides policy insights on sex education and gender equality training for the vulnerable Filipino youth in the country.

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Resilience and Familism: The Dynamic Nature of Families in the Philippines
Type: Book
ISBN: 978-1-80455-414-2

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Book part
Publication date: 10 August 2023

Jerome V. Cleofas and Dennis Erasga

Stigma remains to be a major barrier to addressing the sustained rise of human immunodeficiency virus (HIV) infections in the Philippines. Gay, bisexual, and other men who have…

Abstract

Stigma remains to be a major barrier to addressing the sustained rise of human immunodeficiency virus (HIV) infections in the Philippines. Gay, bisexual, and other men who have sex with other men (MSMs) (G/B/MSM) living with HIV experience compounded stigma due to their sexual identity and HIV seropositive status. The family has been identified as one of the main sources of homonegativity and HIV-related discrimination. Drawing from the family life histories of 31 Filipino MSMs living with HIV, the authors demonstrate the concept of compounding stigma, which posits that the extent and nature of gender- and sexuality-based stigma experienced in early life may potentiate or mitigate the experience of HIV stigma in later life in the context of the family. Narrative analysis of the family life histories reveals a central factor that shaped the sexual development and stigma experiences of MSMs living with HIV: sexual identity visibility in the family (SIVF) – the family’s extent of knowledge and/or acceptance of their sexuality. Three core narratives emerged from the data that categorize informants based on the type of SIVF present in their family life viz. full, partial, and invisible. Results also trace the resultant life trajectories for each core narrative and reveal three forms of compounding stigma: low compounding stigma or compounding acceptance, compounding enacted stigma, and compounding internalized stigma.

Details

Resilience and Familism: The Dynamic Nature of Families in the Philippines
Type: Book
ISBN: 978-1-80455-414-2

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Book part
Publication date: 14 September 2023

Jason Hung

In Chapter 5, the author will centralise the discourse on youth sexual misconduct in the focused SEA countries (Indonesia and Malaysia as the two Muslim-majority countries and…

Abstract

In Chapter 5, the author will centralise the discourse on youth sexual misconduct in the focused SEA countries (Indonesia and Malaysia as the two Muslim-majority countries and Thailand as a Buddhist-majority country). Addressed youth sexual misconduct encompasses underage sex, teenage pregnancy, and extramarital sex in SEA. The focus on these kinds of youth sexual misconduct hints at why these three countries are particularly highlighted owing to the controversy and significance. Per Islamic law, non-marital sex is religiously prohibited, where Indonesia recently passed the relevant law that criminalises non-marital sex. Upon the problematisation of these forms of youth sexual misconduct, the author will recommend policies that both local governments and the ASEAN could adopt and exercise in response to curtailing the prevalence of discussed delinquency. Overall, this chapter shall contain the scholarly value that helps SEA control or contain the social harms, directly or indirectly, inflicted by the prevalence of sexual youth delinquency.

Details

The Socially Constructed and Reproduced Youth Delinquency in Southeast Asia: Advancing Positive Youth Involvement in Sustainable Futures
Type: Book
ISBN: 978-1-83753-886-7

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Book part
Publication date: 3 October 2023

Nompumelelo Zungu, Warren Parker, Inbarani Naidoo, Mokhantšo Makoae and Salome Sigida

Complex inequalities have shaped the trajectory of the HIV epidemic in South Africa. These include factors related to gender disempowerment, poverty, family disruption and…

Abstract

Complex inequalities have shaped the trajectory of the HIV epidemic in South Africa. These include factors related to gender disempowerment, poverty, family disruption and violence – all of which have intensified the risk of HIV infection among the majority of South Africans, contributing to one of the most severe country-level HIV epidemics globally. Neo-liberal economic policies adopted in the post-apartheid period failed to address poverty and burgeoning urban migration – both of which were key factors exacerbating vulnerability to HIV. While there was, ostensibly, a strong commitment to addressing the HIV epidemic by the post-apartheid government, HIV prevalence among pregnant women quadrupled from 7.6% in 1994 to 30.2% in 2005. Contributing to this rise, was a series of missteps by the national Department of Health in the late 1990s, which constrained HIV prevention efforts and stifled HIV treatment. The mid-2000s saw a reprioritisation of the response to the epidemic, with international guidelines supported by biomedical and social research underpinning a rights- and evidence-based response. Multisectoral HIV prevention activities were complemented by high levels of investment in implementing prevention of mother to child HIV transmission and expanding access to antiretroviral therapy (ART) for HIV through the public sector. While these efforts contributed to stabilising the epidemic, stark inequalities in vulnerability and susceptibility to HIV infection continued – in particular, among youth. In this chapter, we draw on a review of the research literature to describe concerns and explore opportunities for a response.

Details

Youth Development in South Africa: Harnessing the Demographic Dividend
Type: Book
ISBN: 978-1-83753-409-8

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Article
Publication date: 14 September 2023

Agata Debowska, Daniel Boduszek, Christine Fray-Aiken, Eric Awich Ochen, Karyl T. Powell-Booth, Esther Nanfuka Kalule, Roxanne Harvey, Florence Turyomurugyendo, Kenisha Nelson, Dominic Willmott and Samantha Mason

Few studies assess how child abuse and neglect (CAN) affects adolescents’ mental health. Further, the majority of studies conducted to date discount the individual CAN items and…

Abstract

Purpose

Few studies assess how child abuse and neglect (CAN) affects adolescents’ mental health. Further, the majority of studies conducted to date discount the individual CAN items and report overall prevalence rates for different types of abuse and neglect. The purpose of this study was to examine the levels of and gender differences in CAN subtypes, lifetime prevalence of individual CAN items and the contribution of different CAN subtypes for explaining depression, anxiety and irritability.

Design/methodology/approach

The sample included Jamaican (n = 7,182, 60.8% female) and Ugandan (n = 11,518, 52.4% female) youths. The authors used a population-based cross-sectional study design. Youths completed an anonymous survey in school settings.

Findings

The authors found gender differences in the levels of CAN subtypes. Maltreatment behaviors of lesser severity were more commonly endorsed by the youths than those of greater severity. Neglect and emotional abuse were the strongest correlates of depression (e.g. neglect: ß = 0.23, among Jamaican youths; emotional abuse outside-the-home: ß = 0.23, among Ugandan girls), anxiety (e.g. neglect: ß = 0.17, among Ugandan girls; emotional abuse outside-the-home: ß = 0.27, among Ugandan girls) and irritability (e.g. emotional abuse in-the-home: ß = 0.17, among Jamaican boys; emotional abuse outside-the-home: ß = 0.17, among Ugandan girls) in most samples.

Originality/value

These findings will inform policymakers and professionals working with youths in Jamaica and Uganda, providing comprehensive contemporary insights beyond existing research in these regions.

Details

Mental Health and Social Inclusion, vol. 28 no. 1
Type: Research Article
ISSN: 2042-8308

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Article
Publication date: 11 October 2022

Tianjie Deng, Anamika Barman-Adhikari, Young Jin Lee, Rinku Dewri and Kimberly Bender

This study investigates associations between Facebook (FB) conversations and self-reports of substance use among youth experiencing homelessness (YEH). YEH engage in high rates of…

Abstract

Purpose

This study investigates associations between Facebook (FB) conversations and self-reports of substance use among youth experiencing homelessness (YEH). YEH engage in high rates of substance use and are often difficult to reach, for both research and interventions. Social media sites provide rich digital trace data for observing the social context of YEH's health behaviors. The authors aim to investigate the feasibility of using these big data and text mining techniques as a supplement to self-report surveys in detecting and understanding YEH attitudes and engagement in substance use.

Design/methodology/approach

Participants took a self-report survey in addition to providing consent for researchers to download their Facebook feed data retrospectively. The authors collected survey responses from 92 participants and retrieved 33,204 textual Facebook conversations. The authors performed text mining analysis and statistical analysis including ANOVA and logistic regression to examine the relationship between YEH's Facebook conversations and their substance use.

Findings

Facebook posts of YEH have a moderately positive sentiment. YEH substance users and non-users differed in their Facebook posts regarding: (1) overall sentiment and (2) topics discussed. Logistic regressions show that more positive sentiment in a respondent's FB conversation suggests a lower likelihood of marijuana usage. On the other hand, discussing money-related topics in the conversation increases YEH's likelihood of marijuana use.

Originality/value

Digital trace data on social media sites represent a vast source of ecological data. This study demonstrates the feasibility of using such data from a hard-to-reach population to gain unique insights into YEH's health behaviors. The authors provide a text-mining-based toolkit for analyzing social media data for interpretation by experts from a variety of domains.

Details

Information Technology & People, vol. 36 no. 6
Type: Research Article
ISSN: 0959-3845

Keywords

Article
Publication date: 2 February 2022

Alana Griffith and Mahalia Jackman

A consensus in the literature is that anti-gay prejudice has a negative impact on HIV programming for men who have sex with men (MSM). This paper aims to analyse the prevalence…

Abstract

Purpose

A consensus in the literature is that anti-gay prejudice has a negative impact on HIV programming for men who have sex with men (MSM). This paper aims to analyse the prevalence and predictors of anti-gay prejudice in Barbados, an island in the Caribbean, and possible impacts on the full recognition of the right to health care.

Design/methodology/approach

The study used nationally representative data obtained from the Caribbean Development Research Services capturing anti-gay prejudice in Barbados in 2004, 2013 and 2019. The data were analysed using logit models and ordinary least squares regression.

Findings

The share of persons who expressed feelings of hatred towards gays and lesbians did not change significantly over the period. Social distance attitudes improved between 2004 and 2013 but have not changed since. Men generally expressed more prejudice than women and male sexual prejudice could be localised to three groups – men without tertiary education, men under 51 and members of non-Christian religions. Meanwhile, there was little consistency in the predictors of women’s attitudes over the period.

Originality/value

This study provides insights into the trends in attitudes towards sexual minorities in a developing country. The main conclusion is that although health care is provided as a universal right to all Barbadians, a strictly medical approach to HIV prevention among MSM in countries with high levels of anti-gay prejudice is insufficient.

Details

International Journal of Human Rights in Healthcare, vol. 16 no. 4
Type: Research Article
ISSN: 2056-4902

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Article
Publication date: 12 May 2023

Margaret Sullivan and George Shaw

The United States of America is in the midst of an opioid crisis. However, little has been written within the domain of LIS (Library and Information Science) about the health…

Abstract

Purpose

The United States of America is in the midst of an opioid crisis. However, little has been written within the domain of LIS (Library and Information Science) about the health information needs and behaviors of people who inject drugs. The purpose of this project is to conduct a scoping review of the current knowledge disseminated by LIS scholars and professionals regarding what information people who inject drugs have access to, need, how they interact with information and what dissemination methods may be most beneficial.

Design/methodology/approach

A scoping review of the literature was conducted with the additional inclusion criteria that the information needs be expressed from the insider perspective of this population instead of from the researcher.

Findings

In searching over a dozen databases, only seven articles were found that reflected the information behaviors of people who use drugs from the perspective of themselves. Only one article was from information science, two were from health informatics and one was from health communication, a closely linked field. These findings describe the information behaviors and needs of this population and speak to the need for more comprehensive research in this area in order to create targeted health information resources for this sensitive population.

Originality/value

There is little research in the domain of information science that has been conducted into the health information-seeking behaviors of people who inject drugs. Most of the work in this area is from the perspective of the researcher, not the person who injects drugs. This exploration into the literature on the information behavior of people that inject drugs from the perspective of themselves is unique.

Key messages

  1. There is very little research that has been conducted into the health information-seeking behaviors of people who inject drugs.

  2. Most of the work in this area is from the perspective of the researcher, not the person who injects drugs.

  3. Only four such articles were found in the domain of LIS and seven, in total, between all academic domains.

There is very little research that has been conducted into the health information-seeking behaviors of people who inject drugs.

Most of the work in this area is from the perspective of the researcher, not the person who injects drugs.

Only four such articles were found in the domain of LIS and seven, in total, between all academic domains.

Details

Journal of Documentation, vol. 79 no. 6
Type: Research Article
ISSN: 0022-0418

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Article
Publication date: 1 May 2023

Emily Dauria, Christopher Rodriguez, Sarah Bauerle Bass, Marina Tolou-Shams and Katerina Christopoulos

Women involved in the carceral system (CS) experience several conditions that increase their risk for HIV (e.g. high rates of substance use, psychiatric disorders, histories of…

Abstract

Purpose

Women involved in the carceral system (CS) experience several conditions that increase their risk for HIV (e.g. high rates of substance use, psychiatric disorders, histories of victimization). The purpose of this study is to explore perspectives on potential strategies to connect women in the CS to pre-exposure prophylaxis (PrEP) services.

Design/methodology/approach

This study conducted in-depth interviews with 27 women involved in the CS eligible for PrEP. Using vignettes, interviews explored attitudes, barriers and facilitators toward PrEP screening, referral and linkage facilitated via a CS stakeholder, an mHealth application or providing PrEP service referrals during detention via a navigator.

Findings

Most women were, on average, 41.3 years, from racial and ethnic minority groups (56% black/African American; 19% Latinx). Inductive thematic analysis revealed CS involved women expressed mostly positive attitudes toward CS-based PrEP implementation. Younger women were more accepting of and interested in mHealth interventions. Implementation facilitators included leveraging relationships with trusted allies (e.g. “peers”) and existing systems collaborations. Recommended implementation strategies included providing HIV and PrEP-specific education and training for system stakeholders and addressing issues related to privacy, system mistrust and stigma.

Originality/value

Results provide a critical foundation for the implementation of interventions to improve PrEP access for women involved in the CS and have important implications for implementation strategies for all adults involved in the CS. Improving access to PrEP among this population may also support progress toward addressing national disparities in PrEP uptake, where women, black and Latinx populations have substantial unmet need.

Details

International Journal of Prisoner Health, vol. 19 no. 4
Type: Research Article
ISSN: 1744-9200

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1 – 10 of 243