| 1. |
- Adedze, Miranda, et al.
(författare)
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Exploring Sexual and Reproductive Health Needs and Associated Barriers of Homeless Young Adults in Urban Ghana: A Qualitative Study
- 2022
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Ingår i: Sexuality Research and Social Policy. - : Springer Science and Business Media LLC. - 1868-9884 .- 1553-6610. ; 19:3, s. 1006-1019
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Tidskriftsartikel (refereegranskat)abstract
- Background Homelessness has become a major global and public health challenge, especially in low- and middle-income countries. This phenomenon predisposes young adults to severe psychosocial and health challenges. Aim To explore the sexual and reproductive health needs and behaviours of homeless young adults and challenges in accessing these services. Methods A semi-structured interview guide was used for data collection from in-depth interviews, focus group discussions, and key informant interviews. Data were collected between 01 June and 31 July 2020 from 30 participants using in-depth interviews, two focus group discussions involving 12 participants, and one key informant interview. Thematic analysis was used to analyse transcripts from the interviews. Results The findings show that certain behavioural patterns associated with homelessness impact the lives of homeless young adults in their sexual and reproductive health (SRH) choices, beliefs, and perspectives. This group faces several challenges in accessing sexual and reproductive health services (SRHS) such as modern contraceptives and abortion care. The high cost, and undesirable and unfriendly attitude of service providers in health facilities pose as barriers to accessing SRHS by homeless young adults. Conclusion Sustainable and proactive measures must be put in place to address the identified barriers. Timely delivery of accurate information and educative materials, ensuring affordability, and setting up of accessible and friendly facilities could improve SRHS for this group. Social and Public Policy Implications This study may inform and support policy guideline development to address homelessness and SRH needs of young adults in urban Ghana.
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| 2. |
- Axfors, Cathrine, et al.
(författare)
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Preferences for Gender Affirming Treatment and Associated Factors Among Transgender People in Sweden
- 2023
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Ingår i: Sexuality Research & Social Policy. - : Springer Nature. - 1868-9884 .- 1553-6610. ; 20:2, s. 479-490
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Tidskriftsartikel (refereegranskat)abstract
- IntroductionGender affirming surgery of primary and/or secondary sex characteristics has been shown to alleviate gender dysphoria. A descriptive snapshot of current treatment preferences is useful to understand the needs of the transgender population seeking health care. This study aimed to describe preferences for gender affirming treatment, and their correlates, among individuals seeking health care for gender dysphoria in Sweden after major national legislative reforms.MethodsCross-sectional study where transgender patients (n = 232) recruited from all six Gender Dysphoria centers in Sweden 2016–2019, answered a survey on treatment preferences and sociodemographic, health, and gender identity-related information during the same time-period. Factors associated with preferring top surgery (breast augmentation or mastectomy), genital surgery, and other surgery (e.g., facial surgery) were examined in univariable and multivariable regression analyses in the 197 people without prior such treatment. Main study outcomes were preferences for feminizing or masculinizing hormonal and surgical gender affirming treatment.ResultsThe proportion among birth assigned male and assigned female patients preferring top surgery was 55.6% and 88.7%, genital surgery 88.9% and 65.7%, and other surgery (e.g., facial surgery) 85.6% and 22.5%, respectively. Almost all participants (99.1%) wanted or had already received hormonal treatment and most (96.7%) wished for some kind of surgical treatment; 55.0% wanted both top and genital surgery. Preferring a binary pronoun (he/she) and factors indicating more severe gender incongruence were associated with a greater wish for surgical treatment. Participants with somatic comorbidities were less likely to want genital surgery, while aF with lacking social support were less likely to want internal genital surgery, in the multivariable analyses.ConclusionsIn this sample of Swedish young adults seeking health care for gender dysphoria, preferences for treatment options varied according to perceived gender identity.Policy ImplicationsThe study fndings underline the need for individualized care and fexible gender afrming treatmentoptions. The role of somatic comorbidities should be further explored, and support should be ofered to transgender peoplein need. There is an unmet need for facial surgery among aM
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| 3. |
- Bahner, Julia, et al.
(författare)
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Motivational Interviewing as Evidence-Based Practice? An Example from Sexual Risk Reduction Interventions Targeting Adolescents and Young Adults
- 2020
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Ingår i: Sexuality Research and Social Policy. - : Springer Science and Business Media LLC. - 1868-9884 .- 1553-6610. ; 17:2, s. 301-313
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Tidskriftsartikel (refereegranskat)abstract
- This paper critically examines sexual risk reduction interventions, more specifically how they are evaluated and the implications that this has for sexual health policy. The focus is on motivational interviewing (MI) interventions which aim to promote protective behaviors related to sexual risk on the part of young people. MI has become increasingly popular, largely due to it being a highly flexible counseling approach that may, with adequate staff training, and fidelity in implementation, be tailored to many different settings (e.g., health care, schools and in community work). Following a scoping review that comprised 34 papers, of which 29 were unique studies, the range and type of existing research were examined. The results show a wide range of study designs and evaluation procedures, MI conceptualizations, modes of MI delivery, and the particular sub-populations of youth and sexual risk behaviors targeted. While this makes it difficult to draw any generalized conclusions about “what works” in prevention, it provides important insights about the complexity of sexual risk behavior as well as complex behavioral treatment approaches like MI. We therefore problematize the political drive to implement evidence-based methods without adequate resource allocation and contextual adaptation.
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| 4. |
- Bahner, Julia, et al.
(författare)
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Who Counts as a Sexual Subject? The Impact of Ableist Rhetoric for People with Intellectual Disability in Sweden
- 2023
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Ingår i: Sexuality Research and Social Policy. - 1868-9884 .- 1553-6610.
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The ableist rhetoric around sexuality in disability services and beyond can hinder subjective sexual expression and have a powerful impact on health, self-esteem, and everyday life through internalized ableism, structural marginalization, and interpersonal discrimination. The aim of this study was to explore the ableist rhetoric of sexuality and its impact on sexual scripting for people with intellectual disability. Methods: A thematic analysis was carried out on data generated through ethnographic fieldwork at five sheltered accommodations and semi-structured interviews with ten individuals with intellectual disability. Results: The results show that people in Sweden with intellectual disability are desexualized within a moral order that is maintained in post-institutional social care. Through this moral order, which is deeply embedded in an ableist rhetoric about sexual relationships, sexual scripting for disabled people is constrained both inside post-institutional social care initiatives, and in the broader community of “ableist environments.” In response, disabled people employ various strategies of resistance. Conclusions: A rhetoric of positive sexuality should be a guiding principle for successfully supporting the development of sexual agency on each individual’s own term. Policy Implications: We conclude by encouraging the development of initiatives that will empower and support people with intellectual disability to learn about their sexual rights and to find solutions that allow for development of sexual agency and subjectivity.
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| 5. |
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| 6. |
- Clark, Kristen D., et al.
(författare)
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Healthcare Mistreatment, State-Level Policy Protections, and Healthcare Avoidance Among Gender Minority People
- 2022
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Ingår i: Sexuality Research & Social Policy. - : Springer Nature. - 1868-9884 .- 1553-6610. ; 19:4, s. 1717-1730
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Tidskriftsartikel (refereegranskat)abstract
- IntroductionThis study examined whether past experiences of mistreatment in healthcare were associated with greater healthcare avoidance due to anticipated mistreatment among gender minority (GM) people. We evaluated whether state-level healthcare policy protections moderated this relationship.MethodsData from the 2018 Annual Questionnaire of The PRIDE Study, a national longitudinal study on sexual and gender minority people’s health, were used in these analyses. Logistic regression modeling tested relationships between lifetime healthcare mistreatment due to gender identity or expression and past-year healthcare avoidance due to anticipated mistreatment among GM participants. Interactions between lifetime healthcare mistreatment and state-level healthcare policy protections and their relationship with past-year healthcare avoidance were tested.ResultsParticipants reporting any lifetime healthcare mistreatment had greater odds of past-year healthcare avoidance due to anticipated mistreatment among gender expansive people (n = 1290, OR = 4.71 [CI]: 3.57–6.20), transfeminine people (n = 263, OR = 10.32 [CI]: 4.72–22.59), and transmasculine people (n = 471, OR = 3.90 [CI]: 2.50–6.13). Presence of state-level healthcare policy protections did not moderate this relationship in any study groups.ConclusionsFor GM people, reporting lifetime healthcare mistreatment was associated with healthcare avoidance due to anticipated mistreatment. State-level healthcare policy protections were not a moderating factor in this relationship. Efforts to evaluate the implementation and enforcement of state-level policies are needed. Continued efforts to understand instances of and to diminish healthcare mistreatment of GM people are recommended.
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| 7. |
- Dutton, Edward, et al.
(författare)
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Gender Dysphoria and Transgender Identity Is Associated with Physiological and Psychological Masculinization : a Theoretical Integration of Findings, Supported by Systematic Reviews
- 2021
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Ingår i: Sexuality Research & Social Policy. - : Springer. - 1868-9884 .- 1553-6610. ; 18:3, s. 788-799
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Gender dysphoria (GD) is associated with several psychiatric conditions, but the causal links are not known. We note that some of these conditions are associated with physiological masculinisation.Methods: Here, we explore this association through a series of systematic reviews, using Google Scholar, on original studies that test the relationship between GD and at least one correlate of androgens, namely autism spectrum disorder, left-handedness, 2D:4D ratio, being male and male heterosexuality.Results: Individuals with GD tend to exhibit scores that reflect heightened levels of androgens and masculinity compared with non-GD individuals. We further show that these same androgen indices are also associated with other identity disorders (or dysphoriae).Conclusions: Autism is associated with masculinisation, and we argue that GD may reflect autism spectrum disorder traits that indirectly lead to anxiety and to one questioning one’s sense of self. We note that this is consistent with Blanchard’s transsexualism typology, which successfully integrates a wide range of empirical findings.
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| 8. |
- Evertsson, Marie, 1969-, et al.
(författare)
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Division of Care and Leave Arrangements in Gay Father Families in Sweden
- 2023
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Ingår i: Sexuality Research & Social Policy. - : Springer Science and Business Media LLC. - 1868-9884 .- 1553-6610. ; 20:1, s. 242-256
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Tidskriftsartikel (refereegranskat)abstract
- Introduction This study analyses the division of parental leave and the income development in gay father families through surrogacy in Sweden, seen as one of the most family-friendly and egalitarian countries in the world.Methods Based on longitudinal population register data, descriptive and bivariate regression models are estimated to analyse the parental leave uptake and income development of married partners becoming (first-time) parents in 2006–2015 (in total 53 couples). Retrospective in-depth interviews with 23 gay men in 12 couples, conducted in 2010 and 2018 are analysed thematically to study how fathers discussed and decided how to divide the leave.Results The process of establishing legal parenthood delays the fathers’ access to reimbursed parental leave. Despite this, the fathers’ earnings were not considerably affected by the addition of a child to the family. Once the fathers had access to reimbursed leave, they generally shared this equally, with a tendency for the genetic father to take leave first and for a slightly longer period.Conclusions The fathers becoming parents via surrogacy arrangements are a well-off group, able to counter the negative financial consequences of becoming parents. Swedish family policies enable parents to share the leave equally. Less impacted by gender and parenthood norms creating difference between parents, gay father families are in a better position to realise ideals of shared care and sameness.Policy Implications The delayed access to reimbursed parental leave structures the ability of gay couples to become parents and contributes to class inequalities in the transition to parenthood.
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| 9. |
- Hagerlid, Mika, et al.
(författare)
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Obstacles for identifying sexual harassment in academia : Insights from five European countries
- 2023
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Ingår i: Sexuality Research & Social Policy. - : Springer. - 1868-9884 .- 1553-6610.
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Tidskriftsartikel (refereegranskat)abstract
- IntroductionExperiences of sexual harassment are common among university students. At the same time, research shows that victims and bystanders find it difficult to determine when an incident meets the criteria for sexual harassment. The aim of this study therefore was to obtain a richer and deeper understanding of the obstacles that university students encounter in identifying sexual harassment in the academic environment.MethodsIndividual interviews and focus groups were conducted with a total of 85 students at the bachelor’s, master’s and doctoral level in five European countries (Belgium, Croatia, Germany, the Netherlands and Sweden) between 2020 and 2022. Thematic analysis was used to identify obstacles in identifying sexual harassment.ResultsThe obstacles described by participants were found to fall into three main categories: (1) preconceived notions about what constitutes sexual harassment that did not necessarily concur with lived experiences, (2) navigating an often blurred or ambiguous line between acceptable and unacceptable behaviour and (3) the existence of competing interpretations of what had happened.ConclusionsThe results point to a gap between the participants’ lived experiences and their interpretations of them, which include difficulties positioning their experiences within their theoretical understanding of sexual harassment.Policy ImplicationsMeasures to counteract the obstacles faced by victims and bystanders in identifying sexual harassment in academia should target this cognitive gap, for instance by addressing the stereotypes that characterize preconceived notions about sexual harassment.
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| 10. |
- Hansen, Michael A., et al.
(författare)
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Predicting Attitudes Towards Transactional Sex : The Interactive Relationship Between Gender and Attitudes on Sexual Behaviour
- 2022
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Ingår i: Sexuality Research and Social Policy. - : Springer Science and Business Media LLC. - 1868-9884 .- 1553-6610. ; :19, s. 91-104
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: This article explores explanations for attitudes towards the acceptability of transactional sex. The sparse research investigating attitudes towards transactional sex uncovers a link between gender equality, or feminism, and a lack of support for the trade in sex. However, there are no research agendas that attempt to explain variance in attitudes towards transactional sex where support for gender equality is widespread throughout a population. Methods: We estimate regression models utilizing the 2017 Danish Values Survey (Den Danske Værdiundersøgelse) in order to predict views on the acceptability of transactional sex. Results: While the trade in sex is legal in Denmark, we find that a majority of respondents hold negative attitudes towards transactional sex, which conveys a lack of congruence between public opinion and policy. Further, gender is a powerful predictor of attitudes towards transactional sex, with women finding it less acceptable. In addition, the analysis uncovers that general attitudes towards sexual behaviour are the largest predictor of views on the acceptability of transactional sex. That being said, we find that men’s views on the acceptability of transactional sex are more of a function of their general attitudes towards sexual behaviour than they are for women. Conclusions: The findings indicate that, unlike men, women appear to differentiate between their attitudes towards general sexual behaviour and their views on sexual behaviour that they may associate with negative societal implications.
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