Culture, Health & Sexuality最新文献

This paper examines the motivations and experiences of older French-speaking men who relocate to Thailand driven by the desire for a more fulfilling and liberated lifestyle that contrasts with their experiences in their home countries. Through an analysis of video interviews with 31 expatriates available online, the study reveals a prevalent trend among these men to initially engage in short-term sexual relationships, enjoying the freedoms of Thailand's vibrant social scene. However, as they acclimate to their new environment, a significant shift towards long-term partnerships is observed, marking a transition from transient interactions to more meaningful connections. Members of this group often form relationships with Thai women typically between the ages of 25 and 45. Contrary to common stereotypes, the research reveals that men often seek long-term partnerships over casual relationships. Although they may initially engage with multiple short-term partners, over time a clear preference for stable, committed relationships emerges. It is important to distinguish these sustained partnerships from buying sex, as the women involved are better described as freelancers who provide a range of services - from caregiving to companionship - similar to a contractual marriage or being a so-called rented wife, typically for an average of 500-700 euros per month.

Extensive research on the process of 'coming out' underscores the significance of disclosing one's sexual orientation and gender identity for personal development and self-expression. However, sharing this information with family members can be difficult, particularly in Zimbabwe where broader social and cultural forces pose significant challenges to 'coming out', and gender and/or sexuality diversity is strongly reacted against. This paper explores the experiences of gender and sexuality diverse persons in Harare as they came out to their families, or were 'outed' by others. The study involved semi-structured interviews, informal conversations, and focus group discussions with 31 gender and sexuality diverse individuals aged between 18-31 years. The participants revealed the different ways in which their families became aware of their sexual orientation. These pathways included planned disclosure, outing through extortion, blackmail, and other incidents. The narratives shared by participants varied significantly, encompassing a spectrum from overtly negative or positive responses to more complex reactions from families regarding their child or siblings' gender and sexuality diversity.

Religion contributes to the identity, well-being, and life satisfaction of many people globally, however, its traditional stance on infertility and assisted reproductive technologies (ART) can conflict with individuals' personal reproductive aspirations and desire for a family. As the fertility rates of certain ethnic and religious groups decline, it is essential to discuss the interface between religion, infertility and ART, to understand how to best navigate the infertility journeys of proclaimed Christians. This article contextualises this discussion in the experiences of eight Pacific Christian adults living with infertility and/or accessing ART in Aotearoa New Zealand. Participants expressed the importance of having family members or a partner with them on their infertility journey. Although their religious beliefs elicited a sense of shame and hindered their confident participation in ART services, religion also provided access to a supportive community and a strong sense of hope. Culture was another significant influence on their infertility journeys but could be burdensome and a source of internal conflict. Improving ART strategies for service engagement with Pacific communities is an important first step towards ensuring these services are accessible and responsive to individuals' cultural and religious needs.

Migrants with refugee backgrounds in the Netherlands face significant reproductive health challenges, including higher rates of unintended pregnancies and limited access to contraception. This study explores how post-migration realities affect the reproductive agency of refugees from Afghanistan, Somalia, Eritrea and Syria. Utilising a participatory approach, eight peer researchers from these communities conducted eight focus-group discussions and 118 in-depth interviews, involving four migrant grassroots organisations and two Dutch non-governmental organisations. The findings reveal that refugees must navigate multiple tensions: (1) adapting to a new country, including securing housing, employment and adjusting to social norms and gender dynamics; (2) navigating cultural norms and family expectations; and (3) obtaining resources such as knowledge and contraception, within a healthcare system that may lack cultural sensitivity and reflect broader societal stigma. These challenges may require strategies that differ from Dutch notions of individualistic reproductive choices. Reproductive services must be sensitive to this complex navigation and adopt a culturally sensitive approach, focusing on refugees' strengths and agency rather than solely on issues like cultural taboos, lack of knowledge, low literacy or language barriers.

Temporal constructs are central to reproduction and kinship, as epitomised by the pervasive concept of the biological clock within public imaginaries. While queer scholarship has problematised linear models of kinship and reproductive temporality, the specific temporalities associated with donor-conceived families have received less scholarly attention, despite the increasing prevalence of these family structures. In this article, we explore the question: how does donor conception reconfigure temporal logics. More specifically, we ask how does donor conception challenge (hetero)normative temporalities and kinship organisations. We examine donor conception through narratives of the embodied and intimate experiences of key stakeholders in the form of clinical staff, parents and donor-conceived adults, across case studies conducted in Denmark, Sweden and Australia. Our analysis illuminates distinct temporal perspectives: for clinic staff, donors exist in a static present; for recipient parents, the donor's past is integrated into the present; and for donor-conceived adults, the donor is embedded within fragile futurities. We propose the concept of sideways temporalities to capture the queering of temporal logics in donor conception, characterised by non-normative scale (e.g. extensive sibling networks) and velocity (e.g. immediate matching via DNA testing).

In 2022, a global outbreak of mpox (formerly 'monkeypox') emerged in non-endemic countries, including Australia, predominantly affecting gay, bisexual and other men who have sex with men. Public health advice on transmission and isolation emerged rapidly from different sources, sometimes conflicting and producing uncertainty. Using the concept of 'counterpublic health', which acknowledges the incorporation of official science and experiences of affected communities into embodied practice, this paper investigates how people affected by mpox in Australia managed risk of transmission and navigated self-isolation. In-depth interviews were conducted with 16 people: 13 people diagnosed with mpox and three close contacts. All participants were cisgender gay and bisexual men living in Australia. Participants thought critically about public health advice, often finding it restrictive and unresponsive to the needs of people with mpox. Participants' decisions about reducing mpox risk and isolating often drew on experiences with other infections (i.e. HIV; COVID-19) and were made collaboratively with the people closest to them (e.g. partners, friends, family) to sustain relationships. Future public health responses to infectious disease outbreaks would benefit from identifying more opportunities to formalise and embed mechanisms to obtain feedback from affected communities so as to inform responses.

Puppy play is a kink activity, in which people dress as, take on the role of, and mimic the physical and emotional behaviours of young canines or pups. We explore how the pup identity, depicted in cellphilms by queer men who are part of the pup community, influences men's body image perceptions using multimodal critical discourse analysis. Participants expressed feelings of dissonance, shame, and self-rejection when viewing themselves as humans, but conveyed excitement, pleasure, and self-celebration when viewing themselves as pups. Participants depicted their body images being transformed by way of puppy gear, puppy spaces, handlers, and playmates, which was said to foster more (self-)acceptance, playfulness, and freedom. This study highlights the potential for puppy play to provide a transformative experience for individuals, allowing participants to explore, re-signify, and embrace their bodies as pups.

Understanding one's sexual orientation plays a significant role in contributing to one's sexual identity and developing a coherent sense of self. Misconceptions and prevailing prejudices make it difficult for bisexual individuals to navigate their sexual identities in many societies. Disclosure of one's identity is accompanied by certain risks depending on how the information is received. However, disclosing one's identity can also be positive, especially as it assists in fostering relationships. This article derives from a descriptive study involving 14 semi-structured interviews with young adults aged 18-24 who identified as bisexual. Data were subjected to a reflexive thematic analysis. Themes of invalidation, belongingness and reclaiming through 'inviting in' were identified. By processing the feelings of invalidation regarding their bisexual identities which were placed upon them by their respective cultural groups, and society in general, participants were able to develop a sense of agency and reclaim their power. Findings highlight the need for further research on bisexuality, particularly in South Africa, and the need to understand how bisexual identity development occurs in interaction with other sexual and gender identities.

In this study, exploratory research on self-determination using Indigenous research methods provided a model to help heal trauma and discuss recovery for traumatic sexual experiences. The methods and healing were based on a Cree worldview. Informed consent and questions were developed by the principal investigator prior to the research commencing. Eleven co-creators had the opportunity to revise questions, discuss the research, speak the Cree language, and participate in one-to-one interviews, group meetings and ceremonies. They also had the chance to review the transcripts and approve/disapprove the content, provide guidance on sacred knowledge and suggest terms to use, and co-author the paper, if they chose and three did. A Cree concept was developed from the work, namely, nehiyaw isecikewena which involved promoting self-determination and sovereignty alongside recovery.

LGBTQ communities around the world entered the COVID-19 pandemic with generally high rates of poor mental health and faced additional challenges including stigma, discrimination, and barriers to care. This study sample was drawn from a survey of 3135 LGBTQ adults residing in Australia during the pandemic. Regression analysis was used to explore individual differences in psychological distress and perceived change in mental wellbeing since the onset of the pandemic as well as the impact of lockdowns, by taking advantage of a natural experiment comparing the states that experienced more extensive lockdowns (Victoria and New South Wales) to the rest of Australia. The burden of mental health was found to vary across gender, sexual orientation, age, and area of residence. While no impact of lockdowns on psychological distress was observed, participants living in the states of Victoria (β = -0.15; 95% CI = -0.23, -0.07) and New South Wales (β = -0.13; 95% CI = -0.21, -0.05) self-reported a more negative impact of the pandemic on their mental wellbeing compared to the rest of the country. The findings suggest that the COVID-19 pandemic had a negative impact on the mental wellbeing of LGBTQ populations, particularly among those who experienced extensive lockdowns and highlight the need for increased efforts to enable access to mental health supports during times of crisis.