International Journal of Sexual Health最新文献

Objectives: This review aimed to map and synthesize existing literature on sex and reproductive education policy implementation in primary and secondary schools in Asia and Africa.

Methods: Database searches yielded 24 relevant articles, which underwent thematic analysis.

Results: Most studies were conducted in Africa and looked at barriers to implementation. Studies assessing implementation showed it was incomprehensive. Barriers were: policy/curriculum issues, societal opinions, teaching discomfort, lack of educator training, and lack of sufficient economical support.

Conclusions: Based on the limited evidence, a cultural shift to reduce stigma seems necessary, alongside teacher and student involvement in policy formulation and implementation monitoring.

Objective: This study aims to examine how positive and negative metacognitions about sex (MSS) mediate the relationship between psychological distress and problematic consumption of pornography.

Method: 821 individuals from Romania, aged 18-70 (M = 27.21; SD = 8.74), 64.4% of whom were women.

Results: Both positive and negative MSS mediated the link between psychological distress and problematic consumption of pornography.

Conclusion: MSS plays a crucial role in understanding the dynamics between psychological distress and problematic consumption of pornography. The study contributes to filling a gap in the literature by exploring MSS in this context. Theoretical and practical implications are discussed.

Objectives: The current research aimed to explore the mechanism behind sexual harassment experiences and views on marriage and love (ML) among Chinese college students. Methods: 424 college students were recruited to complete the questionnaires about sexual harassment experiences (SH), subjective social status (SES), sexual knowledge (SK), and their views on ML. Results: The results of the moderated mediation model showed a negative association between SH and views on ML, explained through the mediating effect of SK. The negative moderating effect of SES between SH and SK was also found. Conclusion: The findings provide implications for supporting college students who have experienced SH in navigating their future romantic relationships, with the consideration of varied SES backgrounds.

Objectives: In 2018, HIV prevalence among transgender women of color in the USA was 14.11%, with similar severe trends observed in Canada. This highlights the persistent challenge of HIV/AIDS in both countries, particularly for transgender sex workers of color (TSWOC), who face significant barriers to accessing crucial HIV/AIDS care services due to stigma, systemic discrimination, and biased healthcare practices. To address these issues, a scoping review was undertaken to explore the specific barriers to HIV/AIDS care experienced by TSWOC in the United States and Canada.

Methods: After various database searches (MEDLINE, PubMed, and Google Scholar) using the PRISMA-ScR methodology, 47 studies were extracted. Studies were then screened on Covidence by using the set inclusion and exclusion criteria. After screening, fifteen studies met the criteria.

Results: The results were thematically organized using an intersectionality-grounded socio-ecological model. Results revealed individual-level challenges of internalized stigma, interpersonal issues with biased healthcare providers, and community-level problems such as lack of support and enduring stigma. Notable structural barriers, consistent across studies, included homelessness, economic marginalization, and institutional transphobia. Institutionalized cisnormativity in healthcare was also found to exacerbate these challenges.

Conclusions: The findings underscore a feedback loop intensifying HIV/AIDS burdens within TSWOC due to intersecting stigmas and structural disparities. The review advocates for trans-specific and trans-inclusive HIV/AIDS services to address unique challenges, emphasizing the imperative for holistic, trauma-informed HIV care for this underserved population.