Critically Understanding South Asian Sexual Health: A Call for a Holistic and Sex Positive Approach

Ali, Samira; Keo, Bec Sokha; Chaudhuri, Sambuddha

doi:10.1080/19317611.2020.1768197

Cited by 6 publications

(4 citation statements)

References 66 publications

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“…While migration was found to increase dialogue regarding menopause, the lack of acculturation made the transition itself unsmooth. Conversations regarding sexual health have been found to be limited within South Asian families 38 . However, the literature shows that White American women have also reported having limited knowledge on menopause despite actively seeking information.…”

Section: Discussionmentioning

confidence: 99%

“…Conversations regarding sexual health have been found to be limited within South Asian families. 38 However, the literature shows that White American women have also reported having limited knowledge on menopause despite actively seeking information. One study reports how women from both South Asian and White groups turned to family members (including mothers) to discuss menopause, but were met with silence and secrecy.…”

Section: Factors Influencing Healthy Menopausal Transitionmentioning

confidence: 99%

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Menopausal experiences of South Asian immigrant women: a scoping review

et al. 2022

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Importance and Objective: South Asians make up a significant portion of global immigration. Immigrants often face challenges when navigating the healthcare system, which can influence their experience during the menopausal transition. The purpose of this scoping review is to summarize the existing literature on South Asian immigrant women's menopausal experience.Methods: Various electronic databases were systematically searched to identify research articles. The menopausal experiences of South Asian immigrant women were examined.Results: A total of 11 studies were included in this scoping review. A variety of physical symptoms were reported, including vasomotor symptoms, musculoskeletal symptoms, somatic symptoms, and early onset of menopause. Psychosocial symptoms included anxiety, depression, and decreased memory/concentration. Cultural experiences were both positive and negative, depending on the connotations surrounding menopause. Individual facilitators for a healthy transition included education and employment. Familial barriers included a lack of knowledge and support. Community and societal factors were both positive and negative, depending on the level of acculturation. Self-management was the most widely used intervention.Discussions and Conclusion: Findings of this scoping review can help guide the development and evaluation of menopause interventions for South Asian immigrant women. Culturally sensitive care, increased discussion on sexual health, support networks, and reduction of socioeconomic barriers are needed to address the health needs of South Asian immigrant women. Further research is needed to better understand South Asian immigrant women's menopausal needs and help guide intervention design.

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Section: Discussionmentioning

confidence: 99%

Section: Factors Influencing Healthy Menopausal Transitionmentioning

confidence: 99%

Menopausal experiences of South Asian immigrant women: a scoping review

et al. 2022

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“…This is often difficult for researchers who, especially in quantitative studies, need to work with categories, groups, and labels to describe reality in a simplified manner and to easily manage statistical models. Sex-positive research, however, should count on both a quantitative and qualitative understanding of sex and work to heighten the importance of the latter (Ali et al, 2020).…”

Section: Researchmentioning

confidence: 99%

“…Kaplan (2014) stressed the need to apply a sex-positive approach in jurisprudence, stating that the law's unspoken assumption is that sexual pleasure has negligible or negative values and that accepting a positive value of sexual pleasure will require a reconceptualization of several regulations. Ali et al (2020) recommended including more multilevel studies in future research that are able to capture nuances among different ethnic groups and minorities. Moreover, the authors also stress the need to develop a positive understanding of sexuality congruent with cultural, spiritual and religious beliefs.…”

Section: Researchmentioning

confidence: 99%

The Biopsychosocial Model and the Sex-Positive Approach: an Integrative Perspective for Sexology and General Health Care

Nimbi

Galizia

Rossi³

et al. 2021

Sex Res Soc Policy

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Introduction The Biopsychosocial model (BPS) represents a comprehensive paradigm of consolidated practices. Although it has been outlined as the gold standard in sexology, its implementation is often challenging. The sex-positive approach is a ground-breaking movement that is gaining popularity all over and is focused on the recognition of different sexual expressions as valid, consensual, healthy, and meaningful. However, a pragmatic implementation of this approach is still missing. Methods A critical review was conducted based on bibliographic research on Medline, PubMed, EBSCO, Cochrane Library, Scopus and Web of Science on relevant articles published from January 2011 to July 2021. Results A total of 116 papers were included in the following review, indicating an increasing body of research about BPS and sex-positive frameworks during the last 10 years. One of the main limitations in the BPS is the scarce attention paid to socio-cultural factors involved in sexual expressions, such as the role of negative attitudes towards sexuality that may affect health care professionals’ work. An application of the sex-positive approach to the BPS model may bring greater attention to the needs, values and desires of the individual, as well as allow a new knowledge and understanding of sexuality within a broader spectrum, including diversities and pleasures. Conclusions The sex-positive approach represents a viable path that entails the willingness of health care professionals to get involved actively; criticize their personal attitudes, beliefs, and knowledge about sex and work hard to improve their practice in sexology. Policy Implications A discussion of the possible fruitful integration between the BPS and the sex-positive approach is presented, highlighting practical applications in research, clinical practice, training and sex education and giving possible directions for future studies and policies.

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