Sexual Health Promotion

Carter, Allison; Fulcher, Karyn; Lachowsky, Nathan J.; Gahagan, Jacqueline

doi:10.1007/978-3-030-71929-6_9

Cited by 2 publications

(5 citation statements)

References 36 publications

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“…This is in line with the comprehensive understanding of SRHR in the Guttmacher-Lancet commission [ 2 ] and with previous research indicating that the individual risk perspective cannot account for all explanations of safer sex [ 47 , 48 , 65 , 66 ]. The results might also help to overcome the dominant individual risk perspective, which has for decades constituted the overarching focus of analyses of safer sex among young people [ 19 ]. Our results point to that young people’s resources for sexual health via control over their lives and the ability to suggest safer sex instead needs a closer link to ideas of social inclusion and health promotion [ 12 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…To explore how control over one’s life situation and the ability for safer sex intersect with social determinants, the social groups of gender, transgender experience, sexual identity, economy, being foreign-born and social welfare recipiency were chosen. These groups were chosen as they have been shown to impact the ability for safer sex in previous research and constitute key populations in SRHR-policy and research [ 3 , 14 , 19 , 20 , 50 , 51 , 60 – 64 ]. Generally, among those 7755, respondents who filled out the questionnaire answered all questions and the internal item non-responses were relatively low.…”

Section: Methodsmentioning

confidence: 99%

“…Conversely, experiencing a lack of control over one’s life situation can generate a sense of social stress, powerlessness, exclusion, discrimination can result in lower potential enhance social life relative to others [ 14 , 16 – 18 ]. The resources needed to be in control of one’s life, and to make autonomous decisions concerning sexuality, are also a core part of health promotion and of the social determinants of health [ 19 , 20 ]. As a result, health promotion in general, and sexual health promotion in particular, strive to change socio-political factors, often challenging norms in society [ 16 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…In order to deepen the analyses and show the complexity, it is also important to analyse the intersections between and within these determinants [ 38 , 39 ]. Gender, education and income [ 9 , 19 , 34 ] cannot entirely account for variations in men’s, women’s, and gender-diverse people’s access to health services and sexual health outcomes, nor are sex and gender always the most relevant axes for social categorisation [ 19 ]. The theory of intersectionality strives to illuminate exclusion and marginalisation, and stipulates that gender needs to be complemented by other social determinants such as sexual identity, ethnicity, migration experiences and economic status [ 40 , 41 ].…”

Section: Introductionmentioning

confidence: 99%

“…The ability for safer sex is often viewed as equivalent to the concepts of sexual self-efficacy and condom self-efficacy [ 45 ]. However, as the HIV-pandemic spread in the 1980s and 1990s, research on safer sex became more focused on epidemiology, and shifted its focus to individual risk-taking behaviour [ 19 , 47 ]. Nevertheless, as early as 1998 the individual risk perspective was criticized for over-emphasizing the role of rational decision-making in sexual behaviour and for ignoring the social and cultural context of human interaction [ 48 ].…”

Section: Introductionmentioning

confidence: 99%

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Analysing intersecting social resources in young people’s ability to suggest safer sex - results from a national population-based survey in Sweden

2022

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Background Safer sex is one of the most crucial areas in sexual and reproductive health and rights (SRHR). Drawing on the theory of health promotion where social life generates resources for health our hypothesis is that having control over one’s life situation, affects the ability for safer sex and thereby sexual health. The aim is to explore the association between having control over one’s life and the ability to suggest safer sex among young people aged 16–29, and how this plays out in relation to membership of six constructed social groups based on: gender, transgender experience, sexual identity, economy, being foreign-born, and social welfare recipiency followed by an in-depth analysis of the intersection of gender and sexual identity. Methods The data set comprises cross-sectional survey responses from a stratified random sample of 7755 in the total Swedish population of young people. The SRHR-focused questionnaire was developed within the HIV-monitoring program at the Public Health Agency of Sweden. Data collection was conducted by Statistics Sweden between April 15 and June 8 in 2015. The survey had a response rate of 26%, which was in line with the study design. Statistical analysis was used to explore the self-reported outcome variable ability for safer sex and the exposure variable control over one’s life. The methods used comprise multivariate logistic regression and an intersecting multivariate regression exploring 12 intersecting social positions by gender and sexual identity. Results The results show that young people’s control over their lives is associated with their ability for safer sex. Due to this, control over one’s life can be seen as a resource for safer sex. The associations in the 12 intersecting social positions showed complex patterns. Conclusions The intersections of resources show the complexity and that gender cannot account for all differences in the resources for young people’s ability to suggest safer sex. Implications for policy and practitioners involve both addressing and strengthening the sexual rights of young people from sexual minorities and tailoring interventions in a way that takes the intersections between gender and sexual identity into consideration.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysing intersecting social resources in young people’s ability to suggest safer sex - results from a national population-based survey in Sweden

2022

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“Everyone should get the chance to love”: Sexual health education and disability research-based theatre with self-advocates

Tidey

Schnellert

Hole

2022

The Canadian Journal of Human Sexuality

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Too often, individuals with intellectual and developmental disability (IDD) are left out of discussions on romantic relationships and sexuality. However, many individuals with IDD want to become sexually expressive, fulfilled persons who are sexually active, yet they are often denied the sexual health education to support their sexual agency. Given this, we conducted a three-year disability Research-based Theatre (RbT) project in New Westminster, British Columbia to better respond to the needs of individuals with IDD, who refer to themselves as self-advocates—those who speak and act with agency—regarding their sexual agency. The project, entitled Romance, Relationships, and Rights ( RRR), sought to disrupt sexual ableism, and present the lived experiences of self-advocates on stage. Throughout the three phases of RRR, the themes of sexual agency, self-advocacy, and self-determination arose. As an extension of this previous work, we take up these themes in a critical self-study where we reflect on the project across, within, and between each phase by focusing on the implications for sexual health education. We present findings about the impact of creating RRR to engage in a retrospective dialogue across all three phases to offer recommendations for intersectional, accessible, inclusive, and comprehensive sexual health education. Key recommendations include recognizing self-advocates’ rights to self-determination and sexual agency, active involvement, and hands-on approach to sexual health education where accessibility, flexibility, and an awareness of needs are built in to lesson plans and curriculum.

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Sexual Health Promotion

Cited by 2 publications

References 36 publications

Analysing intersecting social resources in young people’s ability to suggest safer sex - results from a national population-based survey in Sweden

Analysing intersecting social resources in young people’s ability to suggest safer sex - results from a national population-based survey in Sweden

“Everyone should get the chance to love”: Sexual health education and disability research-based theatre with self-advocates

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