scholarly journals "The devil will make you pregnant": Constructions of Sexuality and Womanhood among New Zealand Filipino Women

2021 ◽  
Author(s):  
◽  
Aiyesha Melnicenko

<p>High youth pregnancy and sexually transmitted infection (STI) rates in New Zealand are an under-researched health concern, particularly among ethnic minority communities. Conflicting sexuality messages from home and dominant cultures may make negotiating a sexual standpoint problematic for immigrant adolescents. An understanding of cultural minorities' constructions of sexuality and influences affecting their decision-making would aid the development of culturally applicable sexuality education. This thesis discusses research with New Zealand Filipino women, with an aim to investigate how immigrant women make sense of sexuality in the context of intimate relationships. For the first study, six focus group interviews, involving 33 New Zealand Filipino adolescent women, discussed individual and cultural interpretations of sexuality, safer sex and womanhood. A discursive analysis examined patterns of agreement and conflict in the young women's talk to reveal how they used and resisted cultural discourses of heterosexuality. Contradictions often arose as they shifted between dominant Western and Filipino messages about sexual safety and appropriate feminine behaviour. Principal constructions of women and sexuality that came out of the talk, and how these constructions promote or restrict sexual behaviours, are discussed. The second study, twenty-six individual interviews with New Zealand Filipino adolescent girls and their immigrant Filipino mothers, explored how immigrant women construct life narratives to make sense of their sexual selves. Interviews focused around individuals' personal stories of intimate relationships, heterosexuality, romance, sexual education, womanhood, and adjustment to the interface between New Zealand and Filipino portrayals of sexuality. Thematic and narrative analyses explored areas of agreement and dispute within and across the women's stories, as they took up different identities as mothers, daughters, girlfriends, Filipinas, and New Zealanders. Thematic analysis of the daughters' interviews examined key patterns in the young women's constructions of first sexual experiences, including explanations of first sex, the gap between expectations and experiences, sexual safety, and perceptions of their partners. One young woman's story was focused on in a more comprehensive study of how sexual, feminine and cultural identities are constructed and reconstructed through narrative. After an overview of the themes from the mothers' interviews, three mothers' narratives were discussed in relation to their constructions of sexual selves as they learned about, experienced, and taught their daughters about sexuality. Links found between mother and daughter narratives likely signify the passing of cultural stories of feminine sexuality through the generations. Many contradictions were apparent in the adolescents' talk, as girls worked to develop and explain a sense of self that moved between subject positions offered by the heterosexuality discourses of their new migrant context and their Filipino heritage. How young Filipinas' sexual stories recycle and resist the talk of their mothers and cultural contexts is discussed, as well as how cultural identities influence sexual practices. The thesis also reflects upon the appropriateness of discursive research for allowing cultural expression among marginalised populations.</p>

2021 ◽  
Author(s):  
◽  
Aiyesha Melnicenko

<p>High youth pregnancy and sexually transmitted infection (STI) rates in New Zealand are an under-researched health concern, particularly among ethnic minority communities. Conflicting sexuality messages from home and dominant cultures may make negotiating a sexual standpoint problematic for immigrant adolescents. An understanding of cultural minorities' constructions of sexuality and influences affecting their decision-making would aid the development of culturally applicable sexuality education. This thesis discusses research with New Zealand Filipino women, with an aim to investigate how immigrant women make sense of sexuality in the context of intimate relationships. For the first study, six focus group interviews, involving 33 New Zealand Filipino adolescent women, discussed individual and cultural interpretations of sexuality, safer sex and womanhood. A discursive analysis examined patterns of agreement and conflict in the young women's talk to reveal how they used and resisted cultural discourses of heterosexuality. Contradictions often arose as they shifted between dominant Western and Filipino messages about sexual safety and appropriate feminine behaviour. Principal constructions of women and sexuality that came out of the talk, and how these constructions promote or restrict sexual behaviours, are discussed. The second study, twenty-six individual interviews with New Zealand Filipino adolescent girls and their immigrant Filipino mothers, explored how immigrant women construct life narratives to make sense of their sexual selves. Interviews focused around individuals' personal stories of intimate relationships, heterosexuality, romance, sexual education, womanhood, and adjustment to the interface between New Zealand and Filipino portrayals of sexuality. Thematic and narrative analyses explored areas of agreement and dispute within and across the women's stories, as they took up different identities as mothers, daughters, girlfriends, Filipinas, and New Zealanders. Thematic analysis of the daughters' interviews examined key patterns in the young women's constructions of first sexual experiences, including explanations of first sex, the gap between expectations and experiences, sexual safety, and perceptions of their partners. One young woman's story was focused on in a more comprehensive study of how sexual, feminine and cultural identities are constructed and reconstructed through narrative. After an overview of the themes from the mothers' interviews, three mothers' narratives were discussed in relation to their constructions of sexual selves as they learned about, experienced, and taught their daughters about sexuality. Links found between mother and daughter narratives likely signify the passing of cultural stories of feminine sexuality through the generations. Many contradictions were apparent in the adolescents' talk, as girls worked to develop and explain a sense of self that moved between subject positions offered by the heterosexuality discourses of their new migrant context and their Filipino heritage. How young Filipinas' sexual stories recycle and resist the talk of their mothers and cultural contexts is discussed, as well as how cultural identities influence sexual practices. The thesis also reflects upon the appropriateness of discursive research for allowing cultural expression among marginalised populations.</p>


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Elizabeth Kemigisha ◽  
Katharine Bruce ◽  
Olena Ivanova ◽  
Els Leye ◽  
Gily Coene ◽  
...  

Abstract Background Limited research has been conducted on the effectiveness of sexuality education for very young adolescents (VYAs) ages 10–14 years in Sub-Saharan Africa. Furthermore, evaluations of sexuality education programs often report outcomes of risky sexual practices, yet positive aspects of sexuality are hardly studied and rarely reported. This study evaluates the effectiveness of a Comprehensive Sexuality Education (CSE) intervention for VYAs in Uganda, analyzing both positive and negative outcome indicators. Methods We conducted a mixed methods study, incorporating a cluster randomized trial (NCT03669913) among pupils in 33 randomly selected primary schools in Mbarara district. This was followed by a qualitative evaluation of the intervention in 4 schools that included 14 in-depth interviews and 3 focus group discussions distributed among pupils, teachers and parents. Quantitative data were analyzed using ordered logistic regression to compare differences in the change from baseline to endline between the intervention and control arms. We conducted bivariate analysis and multiple regression analysis controlling for key covariates, including age, gender, school location (rural vs urban), truancy, and orphanhood. Qualitative data were analyzed by thematic approach using ATLAS TI. Results Between July 2016 and August 2017, 1096 pupils were recruited. Outcomes were studied among 380 pupils in the intervention arm and 484 pupils in the control arm. The proportion of pupils who ever had sex increased from 9 to 12.1% in intervention compared to 5.2 to 7.4% in the control group between baseline and endline, however the differences between groups were not statistically significant. We found greater improvements in sexual and reproductive health (SRH) knowledge among intervention schools (AOR: 2.18, 95% CI: 1.66–2.86) and no significant differences in self-esteem, body image or gender equitable norms. Qualitative evidence echoes perceived SRH knowledge acquisition, increased their perception of SRH related risks, and intentions to delay sexual intercourse to prevent unwanted pregnancy, HIV and other STIs. Conclusion This study demonstrates that CSE can improve SRH knowledge and behavioral intentions among VYAs in Uganda. These results further emphasize the importance of initiating sexuality education before most adolescents have started engaging in sexual activity, enabling them to make informed decisions in the future. Trial registration NCT03669913, registered retrospectively on September 13th, 2018.


2019 ◽  
Vol 172 (1) ◽  
pp. 35-47 ◽  
Author(s):  
Kim Barbour ◽  
Lydia Heise

The term ‘home’ can mean many things. Indeed, the contested nature of the term has caused some scholars simply to dismiss it as useless. However, homes have an undeniable importance to our sense of self. They link us to current or past geographic locations that indicate national or cultural identities, allow us to display our taste and interests through consumer activity, and are places where we engage in leisure activities. Increasingly, we share the images we take in and of our homes widely with others, transcending the boundaries of the family photograph album. Through this study of images shared publicly on Instagram, we investigate the ways that people ‘visibilise’ their sense of home in order to share it with others. We can see through this data the interplays between public and private, domestic and commercial, that digital photography and applications like Instagram have brought to light.


Author(s):  
Sónia Dias ◽  
Ana Gama ◽  
Ana Maria Tavares ◽  
Vera Reigado ◽  
Daniel Simões ◽  
...  

Sub-Saharan African migrants (SSAMs) have been disproportionately affected by infectious disease burden. We aimed to identify correlates of HIV, past sexually transmitted infection (STI) and past Tuberculosis infection (TB), as well as examine HIV seropositivity unawareness and testing history among SSAMs. A venue-based sample of 790 SSAMs completed a cross-sectional biobehavioral survey on sexual practices, HIV testing and self-reported infectious diseases; an HIV rapid test was offered. Overall, 5.4% of participants were HIV-positive and 16.7% reported a past STI. Odds of being HIV positive or having a past STI were higher among participants with low socioeconomic status and who experienced violence from a partner. Increased odds of having a past STI were also found among long-term migrants and those who reported sexual risk behaviors. In total, 4.1% of participants had TB in the past; these were more likely male and HIV positive. Unawareness of HIV-positive status was notably high (35%). Half of the participants had never been tested for HIV before, including over a third of those who had STI or TB in the past. Efforts are needed to reduce missed opportunities for HIV/STIs prevention and uptake of HIV testing among SSAMs through more integrated care, while addressing social determinants of infectious diseases.


2018 ◽  
Vol 16 ◽  
pp. 56-60 ◽  
Author(s):  
Hayley J. Denison ◽  
Collette Bromhead ◽  
Rebecca Grainger ◽  
Elaine M. Dennison ◽  
Annemarie Jutel

2019 ◽  
Vol 71 (10) ◽  
pp. 2637-2644 ◽  
Author(s):  
Christina Schumacher ◽  
Linxuan Wu ◽  
Aruna Chandran ◽  
Errol Fields ◽  
Ashley Price ◽  
...  

Abstract Background Human immunodeficiency virus pre-exposure prophylaxis (PrEP) clinical guidelines recommend men who have sex with men (MSM) PrEP users be screened biannually for syphilis and gonorrhea/chlamydia at all anatomic sites. We sought to determine the proportion screened and positive by STI and anatomic site at PrEP initiation and PrEP-care visits and patient-level characteristics associated with screening among MSM PrEP users in Baltimore City, Maryland. Methods Medical records among MSM initiating PrEP between 30 September 2015 and 31 March 2018 were abstracted. STI screening (syphilis and gonorrhea/chlamydia at all anatomic sites) and positivity at PrEP visits ≤12 months following initiation were calculated. Poisson regression with cluster robust SEs was used to assess associations with STI screening. Results Among 290 MSM initiating PrEP, 43.1% (n = 125) were screened per guidelines at PrEP initiation; 79.3% (230), 69.3% (201), 55.9% (162), and 69.3% (201) were screened for syphilis, urogenital, rectal, and oropharyngeal gonorrhea/chlamydia, respectively. Positivity among those screened was syphilis, 7.8% (n = 18/230); gonorrhea, 5.0% urogenital (10/201), 11.1% rectal (18/162), and 7.5% oropharyngeal (15/201); chlamydia, 5.0% urogenital (10/201), 11.7% rectal (19/162), and 1.5% oropharyngeal (3/201). Reported anal and oral sex (vs neither) was independently associated with STI screening (aPR, 2.11; 1.05–4.27) at PrEP initiation. At biannual PrEP-care visits, STI screening was lower and syphilis and rectal gonorrhea/chlamydia positivity was higher. Conclusions Observed STI screening levels and disease burden suggest the effectiveness of STI screening in PrEP care for STI prevention may be limited. Our results suggest providers may be offering screening based on sexual practices; clarification of STI screening guidelines for PrEP users is needed.


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