Sexual Relationships, Negotiation and Decision Making

2014 ◽  
pp. 67-88
Keyword(s):  
Decision Making ◽  
Sexual Relationships

scholarly journals Behavioural and environmental influences on adolescent decision making in personal relationships: a qualitative multi-stakeholder exploration in Panama

2019 ◽  
Vol 35 (1) ◽  
pp. 1-14
Author(s):  
Ana B Ara�z-Ledezma ◽  
Karlijn Massar ◽  
Gerjo Kok
Keyword(s):  
Decision Making ◽  
Education System ◽  
Teenage Pregnancy ◽  
Sexuality Education ◽  
Family Relations ◽  
Hiv Infections ◽  
Well Being ◽  
Sexual Relationships ◽  
Sufficient Evidence

Abstract Adolescents in Panama face multiple challenges to their sexual health, rights and well-being such as high rates of teenage pregnancy (∼30% of all pregnancies), increased HIV infections and sexual violence. In the absence of sufficient evidence-based data and an ongoing debate in Panamanian society about how to approach adolescents’ health problems, the aim of this qualitative study was to explore the perceptions and attitudes of different societal actors, namely governmental employees, NGO employees, academics, members from religious groups, teachers and parents. We conducted in-depth interviews (N = 34) which focused on the behavioural and environmental factors considered to influence adolescents’ decision making with regard to love, friendships and family relations. Furthermore, we explored how these stakeholders viewed the role of the education system, and the potential of including social–emotional learning (SEL) in the curriculum to provide skills and capacities, which could encourage adolescents to make better decisions and improve their well-being, in general but also in the context of sexual behaviours. Analysis revealed five central themes, i.e. perceptions towards gender roles and equality, adolescents’ love (sexual) relationships, capacity needs regarding prevention of risk behaviours and the role of education, comprehensive sexuality education in schools and the potentiality of SEL in the education system. The findings of the study can enhance understanding on the views of stakeholders regarding the factors influencing adolescents’ decision making, as well as regarding the possibilities of introducing SEL in the Panamanian educational curriculum.

scholarly journals Gay and Bisexual Men’s Perceptions of HIV Risk in Various Relationships

2018 ◽  
Vol 12 (4) ◽  
pp. 655-665 ◽  
Author(s):  
John Shaver ◽  
Ryan Freeland ◽  
Tamar Goldenberg ◽  
Rob Stephenson
Keyword(s):  
Decision Making ◽  
Hiv Risk ◽  
The United States ◽  
Sexual Relationships ◽  
Sexual Risk Taking ◽  
Bisexual Men ◽  
Relationship Dynamics ◽  
Sexual Decision Making ◽  
Condomless Anal Intercourse ◽  
And Bisexual

Men who have sex with men (MSM) bear a disproportionate burden of HIV incidence in the United States. Previous study of sexual decision-making and HIV risk among MSM has not accounted for relationship dynamics. Further research must examine this connection between relationship dynamics and sexual decision-making, especially regarding condomless anal intercourse. This study analyzes data gathered from gay and bisexual men regarding their sexual partners and sexual decision-making over a 10-week period through personal relationship diaries (PRDs) and a follow-up in-depth interview (IDI). Through coding and extraction of relationship dynamics, key patterns of participants’ sexual decision-making processes were examined based on relationship type, which was categorized by commitment, formality, and sexual agreement. Participants’ sexual relationships can be divided into five categories: (a) Uncommitted, one time, (b) Uncommitted, ongoing, (c) Transitioning or unknown commitment, (d) Committed, nonmonogamous, and (e) Committed, monogamous. These five categories correspond to patterns in sexual decision making and consequent sexual risk-taking behaviors. Each of these influence HIV risk within male–male sexual encounters in a particular manner, and understanding these is important for appropriately tailored HIV prevention interventions for MSM. Recommendations are included for interventions seeking to address HIV risk across a wide variety of MSM sexual relationships.

scholarly journals Sexual rights, mental disorder and intellectual disability: practical implications for policy makers and practitioners

2018 ◽  
Vol 24 (6) ◽  
pp. 386-397 ◽  
Author(s):  
Helen Dewson ◽  
Keith J. B. Rix ◽  
Isabelle Le Gallez ◽  
Kartina A. Choong
Keyword(s):  
Decision Making ◽  
Intellectual Disability ◽  
Mental Disorder ◽  
Sexual Behaviour ◽  
Pregnancy Termination ◽  
Sexual Relationships ◽  
Physical Contact ◽  
Sexual Expression ◽  
List Type ◽  
International Human Rights Law

SUMMARYClear policies regarding sexual expression, sexual behaviour and related decision-making assist in ensuring that the rights of people with mental disorder or intellectual disability are upheld, and that staff know how to react to situations consistently and lawfully without interfering on the basis of their own moral judgements or personal beliefs. Sensitive and holistic planning of care that complies with domestic law, international human rights law and statutory guidance is necessary to complement such policies. Non-intimate physical contact, masturbation, sexual relationships, contraception, sterilisation and vasectomy, pregnancy, termination of pregnancy, sexual dysfunction, parenthood, marriage and civil partnership, divorce, prostitution, pornography, and sex aids and toys are all matters that may properly be part of care planning.LEARNING OBJECTIVES•Understand the limited legal basis for the formulation of policies and rules concerning sexual expression, sexual behaviour and related decision-making by people with mental disorder or intellectual disability•Be able to formulate policies concerning sexual matters as they relate to people with mental disorder or intellectual disability•Be able to plan care for psychiatric patients and community service users balancing their rights to sexual fulfilment with the protection of their own welfare and the protection of othersDECLARATION OF INTERESTNone.

scholarly journals Contraceptive decision-making in sexual relationships: young men's experiences, attitudes and values

2010 ◽  
Vol 12 (4) ◽  
pp. 373-386 ◽  
Author(s):  
Tina R. Raine ◽  
Jennifer C. Gard ◽  
Cherrie B. Boyer ◽  
Sadia Haider ◽  
Beth A. Brown ◽  
...  
Keyword(s):  
Decision Making ◽  
Sexual Relationships

A Local Authority v JB [2020] Ewca Civ 735 And A Local Authority v AW [2020] Ewcop 24: Rethinking Sexual Capacity?

2020 ◽  
Author(s):  
Laura Pritchard-Jones
Keyword(s):  
Decision Making ◽  
Local Authority ◽  
Mental Capacity ◽  
Sexual Relationships ◽  
Working Through ◽  
Mental Capacity Act 2005 ◽  
Mental Capacity Act ◽  
Court Of Appeal ◽  
The Way

Abstract In A Local Authority v JB and A Local Authority v AW, the Court of Appeal and Court of Protection, respectively, had to consider questions regarding decision-making about sexual relationships. This case commentary suggests that both decisions are to be welcomed in many ways, not least in the primacy they give to the role of consent within sexual relationships. However, working through their implications also reveals a number of perplexing legal and practical binds that cannot easily be overcome, and that in fact stem from the way that the Mental Capacity Act 2005 itself works. In light of this, the commentary concludes by suggesting that it is likely that there will be continued dissatisfaction with this area of law and hints that the time may have come to rethink sexual capacity.

scholarly journals Women’s Attitudes Towards Negotiating Safe Sexual Practices in Nigeria: Do Family Structure and Decision-making Autonomy Play a Role?

2020 ◽  
Author(s):  
Chukwuechefulam Kingsley Imo ◽  
Clifford O. Odimegwu ◽  
Nicole De Wet-Billings
Keyword(s):  
Decision Making ◽  
Sexual Health ◽  
Family Structure ◽  
Rural Women ◽  
Well Being ◽  
Sexual Relationships ◽  
Policy Implications ◽  
Sexual Practices ◽  
African Countries ◽  
Women’S Sexual Health

Abstract BackgroundThe risk of contracting sexually transmitted infections (STIs) is related to women’s sexual attitudes, beliefs, and power dynamics within marriages in developing countries. Despite the interventions towards improving women’s sexual health and well-being, the risk of transmission of STIs which disproportionately affect women continues to be widespread in most sub-Saharan African countries including Nigeria. The dearth of social research on the influence of family structure and decision-making autonomy on women’s attitudes towards negotiating safe sexual practices necessitated this study in Nigeria. MethodsThe study involved analyses of data from nationally representative and weighted sample size of 28,219 ever-married or cohabiting women aged 15-49 years from the 2018 Nigeria Demographic and Health Survey. Descriptive and analytical analyses were carried out, including frequency tables, Pearson’s chi-square test, and multivariate binary logistic regression model.ResultsThe overall prevalence of having strong attitudes towards negotiating safe sexual practices were 76.7% and 69.6% for a wife justified in asking the husband to use a condom if he has an STI and refusing to have sex with the husband if he had sex with other women, respectively. The analyses further showed that polygamous unions negatively influenced urban and rural women’s attitudes towards negotiating safe sexual practices with partners, for instance, the belief that a wife is justified asking the husband to use a condom if he has STI (aOR: 0.71; CI: 0.61-0.83 and aOR: 0.74; CI: 0.67-0.81, respectively). Similarly, urban and rural women whose husbands/partners made independent decisions on their healthcare were less likely to belief that a wife is justified in asking the husband to use a condom if he has STI (aOR: 0.60; CI: 0.47-0.76 and aOR: 0.80; CI: 0.67-0.97, respectively). Plausibly, women’s decision-making autonomy on issues relating to their earnings and healthcare might have constrained them to compromise their sexual relationships with partners. ConclusionThe outcomes of this study have some policy implications for both maternal and child health. Hence, the need to intensify programmes aimed at improving women’s sexual health and rights towards achieving sustainable development goals of preventing deaths of newborns, ending STIs and creating gender in Nigeria.

scholarly journals “Spoiled” girls: Understanding social influences on adolescent contraceptive decision-making in Kenya

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255954
Author(s):  
Elizabeth K. Harrington ◽  
Edinah Casmir ◽  
Peninah Kithao ◽  
John Kinuthia ◽  
Grace John-Stewart ◽  
...  
Keyword(s):  
Decision Making ◽  
Social Norms ◽  
Unintended Pregnancy ◽  
Adolescent Girls ◽  
Young Women ◽  
Social Influences ◽  
Pregnancy Prevention ◽  
Sexual Relationships ◽  
Female Adolescents ◽  
The Social

Objectives Despite significant public health emphasis on unintended pregnancy prevention among adolescent girls and young women in Sub-Saharan Africa, there is a gap in understanding how adolescents’ own reproductive priorities and the social influences on their decision-making align and compete. We examined the social context of contraceptive decision-making among Kenyan female adolescents. Methods Using community-based sampling, we conducted 40 in-depth interviews and 6 focus group discussions among sexually-active or partnered adolescent girls and young women aged 15–19 in the Nyanza region of Kenya. We analyzed the data in Dedoose using an inductive, grounded theory approach, and developed a conceptual model from the data illustrating social influences on adolescent contraceptive decision-making. Results Participants viewed adolescent pregnancy as unacceptable, and described severe social, financial, and health consequences of unintended pregnancy, including abortion under unsafe conditions. Yet, their contraceptive behaviors often did not reflect their desire to delay pregnancy. Contraceptive decision-making was influenced by multiple social factors, centering on the intersecting stigmas of adolescent female sexuality, pregnancy, and contraceptive use, as well as unequal power in sexual relationships. To prioritize pregnancy prevention, adolescents must navigate conflicting social norms and power dynamics, and put their perceived future fertility at risk. Conclusions Contraceptive decision-making among Kenyan female adolescents is strongly influenced by opposing social norms within families, communities, and sexual relationships, which compel them to risk stigma whether they use a contraceptive method or become pregnant as adolescents. These findings put into perspective adolescents’ seemingly incongruent pregnancy preferences and contraceptive behaviors. Interventions to address adolescent unintended pregnancy should focus on supporting adolescent decision-making agency, addressing fertility-related contraceptive concerns, and promoting innovative contraceptive access points rather than increasing contraceptive prevalence.

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