scholarly journals Time and Collective Biology: Relationships Between Individual and Societal Life Course Ideologies in Mexican Men’s Sexual Health Treatment

2021 ◽  
Vol 42 (1) ◽  
pp. 66-80
Author(s):  
Emily Wentzell

People may seek to embody cultural ideals of the life course through their use or rejection of medical interventions, including but not limited to anti-aging treatments. Here, I analyze this phenomenon via interviews with men engaging with two different forms of sexual health medicine in urban Mexico: erectile-dysfunction treatment and testing for sexually transmitted infections (STIs). I argue that, in contrast to the biomedical understanding of patients as individuals who change during their lives, my interlocutors understood themselves as components in broader “collective biologies” that change on a longer timeline. These are culturally-defined groups that people understand to be comprised of interrelated members whose behaviors concretely affect the group’s physical and social well-being over time. In both medical arenas discussed here, men used or rejected sexual health interventions in response to local narratives about the nature of the Mexican population as a collective biology, including ideas about how it should change over time away from its roots in the colonial past. They characterized predispositions to machismo and disinterest in preventative health care as embodied inheritances that the Mexican population should reject in order to achieve health-promoting modernity in the future. My analysis describes how these interlocutors sought to live out desirably modern forms of race and gender through their medical decisions in a way that they hoped would contribute to positive, embodied change in the Mexican social body over time. These findings show that, despite the assumptions of individualism generally naturalized in anti-aging treatment and biomedicine, people may make medical decisions in an effort to aid collective change over population-level timescales.

2021 ◽  
pp. 095269512199539
Author(s):  
Penny Tinkler ◽  
Resto Cruz ◽  
Laura Fenton

Birth cohort studies can be used not only to generate population-level quantitative data, but also to recompose persons. The crux is how we understand data and persons. Recomposition entails scavenging for various (including unrecognised) data. It foregrounds the perspective and subjectivity of survey participants, but without forgetting the partiality and incompleteness of the accounts that it may generate. Although interested in the singularity of individuals, it attends to the historical and relational embeddedness of personhood. It examines the multiple and complex temporalities that suffuse people’s lives, hence departing from linear notions of the life course. It implies involvement, as well as reflexivity, on the part of researchers. It embraces the heterogeneity and transformations over time of scientific archives and the interpretive possibilities, as well as incompleteness, of birth cohort studies data. Interested in the unfolding of lives over time, it also shines light on meaningful biographical moments.


2021 ◽  
pp. 187-240
Author(s):  
Victoria Mckenzie ◽  
Leila Frodsham ◽  
Debra Holloway

This chapter covers problems that can occur with sexual health in women. It starts with the definition, assessment, diagnosis, investigations, and treatment of different sorts of vaginal discharge. It provides information about sexual health in context, including its links with other forms of disease and psychological well-being. Protocols for partner notification in the cases of diagnosis with a sexually transmitted disease are explained. The signs, symptoms, and treatment for gonorrhea, chlamydia, and Mycoplasma genitalium are all covered. It also covers the definition, causes, diagnosis, and treatment of pelvic inflammatory disease. Hepatitis B and C are described, along with anogenital warts, genital herpes, and genital lumps and ulcers. Finally HIV and new developments such as PrEP and PEP are covered.


2019 ◽  
Vol 10 (3) ◽  
pp. 365-375
Author(s):  
Leah Tidey

Abstract For older adults in Canada, too often shame and silence describe their experiences of sexual health. With more citizens over the age of 65 than ever before and increasing rates of Sexually Transmitted Infections (STIs) in older adults, we are facing a serious issue. Applied theatre offers an innovative approach to deconstructing social stigma in sexuality across the life course, whereby new understandings and perceptions may emerge for people of all ages. The usefulness, gaps and application of three different approaches to sexual health issues are examined to highlight innovations in addressing sexual health and critique ageist, sexist and heteronormative assumptions through a feminist, critical pedagogy lens. The analysis culminates in a proposed outline for an intergenerational, community-based theatre project to address the social stigma of sexuality across the life course entitled You're Doing What?! At Your Age?!


2021 ◽  
pp. 307-316
Author(s):  
Richard Parker ◽  
Jonathan Garcia ◽  
Miguel Muñoz-Laboy ◽  
Marni Sommer ◽  
Patrick Wilson

This chapter seeks to provide an overview of this rapidly growing body of work in public health. It describes the initial public health response to sexuality in the context of HIV and AIDS, as well as the ways in which that response has been gradually broadened over time in order to provide a more comprehensive approach to sexual health and well-being. It also focuses on both the local and the global dimensions of this work, in both developed and developing countries, and as much in the work of local communities struggling to respond to the needs of their own populations, as well as on the part of a range of international agencies that are increasingly seeking to address a range of challenges to sexual health.


2021 ◽  
pp. 513-536
Author(s):  
Megan K. Maas ◽  
Emily A. Waterman

Both sexual health promotion (i.e., prevention of adverse physical outcomes such as sexually transmitted infections and unwanted pregnancy and promotion of sexual experiences that are emotionally, mentally, relationally, and physically positive) and sexual violence prevention (i.e., prevent ion of sexual harassment consisting of unwanted sexual teasing, joking, or sexual requests and sexual assault that consists of any unwanted sexual contact) are important public health issues for emerging adults. This chapter discusses the opportunity for integrating sexual health promotion and sexual violence prevention for emerging adults. It discusses key topic areas for integration, including bystander intervention, sexual communication, consent education, gender transformative education, and media literacy. The chapter also discusses how preventionists can use existing infrastructure for sexual health promotion and sexual violence prevention to better integrate these initiatives. Integrating these efforts will help ensure that emerging adults think holistically about their sexual experiences as a fundamental part of their well-being throughout the life span.


Gerontology ◽  
2019 ◽  
Vol 65 (3) ◽  
pp. 253-274 ◽  
Author(s):  
Karen I. Fredriksen Goldsen ◽  
Sarah Jen ◽  
Anna Muraco

Background: LGBTQ* (lesbian, gay, bisexual, trans, and queer) older adults are demographically diverse and growing populations. In an earlier 25-year review of the literature on sexual orientation and aging, we identified four waves of research that addressed dispelling negative stereotypes, psychosocial adjustment to aging, identity development, and social and community-based support in the lives of LGBTQ older adults. Objectives: The current review was designed to develop an evidence base for the field of LGBTQ aging as well as to assess the strengths and limitations of the existing research and to articulate a blueprint for future research. Methods: Using a life course framework, we applied a systematic narrative analysis of research on LGBTQ aging. The review included 66 empirical peer-reviewed journal articles (2009–2016) focusing on LGBTQ adults aged 50 years and older, as well as age-based comparisons (50 years and older with those younger). Results: A recent wave of research on the health and well-being of LGBTQ older adults was identified. Since the prior review, the field has grown rapidly. Several findings were salient, including the increas­ed application of theory (with critical theories most often used) and more varied research designs and methods. While ­existing life course theory provided a structure for the investigation of the social dimensions of LGBTQ aging, it was limited in its attention to intersectionality and the psychological, behavioral, and biological work emerging in the field. There were few studies addressing the oldest in these ­communities, bisexuals, gender non-binary older adults, intersex, ­older adults of color, and those living in poverty. ­Conclusions: The Iridescent Life Course framework highlights the interplay of light and environment, creating dynamic and fluid colors as perceived from different angles and perspectives over time. Such an approach incorporates both queering and trans-forming the life course, capturing intersectionality, fluidity over time, and the psychological, behavioral, and biological as well as social dimensions of LGBTQ aging. Work is needed that investigates trauma, differing configurations of risks and resources over the life course, inequities and opportunities in representation and capital as LGBTQ adults age, and greater attention to subgroups that remain largely invisible in existing research. More depth than breadth is imperative for the field, and multilevel, longitudinal, and global initiatives are needed.


2021 ◽  
pp. 1-14
Author(s):  
Spencer L. James ◽  
David A. Nelson ◽  
McKell A. Jorgensen-Wells ◽  
Danielle Calder

Abstract Research on marital quality and child well-being is currently limited by its common use of geographically constrained, homogenous, and often cross-sectional (or at least temporally limited) samples. We build upon previous work showing multiple trajectories of marital quality and data from the National Longitudinal Survey of Youth-1979 (NLSY79) regarding mothers and their children (inclusive of ages 5–14). We examine how indicators of child well-being are linked to parental trajectories of marital quality (happiness, communication, and conflict). Results showed children whose parents had consistently poor marital quality over the life course exhibited more internalizing and externalizing problems, poorer health, lower quality home environments, and lower math and vocabulary scores than children of parents in consistently higher-quality marriages. Group differences remained stable over time for child health, home environment, and vocabulary scores. Group differences for internalizing problems declined over time, whereas group differences increased for externalizing problems and math scores. Initial advantages for females across nearly all indicators of child well-being tended to shrink over time, with boys often moving slightly ahead by mid adolescence. We discuss the implications of these findings in regard to children's development and well-being and suggest treating marriage as a monolithic construct betrays important variation within marriage itself.


Author(s):  
Stuart McNaughton ◽  
Rebecca Jesson ◽  
Aaron Wilson

It has proven difficult to establish how best to promote valued outcomes in reading comprehension for students in culturally diverse schools. Efforts are constrained by the disparities communities served by these schools often experience in physical, social, economic, and political conditions. However, principles are being developed for the effectiveness of schools, using four perspectives. The first is consideration of reading comprehension as a cognitive, linguistic, and cultural activity, which includes aspects of well-being such as cultural identity. The activity takes different forms, including one new form of digital literacy. Second, principles need to be underpinned by an understanding of how disparities in comprehension develop over time, through adopting a “life course” perspective. Over the life course, channels of socialization are afforded by both family practices and instructional conditions, and features of each are associated with disparities over time. Finally, criteria for what counts as success include enhancing distributions of achievement, promoting and protecting cultural identity, and overcoming system variability. Four principles of note are (a) increasing opportunities for students to learn; (b) providing textual depth and breadth; (c) making discourse and culture central to intervention designs; and (d) design-based research partnerships that can change practices at scale. However, achieving successful educational outcomes for students using these and other principles depends on considerable commitment, resourcing, and time, including reconfiguring of the role and responsibilities of researchers.


2018 ◽  
Vol 35 (1) ◽  
pp. 27-38 ◽  
Author(s):  
Maureen Rabbitte ◽  
Maithe Enriquez

Teen pregnancy and sexually transmitted infections are leading public health problems in the United States. While abstaining from sexual intercourse is the best way to avoid these conditions, abstinence only education (AOE) programs in schools have been shown ineffective in delaying sexual initiation or decreasing the teen pregnancy rate. Conversely, comprehensive sex education (CSE) programs have demonstrated the ability to decrease teen pregnancy and delay initiation into sex. However, federal funding continues to primarily support AOE programs, and a majority of states favor AOE in schools, rather than CSE. The purpose of this review was to examine the role of policy on sexual health education, which can have an impact on the health and well-being of adolescents. The review provides school nurses with information to help them educate parents and administrators to the negative repercussions of AOE, so they can advocate for policy change.


2017 ◽  
Vol 19 (03) ◽  
pp. 288-300 ◽  
Author(s):  
Sarah Beech ◽  
Lynn Sayer

AimThe aim of this study was to explore the role and activities of the school nursing service in sexual health within a large inner London borough.BackgroundSchool nurses (SNs) are specialist community public health nurses working with the school age population to promote their health and well-being and therefore are arguably in a prime position to promote the sexual health of children and young people. This is particularly pertinent in inner city boroughs where the rates of sexually transmitted infections and under-18 conceptions are a significant problem.MethodsFollowing a review of the literature, a mixed methods study was undertaken which included an audit of documentary data to identify the referrals received in relation to sexual health and also included questionnaire surveys of school staff and SNs on their views of the role of the SN in sexual health.FindingsSNs and school staff identified that SNs have a role in sexual health, which was reflected in the referrals received during the audit of documentary data. There appeared to be inconsistencies across the service and evidence suggested that the school nursing service may be underutilised in comparison to the number of students who require sexual health support. The current service appears to be predominantly reactive, particularly for males and those less than 12 years old. However, both SNs and school staff would like to see a more preventative approach; including greater sexual health promotion, condom distribution and school health clinics.


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