The present research aimed to address two questions. First, is dating anxiety associated with sexual intimacy anxiety? Second, do young people who report harmful sexual behaviour, as an offence or harmful dating behaviour, have higher levels of dating and sexual intimacy anxiety than young people who report no harm, non-sexual harm or sexual and non-sexual harm (generalists)? The Dating Anxiety Scale for Adolescents (DAS-A) was used to measure overall dating anxiety. Questions relating DAS-A sub-factors fear of negative evaluation and social distress - dating were amended to measure sexual intimacy anxiety. A scale to measure partnership anxiety and sexual behaviour anxiety were designed. Participants were 77 young people aged 13 to 18 years (M = 15.4, SD = 1.41). Forty-five (58%) of participants were female and 32 (42%) participants were male. Results found a strong, significant association between higher levels of dating anxiety and higher levels of sexual intimacy anxiety r(75) = .80, p < .001. Young people who reported a sexual offence had significantly higher sexual behaviour anxiety than non-sexual offence (M = 15.82, SD = 6.23, p = .005) and generalist offence groups (M = 21.77, SD = 6.53, p = .044). Despite no other significant differences, a pattern emerged that suggests young people who report harmful sexual or generalist dating behaviour may have higher dating and sexual intimacy anxieties. Furthermore, young people who report harmful dating behaviour may have higher anxieties than young people who report an offence. The implications of the findings for future harmful sexual behaviour and harmful dating behaviour research and practice are discussed.

This study documents the experiences of DRC Durban-based refugee women; i.e. their access to and choice of contraceptives. When the decisions that concern a person are made by her, that individual is able to make the best choices for herself and to take responsibility for her live. Being able to make the decisions regarding the issues of one's reproductive health, the control of one's fertility in particular is most definitely basic to the empowerment of the individual and central to the emancipation of that individual. Reproductive health consists of a wide range of issues that have to do with the reproductive capacities and health of women. For the purpose of this study, however, reproductive health is seen in the light of contraception and its uses and access. For this study, the term contraceptives refers to a form of birth control which could be a regimen of one or more actions, devices, or medications used with the intention to purposefully prevent or reduce the likelihood of pregnancy or childbirth. A qualitative methodology appeared to be appropriate in order to better understand DRC refugee women's choices that arise from varied experiences in accessing contracept ives. The findings of this study show that the access and choice of contraceptive methods among DRC refugee women in Durban is gendered and is a product of society. Changes therefore are necessary in order to eliminate all negative attitudes towards contraceptive access and choices. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2011.

No abstract available. / Thesis (M.Th.)-University of KwaZulu-Natal, Pietermaritzburg, 2011.

Purpose: The purpose of the study was to map the sexuality of older (between the ages of 30 and 50) heterosexual regular marihuana users, which up to now remains little explored. We tried to find out whether there is a difference between the three groups of marihuana users: 1. users, who use only marihuana, 2. users who use marihuana and alcohol, and 3. users, who use marihuana, alcohol and party substances (LSD, ecstasy, magic mushrooms, cocaine). More over we compared our findings with some characteristics of the same-age sample of the Czech population. Methods: The research was of quantitative nature. The data were collected by using an original anonymous questionnaire, which was separately answered by 417 respondents 202 respondents from them satisfied our criterions (age, frequence and length of marihuana use). The data were processed by SPSS. Results: 61,7 % of respondents marihuana users are satisfied with their sexual life. Some kind of change as a result of marihuana abuse noticed 53,9 % of all respondents (48,5% of them noticed change for the better 51,2% of them noticed higher quality of orgasm). Some kind of difficulties in the sexual life in connection with the marihuana use noticed 20,8% of respondents. 10,8% of respondents have some experience in intercourse with other man, 12,9% of...

A research report submitted to the University of Witwatersrand, Faculty of Humanities, in partial fulfilment of the requirements for the degree Masters of Arts (Coursework and Research Report) University of the Witwatersrand, 2016 / This research investigated how sex and sexuality is being represented within Sexual Health Education (SHE), as reported by students who completed matric in 2014. Furthermore, this study wanted to investigate how these representations contributed to the perceived value of the SHE. In South Africa, SHE is located within the curriculum of Life Orientation (LO), a compulsory subject through to Grade 12. Despite being compulsory, there is no external moderation for this subject, allowing schools and teachers to decide on the exact content being taught within LO. The theoretical framework of Social Representations Theory (SRT) guided this research. SRT states that our understanding of the world is based on a collection of social representations, accumulated through interactions with the social world. The school environment is a place where social representations are often challenged by new information covered in lessons, as well as in discussions with peers and teachers outside of class. This study was interested in what social representations are being re-presented in the context of SHE. Five focus group discussions were conducted, following a semi-structured interview schedule, informed by the literature review. The sample consisted of first year students at a Johannesburg university, who completed their secondary schooling in 2014. The findings of this study show that South African youth receive vastly different information, some of which is not complete or accurate. Participants felt their SHE failed to assist them in making adult decisions, as there was a sense that vital information was being withheld, and the information that was imparted within SHE was viewed as irrelevant. This was attributed to the societal taboo against speaking openly about topics of sex and sexuality, which was often perpetuated in the ways that sex and sexuality were socially represented within SHE. / MT2017

A thesis submitted to the Faculty of Humanities, University of the Witwatersrand, Johannesburg, in fulfillment of the requirements for Masters degree in Sociology March 2016 / Following a qualitative approach and using diaries and the anthropological tool of ethnography, the study engaged black heterosexual men living with HIV to explore and describe their masculine ideals, values and behaviors in the dawn of the HIV epidemic. The findings revealed that the fabric that made “Indoda” varied and changed over time but to be Indoda , a man had to have one’s own family and consequently be the head of the family “Intloko yo Muzi”.Indoda was also detailed as someone who was “iQhawe”,a warrior who fought many battles of invulnerability and endured hardships. The findings suggested that although participants strove to attain these specifications, they were also restricted and burdened by them; especially those who were under varying degrees of pressure as a result of the different social, economic and political transitions that were taking place. HIV was seen as a threat to the constructions of hegemonic masculine ideals and thus exposed a budding crisis of masculinity that men in this context were confronted with. While HIV seemed to alter ones identity for some of the participants, other participants revealed that HIV did not change their lives in anyway. Among these participants, multiple relationships with ‘roll ons’; secrets and low condom use were rife. The other group of men who differentiated themselves from those who were HIV negative challenged the dominant notions of masculinities and reconstructed their masculinities in more positive ways. In this way, these men inhabited a subjective position of agency by taking control of their lives and accepting and driving their Z3. The study concluded that masculine norms behaviors and values are fluid and it is through continuously engaging in critical examination of the discourses that construct masculinity that new constructions of what it means to be a man can emerge. / MT 2018

Thesis submitted to: The Department of Psychology School of Human and Community Development , Faculty of Humanities , University of the Witwatersrand In partial fulfilment of the requirements for the degree of Masters in Psychology, Research and Coursework , January 2017 / Background: There is wealth of research that suggests that young heterosexual women are at an increased vulnerability for HIV through engagement in transactional sex. Transactional sex in young women in Sub-Saharan Africa, including South Africa, is rife and financial constraints are a major driver. Quantitative studies conducted in Sub-Saharan Africa suggest that young women that are involved in transactional sex are nearly two or more than three times vulnerable to HIV. The young women are involved in transactional sex with older men in order to access financial needs for survival as well as for purposes of consumerism. Transactional sex is not often understood, and at times it is conflated with sex work. This thesis seeks to add to scientific understanding of transactional sex in the field of health. The goals of this thesis are to explore the participants’ understanding of transactional sex. The thesis also seeks to explore a link between transactional sex and father absence for young women. This thesis fills the gaps identified in the studies of transactional sex. Wherein, there is very little research that has investigated the discourses that shape the practice of transactional sex. The study aim was to deepen scientific understanding of transactional sex in South Africa through examination of the discourses and structural financial constraints that influence transactional sex among young women. The specific objectives of this study were: i. To explore the discourses that shapes the participants’ understanding and their involvement in transactional sex. ii. To analyse the participants’ understanding of transactional sex in KwaZulu-Natal (KZN), Mpumalanga (MP) and the Eastern Cape (EC) provinces. iii. To demonstrate the likely link between transactional sex and income poverty related to father absence. iv. To describe a probable link between transactional sex and vulnerability to HIV infection. Research methods: To meet objective (i) qualitative interview data were collected in three South African provinces which are KwaZulu-Natal, Eastern Cape and Mpumalanga using focus group discussions (FGDs) and key informant interviews (KIIs). Invitation for participation by key informants (KIs) was sent to older men and women who are stakeholders of the communities studied. The KIs were invited from the social services sector such as the Police, Social Development, Health, Justice and Community-based leaders of faith, healers and youth leaders. For FGDs, participants were invited through meetings that are conducted in the communities and also through the distribution of fliers using facilitators in the communities that were selected as study sites. All participants for this study comprised both females and males above the age of 18 years. Trained field officers conducted FGDs which were gender-matched as well as KIIs. The FGDs varied in length with an average of above one hour each. KIIs were an average of 45 minutes long each. For all the interviews, isiZulu, siSwati and Xhosa were used, accordingly, to suit the participants’ local languages. All interviews were recorded using a digital recorder. After the interviews, the audio records were transcribed and saved in Microsoft word documents which were kept in password protected folders. I later read and coded the data then analysed it using thematic analysis for organising the codes in respective themes. I then used critical discourse analysis for an in-depth analysis of the themes. To meet objective number (ii) and (iii), in addition to text data, I conducted a comprehensive literature review. I present the literature review in Chapter 2 of this thesis. I also used the literature review to interpret the findings of the empirical study in Chapter 4. Findings and discussion: Heteronormative perceptions, Christian religion and African traditional culture as well as safe sex public health interventions are major discourses that appeared to influence the way in which transactional sex was perceived. The gender discourse owed to the consensual perception that transactional sex only happened between young women and older men. This was clear in the research findings. The main findings were; (i) participants’ understanding of transactional sex, (ii) the link between transactional sex and vulnerability to HIV, and (iii) probable relationship between transactional sex and father absence. The participants understood transactional sex as a source of income driven especially by perceived high rates of unemployment and poverty in the study sites. Young women were viewed as receivers of financial and material benefits yet givers of sex to men. The flip side of the same coin was that, men were viewed as the givers of material and financial benefits, and receivers of sex. The discourses found also demonstrated that transactional sex was fuelled by young women and their families’ financial needs. The financial constraints that young women and their families face could be influenced by the absence of the father who is supposedly a provider. Consumerist society that promotes extensive consumption of goods and services also appeared to be influential in the practice of transactional sex particularly for the young women. Conclusion: Transactional sex is not a new phenomenon in the study sites. It has been practiced in a several ways, were the community elders were in control of the transactions that were involved in different sexual intercourses that happened historically. The community elders facilitated financial transactions for sex in the forms of punishment when a man had sex with a young woman outside marriage. This punishment was identified as a payment for damage that the man would have caused. The man could also pay lobola as a form of compensation for the woman that he would have married. Overtime, the practice of these transactions has changed. The young women now consciously get involved in transactional sex so that they can directly receive money and gifts from the men that they give sex to. The change in the practice of transactions and sex reflects the change in the socio-economic conditions where there is a high need for consumerism which is constructed within the context of modernity. Consumerism emerges together with capitalism, which is a relatively new economic model in South Africa. Capitalism requires one to be employed so that they can have access to economic benefits. However, the rate of unemployment challenges the young women and deprives them of accessing the modern materials for consumerism. This influences the young women to consciously adopt the practice of transactional sex. It is this move by young women to decide adopting transactional sex that raises various panics among the elders of the community and the perpetuation of the discourses that transactional sex is an immoral and unacceptable practice. The panic has also become evident in the safe sex public health interventions where transactional sex is perceived as a dangerous practice among young women ad it should not be accepted. The interjection of the discourses of morality in transactional sex obstructs studies to clearly understand the discourses that influence its practice. These obstructions also limit knowledge that could be discovered by research and hence reduces the possibilities for interventions. Recommendations: Based on the findings from this study, it is recommended that research should increase focus on the effects of father absence to the practice of transactional sex. The studies in transactional sex also need to include samples of the at risk groups such as the LGBTI community. Transactional sex needs to be studied among young men as receivers of the financial and material benefits, as suggested in this study. Transactional sex is happening in the communities studied. It is therefore, recommended that public health interventions should encourage the practice of safe sex to prevent the spread of HIV. The long term interventions should address the structural factors which are; assisting young women to attain education which will make them employable so that they will be able to get sustainable incomes. The practice of transactional sex in KZN, MP and EC are tangled and shaped by the communities’ overarching discourses concerning sex and transactions. The overarching discourses make the practice of transactional sex to happen in a secretive manner particularly among young women. It is recommended that more studies need to be done among the overarching discourses of sex and transactions in these communities. It is important to extensively understand the overarching discourses and their effects through research because this will further unearth the hidden risks that come with the secretive practices of transactional sex. / MT2018

A research project submitted in fulfilment of the requirements for the degree of Master of arts in psychology through the Faculty of humanities, University of the Witwatersrand, Johannesburg / Socio-cultural factors and contexts influence sexuality and associated practices across the life course. Few studies have questioned what constitutes sexuality, sexual pleasure, and notions of risky sexual practices, and how elderly people engage in help-seeking for sexual health promotion and problem-solving. In response to the dearth of such research in Africa, this thesis explores the cultural interpretations, values, beliefs, and embodied practices associated with sexuality and help-seeking behaviour among urban-dwelling elderly Yoruba people (60–80 years and above) in the city of Ibadan, Southwest Nigeria. In addition, it investigates healthcare providers’ (biomedical and traditional) perceptions of sexuality and the prevention, treatment, and promotion of sexual health in old age. The thesis is rooted in Bourdieu’s social practice theory, Harré and Langenhove social positioning theory and an anthropological perspective on age-graded sexualities. From an interpretative constructivist framework, the thesis adopts an exploratory sequential mixed design. The design entails collecting and analysing qualitative and quantitative data in a single study. The choice of research design was informed by the perspective that diverse but relevant methodological positions opens the window into contextual understanding of sexuality in old age. The qualitative data consists of 12 vignettes based on focus group discussion (FGD) with three categories (60-69, 70-79 and 80 years and above) of 107 elderly men and women. From a thematic analysis, the FGD findings informed the conduct of 18 semi-structured interviews on equal proportion with elderly men and women (60+) and 11 semi-structured interviews with 2 healthcare providers (biomedicine and traditional medical systems). Subsequently, the thematic findings from the FGDs and interviews informed the development of a structured questionnaire. The questionnaire was administered among 252 elderly Yoruba people (60+). The findings reveal a dominance normative beliefs and cultural expectations around bodily changes characterised the gendered differences in sexual experiences and expectations in old age. From the exemplary perspective, the ‘good old age’ connotes compliance with normative sexual orientations, beliefs, and practices. The qualitative and quantitative results affirmed the existence and engagement in penetrative and pleasurable sex at differentiated degrees for elderly men and women. The qualitative findings reveal a lack of consensus regarding the age elderly women or men should disengage from sexual activities. The survey shows that more women (75.8%) than men (54%) agreed that elderly people of their age should stop having sex. The qualitative findings also reveal that health challenges, psychosocial satisfactions in marriage, differences in sexual prowess, and financial independence affect engagement and desires in sexual activities. Two-thirds (60.3%) of the survey respondents also agreed that elderly men and women should engage in sexual activities if their health allows. The body as a ‘site of moral action’ places elderly women and men at differentiated positions within heterosexual normativity. From a disadvantaged stance, sexual intercourse with a menstruating woman can result in a folk sexual dysfunction known as idakole (poor erection and quick ejaculation) for men. Furthermore, sex with menstruating or menopausal women could cause loss of spiritual powers for men. These views resonate with some taboos on sex and efficacy of some traditional medicine. As a form of contestation, bodily changes during menopause represent a period of abstaining, suppressing or disengaging from obligatory sexual duties. It also affords women the avenue to avoid the experience of oyun iju (a socially constructed folk pregnancy). As a counter reaction, menopause also provides valid positions 3 for some sexually active elderly men to seek new intimate relations with younger women. By expounding on the privileged position of men, the findings portray a normative view that elongates men’s sexual retirement until death. Without doubting the possibilities of losing sexual prowess with age, the use of traditional aphrodisiacs was perceived to improve sexual performance and pleasures. Such measures are scarce for women, except those that could aid male’s sexual pleasures when used by women like ado dun (pleasurable and irresistible vagina sex). In this light, the thesis argues that the differentiated gendered framing of bodily changes and sexuality take the body as a moral and health site to arrive at an interpretation of old age that could influence ageing experience as ‘good’ or ‘miserable’. The findings also show that the premium on penetrative sex and pleasures create differentiated opportunities for elderly men to contract sexual infections. The possibilities of contracting sexual infections among sexually active elderly people was not doubted. Gonorrhoea, syphilis and magun (a folk sexual infection) emerged as common examples of sexual infections among old and young in the study settings. Gonorrhoea and syphilis can be treated via biomedicine and traditional medicine. Magun and HIV are untreated sexual infections but are preventable through sexual abstinence and use of traditional medical measures. Traditional preventive measures such as onde (amulet), ajesara (incisions and digestible concoctions) perform dual functions: prevent disease and guarantee pleasurable sex. Both qualitative and quantitative results reveal that condom use can prevent sexually transmitted infections. However, condom use was also conceived to reduce sexual pleasures for men and women. In this direction, the survey results affirm that condom use can reduce sexual pleasures for elderly men (77.8%) and women (22.2%), respectively. More than average (55.7%) of the female and about one-third (44.3%) of the male respondents also perceive the condom as more useful for younger people. 4 With the possibilities of contracting sexual infections, the qualitative findings affirm that aetiological explanations around a sexual health problem can act as a constraint and also facilitate medical help-seeking. Also, shameful feelings, stigma, and unstable or poor financial conditions inhibit responsive help-seeking. More than one-third (49.6%) of the survey respondents perceived doctors’ indifference as a constraint. This was followed by shame (22.6%), neglect from other family members (10.7%) and neglect of children (10.3%). Contraction of sexual infection in old age can also lead to withdrawal of quality support from significant others. The thesis argues that the social framework of the exemplary elder influence post-reproductive sexual health outcomes within the study context. Healthcare providers from the two medical systems acknowledged the need for post-reproductive sexual health care services. Such services were, however, perceived along the gender divide as more elderly males than females expressed and sought help from both systems. The provisions of post-reproductive sexual health services within the biomedical system attracted some pluses. A few of the female participants acknowledge the efforts of biomedical trained physicians and nurses in creating awareness on how to overcome menopausal challenges. The findings highlight that socio-cultural understandings of the intersections among ageing, sexuality, and gender influence framing of sexual health needs and unequal sexual health outcomes in old age. The possibility of such influences lie in cultural conceptions of the ideal body and the appropriate timing of sexual activities. Such normative views therefore influence how elderly people make sense of bodily changes, their sexuality, help-seeking, and response to sexual health needs from health care providers. Healthcare professionals from both medical systems are also prone to the influence of normative social frameworks in responding to post-reproductive sexual health needs. With the need to achieve a healthy ageing population and the 5 existing gaps in post-reproductive sexual health services, this thesis argues that normative beliefs, values and practices around sexuality influence sexual experiences, practices, dispositions to sexual infections, availability and access to post-reproductive sexual healthcare services within the study settings. Public enlightenment around sexual rights across the life course are needed to complement a review of existing sexual healthcare services in Nigeria. It will also improve the therapeutic relations between professional healthcare providers and their elderly clients. These initiatives can position professional healthcare providers for responsive diagnosis, prevention and management of post-reproductive sexual health needs and a possible realisation of healthy ageing population in Nigeria. / GR2017

This PhD is an interdisciplinary research project in the field of public health, youth studies, sociology and cultural studies about the sexual lives of 16 young Nepalese aged 16-24 living in London. The research uses ethnography and biography to explore social and cultural factors affecting sexual health and lifestyles of Nepalese young people in the changing world. Sexual health still remains a taboo, which brings struggle for Nepalese young people to negotiate their sexual lives within Nepalese families and community. The current study explores young people’s reflections of their sexual lifestyles and experiences, which is embedded in the sociocultural norms and patterns of the society, and their interactions with families, community and broader social structures. The findings suggest that detailed examinations of the connectedness between agency and social context provide more clear understanding of the everyday sexual lives of young people. The changing lifestyles of Nepalese young people in the western world provide accessibility to the new ways of living in experiencing sexual lives through transforming leisure activities and creating multiple opportunities for sexual intimacies and relationships. The popularity of nightclubbing and changing attitudes towards sexual lifestyles create concerns for sexual health risks and vulnerability as well as conflict within family because of sociocultural dominance towards relationships and marriage. The data suggest that young people negotiate with several challenges, such as caste issues and parental consent, while transforming love relationships into love arranged marriage. It was found that lack of communication on sexual matters within family fuel the issues of trust and promote secret relationships and females are widely discriminated at different levels within Nepalese society. These structural factors along with lack of appropriate sexual health knowledge and education limit expressions of positive sexual lifestyles and relationships among Nepalese young people. Intersectionality in this study is used to investigate key structural influences of sexual health and lifestyles at multiple levels. This research uses grounded theory to develop a tentative social ecological model, adapted from an ecological model, to understand the positive sexual health experiences of Nepalese young people.

Background: Persistent infection with high risk HPV is a necessary but insufficient cause of cervical cancer. Behavioural, viral and host factors modulate the risk of HPV persistence. In this thesis, I explore the role of the vaginal microbiota, a host factor and the presence of multiple HPV infections, a viral factor in HPV persistence. Considering the limited data on the epidemiology of HPV related diseases in low and middle-countries (LMIC), and the limited success of cervical cancer screening strategies in many LMIC, I provide data on the distribution of HPV related diseases in Nigeria and evaluate the acceptability of innovative strategies to increase cervical cancer screening uptake. Methods/Results: To achieve my aims, I implemented a longitudinal cohort study of 1,020 women in Nigeria. I begin my results chapters with two methodological papers. Attrition is an important consideration for every longitudinal cohort, particularly in LMIC, therefore, I present my findings on attrition, determinants of attrition and practical strategies to ensure low attrition in studies conducted in LMIC. Considering that sexual behaviour is an important potential confounder in all HPV studies, and the reliability of self-reported history is often questioned, I present findings on the test-retest reliability of self-reported sexual behaviour history collected in my study. Having found that attrition levels were low and that self-reported sexual behaviour history was generally reliable within my cohort, I present my findings on the association between the vaginal microbiota and persistent hrHPV; and the role of multiple HPV infections in viral persistence. I found that the vaginal microbiota was associated with persistent hrHPV in HIV negative women, but not in HIV positive women; and that multiple HPV infections did not increase the risk of viral persistence when compared to single HPV infections. Next, I present my findings on the prevalence and incidence of anogenital warts in Nigeria, with additional reports on the prevalence of cervical cancer and other HPV associated cancers using data from two population based cancer registries. Finally, I present my findings on the acceptability of innovative strategies to improve cervical cancer screening uptake in Nigeria. I found that Nigerian women had a favorable attitude to the use of HPV DNA based screening as part of routine antenatal care, however attitudes towards the use of self-sampling techniques for HPV based cervical cancer screening varied by religious affiliations. Conclusion: In my thesis, I was able to systematically investigate the epidemiology of HPV infections in a LMIC. I considered the distribution of HPV related diseases, host and viral determinants of HPV persistence and investigated control strategies to reduce the burden of cervical cancer in a LMIC. My results provide useful data for surveillance, monitoring and evaluation of control programs on HPV and cervical cancer in Nigeria and may be useful to cervical cancer control programs in other LMIC.