Background; Gynecological cancer is a common term for cancer in the female genitals and 2013 there were about 2800 women in Sweden that was diagnosed. This form of cancer and the treatment that is used, affects the sexuality and also the fertility of the women. Aim; The purpose with the essay was to illustrate the experience of the sexuality after the treatment of gynecological cancer. Method; The method used in the essay was a systematic translation of different literature. Of all the articles used there were eight that was qualitative, two quantitative and one was a combination of both methods. The analytic process was accomplish with the support of the Friberg (2006) analytic method. Results; The analysis resulted in two categories; Physical changes after the treatment and the treatments impact on the sexuality of the women. The physical changes that occurred because of the treatment was recurring and it showed that it was primarily surgery that hurt the woman body. It was also shown that the biggest impact that the treatment had on sexuality was pain and reduced desire for sex. And it also showed that sexuality got a new meaning for the women and they found new ways to express their feelings towards their partner. Conclusion; It was showed that the sexual experience primarily was affected by the physical consequences that the treatment had and not only because of the cancer itself. And it can because of this conclution be of significance that the nurse focus on the effects of the treatment, like vaginal anatomy and physical and psychological effects to be able to support the womans sexual well-being

This study is the first to collect detailed empirical data on sexual practice among backpackers while exploring the material and social context of backpacking using an ethnographic framework. The theoretical concepts of liminality and sexual scripts were drawn on to analyse the findings. Backpackers were recruited from hostels in Sydney and Cairns; 559 backpackers (243 women, 316 men) completed an anonymous self-administered questionnaire. In addition, 25 in-depth one-to-one interviews with backpackers and 25 semi-structured interviews were conducted with sexual health and travel clinic staff and hostel service providers. Participant and non-participant observation in backpacker hostels also informed the analysis. Drinking alcohol, often to excess, was central to the backpacking setting and was both a reason for and a post-facto justification of unprotected sex. The backpacking setting encouraged transient liaisons. More than half (55%) of backpackers had sex with someone new during their trip and for 71% of them it was with someone that they had just met that day. Twenty-five per cent of those with no expectations to have casual sex on their trip and 22% of those with no previous experience of casual sex had casual sex during their trip. More than half (53%) of those who had sex with a someone new did so while other people were in the room. Only 55% always used a condom with their last new partner. While most backpackers carried condoms and intended to use them, unprotected sex was common. Perception of risk was low: 78% of those who did not use a condom the last time they had casual sex on the trip perceived their risk of getting HIV to be ??low?? to ??nil??. Three participants acquired HIV during their trip. The culture of backpacking encourages more sexually permissive attitudes but does not encourage condom use, especially for those who did not consistently use condoms at home. These findings highlight the need for more broad-based dissemination of information on STIs to young people, and for future sexual health campaigns to specifically target backpackers in the context in which they travel.

Introduction Health problems emanating from sexual behaviour include HIV/AIDS, other sexually transmitted infections and unintended pregnancies. The prevalence of HIV/AIDS and sexually transmitted infections among adolescents are considered high in South Africa. Also, the burden of unplanned pregnancies has wider implications in society. These problems occur in spite of a number of different sexual health promotion programmes. The aim of the study was to view the perception of high school teenagers to sexual health promotions programmes as well as their response to these programmes. The objectives of the study were: 1. To explore the perceptions of local teenagers regarding the content and materials used in local health promotion programmes 2. To explore the perceptions of local teenagers regarding the communication strategies and style used in local health promotion programmes 3. To explore the perceptions of local teenagers regarding the impact of local health promotion programmes on their behaviour Method This was a qualitative study. The study population was high school teenagers from the Whittlesea townships in the Eastern Cape province of South Africa. Fourteen purposefully selected teenagers from the seven high schools were individually interviewed. Analysis was done using the framework method. Results The study showed that the content of sexual health promotion programmes to which high school teenagers in Whittlesea were exposed to composed of sexual health education and the building of life skills. Perception of the messages in these contents was influenced by lack of communication on sexual matters within individual families and religious beliefs of participants. The programmes were considered to be practical and helpful. Methods that involved teenagers’ participation or interaction were generally preferred and the communication style was perceived as facilitating behavioural/attitudinal change. Conclusion In order for adolescent sexual health promotion programmes to be effective, they should employ methods that involve participation and human interaction. The involvement of parents, role models, religious groups and community services in sexual health promotion could be helpful in promoting sexual health education and lifestyle change amongst teenagers.

Sexual health is an integral part of the overall well-being of women of color. Information about the sexual health of Asian Indian women who are brought up within the U.S. and the contextual factors which play a role in their views on sexual health is lacking. Even less is known about the experience and impact of navigating two sets of cultural beliefs (i.e., that of their heritage culture and that of the dominant U.S. society) on sexual health development for Asian Indian women raised in the U.S. The proposed study is designed to understand the sexual health perspectives of Asian Indian women raised in the U.S. This study was a qualitative investigation conducted in order to identify how sexual health is conceptualized by Asian Indian women who are exposed to the sexual health values and norms of the mainstream U.S. society and that of their heritage culture. Eleven heterosexual Asian Indian women, of 1.5 and second generation, were interviewed in person and over the phone. During the interview process participants defined their perspectives on sexual health and identified sociocultural factors which played a role in how they conceptualized sexual health. A grounded theory approach was used to analyze the data. The core phenomenon of this study, referred to as a storyline, revolved around participants struggle to navigate two opposing cultures, their views on sexual health, and the process by which they formulated their perspectives. Consistent with past research on 1.5 and second generation South Asian women, experiences related to sexual health for this sample were impacted by traditional cultural values, the norms of mainstream society, and participants' individual momentum.

Malawi enacted the Gender Equality Act (GEA) in 2013 to address gender inequality and promote sexual health and rights. The question the thesis addresses is whether the GEA itself an artefact of the very culture it would want to transform, could contribute to the transformation of social norms to improve the sexual health trajectories of adolescents. The thesis employs a hybrid approach to addressing the question, using a legal doctrinal methodology in combination with a feminist poststructural methodology of discourse analysis. The important assumption the thesis makes is that the GEA is part of a broader framework of discourse. The GEA as discourse draws upon prevailing discourses that shape people’s experience of sexuality. This is a challenge because the GEA’s conceptualisation of gender inequality and its implementation is influenced by the prevailing dominant gender discourses. The thesis explains what it means for the GEA to influence social change. It explores the possibilities of it creating a radical world in which society recognises adolescents as social actors and agents who play a role in constituting their gendered and sexual worlds. Enabling the GEA to be transformational requires policy actors to interpret and implement the GEA to open new possibilities for adolescents. Only then can the GEA transcend its existential predicament of itself being an artefact of cultural discourse. / Thesis (LLD)--University of Pretoria, 2020. / Private Law / LLD / Unrestricted

archives@tulane.edu / Emerging adults are at higher risk of intimate partner violence (IPV) than any other age group and women of color experience IPV at higher rates than white women. African American female adolescents who have experienced IPV are more likely to exhibit unhealthy sexual behaviors than their peers who have not experienced IPV, such as inconsistent condom use. Most unintended pregnancies among adolescents occur when contraception is used inconsistently. There is a small but growing body of literature on the health of African American college students. Students attending HBCUs engage in less risky behaviors than white college students yet experience a heavier burden of sexual consequences. Study participants were surveyed as part of an online pregnancy prevention intervention evaluation. All participants were African American females ages 18–19 living in the New Orleans area. The Theory of Gender and Power was used to examine exposures and risk factors of sexual risk behaviors. The prevalence of psychological aggression victimization was 52% at baseline. There were significant relationships between psychological aggression and being in a steady relationship or experiencing depression. The prevalence of consistent contraception use was 54% and of consistent condom use was 58%. There was a significant relationship between inconsistent condom use and psychological aggression victimization occurring two or more times. There was no significant relationship between consistent contraception use and psychological aggression; there were significant relationships for sometimes using alcohol or drugs before sexual activity and depression. The prevalence of consistent contraception use among HBCU students was 62%. There was a significant relationship between consistent contraception use and the education level of female students’ mothers. Healthy relationship-skill building is essential for young men and women. Additionally, first-generation college students at HBCUs need sexual health programming. Comprehensive interventions and wrap-around services are needed to improve the sexual health of late adolescents. / 1 / Kendra LeSar

No description available.

Abstract Purpose: With the US reporting 20 million newly diagnosed STI/HIV cases annually, clinical guideline compliance and EBP recommendation implementation necessitate provider practice changes for high-quality routine sexual and reproductive health services. The project's purpose was to improve sexual health history-taking (SHH) and documentation in a private primary care practice (PPCP) serving high-risk populations. The DNP project aims to determine the effect of conducting a 30-minute educational session and implementing the CDC's 5Ps on a PCP's clinical guideline adherence to SHH recommendations and documentation with patients presenting for annual wellness exams, well-woman exams, family/contraceptive counseling, or acute urogenital complaints in an urban, southeastern PPCP. Methodology: The quality improvement (QI) project implemented a standardized clinical practice change using the Stetler model's practitioner-oriented knowledge translation design. PPCP-employed NPs (n = 3) completed anonymous pre-/post-implementation surveys using SurveyMonkey, received educational resources, and implemented the CDC's 5Ps SHH tool for clinically appropriate patient encounters identified by eligible ICD-10 codes. Athena's Report Builder compiled data on SHH completion/EMR documentation and providers' intervention compliance from 2-weeks before and 2-weeks after implementation. Results: Over the four-week project period, a total of n = 1,031 EMR charts [pre-implementation (n = 513)/post-implementation (n = 518)] were reviewed for SHH completion/EMR documentation. Analysis of eligible encounters’ charts showed significant improvement in post-implementation SHH completion/EMR documentation rates (37% in pre-intervention; 82% in post-intervention). The chi-square test findings [X2 (1, N = 1031) = 43.637, p < .01] displayed a significant relation between the variables, indicating an increased likelihood of sexual health history EMR documentation by implementing the CDC'S 5Ps SHH tool. Provider survey results indicated providers support implementation and routine clinical practice of the CDC's 5Ps. Limitations: Provider sample size (n =3), geographical location, demographics served, private ownership, and SUD treatment center association limit the study's generalizability. Implications for Practice: The PPCP’s SHH tool availability for clinically relevant encounters increased SHH EMR documentation completion and frequency rates––utilizing the brief, cost-effective intervention for evaluating sexual health risks and behaviors to decrease the likelihood of adverse outcomes. Through positive, nonjudgmental sexual health information acquisition, providers can better facilitate difficult conversations with patients, promote sexual health awareness, and improve STI/HIV screening/treatment rates in a private primary care practice setting. Keywords: sexual health history

Indiana University-Purdue University Indianapolis (IUPUI) / Sexual coercion is a prevalent and problematic aspect of adolescent women’s sexual experiences, with nationally representative data reporting that 15% of adolescent women were forced by a romantic partner to do sexual things they did not want to do in the past year. However, little is known about how the length of a given adolescent relationship may impact ongoing instances of sexual coercion, and what impact these repeated instances have on the emotional and behavioral characteristics of a given relationship. Accordingly, the current study examines the impact of relationship length on relationship attributes and behaviors within adolescent women’s romantic relationships with repeated experiences of sexual coercion and compares these associations between age groups. Data for the current study were drawn from a larger, longitudinal cohort study (N = 385); utilizing quarterly interviews (N = 5151) that were administered from 1999-2009. Relationship timing of initial and repeat experiences of sexual coercion are discussed. Specifically, our findings suggest that within relationships with repeat experiences of sexual coercion, longer relationship length decreases sexual satisfaction and condom use, while simultaneously increasing vaginal intercourse and the odds of acquiring a sexually transmitted infection.

Approaches to projects and development have undergone considerable change in the last decade with significant policy shifts on governance, gender, poverty eradication, and environmental issues. Most recently this has led to the adoption and promotion of the sustainable livelihood (SL) approach. The adoption of the SL approach presents challenges to development interventions including: the future of projects and programmes, and sector wide approaches (SWAPs) and direct budgetary support.This paper `A livelihoods-grounded audit of the Sexual Health and Rights Programme (SHARP!) in Southern Africa¿ is the tenth in the series of project working papers. / Department for International Development