Barriers to safe sex among heterosexual youth: The results of online in-depth interviews with webcameras

In this qualitative study of brothel-based Female Sex Workers (FSWs), the authors explored factors that influence safe sex practices of FSWs within an integrated HIV intervention. Qualitative methods, including focus group discussions (FGDs), in-depth interviews and key informant interviews were applied in four brothels in Bangladesh. Young and elderly FSWs, Sordarnis (Madams who own young FSWs and who may be either active or inactive sex workers themselves), program managers and providers were the participants for this study. Findings showed that condom use was high but not consistent among bonded FSWs (those who are under the control of a Sordarni) who have regular clients. The bonded FSWs reported being maltreated by the Sordarnis for refusing to have sex without a condom, and access to health services was hindered by Sordarnis. Implications of the study are that integrated HIV intervention should provide more encouragement to relevant stakeholders to promote mutual support towards safe sex practices for the FSWs.

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The taboo question

Journal of Social Marketing ◽

10.1108/jsocm-08-2013-0053 ◽

2014 ◽

Vol 4 (2) ◽

pp. 133-154 ◽

Cited By ~ 3

Author(s):

Dang Hong Hai Nguyen ◽

Lukas Parker ◽

Linda Brennan ◽

Alice Clements

Keyword(s):

Condom Use ◽

Social Marketing ◽

Safe Sex ◽

Easy Access ◽

Content Type ◽

Social Marketing Campaign ◽

The Social ◽

Depth Interviews ◽

Practical Implications ◽

Sex Practices

Purpose – This paper aims to illustrate the need for both upstream and downstream social marketing in relation to condom merchandising in the Vietnamese context. Design/methodology/approach – A mystery shopper audit of condom merchandising practices and retail outlets was undertaken in a number of locations throughout Ho Chi Minh City, Vietnam. In addition to the audits, a series of depth interviews with retailers of condoms on barriers and facilitators for purchase was undertaken. Findings – The research highlighted some very interesting dynamics in relation to condom retailing in Vietnam. Condoms are not always made easy to purchase, through both the merchandising and other choices made by the retailers. While accessibility to condoms is no longer an issue in urban Vietnam considering the increase of condom retailing outlets, lack of easy access is highly problematic and may interfere with actual condom obtainment. As sex is still a taboo topic in Vietnam, this is a serious concern for social marketing in the sexual and reproductive health domain. Practical implications – Given the capacity to portray taboo topics in Vietnamese media context, social marketing will be challenging. The development of a social marketing strategy for macro-, meso- and microlevels will be necessary for successful social marketing. Stigma associated with safe-sex practices and condom use may require a consideration of a social norms social marketing campaign. Originality/value – This research is the first of its kind in the Vietnamese context. While there are a large number of non-governmental organisations campaigning in the region, safe-sex practices and condom use within the general population remains a concern. This research demonstrates that access and availability are key components of the social marketing mix.

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Who decides when people can have sex? Australian mental health clinicians’ perceptions of sexuality and autonomy

Journal of Health Psychology ◽

10.1177/1359105318790026 ◽

2018 ◽

Vol 25 (13-14) ◽

pp. 2188-2199 ◽

Cited By ~ 3

Author(s):

Kristi Urry ◽

Anna Chur-Hansen

Keyword(s):

Mental Health ◽

Mental Illness ◽

Professional Practice ◽

Safe Sex ◽

Sexual Expression ◽

Mental Health Clinicians ◽

Mental Health Setting ◽

Mental Health Nurses ◽

Mental Health Settings ◽

Depth Interviews

Sexuality is a central aspect of human experience but there is evidence that this is largely constrained, pathologised or ignored in mental health settings. We conducted in-depth interviews with 22 psychologists, psychiatrists and mental health nurses working across a variety of settings in four Australian cities. Sexuality was most often perceived as relevant in the mental health setting when it was simultaneously constructed as dangerous. Participants located this danger in sexual expression itself or within individuals who, because of mental illness, lacked the autonomy required to successfully engage in ‘safe’ sex. We discuss these findings and their implications for research and professional practice.

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Understanding Why Older People Develop a Wish to Die

Crisis ◽

10.1027/0227-5910/a000078 ◽

2011 ◽

Vol 32 (4) ◽

pp. 204-216 ◽

Cited By ~ 52

Author(s):

M. L. Rurup ◽

H. R. W. Pasman ◽

J. Goedhart ◽

D. J. H. Deeg ◽

A. J. F. M. Kerkhof ◽

...

Keyword(s):

Older People ◽

Cohort Studies ◽

Conceptual Framework ◽

Life Events ◽

Traumatic Life Events ◽

Quantitative Studies ◽

Wish To Die ◽

Open Coding ◽

Death Wishes ◽

Depth Interviews

Background: Quantitative studies in several European countries showed that 10–20% of older people have or have had a wish to die. Aims: To improve our understanding of why some older people develop a wish to die. Methods: In-depth interviews with people with a wish to die (n = 31) were carried out. Through open coding and inductive analysis, we developed a conceptual framework to describe the development of death wishes. Respondents were selected from two cohort studies. Results: The wish to die had either been triggered suddenly after traumatic life events or had developed gradually after a life full of adversity, as a consequence of aging or illness, or after recurring depression. The respondents were in a situation they considered unacceptable, yet they felt they had no control to change their situation and thus progressively “gave up” trying. Recurring themes included being widowed, feeling lonely, being a victim, being dependent, and wanting to be useful. Developing thoughts about death as a positive thing or a release from problems seemed to them like a way to reclaim control. Conclusions: People who wish to die originally develop thoughts about death as a positive solution to life events or to an adverse situation, and eventually reach a balance of the wish to live and to die.

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A Multidimensional Theory of Suicide

Crisis ◽

10.1027/0227-5910/a000508 ◽

2018 ◽

Vol 39 (6) ◽

pp. 416-427 ◽

Cited By ~ 2

Author(s):

Antoon A. Leenaars ◽

Gudrun Dieserud ◽

Susanne Wenckstern ◽

Kari Dyregrov ◽

David Lester ◽

...

Keyword(s):

Multidimensional Model ◽

Psychological Autopsy ◽

Suicide Survivors ◽

Background Theory ◽

Independent Verification ◽

Suicide Notes ◽

Interjudge Reliability ◽

The Relationship ◽

Depth Interviews ◽

Deceased People

Abstract. Background: Theory is the foundation of science; this is true in suicidology. Over decades of studies of suicide notes, Leenaars developed a multidimensional model of suicide, with international (crosscultural) studies and independent verification. Aim: To corroborate Leenaars's theory with a psychological autopsy (PA) study, examining age and sex of the decedent, and survivor's relationship to deceased. Method: A PA study in Norway, with 120 survivors/informants was undertaken. Leenaars' theoretical–conceptual (protocol) analysis was undertaken of the survivors' narratives and in-depth interviews combined. Results: Substantial interjudge reliability was noted (κ = .632). Overall, there was considerable confirmatory evidence of Leenaars's intrapsychic and interpersonal factors in suicide survivors' narratives. Differences were found in the age of the decedent, but not in sex, nor in the survivor's closeness of the relationship. Older deceased people were perceived to exhibit more heightened unbearable intrapsychic pain, associated with the suicide. Conclusion: Leenaars's theory has corroborative verification, through the decedents' suicide notes and the survivors' narratives. However, the multidimensional model needs further testing to develop a better evidence-based way of understanding suicide.

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