Men's reproductive and sexual health.

A broad definition of men's reproductive and sexual health (MRSH) includes medical (pathophysiological) matters such as sexually transmitted infections (STIs), developmental anomalies, malignancy, trauma, and infertility. It also includes psychosocial concerns: sexuality, contraception, disease prophylaxis, developmental and lifecycle issues, tobacco and drug use, sexual identity and orientation, and partnership issues. College men, of whom a large majority are sexually active, have a range of MRSH needs, including some that are particular to their age and social environment. To reach men effectively requires approaches that are somewhat different from those used with women. Clinicians in college health services are in an excellent position to help young men recognize the importance of reproductive health and sexual responsibility. College health services therefore should offer men screening; clinical diagnosis and treatment for MRSH conditions; and information, education, and counseling services, in a manner designed to meet their unique needs.     

Men's self-reports of unwanted sexual activity

We investigated men's experience with unwanted sexual activity-including unwanted kissing, petting, or intercourse-engaged in because of physical or psychological pressure or from societal expectations about male sexuality. We developed a questionnaire asking if respondents had ever engaged in unwanted sexual activity for any of 51 reasons. This questionnaire was administered to 507 men and 486 women. More women (97.5%) than men (93.5%) had experienced unwanted sexual activity; more men (62.7%) than women (46.3%) had experienced unwanted intercourse. Using factor analysis, we grouped the 51 questionnaire items into 13 general reasons; we then compared percentages of men and women who had engaged in unwanted sexual activity for these 13 reasons. There were seven sex differences in reasons for unwanted sexual activity: Five were more frequent for women than men; two reasons were more frequent for men than women-peer pressure and desire for popularity. There were eight sex differences in reasons for unwanted intercourse; more men than women had engaged in unwanted intercourse for all eight. The double standard for male and female sexuality and implications for therapy are discussed.     

Correlates of negative attitudes toward gay men: sexism, male role norms, and male sexuality

Research has shown that heterosexual men are more negative toward gay men than women are on measures of attitudes toward homosexual behaviour and homosexual persons (Kite & Whitley, 1996). Gender differences in attitudes toward gay men's civil rights are less clear. No empirical studies, however, have investigated these findings with a scale that measures specifically these three attitudinal subcomponents. This study was a preliminary test of a scale that measured these subcomponents. In addition, this study investigated the relationship between these subcomponents and other attitudinal measures: hostile sexism, male toughness, and attitudes toward male sexuality. Results revealed that attitudes toward homosexual behaviour and homosexual persons comprised one factor: affective reactions toward gay men. Results showed that men were more negative on affective reactions than women were. No gender differences were revealed on attitudes toward civil rights. I found significant correlations between affective reactions, hostile sexism, male toughness, and male sexuality. I discuss these findings in relation to traditional gender role beliefs and make suggestions for future research.     

Engaging men as social justice allies in ending violence against women: evidence for a social norms approach

The field of sexual assault prevention is shifting attention to educational interventions that address the role of men in ending violence against women. Recent studies document the often-misperceived norms men hold about other men's endorsement of rape-supportive attitudes and behaviors. The authors provide further evidence supporting the design of population-based social norms interventions to prevent sexual assault. Data from this study suggest that men underestimate the importance that most men and women place on consent and willingness of most men to intervene against sexual violence. In addition, men's personal adherence to only consensual activity and their willingness to act as women's allies are strongly influenced by their perceptions of other men's and women's norms. These findings support the proposition that accurate normative data, which counters the misperception of rape-supportive environments, can be a critical part of comprehensive campus efforts to catalyze and support men's development as women's social justice allies in preventing sexual violence against women.     

Men's Reproductive and Sexual Health

Abstract

A broad definition of men's reproductive and sexual health (MRSH) includes medical (pathophysiological) matters such as sexually transmitted infections (STIs), developmental anomalies, malignancy, trauma, and infertility. It also includes psychosocial concerns: sexuality, contraception, disease prophylaxis, developmental and lifecycle issues, tobacco and drug use, sexual identity and orientation, and partnership issues. College men, of whom a large majority are sexually active, have a range of MRSH needs, including some that are particular to their age and social environment. To reach men effectively requires approaches that are somewhat different from those used with women. Clinicians in college health services are in an excellent position to help young men recognize the importance of reproductive health and sexual responsibility. College health services therefore should offer men screening; clinical diagnosis and treatment for MRSH conditions; and information, education, and counseling services, in a manner designed to meet their unique needs.     

Sexual expression in later life: a review and synthesis

In the past decade, researchers have begun to study the sexual functioning of typical older persons. This review summarizes literature on the sexuality of men and women over age 50 as researched by social and health scientists. Research on the relationship of biological factors (changes accompanying aging), health (physical, mental, and medication use), psychological factors (attitudes, information about sex), relationship factors (status, satisfaction), and sexual functioning (desire, dysfunctions, treatment) to sexual behavior is reviewed. The review suggests that (a) men and women remain sexually active into their 70s and 80s, (b) aging-related physical changes do not necessarily lead to decline in sexual functioning, and (c) good physical and mental health, positive attitudes toward sex in later life, and access to a healthy partner are associated with continued sexual activity. In turn, regular sexual expression is associated with good physical and mental health. Progress in understanding later life sexuality requires development of comprehensive theoretical models, a broad focus on intimacy, attention to measures and samples, and research on couples. Progress in understanding is especially important, given the aging of populations.     

Masculinity and Tom Identity in Thailand

Abstract

Thai lesbian women engage local cultural meanings of masculinity in the creation of personal identities. Lesbian identity in Thailand is largely framed in terms of “butch-femme” gender role-playing, with the masculine woman referred to as tom and the feminine woman dee. According to informants, the dynamics between toms and dees differ from the normative expectations and experiences of hetero-sexuality for Thai women. Although Thai toms express their identity in terms of being “like men,” they often differ from typical Thai male attitudes in terms of attitudes towards female sexuality, masculine sensitivity, and expectations from women in terms of long-term relationships. I conclude that Thai tom-identity is positioned against both normative Thai femininity and masculinity. This paper addresses the feelings towards sexuality and self-identity of many Thai lesbians, and seeks to help health and welfare professionals be sensitive to cultural nuances of gender identity, and attitudes towards relationships and sex among lesbian Thai women.     

Not just maternalism: marriage and fatherhood in American welfare policy

The United States' 1996 welfare reforms are often interpreted as a historical break in transitioning from supporting motherhood to commodifiying women's labor. However, this cannot account for welfare reform's emphasis upon heterosexual marriage and fatherhood promotion. The paper traces continuities and shifts in over a century of familial regulation through American welfare policy, specifying the place of marriage promotion within welfare policy. Up until 1996, families were key sites of intervention through which the American welfare state was erected, especially through single women as mothers - not wives. However, as of the 1960s, concern with African American men's "failed" familial commitments turned policymakers toward concern over marriage promotion for women and men. While marriage "disincentives" for aid recipients were lifted in the 1960s, the 1996 reforms structured a new form of nuclear family governance actively promoting marriage rooted in, but distinct from, the previous. Given the historical absence of welfare policies available to poor men, Temporary Assistance for Needy Families' (TANF) marriage promotion policies have positioned poor women as nodes connecting the state to poor men, simultaneously structuring poor women as breadwinners, mothers, and wives. Recent welfare reform has also started to target poor men directly, especially in fatherhood and marriage promotion initiatives. The article highlights how, in addition to workfare policies, marriage promotion is a neoliberal policy shifting risk to the shoulders of the poor, aiming to produce "strong families" for the purposes of social security.     

Older widows'' attitudes towards men and remarriage

Sixty-four older women who had been widowed for several years were interviewed about their attitudes towards men and remarriage. Qualitative and quantitative data are presented. A majority said they are interested in or attracted to men, but a large majority said they are opposed to remarriage or consider it impossible. Number of prior marriages, length and quality of prior marriage, driving, working, persisting grief, other social relationships, prior caregiving, finances, age, and health were investigated as possible determinants of these attitudes. The findings draw attention to factors that vary historically by cohort, in addition to those that are age- and health-related, and support the life-span approach to human development. The attitudes of older widows towards men, courtship, sexuality, and cross-sex relationships are relatively unexplored topics in social gerontology; this investigation contributes significantly to our understanding of older women.     

Acculturation and sexuality: investigating gender differences in erotic plasticity

The contention that women are more erotically plastic than men is supported by a significant body of data, from which it has been inferred (Baumeister, 2000) that female sexuality may be more flexible and more heavily influenced by contextual factors than that of men. As a direct test of erotic plasticity, the present study investigated the extent to which acculturation was associated differentially (as would be predicted by the theory of greater female erotic plasticity) with the sexual attitudes and experiences of 111 college men and 167 college women. For sexual attitudes, main effects were found for gender, acculturation level, and ethnicity. Women endorsed more conservative attitudes than men, less acculturated individuals endorsed more conservative sexual attitudes than the more acculturated group, and Asian Americans had the most conservative sexual attitudes. For sexual experience, a main effect was found for acculturation, with the more highly acculturated group reporting a greater variety of sexual experiences than the less acculturated group. There were no gender-by-acculturation interactions. This study thus did not find support for the theory of female erotic plasticity, insofar as the impact of acculturation on a sample of ethno-culturally diverse college students.     

The twain meet: empirical explanations of sex differences in health and mortality

Health statistics routinely show higher morbidity and health services use for women, while mortality rates are higher for men. This analysis empirically identifies reasons for women's poorer health. It is based on retrospective (interview) and prospective (health diaries) data from the Health In Detroit Study. Three kinds of risk factors, which may help explain females' excess, are considered: acquired risks, psychosocial aspects, and health-reporting behavior. Men and women differ markedly in acquired risks: smoking and job hazards are higher for men, but inactivity, nonemployment, stress, and many other factors are higher for women. Psychosocial aspects predispose women to more illness and health care. Women also had keener interest in the survey. When all of the risk factors are controlled, the morbidity gap narrows considerably. In fact, indicators of general and chronic health reverse to reveal higher morbidity for men. Similarly, females' excesses for therapeutic care (short- and long-term disability, medical visits, lay consultation, drug use) diminish when risks and morbidity level are controlled. They actually reverse to a male excess for disability and medical care. Though most of the unveiled male excesses are statistically nonsignificant, their pattern allows a reasonable interpretation. Our results are closely compatible with recent analyses of sex mortality differences in several California sites, which could not eliminate men's mortality excess by controlling for social factors. In conclusion, contemporary women's poorer health profile stems largely from their roles and stress (acquired risks), and to a smaller degree from their health attitudes. When social factors are taken into account, health data suggest a disadvantage for men, and mortality data maintain men's disadvantage. Do the reasons lie in biology?     

Feminist issues in teenage parenting

The focus of this article is on unmarried teenage parents. It is argued that sexism particularly afflicts programs and policies for these young people as well as the behaviors that lead up to their becoming unmarried parents, namely, nonmarital coitus, failure to use effective contraceptives consistently, nonuse of abortion, decision not to place the child for adoption, and decision not to marry. Sexism is defined and the origins of sexist attitudes outlined. Sexism is examined in the context of sexuality education; of research about adolescent sex behavior and in that of programs and policies. It is argued that the availability of more systematic information about female adolescent sexuality than male adolescent sexuality perpetuates the assumption that birth control, pregnancy, childbearing and child rearing are the concern of females to to a far greater extent than for males. These assumptions play into the storong tendency for adoescent sexuality-related services to be developed almost exclusively for young women. Some negative effects of sexism are discussed with respect ot attitudes toward sexual relationships, consequences of teenage parenthood, contraception and abortion. Sexism in these attitudes places unfair burdens on young women and dehumanizes young men. It is important to recognize that both young men and young women tend to have equal needs, feelings and responsibilities with respect ot their relationships with each other and with respect to the families they may or may not found.     

Violence,rape, and sexual coercion: everyday love in a South African township

This paper presents findings of an anthropological study among pregnant adolescents in Cape Town, South Africa. The inquiry focuses on the sexual dynamics within adolescent relationships. The study reveals widespread male coercion and violence within sexual relationships. Informants describe assault as a regular feature of their relationships. In South Africa, power relations between men and women are commonly manifested as and imposed through sexual violence and assault. Men use physical assault to force sexual contact, beating their female partners if they refuse to have sex, are suspected of sexual infidelity, or are found to be using contraceptives. Moreover, women experience abuse such as gang rape. Yet, health promotion interventions fail to acknowledge sexual encounters as instances in which unequal power relations between men and women are expressed. It is these power relations which determine women's ability or inability to protect themselves against sexually transmitted disease, pregnancy, and unwelcome sexual acts. This study underlines the need to consider gender power issues in the design and impact assessment of HIV/AIDS and reproductive health interventions and in challenging male violence.     

Risky sexual behavior in low‐income African American women: The impact of sexual health variables

In a sample of 163 low‐income African American women, we used logistic regression analyses to test for associations between (a) 5 operationalized constructs theorized in the Sexual Health Model to impact one's overall sexual health (barriers to healthy sexuality, sexual anatomy and functioning, positive sexuality, sexual health care, and cultural identity) and (b) several measures of risky sexual behavior (consistent condom use, multiple concurrent partnerships, and overall sexual risk). No significant relationship was found between acculturation and risky sexual behaviors. Having sexual difficulties was positively associated with overall sexual risk and multiple concurrent partnerships. Favorable attitudes toward condoms were positively associated with consistent condom use. Desiring or intending pregnancy was positively associated with inconsistent condom use and overall sexual risk behavior. This is only the second study linking sexual difficulties and risky sexual behavior. The exact nature of this correlational relationship needs to be studied and replicated in different and more heterogeneous populations.     

Promoting sexual health and responsible sexual behavior: an introduction

Facing a myriad of sexual health problems today, health ministries are being compelled to develop comprehensive approaches to sexual health promotion. Recently, there have been several attempts to develop these strategies at national, regional, and global levels. One of the challenges of articulating strategies has been arriving at basic definitions of sex, sexuality, sexual health, and responsible sexual behavior. However, there is remarkable consistency throughout these recent documents. These documents call for leadership of the health sector to create better climates for discussion of sexuality, access to information and education about sexuality, prevention strategies, access to care, and more research in human sexuality and evaluation of programs designed to promote sexual health and responsible sexual behavior.     

Youth masculinities: compelling male heterosexuality

This article seeks to extend understandings of heterosexual masculine identities through an examination of young men's constructions of what motivates young men to engage in heterosexual practices and relationships, and what not having sex might mean for them. Using the masculinity literature and work on heterosexuality to frame the discussion and to contextualize the findings, it explores the complex dynamics that frame the relationship between masculinity and heterosexuality. Specifically, how dominant or 'hegemonic' discourses of heterosexuality shape young men's identities, beliefs and behaviour. It considers these questions using empirical data from a qualitative study of young people living in close-knit working-class communities in the North East of England, with a specific focus on cultural and social attitudes towards sexuality and sexual practices. Peer group networks are a key site for the construction and (re)production of masculinity and, therefore, an important arena within which gendered social approval and acceptance is both sought and gained. In this article, I explore the reasons why young men engage in specific types of heterosexual practice in order to gain social approval. A central question is the extent to which heterosexuality is compelling for young men. That young men do feel compelled to behave in certain ways sexually, behaviours that they may be uncomfortable with and/or dislike, and the fact that they feel they are restricted in terms of how they can talk about their experiences within their peer group networks, demonstrates the power of dominant discourses of masculinity in everyday life. This is addressed through an examination of the restrictive effects of normative discourses about male heterosexuality, including their privatizing effects, which suggest that youth masculinities are often experienced in ways that are highly contradictory requiring young men to adopt a range of strategies to deal with this.     

Influences of culture on Asian Americans' sexuality

Asian Americans comprise a population group that is characterized by an enormous demographic, historical, and cultural heterogeneity, yet Asian Americans also share many Asian cultural characteristics such as the primacy of the family and the collective's goals over individual wishes, emphasis on propriety and social codes, the appropriation of sexuality only within the context of marriage, and sexual restraint and modesty. Although there are significant gaps in the scientific literature concerning Asian Americans sexuality, the existing data point to notable differences between Asian Americans and other ethnic groups on major aspects of sexual behavior. For example, relative to other U.S. ethnic group cohorts, Asian American adolescents and young adults tend to show more sexually conservative attitudes and behavior and initiate sexual intercourse at a later age. There are indications that as Asian Americans become more acculturated to the mainstream American culture, their attitudes and behavior become more consistent with the White American norm. Consistent with their more sexually conservative tendencies in normative sexual behavior, Asian American women also appear more reluctant to obtain sexual and reproductive care, which in turn places them at a greater risk for delay in treatment for breast and cervical cancer as well as other gynecological problems. Available data suggest that the prevalence rate of sexual abuse in Asian American communities appear lower than those of other groups, although it is not clear to what extent the low rates are due to cultural reluctance to report shameful experiences.