Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28959
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Absence of holistic sexual health understandings among men and women in deprived areas of Scotland: Qualitative Study
Author(s): McDaid, Lisa
Hunt, Kate
McMillan, Lesley
Russell, Siân
Milne, Dona
Ilett, Rosie
Lorimer, Karen
Keywords: Holistic sexual health
Wellbeing
Heterosexual
Health improvement
Deprivation
Relationships
Coercion
Inter-personal violence
Issue Date: 12-Mar-2019
Citation: McDaid L, Hunt K, McMillan L, Russell S, Milne D, Ilett R & Lorimer K (2019) Absence of holistic sexual health understandings among men and women in deprived areas of Scotland: Qualitative Study. BMC Public Health, 19, Art. No.: 299. https://doi.org/10.1186/s12889-019-6558-y
Abstract: Background There is a growing evidence base for the need for a holistic approach to sexual health improvement, but the challenges for realising this in the ‘real world’ may be harder in some communities than others. We examined sexual health understandings and behaviours among adult men and women in deprived areas of Scotland. Methods Thematic analysis, using the constant comparative method, of qualitative, semi-structured in-depth interviews with 19 men and 16 women aged 18–40 years from the most deprived areas of Glasgow, Edinburgh, Dundee, and three Highland towns. Results Even though most had been shown images designed to facilitate discussion about sexual consent and verbal/physical abuse, when first asked, participants overwhelmingly equated ‘sexual health’ with the avoidance of sexually transmitted infections (STIs) and pregnancy. Most of the women interviewed went on to locate their accounts of sexual health within a broader, social account of relationships that in an ideal world, in contrast with their everyday lives, were based on respect and freedom from violence. They expressed desires for more positive relationships, based on open communication and trust, choice and freedom from coercion. A few men did accept a broader definition of sexual health, but others actively resisted it and placed the onus to enact choices and freedom from coercion on women rather than men. Conclusions In the first UK study to examine understandings of holistic sexual health among adults living in deprived areas, we found a disjuncture between men and women. These findings suggest that, as a society, we are failing to equip people to enhance their own, and others’, sexual health and wellbeing in its broadest sense. New efforts to emphasise the breadth of sexual health are required, but addressing these complex issues, especially where there are negative underlying gender norms to challenge, will require multi-level interventions targeting individual, community and system levels.
DOI Link: 10.1186/s12889-019-6558-y
Rights: © The Author(s). 2019 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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