Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28959
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dc.contributor.authorMcDaid, Lisaen_UK
dc.contributor.authorHunt, Kateen_UK
dc.contributor.authorMcMillan, Lesleyen_UK
dc.contributor.authorRussell, Siânen_UK
dc.contributor.authorMilne, Donaen_UK
dc.contributor.authorIlett, Rosieen_UK
dc.contributor.authorLorimer, Karenen_UK
dc.date.accessioned2019-03-16T01:02:14Z-
dc.date.available2019-03-16T01:02:14Z-
dc.date.issued2019-03-12en_UK
dc.identifier.other299en_UK
dc.identifier.urihttp://hdl.handle.net/1893/28959-
dc.description.abstractBackground 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.en_UK
dc.language.isoenen_UK
dc.publisherBMCen_UK
dc.relationMcDaid 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-yen_UK
dc.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.en_UK
dc.subjectHolistic sexual healthen_UK
dc.subjectWellbeingen_UK
dc.subjectHeterosexualen_UK
dc.subjectHealth improvementen_UK
dc.subjectDeprivationen_UK
dc.subjectRelationshipsen_UK
dc.subjectCoercionen_UK
dc.subjectInter-personal violenceen_UK
dc.titleAbsence of holistic sexual health understandings among men and women in deprived areas of Scotland: Qualitative Studyen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12889-019-6558-yen_UK
dc.identifier.pmid30866882en_UK
dc.citation.jtitleBMC Public Healthen_UK
dc.citation.issn1471-2458en_UK
dc.citation.volume19en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderChief Scientist Officeen_UK
dc.contributor.funderMedical Research Councilen_UK
dc.citation.date12/03/2019en_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationNewcastle Universityen_UK
dc.contributor.affiliationNHS Fifeen_UK
dc.contributor.affiliationIndependenten_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.identifier.isiWOS:000461299400013en_UK
dc.identifier.scopusid2-s2.0-85062834563en_UK
dc.identifier.wtid1229112en_UK
dc.contributor.orcid0000-0002-5873-3632en_UK
dc.date.accepted2019-02-18en_UK
dc.description.refREF Compliant by Deposit in Stirling's Repositoryen_UK
dc.date.filedepositdate2019-03-15en_UK
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