Sexuality and Ageing
https://www.routledge.com/Sexuality--Ageing/Bouman-Kleinplatz/p/book/9781138932630 (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - December 11, 2016 Category: Global & Universal Authors: Walter P Bouman, Peggy J Klienplatz Tags: Feature Source Type: research

Factors associated with caesarean sections in Phnom Penh, Cambodia
C-sections are an increasingly performed medical practice which can save lives but may also lead to major complications. Through a mixed methods study conducted in 2015 in Cambodia, we aimed to analyze the reasons for requesting a c-section and to explore factors that are associated with c-sections. 60% of the women in the cohort who gave birth by c-section reported having requested it. Through 31 in-depth interviews, we determined the reasons given by women for requesting a c-section before and during labour. (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - December 8, 2016 Category: Global & Universal Authors: Cl émence Schantz, Kruy Leang Sim, Véronique Petit, Heng Rany, Sophie Goyet Tags: FEATURE Source Type: research

Reform of abortion law in Uruguay: context, process and lessons learned
En octobre 2012, une nouvelle loi a été approuvée en Uruguay qui autorise l’avortement à la demande pendant les 12 premières semaines de grossesse, 14 semaines en cas de viol, et sans limite de temps si la santé de la femme est à risque ou en présence d’anomalies fœtales. L’article analyse cette réforme juridique. Il e st fondé sur 27 entretiens individuels et en groupe avec des informateurs clés et sur l’analyse de documents primaires et de publications. Les facteurs expliquant la réforme incluent: les valeurs laïques de la société, l’opinion publique favorable, un mouvement féministe persistant...
Source: Reproductive Health Matters - December 7, 2016 Category: Global & Universal Authors: Susan Wood, Lili án Abracinskas, Sonia Correa, Mario Pecheny Tags: Issues in Current Policy Source Type: research

Sexuality and older people: a neglected issue
Globally, life expectancy has been rising rapidly over the course of the last century, thanks to technological advances in medicine, rises in public health expenditure, overall socioeconomic development, and increased respect for women ’s autonomy in preventing undesired pregnancies. We are living longer and healthier lives and will continue to do so. It is estimated that the number of people over the age of 60 will double by 2050, translating into longer productive – albeit not necessarily reproductive – lives during which we are able to seek sexual intimacy and enjoy sexual activity as we age. (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - December 7, 2016 Category: Global & Universal Authors: Shirin Heidari Tags: EDITORIAL Source Type: research

Coming of age? Women ’s sexual and reproductive health after twenty-one years of democracy in South Africa
This paper is a sequel to a 2004 article that reviewed South Africa ’s introduction of new sexual and reproductive health (SRH) and rights laws, policies and programmes, a decade into democracy. Similarly to the previous article, this paper focuses on key areas of women’s SRH: contraception and fertility, abortion, maternal health, HIV, cervical and breast cance r and sexual violence. In the last decade, South Africa has retained and expanded its sexual and reproductive health and rights (SRHR) policies in the areas of abortion, contraception, youth and HIV treatment (with the largest antiretroviral treatment programme...
Source: Reproductive Health Matters - December 5, 2016 Category: Global & Universal Authors: Diane Cooper, Jane Harries, Jennifer Moodley, Deborah Constant, Rebecca Hodes, Cathy Mathews, Chelsea Morroni, Margaret Hoffman Tags: ISSUES IN CURRENT POLICY Source Type: research

Health status and years of sexually active life among older men and women in South Africa
The objective of this paper is to estimate years of sexually active life for older men and women, and examine the association between sexual activity and self-rated health status. Data were extracted from two large cross sectional HIV household surveys conducted in 2005 and 2012 in South Africa. The Sullivan method was used to estimate sexually active life expectancy, whilst logistic regression was used to assess associations with sexual activity. (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - December 4, 2016 Category: Global & Universal Authors: Witness Chirinda, Nompumelelo Zungu Tags: Feature Source Type: research

Politics, policies, pronatalism, and practice: availability and accessibility of abortion and reproductive health services in Turkey
Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We aimed to better understand the current availability of abortion and reproductive health services in Istanbul and explore whether access to services has changed since 2012. In 2015, we completed 14 in-depth interviews with women and 11 semi-structured interviews with key informants. (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - December 1, 2016 Category: Global & Universal Authors: Katrina A. MacFarlane, Mary Lou O ’Neil, Deniz Tekdemir, Elvin Çetin, Barış Bilgen, Angel M. Foster Tags: Feature Source Type: research

Gender norms as health harms: reclaiming a life course perspective on sexual and reproductive health and rights
Despite their demographic significance and the lifetime impact of gender disparities on their health and rights, women considered older than reproductive age are excluded from most investments in global public health. While development policies linking human rights with access to sexual and reproductive healthcare have yielded progress towards improving the status of women and girls, older women have not benefited from these initiatives. Yet as women grow older, they experience a range of health conditions rooted in their reproductive biology – from ageing with fistula, to cervical and breast cancers. (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - December 1, 2016 Category: Global & Universal Authors: Cailin Crockett, Bergen Cooper Tags: FEATURE Source Type: research

Acknowledging sexual bereavement: a path out of disenfranchised grief
Despite increasing awareness of the importance of sexuality for older adults, research and popular literature rarely acknowledge what we term “sexual bereavement” – mourning the loss of sexual intimacy when predeceased. The reluctance to acknowledge sexual bereavement may create “disenfranchised grief” leaving the bereaved unsupported in coping with this aspect of mourning. This preliminary study focuses on women in the United S tates and sought to determine whether they anticipate missing sex if predeceased, whether they would want to talk about this loss, and identified factors associated with communicating abo...
Source: Reproductive Health Matters - November 30, 2016 Category: Global & Universal Authors: Alice Radosh, Linda Simkin Tags: Feature Source Type: research

Sexual health and older adults: suggestions for social science research
The body of evidence on older adults ’ sexual health is beginning to grow. However, it remains an under-researched area particularly within the social sciences. This viewpoint outlines four considerations for those who carry out social science research in this area: 1. defining the age category “older adults”; 2. being clear abou t the types of sex under research; 3. capturing a range of diverse voices; and 4. considering the use of qualitative research methods to explore the topic in depth. These suggestions are aimed at helping researchers to avoid some of the pitfalls of research in this area, as well as improving...
Source: Reproductive Health Matters - November 27, 2016 Category: Global & Universal Authors: Sharron Hinchliff Tags: VIEWPOINT Source Type: research

“Girls need to behave like girls you know”: the complexities of applying a gender justice goal within sexuality education in South African schools
L ’éducation sexuelle, comme composante du programme de Life Orientation (LO, cours de préparation à la vie) dans les écoles sud-africaines, a pour but de doter les jeunes de connaissances et compétences leur permettant de faire des choix éclairés sur leur sexualité, leur santé et celle des autres. Les effets du pouvoir, des relations de pouvoir et des différences entre hommes et femmes sont essentiels pour le programme. Dans cet article, nous appliquons une perspective sexospécifique critique pour déterminer comment l’enseignement de l’éducation sexuelle va dans le sens des o bjectifs plus larges de la ...
Source: Reproductive Health Matters - November 27, 2016 Category: Global & Universal Authors: Sisa Ngabaza, Tamara Shefer, Catriona Ida Macleod Tags: FEATURE Source Type: research

Inequality, Zika epidemics, and the lack of reproductive rights in Latin America
This article aims to look at the relationship between structural inequalities and reproductive health in the case of the Zika epidemic. The consequences of the epidemic will continue to affect the same women whose access to comprehensive reproductive health services, including safe abortion, is restricted at best. (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - November 27, 2016 Category: Global & Universal Authors: Ana Cristina Gonz ález Vélez, Simone G. Diniz Tags: Viewpoint Source Type: research

Socio-cultural influences upon knowledge of sexually transmitted infections: a qualitative study with heterosexual middle-aged adults in Scotland
Les infections sexuellement transmissibles (IST), dont le VIH, ont r écemment augmenté dans le monde parmi les adultes âgés de plus de 45 ans. Peu de données sont disponibles sur les connaissances relatives aux IST autres que le VIH chez les adultes d’âge moyen. Cette étude qualitative souhaitait comprendre les connaissances des adultes d’âge moyen en mat ière d’IST, dans le cadre d’un contexte socioculturel. Des entretiens individuels, fondés sur une approche axée sur le parcours de vie, ont été menés avec 31 hommes et femmes hétérosexuels récemment sexuellement actifs. (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - November 26, 2016 Category: Global & Universal Authors: Jenny Dalrymple, Joanne Booth, Paul Flowers, Sharron Hinchliff, Karen Lorimer Tags: FEATURE Source Type: research

How can a state control swallowing? The home use of abortion pills in Ireland
Evidence suggests that there is widespread home use of abortion pills in Ireland and that ending a pregnancy in this way is potentially safer than the alternatives available to many women. This paper argues that there is a strong case for women with unwanted pregnancies to be offered truthful and objective information regarding the use of abortion pills by trusted local professionals and, further, that this is possible within existing law. A move in this direction would not, however, negate the need for legal reform to address the fundamental moral incoherence of a law that treats women who terminate pregnancies within Ire...
Source: Reproductive Health Matters - November 25, 2016 Category: Global & Universal Authors: Sally Sheldon Tags: ISSUES IN CURRENT POLICY Source Type: research

Ageing and healthy sexuality among women living with HIV
Populations around the world are rapidly ageing and effective treatment for HIV means women living with HIV (WLHIV) can live longer, healthier lives. HIV testing and screening programmes and safer sex initiatives often exclude older sexually active WLHIV. Systematically reviewing the literature to inform World Health Organization guidelines on the sexual and reproductive health and rights (SRHR) of WLHIV, identified four studies examining healthy sexuality among older WLHIV. In Uganda, WLHIV reported lower rates of sexual activity and rated sex as less important than men. (Source: Reproductive Health Matters)
Source: Reproductive Health Matters - November 25, 2016 Category: Global & Universal Authors: Manjulaa Narasimhan, Caitlin Payne, Stephanie Caldas, John R. Beard, Caitlin E. Kennedy Tags: Feature Source Type: research