Risk discourse and sexual stigma: Barriers to STI testing, treatment and care among young heterosexual women in disadvantaged neighbourhoods in Toronto.

Available data on indicators of sexual health among Canadian youth indicate that many Canadian young people are experiencing better sexual health outcomes (e.g., lower rates of teen pregnancy) than youth in the past and more of them are engaging in safer sex practices. However, young people who expe...

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Publicado en:Canadian Journal of Human Sexuality Vol. 21; no. 2; pp. 74 - 89
Autores principales: Wong, Josephine Pui.-Hing, K. Chan, Karen B., Boi-Doku, Renee, Mcwatt, Simone
Formato: research tables/charts Journal Article
Publicado: University of Toronto Press 2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: University of Toronto Press
      place: North York, Ontario
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        atl: Risk discourse and sexual stigma: Barriers to STI testing, treatment and care among young heterosexual women in disadvantaged neighbourhoods in Toronto.
      aug:
        au:
          Wong, Josephine Pui.-Hing
          K. Chan, Karen B.
          Boi-Doku, Renee
          Mcwatt, Simone
        affil: Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON
      sug:
        subj:
          Stigma
          Health Services Accessibility
          Serologic Tests Utilization
          Sexually Transmitted Diseases Prevention and Control
          Poverty Areas Ontario
          Women
          Human
          Funding Source
          Qualitative Studies Ontario
          Focus Groups
          Ontario
          Safe Sex Education
          Female
          Young Adult
          Adolescence
          Health Promotion Methods
          Socioeconomic Factors
          Risk Taking Behavior
          Behavioral Changes
          Purposive Sample
          Access to Information
          Exploratory Research
          Interview Guides
          Thematic Analysis
          Descriptive Statistics
          Fear
          Self Disclosure
          Sexual Abstinence Education
          Adolescent: 13-18 years
          Female
      ab: Available data on indicators of sexual health among Canadian youth indicate that many Canadian young people are experiencing better sexual health outcomes (e.g., lower rates of teen pregnancy) than youth in the past and more of them are engaging in safer sex practices. However, young people who experience social and economic marginalization tend to have poorer sexual health outcomes including higher rates of sexually transmitted infections (STIs). The present focus group study of 49 young women aged 16 to 24 from two under serviced and disadvantaged neighborhood clusters in Toronto yielded insights into their perspectives about STIs and their strategies for dealing with sexual stigma associated with STIs. Our findings indicated that fear-based messages and sexual stigma discouraged these young women from accessing sexual health care. According to the respondents the school-based sexual health messages they received privileged a biomedical approach, emphasizing individual responsibilities. These messages may have inadvertently reinforced stigmatization of STIs in a way that discouraged these young women from engaging in STI prevention education or seeking early testing and treatment. Some young women felt disempowerment and limits on their potential to fully embrace their sexualities. The implications of our findings for effective sexual health promotion include the adoption of socio-environmental approaches that address social and economic marginalization and youth-driven strategies that challenge moralistic discourses and sexual stigma.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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