The study sought to understand their experiences as well as their meaning-making in the course of maintaining a public heterosexual persona while balancing their secret desire for sex with women. The thirty-four women in this study report lifelong incidence of attraction to and encounters with other women as well as men. They are not transitioning toward a lesbian identity nor experiencing fluidity; rather, clandestine encounters are part of an ongoing means to negotiate their opposite-sex marriages. It was important to their self-concept that their sexuality be understood in terms of its intensity and their desire for frequency and diversity of acts. This is a preview of subscription content, access via your institution.
International best practices call for a gender-responsive approach to HIV prevention for women, including those who use drugs and those who engage in sex work. This paper draws on multiple qualitative data sources collected over five years in Ukraine to explore the notions of gender, women and family that buttress HIV-related programmes for women. Our analysis reveals that service providers often cast women as hapless victims of unfortunate family circumstances and troubled personal relationships that produce sudden poverty, or social strivers who seek access to wealth and privilege at the expense of their health. In September , members of a US and Ukraine-based research team and eight representatives from Ukrainian HIV prevention agencies met in Vilnius, Lithuania to finalise a survey to assess the effectiveness of HIV prevention programmes developed by the agencies Owczarzak, Filippova, and Phillips ; Owczarzak et al. Because one of the agencies planned to work with female clients exclusively and the others planned to include women in their work, we needed survey questions that captured the unique risks women face related to drug and condom use with sex partners.
Oral and anal sexual behaviours are increasingly reported among adolescents and adults reporting heterosexual sex in peer-reviewed journals in high income countries, but less is known about these behaviours in low and middle-income countries, especially in sub-Saharan Africa. The aim of this systematic review is to describe the prevalence of, and motivations for, oral and anal sex among adolescents and adults reporting heterosexual sex in sub-Saharan Africa. A systematic review of published articles that reported oral and or anal sex in sub-Saharan Africa was conducted from seven databases up to and including 30th August