Title and Source of the Title: “Diversity in Sexual Health: Problems and Dilemmas”
European Journal of Contraception & Reproductive Health Care, Dec. 2005, Vol. 10, No. 4,
pp. 207-211
Purpose(s) of the article: The purpose of the article “Diversity in Sexual Health: Problems and Dilemmas” is to present a different point of view about sexuality and how it could vary depending on what culture or religious background an individual has. The article provides information about epidemiology and risk factors, as well as psychosocial, communication and moral aspects of the population related to sexual health. This article attempts to provide an explanation of the role of diversity in sexual health and how it could be a determinant in the health status of a specific community. In addition, the article gives specific information for healthcare providers regarding how their decisions and practices might affect the health of their patients.
Public to whom the article is directed: This article is directed to Public Health services, doctors, nurses, healthcare providers and to the community in general. The article is trying to show them an inside view of the situation in the Netherlands. In order to provide better services, healthcare professionals have to be aware of the needs of the community they are working for. The article emphasized the social, cultural and legal aspects of the society and provides relevant information on how these three characteristics can make a different in the sexual health of the public. Service providers should be aware not only of the physical health of their patients, but at the same time of the emotional and social factors that are affecting their health.
Epidemiology terms used in the article (define at least 3):
Risk Factor: An exposure that is associated with a disease, morbidity, mortality, or adverse health outcome.
Reliability: The ability of a measuring instrument to give consistent results on repeated trials.
Rate: A ratio that consists of a numerator and denominator in which time forms part of the denominator.
Abstract: Diversity is an important factor in determining the sexual health of a population. The influence of western societies has an impact on new immigrants in European countries, and their behaviors and beliefs have to be adjusted or changed in order to fit in. The Islamic population is one of the most affected by the influence of modernization and the lacking of information or the denial of having a real problem; those factors put their sexual health at risk. The problems and dilemmas that the Islamic community faces change depending on the situation; sexual violence, homosexuality, abstinence, HIV/STD’s, virginity and anything related to sexual behaviors are topics that are not appropriated to be discuss in public.
In the epidemiological aspect of the community, the main problem is the “ineffective contraceptive behavior” because nobody is supposed to have sex before marriage; but in reality they are, and the problem is that HIV/STD’s, unwanted pregnancies, sexual violence and many more are present due to the lack of sexual education. In the psychosocial and cultural aspect, virginity and homosexuality are important issues. In the Islamic culture being a virgin woman is a synonym of honor, but for a man it is a double standard because it is prohibited but if he does it he does not lose his honor, and about homosexuality, the partner who penetrates is seen as the strongest and does not lose his honor, while the receiver is the passive and “female homosexual”. Communication is sometimes a barrier that makes difficult the appropriate health care delivery, not only because of the different languages spoke; but also people are not used to express their sexual problems or concerns.
Many of these factors and others are affecting the sexual health of the community and the only way to overcome with a solution to provide an effective delivery of healthcare is to identify the needs of the community by taking diversity in consideration.
Your comment: I personally found this article interesting because it presents a different point of view about sexual health, the article emphasized on the social and cultural factors as determinants or at least influential on the diseases that the immigrant Islamic population face in European countries. The problems and dilemmas are very different one from another, but all of them lead to the conclusion that sexuality is a forbidden subject in the Islamic community. I think the examples used in the article are very strong and they provide a better understanding of the viewpoint of the patients as well as the healthcare providers. In general, this is not an isolated problem, and Europe is not the only continent dealing with this matter; nevertheless, they are facing an enormous crisis in the increased prevalence of migrant groups and the ascending of sexual related diseases, unwanted pregnancies and abortions.
What is good about the article: The article provides helpful information on different possible factors that are affecting the health of the community. It also presents scientific statistics as well as social factors that increase the percentages of people affected in one way or another by the lack of education and prevention. The information provided on the tables at the end of the article give a better understanding of the alarming situation.
What is bad about the article: They focused their studies on Islamic community only; there are many other immigrant cultures in Europe. The comparison was kind of weak between Caribbean and Islamic populations.
2006-10-24
05:54:09
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Anonymous