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After years of activism, risk awareness, and AIDS prevention, increasing numbers of gay men are not using condoms, and new infections of HIV are on the rise. Using case studies and exhaustive survey research, this timely, groundbreaking book allows men who have unprotected sex, a practice now known as "barebacking," to speak for themselves on their willingness to risk it all. Without Condoms takes a balanced look at the profound needs that are met by this seemingly reckless behavior, while at the same time exposing the role that both the Internet and club drugs like crystal methamphetamine play in facilitating high-risk sexual encounters. The result is a compassionate, sophisticated and nuanced insight into what for many people is one of the most perplexing aspects of today's gay male culture and life style. Michael Shernoff digs deep and forces us to see that the AIDS epidemic is not over. We must now ask the hard questions and listen to the voices that answer. The stakes are too high to ignore.
Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.
Illustrated by in-depth empirical research from Kenya - one of the most popular country destinations in Africa for sex tourism - this book gathers much-needed statistics and data, and then critically examines the features of tourism and the sex trade, contextualizing this in relation to tourism development. It addresses the conditions which generate this 'social problem' and, while not taking a potentially problematic moralistic stance it questions whether this trade is exploitative in nature, particularly in cases of child sex tourism. It then critically evaluates the current policies in place to regulate the sex tourism industry and provides suggestions for future direction.
While much is known about prostitution and sex work from studies of female sex workers and their customers, relatively little is known about men who sell sex, either to women or other men. Particularly poorly understood are their motivations for doing so, the circumstances in which the sale of sex occurs, the meanings attached to the acts by both sex worker and client, and the HIV-related risks involved. Each chapter, written by a national expert, is based on months and even years of interviews with male sex workers, including young boys and elderly men in some countries. The workers discuss why they do the work, what it is like, and what their behavior means to them. For example, those who have regular sex with men often strenuously affirm their heterosexuality, though there is considerable variety in their attitudes. Each chapter relates the experiences of the male sex workers to the political economy of their neighborhood and assesses the implications of their work for HIV transmission and the AIDS epidemic. The researchers and the sex workers discuss the value of different kinds of health promotion interventions.
"The average woman concerned about pregnancy spends approximately thirty years trying to prevent conception. She largely does so alone using prescription birth control, a phenomenon often taken for granted as natural and beneficial in the United States. In Just Get on the Pill, Littlejohn draws on interviews to show how young women come to take responsibility for prescription birth control as the "woman's method" and relinquish control of external condoms as the "man's method." She uncovers how gendered compulsory birth control-in which women are held accountable for preventing and resolving pregnancies in gender-constrained ways-encroaches on women's reproductive autonomy and erodes their ability to protect themselves from disease. In tracing the gendered politics of pregnancy prevention, Littlejohn argues that the gender division of labor in birth control is not natural. It is unjust"--
Women’s Gynecologic Health, Third Edition is a trusted, comprehensive, and evidence-based text that presents women’s gynecologic health from a woman-centered and holistic viewpoint. Encompassing both health promotion and management of gynecologic conditions, it provides clinicians and students with a strong foundation in gynecologic care and the knowledge necessary to apply it in clinical practice. With an emphasis on the importance of respecting the normalcy of female physiology, it is an essential reference for all women’s healthcare providers. The Third Edition includes four new chapters on prenatal and postpartum care, including anatomy and physiologic adaptations of normal pregnancy, diagnosis of pregnancy and overview of prenatal care, common complications of pregnancy, and postpartum care.
As the field of sexuality studies has become a growth area in academia and classes on sexuality studies are incorporated into various disciplines, the expanding book market has been filled with specialist oriented texts which are often theoretically focused and contain too many summaries for an undergraduate audience. Addressing this imbalance, this key new volume presents the field of sexuality in an accessible and engaging way for undergraduates. Breaking new ground, both substantively and stylistically, this book offers students, academics and researchers an accessible, engaging introduction and overview of this emerging field. Its central premise is to explore the social character of sexuality, the role of social differences such as race or nationality in creating sexual variation, and the ways sex is entangled in relations of power and inequality. Through this novel approach, the field of sexuality is considered, for the first time, in multicultural, global, and comparative terms and from a truly social perspective. This important volume consists of over fifty short and original essays on the key topics and themes in sexuality studies, and interviews with twelve leading scholars in the field which convey some of the most innovative work being done. Each contribution clearly conveys the latest research with examples. Ideal for students of gender and sexuality studies, this topical and timely volume will be an invaluable resource to all those with an interest in sexuality studies.