Exploring the implications of the internet and bio-technologies for intimate and sexual life, this book discusses the concept of citizenship in relation to the extension of public health through the internet, and reveals concerns that sexually transmitted infections and HIV are associated with such technologies.

One in five people in the United States had a sexually transmitted infection (STI) on any given day in 2018, totaling nearly 68 million estimated infections. STIs are often asymptomatic (especially in women) and are therefore often undiagnosed and unreported. Untreated STIs can have severe health consequences, including chronic pelvic pain, infertility, miscarriage or newborn death, and increased risk of HIV infection, genital and oral cancers, neurological and rheumatological effects. In light of this, the Centers for Disease Control and Prevention, through the National Association of County and City Health Officials, commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee to examine the prevention and control of sexually transmitted infections in the United States and provide recommendations for action. In 1997, the Institute of Medicine released a report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Although significant scientific advances have been made since that time, many of the problems and barriers described in that report persist today; STIs remain an underfunded and comparatively neglected field of public health practice and research. The committee reviewed the current state of STIs in the United States, and the resulting report, Sexually Transmitted Infections: Advancing a Sexual Health Paradigm, provides advice on future public health programs, policy, and research.

Although sexual issues frequently arise in therapeutic practice, mental health professionals are often uncomfortable and poorly equipped to address them. Written by an author who is both a psychologist and sex therapist, this practical guide provides information, tools, and exercises to increase the confidence and comfort of the mental health professional called upon to treat sexual issues during the course of therapy. The book is based on the premise that the therapist must be comfortable with his or her own sexuality in order to offer appropriate treatment. This guide discusses the characteristics of healthy sexuality-for both client and therapist-and explores the reasons that may underlie a therapist's discomfort with addressing sexual issues. Using case studies and sample dialogues, it covers a multitude of common and unusual sexual problems, couple's issues, questions that parents may have about sex, working with LGBT clients, sex for survivors of trauma, sexuality and aging, sexual pain disorders, and how to assess whether more extensive sexual therapy is needed. The guide demonstrates how therapists in different modalities can incorporate treatment of sexual problems into their practice, and covers relevant ethical issues. Included is a downloadable set of practitioner's resources that includes worksheets and client handouts that can be immediately put to use. Additionally, the book provides resources for more in-depth information and discusses collaboration with other health professionals. Key Features: Discusses how to comfortably and effectively discuss, assess, and treat clients' sexual concerns Supported by case studies and therapist/clinician dialogues Includes "Step Into My Office" sidebars taken from the author's own experience Provides downloadable resources including assessments, worksheets, and client handouts

Disclosure is a frequently used but rarely interrogated concept in health and social welfare. Abuse, disability, sexuality and health status can be ‘disclosed’ to peers and professionals, and on some occasions, disclosure is a requirement and not a choice. This innovative collection examines the new social and political implications of disclosure practices in health and illness. We make our identities and our connections with others by sharing life stories, experiences and innermost desires and are often asked to disclose facts about our lives, bodies and minds, at times with unintended consequences. Yet how and what, why and when people ‘disclose’ – and perceive, question and expose – and in what ways, has rarely received critical analytic attention. The contributors take up these problems by foregrounding the many shades of disclosure: from the secret, through the telling of diagnosis, to the more prosaic sharing of narratives from everyday life. The processes and implications of disclosing are addressed in areas such as: illness trajectories and end-of-life decisions; ethical research practices; medical procedures; and interpersonal relationships. Exploring the idea of disclosure as a moral imperative and a social act, this book offers a diverse range of empirical case studies, social theories and methodological insights to show how dominant and normative understandings of social relationships and their obligations shape our understanding of acts of disclosure, enquiry and exposure. It will be of interest to students and academics with an interest in narrative studies, medical anthropology, bioethics, health psychology, health studies and the sociology of health and illness.

"Since the 1970s, health professionals, researchers, governments, advocacy groups, and commercial interests have invested in the pursuit of something called 'sexual health'. Programs were launched, organizations founded, initiatives funded, products sold-and yet, no book before this one asks: What does it mean to be sexually healthy? When did people conceive of a form of health called sexual health? And how did it become the gateway to addressing a host of social harms and the reimagining of private desires and public dreams? Offering an entryway into the distinctive worlds of sexual health, this book traverses the distance from the research and treatment domains where sexual health is assessed, measured, and improved to the "sex expos" that invite attendees to "leave their inhibitions at the door and explore today's top intimacy products" and beyond. Sexual health encompasses wildly disparate agendas and speaks to innumerable concerns-from sexual dysfunction to sexual violence, from HIV prevention to reproductive freedom, to the practicalities of sexual contact during a global pandemic. Rather than a thing apart, sexual health is intertwined with nearly every conceivable topical debate-and more of them every day. Through his wide-ranging exploration, Steven Epstein provides the critical tools needed to bring into focus the different faces of sexual health and parse the debates that swirl around it"--

This timely book introduces social aspects of the study of sexual health and their application to public health practice. The book addresses five key themes: Conceptual and theoretical aspects of sexual health, Sexual health outcomes of Risk and Vulnerability, Improving sexual health status and Measuring and assessing sexual health status. The authors consider each of these themes within their cultural and historical context and illustrate topics with international examples and case studies. Key features of the book include: A spotlight on populations rather than individuals, and a focus on the prevention of ill health and promotion of well being. A global perspective; the book makes the distinction between developing and developed countries, but recognises that inequalities are to be found within as well as between countries. A view of sexual behaviour as socially learned rather than biologically given and so as amenable to change and intervention to improve sexual health status. An emphasis on ways in which risk and vulnerability are products, not only of individual behaviours, but of the social context in which they are practiced. Written by authors with a wide range of experience, this book will be a valuable resource for public health practitioners and those studying and working in the area of sexual health. Understanding Public Health is an innovative series published by Open University Press in collaboration with the London School of Hygiene & Tropical Medicine. Series Editors: Ros Plowman and Nicki Thorogood Contributors: Sevgi O Aral, Chris Bonell, Helen Burchett, Joanna Busza, Martine Collumbien, Simon Forrest, Rebecca French, Claudia Garcia-Moreno, Anna Glasier, Jami Leichliter, Kirstin Mitchell, Will Nutland, Thomas Peterman, Elisabeth Pisani, Kaye Wellings, Meg Wiggins and Maria Zuurmond.

In this timely collection, gender, sex, and technology are explored through an intersectional and interdisciplinary lens. Gender, Sex, and Tech! provides insight into the ways that technology affects, and is affected by, cultural perceptions of gender and sex. Through an examination of a range of past and present issues, the text highlights our relationships to technology and illustrates how gendered relations are shaped and transformed through social and technological innovations. Contributors bring to the fore feminist, decolonizing, and anti-racist methods to examine our everyday uses of technology, from the mundane to the surreal to the playful to the devastating. Original research and scholarship is skillfully grounded in real-world scenarios like revenge pornography, gender bias in artificial intelligence, menstrual tracking, online dating, and the COVID-19 pandemic, inviting students to take a closer look at technological transformations and their impact on gendered lived experience and to consider how the benefits of technology are inequitably shared within society. Centring Canadian scholars and Canadian perspectives without losing sight of the broader global connection, Gender, Sex, and Tech! is bursting with timely and of-the-moment content, making this collection a must-read for courses focused on gender and technology.

The prevention and treatment of diseases is a primary concern for any nation in modern society. To maintain an effective public health system, procedures and infrastructure must be analyzed and enhanced accordingly. Public Health and Welfare: Concepts, Methodologies, Tools, and Applications provides a comprehensive overview of the latest research perspectives on public health initiatives and promotion efforts. Highlighting critical analyses and emerging innovations on an international scale, this book is a pivotal reference source for professionals, researchers, academics, practitioners, and students interested in the improvement of public health infrastructures.

Shifts in societal development resulting from economic and technological advancements have had an impact upon the development of human sexuality and behaviour, and with the expansion of developments such as the Internet and associated technologies, it is likely that further societal shifts will ensue. This book recognises the importance of new digital spaces for discourses surrounding sexuality, examining issues such as pornography; sex education and health; LGBTQ sexualities; polysexuality or polyamory; abstention; sexual abuse and violence; erotic online literature; sex therapy; teledildonics; sex and gaming; online dating; celebrity porn; young people and sexual media; and sexting and sextainment, all of which are prominently affected by the use of digital media. With case studies drawn from the US, the UK and Europe, Sex in the Digital Age engages in discussion about the changing acceptance of sex in the 21st century and part played in that by digital media, and considers the future of sex and sexuality in an increasingly digital age. It will therefore appear to scholars across the social sciences with interests in gender and sexuality, new technologies and media and cultural studies.

Pornography, also known as sexually explicit material intended to cause sexual arousal, has been hailed by many as a growing public health crisis. Multiple states have now passed resolutions declaring pornography a harm to individual and collective health for inciting epidemics of sexual assault, human trafficking, and compulsive use. But research on the impact of pornography reveals a complicated story behind the straightforward narrative of abuse, including the repression of sex positive materials in the pursuit of pornographic containment. Pornography and Public Health uses a rigorous evidence-based approach to explore the positive and negative effects of pornography on public health, revealing how pornography came to be considered a public health crisis despite the lack of US governmental support. While pornographic content varies widely, this book provides a holistic overview of the people who view pornography, what they are most likely to see, how content has changed over time, and how these changes appear to influence some users. Each chapter explores controversies related to important subtopics in pornography scholarship including aggression, body image, and problematic use, as well as acknowledging the benefits that porn and porn literacy can provide in some contexts. Drawing on meticulous research and close readings of the available data, Emily F. Rothman explores the implications of existing evidence for practice and policy and offers meaningful guidance for public health scholars interested in understanding, and resolving, one of the most complicated issues in health and human behavior of our time. With unique academic insights, Pornography and Public Health avoids moralizing to argue that we can take steps to minimize possible harms from pornography while simultaneously protecting sexual liberty and promoting respect for pornography performers.