JHAP
1912
S1353-8292(17)30079-5
10.1016/j.healthplace.2017.12.002
The Authors
Exploring masculinities, sexual health and wellbeing across areas of high deprivation in Scotland: The depth of the challenge to improve understandings and practices
Karen
Lorimer
a
⁎
Karen.lorimer@gcu.ac.uk
Lesley
McMillan
b
Lesley.mcmillan@gcu.ac.uk
Lisa
McDaid
c
Lisa.mcdaid@glasgow.ac.uk
Dona
Milne
d
Dona.Milne@nhslothian.scot.nhs.uk
Siân
Russell
a
1
Sian.russell@newcastle.ac.uk
Kate
Hunt
c
kate.hunt@glasgow.ac.uk
a
Glasgow Caledonian University, School of Health&Life Sciences, Glasgow G4 0BA, Scotland, United Kingdom
Glasgow Caledonian University, School of Health&Life Sciences
Glasgow
Scotland
G4 0BA
United Kingdom
b
Glasgow Caledonian University, Glasgow School for Business&Society, Glasgow G4 0BA, Scotland, United Kingdom
Glasgow Caledonian University, Glasgow School for Business&Society
Glasgow
Scotland
G4 0BA
United Kingdom
c
MRC/CSO Social&Public Health Sciences Unit, University of Glasgow, 200 Renfield Street, Glasgow G2 3QB, Scotland, United Kingdom
MRC/CSO Social&Public Health Sciences Unit, University of Glasgow
200 Renfield Street
Glasgow
Scotland
G2 3QB
United Kingdom
d
NHS Lothian, Waverley Gate, 2-4 Waterloo Place, Edinburgh EH1 3EG, United Kingdom
NHS Lothian
Waverley Gate, 2-4 Waterloo Place
Edinburgh
EH1 3EG
United Kingdom
⁎
Corresponding author.
1
Present address: Newcastle University, Institute of Health and Society, Newcastle upon Tyne NE2 4AX, United Kingdom.
Abstract
Within and across areas of high deprivation, we explored constructions of masculinity in relation to sexual health and wellbeing, in what we believe to be the first UK study to take this approach. Our sample of 116 heterosexual men and women age 18–40 years took part in individual semi-structured interviews (n = 35) and focus group discussions (n = 18), across areas in Scotland. Drawing on a socio-ecological framework, findings revealed experience in places matter, with gender practices rooted in a domestically violent milieu, where localised, socio-cultural influences offered limited opportunities for more egalitarian performances of masculinity. We discuss the depths of the challenge in transforming masculinities in relation to sexual health and wellbeing in such communities.
Highlights
•
Gender practices were commonly rooted in a domestically violent milieu.
•
Localised, socio-cultural influences offered limited opportunities for an egalitarian masculinity.
•
Interventions need to operate across multiple levels and engage with multiple agencies.
Keywords
Masculinities
Sexual health
Area depriviation
Gender
Violence
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