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1.
Front Med (Lausanne) ; 11: 1286729, 2024.
Article in English | MEDLINE | ID: mdl-38831991

ABSTRACT

Introduction: Gender roles may impact men with fibromyalgia, causing a high number of negative emotional states and affective disorders. There are few studies that detect men's high emotional suffering. This study examined the emotional experience of men with fibromyalgia. Methods: A qualitative cross-cultural study utilized inductive thematic analysis was performed at the Fibromyalgia and Chronic Fatigue Unit Santa Maria University Hospital in Spain, the Fibromyalgia and Chronic Fatigue Clinic at Mayo Clinic in the US, and volunteers from the Winneshiek County in the US A total of 17 participants, 10 men from Spain and 7 men from the US were included. Results: Three themes related to feelings/emotions emerged: (1) psychological level; (2) social level; and (3) physical level. Men with fibromyalgia from Spain and the US experienced many negative emotions. Men often experience negative emotions that are worsened by common misunderstandings and social biases/stigma about their condition. Conclusion/implications: A proper assessment of emotions when evaluating the global health of men with fibromyalgia as well as the provision of emotional support would improve their mental health and therefore their overall physical health. Emotional management should be incorporated into all treatment protocols for fibromyalgia, especially for men given the gender stigma. Health policies designed by legislators, policymakers, and support agencies must be accompanied by education in gender role concepts to improve the emotions of men with FMS. The mass media will be essential for the disclosure of the emotional suffering of male patients so that society might better understand them.

2.
Med Humanit ; 2024 Apr 22.
Article in English | MEDLINE | ID: mdl-38649267

ABSTRACT

This article responds to Coope's call for the medical humanities to address the climate crisis as a health issue. Coope proposes three areas for progress towards ecological thinking in healthcare, with a focus on ecological mental health. The article emphasises the need to understand the cultural dimensions of mental health and proposes an interdisciplinary approach that integrates insights from the arts and humanities. It examines the impact of climate change on mental health, drawing on The Rockefeller Foundation - Lancet Commission on Planetary Health and recent studies. The discussion focuses on the intersection of mental health, subjective experience and environmental change. Focusing on emotional experiences as constructed from biological and cultural elements, the article proposes a holistic approach to mental health. It proposes two converging lines of research, in constant interaction: first, a historical and cultural research of those concepts, practices and symbols related to the environment, emphasising a cultural history of nature; and second, a synchronous research, drawing on anthropology, sociology and participatory art-based research, to understand how these aforementioned elements influence our current relations with nature. The article concludes by emphasising the urgency of developing narratives and histories that redirect temporal trajectories towards a better future, while respecting and acknowledging diverse narratives of individual experience. It calls for collaborative efforts from the medical humanities to contribute to a more comprehensive understanding of the complex relationship between mental health, nature and ecological crisis.

3.
Asian J Philos ; 3(1): 25, 2024.
Article in English | MEDLINE | ID: mdl-38633885

ABSTRACT

Through a series of empirical studies involving native speakers of English, German, and Chinese, this paper reveals that the predicate "true" is inherently ambiguous in the empirical domain. Truth statements such as "It is true that Tom is at the party" seem to be ambivalent between two readings. On the first reading, the statement means "Reality is such that Tom is at the party." On the second reading, the statement means "According to what X believes, Tom is at the party." While there appear to exist some cross-cultural differences in the interpretation of the statements, the overall findings robustly indicate that "true" has multiple meanings in the realm of empirical matters.

4.
Licere (Online) ; 27(01): 244-269, março.2024.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1555048

ABSTRACT

Buscamos reconhecer como conhecimentos feministas contribuem para (re)interpretações teórico-metodológicas, a partir da produção de pesquisas/intervenções relacionadas à gênero no contexto da cultura física. Alicerçados numa abordagem qualitativa, selecionamos textos feministas dos Estudos Culturais Físicos. Como resultado, argumentamos que os textos exploram formas de teorizar gênero e as múltiplas operações do poder social a partir da radicalidade do corpo como local central dessas relações; apontam para a autorreflexidade exercida pelas pesquisadoras ao narrarem suas experiências em pesquisas; e, acenam para o imperativo político como base para a mudança social progressiva, engajando-se com questões que transcendem a categoria "gênero".


We seek to recognize how feminist knowledge contributes to theoreticalmethodological (re)interpretations, based on the production of research/interventions related to gender in the context of physical culture. Based on a qualitative approach, we selected feminist texts from Physical Cultural Studies. As a result, we argue that the texts explore ways of theorizing gender and the multiple operations of social power based on the radicality of the body as the central location of these relationships; point to the self-reflexivity exercised by the researchers when narrating their research experiences; and, they point to the political imperative as a basis for progressive social change, engaging with issues that transcend the "gender" category.

5.
Med Humanit ; 2024 Mar 28.
Article in English | MEDLINE | ID: mdl-38548326

ABSTRACT

The emergence of new body technologies has led to the deconstruction of a cosmetically enhanced celebrity body into a bioinformational data-self, which becomes a surveilled subject quantified through biometric proximity. Evidently, the bodies of Indian Hindi film actresses evolve into material sites for the discursive encoding, bioinformational performativity and transference of disciplining hegemonic beauty ideals. In this age of information, the celebrity capital and postdigital positionality of celebrity bodies grant their bioinformational spectacular performance with a potential biologising affect for the further corporealisation of popular body aesthetics. Drawing on the maxims of new materialisms and neoliberal subjectivities, the article seeks to decipher the entanglement between the cultural economy of Indian Hindi film stars, their enhanced biometric dynamics and biologising spectacular performativity. Indian Hindi film industry, media, tabloids, magazines, celebrity culture and aesthetic clinics situate Indian Hindi film actresses under vigilant surveillance and simulcast their cosmetic consumption and technologically enhanced bodies across the visual-online attention economy. The present study, therefore exposes the enhanced bodies and biometric dynamics of Indian Hindi film actresses as the human and non-human agentic forms of industrialised cosmetic culture and neoliberal bioconsumerism.

6.
J Interpers Violence ; : 8862605241234348, 2024 Mar 07.
Article in English | MEDLINE | ID: mdl-38450674

ABSTRACT

Despite the well-documented link between child maltreatment (CM) and mental health, evidence suggests substantial variability in the post-traumatic sequelae of CM across cultures. The perceived acceptability of CM in one's community might moderate the association between CM and mental health, but little research has been conducted on it so far. This study examined how the perceived acceptability of CM may influence the relationship between CM experiences and post-traumatic symptoms in individuals from four different continents and if the pattern of associations is the same across countries. We recruited a sample of 478 adults from Cameroon (n = 111), Canada (n = 137), Japan (n = 108), and Germany (n = 122). We administered online questionnaires and performed multiple group moderation analyses for total CM, neglect, physical abuse, emotional maltreatment, sexual abuse, and exposure to domestic violence (DV). A significant positive main effect of CM on post-traumatic symptoms was found in the overall sample and in Cameroon; in Germany, only neglect and emotional maltreatment were positively associated to post-traumatic symptoms. Moderation effects were identified; the perceived acceptability of neglect in Cameroon and Germany and of exposure to DV in Cameroon had a dampening effect on the relationship between CM experiences and post-traumatic symptoms. Our findings confirm that CM experiences entail long-term post-traumatic sequelae that can vary across cultures and CM subtypes and further our understanding of this issue by showing that the perceived acceptability of CM may be an understudied moderator.

8.
Gerontologist ; 64(2)2024 Feb 01.
Article in English | MEDLINE | ID: mdl-37392451

ABSTRACT

BACKGROUND AND OBJECTIVES: To examine the role of probable dementia on changes in living arrangements and mortality among very old Mexicans and Mexican Americans in 2 different nations. RESEARCH DESIGN AND METHODS: We employ the Hispanic Established Population for the Epidemiologic Study of the Elderly and the Mexican Health and Aging Study, 2 comparable longitudinal data sets, to identify predictors of changes in living arrangements using multinomial logistic regression, controlling for cognitive status, demographic characteristics, and resources. RESULTS: In Mexico, women with dementia who lived alone at baseline were more likely to become part of an extended family household than men with similar levels of cognitive impairment. A similar pattern emerges for the oldest Mexican-American women. Spousal loss increases the likelihood of living alone for women in the United States regardless of dementia. Although dementia elevates the risk of mortality for men living alone in the United States, in both countries, women in their 90s who lived alone with dementia had a lower risk of mortality relative to men. DISCUSSION AND IMPLICATIONS: Longer life spans increase the risk of living alone with dementia in both countries, especially for women. Older individuals in both countries face financial hardships. Mexicans have limited formal options in dementia care. Mexican Americans with dementia continue to live alone despite low income although, unlike the Mexicans, they have access to Medicaid long-term care. For Mexico and the United States, the growing number of older individuals with dementia represents a growing public health concern.


Subject(s)
Dementia , Mexican Americans , North American People , Male , Humans , United States/epidemiology , Female , Aged , Mexico/epidemiology , Residence Characteristics
9.
Braz J Otorhinolaryngol ; 90(1): 101353, 2024.
Article in English | MEDLINE | ID: mdl-38029656

ABSTRACT

OBJECTIVE: Translate and cross-culturally adapt into Brazilian Portuguese the Glasgow Children's Benefit Inventory instrument used for the quality-of-life assessment after pediatric ENT interventions. METHOD: This is a methodological study of translation and cross-cultural adaptation of the GCBI instrument following seven stages: 1) Translation of two versions by two independent translators, 2) Elaboration of a consensual synthetized version, 3) Assessment of the synthetized version by experts, 4) Assessment by the target audience, 5) Back-translation, 6) Pilot study and 7) Use of the instrument. The final version of the instrument was answered by a sample of 28 people responsible for children aged from 2 to 7 years, submitted to tonsillectomy between January 2019 and December 2021, in a public hospital in Porto Alegre. The collection considered patients with a minimum of 6-months and a maximum of 3-years of postoperative follow-up. RESULT: The instrument final version was compared to the original version showing semantic equivalence, absence of consistent translation difficulties and appropriate cross-cultural adaptation, and well understood by the target audience. The application of the questionnaire in the sample showed a Cronbach alpha coefficient of 0.944 corresponding to a high degree of reliability of the instrument. CONCLUSION: The translation and cross-cultural adaptation showed semantic appropriateness and its use when assessing ENT postoperative results in a pediatric population showed high reliability of the instrument.


Subject(s)
Semantics , Translations , Humans , Child , Brazil , Reproducibility of Results , Pilot Projects , Surveys and Questionnaires
10.
Nurs Inq ; 31(1): e12599, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37718980

ABSTRACT

Traditional health sciences (including nursing) paradigms, conceptual models, and theories have relied heavily upon notions of the 'person' or 'patient' that are deeply rooted in humanistic principles. Our intention here, as a collective academic assemblage, is to question taken-for-granted definitions and assumptions of the 'person' from a critical posthumanist perspective. To do so, the cinematic works of filmmaker David Cronenberg offer a radical perspective to revisit our understanding of the 'person' in nursing and beyond. Cronenberg's work explores bodily transformation and mutation, with the body as a fragile and malleable vessel. Cronenberg's work allows us to interrogate the body in all its complexity, contingency, and hybridity and provides avenues of rupture within current understandings of 'the person'. Reinventing the definition of what it means to be human, critical posthumanism offers opportunities to both critique humanist theories and build affirmative futurities. Also drawing on the work of Deleuze and Guattari, specifically, their concept of becoming, we propose a critical posthumanist alternative to the conceptualization of the person in the health sciences, that of the becoming-mutant, so frequently explored in Cronenberg's films. Such a conceptualization permits the inclusion of various technological interventions of the contemporary subject: The postperson. This position offers the health science disciplines a radical reconceptualization of the conceptual and theoretical approaches, extending beyond those trapped within the quagmire of humanistic principles.


Subject(s)
Humanism , Motion Pictures , Humans
11.
Motrivivência (Florianópolis) ; 36(67): 1-24, 2024.
Article in Portuguese | LILACS-Express | LILACS | ID: biblio-1532972

ABSTRACT

Por meio de algumas noções conceituais produzidas no campo dos Estudos Culturais e entrevistas narrativas com participantes de um projeto social de ensino do Taekwondo, vinculado ao Programa Escola da Família, analisamos como projetos desse tipo influenciam na vida de jovens em situação de vulnerabilidade social. Consideramos que tais projetos produzem identidades e impactam as subjetividades dos jovens atendidos, quando estes não se adéquam aos discursos hegemônicos de classe social, gênero, saúde e educação; contribuem para que crianças e jovens permaneçam à margem da sociedade em que se encontram e, por consequência, favorecem a promoção de políticas que os mantém tutelados pelo Estado.


Through some conceptual notions produced in the field of Cultural Studies and narrative interviews with participants from the social project the teaching of Taekwondo linked to the Escola da Família Program, we analyzed how projects of this type influence the lives of young people in situations of social vulnerability. We consider that projects like this impact the subjectivities of the young people who is inside the project, when they are not adapted to the hegemonic discourses of social classes, gender, health and education; they help children and young people to remain on the margins of the society in which they find themselves and, consequently, favoring the promotion of policies that keep them under the tutelage of the State.


Através de algunas nociones conceptuales producidas en el campo de los Estudios Culturales y entrevistas narrativas con los participantes del un proyecto social de la enseñanza del Taekwondo, vinculado al Programa Escola da Família, analizamos cómo proyectos de este tipo influyen en la vida de los jóvenes en situaciones de vulnerabilidad social. Consideramos que proyectos como este impactan las subjetividades de los jóvenes atendidos, cuando no se adaptan a los discursos hegemónicos de clase social, género, salud y educación; ayudan a los niños, niñas y jóvenes a permanecer al margen de la sociedad en la que se encuentran y, en consecuencia, favorecen la promoción de políticas que los mantengan bajo la tutela del Estado.

12.
Braz. j. otorhinolaryngol. (Impr.) ; 90(1): 101353, 2024. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1534096

ABSTRACT

Abstract Objective Translate and cross-culturally adapt into Brazilian Portuguese the Glasgow Children's Benefit Inventory instrument used for the quality-of-life assessment after pediatric ENT interventions. Method This is a methodological study of translation and cross-cultural adaptation of the GCBI instrument following seven stages: 1) Translation of two versions by two independent translators, 2) Elaboration of a consensual synthetized version, 3) Assessment of the synthetized version by experts, 4) Assessment by the target audience, 5) Back-translation, 6) Pilot study and 7) Use of the instrument. The final version of the instrument was answered by a sample of 28 people responsible for children aged from 2 to 7 years, submitted to tonsillectomy between January 2019 and December 2021, in a public hospital in Porto Alegre. The collection considered patients with a minimum of 6-months and a maximum of 3-years of postoperative follow-up. Result The instrument final version was compared to the original version showing semantic equivalence, absence of consistent translation difficulties and appropriate cross-cultural adaptation, and well understood by the target audience. The application of the questionnaire in the sample showed a Cronbach alpha coefficient of 0.944 corresponding to a high degree of reliability of the instrument. Conclusion The translation and cross-cultural adaptation showed semantic appropriateness and its use when assessing ENT postoperative results in a pediatric population showed high reliability of the instrument. Level of evidence 4.

13.
Children (Basel) ; 10(12)2023 Dec 01.
Article in English | MEDLINE | ID: mdl-38136086

ABSTRACT

While coparenting-related conceptual frameworks and empirical studies have received considerable attention in Western countries, there is far less attention on this topic in other regions. This study seeks to fill this gap by comparing coparenting dynamics between English-speaking and Chinese parents. This study begins by reviewing coparenting relationships in both Western and Chinese contexts. Study participants comprised 399 English-speaking parents living in the US and Canada and 534 Chinese parents living in Mainland China. There were several waves of participant recruitment by sending out the flyers online or utilizing the professional networks to invite eligible parents. The measurement tool CoPAFS (Coparenting across Family Structures), which has been validated in English-speaking culture, was used to compare the differences in coparenting constructs in two cultures. First, the model fit of CoPAFS within Chinese culture was examined with Cronbach Alpha values and relevant model fit indices such as Comparative Fit Index and Root Mean square Residual. As most of the statistics fell below the expected level of excellence, there is a need to locally adjust the entire model in order to better interpret Chinese parenting. The intensity of connection between each factor included in the model and the coparenting relationship as a whole was then investigated. Although most factors were endorsed similarly by Chinese and English-speaking parents, there were notable differences in their opinions regarding communication and trust. While English-speaking parents highly valued these two elements within the coparenting process, Chinese parents showed almost no attentiveness to them. In order to understand factors that may contribute to such a sharp contrast, two main variables, culture and gender, were tested. Through a series of multigroup invariance analyses assessing equivalence across groups, it was discovered that culture emerged as the more dominant determinant among the groups of participants. The implications of cross-cultural use of the CoPAFS tool and future research directions are discussed.

14.
Addict Behav ; 147: 107838, 2023 12.
Article in English | MEDLINE | ID: mdl-37639837

ABSTRACT

Problematic Social Media Use (PSMU) has been defined as the lack of regulation of one's use of social media associated with negative outcomes in everyday functioning. Previous meta-analyses reported PSMU prevalence before the beginning of the COVID-19 pandemic and based the estimates on the cut-off scores, which are debatable in the current fields. The present meta-analysis aims to explore whether PSMU, as assessed by the most used self-report scale (i.e., the Bergen Social Media Addiction Scale; BSMAS), increased across the world (i) since the first published study on this topic (i.e., in the last seven years), (ii) since the beginning of the COVID-19 pandemic, and (iii) depending on age, gender and the income level of the countries. The meta-analysis involved 139 independent samples with 133,955 respondents from 32 countries spanning seven world regions. The results show that PSMU: (i) is significantly higher in low-income countries (LIC); (ii) did not increase in the last 7 years overall and after the beginning of the COVID-19 pandemic, except for LIC; (iii) did not vary depending on age and gender. The higher prevalence of PSMU reported during the COVID-19 pandemic by some single studies may have been a transient phenomenon to cope with physical distances in some countries, whilst, in others, an overall increase of PSMU occurred. High levels of PSMU in LIC might be explained based on socio-cultural differences between countries, but also with the higher prevalence of mental disorders in LIC since PSMU might be a symptom of other, more primary psychiatric disorders.


Subject(s)
COVID-19 , Social Media , Humans , Prevalence , Internet Addiction Disorder , Pandemics , COVID-19/epidemiology
15.
Healthcare (Basel) ; 11(16)2023 Aug 21.
Article in English | MEDLINE | ID: mdl-37628557

ABSTRACT

This study explores the relationships among social capital, community festival participation, and subjective well-being (SWB). It examines the mediating role of festival participation between social capital and SWB. The dataset Social Well-being Survey in Asia from the Philippines and Thailand was collected using nationwide surveys in 2016. The total number of respondents was 1057 in the Philippines and 982 in Thailand. The results affirm several determinants related to SWB, which is composed of happiness and overall life satisfaction. The models show significant relationships among festival participation, social capital, and SWB. The results indicate strong associations among social capital with family and relatives, festival participation, and SWB. The interaction effects between the two countries are included. Structural and cognitive social capital with kinship groups were important determinants in facilitating festival participation, and positively associated with SWB. Moreover, the results identify the mediating effect of festival participation between social capital with family and relatives and SWB. The results can provide similarities and differences in the relationships among social capital and kinship groups, community festival participation, and SWB between the Philippines and Thailand. This study offers important empirical evidence of a cross-cultural study in the context of the Philippines and Thailand.

16.
Med Humanit ; 49(4): 700-712, 2023 Dec 19.
Article in English | MEDLINE | ID: mdl-37468237

ABSTRACT

Pain is one of the most neglected areas of care in sub-Saharan Africa. Access to adequate pain management is important, especially in marginalised populations, such as pastoralists. Little is known about health professionals' perceptions of pain-related care for Somali pastoralists. This study seeks to understand health professionals' perceptions of Somali pastoralists in the context of pain management in Eastern Ethiopia. Within the scope of this qualitative multicentre study, we conducted semi-structured interviews with 17 health professionals (mainly nurses) experienced in treating Somali pastoralists with pain. Data analysis was based on the coding paradigm proposed by Strauss and Corbin within Grounded Theory methodology and resulted in a conceptual model of pastoralist-specific pain management. We gave voice to pastoralists in the study design, for example, through focus group discussions conducted prior to this study. Our study is part of a larger ongoing research project involving health professionals and pastoralist communities. The perspective of pastoralists is explored in a consecutive study. 'Patient-professional relationship' was the core category we identified within the conceptual model. This category was closely linked with issues of '(mis)trust' and 'communication (barriers)'. 'Patient-related conditions' (eg, (under)-reporting of pain, care preferences and beliefs) and 'health professional-related' conditions' (eg, insufficient training, (under)exposure to local culture) had an influence on the core category. Contextual factors proved to be relevant as well, such as age and gender. The study highlights the complexity of pain management among marginalised communities, such as pastoralists. Health professionals perceive Somali pastoralists to have distinct illness beliefs and pain concepts influencing their health-seeking behaviour. The study highlights the importance of reaching this patient group with culturally acceptable and comprehensive pain management strategies.


Subject(s)
Health Behavior , Health Personnel , Humans , Somalia , Focus Groups , Pain , Qualitative Research
17.
J Homosex ; : 1-26, 2023 Jul 28.
Article in English | MEDLINE | ID: mdl-37505504

ABSTRACT

This article presents a critical discourse analysis of groups on the free speech social media platform Gab that were intended to be LGBTQ+-friendly but became spaces of queerphobia. Results indicate that Gab users deployed discourses of difference to situate the platform as heteronormative and to denigrate the LGBTQ+ community. In particular, discourses utilized in the name of free speech were used to establish LGBTQ+ individuals as abominations, undergird hegemonic masculinity, and marginalize queer folk by reducing them to sex acts and sex organs. This study provides a better understanding of the (in)efficacy of "free speech" as a content moderation policy and unpacks how anti-LGBTQ+ hate speech spreads in digital spaces.

18.
Top Cogn Sci ; 15(4): 662-667, 2023 10.
Article in English | MEDLINE | ID: mdl-37165536

ABSTRACT

Kemmerer's paper convincingly claims that the grounded cognition model (GCM) entails linguistic relativity. Here, we underline that tackling linguistic relativity and cultural differences is vital for GCM. First, it allows GCM to focus more on flexible rather than stable aspects of cognition. Second, it highlights the centrality of linguistic experience for human cognition. While GCM-inspired research underscored the similarity between linguistic and nonlinguistic concepts, it is now paramount to understand when and how language(s) influence knowledge. To this aim, we argue that linguistic variation might be particularly relevant for more abstract concepts-which are more debatable and open to revisions.


Subject(s)
Cognition , Linguistics , Humans , Concept Formation , Language , Models, Theoretical
19.
Int J Psychol ; 58(3): 258-271, 2023 Jun.
Article in English | MEDLINE | ID: mdl-36707726

ABSTRACT

The extent to which culture moderates the effects of need for approval from others on a person's handling of interpersonal conflict was investigated. Students from 24 nations rated how they handled a recent interpersonal conflict, using measures derived from face-negotiation theory. Samples varied in the extent to which they were perceived as characterised by the cultural logics of dignity, honour, or face. It was hypothesised that the emphasis on harmony within face cultures would reduce the relevance of need for approval from others to face-negotiation concerns. Respondents rated their need for approval from others and how much they sought to preserve their own face and the face of the other party during the conflict. Need for approval was associated with concerns for both self-face and other-face. However, as predicted, the association between need for approval from others and concern for self-face was weaker where face logic was prevalent. Favourable conflict outcome was positively related to other-face and negatively related to self-face and to need for approval from others, but there were no significant interactions related to prevailing cultural logics. The results illustrate how particular face-threatening factors can moderate the distinctive face-concerns earlier found to characterise individualistic and collectivistic cultural groups.


Subject(s)
Cross-Cultural Comparison , Interpersonal Relations , Humans , Conflict, Psychological , Negotiating , Individuality
20.
J Homosex ; 70(10): 2113-2134, 2023 Aug 24.
Article in English | MEDLINE | ID: mdl-35285776

ABSTRACT

Recent discussions of gay male bottom identity have been cautious about positioning bottoms in relation to a gendered identity, and thereby colluding with stereotypes about gay bottoms being effeminate and effeminate gays being bottoms. In wider LGBTQ media in Europe and North America there is an effort to destigmatize effeminate gay men in a dating culture that privileges "masc4masc." While this is welcome, it obscures the existence of effeminate gay bottom fantasies that are gender stratified and which insist on a connection between sex role preference, sex object choice, and gender presentation. This paper analyses sexual fantasy narratives on the social media platform, Tumblr, and interrogates a deep structure of gender-stratified male androphilia that finds thematic similarities in non-Western settings, where "egalitarian" or Western "gay" expressions of male same-sex unions compete with traditional "heterogender" forms. It concludes by reaffirming the need to consider gender positionality among gay bottoms' narratives in Western contexts, and for further research on Western gay men to recognize the heterogeneity of gay identities and experiences.


Subject(s)
Sexual Behavior , Sexual and Gender Minorities , Male , Humans , Homosexuality, Male , Gender Identity , Narration
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