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This article presents findings from a qualitative study of support worker responses to intellectually disabled women's sex and reproductive health. Drawing on reproductive justice theory, interviews with seven support workers from various disability service providers in New Zealand were analyzed using reflexive thematic analysis. The findings point to the persistence of a sexual risk discourse, which undermines progressive perspectives, including the rights-based approach that is usually advocated for in sexual and reproductive health, and ultimately constrains intellectually disabled women's sexual agency. The value of a reproductive justice framework for countering risk-oriented framings in favor of a social justice perspective that expands the notions of individual rights is discussed. The findings support a growing global evidence base and have implications for national and international policy and practice. [ABSTRACT FROM AUTHOR]

Long-acting Reversible Contraception (LARC) has significant promise both from a public health outlook and a social justice perspective. However, if women's empowerment is to be supported, then perspectives and experiences of LARC must be considered. This scoping review assesses research about contraceptive users' perspectives and experiences of contraceptive decision-making and practices. A content analysis was conducted to identify research trends in qualitative studies of contraceptive-user perspectives (n = 54), located by means of a systematic search. Interpreting findings through a reproductive justice lens, three main limitations in the scholarship were identified, viz., (1) an instrumentalist, individual-level focus; (2) a lack of consideration for diverse perspectives; and (3) an uncritical focus on young women. While the small body of qualitative research on LARC offers some valuable insights, when viewed from a sexual and reproductive justice perspective, it is not sufficiently user-centered or grounded within the reproductive politics surrounding contraceptive care and provision. Research is needed that draws on appropriate social theory; widens its focus beyond dominant groups; and is cognizant of the multi-level power relations surrounding LARC. Such work provides a nuanced picture of the complex social and contextual factors at play and inform person-centered approaches in sexual and reproductive health policy and programming. [ABSTRACT FROM AUTHOR]

Youth sexuality is typically constructed as a social problem, and associated with a range of negative consequences for larger society and for young people themselves – especially young women. The media play a role in perpetuating this dominant construction, but may also offer a space for resistance. In this article, mainstream news media reportage on youth sexual and reproductive issues in Aotearoa (New Zealand) is discursively analysed to identify instances of resistance to oppressive discourses. Taking a feminist poststructuralist perspective, the aim is to connect news reporting, as a representational practice, with broader relations of power. The focus of the analysis, therefore, is on whether and how young people are allowed a voice in news reportage, and to what effect their voices are deployed. The analysis demonstrates not only that youth voice is relatively muted in comparison to experts, but also that it is frequently used to reinforce the dominant constructions of youth sexuality (as problematic and risky). Yet, instances of resistance are also evident. These are assessed in relation to their impact on gender power relations, and possibilities for amplifying resistance are discussed. [ABSTRACT FROM AUTHOR]

Using the case of Sexual and Reproductive Health Strategy in Aotearoa (New Zealand), this article interrogates the dominant risk discourse in sexual and reproductive health policy. It highlights the tensions between risk discourse and broader equity goals, which are increasingly seen as significant within sexual and reproductive health. Working within a poststructuralist perspective, discursive methodology is used to explore the positioning of youth in ten (10) policy documents. The analysis shows how the risk discourse, along with a developmental discourse, creates three common youth subject positions: youth as at risk and vulnerable, as not-yet citizens, and as especially vulnerable relative to other young people. It demonstrates how these positions may be associated with 'new' or covert forms of morality and stigmatisation. Detailing the implications for ethnic minorities in particular, it adds to prior analyses of gender- and class-based inequities. The Sexual and Reproductive Justice framework, which encompasses notions of rights and justice, is discussed as an alternative to risk-based policy development that can attend to sexual and reproductive health inequities. [ABSTRACT FROM AUTHOR]

Worldwide, sexual and gender minorities struggle to access sexual and reproductive health (SRH) services. In South Africa, sexual prejudice is entrenched and pervasive in health systems and SRH services do not cater for a diverse range of people. Though health reform is underway, little attention has been given to how sexuality is being addressed in this process, particularly in the National Health Insurance (NHI) scheme currently being piloted. We analyse interview data generated in an NHI pilot district, using discursive methodology, informed by a sexual and reproductive justice standpoint. We show how sexual and gender minorities are discursively in/visibilised in health settings and discuss these findings in relation to the social justice and solidarity aims of health systems reform. [ABSTRACT FROM AUTHOR]