Following the successful Bournemouth University’s visit to Vietnam as part of the Global Festival of Learning Great as highlighted in the Daily Echo, Thanh-Hang Dinh a FHSS MSc in Public Health graduate had an article accepted on her research dissertation. Her paper ‘Factors influencing engagement in premarital sex among Vietnamese young adults: a qualitative study’ was published ‘online first’ this week in the International Journal of Adolescent Medicine & Health.
The paper highlights the rising trend of sexual engagement among Vietnamese young adults in recent years, and its potential health consequences. In order to prevent such consequences and further promote health, an in-depth understanding of factors influencing young people to have premarital sex would be valuable. The qualitative analysis ‘generated’ six emergent themes: (a) desire as the ‘direct cause’; (b) the facilitators; (c) social changes; (d) media; (e) peer and (f) absence of family. The latter four themes are ‘indirect causes’ that influence through desire and the facilitators. The study concluded that there is a need for a reliable source of information to be tailor-designed to suit young people. Additionally, the stigma of talking about sex needs to be reduced to allow for more open discussions on sex and sexual health.
After completing her MSc at BU Thanh-Hang Dinh (known as Hana to her fellow students) started working at the famous Pasteur Institute Nha Trang in Vietnam.
Prof. Edwin van Teijlingen
Earlier this month the Journal of Manmohan Memorial Institute of Health Sciences published a paper co-authored by Centre for Midwifery, Maternal & Perinatal Health (CMMPH) staff. The paper ‘Health consequences of sex trafficking: A systematic review’ . The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP.
The review reminds us that sex trafficking is one of the most common forms of human trafficking globally. It is associated with health, emotional, social, moral and legal problems. The victims of sex trafficking when returned home are often ignored. This review explored the health consequences of sex trafficking among women and children. A total of 15 articles were included covering health risks and well-being related to sex trafficking. Sexual and physical violence among victims such as rape and repetitive stress and physical injuries were common. The prevalence of STI (sexually transmitted infections) and HIV (human immunodeficiency virus) was also reported as high. Being trafficked at a young age, having been in brothels for a longer period and sexual violence and forced prostitution were linked with a higher risk for HIV infection. Physical health problems reported included headaches, fatigue, dizziness, back pain, memory problem, stomach pain, pelvic pain, gynaecological infections, weight loss, lesions or warts, unwanted pregnancies and abortions. The studies on mental health reported that depression, anxiety and post-traumatic stress disorder (PTSD) were commonly reported health consequences among sex trafficking victims.
The authors of the review concluded that there is a compelling need for interventions raising awareness about sex trafficking among young girls and women most at risk of being trafficked. Most studies in this review have focussed on the physical health problems of the trafficked victims although there is also remarkable mental burden amongst those victims. Key policy makers, government officials, public health officials, health care providers, legal authorities and non-governmental organisations (NGOs) should be made aware about the health risks and consequences of trafficking. Trafficking consequences should be recognised as a health issue and all the sectors involved including regulating bodies should collaborate to fight against sex trafficking
Related research in this field at Bournemouth University include the Sexual Spaces Project by Prof. Mike Silk and Dr. Amanda De Lisio on ‘Rio’s sex workers after the Olympics’ and the The Gay and Grey Project, funded through a Big Lottery Grant and led by Prof. Lee Ann Fenge.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health (CMMPH)
- Simkhada, P., van Teijlingen, E., Sharma, A., Bissell, P., Poobalan, A., Wasti S.P. (2018) Health consequences of sex trafficking: A systematic review Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 130-149.
Congratulations to Dr. Sam Rowlands, Visiting Professor in the Faculty of Health & Social Sciences, who published an interesting Commentary in the BJOG together with Prof. Roger Ingham from the University of Southampton. Their paper ‘Long-acting reversible contraception: conflicting perspectives of advocates and potential users’ argues that a patient-centred approach to contraceptive care is fundamental to women’s autonomy. The authors remind the readers that it needs to be appreciated that unintended pregnancy is most likely to be reduced by fulfilling the unmet need for contraception and encouraging those not using any form of contraception, or condoms only, to use a method of their choice accompanied by adequate instruction (where necessary) in correct usage.
Dr. Sam Rowlands, FHSS Visiting Faculty, has just published an interesting article on ‘On being an expert witness in sexual and reproductive health’. The paper will appear in the Journal of Family Planning & Reproductive Health Care . In this article Sam highlights that expert witnesses need to be able to apply appropriate legal tests to the evidence, to deal with the range of expert opinion on a matter, and explain clearly what constitutes an appropriate standard of care for a clinician in their discipline and specialty. They must be aware of pitfalls such as being sued for substandard work and being reported to their professional regulator for straying outside their area of expertise. Expert witnesses must be truly independent and ideally their reports should be the same whoever they receive their instructions from.
Prof. Edwin van Teijlingen
Rowlands, S. ‘On being an expert witness in sexual and reproductive health’. J Fam Plann Reprod Health Care doi:10.1136/jfprhc-2015-101385 (forthcoming/online first)
This new issue of the Nepal Journal of Epidemiology contains a systematic review by FHSS Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University). The review was produced in collaboration with Prof. Edwin van Teijlingen in BU’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH). Their paper ‘Factors influencing sexual behaviour between tourists and tourism employees: A systematic review’ is co-written with a researcher from Green Tara Nepal and an independent Public Health Consultant based in the UK.  This systematic review reports on factors influencing sexual behaviour between workers in the tourism industry and tourists, including their risk perceptions when engaging in sexual activities and the knowledge of STIs (sexually transmitted infections).
This is the third paper from this group on sexual health and tourism. The previous two papers were written with BU’s Dr. Pramod Regmi. These two publications reported on sexual behaviour of male trekking guides in Nepal such as sexual interactions with tourists and locals. The qualitative paper based on interviews with trekking guides has been published in Culture, Health & Sexuality  and the quantitative survey paper appeared in Journal of Manmohan Memorial Institute of Health Sciences .
This week’s publication the Nepal Journal of Epidemiology is Open Access, hence freely available, as is the third paper listed below.
Prof. Edwin van Teijlingen
- Simkhada, P.P., Sharma, A., van Teijlingen, E.R., Beanland, R,L. (2016) Factors influencing sexual behaviour between tourists and tourism employees: A systematic review. Nepal Journal of Epidemiology 6(1): 530-538.
- Simkhada, P., Bhatta, P., van Teijlingen E., Regmi, P. (2010) Sexual health knowledge, sexual relationships and condom use among male trekking guides in Nepal. Culture, Health & Sexuality 12(1): 45-58.
- Simkhada, P., van Teijlingen, E., Regmi, P., Bhatta, P., Ingham, R., Stone, N. (2015) Sexual health knowledge and risky sexual behaviour of Nepalese trekking guides. Journal of Manmohan Memorial Institute of Health Sciences 1(4): 35-42.