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Structural impediments to sexual health in New Zealand: key informant perspectives

Terry, Gareth; Braun, Virginia and Farvid, Panteá (2012). Structural impediments to sexual health in New Zealand: key informant perspectives. Sexuality Research and Social Policy, 9(4) pp. 317–326.

DOI (Digital Object Identifier) Link: http://dx.doi.org/10.1007/s13178-012-0089-y
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Abstract

New Zealand’s bacterial sexually transmitted infection (STI) rates are considered the worst in the OECD. Policy within New Zealand (NZ), as in many Western countries, often takes a particularly individualistic approach to reducing STI rates, but this has proved unsuccessful. This paper presents a thematic analysis of interview data from 32 key informants working in sexual health in NZ, talking about sexual health problems and solutions. Focusing typically on structural explanations, informants identified a large gap between ‘best practice’ and actual practice in NZ. They referred to the interaction between a lack of government prioritisation and a ‘sexually conservative’ culture in New Zealand as lying at the heart of this. Informants advocated for a long-term programme of government leadership and a cultural ‘shift’ in approaches to, and research on, sexual health. To do so, key informants consistently constructed an account of ‘competing rationalities’—or the notion that policy makers, and those that work in the ‘frontline’ of sexual health are operating within two opposing paradigms, and that the ‘culture of conservatism’ they described was limiting dialogue between the two ‘sides’.

Item Type: Journal Article
Copyright Holders: 2012 Springer Science+Business Media LLC
ISSN: 1553-6610
Keywords: sexually transmitted infections (STIs); thematic analysis; key informants; competing rationalities; sociocultural factors
Academic Unit/Department: Health and Social Care
Item ID: 34288
Depositing User: Gareth Terry
Date Deposited: 12 Sep 2012 09:44
Last Modified: 17 Jan 2014 10:50
URI: http://oro.open.ac.uk/id/eprint/34288
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