Blurring the Boundaries of Public Health: It’s Time to Make Safer Sex Porn and Erotic Sex Education

Unsafe sex is now the biggest risk factor for the death of young women globally and the second biggest for young men. Alongside this, pornography, which rarely shows safer sex, is one of the key channels for sex education globally. Higher quality research needs to explore the positive and negative impact of porn while the sex education world needs to engage with it to ensure that viewing porn can promote safe sex choices and consent, as well as pleasure. We need unbiased research and innovation into the impact of porn and recognition that can have a positive impact for public health

Embodied Inequalities of the Anthropocene

Introduction to the special issue 'Embodied Inequalities of the Anthropocene', guest edited by Jennie Gamlin, Laura Montesi, Sahra Gibbon, Paola Sesia, Jean Segata, and Ceres Victora

Susto, the anthropology of fear, and critical medical anthropology in Mexico and Peru

Critical Medical Anthropology presents inspiring work from scholars doing and engaging with ethnographic research in or from Latin America, addressing themes that are central to contemporary Critical Medical Anthropology (CMA). This includes issues of inequality, embodiment of history, indigeneity, non-communicable diseases, gendered violence, migration, substance abuse, reproductive politics and judicialisation, as these relate to healt

Is domestic work a worst form of child labour? The findings of a six-country study of the psychosocial effects of child domestic work

In this paper, we report on a study of the psychosocial effects of child domestic work (CDW) in six countries and the relevance of our findings to international legislation. Our results suggest that CDW is highly heterogeneous. While some young child domestic workers work long hours, suffer physical punishment and are at risk of psychosocial harm, others are able to attend school and benefit from good relationships with their employers and networks of support. Child domestic workers in India and Togo were most at risk of psychosocial harm. We conclude that classification of this employment as hazardous would not be appropriate and could be counterproductive and instead propose that legislation focuses on protective factors such as a social and community support

Wixárika Practices of Medical Syncretism: An Ontological Proposal for Health in the Anthropocene

By understanding a community’s medical system, we are able to see its body ontology and how the people within it live in relation to the world, a historically constructed ideological position. Modernisation and development have restructured Indigenous communities and devalued traditional ontologies, including medical systems. This is a global pattern, where historical power relationships defined the coloniality of being and from this, organised healthcare, governance, and education in relation to patriarchal and capitalist universals. These social structures underlie the Anthropocene geological epoch and planetary crisis. Wixárika Indigenous communities live a polytheistic sociality; their medical system treats the spiritual origins of illness, attending to social cohesion in a society of humans, the supernatural, flora and fauna. This system is subalternised by dominant universals of biomedicine, which treat the body as separate from the environment and society. I refer to this epistemological inequality as the ontological Anthropocene. Wixaritari use both allopathic and traditional medical systems, following a non-hierarchical syncretic understanding of wellbeing. Giving equal importance to both systems may be a framework with implications for wellbeing beyond human health. This Research Article proposes that by centring Indigenous sociality that is more-than-human we can reconceive our planetary relationships in the broadest sense

Preventable perinatal deaths in indigenous Wixárika communities: an ethnographic study of pregnancy, childbirth and structural violence.

BACKGROUND: Preventable maternal and infant mortality continues to be significantly higher in Latin American indigenous regions compared to non-indigenous, with inequalities of race, gender and poverty exacerbated by deficiencies in service provision. Standard programmes aimed at improving perinatal health have had a limited impact on mortality rates in these populations, and state and national statistical data and evaluations of services are of little relevance to the environments that most indigenous ethnicities inhabit. This study sought a novel perspective on causes and solutions by considering how structural, cultural and relational factors intersect to make indigenous women and babies more vulnerable to morbidity and mortality. METHODS: We explored how structural inequalities and interpersonal relationships impact decision-making about care seeking during pregnancy and childbirth in Wixarika communities in Northwestern Mexico. Sixty-two women were interviewed while pregnant and followed-up after the birth of their child. Observational data was collected over 18 months, producing more than five hundred pages of field notes. RESULTS: Of the 62 women interviewed, 33 gave birth at home without skilled attendance, including 5 who delivered completely alone. Five babies died during labour or shortly thereafter, we present here 3 of these events as case studies. We identified that the structure of service provision, in which providers have several contiguous days off, combined with a poor patient-provider dynamic and the sometimes non-consensual imposition of biomedical practices acted as deterrents to institutional delivery. Data also suggested that men have important roles to play supporting their partners during labour and birth. CONCLUSIONS: Stillbirths and neonatal deaths occurring in a context of unnecessary lone and unassisted deliveries are structurally generated forms of violence: preventable morbidities or mortalities that are the result of systematic inequalities and health system weaknesses. These results counter the common assumption that the choices of indigenous women to avoid institutional delivery are irrational, cultural or due to a lack of education. Rather, our data indicate that institutional arrangements and interpersonal interactions in the health system contribute to preventable deaths. Addressing these issues requires important, but achievable, changes in service provision and resource allocation in addition to long term, culturally-appropriate strategies