Risk: young women and sexual decision-making

This paper considers young people's sexual decision-making in the context of New Labour's policies on teenage pregnancy. In 1999, the newly formed Social Exclusion Unit sought to understand why the UK had the highest number of teenage conceptions in Europe (SEU 1999). One of the conclusions was that young people in the UK are engaging in "risky" rather than "safe" sex. Although New Labour has since developed policies designed to help young people avoid what is seen as risky sexual activity, there is a tension in sexual health policy between the overall aim of providing young people with the knowledge and confidence to practice "safe sex", and an underlying belief amongst many in the undesirability of "underage sex". This is partly a legacy of disagreements evident in the 1980s and 1990s when some organisations argued against sex education and contraceptive provision for young people on the grounds that it encouraged promiscuous and risky behaviour. The paper shows how alternative meanings of risk and responsibility are present in young mothers' own representations of their sexual decision-making. It does this through an analysis of two research projects on Young Women, Sex and Choices

‘Repeat abortion’, a phrase to be avoided? Qualitative insights into labelling and stigma

Background In recent years there has been growing international interest in identifying risk factors associated with ‘repeat abortion’, and developing public health initiatives that might reduce the rate. This article draws on a research study looking at young women's abortion experience in England and Wales. The study was commissioned with a specific focus on women who had undergone more than one abortion. We examine what may influence women's post-abortion reproductive behaviour, in addition to exploring abortion-related stigma, in the light of participants' own narratives. Study design Mixed-methods research study: a quantitative survey of 430 women aged 16–24 years, and in-depth qualitative interviews with 36 women who had undergone one or more abortions. This article focuses on the qualitative data from two subsets of young women: those we interviewed twice (n=17) and those who had experienced more than one unintended/unwanted pregnancy (n=15). Results The qualitative research findings demonstrate the complexity of women's contraceptive histories and reproductive lives, and thus the inherent difficulty of establishing causal patterns for more than one abortion, beyond the obvious observation that contraception was not used, or not used effectively. Women who had experienced more than one abortion did, however, express intensified abortion shame. Conclusions This article argues that categorising women who have an abortion in different ways depending on previous episodes is not helpful. It may also be damaging, and generate increased stigma, for women who have more than one abortion

Stable dose cannabinoid medicine (Sativex®, THC+CBD) can provide sustained efficacy in the treatment of refractory painful diabetic neuropathy or other peripheral neuropathic pain associated with allodynia [poster]

No abstract available

Better Off Working? Work, Poverty And Benefit Cycling

A study of the work experiences of a group of low-skilled workers over five years. Concern has been growing about the extent to which paid work is an effective route out of poverty and the extent of churning between work and benefits that can result in recurrent poverty. Using both interview and survey data, this report examines work pathways, experiences of retention and progression, and feelings of financial strain among a group of lone parents and former long-term unemployed people who have entered work. The report covers: • people’s perceptions of poverty and financial strain and how this relates to their movements in and out of work; • people’s trajectories in work and the factors facilitating or constraining work retention; • the relationship between work trajectories and moving into ‘better work’; • what enables or constrains people in their attempts to progress in work; and • tensions and trade-offs between retention and progression

"I think maybe 10 years seems a bit long." Beliefs and attitudes of women who had never used intrauterine contraception

Aim To explore, in a general practice setting, the concerns, beliefs and attitudes about intrauterine contraception (IUC) reported by women, who had never used the methods. Methods We used a sequential mixed-method (QUAL/quant) approach. A pragmatic, self-selecting sample of 30 women, aged 18–46 years, who had never used IUC), was recruited through seven general practices in South East England. Themes arising from qualitative interviews were used to construct a quantitative survey, completed by a pragmatic sample of 1195 women, aged 18–49 years, attending 32 general practices in the same region, between February and August 2015. Results Qualitative themes were concerns about the long-acting nature of IUC, concerns about body boundaries, and informal knowledge of IUC, especially ‘friend of a friend’ stories. Women were not sure if the devices can be removed before their full 5- or 10-year duration of use, and felt that these timeframes did not fit with their reproductive intentions. Quantitative survey data showed that the most commonly endorsed concerns among never-users were painful fitting (55.8%), unpleasant removal of the device (60.1%), and concern about having a device ’inside me' (60.2%). Conclusions To facilitate fully informed contraceptive choice, information provided to women considering IUC should be tailored to more fully address the concerns expressed by never-users, particularly around the details of insertion and removal, and concerns about the adverse, long-term effects of the device. Women need to be reassured that IUC can be removed and fertility restored at any time following insertion

Collaboration or collusion? Involving research users in applied social research

This paper focuses on the difficulties of pursuing a research agenda firmly based on women's reproductive rights, whilst working in the context of a sexual health policy framework that has different priorities. Drawing on the experiences of two applied social research projects in the area of sexual health, the paper considers the tensions and challenges associated with maintaining a feminist conceptual framework, and simultaneously striving to undertake research that would have an impact on policy and practice. The first project studied young women, abortion and ‘repeat’ abortion: the word ‘repeat’ carries with it notions of a repeat offender, and has been identified as contributing towards abortion stigma. The second project examined why young women may have their contraceptive implant removed ‘early’: acceptance of this word implied collusion with dominant policy conceptions based on a cost effective approach to contraceptive provision. The researchers had some misgivings about the policy framing, and sought to locate the research within an overarching objective of seeking to understand how women's reproductive control might be improved; a very basic feminist outcome that might be shared (at an abstract level) with policy-makers. Research is, however, a messy complex undertaking: in practice, multiple understandings of similar findings are possible and researchers negotiate their final outputs to suit particular audiences. Both projects involved contradictions, uncertainties and potential for collusions which are explored in the paper