Evidence map›Paper›PMID 28083724›Full record

ArticleArchives of sexual behavior2017

Negotiating Discourses of Shame, Secrecy, and Silence: Migrant and Refugee Women's Experiences of Sexual Embodiment.

Jane M Ussher, Janette Perz, Christine Metusela, Alexandra J Hawkey, Marina Morrow, Renu Narchal, Jane Estoesta

Open access · hybridAbstract read
In one paragraph

Article in Archives of sexual behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
28.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 184 citations in OpenAlex.

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  4. Community Co-Design of a Quick Guide to Inform Digital Health Promotion Strategies for Asymptomatic Women at Risk of Chronic Disease.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Jane M UssherCentre for Health Research, School of Medicine, Western Sydney University, Sydney, NSW, 2751, Australia. j.ussher@westernsydney.edu.au.ORCID http://orcid.org/0000-0002-2128-0019
Janette PerzCentre for Health Research, School of Medicine, Western Sydney University, Sydney, NSW, 2751, Australia.
Christine MetuselaCentre for Health Research, School of Medicine, Western Sydney University, Sydney, NSW, 2751, Australia.
Alexandra J HawkeyCentre for Health Research, School of Medicine, Western Sydney University, Sydney, NSW, 2751, Australia.
Marina MorrowCentre for the Study of Gender, Social Inequities and Mental Health, Simon Fraser University, Vancouver, BC, Canada.
Renu NarchalCentre for Health Research, School of Medicine, Western Sydney University, Sydney, NSW, 2751, Australia.
Jane Estoesta, Family Planning New South Wales, Sydney, NSW, Australia.
Western Sydney University · AUFamily Planning NSW · AUSimon Fraser University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Australia and Canada, the sexual health needs of migrant and refugee women have been of increasing concern, because of their underutilization of sexual health services and higher rate of sexual health problems. Previous research on migrant women's sexual health has focused on their higher risk of difficulties, or barriers to service use, rather than their construction or understanding of sexuality and sexual health, which may influence service use and outcomes. Further, few studies of migrant and refugee women pay attention to the overlapping role of culture, gender, class, and ethnicity in women's understanding of sexual health. This qualitative study used an intersectional framework to explore experiences and constructions of sexual embodiment among 169 migrant and refugee women recently resettled in Sydney, Australia and Vancouver, Canada, from Afghanistan, Iraq, Somalia, South Sudan, Sudan, Sri Lanka, India, and South America, utilizing a combination of individual interviews and focus groups. Across all of the cultural groups, participants described a discourse of shame, associated with silence and secrecy, as the dominant cultural and religious construction of women's sexual embodiment. This was evident in constructions of menarche and menstruation, the embodied experience that signifies the transformation of a girl into a sexual woman; constructions of sexuality, including sexual knowledge and communication, premarital virginity, sexual pain, desire, and consent; and absence of agency in fertility control and sexual health. Women were not passive in relation to a discourse of sexual shame; a number demonstrated active resistance and negotiation in order to achieve a degree of sexual agency, yet also maintain cultural and religious identity. Identifying migrant and refugee women's experiences and constructions of sexual embodiment are essential for understanding sexual subjectivity, and provision of culturally safe sexual health information in order to improve well-being and facilitate sexual agency.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentAdultAfrica, EasternAgedAsia, WesternBritish ColumbiaCommunicationConfidentialityContraception BehaviorFemaleFocus GroupsGender IdentityHumansIndiaMarriageIntersectionalityMigrant and refugee sexual healthSexual healthSexual shameWomen’s sexual embodiment

Identifiers

PMID28083724
PMCPMC5547186
OpenAlexW2578907952

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.