2019
DOI: 10.1097/olq.0000000000001065
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Words Matter: Putting an End to “Unsafe” and “Risky” Sex

Abstract: Change is constant in sexual health, as in health care more broadly. Novel pathogens are identified, epidemics emerge and reemerge, and new preventive and therapeutic agents are introduced and taken up by populations. On the other hand, some care strategies and practices fall by the wayside among clinicians and populations. Just as health and health care evolve, so too should the language that we use to describe them.

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Cited by 36 publications
(25 citation statements)
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“…Such a perspective places emphasis on understanding the ways in which women can scaffold specific skills to increase their access to pleasure [11,14,15]. For example, as suggested earlier in this paper, most of what is known-either scientifically or through popular culture-about "how" to access sexual pleasure is focused on the object or body part penetrating the vagina [22][23][24][25], a specific body position or sexual behavior [26][27][28][29][30][31][32][35][36][37], or vague/imprecise terminology [19,[41][42][43][44][45][46][47]. The collective gaps left in this knowledge may prevent women and/or their partners from knowing the range of different approaches that exist or how to use them.…”
Section: Plos Onementioning
confidence: 99%
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“…Such a perspective places emphasis on understanding the ways in which women can scaffold specific skills to increase their access to pleasure [11,14,15]. For example, as suggested earlier in this paper, most of what is known-either scientifically or through popular culture-about "how" to access sexual pleasure is focused on the object or body part penetrating the vagina [22][23][24][25], a specific body position or sexual behavior [26][27][28][29][30][31][32][35][36][37], or vague/imprecise terminology [19,[41][42][43][44][45][46][47]. The collective gaps left in this knowledge may prevent women and/or their partners from knowing the range of different approaches that exist or how to use them.…”
Section: Plos Onementioning
confidence: 99%
“…“finger banging”) [ 42 , 43 ] or ambiguous terms (e.g. “foreplay” or “outercourse”) [ 44 , 45 ] or overly clinical terms (“manual-genital stimulation” or “G-spot stimulation”) [ 19 , 46 , 47 ] Common terms rarely acknowledge a wider repertoire of vaginal stimulation and penetration techniques that women can and do use for pleasure as part of their solo and partnered sex lives [ 48 ].…”
Section: Introductionmentioning
confidence: 99%
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“…The second content design feature is to provide users with precise terminology for the specific external (including, but not limited to, vulvar and clitoral) stimulation techniques shown to be prevalent and pleasurepromoting in the formative qualitative and quantitative studies we conducted. Research consistently demonstrates that sexual vocabulary about external vulvar or clitoral touching is often learned or communicated in ambiguous slang terms (e.g., "finger banging") (Braun & Kitzinger, 2001;Gordon, 1993), in medically and/or sterile terms (e.g., "manual-clitoral stimulation") (Marcus & Snowden, 2020), or lumped in with groups of behaviors associated more generally with "foreplay" (McCormick, 2010) or "outercourse" (Bakaroudis, 2014). When studies do focus on genital touching, they typically examine where touching occurs (e.g., stimulating body parts, such as the clitoris)…”
Section: Primary Design Featuresmentioning
confidence: 99%
“…This may include changing the language around risk and developing antistigma educational campaigns, but should also include supportive actions by state and federal governments, such as decriminalizing drug use, that would dramatically alter the current paradigm. 14 Beyond signaling that persons struggling with the disease of addiction should be treated and valued, rather than disparaged and condemned, such actions may facilitate expansion of federal funding for syringe service programs and support of safe consumption sites. As this is done, we will finally be able to develop the optimal evidence base for HCV screening strategies, particularly around repeated screening among groups with a higher incidence of HCV (eg, PWID and HIV-infected men who have unprotected sex with men) and those for whom HCV infection may have greater consequences (eg, pregnant women).…”
mentioning
confidence: 99%