Department of Anthropology, Macquarie University, Sydney, Australia.
Cult Health Sex. 2010 Jun;12(5):499-514. doi: 10.1080/13691051003653631.
The words and metaphors that people use to describe sexuality and reproductive health reflect experiences with peers, sexual partners, health service providers and public health campaigns. In this paper we analyse 1134 emails sent to an emergency contraception website in the USA over the course of one year. Through an examination of the terminology used by authors to describe contraceptive methods, sexual intercourse and other sexual acts, we analyse what those terms signify within their textual context. We find that the kinds of risk concerns used in assessing sexual activity - whether evaluating pregnancy risk, disease transmission risk or moral risk - influence the definitions people give to terms that are multiply defined or whose definitions are culturally contested. This finding emerged clearly in the meanings given to terms for 'sex' and 'unprotected sex', which varied widely. We conclude with a discussion of the implications of this finding for research, clinical care and health education activities.
人们用来描述性和生殖健康的词语和隐喻反映了他们与同龄人、性伴侣、卫生服务提供者和公共卫生运动的经历。在本文中,我们分析了美国一个紧急避孕网站在一年时间内收到的 1134 封电子邮件。通过对作者用来描述避孕方法、性行为和其他性行为的术语的考察,我们分析了这些术语在其文本语境中的含义。我们发现,在评估性活动时使用的风险关注点——无论是评估怀孕风险、疾病传播风险还是道德风险——都会影响人们对那些具有多重定义或定义在文化上存在争议的术语的定义。这一发现清楚地体现在对“性”和“无保护性行为”这两个术语的含义上,这些术语的含义差异很大。最后,我们讨论了这一发现对研究、临床护理和健康教育活动的意义。