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The Journal of Health, Population and Nutrition
icddr,b
ISSN: 1606-0997
EISSN: 1606-0997
Vol. 24, No. 4, 2006, pp. 426 - 437
Bioline Code: hn06051
Full paper language: English
Document type: Research Article
Document available free of charge

The Journal of Health, Population and Nutrition, Vol. 24, No. 4, 2006, pp. 426 - 437

 en 'Semen Contains Vitality and Heredity, Not Germs': Seminal Discourse in the AIDS Era
Khan, Sharful Islam; Hudson-Rodd, Nancy; Saggers, Sherry; Bhuiyan, Mahbubul Islam; Bhuiya, Abbas; Karim, Syed Afzalul & Rauyajin, Oratai

Abstract

Perspectives of public health generally ignore culture-bound sexual health concerns, such as semen loss, and primarily attempt to eradicate sexually transmitted infections (STIs), including human immunodeficiency virus (HIV). Like in many other countries, sexual health concerns of men in Bangladesh have also received less attention compared to STIs in the era of AIDS. This paper describes the meanings of non-STI sexual health concerns, particularly semen loss, in the mascu­linity framework. In a qualitative study on male sexuality, 50 men, aged 18-55 years, from diverse sociodemographic backgrounds and 10 healthcare practitioners were interviewed. Men considered semen the most powerful and vital body fluid representing their sexual performance and reproduc­tive ability. Rather than recognizing the vulnerability to transmission of STIs, concerns about semen were grounded in the desire of men to preserve and nourish seminal vitality. Traditional practitioners supported semen loss as a major sexual health concern where male heritage configures male sexuality in a patriarchal society. Currently, operating HIV interventions in the framework of disease and death may not ensure participation of men in reproductive and sexual health programmes and is, therefore, less likely to improve the quality of sexual life of men and women.

Keywords
Semen loss; Sexuality; Sexual health; Sexually transmitted infections; Human immunode­ficiency virus; AIDS; Bangladesh

 
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