Male Clients Research Articles

Present Pasts of Colonial Modernity: Embroideries by Lucie Kamuswekera

Present Pasts of Colonial Modernity: Embroideries by Lucie Kamuswekera

(059) Surrogate Treatment- A Case Study of 151 male clients and surrogacy coaching.

Abstract Introduction Surrogate Treatment: A retrospective case-based study of 151 male clients obtained from the archives of three professional surrogate coaches. Surrogate Treatment is also known as Sex Surrogate therapy/Partner Therapy was created in the 1960s by the Medical and Sex Research team of Dr. William Masters and Virginia Johnson. It is significant in aiding clients to improve their social and sexual problems, as well as remedy diagnosed disorders. This research identifies social and sexual barriers which inhibit clients from experiencing healthy relationships and the feeling of sexual well-being. To overcome these barriers, the surrogate treatment enables the client to experience medical, psychological, social, and sexual healing. It is a treatment that combines the integration of physical and mental health. This research defines and examines the surrogate treatment, surrogate coaches, and the clients that participate in this treatment. It also demonstrates the medical and mental health role in Masters & Johnson’s “Triadic model”. The triad consists of body practitioners, therapists, and the patient/client. Inside this examination will include a description of sensate focus body-focused techniques that are the center of M&J’s surrogate treatment. Objective The purpose of this study is two-fold: 1) to evaluate the degree of success in the correction of the client's stated physical and mental problem and 2) the clinical and mental/sexual resolution of their diagnosed social and/or sexual disorder. Methods The result of this analysis is presented quantitatively in tables and qualitatively reported in a narrative-expository form. A number of themes emerged based upon the verbal interviews, with the three professional surrogate coaches as well as the data recorded during the medical and psychological clients' history-taking process. These are representational descriptions of the stated problem as self-defined by the clients and/or the referring physician. These themes are categorized as follows: 1) fear of women, 2) lack of social and sexual confidence and experience, 3) shyness and anxiety around social and sexual situations, 4) inability to develop intimate relationships, 5) lack of social and sexual education, 6) inability to perform sexually, 7) emotional and mental pain of childhood abuse and 8) lack of sexual desire. Results The implications of this study are that socioeconomics, education, age, religious backgrounds or sexual practices do not limit the success of the sensate focus and socialization techniques in surrogate treatment. Conclusions The statistical data demonstrates that clients who complete sensate focus exercises, as well as other body-focused or somatic practices also achieve resolution of their diagnosed disorder. Disclosure No

Counseling With Male Clients: The Case for Relational Resilience Approach.

Although there is no lack of research on masculinity and help-seeking behavior, men continue to seek counseling less often than women. It is crucial we find effective therapeutic approaches to connect and meet men where they are, acknowledging the positive aspects of their masculinity while addressing their needs in the counseling setting. In this conceptual research article, we propose a new approach for counselors to utilize with men seeking counseling, the Relational Resilience Approach, which applies tenets of Relational-Cultural Theory, Positive Psychology, and Shame Resilience Theory.

Condom Use Among Male Sex Workers With Their Male Clients in Mombasa, Kenya: Results of a Sub-analysis of a Pilot, Multilevel, Structural, HIV Risk-Reduction Intervention.

Despite the advent of preexposure prophylaxis, consistent condom use continues to be recommended because preexposure prophylaxis does not prevent sexually transmitted infections. This is important for high-risk populations (e.g., male sex workers; MSW) in low-resource, high-HIV/sexually transmitted infection prevalence settings, such as the Mombasa region in Kenya. This study aimed to examine the relationship between MSW's condom use, and their knowledge, beliefs, and attitudes about condoms. MSW (N = 158) completed surveys on their sexual behaviors/practices/attitudes. We used multiple regressions to identify associations between condom use, HIV knowledge/attitudes, and self-efficacy. Three quarters of participants reported always using condoms in the past week, and 64.3% reported always using condoms in the past month with male clients. Mean scores for knowledge and attitudes/self-efficacy toward condoms/safer sex were positively associated with condom use. Interventions to build self-efficacy, such as condom negotiation, and/or bringing up condom use with clients may be useful for Kenyan MSW.

Strategy for Services Anticipation at the Rehabilitation Center of BNN Based on Moving Average and Exponential Smoothing Forecasting Method

One of the Indonesian government’s responses to the COVID-19 pandemic is making policies related to restrictions on public services which affects the organizational resilience of the Rehabilitation Center of the National Narcotics Board (BNN). This research aimed to determine the historical pattern of the influence of public service policies during the COVID-19 pandemic on the client population, to forecast the client population for 3 (three) months ahead, and to analyze strategies for anticipating rehabilitation services at the Rehabilitation Center of BNN. This research method is quantitative by using a moving average (MA) and exponential smoothing forecasting model. Based on the validity test, MA is the best forecasting model, which indicates a possibility of a spike in male clients with the same amount in the pre-pandemic period, as many as 310 people, and the average female client is 7 people. Meanwhile, adolescent clients show inaccurate prediction results with MAPE 149.825. Strategies that can be implemented to anticipate a spike in the number of clients if it reaches the highest forecasting point are: increasing the budget, modifying the rehabilitation program for female and adolescent clients, a balanced staff composition, and the availability of facilities and infrastructure.

Fertility Outcome of Vasectomy Recanalization: A Review

Non Scalpel Vasectomy (NSV) is used extensively for male sterilization by the family planning industry in Bangladesh. But if NSV needs a reverse procedure (recanalization), variable rates are observed in different studies. We collected articles from Hinari, Pubmed and Banglajol with extensive searches. We compared these results between articles and recommended the best vasectomy reversal (NSV) procedure for male clients. J Rang Med Col. March 2023; Vol. 8, No. 1:69-71

The association between problematic pornography use and eating disorder symptoms among heterosexual and sexual minority men

In this study, we investigated the link between problematic pornography use and eating disorder symptoms in men, with body comparison and body image as mediators, and perceived realism and anxiety and depression as moderators. We also analyzed the model for both heterosexual and sexual minority men to detect any differences. The current study included 705 Israeli men, 479 of whom identified as heterosexual and 226 as sexual minority. The majority of the sample (90.6%) identified as Jewish with a mean age of 32.5. Results showed that problematic pornography use was linked to more upward body comparison, which in turn was related to negative body image, and ultimately, increased severity of eating disorder symptoms. Anxiety and depression moderated the association between male body image and eating disorder symptoms. However, perceived realism did not moderate the link between problematic pornography use and upward body comparison. Whereas there were significant differences in the mean rank values between heterosexual and sexual minority men in all measures, the processes linking these measures were virtually the same. To reduce the risk of developing or worsening eating disorder symptoms, clinicians working with male clients should assess for problematic pornography use and body image concerns during therapy.

A Call for Cultural Adaptation for Eating Disorders: A Framework for Men with Bulimia Nervosa

This article addresses the need for culturally adaptive frameworks for evidence-based interventions for eating disorders (EDs). EDs impact culturally diverse populations. Limits to current research and clinical practice are examined, which include the misguided presumption that EDs predominantly impact primarily young, White, female clients. This article explores the manifestation of EDs and disordered eating symptoms among men, while noting the systemic underrepresentation of men in ED research. Implications of this review highlight the need for evidence-based care for men and boys with EDs and the role of cultural adaptation frameworks in developing an evidence-based dialectical behavior therapy intervention for male clients with bulimia nervosa.

Barriers to HIV Testing among Clients of Female Sex Workers an Assessment of Ogoja Local Government Area

Frequent engagement of men in sexual encounters with female sex workers (FSWs) while not using condoms places them at high risk for Human Immunodeficiency Virus (HIV) infection. HIV testing has been noted to be among the necessary methods to stop HIV transmission and acquisition. However, it’s illustrious that not all men voluntarily test for Human Immunodeficiency Virus (HIV), take a look at how to stop Human immunodeficiency virus (HIV) transmission and/or acquisition. This study aimed to spot barriers to accessing Human immunodeficiency virus (HIV) testing services among men. World Health Organization square measure shoppers of female sex workers (clients) in Ogoja Cross River North, South-South Nigeria. A comprehensive search of recent literature uncovered a fancy array of social, Personal, and behavioural barriers, as well as knowledge/awareness of the Human immunodeficiency virus (HIV) infection’s existence, perception of human immunodeficiency (HIV) risk, stigma from care suppliers or family/partners/friends, distrust of care providers/systems. The purpose of this study is to explore possible barriers to HIV counseling and testing uptake among clients of Female Sex Workers in the Ogoja Local Government area of Cross River State, Nigeria, and to see possible ways of mitigating the barriers to epidemic control. This study was conducted in Ogoja Cross River State, Nigeria, with a sample size of 100 male clients of female sex workers, via random sampling technique through an online survey system known as Mwater for data collection. Frequency counts and percentages were used for data analysis. Vital findings of the study conclude: stigma and trust impact uptake of HIV test among male clients of female sex workers. Keywords: Acquired immunodeficiency syndromes, Barriers, Female sex workers, Human immunodeficiency virus, Human immunodeficiency virus testing, Male.

Writing Doctors, Body Work, and Body Texts in the French Revolution

AbstractThis paper explores the construction of the identities of Philippe Curtius and his protégé Marie Grosholtz, known as Madame Tussaud, as providers of medical and health services, body workers, and entrepreneurs in key works that charted their experiences during the volatile period of the French Revolution. As purveyors of entertainment that derived its attraction from perceived close rendering of the likenesses of noteworthy individuals, modellers in wax required attentive discernment of bodies, or at least the capacity for imaginative descriptive skills, establishing a professional language for body work. Moreover, Tussaud's account explicitly foregrounds complex gender dynamics as a young woman interacting with the bodies of male and female clients. This essay explores how important eighteenth‐century gendered conceptualizations of body work are revealed in the body texts produced in this period.

Dual Mating Strategies Observed in Male Clients of Female Sex Workers

Humans have a complex and dynamic mating system, and there is evidence that our modern sexual preferences stem from evolutionary pressures. In the current paper we explore male use of a dual mating strategy: simultaneously pursuing both a long-term relationship (pair-bonding) as well as short-term, extra-pair copulations (variety-seeking). The primary constraint on such sexual pursuits is partner preferences, which can limit male behavior and hence cloud inferences about male preferences. The aim of this study was to investigate heterosexual male mating preferences when largely unconstrained by female partner preferences. In service of this goal, female full-service sex workers (N = 6) were surveyed on the traits and behaviors of their male clients (N = 516) and iterative cluster analysis was used to identify male mating typologies. Two clusters emerged: clients seeking a pair-bonding experience and clients seeking a variety experience. Results also suggested that romantically committed men were more likely to seek a variety experience than a relationship experience. We conclude that men desire both pair-bonding and sexual variety, and that their preference for one might be predicted by fulfilment of the other. These findings have implications for relationships, providing insight into motivations for male infidelity.

“I tried to get help about my addiction but he just gave me tablets:” male Aboriginal drug and alcohol rehabilitation clients’ experiences and preferences speaking about substance use in primary care

BackgroundPrimary healthcare (PHC) services are crucial in supporting people who use substances. The aims of this study were to explore the experiences of Aboriginal males in NSW in treatment for substance use about speaking about their substance use with PHC staff, and their preferences for accessing PHC about their substance use.MethodsSemi-structured interviews with residential drug and alcohol rehabilitation treatment service clients. Thematic analysis was used to develop themes inductively and deductively. Two interviews were independently double coded by an Aboriginal researcher and the project was supported by an Aboriginal Advisory Group.ResultsTwenty male adults who self-identified as Aboriginal participated (mean age 27 years). Half reported visiting PHC and talking about their substance use before their residential service stay. Two major themes developed: (1) speaking up about substance use or mental health problems linked with substance use, (2) ways to improve access to PHC about substance use. Although some males were offered treatment, some were not, and others had concerns about the treatments offered.ConclusionThis research highlights opportunities to improve access and to better support Aboriginal males who use substances in PHC. Focus on culturally appropriate PHC and providing staff with training around substance use and treatment options may improve access. It is important to foster culturally appropriate services, develop PHC staff knowledge around substance use, focus on therapeutic relationships and have a range of treatment options available that can be tailored to individual circumstances.

Identifying gender differences in risk profiles and in opioid treatment outcomes in Los Angeles County

Policies and programs that aim to minimize wait time to enter opioid use disorder (OUD) treatment and maximize retention respond to potential differences in female and male clients’ risk profiles. We conducted multigroup latent class analysis using significant individual risk factors. Our sample included 13,453 opioid treatment episodes from 135 unique substance use disorder treatment programs in Los Angeles County, California, in four waves: 2011 (66 programs, 1035 clients), 2013 (77 programs, 3671 clients), 2015 (75 programs, 4625 clients), and 2017 (69 programs, 4106 clients). Groups at risk of waiting longer included clients who were female, had mental health issues, received medication for OUD, had criminal justice involvement, received mandated referrals, had children in child protective services, and had caretaker responsibilities. All clients with children in protective services were likely to wait longer than those not in protective services, but women waited longer. Findings highlight that: (a) women and men in OUD treatment have significant health and social problems; (b) female and male clients have distinct risk profiles; and (c) targeted services responding to risk profiles may improve treatment access and engagement. Findings have implications for health policy and program evaluation and planning in the delivery of treatment services considering gendered risk factors.

Subjective quality-of-life rating at substance use disorder treatment entry: associated client recovery needs and outcomes

ABSTRACT This study examines male (n = 2,612) and female (n = 2,644) clients entering SUD treatment who rated their quality-of-life (QofL) lower or higher and then examined thier recovery needs at program entry and at follow-up as well as return to substance use at follow-up. Results found that lower QofL ratings at program entry were associated with many recovery needs at both program entry and at follow-up. In the multivariate analysis, QofL ratings at program entry were significantly and uniquely associated with the average number of recovery needs at follow-up as well as return to use after controlling for recovery needs at program entry. Individuals who continued to rate their QofL lower at follow-up had lower SUD program satisfaction and engagement ratings and had more recovery needs, on average, at follow-up. Focusing on recovery needs and quality-of-life, which vary by person and context, may enhance recovery from substance use.

A decomposition analysis of microcredit welfare gaps in Ghana. A gender analysis

The literature is replete with studies suggesting that the microcredit market is expanding with varying degrees of impact on male and female clients. The paper investigates the extent to which differences in loan use behaviour and loan amount received contribute to differences in microcredit welfare impact among male and female clients. Using the sixth (2012/2013) and seventh (2016/2017) rounds of the Ghana Living Standards Survey, and applying the Oaxaca-Blinder decomposition technique with the two-staged recentred influence functions, we find that the welfare disparity in microcredit delivery is due to a lower inequality and poverty rate among female clients relative to their male counterparts. Additionally, we find that gender welfare gaps in microcredit delivery are powered extensively by differences in the size of loans received and the loan use behaviour of clients. The findings lend support for policy reassessment on gender in the provision of credit; to improve portfolio quality and reinforce the returns of microcredit access among clients.

Dependence Severity, Locus of Control, and Readiness to Change in Male Alcoholic Clients: A Correlational Study

Objectives: To assess the level of dependence severity, locus of control, and readiness to change in male alcohol clients and measure the correlation between dependence with a locus of control and readiness to change.
 Methodology: A descriptive correlational design was conducted in the substance use rehabilitation centers at psychiatric teaching hospitals in Baghdad city from November /2021 to May 2022. The instrument of the study was designed by using sociodemographic, the clinical characteristics of the client, the Short-form Alcohol Dependence Data Questionnaire (SADD), Drinking Related Internal-External Locus of Control Scale: (DRIE), and the Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). The data was collected through the use of a semi-structured form and analyzed by Social Package for Statistical Sciences SPSS version 26.0
 Results: The study showed a highly significant difference in dependence severity with an internal and external locus of control at p-value= .001, a significant reverse relationship between readiness to change among clients with regard to the duration of alcohol use at p-value= .008, and amount of alcohol use per day at p-value=.009. A significant relationship between readiness to change and clients’ level of education, and age of alcoholic clients’ is significant at p-value= .005.and significant relationship between locus of control and monthly income.
 Conclusions: Alcoholic male clients have a moderate dependence severity of alcohol and moderate external locus of control, low internal locus of control, and high readiness to change.
 Recommendations: Further research should be conducted on AUD, activating the media’s role to increase community awareness about the harmful effects of alcohol and the possible treatment methods.

Quality of sexual and reproductive health services for adolescents and young people in public health facilities in Southwest Nigeria: a mystery client study

ABSTRACT Background To support the policy drive for the promotion of sexual and reproductive health (SRH) of adolescents and young people (AYP), it is necessary to understand the characteristics of the existing SRH services available to them. Objective To assess the provision and experiences of care in SRH services for AYP in a Nigerian setting. Methods Twelve male and female mystery clients (MCs) conducted 144 visits at 27 selected primary and secondary health facilities in two Local Government Areas (LGA) in Ogun State, Nigeria. A 27-item adolescent quality of care (AHQOC) index with a Cronbach’s Alpha of 0.7 was used to obtain a quality-of-care score for each clinic visit. Linear panel-data random-effects regression models using the generalised least square estimator were used to assess quality associated factors. Sentiment analysis was done on the qualitative narrative summaries provided by MCs after each visit. Results There was an absence of the use of educational materials during the 60.4% of the visits. The MCs’ medical history (90.3%), social record (63.9%), sexual/reproductive history (53.5%), and contraceptive experience (66.0%) were not obtained in most of the visits. Female MC visits had a lower AHQOC index rating on average compared to males (β=-0.3, CI −1.6 – 1.0 p = 0.687), rural health facilities had a lower AHQOC index rating on average compared to urban (β=-2.7, CI −5.1 – −0.2, p = 0.031), and a higher ranking of the health worker on the scale of 1–10 corresponded to a higher AHQOC index of the MC visit (β = 1.9, CI 1.6–2.1, p < 0.001). There were more positive than negative sentiments about the clinic encounters. Conclusion This study found gaps in the competencies of the health workers, non-usage of educational materials in clinic encounters with young people, as well as the differential perception of quality of care by male and female AYP.

Prevalence of fluoroquinolone resistance-associated mutations in Mycoplasma genitalium among clients of two sexual health centres in the Netherlands: a cross-sectional study

ObjectiveThis study aimed to determine the prevalence of fluoroquinolone resistance-associated mutations (QRAMs) in Mycoplasma genitalium (MG) among clients of two sexual health centres (SHCs) in the Netherlands.DesignA cross-sectional study.Setting and...

Non-prescribed antibiotic dispensing practices for symptoms of urinary tract infection in community pharmacies and accredited drug dispensing outlets in Tanzania: a simulated clients approach

BackgroundAntibiotic dispensing without prescription is a major determinant of the emergence of Antimicrobial Resistance (AMR) which has impact on population health and cost of healthcare delivery. This study used simulated clients describing UTI like symptoms to explore compliance with regulation, variations in dispensing practices and drug recommendation, and quality of seller-client interaction on the basis of the gender of the client and the type of drug outlets in three regions in Tanzania.MethodA total of 672 Accredited Drug Dispensing Outlets (ADDOs) and community pharmacies were visited by mystery clients (MCs). The study was conducted in three regions of Tanzania namely Kilimanjaro (180, 26.79%), Mbeya (169, 25.15%) and Mwanza (323, 48.07%) in March–May 2020. During data collection, information was captured using epicollect5 software before being analyzed using Stata version 13.ResultsOverall, 89.43% (CI: 86.87–91.55%) of drug sellers recommended antibiotics to clients who described UTI like symptoms but held no prescription and 58.93% were willing to sell less than the minimum recommended course. Female clients were more likely than male to be asked if they were taking other medications (27.2% vs 9.8%), or had seen a doctor (27.8% vs 14.7%), and more likely to be advised to consult a doctor (21.6% vs 9.0%); pharmacies addressed these issues more often than ADDOs (17.7% vs 13.2, 23.9% vs 16.6%, 17.7 vs 10.9% respectively). Sellers recommended 32 different drugs to treat the same set of symptoms, only 7 appear in the Tanzanian Standard Treatment Guidelines as recommended for UTI and 30% were 2nd and 3rd line drugs. ADDO sellers recommended 31 drug types (including 2nd and 3rd line) but had permission to stock only 3 (1st line) drugs. The most commonly suggested antibiotics were Azithromycin (35.4%) and ciprofloxacin (20.5%). Azithromycin was suggested more often in pharmacies (40.8%) than in ADDOs (34.4%) and more often to male clients (36.0%) than female (33.1%).ConclusionThese findings support the need for urgent action to ensure existing regulations are adhered to and to promote the continuing professional development of drug sellers at all outlet levels to ensure compliance with regulation, high quality service and better antibiotic stewardship.

Differentiated intimacies: intimate labor, exchange practices, and gendered migration to Hong Kong

This article analyzes the intimacies that migrant sex workers from the Philippines forge with men from Global North countries in the global city of Hong Kong. It argues that the constitution of these migrant intimacies is shaped by a migration regime of differential inclusion that fosters inequalities between highly skilled migrant men and migrant sex workers who attend to their intimate needs. It examines the process by which migrant sex workers form differentiated intimacies with men, including nightly clients, regular clients, and boyfriends and provide intimate labor that they then leverage into varied forms of resources necessary to facilitate their migration. This article adds to the literature on labor and migration by illustrating how migration regimes shape work conditions and the dynamic intermingling of intimacy and economy among differently situated migrants in global cities. This article’s findings are based on ethnography conducted in Hong Kong between 2010 and 2019 and interviews with migrant sex workers from the Philippines and male clients from the Global North.