Re/Envisioning: A Feminist, Participatory Exploration of Sexual Health with Young Women in Canada
Bibliographic record
Abstract
Physical aspects of sexual health are privileged over social, emotional, and relational considerations. This narrow focus creates barriers in operationalizing a comprehensive approach to sexual health care. This limitation is particularly evident in young women's sexual health, where the intersection of their age with biological and social factors necessitates a nuanced understanding and approach. However, progress related to women's sexuality remains hindered by systemic and gender-based inequalities that marginalize women. Advancing relevant understandings of sexual health among young women is essential, given the implications that a limited conceptualization has for nursing and healthcare in general, and ultimately young women’s health. In this study for my doctoral thesis, I explored aspects of young women’s sexual health using feminist, participatory methodology. Throughout three interconnected manuscripts, the findings explore how young women’s identities and experiences are continually shaped by social dynamics, power relations, and intersecting identities such as race, gender, and class, and how sexual health is fluid, contextually influenced, and multifaceted nature. The first manuscript explores the complex interplay between versions of the self (social, relationships, and internal) and how these selves negotiate sexual well-being. Chapter three focuses on young women’s perspectives on safer sex, emphasizing the importance of emotional and psychological safety alongside physical protection, and identifying barriers such as inadequate sex education and societal gender norms. The final manuscript extends this understanding by examining young women’s real-life sexual experiences, highlighting their strategies for navigating safety, boundaries, and pleasure amid social inequalities. The findings underscore the need for inclusive, relational, and experiential approaches to multidimensional safe sex education and support. Collectively, these manuscripts challenge biomedical, risk-centric narratives, advocating for a holistic, agency-affirming model of sexual health and well-being that recognizes young women’s resilience and diverse realities, and calls for systemic changes to promote equity, empowerment, and well-being.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.009 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.043 | 0.021 |
| Scholarly communication | 0.009 | 0.004 |
| Open science | 0.003 | 0.009 |
| Research integrity | 0.003 | 0.006 |
| Insufficient payload (model declined to judge) | 0.006 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".