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SEXUAL PARTNERING, SEXUAL
PRACTICES, AND HEALTH
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SEXUAL PARTNERING,
SEXUAL PRACTICES,
AND HEALTH
Sana Loue, J.D., Ph.D., M.P.H.
Case Western Reserve University
Cleveland, Ohio
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Sana Loue
Department of Epidemiology and Biostatistics
Case Western Reserve University
10900 Euclid Avenue
Cleveland, OH 44106-4945
USA
[email protected]
Library of Congress Control Number: 2005925978
ISBN-10: 0-387-25923-6
ISBN-13: 978-0387-25923-9
eISBN: 0-387-25986-4
Printed on acid-free paper.
© 2006 Springer Science+Business Media, Inc.
All rights reserved. This work may not be translated or copied in whole or in part without the written per-
mission of the publisher (Springer Science+Business Media, Inc., 233 Spring Street, New York, NY 10013,
USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any
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We have been socialized to respect fear more than our own needs
for language and definition, and while we wait in silence for that
final luxury of fearlessness, the weight of that silence will choke
us . . . . The transformation of silence into language and action
is an act of self-revelation and that always seems fraught with dan-
ger . . . . We fear the very visibility without which we also cannot
truly live . . . . And that visibility which makes us most vulnerable
is also the source of our greatest triumph.
—Audre Lourde, 1977
[T]o speak a true word is to transform the world.
—Paolo Freire, 1978
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Acknowledgements
This book would not have been possible without the research
assistance of Nancy Mendez and Gary Edmunds.
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Contents
Preface
Chapter 1 Diverse Monogamies 1
Chapter 2 Multi-Bonding: Polygamy, Polygyny, Polyamory 27
Chapter 3 Child “Partnering”: Incest, Pedophilia, and Child
Marriage 55
Chapter 4 Commercial Partnering: Sex Work, Trafficking, and
Pornography 99
Chapter 5 Object Relations: Fetish and Related Behaviors 153
Chapter 6 Conclusion 179
Index
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Listing of Tables
Table 1 Sample of Definitions of Incest Used in Research Studies
Table 2 International Conventions with Provisions Arguably Limiting
Child Marriage
Table 3 Definitions of Trafficking
Table 4 Factors Influencing the Incidence of Trafficking in Women and
Children for Sexual Exploitation
Table 5 Stages of Trafficking
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Listing of Figures
Figure 1 Dimensions of Partnered Relationships
Figure 2 Relationship of Factors Utilized to Define Incest
Figure 3 Relationship between Commercial Sex Work, Trafficking, and
Immigration
Figure 4 Relationship between Fetish Behavior, Submission-
Dominance Behavior, and Transvestic Behavior
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Preface
Research tells us that sex is often “unsafe.” A survey of sexual behav-
ior reported that only 40% of 16 to 45 year olds in the U.K. con-
sistently use a condom with a casual sex partner. This compares
with 69% in France, 56% in the U.S., 48% in Italy, 36% in Spain,
32% in Germany, 28% in Russia, 25% in Canada, and 20% in
Poland (Durex, 1996). Large proportions of individuals in the same
age range say that they have been unfaithful in their relationships:
50% of Americans surveyed, 42% of British, 40% of Germans and
Mexicans, 36% of French, and 22% of Spaniards (Durex, 1998).
These figures portend the transmission of sexually transmitted
infections, the possibility of pregnancy in the absence of contracep-
tion, and the physical and mental health consequences that may
accompany chronic infection and/or unwanted or unplanned preg-
nancy. Monogamy has been touted as the proactive remedy for
these unwanted consequences. Yet, it is assumed, first, that we all
mean the same thing when we speak of monogamy and, second,
that the structure of the relationship is determinative of both its
quality and safety. However, sex may be unsafe for other reasons as
well. “Partnering” may be accomplished through force, coercion, or
outright violence. In such circumstances, the term “partnering” is a
misnomer; there is no negotiation or mutuality in such situations.
Similarly, it has been asserted that two-parent households are
more likely to have a positive effect on children than are other part-
nering arrangements. Such statements have ignored the context and
quality of the partnering relationships to which the children may be
exposed. It has been alleged that exposure to pornography will lead
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Description:Sexual risk behaviors have inspired profound ideas and effective teamwork. But as the early history of AIDS demonstrates, when sexual practice is part of the equation, the same bold thinkers may be stymied, or just silent. Safe sex and monogamy have been proposed as answers to a gamut of social prob
