Ethnicity and contraceptive use in sub-Saharan Africa: the case of Ghana

Using a sub-sample of ever-married women from the 1993 Ghana Demographic and Health Survey (GDHS), this study examines differentials in contraceptive use in six cultural groups: Ga-Adangbe, Twi, Fante/other Akans, Ewe, Guan/others and Mole-Dagbani. Multivariate analysis is used to explore whether reported ethnic differentials in contraceptive use can be attributed to ethnicity or to other characteristics that distinguish the ethnic groups. Overall, the findings are generally more consistent with the 'characteristics' hypothesis, because contraceptive use differentials by ethnic group is accounted for by differences in socioeconomic and demographic characteristics of these women. However, for the Fante/other Akans, even after the necessary controls, ethnicity continued to emerge as a significant determinant of contraceptive use. Programmatic implications of these results are discussed.     

Colonial Constructions and African Initiatives: The History of Ethnicity in Northwestern Ghana

The article discusses the colonial construction of ethnic categories, their linkage with precolonial models of identity and the multiple meanings which ethnicity has assumed for different groups over the past decades, using the example of northwestern Ghana – a region which, in the precolonial period, was neither politically centralized nor knew distinct ‘tribes’. The article analyses how ethnic categories, boundaries and institutions were created and continually redefined by colonial officials, anthropologists, chiefs, labour migrants and educated elites, and how the different ethnic discourses fed into each other. It also draws on some of the older literature on ethnicity in Africa because it can still contribute to our understanding of the making of ethnic identities when framed in a deeply historical approach.     

Mycobacterium africanum Is Associated with Patient Ethnicity in Ghana

Mycobacterium africanum is a member of the Mycobacterium tuberculosis complex (MTBC) and an important cause of human tuberculosis in West Africa that is rarely observed elsewhere. Here we genotyped 613 MTBC clinical isolates from Ghana, and searched for associations between the different phylogenetic lineages of MTBC and patient variables. We found that 17.1% (105/613) of the MTBC isolates belonged to M. africanum, with the remaining belonging to M. tuberculosis sensu stricto. No M. bovis was identified in this sample. M. africanum was significantly more common in tuberculosis patients belonging to the Ewe ethnic group (adjusted odds ratio: 3.02; 95% confidence interval: 1.67–5.47, p<0.001). Stratifying our analysis by the two phylogenetic lineages of M. africanum (i.e. MTBC Lineages 5 and 6) revealed that this association was mainly driven by Lineage 5 (also known as M. africanum West Africa 1). Our findings suggest interactions between the genetic diversity of MTBC and human diversity, and offer a possible explanation for the geographical restriction of M. africanum to parts of West Africa.     

Drugs and sexual behavior in man

Drugs for treating diminished sexual function in man remain largely unsatisfactory, but new basic knowledge about the roles of the neurotransmitters, dopamine and serotonin, may allow the formulation of more effective compounds. Drugs for decreasing sexual activity are more numerous and more effective although far less desired. The antiandrogen, cyproterone, is being studied as a treatment for sexual offenders. Drugs used for treatment of non-sexual disorders may have sexual effects and information should be collected about concurrent drug-taking in anyone with a complaint about sexual function. Sympatholytics, ganglionic blocking drugs, antipsychotics and lithium may all impair sexual functions. Of the social drugs, alcohol is most clearly deleterious in its effects. Much mystique has grown about the use of illicit social drugs as sexual stimulants. Except for their effects as disinhibiting agents, little rationale exists for most of the claims made. Like alcohol, heroin and other opiates decrease sexual activity. Amphetamines are best documented as sexual stimulants, although such effects usually require substantial doses.     

大学生性知识和性行为调查分析

目的:了解大学生性知识、性行为情况,以提高大学生性教育的针对性和质量.方法:对600名18-24岁的大学生志愿者进行关于性传播疾病(STD)、性知识和性行为的问卷调查,通过调查结果探讨大学生性教育存在的问题和解决方案.结果:所有大学生对性传播疾病的名称比较熟悉,但对性传播疾病的症状和传播方式了解不多或有误解,性知识水平较低.大部分大学生没有接受过正规的性教育,对未婚同居和婚前性行为持开放态度,性知识主要来源于书籍和网络.大学生们认为性教育很有必要.结论:大学生性和生殖健康知识贫乏,年轻的大学生应当对他们可能遇到的常见的性传播疾病有所了解.大学生性教育应更加侧重于性传播疾病的传播途径及预防.     

Variation in male sexual behavior

Relaxation of natural selection on sexual performance traits in male ruminants has increased phenotypic variation in these heritable traits. Thus, males with sub-standard sexual performance continue to reproduce. This has created a "dud" phenomenon that is costly to animal agriculture. Identification and culling of these lesser performers at an early age and identification of high performing males are critical management goals that must be addressed, and for which greater research priority is needed.     

Neurobiology of sexual behavior

Recent advances in the neurobiology of sexual behavior have helped to refine our understanding of the neuroanatomical, neuroendocrine and neurochemical systems that modulate responses to sexual stimulation. Both appetitive and consummatory sexual behaviors have been studied in several laboratory species and in humans using traditional and novel behavioral paradigms. New knowledge has emerged concerning the role of hypothalamic, limbic and brainstem structures, neuropeptides, brain monoamines and nitric oxide in the control of partner preference, sexual desire, erection, copulation, ejaculation, orgasm and sexual satiety. Brain imaging of visually evoked sexual arousal in humans has also been examined.     

Estrogen-activated sexual behavior in male rats

Daily injections of 100 μg estradiol benzoate activated the whole pattern of sexual behavior in castrated sexually experienced male rats. If compared to rats treated daily with 100 μg testosterone propionate, the estrogen-treated males tended to have longer latencies and more mounts and intromissions prior to ejaculation. Fifty micrograms of estradiol benzoate stimulated the display of mounts and intromissions in prepuberally castrated male rats. No peripheral effects of the estrogen treatment were noted. These results suggest that estrogen has central “androgen-like” effects, but no such effects in the periphery. Estrogen treatment (5, 50, and 200 μg/kg for 3 weeks) of intact sexually experienced male rats resulted in testicular atrophy and loss of body weight, but had no significant effects on the sexual behavior.     

Family background and female sexual behavior

Since the seminal works of Draper and Harpending (1982) and Belsky et al. (1991) there has been considerable interest in the link between the family environment experienced as a child and consequent mating and reproductive strategy of females. In this paper, predictions from the hypothesis were tested using postal survey data from a cross-section of 415 women in Merseyside, UK. No relationships were found between father-absence, unrelated male-presence, parental divorce or parental death with age at first coitus, number of sexual partners, mean length of sexual relationships or mean length of relationships prior to coitus occurring. This work was supported by an Economic and Social Research Council Studentship. This paper was completed as part of the author’s doctoral research that focused on differences in age at first reproduction between social classes in the UK, conducted at the University of Liverpool. The author now works for the Scottish Executive, Edinburgh.     

Aging and primate male sexual behavior

Old male rhesus macaques display less sexual behavior than young and middle-aged males. The decrease in sexual activity occurs without a statistically significant decline in gonadal hormones or change in diurnal patterns of serum T, DHT, or LH. Levels of sexual activity are not increased by administering T to old intact males. However, the hormone is effective in increasing sexual behavior in old long-term-castrated males. Performance can be increased to levels observed in equally old untreated intact males. Readily detectable physical disabilities of old age have been observed to impair sexual performance, but the observed general decline in sexual activity cannot be accounted for by known physical disabilities. Novelty, as represented by a change in female partner or by a change in environment, has not increased sexual performance in old rhesus males. Only when old males were paired with empirically selected preferred females is their sexual behavior increased to levels displayed by young males. Drugs reported to increase levels of sexual behavior in rats have thus far been less effective in old rhesus males than powdered rhinoceros horn has been in man. The probable absence of a placebo effect in rhesus males should increase their usefulness as an animal model for the study of sexual behavior in aging men.     

Impotence and abnormal sexual behavior in the stallion

Clinical observations have been made on stallions exhibiting impotence and other abnormal forms of sexual behavior. Procedures for diagnosing and retraining consisted of presenting the patient to one or more estrcus mares and observing his sexual behavior. Following sufficient observations, patients were classified into one or more of the following categories: (a) failure to obtain or maintain an erection; (b) incomplete intromission, or lack of pelvic thrusts after intromission; (c) dismounting at onset of ejaculation; (d) failure to ejaculate despite a complete, prolonged erection and repeated intromissions; and (e) ejaculate normally for several ejaculates, then cannot ejaculate without sexual rest, although libido remains high.To successfully diagnose and treat patients with abnormal sexual behavior the following are needed: (a) a variety of mares in estrus; (b) other stallions to provide a competitive environment; (c) a phantom; (d) an artificial vagina and laboratory equipment for seminal evaluation; and (e) extreme patience.Selected clinical cases are presented, including history, diagnosis and treatment with recommendations in relation to reproductive management. Some of the more important observations were: (a) impotence was often diagnosed as aspermatogenesis, due to failure of the impotent stallion to ejaculate; (b) erection was not always essential for ejaculation; (c) pain from injury or disease was often the etiology of abnormal sexual behavior; (d) in excess of 125 ml of semen were collected from a stallion without the occurrence of complete ejaculation; (e) the presence of gelatinous material (gel) in the semen did not necessarily mean complete ejaculation occurred; (f) occasionally seminal emissions from some stallions contained spermatozoa, usually nonmotile, with a large proportion of morphologically abnormal forms, without complete ejaculation.It was concluded that the most common cause of abnormal sexual behavior was mismanagement, such as excessive use, abusive training procedures, injuries during breeding, etc. The majority of the stallions responded well to retraining and recovery was essentially complete without the use of drugs.     

Testosterone metabolism and sexual behavior in the chick

A series of experiments was performed to study the behavioral and physiological activity of testosterone (T) metabolites which are produced by neural tissues of male chicks, i.e., mainly 5α- and 5β-dihydrotestosterone (5α-, 5β-DHT), 5α- and 5β-androstan-3α, 17β-diol (5α-,5β-diol), and 4-androstene-3,17-dione (Δ4). It was found that 5β-reduced androgens alone or in combination with estradiol stimulate juvenile copulation in the chick while they have no detectable effect on all somatic variables which are recorded (testicular weight, plasma LH) with the exception of comb size. On the contrary, comb size was increased by T, Δ4, 5α-DHT, and 5α-diol while testis growth was prevented by T and Δ4 only. There is a good correlation between the anatomical localization of the enzymatic activities which metabolize T and the hormonal dependence of the biological responses: The comb converts T into 5α-reduced compounds which affect comb growth. 5β-Reduction is high in the hypothalamus, a fact which can be related to the sensitivity of sexual behavior to 5β-reduced androgens. This suggests that T metabolism is a very important step in the expression of this hormone's physiological effects.     

Genomic regulation of sexual behavior

Estrogen receptors are distributed in discrete areas of the hypothalamus, preoptic area and amygdala of the rat brain, and in some of these areas estrogens induce progestin receptor sites. Estradiol (E), followed by progesterone (P), induce feminine sexual behavior in female, but not in male, rats. This induction takes time (on the order of hours, not minutes, so that the hormone may be cleared from the body) and is dependent on RNA and protein synthesis. Within the hypothalamic ventromedial nuclei (VMN), E and P induce changes in RNA and protein synthesis and also induce morphological changes indicative of cellular growth, genomic activation, and either new synapse formation or morphological rearrangement of existing synapses. Neurochemically, a number of neurotransmitter systems are implicated in the control of feminine sexual behavior, including acetylcholine, serotonin, GABA, and the neuropeptides, oxytocin and CCK. One of the means by which E and P may exert their influence on sexual behavior, aside from the morphological alterations, is by regulating levels of receptors for certain of these neurotransmitters. The critical differences which underlie the inability of male rats to display high levels of feminine sexual behavior after E plus P priming may depend on sex differences in the ability of E to induce particular neurochemical products as well as P receptors and upon differences in neural circuitry in the VMN.     

Patterns of sexual behavior in male macaques

One large social group of each of three species of macaques (Macaca mulatta, M. fascicularis, M. radiata), housed in half-acre field cages at the California Primate Research Center, were observed for a total of 150 h. Data on sexual behavior and dominance interactions were recorded by pairs of experienced observers using a focal animal technique. Single or multiple mount-to-ejaculation sequences, number of thrusts per mount, number of mounts per sequence, duration of mounts per sequence, duration of sequences, social rank and frequency of sexual activity were recorded for each adult male. M. mulatta used a multiple mount-to-ejaculation (MME) pattern in 91% of their copulations. M. radiata used a single mount-to-ejaculation (SME) pattern in 91% of their copulations. M. fascicularis used both patterns—53% MME and 47% SME. A positive correlation was found between rank and sexual activity in fascicularis and mulatta males. A negative correlation between rank and sexual activity was found in radiata males and also a positive correlation between rank and age indicating that the youngest and most subordinate radiata males were the most sexually active males. In reviewing the literature, a relationship between degree of intermale competition, intermale tolerance and type of mounting pattern was revealed. Macaque species that primarily use an SME pattern also show sa high degree of intermale tolerance and little interrnale competition. Macaque species that primarily use an MME pattern typically show a high degree of intermale competition and a low degree of intermale tolerance. Possible events leading to such relationships are discussed.     

Conditioning and sexual behavior: a review

Sexual behavior is directed by a sophisticated interplay between steroid hormone actions in the brain that give rise to sexual arousability and experience with sexual reward that gives rise to expectations of competent sexual activity, sexual desire, arousal, and performance. Sexual experience allows animals to form instrumental associations between internal or external stimuli and behaviors that lead to different sexual rewards. Furthermore, Pavlovian associations between internal and external stimuli allow animals to predict sexual outcomes. These two types of learning build upon instinctual mechanisms to create distinctive, and seemingly "automated," patterns of sexual response. This article reviews the literature on conditioning and sexual behavior with a particular emphasis on incentive sequences of sexual behavior that move animals from distal to proximal with regard to sexual stimuli during appetitive phases of behavior and ultimately result in copulatory interaction and mating during consummatory phases of behavior. Accordingly, the role of learning in sexual excitement, in behaviors that bring about the opportunity to mate, in courtship and solicitation displays, in sexual arousal and copulatory behaviors, in sexual partner preferences, and the short- and long-term influence of copulatory experience on sexual and reproductive function is examined. Although hormone actions set the stage for sexual activity by generating the ability of animals to become sexually excited and aroused, it is each animal's unique experience with sexual behavior and sexual reward that molds the strength of responses made toward sexual incentives.     

Neonatal androgen and sexual behavior in female house mice

A series of experiments investigated masculine response potential in normal BDF₁ female mice and in females who had been injected with 100 μg of testosterone propionate on the day of birth. Sixty-five percent of BDF₁ females mounted females in estrus; ovariectomy lowered this response potential while injections of TP in adulthood raised masculine RP in both ovariectomized and intact females. Neonatally androgenized females with or without TP in adulthood exhibited the full range of masculine responses including the ejaculatory reflex. Comparisons of elements of sexual behavior are made between neonatally androgenized females and normal males.     

Sporadic sexual behavior and menstrual cycle length in women

In an initial study of 248 university students prospective double-blind monitoring of sexual behavior and menses onsets showed that sporadic (less than regular weekly) sexual activity was associated with aberrant menstrual cycle lengths. This study examines the sample of sporadically active women for behavioral correlates of aberrant cycle lengths. It is shown that women reporting a high frequency of sexual activity (though in a sporadic pattern) showed a higher incidence of aberrant cycle lengths than women reporting a low frequency of sporadic coitus. Stable ongoing sexual behavior patterns appear to associate with a different endocrine background than less stable, sporadic sexual patterns.