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Areskoug Josefsson, K., Schindele, A.-C. S., Deogan, C. & Lindroth, M. (2019). Education for sexual and reproductive health and rights (SRHR) –: a mapping of SRHR-related content in higher education in health care, police, law and social work  in Sweden. Sex Education: Sexuality, Society and Learning, 19(6), 720-729
Open this publication in new window or tab >>Education for sexual and reproductive health and rights (SRHR) –: a mapping of SRHR-related content in higher education in health care, police, law and social work  in Sweden
2019 (English)In: Sex Education: Sexuality, Society and Learning, ISSN 1468-1811, E-ISSN 1472-0825, Vol. 19, no 6, p. 720-729Article in journal (Refereed) Published
Abstract [en]

Knowledge of sexual and reproductive health and rights (SRHR) by health care, police, legal and social work professionals has been shown to be insufficient. This lack of competence is likely to affect the quality of services. The aim of this study was to describe SRHR indicators in educational programmes in health care, police, legal and social work higher education in Sweden. A text-based analysis was conducted of written material from all educational programmes in law, midwifery, nursing, occupational therapy, physiotherapy, police work, psychology, social work and undergraduate medicine (93 educational programmes at 27 universities and university colleges). Representation of different SRHR indicators varied, but most were poorly covered in the educational programmes. Existing educational programmes lack comprehensiveness in their coverage of SRHR and are unequal both within and between the professions and universities. This situation creates the risk of inequalities in SRHR competence and suggests that needs within this field may be unmet. There is an urgent need therefore to enhance the presence of SRHR in health care, social work and law enforcement education in Sweden.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Sexual and reproductive health and rights, education, health care, legal work, police work, social work
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-42673 (URN)10.1080/14681811.2019.1572501 (DOI)000487012300007 ()2-s2.0-85060910787 (Scopus ID)HOA HHJ 2019 (Local ID)HOA HHJ 2019 (Archive number)HOA HHJ 2019 (OAI)
Available from: 2019-01-18 Created: 2019-01-18 Last updated: 2019-10-10Bibliographically approved
Hammarström, S., Nilsen, P., Lindroth, M., Stenqvist, K. & Bernhardsson, S. (2019). Identifying young people exposed to or at risk of sexual ill health: pilot implementation of an evidence-informed toolkit (SEXIT) at Swedish youth clinics. European journal of contraception & reproductive health care, 24(1), 45-53
Open this publication in new window or tab >>Identifying young people exposed to or at risk of sexual ill health: pilot implementation of an evidence-informed toolkit (SEXIT) at Swedish youth clinics
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2019 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 24, no 1, p. 45-53Article in journal (Refereed) Published
Abstract [en]

Objectives 

We aimed to develop and pilot-implement an evidence-informed toolkit (SEXual health Identification Tool; SEXIT) for identifying young people exposed to or at risk of sexual ill health, at Swedish youth clinics, and to investigate SEXIT’s potential to identify young people in need of special care and monitoring.

Methods

The SEXIT toolkit was developed, validated and pilot-implemented at three Swedish youth clinics. Pre-implementation staff readiness was assessed and youth clinic visitors’ responses to SEXIT were analysed.

Results 

All staff perceived a need for screening for sexual risk-taking and exposure. The response rate from 268 youth clinic visitors (aged 15–24 years) was 86%. Half of the visitors had one or no variable associated with sexual ill health, a third had two or three, and 15% reported between four and seven variables. The most common variables were alcohol use, three or more sexual partners in the past year and previous chlamydia. Visitors rated SEXIT as important and not uncomfortable or difficult to answer.

Conclusions

The SEXIT toolkit was found to be feasible and highly acceptable in a clinical setting. The use of SEXIT may facilitate important questions on sexual risk-taking and sexual ill health to be raised with youth clinic visitors. 

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Adolescents, implementation, risk assessment, sexual behaviour, sexual violence, young adults, youth clinic, adolescent, alcohol consumption, article, Chlamydia, high risk behavior, human, juvenile, monitoring, nonhuman, sexual health, staff, Swedish citizen, young adult
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-43115 (URN)10.1080/13625187.2018.1564815 (DOI)000461893000010 ()30730215 (PubMedID)2-s2.0-85061201604 (Scopus ID)HOA HHJ 2019 (Local ID)HOA HHJ 2019 (Archive number)HOA HHJ 2019 (OAI)
Funder
Public Health Agency of Sweden , 03393-2015Region Västra Götaland, VGFOUREG-573441Medical Research Council of Southeast Sweden (FORSS), FORSS-664621
Available from: 2019-02-20 Created: 2019-02-20 Last updated: 2019-08-13Bibliographically approved
Magnusson, E., Axelsson, A. K. & Lindroth, M. (2019). ‘We try’ – how nurses work with patient participation in forensic psychiatric care. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>‘We try’ – how nurses work with patient participation in forensic psychiatric care
2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Rationale: Patients in secure forensic psychiatric care have reduced autonomy because of the constraints imposed on them by compulsion laws. Thus, it is vital that nurses enable patient participation whenever possible. Patient participation, and it′s clinical use in forensic psychiatric care, is an understudied field.

Aim: To describe nurses’ experiences of their work with patient participation in forensic psychiatric care. Methods: Managers at different secure forensic psychiatric institutions in the south of Sweden approved the study, and oral consent was retrieved from informants. Interviews guided by a semi-structured interview guide were conducted with nine nurses from five different forensic psychiatric institutions and analysed with content analysis.

Findings: Nurses describe diverse understandings and abilities in an inflexible setting. This indicates that what participation is, and how to achieve it, is not the same for nurses as for patients. Moreover, patients have different abilities to participate, and the secure setting in itself is perceived as hindering participatory work. Still, participation is described as a crucial part of work that requires a caring relationship. Furthermore, nurses pronounce potentially excluding attitudes and strategies that may obstruct patient participation for all, and at the same time, they have a belief that improvement is possible.

Conclusion: Compulsory forensic psychiatric care is a complex care context that requires constant efforts from nurses to balance patients’ rights and needs with mandatory care. The very nature of this caring context appears to be a major obstacle when promoting patient participation. Nevertheless, nurses express that they do aim for patient participation, ‘they try’. From a patient's perspective, trying is not sufficient and a need for improvement is evident. The results can be of clinical interest in similar secure forensic psychiatric nursing settings, and a point of departure in future development of care striving for increased patient participation for all.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
compulsory care, forensic psychiatric care, nurses, participation, people with mental illness
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-46974 (URN)10.1111/scs.12773 (DOI)000497429600001 ()31749183 (PubMedID)2-s2.0-85075472504 (Scopus ID)
Available from: 2019-12-04 Created: 2019-12-04 Last updated: 2019-12-04
Lindroth, M. (2018). Rätten till sexuell hälsa: Utmaningar och begränsningar i tvångsvård av unga. In: S. Enell, S. Gruber & M. A. Vogel (Ed.), Kontrollerade unga: tvångspraktiker på institution (pp. 79-102). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Rätten till sexuell hälsa: Utmaningar och begränsningar i tvångsvård av unga
2018 (Swedish)In: Kontrollerade unga: tvångspraktiker på institution / [ed] S. Enell, S. Gruber & M. A. Vogel, Lund: Studentlitteratur AB, 2018, p. 79-102Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-41458 (URN)9789144116358 (ISBN)
Available from: 2018-09-17 Created: 2018-09-17 Last updated: 2018-09-17Bibliographically approved
Wikström, E., Eriksson, E.-M. & Lindroth, M. (2018). Sexual and reproductive health and rights (SRHR) education with homeless people in Sweden. Sex Education: Sexuality, Society and Learning, 18(6), 611-625
Open this publication in new window or tab >>Sexual and reproductive health and rights (SRHR) education with homeless people in Sweden
2018 (English)In: Sex Education: Sexuality, Society and Learning, ISSN 1468-1811, E-ISSN 1472-0825, Vol. 18, no 6, p. 611-625Article in journal (Refereed) Published
Abstract [en]

This paper describes the implementation of an educational intervention to enhance sexual health among homeless people by including sexual and reproductive health and rights (SRHR) as a part of social work provision with this group. Adult service users in different forms of temporary accommodation were provided with the opportunity to participate in three group sessions. Seventeen sessions, six with women and eleven with men, took place at six different housing facilities in Gothenburg. The intervention implementation process (which involved preparation, creation, realisation and evaluation) is described, and factors of importance are identified. Service users appreciated the opportunity to receive information and discuss sexual health, rights and norms. The success of the work may be related to the fact that the project was anchored both in social services and among service users, constantly adjusted, and delivered using a respectful approach. Social work organisations and professionals have an important role to play in acknowledging and promoting service users? sexual health and rights, especially among disadvantaged and socially excluded groups including homeless people.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Homeless people; sex education; sexual health intervention; sexual and reproductive health and rights (SRHR); social work
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-39082 (URN)10.1080/14681811.2018.1451320 (DOI)000445267800001 ()2-s2.0-85044762700 (Scopus ID)
Available from: 2018-04-06 Created: 2018-04-06 Last updated: 2018-10-26
Hammarström, S., Stenqvist, K. & Lindroth, M. (2018). Sexual health interventions for young people in state care: a systematic review. Scandinavian Journal of Public Health, 46(8), 817-834
Open this publication in new window or tab >>Sexual health interventions for young people in state care: a systematic review
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 8, p. 817-834Article, review/survey (Refereed) Published
Abstract [en]

Objectives: To describe evaluated sexual health interventions for young people in state care and provide an assessment of the quality of and evidence for these interventions.

Methods: A systematic review of sexual health interventions for young people in state care was conducted. Randomised controlled trials and quasi-experimental designs were eligible, 2051 records were screened, 412 full-text studies retrieved, and 12 publications with low-to-moderate risk of bias included.

Results: Due to substantial heterogeneity in study populations, settings, intervention approaches, outcomes and measures, standard summary measures for intervention outcomes was not used. Instead, data were synthesised across studies and presented narratively.

Conclusion: Without making recommendations, the result suggests that group-based educational interventions in general increase knowledge, attitudes and behaviour compared with standard care. However, these findings need to be further investigated, with a special emphasis on cultural context and the involvement of young people.

Place, publisher, year, edition, pages
Sage Publications, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-40908 (URN)10.1177/1403494818783077 (DOI)000452310700006 ()29956593 (PubMedID)2-s2.0-85049831023 (Scopus ID)
Available from: 2018-07-02 Created: 2018-07-02 Last updated: 2019-03-14Bibliographically approved
Lindroth, M., Schindele, A.-C. & Fridlund, V. (2018). Sexualitet och hälsa bland unga och unga vuxna inom statlig institutionsvård: En studie om kunskap, attityder och beteende bland unga och unga vuxna 16–29 år. Östersund: Folkhälsomyndigheten
Open this publication in new window or tab >>Sexualitet och hälsa bland unga och unga vuxna inom statlig institutionsvård: En studie om kunskap, attityder och beteende bland unga och unga vuxna 16–29 år
2018 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Östersund: Folkhälsomyndigheten, 2018. p. 67
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-40909 (URN)
Available from: 2018-07-02 Created: 2018-07-02 Last updated: 2018-07-02Bibliographically approved
Schindele, A.-C., Wallin, M., Areskoug Josefsson, K. & Lindroth, M. (2017). Kartläggning av utbildning i hivprevention och SRHR: En kartläggande studie om hivprevention samt sexuell och reproduktiv hälsa och rättigheter (SRHR) inom människo- och rättsvårdande högre utbildning i Sverige. Östersund: Folkhälsomyndigheten
Open this publication in new window or tab >>Kartläggning av utbildning i hivprevention och SRHR: En kartläggande studie om hivprevention samt sexuell och reproduktiv hälsa och rättigheter (SRHR) inom människo- och rättsvårdande högre utbildning i Sverige
2017 (Swedish)Report (Other academic)
Abstract [sv]

Bakgrund

Den här rapporten är en del av Folkhälsomyndighetens uppföljning av arbetet med hivprevention samt sexuell och reproduktiv hälsa och rättigheter (SRHR) bland unga och unga vuxna. Arbetet utgår från regeringens proposition Nationell strategi mot hiv och aids och vissa andra smittsamma sjukdomar och genomfördes inom ramen för Nationell handlingsplan för klamydiaprevention 2009–2014.

Metod

Kartläggningen är en textbaserad granskning av högre utbildning till arbetsterapeut, barnmorska, fysioterapeut, jurist, läkare, polis, psykolog, sjuksköterska och socionom. En gemensam nämnare för de olika utbildningar som ingår är att de alla förbereder den studerande för ett självständigt arbete av människo- eller rättsvårdande karaktär där den professionella möter människor i olika livssituationer. Granskningen omfattade yrkesbeskrivningar, utbildningsplaner och kursplaner på 93 utbildningsprogram vid 27 högskolor och universitet i Sverige. Vid granskningen gjordes en kategorisering av utbildningarnas innehåll utifrån indikatorer som relaterar till SRHR-området. Indikatorerna togs fram med stöd av en referensgrupp.

Resultat och slutsats

Resultatet visar att hivprevention och SRHR sällan förekommer i yrkesbeskrivningar, utbildningsplaner och kursplaner på de utbildningar som undersökts. Detta kan leda till att studenter inte får med sig relevanta kunskaper. Det finns särskilt lite indikatorer för SRHR inom universitets och högskolors professionsutbildningar till: sjuksköterska, socionom, jurist, polis, psykolog samt arbetsterapeut och fysioterapeut. Barnmorska och läkare har fler indikatorer inom SRHR än övriga utbildningar som studerats men trots det är områden som: sex mot sin vilja, hedersrelaterat våld, sex mot ersättning och heteronormen inte alls förekommande samt att området sexuellt våld är mycket lite belyst.

I förlängningen kan detta leda till kompetensbrist kring sexualitetsområdet och dess betydelse för hälsan. Det kan också försvåra förståelsen för klienters och patienters behov och rättigheter. Högskolor och universitet bör se resultaten som underlag för fortsatt utvecklingsarbete av yrkesutbildningarna. Studenter behöver få möjlighet att i sin kommande yrkesroll stödja alla människors rätt att uppnå sexuell och reproduktiv hälsa och rättigheter oavsett kön, ålder, sexuell läggning, könsidentitet, funktionalitet, socioekonomisk position, etnicitet, kulturell bakgrund och juridisk status.

Place, publisher, year, edition, pages
Östersund: Folkhälsomyndigheten, 2017. p. 34
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-38335 (URN)
Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2018-01-04Bibliographically approved
Lindroth, M., Zeluf, G., Mannheimer, L. N. & Deogan, C. (2017). Sexual health among transgender people in Sweden. International Journal of Transgenderism, 18(3), 318-327
Open this publication in new window or tab >>Sexual health among transgender people in Sweden
2017 (English)In: International Journal of Transgenderism, ISSN 1553-2739, E-ISSN 1434-4599, Vol. 18, no 3, p. 318-327Article in journal (Refereed) Published
Abstract [en]

Introduction: Transgender people´s general health and sexual function has previously been studied. However, holistic sexual health—physical, emotional, and relational well-being in relation to sexuality—as both a determinant for and a part of general health is an understudied field in research concerning health among transgender people. There is no research addressing holistic sexual health and sexual health determinants combining quantitative and qualitative data.

Aim: To explore and describe holistic sexual health and sexual health determinants among transgender people in Sweden.

Methods: For the purpose of this paper, descriptive statistics from a previous web-based survey with 796 respondents and quotes from a previous qualitative interview study with 20 transgender people were combined.

Results: Physical, emotional, and relational well-being are all vital aspects for experiencing holistic sexual health; that is, they are all important sexual health determinants, although of different importance to different individuals at different times. Satisfaction with sex life, having an ongoing sexual relationship and having been exposed to disrespectful or discriminatory care are examples of physical, emotional, and relational sexual health determinants that are connected to factors such as condom use, access to respectful STI/HIV-testing and having received reimbursement for sex. Experiences of disrespect and discrimination were reported in both the qualitative and the quantitative data, and in the qualitative data a wish for equity in access to sexual health care is evident.

Conclusion: The results provide a broad and extensive insight into transgender people´s sexual health in Sweden. Furthermore it underlines that access to nondiscriminatory health care services is vital, including access to gender-confirming care and different sexual-health-promoting and preventive services such as testing facilities. 

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keywords
Holistic sexual health, nonbinary people, sexual health determinants, sexual well-being, transgender people
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-35347 (URN)10.1080/15532739.2017.1301278 (DOI)000423968100008 ()2-s2.0-85016131325 (Scopus ID)
Available from: 2017-04-11 Created: 2017-04-11 Last updated: 2018-02-14Bibliographically approved
Lindroth, M. (2017). Sexual Health Among Young People Forcibly Placed at Group Homes in Sweden (6:21). Paper presented at 23rd Congress of the World Association for Sexual Health28 May 2017 - 31 May 2017. Journal of Sexual Medicine, 14(5), e269-e270
Open this publication in new window or tab >>Sexual Health Among Young People Forcibly Placed at Group Homes in Sweden (6:21)
2017 (English)In: Journal of Sexual Medicine, ISSN 1743-6095, E-ISSN 1743-6109, Vol. 14, no 5, p. e269-e270Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2017
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-38832 (URN)10.1016/j.jsxm.2017.04.309 (DOI)000424205700231 ()
Conference
23rd Congress of the World Association for Sexual Health28 May 2017 - 31 May 2017
Available from: 2018-02-14 Created: 2018-02-14 Last updated: 2018-03-02Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5637-5106

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