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  • 1.
    Areskoug Josefsson, Kristina
    et al.
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Schindele, Anna-Chuchu Schindele
    The Public Health Agency of Sweden, Stockholm, Sweden.
    Deogan, Charlotte
    Karolinska Institutet, Department of Public Health Sciences, Stockholm, Sweden.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    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 Sweden2019In: Sex Education: Sexuality, Society and Learning, ISSN 1468-1811, E-ISSN 1472-0825, Vol. 19, no 6, p. 720-729Article in journal (Refereed)
    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.

  • 2.
    Hammarström, Sofia
    et al.
    Department of Medical and Health Science, Division of Community Medicine, Linköping University, Linköping, Sweden.
    Nilsen, Per
    Department of Medical and Health Science, Division of Community Medicine, Linköping University, Linköping, Sweden.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Faculty of Health and Society, Centre for Sexology and Sexuality Studies, Malmö University, Malmö, Sweden.
    Stenqvist, Karin
    Närhälsan Knowledge Center for Sexual Health, Gothenburg, Sweden.
    Bernhardsson, Susanne
    Närhälsan Research and Development Primary Health Care, Gothenburg, Sweden.
    Identifying young people exposed to or at risk of sexual ill health: pilot implementation of an evidence-informed toolkit (SEXIT) at Swedish youth clinics2019In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 24, no 1, p. 45-53Article in journal (Refereed)
    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. 

  • 3.
    Hammarström, Sofia
    et al.
    Närhälsan Knowledge Centre for Sexual Health, Region Västra Götaland, Sweden.
    Stenqvist, Karin
    Närhälsan Knowledge Centre for Sexual Health, Region Västra Götaland, Sweden.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Sexual health interventions for young people in state care: a systematic review2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 8, p. 817-834Article, review/survey (Refereed)
    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.

  • 4.
    Lindroth, Malin
    Malmö University.
    Balancing risk taking, exposure, rights and resilience2014Conference paper (Other academic)
  • 5.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    "Competent persons who can treat you with competence, as simple as that" - An interview study with transgender people on their experiences of meeting health care professionals2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 23-24, p. 3511-3521Article in journal (Refereed)
    Abstract [en]

    Background

    Transgender people face prejudice and discrimination world-wide. Little is known of their experiences in sexual health promoting settings.

    Aim

    With a focus on sexual health and rights, this study describes how transgender people experience meetings with health care professionals.

    Method

    Within a descriptive design, 20 persons aged 18-74 and identifying as transgender and non-binary were interviewed. The results were analysed with constructivist Grounded Theory.

    Results

    Disrespect among health care professionals is the core category connected to the experiences in the result; transgender people experience estrangement, expectations and eviction in different sexual health-promoting settings.

    Conclusion

    Transgender knowledge needs to be increased in general, in both specialized transgender health care and many other health care settings, in order to prevent transgender peoples’ experiences of estrangement. Moreover, an increased knowledge of, and respect for, sexual health and rights is needed to prevent transgender peoples’ exposure to gender binary, cis- and heteronormative expectations. In addition, access to sexual health care is essential following gender confirmatory care as well in order to avoid transgender peoples’ experiences of eviction from the health care system.

  • 6.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Rätten till sexuell hälsa: Utmaningar och begränsningar i tvångsvård av unga2018In: Kontrollerade unga: tvångspraktiker på institution / [ed] S. Enell, S. Gruber & M. A. Vogel, Lund: Studentlitteratur AB, 2018, p. 79-102Chapter in book (Other academic)
  • 7.
    Lindroth, Malin
    Malmö University.
    Sex education and young people in group homes: balancing risks, rights and resilience in sexual health promotion2014In: Sex Education: Sexuality, Society and Learning, ISSN 1468-1811, E-ISSN 1472-0825, Vol. 14, no 4, p. 400-413Article in journal (Refereed)
    Abstract [en]

    This paper presents findings from focus group interviews conducted in Swedish government group homes for young people with a history of psychosocial problems, substance misuse and criminal behaviour. Participants were asked to reflect on a newly developed sex education curriculum located within a harm-reduction paradigm prior to its implementation. In addition to appreciating the proposed 10 sessions, young people positively evaluated the proposed dialogical and norm critical teaching style as likely to facilitate productive discussion about sexuality. Findings will contribute to future implementation of the sex education curriculum across a range of institutional settings. Results also highlight the democratic aspects of involving vulnerable young people in matters that directly concern them, and underline the importance of properly contextualised forms of sex education.

  • 8.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Sex- och samlevnadsundervisning med unga inom SiS: Ett forskningsbaserat metodmaterial2015Report (Other academic)
  • 9.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Sexual Health Among Young People Forcibly Placed at Group Homes in Sweden (6:21)2017In: Journal of Sexual Medicine, ISSN 1743-6095, E-ISSN 1743-6109, Vol. 14, no 5, p. e269-e270Article in journal (Refereed)
  • 10.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Sexuella rättigheter - Unga med normbrytande sexuella erfarenheter2015In: Fokus 15: Unga sexuella och reproduktiva rättigheter: En tematisk kartläggning, Myndigheten för ungdoms- och civilsamhällesfrågor , 2015, p. 155-164Chapter in book (Other academic)
  • 11.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Socialt utsatta unga och sexuell hälsa2015In: Jordemodern, ISSN 0021-7468, no 12, p. 14-15Article in journal (Other (popular science, discussion, etc.))
  • 12.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Transgender People and Sexual Health – Findings From a Swedish Interview Study2017In: Journal of Sexual Medicine, ISSN 1743-6095, E-ISSN 1743-6109, Vol. 14, no 5, p. e270-e270Article in journal (Refereed)
  • 13.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
    Transpersoner och sexuell hälsa2015In: Jordemodern, ISSN 0021-7468, no 12, p. 23-24Article in journal (Other (popular science, discussion, etc.))
  • 14.
    Lindroth, Malin
    Malmö University.
    Utsatthet och sexuell hälsa: En studie om unga på statliga ungdomshem2013Doctoral thesis, comprehensive summary (Other academic)
  • 15.
    Lindroth, Malin
    Malmö högskola.
    Youths residing at detention centers and sex education: member checking of a sex education curriculum2013Conference paper (Other academic)
  • 16.
    Lindroth, Malin
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Centrum för sexologi och sexualitetsstudier på Malmö högskola.
    Deogan, Charlotte
    Folkhälsomyndigheten.
    Mannheimer, Louise
    Folkhälsomyndigheten.
    Rätten till hälsa: Hur normer och strukturer inverkar på transpersoners upplevelser av sexuell hälsa2016Report (Other academic)
    Abstract [sv]

    Denna rapport handlar om transpersoners upplevelser och beskrivningar av sexuell hälsa och baseras på en kvalitativ intervjustudie. Utgångspunkten för studien är Folkhälsomyndighetens arbete med nationella strategin mot hiv och aids och vissa andra smittsamma sjukdomar (proposition 2005/06:60) samt uppföljningen av hälsan bland trans-personer inom regeringens strategi för lika möjligheter och rättigheter oavsett sexuell läggning, könsidentitet eller könsuttryck.

    Resultatet innehåller transpersoners egna beskrivningar och utsagor kring möjligheter och hinder till sexuell hälsa samt berör sexuellt risktagande och erfarenheter av möten med personal inom hälso- och sjukvården. Resultaten visar att respekt är centralt för upplevelsen av sexuell hälsa– respekt för sig själv, sin kropp och sina känslor samt respekt från andra i intima relationer och relationer med personal inom hälso- och sjukvården.

    Rapporten riktar sig till främst till personal inom hälso- och sjukvården, kommuner landsting, relevanta myndigheter och ideella organisationer inom området. Förhoppningen är att rapporten kan bidra med insikt och kunskap om transpersoners livssituation i relation till sexualitet, sexuell hälsa och sexuellt risktagande samt ge underlag avseende hälsofrämjande och sjukdomsförebyggande arbete.

  • 17.
    Lindroth, Malin
    et al.
    Malmö högskola.
    Löfgren-Mårtenson, Charlotta
    Malmö högskola.
    Månsson, Sven-Axel
    Malmö högskola.
    Marginaliserad sexualitet?: Tvångsomhändertagna ungdomars attityder, erfarenheter och handlingar2012In: Socionomens forskningssupplement, no 31, p. 44-52Article in journal (Refereed)
    Abstract [sv]

    Tvångsomhändertagna ungdomar är riskutsatta på många områden. Denna artikel fokuserar specifikt ungdomar på statliga ungdomshem. Vi redogör för hur ett urval av dessa unga har svarat i en enkätundersökning rörande sexuell hälsa samt hur deras svar på flera väsentliga punkter skiljer sig från övriga unga. Forskningsresultatet som är det första i sitt slag i Sverige stämmer väl överens med tidigare forskning som visar på samband mellan flera olika riskfaktorer eller riskbeteenden varav sexuellt risktagande är ett. Tillika ger det viktig kunskap att använda vid utformandet av en målgruppsanpassad modell för sex- och samlevnadsundervisning.

  • 18.
    Lindroth, Malin
    et al.
    Malmö högskola.
    Löfgren-Mårtenson, Lotta
    Malmö högskola.
    Marginalized sexuality?: Attitudes and experiences among adolescents in compulsory care2011Conference paper (Other academic)
    Abstract [en]

    Background: Every year approximately 1500 adolescents (aged 12-20) are placed at Swedish detention homes run by the National Board of Institutional Care (SiS) according to the laws of “The young persons act” or “Secure institutional treatment for young offenders instead of prison”. Little is known about the sexual health of these adolescents, although earlier research, mainly international, strongly indicates that troubled youths in general are subjected to sexual exposure. Methods: A survey covering different aspects of sexual health with 148 boys (64 %) and girls (36 %) with an average age of 17 at Swedish detention homes was conducted. The survey focused sexual knowledge, attitudes and behaviours and the results were compared with the answers from other youths. Results: The adolescents at detention homes holds different attitudes towards sexuality compared to the ones in the national sample. They are to a greater extent, the boys more than the girls, negative towards homosexual relations; the girls’ sexual actions are judged harder than boys’; and none considered themselves as being homosexual although close to one third of the girls consider themselves as being bisexual. The average age for sexual debut, which most commonly took place with an older person with whom the boy or girl did not have an ongoing relationship, is three years earlier compared to other youths. Alcohol and drugs during sexual debut, experiences of sex against ones will, of selling and buying sex, of unprotected vaginal intercourse, of becoming or making someone pregnant is more common within the group. Conclusion: The results, although not unexpected, provides important knowledge to be used in comprehensive sexual health education which we suggest should be offered these young persons during their stay at the youth detention homes. The aim is to develop such a curriculum, let the detained adolescents reflect upon it in focus-groups and implement it.

  • 19.
    Lindroth, Malin
    et al.
    Malmö högskola.
    Löfgren-Mårtenson, Lotta
    Malmö högskola.
    Sexual chance taking: A qualitative study on sexuality among detained youths2013In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 18, no 5, p. 335-342Article in journal (Refereed)
    Abstract [en]

    Background: Many, although not all, juvenile detainees are known to be sexual risk-takers but little attention has been paid to why they engage in early sexual intercourse, have more partners, often have sex under the influence of drugs or alcohol, and without protection.

    Objective: To understand the rationale behind sexual risk-taking among detained adolescents.

    Method: Qualitative study of interviews with nine girls and 11 boys, aged 15 to 20 years, at detention centres in southern Sweden. Two major categories surface in the analysis of the interviews: contradictions and vulnerability. A core category, chance outdoes risk that describes the adolescents' pragmatic view on sexual risk-taking as being a chance of something good rather than a risk of something bad, captures the connection between these categories and the individual.

    Conclusion: Among our interviewees, sexual chance taking appears rewarding. Recognising this rationality is valuable for all professionals promoting sexual health within similar groups of youths.

  • 20.
    Lindroth, Malin
    et al.
    Malmö högskola.
    Löfgren-Mårtenson, Lotta
    Malmö högskola.
    When opportunity outdoes risk: sexual risk-taking among adolescents at youth detention centers2012Conference paper (Other academic)
    Abstract [en]

    Background: Youth subjected to enforced placement due to criminality, alcohol or drug abuse or antisocial behavior is a vulnerable group; their overall health as well as their sexual health is worse than the one of their non-detained peers. In a previous survey we found elevated sexual risk-taking among Swedish adolescent at detention centers. What is the underlying significance of these risky sexual actions, such as first intercourse at the age of 11-12, sex under the influence of drugs or alcohol, and/or having unprotected sex with an unknown partner? Methods: In-depth interviews were conducted in 2011 with 9 girls and 11 boys aged 15-20 who at the time of the interviews were subject to mandatory care in enforced placement. Using constructivist Grounded Theory, these interviews were analyzed jointly with the results from a previous 2010 survey that included 148 detainees aged 15-20. Results: The sexual risk-taking can be understood along three separate but intersecting dimensions: the individual, the group and the society. Individual differences such as gender, age, ethnicity, substance abuse and cognitive ability affect the risk-taking. Like most adolescents in a normative context, the interned youth are seeking intimacy, confirmation and a sexual identity. Their search is an ambivalent one, as they navigate between traditional and modern sexual norms. For these teens from difficult backgrounds and with deleterious experiences, this process begins at an early age. Low school attendance leads up to a lack of basic sexual knowledge; in addition, alcohol and drug use, and in many instances a chaotic lifestyle all contribute to hazardous risk assessment. In their ongoing marginalized life, the desire to experience something good (intimacy, confirmation, pleasure), outweighs the risk for something bad (STI, unwanted pregnancy, unwanted sex). A pragmatic view of sex and sexual risk-taking occurs among the youth in this impacted population. Conclusion: Respect for this pragmatic sexual risk-taking and its many different layers of origin as well as for its positive meaning for the adolescents is needed. Furthermore, understanding these intersecting dimensions is essential if preventive work within this group is to be regarded as relevant by the adolescents themselves.

  • 21.
    Lindroth, Malin
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Schindele, Anna-ChuChu
    Folkhälsomyndigheten.
    Fridlund, Veronika
    Folkhälsomyndigheten.
    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 år2018Report (Other academic)
  • 22.
    Lindroth, Malin
    et al.
    Malmö University.
    Tikkanen, Ronny
    University of Gothenburg.
    Löfgren-Mårtenson, Charlotta
    Malmö University.
    Unequal sexual health: Differences between detained youth and their same-aged peers2013In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, no 7, p. 720-726Article in journal (Refereed)
    Abstract [en]

    Purpose: To describe sexual health risks in an understudied group, youth in detention, and compare these to sexual health risks among non-detained youth. In addition, variables predicting adverse sexual health outcomes are sought and compared.

    Methods: In 2009, a self-administered questionnaire on sexuality was conducted amongst youth in Sweden. In 2010, the same Internet-based questionnaire was applied in a study at Swedish detention centres. In this article, sexually active youth aged 15–20 years in the two groups are compared and bivariate logistic regression analyses are conducted in order to find predictors of adverse sexual health outcomes, among detainees and non-detainees respectively.

    Results: Major differences between the detained and the non-detained concerning a majority of risk-taking variables exist.

    Conclusions: Although detained youth display several risky sexual behaviors, no specific risk factors are found in a logistic regression analysis. However, this is a vulnerable group. The mere fact that an adolescent is placed at a detention centre should be an imperative for professionals to address the subject of sexual health and safer sex. Furthermore, the results will be used in a forthcoming sex education curriculum tailored especially at detained youth. This is one, but by far not the only way to minimize the health inequalities that are presented in this study.

  • 23.
    Lindroth, Malin
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Zeluf, Galit
    Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
    Mannheimer, Louise Nilunger
    Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden .
    Deogan, Charlotte
    Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden .
    Sexual health among transgender people in Sweden2017In: International Journal of Transgenderism, ISSN 1553-2739, E-ISSN 1434-4599, Vol. 18, no 3, p. 318-327Article in journal (Refereed)
    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. 

  • 24.
    Löfgren-Mårtenson, Lotta
    et al.
    Malmö högskola.
    Lindroth, Malin
    Malmö högskola.
    Månsson, Sven-Axel
    Malmö högskola.
    ”Det är värt risken”: Unga inom Sis och sexuell hälsa2013Report (Other academic)
    Abstract [sv]

    Rapporten presenterar en intervjustudie om sexuell hälsa bland unga, som har genomförts på två av SiS särskilda ungdomshem. Studien baseras på 20 intervjuer med nio flickor och elva pojkar i åldrarna 15–20 år. Ett särskilt fokus läggs på ungdomarnas egna erfarenheter, attityder och kunskaper. Ungdomarna beskriver sexualiteten främst som en möjlighet att få något positivt, såsom närhet, njutning och bekräftelse, medan risken att drabbas av sexuellt överförbara sjukdomar, sexuella övergrepp eller oönskade graviditeter tonas ner. Ungdomarna tycks navigera i det sexuella landskapet med hjälp av olika strategier: bagatellisering av sexuella risker, bedömningar av sexuella risksituationer baserat på partnerns utseende och rykte, känslomässigt distanserande, senareläggande av tidpunkten för den sexuella debuten då denna varit ett övergrepp samt kompensatoriska handlingar. Kanske är det just trygghetslängtan och bilden av kompensatoriska strategier i avsikt att söka sig till närhet och intimitet, som är den viktigaste pusselbiten i förståelsen av de ungas utsagor om sexuellt agerande.

  • 25.
    Magnusson, Emelie
    et al.
    Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden.
    Axelsson, Anna Karin
    Jönköping University, School of Education and Communication, HLK, CHILD. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Lindroth, Malin
    Faculty of Health and Society, Centre for Sexology and Sexuality Studies, Malmö University, Malmö, Sweden.
    ‘We try’ – how nurses work with patient participation in forensic psychiatric care2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed)
    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.

  • 26.
    Schindele, Anna-ChuChu
    et al.
    Folkhälsomyndigheten.
    Wallin, Malin
    Folkhälsomyndigheten.
    Areskoug Josefsson, Kristina
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    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 Sverige2017Report (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.

  • 27.
    Wikström, Erika
    et al.
    Boendeverksamheten, Social resursförvaltning, City of Gothenburg, Gothenburg, Sweden.
    Eriksson, Eva-Maria
    Boendeverksamheten, Social resursförvaltning, City of Gothenburg, Gothenburg, Sweden.
    Lindroth, Malin
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Sexual and reproductive health and rights (SRHR) education with homeless people in Sweden2018In: Sex Education: Sexuality, Society and Learning, ISSN 1468-1811, E-ISSN 1472-0825, Vol. 18, no 6, p. 611-625Article in journal (Refereed)
    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.

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