BACKGROUND: This study explored peer-led sex education for individuals with intellectual disabilities and/or autism (ID/ASD) from the perspective of project leaders within Swedish non-governmental organizations (NGOs). The purpose of this Grounded Theory study was to develop a conceptual model that characterizes the ways in which peer-led sex education is implemented by Swedish NGOs. This was done by exploring what the concept of peer-led sex education means to NGO project leaders, and how they experience, explain and reason about the application of peer education in their daily operations.

METHODS: This study conducted 12 qualitative in-depth interviews with project leaders working with peer-led sex education initiatives. Grounded Theory enabled the construction of a conceptual model.

RESULTS: The study identified the core category, "Shifting participatory approach when ideology meets reality," encapsulating project leaders' experiences in managing peer-led sex education programs. Three distinct approaches were discerned: (1) The Radical approach, where project leaders prioritize empowerment and norm criticism, striving to create an inclusive and equitable environment for individuals with ID/ASD. This approach resonates with Paulo Freire's pedagogy of the oppressed, emphasizing liberation through education. (2) The Pragmatic approach, which navigates the tension between ideology and pragmatism, recognizing the co-dependency between project leaders and persons with ID/ASD. External pressures from funders and the requirements to achieve tangible project outcomes inform this approach. (3) The Skeptical approach, which exhibits caution, doubting the capabilities and willingness of individuals with ID/ASD to challenge societal norms and work equally with people without ID/ASD.

CONCLUSIONS: The findings underscore the complexity of peer-led sex education programs and highlight the need for a balanced approach that addresses both ideological aspirations and practical constraints. Empowerment and norm criticism are central to fostering agency and challenging oppressive systems. However, the pragmatic realities of project management and external pressures necessitate a delicate balance. Understanding these diverse approaches can inform the design of more effective initiatives, ultimately contributing to sexual and reproductive health and rights of individuals with ID/ASD.

This study explores experiences of and refections on sexual harassment in academiaamong students and doctoral students from Belgium, Croatia, Germany, and Sweden. Prevalence studies show that sexual harassment is a common occurrence andhas negative consequences not only on mental health in general but also on academic performance. However, little is known about what kinds of support and prevention are needed. Therefore, the aim of this study has been to develop in-depthknowledge about students’ and doctoral students’ refections on how victims of sexual harassment in academia should be supported, and how sexual harassment in academia could be prevented. To achieve this aim, 54 individual interviews, and 6 focusgroup interviews with 18 participants, were conducted between 2020 and 2022 witha total of 72 participants at the bachelors, masters, doctoral level or state exam level.Based on a thematic analysis three themes emerged: (a) Information on sexual harassment, (b) Prerequisites for reporting and intervening, and (c) Support as a preventive activity. The results show an urgent need for information, since this is perceivedas lacking by students and doctoral students, and suggested strategies for information provision are presented. Further, there are challenges related to reporting, andignorance about how to intervene when sexual harassment is witnessed. Professionalsupport is described as important, along with support from peers, mentors, family,and friends. These fndings are relevant for researchers and for clinicians at university student health centres, to develop relevant preventive and supportive interventions in the context of academia.

Research shows that young adults with intellectual disabilities struggle to understand the social codes embedded in sexual situations. This may lead to an incomprehension of sexual consent, or when consenting to sex may lead to abuse. This qualitative study aimed to gain an in-depth understanding of sexual experiences and perceptions about sexual consent among Swedish young adults with intellectual disabilities. The data comprise 22 semi-structured interviews with young adults aged 18-35 with intellectual disabilities, thematically analyzed using sexual script theory as a theoretical framework. Four themes emerged from the analysis: Setting the sexual scene, Sexual self-awareness, Sexual communication and the necessity of clarification and Striving for a balance. The results show that the participants had a variety of sexual experiences and challenges associated with sexual consent, but also an agency that favors sexual situations. Further research is necessary to understand the complexities of sexual consent in this population.

Self-reported victimization among young women in the Swedish Crime Survey increased during the early- to mid-2010s, resulting in a gender gap, with young women reporting 10% to 15% higher victimization rates than young men. In this study, we use multi-group confirmatory factor analysis to assess whether the increase in victimization rates is due to declines in measurement equivalence across different cohorts of young women during the period 2009 to 2016. The results show cohort differences in how young women interpret the victimization items in the Swedish Crime Survey, especially with regard to the item about sexual victimization. The results show that the increasing victimization rates are likely the result of changes in perceptions about sexual offences, rather than an actual increase.

Sex education geared towards people with intellectual disability often focuses sexual risks and reproduction. However, research shows that students at special schools often find this inadequate and irrelevant. This conceptual article examines this issue from a crip theoretical perspective, combined with the classical concept of stigma. Furthermore, the term killjoy is added to the analysis; a term located at the intersection between queer and feminist theories. Might those in the environment surrounding individuals with ID, i.e., staff and family members, function as "killjoys" in relation to sexuality and intellectual disability? Or might they develop into "thrilljoys", i.e., individuals who facilitate the embracement of stigma, with a focus on enjoyment rather than apparent problems in relation to sexuality and people with ID? The aim of this article is to highlight the significance of the social environment for these young people's needs and life conditions, and to challenge presumptions that have to date been taken f & ouml;r granted. The result shows that assuming the role of thrilljoy means listening in a flexible and relevant way to the wishes that people with ID themselves express. This might in turn also make it easier for people with ID to themselves adopt a crip theoretical perspective and to really embrace that which has up until now been defined as a stigma. Developing new ways of looking at non-normative intellectual functionality and sexuality could contribute to develop sex education geared towards this goal group in a sufficient way.

Introduction

Experiences of sexual harassment are common among university students. At the same time, research shows that victims and bystanders find it difficult to determine when an incident meets the criteria for sexual harassment. The aim of this study therefore was to obtain a richer and deeper understanding of the obstacles that university students encounter in identifying sexual harassment in the academic environment.

Methods

Individual interviews and focus groups were conducted with a total of 85 students at the bachelor’s, master’s and doctoral level in five European countries (Belgium, Croatia, Germany, the Netherlands and Sweden) between 2020 and 2022. Thematic analysis was used to identify obstacles in identifying sexual harassment.

Results

The obstacles described by participants were found to fall into three main categories: (1) preconceived notions about what constitutes sexual harassment that did not necessarily concur with lived experiences, (2) navigating an often blurred or ambiguous line between acceptable and unacceptable behaviour and (3) the existence of competing interpretations of what had happened.

Conclusions

The results point to a gap between the participants’ lived experiences and their interpretations of them, which include difficulties positioning their experiences within their theoretical understanding of sexual harassment.

Policy Implications

Measures to counteract the obstacles faced by victims and bystanders in identifying sexual harassment in academia should target this cognitive gap, for instance by addressing the stereotypes that characterize preconceived notions about sexual harassment.

This qualitative study explores experiences of intimacy and sexuality during the first phase of the COVID-19 pandemic of 3357 participants from Croatia, the Czech Republic, the Netherlands, France, Germany, Portugal, Sweden, and Turkey. Data were collected through open-ended questions within a survey on sexuality during the pandemic. Based on a reflexive thematic analysis three themes occurred. The first theme No change was described by 41% when summarizing their sex life during the pandemic. The second theme Positive change was experienced by 25%, and the third theme Negative change by 21%. An overarching theme then emerged as: "Still the same trajectories, but the pandemic could be a catalyst for improved or worsened sex- life." For those intimate partnered individuals who already had problems with intimacy and sexuality before the COVID-19 pandemic it seemed to remain the same or deteriorated throughout the pandemic. For those with positive experiences of intimacy and sexuality before the COVID-19 pandemic it remained the same or improved throughout the pandemic. These findings are relevant for researchers and clinicians in developing preventive and supportive interventions in the context of crisis and social isolation.

Every year, Riksbankens jubileumsfond (RJ) publishes an essay collection on a current topic. Its aim is to provide a snapshot of the breadth and quality of contemporary research in the humanities and social sciences. In 2023 seven researchers have contributed texts on the theme of THE DEADLY SINS IN OUR TIME, presented as individually bound essays in a box set. This chapter - Lust, from fornication to dating apps - gives a broad picture of sexuality within a historical and cultural conctext and discusses wheter sexuality and desire is a deadly sin todat or not.

Immigrant women in Sweden often have unmet sexual and reproductive health (SRH) needs. Successful contraceptive counselling may improve their sexual and reproductive health and rights. The unique Swedish model, with midwives as the main providers of contraceptive counselling, is important for immigrant women's health at both individual and societal levels. This study explored immigrant women's perspectives on receiving contraceptive counselling from midwives in Sweden, in order to obtain deeper knowledge about the factors they perceive as important in the counselling situation. Nineteen in-depth individual interviews were conducted from December 2018 to February 2019, followed by qualitative manifest and latent content analysis. Trust emerged as the overall important factor in the contraceptive counselling meeting. Knowledge was lacking about the midwife's professional role as a contraceptive counsellor. Contraceptive counselling was seen as a private matter not easily shared with unfamiliar midwives or interpreters. Previous experiences of contraceptives and preconceptions were important considerations for contraceptive choice, but communicating these needs required trust. Women also wanted more knowledge about contraceptives and SRH care and rights. Cultural and social norms concerning when and why to use contraceptives needed to be acknowledged in the midwife encounter. Although immigrant women want more knowledge about contraception, a trustful relationship with the midwife is needed to be able to make informed contraceptive choices. Midwives may need increased awareness of the many factors influencing immigrant women's choices to ensure their contraceptive autonomy. Policy changes that promote new ways of counselling and ability to provide continuous care are needed.

Due to COVID-19 pandemic, different restrictive measures in terms of physical distancing and lockdowns have been introduced in most European countries, affecting all facets of social life. Currently, little is known about how partnered individuals perceive changes in their sexual life during this complex emergency. This study explored retrospectively assessed changes in sexual interest for one's partner and levels of distress related to perceived sexual interest discrepancy during the first phase of the pandemic in a large-scale online sample of partnered individuals (n = 4813; M-age = 38.5 years, SD = 10.74) recruited between May and July 2020 in seven European Union countries and Turkey. We also examined the possible role of approach/avoidance motives for sex in reported changes in sexual interest and associated distress. Most participants (53%) reported no change in their sexual interest during the pandemic, followed by those who reported an increase (28.5%). The pattern was similar across the eight countries. Distress about discrepant sexual interest, which was only weakly related to changes in sexual interest, was significantly associated with relationship quality and emotional closeness with a partner, coping with and worrying about the pandemic, and specific motivation for sex. In contrast to avoidant and relationship-focused approach motivation, ego-focused approach motivation was related to stable sexual interest during the pandemic. The current study contributes to the understanding of the link between sexual interest and complex emergencies. Considering that the COVID-19 pandemic continues, the reported experiences and perceptions are prone to change.