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Utsatthet och sexuell hälsa: en studie om unga på statliga ungdomshem
Malmö högskola, Faculty of Health and Society (HS), Department of Social Work (SA).ORCID iD: 0000-0002-5637-5106
2013 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The dissertation concems youths in detention at residential group homes, their sexuality in general, their sexual health in particular. and their sex education. According to Swedish law, sex education is required in the Swedish public school system.The education must be perceived as relevant by youths and promotion rather than preventive-focused. Despite this legislative measure, Swedish research data on this youth population are scarce; available international research shows that youths in detention have poor sexual heal th. The aim is thus to gain knowledge about the sexual health among youths in detention at residential group homes, and to develop and present a sex education curriculum targeted to their special needs. A survey followed by an interview study seeks to assess knowledge of sexual health among these adolescents (papers I-III). Exposure to untoward sexual behaviors alongside sexual risk taking is found, concomitant to apportunities for these youths to experience healthy sexual encounters that may outweigh the risks. Furthermore, this group of detained adolescents are more risk taking and exposed to negative sexual experiences compared to their non-detained same aged peers. In focus group interviews, the sex education curriculum is presented to the detainees (paper IV). They consider the information relevant and share advice of how to furtherad just the material to thei r needs. The data are discussed from the perspective of social psychology, and the rationale behind the youths' risk taking is explored. The study pennits the voices of the youths be heard; it presents a nuanced portrait of the camplexity behind their sexual risk taking and elucidates the pereceived advantages of unsafe sex. The results are of i nterest to researchers and clinicians in areas of sociaJ work where specialized knowledge of socially disadvantaged youth and sexual health has been lacking.

Place, publisher, year, edition, pages
Malmö University, Faculty of Health and Society , 2013.
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383 ; 4
Keywords [sv]
exposure, juvenile detainees, sexuality, sexual health, sexual risk taking, sex education, youth, utsatthet, ungdomar, sexualitet, sexuell hälsa, sexuellt risktagande, sex- och samlevnadsundervisning
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:mau:diva-7312Local ID: 15887ISBN: 978-91-7104-521-8 (print)ISBN: 978-91-7104-522-5 (electronic)OAI: oai:DiVA.org:mau-7312DiVA, id: diva2:1404226
Note

Paper IV in paper as manuscript with title "Youths residing at detention centers and sex education – focus group interviews concerning a sex education curriculum"

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-01-17Bibliographically approved
List of papers
1. Marginaliserad sexualitet? Tvångsomhändertagna ungdomars attityder, erfarenheter och handlingar
Open this publication in new window or tab >>Marginaliserad sexualitet? Tvångsomhändertagna ungdomars attityder, erfarenheter och handlingar
2012 (Swedish)In: Socionomens forskningssupplement, ISSN 0283-1929, 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.

Place, publisher, year, edition, pages
SSR, 2012
Keywords
tvångsomhändertagna ungdomar, sexualitet, riskbeteende
National Category
Social Sciences
Identifiers
urn:nbn:se:mau:diva-14575 (URN)13354 (Local ID)13354 (Archive number)13354 (OAI)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2022-06-27Bibliographically approved
2. Unequal sexual health: differences between detained youth and their same aged peers
Open this publication in new window or tab >>Unequal sexual health: differences between detained youth and their same aged peers
2013 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, no 7, p. 722-728Article 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.

Place, publisher, year, edition, pages
Sage Publications, 2013
Keywords
Adverse sexual health outcomes, detained youth, health inequality, preventive needs, risk assessment, sexual health, sexual risk-taking
National Category
Social Sciences
Identifiers
urn:nbn:se:mau:diva-14714 (URN)10.1177/1403494813487448 (DOI)000325534500009 ()23660550 (PubMedID)2-s2.0-84884564875 (Scopus ID)15436 (Local ID)15436 (Archive number)15436 (OAI)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved
3. Sexual chance taking: A qualitative study on sexuality among detained youths
Open this publication in new window or tab >>Sexual chance taking: A qualitative study on sexuality among detained youths
2013 (English)In: 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]

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. To understand the rationale behind sexual risk-taking among detained adolescents. 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. Among our interviewees, sexual chance taking appears rewarding. Recognising this rationality is valuable for all professionals promoting sexual health within similar groups of youths.

Place, publisher, year, edition, pages
Informa Healthcare, 2013
Keywords
sexual health, sexual risk, detained youth, hiv and sti prevention
National Category
Social Sciences
Identifiers
urn:nbn:se:mau:diva-14627 (URN)10.3109/13625187.2013.814770 (DOI)000324618100003 ()23879439 (PubMedID)2-s2.0-84884577375 (Scopus ID)16237 (Local ID)16237 (Archive number)16237 (OAI)
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved
4. Sex education and young people in group homes: balancing risks, rights and resilience in sexual health promotion
Open this publication in new window or tab >>Sex education and young people in group homes: balancing risks, rights and resilience in sexual health promotion
2014 (English)In: 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.

Place, publisher, year, edition, pages
Routledge, 2014
Keywords
detained youth, group homes, harm reduction, norm critical, sex education
National Category
Social Sciences
Identifiers
urn:nbn:se:mau:diva-4151 (URN)10.1080/14681811.2014.919910 (DOI)000343712100004 ()2-s2.0-84902954998 (Scopus ID)27424 (Local ID)27424 (Archive number)27424 (OAI)
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-02-05Bibliographically approved

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