Publikationer från Malmö universitet
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  • 1.
    Andersson, Lisa
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Johnson, Björn
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Patient choice as a means of empowerment in opioid substitution treatment: a case from Sweden2020Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, Vol. 27, nr 2, s. 105-117Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Patient choice of treatment provider was introduced within opioid substitution treatment in the southern Swedish county of Skåne in 2014. Substitution treatment has often been criticised for being strict, rule-based, and driven by an ethos of discipline. This study explores the patients’ views and experiences of patient choice, particularly as a potential means of empowerment. The study is based on semi-structured interviews with 33 patients at six substitution treatment clinics in two cities. Patient choice within substitution treatment has empowered the patients in that many are able to choose their treatment provider and transfer to another provider. The interviewees appreciated the possibility to choose and transfer, and felt that they had gained more influence on their treatment. Experiences of poor staff conduct and the new clinic’s policies and practice on prescribing benzodiazepines were important reasons for choosing and transferring between clinics. In particular, the patients stressed the importance of the possibility to leave a clinic they felt offered substandard treatment, and the psychologically important feeling of knowing that they could transfer to another facility. However, patient choice in addiction treatment is very rare in Sweden, and the demographic structure limits the development of patient choice within substitution treatment.

    Fulltekst (pdf)
    FULLTEXT01
  • 2.
    Holeksa, Julie
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    "I knew it was different there": a qualitative study of the motivations and risks of drug policy migrants going to Denmark from Sweden2024Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background:

    This study explores why Swedish people who use drugs (PWUD) relocate to Denmark, in the context of differing drug policy approaches in the two countries. Specifically, the aim was to understand how PWUD experience and value different drug scenes and policy contexts, and reason about the benefits and risks of changing environments.

    Methods:

    We conducted 17 semi-structured interviews with PWUD who moved from Sweden to Denmark, recruiting participants from harm reduction sites in both countries, and through snowball sampling.

    Results:

    Key drivers for relocation included: harm reduction service availability, stigma, social networks, policing, and financial factors. Mobility between settings increased risks such as violence, exposure to new drugs, polysubstance use, and incomplete access to care. Participants presented evolving motivations over time, all but one participant reported several motivations.

    Conclusion:

    The study presented a contextual view of the nature and character of PWUD’s movement. The policy environment particularly influenced mobility. While aspects in one setting may promote well-being, other factors can increase potential for risk. Given the rapidly changing drug policy landscape in many parts of the world, this study offers insights into how PWUD navigate these settings, and can offer opportunities to better meet the needs of these individuals.

  • 3.
    Isberg, Elisabeth
    et al.
    Maria Malmö, Malmö stad, Malmö, Sweden.
    Nordgren, Johan
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Being a parent of a teenager with illicit drug use - a qualitative interview study2023Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, s. 1-10Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Parents of teenagers who use illicit drugs experience a high degree of family burden and mental health issues but have received little attention in research. the aim of this study was to gain new knowledge of the situation of parents of teenage children with drug use.

    Method: Fifteen semi-structured qualitative interviews were conducted with parents who received support or treatment with their teenagers at outpatient treatment clinics in sweden. the data was analyzed with thematic textual analysis.

    Results: Based on scheff ’s theory of emotions, four central themes were identified in the parents’ experiences: parental strategies, shame, coping with stress, and communication as a protective factor. Parents had a heavy family burden and reported problem-focused and emotion-focused behaviors which created shame, impaired communication between parent and child, and a lack of trust. shame may shape the parents’ discomfort in seeking help from relatives and professional support.

    Conclusions: clinical practice should pay attention to the impact of shame, behavior patterns as vulnerabilities and protective factors, and how communication and understanding can be developed. We argue that scheff ’s theory of emotions is useful to understand parents in crisis and that its concepts may be of use if applied in family support.

  • 4.
    Johnson, Björn
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA). Malmö universitet, Fakulteten för hälsa och samhälle (HS), People, Places and Prevention.
    Svensson, Robert
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för kriminologi (KR).
    Alcohol drinking among adolescents with native-Swedish and non-European immigrant background: the importance of parental attitudes and peer attitudes for acculturation2021Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, Vol. 28, nr 3, s. 255-266Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study, we examine differences in alcohol drinking between first- and second-generation non-European immigrant and native-Swedish adolescents. We also examine whether parental and peer attitudes toward alcohol are associated with the acculturation of drinking habits among adolescents with an immigrant background. The study is cross-sectional and based on a school survey conducted in 2016–2019 in eight municipalities in southern Sweden. The sample consists of 3743 adolescents in year 9 of compulsory education, aged 14–15 years, of which 538 (14.4%) had a non-European immigrant background. Non-European immigrant adolescents reported significantly lower levels of drinking than native-Swedish adolescents. Second-generation immigrants reported a higher level of consumption than first-generation immigrants, and among first-generation adolescents, drinking was more prevalent the longer the adolescents had resided in Sweden, which suggests acculturation of drinking habits. This acculturation is mainly related to changes in peer attitudes toward alcohol. Immigrant adolescents with a longer stay in Sweden reported having friends with more positive attitudes toward alcohol. Among first-generation immigrants, drinking was more common among boys than girls. These differences were primarily found among immigrant adolescents with a relatively short period of residence in Sweden, which suggests that acculturation occurs more quickly among boys than among girls.

    Fulltekst (pdf)
    fulltext
  • 5.
    Liahaugen Flensburg, Olivia
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Johnson, Björn
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Nordgren, Johan
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Richert, Torkel
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Svensson, Bengt
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    "Something wasn't right"-parents of children with drug problems looking back at how the troubles first began2022Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, Vol. 29, nr 3, s. 255-264Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study we analyze how parents of adult children with drug use problems view the initial stages of identifying their children's troubles as a severe drug problem. We focus on the parents' accounts of the discovery process by identifying significant events in the parents' narratives through 'the micro-politics of trouble'. The study is based on an analysis of 32 semi-structured interviews with parents of adult children (aged 18+) with drug problems. Four themes emerged from the parents' narratives: (1) the first signs of a problem, (2) drug problem or teenage defiance? (3) the awakening, (4) a passing phase. The different themes show how the parents' interpretations of the situation influence their definitions and thus their actions. Early signs and indicators of something being wrong do not initially result in parents framing the situation as problematic as they are perceived as everyday concerns and dealt with as such. Our focus on the initial phase of the problem definition process and how this affects the parents may provide a better understanding of the parents' situation and needs for support. This may be of use to professionals in the fields of social work and drug treatment who meet these parents and may have a role to play in the development of support measures that can improve their situation.

    Fulltekst (pdf)
    fulltext
  • 6.
    Liahaugen Flensburg, Olivia
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Richert, Torkel
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Väfors Fritz, Marie
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för kriminologi (KR).
    Parents of adult children with drug addiction dealing with shame and courtesy stigma2023Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, Vol. 30, nr 6, s. 563-572Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The study aims to provide insight into the lives of parents to adult children with drug addiction. We focus on how the parents' social life and interactions were affected by feelings of guilt and shame, and how they dealt with the stigma that often accompanies drug addiction. 32 semi-structured interviews were conducted with parents (age 46-70) of adult children (age 18-47) with drug addiction in Sweden. Three themes emerged (1) Experiences of guilt, shame, and courtesy stigma, (2) Impact on social life and relationships and, (3) Strategies to reduce guilt and shame. Guilt, shame, and courtesy stigma complicated and restricted the parents' social interactions. Many parents applied a selective openness, carried experiences of alienation and in some cases isolated themselves. At the same time, several parents described that they were open about their child's addiction in certain contexts. For some parents, this meant a relief from guilt and shame and an opportunity for increased social interaction. Both informal and professional support for family members of individuals with drug addiction is vital to reduce experiences of guilt, shame, and courtesy stigma.

    Fulltekst (pdf)
    fulltext
  • 7.
    Nordgren, Johan
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    “It’s not only Somalis who chew”: Talking through and talking back to khat use discourses in Swedish–Somali organisations2018Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, Vol. 25, nr 6, s. 500-510Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The psychoactive plant khat has been “made ethnic” in Sweden, as dominant discourses have constructed its use as being exclusive to the Somali ethnic minority. The aim of this article is to analyse how representatives of Swedish–Somali civil society organisations talked through and talked back to dominant discourses about khat use. Sixteen semi-structured interviews were conducted with organisation representatives, and the material was analysed within a multi-perspectival discourse analysis framework. The interviewees described khat use as a social problem, but also acknowledged that it can offer users social support. They viewed khat use to be more common among people of Somali background living in Sweden, but tended to view associations between khat use and the Somali ethnic minority as stigmatising. Khat was commonly compared to alcohol, and those who use khat in problematic ways were described as comparable to “alcoholics” or “junkies”. Interventions based on cultural competence were not suggested, as khat use was seen as related to socio-economic marginalisation. The interviewees’ resistance to making khat use an ethnic problem is notable, and suggests a more complex and nuanced view of dominant discourses about khat use in the West. It also suggests problematic and stigmatising effects of one-dimensionally associating certain drugs to specific ethnic categories.

  • 8.
    Nordgren, Johan
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Richert, Torkel
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för socialt arbete (SA).
    Risk environments of people who use drugs during the Covid-19 pandemic: the view of social workers and health care professionals in Sweden2022Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, Vol. 29, nr 3, s. 297-307Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Although research is emerging on how the Covid-19 pandemic has affected people who use drugs (PWUD), there is a lack of studies focusing on professionals' views on Covid-19 related risks and consequences for this group. The aim of this study was to analyze how social workers and health care professionals in the city of Malmö, Sweden viewed the effects of the Covid-19 pandemic on PWUD risk environments. We used a mixed methods approach including an online survey with social workers and three qualitative focus group sessions with social workers and health care professionals working with PWUD. The professionals defined PWUD as an especially vulnerable group that had difficulty protecting themselves from contracting Covid-19, and who risked severe consequences if infected. They described risks relating to lifestyle and marginalization, limited health literacy, and health-related problems. Reported consequences of the pandemic included reduced access to treatment and support, social isolation, anxiety, and increased drug use. Factors at both micro and meso levels of risk environments seemed to contribute to a particular vulnerability for PWUD during the Covid-19 pandemic. It is important to learn from this development in order to provide better support to at-risk groups in future crises.

    Fulltekst (pdf)
    fulltext
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