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  • 1.
    Unis, Brian
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Sexual health and sexual health promotion in the transition from adolesence to emerging adulthood2020Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: This thesis aims to explore the transition from adolescence to emerging adulthood, related to adolescents’ sexual behavior, conceptions concerning sex, sexual relationships and sex education, their need for knowledge and support related to sexuality. A further aim was to explore professionals’ views on promotion of sexual health, and interprofessional collaboration in relation to adolescents’ sexual health. Methods: Both quantitative methods (I) and qualitative methods (II, III, IV) were used. In study I, 139 adolescents responded to a cross-sectional survey. The qualitative data was obtained through focus group interviews with 32 adolescents (II) and individual, pair and group interviews (III) with 26 adolescents. Further, 24 professionals participated in focus group interviews (IV). Findings: Adolescents’ reported a low level of sexual risk behavior and high self-esteem, yet put themselves at risk by inconsistent condom use (I). Learning about sex and relationships included values, knowledge and practical skills in relation to maturity, enabling internalization of different aspects of sexuality, creating meaning and fostering autonomy and identity (II). Developing sexuality involved changing needs for knowledge, discussing, interacting with others, and gaining experience (III). Professionals reached out to adolescents through competence and trusting relationships. It was important to keep up to date with changes regarding sexuality, to reach vulnerable groups, and include questions about sexuality in all health care contexts involving adolescents (IV). Conclusions: Adolescents’ needs for knowledge and support were constantly changing with development through learning, experience and interaction with peers, parents, and health professionals. Different efforts are necessary in sexual health promotion depending on age, maturity or gender in order to provide high quality nursing interventions in relation to adolescents’ sexual health.

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  • 2.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bjuresäter, Kaisa
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Adolescents' changing needs for knowledge and support related to sexuality and sexual relationships - a grounded theory study on the transition from adolescence to emerging adulthoodManuscript (preprint) (Other academic)
  • 3.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Inland Univ Appl Sci, Norway.
    Bjuresäter, Kaisa
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Inland Univ Appl Sci, Norway.
    The Interplay of Multiple Influences on the Development of Sexuality in Late-Adolescence: A Grounded Theory Study2023In: American journal of sexuality education, ISSN 1554-6128, Vol. 18, no 3, p. 459-483Article in journal (Refereed)
    Abstract [en]

    The aim of this grounded theory study was to explore late-adolescents' process of sexual development along with their information- and support-seeking behaviors in a Swedish context. Data were collected in semi-structured interviews with late-adolescents aged between 18 and 21 years in high schools in central Sweden. The results showed that late-adolescents' sexual development involved seeking for knowledge, discussing norms and attitudes, learning through interactions, and growing through practice and experience. Information- and support-seeking behaviors were observed throughout their developent. This study highlights that, in order to be able to provide adequate help and support, healthcare professionals need to have an awareness of the changing information and support needs of adolescents in our constantly changing and diverse society.

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  • 4.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Johansson, Inger
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Gjoevik University College.
    Sällström, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Rural High School Students' Sexual Behavior and Self-esteem2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 1, p. 24-31Article in journal (Refereed)
    Abstract [en]

    Background: Negative consequences for sexual health may be caused by risky sexual behavior related to attitudes, norms and self-efficacy regarding sexuality. Research has not resulted in a consensus on the associations between self-esteem and adolescents’ sexual behavior.

    Aims and objectives: The aim of the study was to describe high school students’ sexual behavior and self-esteem, along with investigating the relationship of attitudes, norms, self-efficacy, and self-esteem to sexual risk behavior. Another aim was to describe and compare gender differences in self-esteem and sexual risk behavior in high school students in a rural context.

    Methodological design: A cross-sectional design was used. The participants were 139 high school students, 16 to 18 years of age, sample size was decided by power calculation, and systematic randomized sampling was used. The students replied to a questionnaire about self-esteem, factors affecting sexual risk behavior, and sexual behavior.

    Results: Swedish high school students reported having few sexual partners, a low use of alcohol along with sex, yet a low consistency in condom use. The students reported both high basic self-esteem as well as earned self-esteem. Basic self-esteem was higher for male students while earned self-esteem was higher for female students. Significant correlations were found between self-esteem and some factors affecting sexual risk behavior related to condom use.

    Conclusion: High school students exhibited positive sexual behaviors and high levels of self-esteem, yet they put themselves at risk by inconsistent use of condoms Our findings can contribute  the need of  to an awareness of  the role self-esteem, attitudes, norms and self-efficacy plays in adolescents’ sexual behavior. Nurses working at the youth clinics are in a key position to discuss sexual health issues with adolescents to promote healthy outcomes in sexual health.

  • 5.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bjuresäter, Kaisa
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing. Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Professionals' experience of sexual health promotion and interprofessional collaborationManuscript (preprint) (Other academic)
  • 6.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Inland Norway Univ Applied Science, NOR.
    Nilsson, Jan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Karlstad Univ, Fac Hlth Sci & Technol, Dept Hlth Sci, SE-65188 Karlstad, Sweden.;Inland Norway University Applied Science NOR.
    Bjuresäter, Kaisa
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Sexual Health Promotion among Swedish Adolescents: Professionals' Experiences2021In: International Journal of Sexual Health, ISSN 1931-7611, E-ISSN 1931-762X, Vol. 33, no 3, p. 410-425Article in journal (Refereed)
    Abstract [en]

    In this grounded theory study the aim was to explore professionals' experiences of promotion of adolescents' sexual health, and views on inter-professional collaboration in relation to this subject. Data collection was by five focus group interviews and two pair interviews with professionals working with sexual health promotion in health care and schools. The results showed that professionals were reaching out to young people through competence and trusting relationships along with working on a broader front. In conclusion, professionals need to be knowledgeable about the world of young people, accessible and able to offer adequate support, and improve their inter-professional collaborations.

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  • 7.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Sällström, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Adolescents’ conceptions of learning and education about sex and relationships2020In: American Journal of Sexuality Education, ISSN 1554-6128, Vol. 15, no 1, p. 25-52Article in journal (Refereed)
    Abstract [en]

    In order for adolescents to learn about sex and relationships, the education must be of significance and meet their needs and interests. The study investigated adolescents’ conceptions of learning and education about sex and relationships. A phenomenographic approach was used. Six focus group interviews were conducted with adolescents ages 18–19 in Sweden. The results showed that stable ground for learning implies select issues of importance, that is, values and prejudices, up-to-date knowledge, and practical skills. These issues should be dispersed throughout the school years in relation to the students’ own maturity. This seemed to enable internalization of different aspects of sex and relationships. Learning about sex and relationships can create meaning for youth and generate progress by fostering autonomy and identity, correcting misconceptions, counteract prejudices, not in isolation rather in society in a defined culture.

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    Unis2019
  • 8.
    Unis, Brian
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Sällström, Christina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Behov av kunskap och handledning hos personal som arbetar med ensamkommande ungdomar i kunskapsområdet sex- och samlevnad samt utvärdering av en utbildningsinsats2014Report (Other academic)
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    fulltext
1 - 8 of 8
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