Digitala Vetenskapliga Arkivet

Change search
Refine search result
1 - 25 of 25
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1.
    Al Adhami, Maissa
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Global Health Research on Implementation and Sustainability. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social medicine/CHAP.
    Hjelm, Katarina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Wångdahl, Josefin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social medicine/CHAP.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Global Health Research on Implementation and Sustainability. Karolinska Inst, Dept Womens & Childrens Hlth, SE-17177 Stockholm, Sweden..
    "This course is like a compass to us": a qualitative study on newly settled migrants' perceptions of civic and health orientation in Sweden2021In: BMC Public Health, E-ISSN 1471-2458, Vol. 21, no 1, article id 1606Article in journal (Refereed)
    Abstract [en]

    Background Migrants face structural, socio-political barriers in their resettlement processes that negatively affect their health. Migration also adversely impacts resources such as social capital and health literacy that are of importance for health and integration into society. Hence, there is a need for health promotion in the early post-migration phase. In Sweden, newly settled refugee migrants who have received a residence permit are offered an Introduction programme including a civic orientation course. The program is intended to facilitate access to the labour market and promote integration. The aim of the study was to explore participants' perceptions and experiences of a civic orientation course with added health communication. Methods We performed six focus group discussions: two in Arabic, two in Farsi and two in Somali. The discussions were facilitated by native speaking moderators. Participants were 32 men and women recruited from civic orientation classes in the county of Stockholm. We used an interview guide with semi-structured questions. The data were analysed using a method for content analysis for focus group discussions. Results Three main categories were identified: (1) 'The course gives valuable information but needs adjustments', which includes that the civic and health orientation is needed earlier, during the asylum phase, and that planning and course content need adjustments. (2) 'The health communication inspired participants to focus on their health', which includes that the health communication was useful and inspired uptake of healthier habits. (3) 'Participation in the course promoted independence and self-confidence', which includes that the course gave insights into society and values in Sweden, and promoted independence and new social contacts. Conclusion This study adds knowledge about the users' perspectives on the potential of civic orientation to promote the health and integration of newly settled migrants, describing ways in which civic orientation with added health communication promoted health and empowerment. However, the content and delivery of the course need adjustment to better fit the migrants' life situations and varying pre-existing knowledge.

    Download full text (pdf)
    FULLTEXT01
  • 2.
    Allvin, Marie Klingberg
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Atuhairwe, S
    Cleeve, A
    Byamugisha, J K
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Makenzius, M
    Oguttu, M
    Gemzell-Danielsson, K
    Co-creation to scale up provision of simplified high-quality comprehensive abortion care in East Central and Southern Africa.2018In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, no 1, article id 1490106Article in journal (Refereed)
    Abstract [en]

    Universal access to comprehensive abortion care (CAC) is a reproductive right and is essential to reduce preventable maternal mortality and morbidity. In East Africa, abortion rates are consistently high, and the vast majority of all abortions are unsafe, significantly contributing to unnecessary mortality and morbidity. The current debate article reflects and summarises key action points required to continue to speed the implementation of and expand access to CAC in the East, Central, and Southern African (ECSA) health community. To ensure universal access to quality CAC, a regional platform could facilitate the sharing of best practices and successful examples from the region, which would help to visualise opportunities. Such a platform could also identify innovative ways to secure women's access to quality care within legally restrictive environments and would provide information and capacity building through the sharing of recent scientific evidence, guidelines, and training programmes aimed at increasing women's access to CAC at the lowest effective level in the healthcare system. This type of infrastructure for exchanging information and developing co-creation could be crucial to advancing the Sustainable Development Goals 2030 agenda.

    Download full text (pdf)
    fulltext
  • 3.
    Arousell, J.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Carlbom, A.
    Malmö Univ, Fac Hlth & Soc, Malmö, Sweden.
    Larsson, Elin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Johnsdotter, S.
    Malmö Univ, Fac Hlth & Soc, Malmö, Sweden.
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Unintended consequences of gender equality promotion in Swedish contraceptive counselling2018In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, no Supplement: 1, p. 105-105Article in journal (Other academic)
  • 4.
    Arousell, Jonna
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Carlbom, Aje
    Malmo Univ, Fac Hlth & Soc, Social Anthropol, Malmo, Sweden.
    Johnsdotter, Sara
    Malmo Univ, Fac Hlth & Soc, Med Anthropol, Malmo, Sweden.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Unintended Consequences of Gender Equality Promotion in Swedish Multicultural Contraceptive Counseling: A Discourse Analysis.2017In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 27, no 10, p. 1518-1528Article in journal (Refereed)
    Abstract [en]

    In this article, we explore how reproductive health care providers in Sweden, a country often described as one of the most gender-equal countries in the world, incorporate gender equality ideals in multicultural contraceptive counseling. In the tension between gender equality promotion on one hand and respect for cultural diversity and individualized care on the other, we will demonstrate that values of gender equality were often given priority. This is not necessarily undesirable. Nevertheless, our proposal is that the gender equality ideology may inhibit providers' ability to think differently about issues at stake in contraceptive counseling, which may negatively influence women's possibilities to obtain adequate support. At the end of the article, we suggest how health care providers' reflexivity might be used as a working tool for increased awareness about the taken-for-granted cultural norms that exist in their clinical milieu.

  • 5. Bakesiima, Ritah
    et al.
    Cleeve, Amanda
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), Global Health Research on Implementation and Sustainability. Department of Women’s and Children’s Health, Division of Obstetrics and Gynaecology, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden.
    Tumwine, James K
    Ndeezi, Grace
    Danielsson, Kristina Gemzell
    Nabirye, Rose Chalo
    Kashesya, Jolly Beyeza
    Modern contraceptive use among female refugee adolescents in northern Uganda: prevalence and associated factors2020In: Reproductive Health, ISSN 1742-4755, E-ISSN 1742-4755, Vol. 17, no 1, article id 67Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Adolescent pregnancies are persistently high among refugees. The pregnancies have been attributed to low contraceptive use in this population. The aim of this study was to determine the prevalence and factors associated with modern contraceptive use among female refugee adolescents in northern Uganda.

    METHODS: This was a cross sectional study using both descriptive and analytical techniques. The study was carried out in Palabek refugee settlement in Northern Uganda from May to July 2019. A total of 839 refugee adolescents who were sexually active or in-union were consecutively enrolled. Interviewer administered questionnaires were used for data collection.

    RESULTS: Modern contraceptive prevalence was 8.7% (95% CI: 7.0 to 10.8). The injectable was the most commonly used modern contraceptive method [42.5% (95% CI: 31.5 to 54.3)], and most of the participants had used the contraceptives for 6 months or less (59.7%). Reasons for not using modern contraceptives included fear of side effects (39.3%), partner prohibition (16.4%), and the desire to become pregnant (7.0%). Participants who were married (OR = 0.11, 95% CI: 0.04 to 0.35, p < 0.001), cohabiting (OR = 0.43, 95% CI: 0.20 to 0.93, p = 0.032) or having an older partner (OR = 0.93, 95% CI: 0.86 to 0.99, p = 0.046) were less likely to use modern contraceptives.

    CONCLUSION: Modern contraceptive use among female refugee adolescents was very low, and few reported a desire to become pregnant, leaving them vulnerable to unplanned pregnancies. Least likely to use modern contraceptives were participants who were married/cohabiting and those having older partners implying a gender power imbalance in fertility decision making. There is an urgent need for innovations to address the gender and power imbalances within relationships, which could shape fertility decision-making and increase modern contraceptive use among refugee adolescents.

    Download full text (pdf)
    fulltext
  • 6.
    Cleeve, Amanda
    et al.
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Karolinska Univ Hosp, WHO Ctr Human Reprod, Stockholm, Sweden..
    Oguttu, Monica
    Kisumu Med & Educ Trust, Kisumu, Kenya..
    Ganatra, Bela
    WHO, Dept Reprod Hlth & Res, Geneva, Switzerland..
    Atuhairwe, Susan
    Makerere Univ, Coll Hlth Sci, Mulago Hosp, Dept Obstet & Gynecol, Kampala, Uganda.;Makerere Univ, Coll Hlth Sci, Dept Obstet & Gynaecol, Kampala, Uganda..
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden..
    Makenzius, Marlene
    Karolinska Inst, Dept Publ Hlth Sci Global Hlth, Stockholm, Sweden.;Univ Nairobi, Coll Hlth Sci, Sch Nursing, Kenyatta Natl Hosp, Nairobi, Kenya..
    Klingberg-Allvin, Marie
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden..
    Paul, Mandira
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Kakaire, Othman
    Makerere Univ, Coll Hlth Sci, Mulago Hosp, Dept Obstet & Gynecol, Kampala, Uganda.;Makerere Univ, Coll Hlth Sci, Dept Obstet & Gynaecol, Kampala, Uganda..
    Faxelid, Elisabeth
    Karolinska Inst, Dept Publ Hlth Sci Global Hlth, Stockholm, Sweden..
    Byamugisha, Josaphat
    Makerere Univ, Coll Hlth Sci, Mulago Hosp, Dept Obstet & Gynecol, Kampala, Uganda.;Makerere Univ, Coll Hlth Sci, Dept Obstet & Gynaecol, Kampala, Uganda..
    Gemzell-Danielsson, Kristina
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Karolinska Univ Hosp, WHO Ctr Human Reprod, Stockholm, Sweden..
    Time to act-comprehensive abortion care in east Africa2016In: The Lancet Global Health, E-ISSN 2214-109X, Vol. 4, no 9, p. E601-E602Article in journal (Other academic)
    Download full text (pdf)
    fulltext
  • 7. Emtell Iwarsson, Karin
    et al.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Reproductive Health and Migration.
    Gemzell-Danielsson, Kristina
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Reproductive Health and Migration.
    Klingberg-Allvin, Marie
    Contraceptive use among migrant, second-generation migrant and non-migrant women seeking abortion care: a descriptive cross-sectional study conducted in Sweden2019In: BMJ Sexual & Reproductive Health, ISSN 2515-1991, E-ISSN 2515-2009, Vol. 45, no 2, p. 118-126Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: The objective of this study was to compare ever-in life contraception use, use of contraception at current conception, and planned use of contraception after an induced abortion, among three groups of women: migrants, second-generation migrants and non-migrant women, and to compare the types of contraception methods used and intended for future use among the three groups of women.

    METHODS: The cross-sectional study administered a questionnaire face-to-face to women aged 18 years and older who were seeking abortion care at one of six abortion clinics in Stockholm County from January to April 2015.

    RESULTS: The analysis included 637 women. Migrants and second-generation migrants were less likely to have used contraception historically, at the time of the current conception, and to plan to use contraception after their induced abortion compared with non-migrant women. Historically, non-migrants had used pills (89%) and withdrawal (24%) while migrants had used the copper intrauterine device (24%) to a higher extent compared to the other two groups of women. Both the migrants (65%) and second-generation migrants (61%) were more likely than the non-migrants (48%) to be planning to use long-acting reversible contraception.

    CONCLUSIONS: Lower proportions of contraception use were found in migrants and second-generation migrants than in non-migrants. In addition, there were significant differences in the types of contraception methods used historically and intended for future use.

  • 8.
    Herzig Van Wees, Sibylle L.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), Global Health Research on Implementation and Sustainability. Department of Global Public Health Karolinska Institutet, Stockholm, Sweden.
    Fried, Sarah
    Department of Obstetrics and Gynecology, Stockholm South General Hospital, Sweden.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), Global Health Research on Implementation and Sustainability. Department of Womeńs and Childreńs Health and Department of Global Public Health Karolinska Institutet, Sweden.
    Arabic speaking migrant parents' perceptions of sex education in Sweden: A qualitative study2021In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 28, article id 100596Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: It is well established that migrants underutilise sexual and reproductive health (SRH) services for structural and socio-cultural reasons. Sex education at Swedish schools is compulsory and an important part of Swedish upbringing, yet little is known about how migrants perceive this. This study examined migrant parents' views on sex education that their children receive at Swedish schools.

    METHODS: This is a qualitative study using 14 focus group discussions (74 = n) with Arabic speaking migrant parents attending Swedish integration courses. Qualitative data analysis was used following Saldana's coding method.

    RESULTS: Migrants' perceptions about sex education provided at Swedish schools are influenced by their home countries, where most participants received no sex education at schools and very little sex education at home. Therefore, values about sex in home countries and Sweden are often contrasting. Consequently, migrant parents are concerned about sex education that their children receive at Swedish schools. There are varied interpretations of sex education, concern over the content and methods taught, and there are numerous assumptions about potential negative effects of sex education.

    CONCLUSION: The study echoes findings on intergenerational challenges in migrant families surrounding the topic of gender and sex, often brought on by discussions about sex education at schools. Innovative approaches are needed to support migrant parents as part of Sweden's effort to strengthen effectiveness and inclusiveness of sex education.

    Download full text (pdf)
    fulltext
  • 9.
    Hlatshwako, Takhona G.
    et al.
    Univ N Carolina, Dept Hlth Policy & Management, Chapel Hill, NC 27515 USA..
    Shah, Sonam J.
    Univ N Carolina, Dept Hlth Policy & Management, Chapel Hill, NC 27515 USA..
    Kosana, Priya
    Univ N Carolina, Dept Publ Policy, Chapel Hill, NC 27515 USA..
    Adebayo, Emmanuel
    Univ Ibadan, Inst Child Hlth, Adolescent Hlth Unit, Ibadan, Nigeria..
    Hendriks, Jacqueline
    Curtin Univ, Fac Hlth Sci, Sch Publ Hlth, Collaborat Evidence Res & Impact Publ Hlth, Perth, WA, Australia..
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), Global Health Research on Implementation and Sustainability. Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden; Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden.
    Hensel, Devon J.
    Indiana Univ, Sch Med, Dept Pediat, Indianapolis, IN 46202 USA.;Indiana Univ Purdue Univ, Dept Sociol, Indianapolis, IN 46202 USA..
    Toller Erausquin, Jennifer
    Univ N Carolina, Dept Publ Hlth Educ, Greensboro, NC USA..
    Marks, Michael
    London Sch Hyg & Trop Med, Fac Infect & Trop Dis, Clin Res Dept, London, England.;Hosp Trop Dis, London, England..
    Michielsen, Kristien
    Univ Ghent, Int Ctr Reprod Hlth, Dept Publ Hlth & Primary Care, Ghent, Belgium.;Univ Ghent, Acad Network Sexual & Reprod Hlth & Rights Policy, Ghent, Belgium..
    Saltis, Hanna
    Curtin Univ, Fac Hlth Sci, Sch Publ Hlth, Collaborat Evidence Res & Impact Publ Hlth, Perth, WA, Australia..
    Francis, Joel M.
    Univ Witwatersrand, Sch Clin Med, Dept Family Med & Primary Care, Johannesburg, South Africa..
    Wouters, Edwin
    Univ Antwerp, Dept Sociol, Ctr Populat Family & Hlth, Antwerp, Belgium..
    Tucker, Joseph D.
    London Sch Hyg & Trop Med, Fac Infect & Trop Dis, Clin Res Dept, London, England.;Univ N Carolina, Dept Med, Chapel Hill, NC 51009 USA..
    Online health survey research during COVID-192021In: The Lancet Digital Health, E-ISSN 2589-7500, Vol. 3, no 2, p. e76-e77Article in journal (Other academic)
    Download full text (pdf)
    fulltext
  • 10.
    Kilander, Helena
    et al.
    Sch Hlth & Welf Jönköping Univ, Jönköping Acad Improvement Hlth & Welf, Jönköping, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, Solna, Sweden.;Linköping Univ, Div Nursing Sci & Reprod Hlth, Dept Hlth Med & Caring Sci, Linköping, Sweden.;Linköping Univ, Region Jönköping Cty, Dept Obstet & Gynaecol, Linköping, Sweden..
    Weinryb, Maja
    Karolinska Inst, Dept Womens & Childrens Hlth, Solna, Sweden.;Hlth Care Serv, Stockholm Reg, Stockholm, Sweden..
    Vikstrom, Malin
    Stockholm South Gen Hosp, Hlth & Med Care Adm, Maternal Healthcare Unit, Reg Stockholm Cty, Stockholm, Sweden..
    Petersson, Kerstin
    Stockholm South Gen Hosp, Hlth & Med Care Adm, Maternal Healthcare Unit, Reg Stockholm Cty, Stockholm, Sweden.;Umeå Univ, Dept Clin Sci Obstet & Gynaecol, Umeå, Sweden..
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Reproductive Health and Migration. Karolinska Inst, Dept Womens & Childrens Hlth, Solna, Sweden.;Karolinska Inst, Dept Global Publ Hlth, Widerstromskahuset Floor 3,Tomtebodavagen 18A, SE-17177 Stockholm, Sweden..
    Developing contraceptive services for immigrant women postpartum - a case study of a quality improvement collaborative in Sweden2022In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, no 1, article id 556Article in journal (Refereed)
    Abstract [en]

    Background Immigrant women use less effective contraceptive methods and have a higher risk of unintended pregnancies. Maternal health care services offer a central opportunity to strengthen contraceptive services, especially among immigrants. This study aimed to evaluate a Quality Improvement Collaborative QIC. Its objective was to improve contraceptive services for immigrant women postpartum, through health care professionals' (HCPs) counselling and a more effective choice of contraceptive methods. Methods The pilot study was designed as an organisational case study including both qualitative and quantitative data collection and analysis. Midwives at three maternal health clinics (MHCs) in Stockholm, Sweden participated in a QIC during 2018-2019. In addition, two recently pregnant women and a couple contributed user feedback. Data on women's choice of contraceptive method at the postpartum visit were registered in the Swedish Pregnancy Register over 1 year. Results The participating midwives decided that increasing the proportion of immigrant women choosing a more effective contraceptive method postpartum would be the goal of the QIC. Evidence-based changes in contraceptive services, supported by user feedback, were tested in clinical practice during three action periods. During the QIC, the proportion of women choosing a more effective contraceptive method postpartum increased at an early stage of the QIC. Among immigrant women, the choice of a more effective contraception increased from 30 to 47% during the study period. Midwives reported that their counselling skills had developed due to participation in the QIC, and they found using a register beneficial for evaluating women's choice of contraceptive methods. Conclusions The QIC, supported by a register and user feedback, helped midwives to improve their contraceptive services during the pregnancy and postpartum periods. Immigrant women's choice of a more effective contraceptive method postpartum increased during the QIC. This implies that a QIC could increase the choice of a more effective contraception of postpartum contraception among immigrants.

    Download full text (pdf)
    FULLTEXT01
  • 11.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Could co-production contribute to equitable contraceptive counselling among immigrants?: Towards a more equitable contraceptive counselling among immigrants from Middle East in Sweden2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27Article in journal (Other academic)
  • 12.
    Larsson, Elin C.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.
    Fried, Sarah
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Klingberg-Allvin, Marie
    Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden.
    Equitable abortion care - A challenge for health care providers. Experiences from abortion care encounters with immigrant women in Stockholm, Sweden2016In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 10, p. 14-18Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To explore health care providers' experiences of providing care to immigrant women seeking abortion care.

    METHODS: A qualitative study including interviews with ten midwives and three medical doctors at four abortion clinics in the Stockholm area. Interviews were analysed using thematic analysis.

    RESULTS: Initially, health care providers were reluctant to make statements concerning the specific needs among immigrant women. Yet, the health care providers sometimes found it challenging to deal with the specific needs among immigrant, mostly non-European, women. Three themes were identified: (1) Reluctance to acknowledge specific needs among immigrant women; (2) Striving to provide contraceptive counselling to immigrant women; (3) Organizational barriers hindering patient-centred abortion care to immigrant women CONCLUSIONS: Health care providers' experiences of the specific needs among non-European, immigrant women are not openly discussed, although they are acknowledged. To achieve equitable access to sexual and reproductive health (SRH), health care providers need to be better equipped when encountering immigrant women in abortion care, especially regarding contraceptive counselling. The potential impact of patients' knowledge, norms and values is not adequately dealt with in the clinical encounter. Moreover, to provide patient-centred care, it is crucial to understand how to develop and implement SRH care that ensures equal access to high-quality care.

  • 13.
    Larsson, Elin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration. Karolinska Inst, Stockholm, Sweden.
    Emtell-Iwarsson, K.
    Karolinska Inst, Stockholm, Sweden.
    Gemzell-Danielsson, K.
    Karolinska Inst, Stockholm, Sweden.
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Klingberg-Allvin, M.
    Dalarna Univ, Falun, Sweden.
    Contraceptive use among immigrant and non-immigrant women seeking abortion care in Stockholm County, Sweden2018In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, no Supplement: 1, p. 103-103Article in journal (Other academic)
  • 14.
    Michielsen, Kristien
    et al.
    Univ Ghent, Int Ctr Reprod Hlth, Dept Publ Hlth & Primary Care, Ghent, Belgium.;Univ Ghent, Acad Network Sexual & Reprod Hlth & Rights Policy, Ghent, Belgium..
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), Global Health Research on Implementation and Sustainability. Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden..
    Kagesten, Anna
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden..
    Erausquin, Jennifer Toller
    Univ North Carolina Greensboro, Dept Publ Hlth Educ, Greensboro, NC USA..
    Griffin, Sally
    Ctr Int Saude Reprod, Maputo, Mozambique..
    Van de Velde, Sarah
    Univ Antwerp, Dept Sociol, Antwerp, Belgium..
    Tucker, Joseph D.
    Univ N Carolina, Dept Med, Chapel Hill, NC 27515 USA.;London Sch Hyg & Trop Med, Fac Infect & Trop Dis, Clin Res Dept, London, England..
    International Sexual Health And REproductive health (I-SHARE) survey during COVID-19: study protocol for online national surveys and global comparative analyses2021In: Sexually Transmitted Infections, ISSN 1368-4973, E-ISSN 1472-3263, Vol. 97, no 2, p. 88-92Article in journal (Refereed)
    Abstract [en]

    Background COVID-19 may have a profound impact on sexual health, reproductive health and social life across the world. Shelter in place regulations that have extended across the globe may influence condomless sex, exacerbate intimate partner violence and reduce access to essential reproductive health services. Population representative research is challenging during shelter in place, leaving major gaps in our understanding of sexual and reproductive health during COVID-19. This International Sexual Health And ReproductivE health (I-SHARE) study protocol manuscript describes a common plan for online national surveys and global comparative analyses. Methods The purpose of this cross-sectional study is to better understand sexual and reproductive health in selected countries during the COVID-19 pandemic and facilitate multinational comparisons. Participants will be recruited through an online survey link disseminated through local, regional and national networks. In each country, a lead organisation will be responsible for organising ethical review, translation and survey administration. The consortium network provides support for national studies, coordination and multinational comparison. We will use multilevel modelling to determine the relationship between COVID-19 and condomless sex, intimate partner violence, access to reproductive health services, HIV testing and other key items. This study protocol defines primary outcomes, prespecified subanalyses and analysis plans. Conclusion The I-SHARE study examines sexual and reproductive health at the national and global level during the COVID-19 pandemic. We will use multilevel modelling to investigate country-level variables associated with outcomes of interest. This will provide a foundation for subsequent online multicountry comparison using more robust sampling methodologies.

  • 15.
    Nystrom, M. E.
    et al.
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, S-17177 Stockholm, Sweden.;Umeå Univ, Dept Publ Hlth & Clin Med, Epidemiol & Global Hlth, S-90187 Umeå, Sweden..
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Reproductive Health and Migration. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Global Health Research on Implementation and Sustainability. Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, S-17177 Stockholm, Sweden..
    Pukk Harenstam, K.
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, S-17177 Stockholm, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, S-17177 Stockholm, Sweden.;Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, Pediat Emergency Dept, Stockholm, Sweden..
    Tolf, S.
    Karolinska Inst, Dept Learning Informat Management & Eth, Med Management Ctr, S-17177 Stockholm, Sweden..
    Improving care for immigrant women before, during, and after childbirth - what can we learn from regional interventions within a national program in Sweden?2022In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, no 1, article id 662Article in journal (Refereed)
    Abstract [en]

    Background Migration has increased the number of immigrant women in western countries, which has led to a need to adapt sexual and reproductive health (SRH) care to a larger variety of experiences. Examples of problems are poor access/utilization of SRH services among migrants and a comparatively higher rate of mortality and morbidity in relation to pregnancy, especially among those from low- and middle-income settings. Attempts to improve SHR care must consider the complexity of both the problem and the system. A national program to improve women's health in Sweden provided opportunities to study interventions aimed at immigrant women, using a complexity theory lens. The purpose was to explore the characteristics and complexity of regional interventions aiming to improve care and health of immigrant women before, during and after childbirth, and provide knowledge on how regional healthcare actors perceive and address problems in these areas. Methods This archival research study is based on qualitative data from detailed yearly reports of all regional program interventions (n = 21 regions) performed between January 2017 and January 2019. The archival data consists of the regional actors' answers to an extensive questionnaire-like template, where the same questions were to be filled in for each reported intervention. Data analyses were performed in several steps, combining classic and directive content analysis. Results Six problem categories were addressed by 54 regional interventions, 26 directed at immigrant women and their families, 11 at healthcare staff, and 17 at the organizational system. The simple level interventions (n = 23) were more unilateral and contained information campaigns, information material and translation, education, mapping e.g., of genital mutilation, and providing staff and/or financial resources. The complicated interventions (n = 10) concerned increasing communication diversity e.g., by adding iPads and out-reach visits. The complex interventions (n = 21), e.g., health schools, integration of care, contained development, adaptions, and flexibility with regards to the immigrant women's situation, and more interaction among a diversity of actors, also from the wider welfare system. Conclusions It is important that complex problems, such as ensuring equal care and health among a diverse population, are addressed with a mix of simple, complicated, and complex interventions. To enhance intended change, we suggest that pre-requisites e.g., communication channels and knowledge on behalf of immigrant women and staff, are ensured before the launch of complex interventions. Alternatively, that simple level interventions are embedded in complex interventions.

    Download full text (pdf)
    FULLTEXT01
  • 16.
    Ogbe, Emilomo
    et al.
    Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium.
    Van Braeckel, Dirk
    Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium.
    Temmerman, Marleen
    Univ Ghent, Ghent, Belgium;Aga Khan Univ, Nairobi, Kenya.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Keygnaert, Ines
    Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium.
    Aragon, Wilson De los Reyes
    RFSU Swedish Assoc Sexual Educ, Stockholm, Sweden.
    Cheng, Feng
    Tsinghua Univ, Sch Med, Beijing, Peoples R China;Tsinghua Univ, Res Ctr Publ Hlth, Beijing, Peoples R China.
    Lazdane, Gunta
    Riga Stradins Univ, Dept Obstet & Gynaecol, Riga, Latvia.
    Cooper, Diane
    Univ Western Cape, Sch Publ Hlth, Cape Town, South Africa.
    Shamu, Simukai
    Fdn Profess Dev, Pretoria, South Africa;Univ Witwatersrand, Sch Publ Hlth, Johannesburg, South Africa.
    Gichangi, Peter
    Univ Ghent, Ghent, Belgium;Univ Nairobi, Nairobi, Kenya;Int Ctr Reprod Hlth, Nairobi, Kenya.
    Dias, Sonia
    Univ Nova Lisboa, Ctr Invest Saude Publ, Escola Nacl Saude Publ, Lisbon, Portugal.
    Barrett, Hazel
    Coventry Univ, Ctr Trust Peace & Social Relat, Coventry, W Midlands, England.
    Nobels, Anne
    Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium.
    Pei, Kaiyan
    Natl Res Inst Family Planning, Beijing, Peoples R China.
    Galle, Anna
    Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium.
    Esho, Tammary
    Tech Univ Kenya, Dept Community & Publ Hlth, Nairobi, Kenya.
    Knight, Lucia
    Univ Western Cape, Sch Publ Hlth, Cape Town, South Africa.
    Tabana, Hanani
    Univ Western Cape, Sch Publ Hlth, Cape Town, South Africa.
    Degomme, Olivier
    Univ Ghent, Int Ctr Reprod Hlth, Ghent, Belgium.
    Opportunities for linking research to policy: lessons learned from implementation research in sexual and reproductive health within the ANSER network2018In: Health Research Policy and Systems, ISSN 1478-4505, E-ISSN 1478-4505, Vol. 16, article id 123Article in journal (Refereed)
    Abstract [en]

    Background: The uptake of findings from sexual and reproductive health and rights research into policy-making remains a complex and non-linear process. Different models of research utilisation and guidelines to maximise this in policy-making exist, however, challenges still remain for researchers to improve uptake of their research findings and for policy-makers to use research evidence in their work.

    Methods: A participatory workshop with researchers was organised in November 2017 by the Academic Network for Sexual and Reproductive Health and Rights Policy (ANSER) to address this gap. ANSER is a consortium of experienced researchers, some of whom have policy-making experience, working on sexual and reproductive health and rights issues across 16 countries and 5 continents. The experiential learning cycle was used to guide the workshop discussions based on case studies and to encourage participants to focus on key lessons learned. Workshop findings were thematically analysed using specific stages from Hanney et al.'s (Health Res Policy Syst 1:2, 2003) framework on the place of policy-making in the stages of assessment of research utilisation and outcomes.

    Results; The workshop identified key strategies for translating research into policy, including joint agenda-setting between researchers and policy-makers, as well as building trust and partnerships with different stakeholders. These were linked to stages within Hanney et al.'s framework as opportunities for engaging with policy-makers to ensure uptake of research findings.

    Conclusion: The engagement of stakeholders during the research development and implementation phases, especially at strategic moments, has a positive impact on uptake of research findings. The strategies and stages described in this paper can be applied to improve utilisation of research findings into policy development and implementation globally.

    Download full text (pdf)
    FULLTEXT01
  • 17.
    Paul, Mandira
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Nasstrom, Sara B.
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden..
    Klingberg-Allvin, Marie
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden..
    Kiggundu, Charles
    Mulago Hosp, Dept Obstet & Gynaecol, Kampala, Uganda..
    Larsson, Elin C.
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden..
    Healthcare providers balancing norms and practice: challenges and opportunities in providing contraceptive counselling to young people in Uganda - a qualitative study2016In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 9, p. 1-9, article id 30283Article in journal (Refereed)
    Abstract [en]

    Background: Pregnancies among young women force girls to compromise education, resulting in low educational attainment with subsequent poverty and vulnerability. A pronounced focus is needed on contraceptive use, pregnancy, and unsafe abortion among young women. Objective: This study aims to explore healthcare providers' (HCPs) perceptions and practices regarding contraceptive counselling to young people. Design: We conducted 27 in-depth interviews with doctors and midwives working in seven health facilities in central Uganda. Interviews were open-ended and allowed the participant to speak freely on certain topics. We used a topic guide to cover areas topics of interest focusing on post-abortion care (PAC) but also covering contraceptive counselling. Transcripts were transcribed verbatim and data were analysed using thematic analysis. Results: The main theme, HCPs' ambivalence to providing contraceptive counselling to sexually active young people is based on two sub-themes describing the challenges of contraceptive counselling: A) HCPs echo the societal norms regarding sexual practice among young people, while at the same time our findings B) highlights the opportunities resulting from providers pragmatic approach to contraceptive counselling to young women. Providers expressed a self-identified lack of skill, limited resources, and inadequate support from the health system to successfully provide appropriate services to young people. They felt frustrated with the consultations, especially when meeting young women seeking PAC. Conclusions: Despite existing policies for young people's sexual and reproductive health in Uganda, HCPs are not sufficiently equipped to provide adequate contraceptive counselling to young people. Instead, HCPs are left in between the negative influence of social norms and their pragmatic approach to address the needs of young people, especially those seeking PAC. We argue that a clear policy supported by a clear strategy with practical guidelines should be implemented alongside in-service training including value clarification and attitude transformation to equip providers to be able to better cater to young people seeking sexual and reproductive health advice.

    Download full text (pdf)
    fulltext
  • 18.
    Persson, Maria
    et al.
    Karolinska Inst, Dept Womens & Childrens Hlth, Widerstromska Huset,Floor 8,Tomtebodavagen 18A, SE-17177 Stockholm, Sweden..
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Global Health Research on Implementation and Sustainability. Karolinska Inst, Dept Womens & Childrens Hlth, Widerstromska Huset,Floor 8,Tomtebodavagen 18A, SE-17177 Stockholm, Sweden..
    Islam, Noor Pappu
    Dalarna Univ, Sch Educ Hlth & Social Studies, Hgsk Gatan 2, SE-79188 Falun, Sweden..
    Gemzell-Danielsson, Kristina
    Karolinska Inst, Dept Womens & Childrens Hlth, Widerstromska Huset,Floor 8,Tomtebodavagen 18A, SE-17177 Stockholm, Sweden.;Karolinska Univ Hosp, WHO Ctr, QB 84,Karolinskavagen 37A, SE-17176 Stockholm, Sweden..
    Klingberg-Allvin, Marie
    Karolinska Inst, Dept Womens & Childrens Hlth, Widerstromska Huset,Floor 8,Tomtebodavagen 18A, SE-17177 Stockholm, Sweden.;Dalarna Univ, Sch Educ Hlth & Social Studies, Hgsk Gatan 2, SE-79188 Falun, Sweden..
    A qualitative study on health care providers' experiences of providing comprehensive abortion care in Cox's Bazar, Bangladesh2021In: Conflict and Health, E-ISSN 1752-1505, Vol. 15, article id 6Article in journal (Refereed)
    Abstract [en]

    Background: Humanitarian settings are characterised by limited access to comprehensive abortion care. At the same time, humanitarian settings can increase the vulnerability of women and girls to unintended pregnancies and unsafe abortions. Humanitarian actors and health care providers can play important roles in ensuring the availability and accessibility of abortion-related care. This study explores health care providers' perceptions and experiences of providing comprehensive abortion care in a humanitarian setting in Cox's Bazar, Bangladesh and identifies barriers and facilitators in service provision.

    Method: In-depth interviews (n = 24) were conducted with health care providers (n = 19) providing comprehensive abortion care to Rohingya refugee women and with key informants (n = 5), who were employed by an organisation involved in the humanitarian response. Data were analysed using an inductive content analysis approach.

    Results: The national menstrual regulation policy provided a favourable legal environment and facilitated the provision of comprehensive abortion care, while the Mexico City policy created organisational barriers since it made organisations unable or unwilling to provide the full comprehensive abortion care package. Supplies were available, but a lack of space created a barrier to service provision. Although training from organisations had made the health care providers confident and competent and had facilitated the provision of services, their knowledge of the national abortion law and menstrual regulation policy was limited and created a barrier to comprehensive abortion services. Even though the health care providers were willing to provide comprehensive abortion care and had acquired skills and applied strategies to communicate with and provide care to Rohingya women, their personal beliefs and their perceptions of Rohingya women influenced their provision of care.

    Conclusion: The availability and accessibility of comprehensive abortion care was limited by unfavourable abortion policies, a lack of privacy, a lack of knowledge of abortion laws and policies, health care providers' personal beliefs and a lack of cultural safety. To ensure the accessibility and availability of quality services, a comprehensive approach to sexual and reproductive health and rights is needed. Organisations must ensure that health care providers have knowledge of abortion policies and the ability to provide quality care that is woman-centred and non-judgmental.

    Download full text (pdf)
    FULLTEXT01
  • 19. Siösteen-Holmblad, Ingrid
    et al.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, SWEDESD - Sustainability Learning and Research Centre. Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden;Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden;The WHO Collaborating Centre, Karolinska University Hospital, Stockholm, Sweden.
    Kilander, Helena
    What factors influence a Quality Improvement Collaborative in improving contraceptive services for foreign-born women?: A qualitative study in Sweden2023In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 1089Article in journal (Refereed)
    Abstract [en]

    Background

    Improved contraceptive services could reduce the unmet need for contraception and unintended pregnancies globally. This is especially true among foreign-born women in high-income countries, as the health outcomes related to unmet need of contraception disproportionally affect this group. A widely used quality improvement approach to improve health care services is Quality Improvement Collaborative (QIC). However, evidence on to what extent, how and why it is effective and what factors influence a QIC in different healthcare contexts is limited. The purpose of this study was to analyse what factors have influenced a successful QIC intervention that is aimed to improve contraceptive service in postpartum care, mainly targeting foreign-born women in Sweden.

    Methods

    A qualitative, deductive design was used, guided by the Consolidated Framework for Implementation Research (CFIR). The study triangulated secondary data from four learning seminars as part of the QIC, with primary interview data with four QIC-facilitators. The QIC involved midwives at three maternal health clinics in Stockholm County, Sweden, 2018–2019.

    Results

    Factors from all five CFIR domains were identified, however, the majority of factors that influenced the QIC were found inside the QIC-setting, in three domains: intervention characteristics, inner setting and process. Outside factors and those related to individuals were less influential. A favourable learning climate, emphasizing co-creation and mutual learning, facilitated reflections among the participating midwives. The application of the QIC was facilitated by adaptability, trialability, and a motivated and skilled project team. Our study further suggests that the QIC was complex because it required a high level of engagement from the midwives and facilitators. Additionally, it was challenging due to unclear roles and objectives in the initial phases.

    Conclusions

    The application of the CFIR framework identified crucial factors influencing the success of a QIC in contraceptive services in a high-income setting. These factors highlight the importance of establishing a learning climate characterised by co-creation and mutual learning among the participating midwives as well as the facilitators. Furthermore, to invest in planning and formation of the project group during the QIC initiation; and to ensure adaptability and trialability of the improvement activities.

    Download full text (pdf)
    fulltext
  • 20.
    Wheeler, Amanda
    et al.
    Griffith Univ, Griffith Hlth Inst, Brisbane, Qld 4111, Australia.;Univ Auckland, Fac Med Hlth Sci, Auckland 1, New Zealand..
    McKenna, Brian
    Australian Catholic Univ, Melbourne, Vic, Australia.;North Western Mental Hlth, Melbourne, Vic, Australia..
    Madell, Dominic
    Univ Auckland, Sch Nursing, Mental Hlth Res Ctr, Auckland 1, New Zealand..
    Harrison, Jeff
    Univ Auckland, Sch Pharm, Auckland 1, New Zealand..
    Prebble, Kate
    Univ Auckland, Sch Nursing, Mental Hlth Res Ctr, Auckland 1, New Zealand..
    Larsson, Elin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Dunbar, Lucy
    Waitemata Dist Hlth Board, Clin Res & Resource Ctr, Auckland, New Zealand..
    Nakarada-Kordic, Ivana
    Univ Auckland, Sch Nursing, Mental Hlth Res Ctr, Auckland 1, New Zealand..
    Self-reported health-related quality of life of mental health service users with serious mental illness in New Zealand2015In: JOURNAL OF PRIMARY HEALTH CARE, ISSN 1172-6164, Vol. 7, no 2, p. 117-123Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Although people with serious mental illness (SMI) have a high prevalence of physical illness, health-related quality of life (HQoL) has not been sufficiently explored. AIM: To explore the self-reported HQoL of mental health service users in New Zealand. METHODS: Responses on the Medical Outcomes Study 36 Item Short Form (SF-36) measure of HQoL from 404 adult mental health service users in a metropolitan district health board area in New Zealand were analysed and compared to a representative sample of the general population. RESULTS: Mental health service users scored significantly lower on all eight domains of the SF-36 than the general population, the largest difference being in the role limitation-emotional domain. DISCUSSION: Being female, younger than 25, obese or overweight, or of New Zealand European/Other ethnicity were associated with poorer functioning on multiple HQoL domains. Future studies should seek to understand the factors contributing to perceptions of HQoL of mental health service users in New Zealand.

    Download full text (pdf)
    fulltext
  • 21.
    Åkerman, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Westerling, Ragnar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Larsson, Elin
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.
    Healthcare-seeking behaviour in relation to sexual and reproductive health among Thai-born women in Sweden: a qualitative study2017In: Culture, Health and Sexuality, ISSN 1369-1058, E-ISSN 1464-5351, Vol. 19, no 2, p. 194-207Article in journal (Refereed)
    Abstract [en]

    Thailand is one of the most common countries of origin among immigrants in Sweden and Thai immigrants comprise the immigrant group most frequently diagnosed with HIV. Little is known about their healthcare-seeking behaviour and views on HIV prevention. This study explored Thai women's healthcare-seeking behaviour in relation to sexual and reproductive health and their views on HIV prevention. Nineteen in-depth interviews were conducted with Thai-born women in the Stockholm area. Three themes were identified: (1) poor access to healthcare in Sweden, preferring to seek care in Thailand; (2) partners playing a key role in women's access to healthcare; (3) no perceived risk of HIV, but a positive attitude towards prevention. Despite expressing sexual and reproductive healthcare needs, most women had not sought this type of care, except for the cervical cancer screening programme to which they had been invited. Identified barriers for poor access to healthcare were lack of knowledge about the healthcare system and language difficulties. To achieve 'healthcare on equal terms', programmes and interventions must meet Thai women's healthcare needs and consider what factors influence their care-seeking behaviour. Integrating HIV prevention and contraceptive counselling into the cervical screening programme might be one way to improve access.

    Download full text (pdf)
    fulltext
  • 22.
    Åkerman, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Westerling, Ragnar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration. Karolinska Institute.
    Healthcare-seeking behaviour among Thai-born women in Sweden: a qualitative study2018In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 159-160Article in journal (Other academic)
  • 23.
    Åkerman, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Westerling, Ragnar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    A missed opportunity? Lack of knowledge about sexual and reproductive health services among immigrant women in Sweden2019In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 19, p. 64-70Article in journal (Refereed)
    Abstract [en]

    Objective: Poor sexual and reproductive health (SRH) among immigrant women is often related to limited access,or suboptimal use of healthcare services. This study investigates the knowledge about and use of sexual andreproductive healthcare services among immigrant women in Sweden

    Method: A cross-sectional study of 288 immigrant women. A structured questionnaire was distributed amongimmigrants speaking Arabic, Dari, Somali or English registered at Swedish language schools for immigrants.Data collection took place in 19 strategically selected schools in Sweden. Descriptive statistics, chi-square tests,and logistic regressions were used for the analysis.

    Results: About one-third of the immigrant women reported lack of knowledge of where to go for contraceptivecounselling. Experiencing lack of emotional social support and not having had children was associated with thislack of knowledge. An even higher proportion (56%) lacked knowledge of where to go to be HIV tested, and thiswas associated with not having participated in a health examination. Almost 25% stated that their culture keptthem back from using contraception.

    Conclusion: Lack of knowledge of where to turn for contraceptive counselling and HIV testing among immigrantwomen participating in Swedish language schools for immigrants could be considered as a missed opportunity,as all citizens in Sweden have free access to these services. New health policies and strategies should aim toincrease knowledge of SRH services among immigrants. Swedish language schools could play an important rolein increasing knowledge of SRH-related information as many new immigrants become students during their firstyears in Sweden.

    Download full text (pdf)
    fulltext
  • 24.
    Åkerman, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Larsson, Elin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Reproductive Health and Migration. Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden. .
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Reproductive Health and Migration.
    Westerling, Ragnar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Understanding the needs and use of sexual and reproductive health services among Thai women: a descriptive cross-sectional study in Sweden2021In: Sexual Health, ISSN 1448-5028, E-ISSN 1449-8987, Vol. 18, no 3, p. 203-211Article in journal (Refereed)
    Abstract [en]

    Background Immigrants are at increased risk of HIV infection in Europe and at risk of delayed diagnosis. In Sweden, Thailand belongs to one of the three most common countries of origin among immigrants diagnosed with HIV. This study investigated the need and use of sexual and reproductive health (SRH) services among Thai women residing in Sweden. Use of contraceptives and HIV testing in Thailand was also investigated to understand if this influences utilisation of SRH services in Sweden.

    METHODS: A cross-sectional study using postal questionnaire to all Thai-born women (age 23-60) in Stockholm, residing in Sweden since 2014. The response rate was 52.3% (n= 266). Bivariate and multivariate logistic regression analyses were used.

    RESULTS: The majority reported a significant need for information related to SRH services. Most of the women using contraception (70%) bought their contraceptives in Thailand. In total, 60% of the women had been HIV-tested at some point in their lives; the majority were tested in Thailand. Women who had been HIV-tested in Thailand were more likely to also have been tested in Sweden. Significant differences in contraception use, participation in contraceptive counselling and having had an HIV test were found between groups of younger and older women.

    CONCLUSIONS: Our findings imply that age is an important factor to understand women's need and use of SRH services in Sweden versus Thailand. Furthermore, women's lack of knowledge and reported need for SRH information needs to be considered when making policies and strategies to increase access to SRH services.

  • 25.
    Åkerman, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Larsson, Elin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Essén, Birgitta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration.
    Westerling, Ragnar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Thai immigrant women's healthcare use and needs in relation to sexual and reproductive health: a cross-sectional study in Sweden2018In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, no Supplement: 1, p. 121-121Article in journal (Other academic)
1 - 25 of 25
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf