Twenty-seven adult females' responses from an online qualitative questionnaire were analyzed to explore their views on being recovered from an experience of sexual assault, and identify aspects of their postassault health service encounters that facilitated or impeded their recovery process. Being recovered involved accepting the experience, being freed from negative states, regaining control and trust, and receiving help from and being believed by others. Participants predominantly reported negative experiences with health services. Factors perceived as impeding the recovery process include health professionals' inexperience in dealing with survivors of sexual assault, adhering to rape myths and stereotypes, and disrespectful or inconsiderate treatment of survivors. We argue that these postassault negative experiences revictimized survivors. Addressing these factors may reduce revictimization, facilitate recovery, and decrease assaulted women's long-term use of health services.
ObjectivesTo explore adolescents’ experiences of being diagnosed with Attention deficit hyperactivity disorder (ADHD).DesignQualitative interview study, using a phenomenological framework and analysis.SettingThe children’s clinic of a specialised out-care hospital located in a multicultural area of a Swedish city.Participants13 adolescents, 7 boys and 6 girls between 14 and 19 years old, who had been diagnosed with ADHD.ResultsThe participants’ experience of being diagnosed with ADHD was interpreted as a process of understanding oneself asbeing different, for better or worse, like many others. The participants sought acceptance and a sense of normality, while developing an understanding of both the positive and the negative sides of their ADHD traits. These two sides of a coin were inter-related parts of themselves and were shared by many others, which increased their acceptance. Three themes described phases of the process:struggling with vulnerability,responding to a labelandmanoeuvring social life.ConclusionThe results add to previous research, illuminating that the adolescents tried to make sense of both the uniqueness and the vulnerability of the ADHD diagnosis. The findings can be useful for healthcare professionals, in reflecting on the complexity of ADHD and on the adolescents’ expectations.
To study health inequalities between native and immigrant Swedes, we investigated differences in self-rated health (SRH), mental wellbeing (MW), common symptoms (CS), and persistent illness (PI), and if socioeconomic status (SES), negative status inconsistency, or social support could account for such differences. A secondary analysis was conducted on questionnaire data from a random adult population sample of 4,023 individuals and register data from Statistics Sweden. v 2 tests and binary logistic regressions were used to identify health differences and study these after accounting for explanatory variables. Compared with natives, immigrants more commonly reported negative status inconsistency, poorer SES, and poorer social support as well as poor SRH, very poor MW, and high level of CS but not PI. Significant differences were accounted for by work-related factors and social support. We encourage future research to address how pre-and peri-migration factors relate to immigrants' post-migration SES, social support, and health status. Policy Implications• Given the relationship between work-related factors (employment status, hours worked per week, and income) and all health outcomes in this study, labour market interventions that facilitate the integration of immigrants into the labour market, and into occupations that better correspond with their capacity, will arguably have public health benefits.
The primary aim of this qualitative study, which was based on interviews with 24 patients with diabetes mellitus, was to identify factors that influence patients’ willingness and ability to adhere to prescribed medicines, to recommend lifestyle choices and to acquire a deeper understanding of the way these factors influence adherence. The starting point for the study was our belief that it may be of pivotal importance for health professionals to address patients’ life experiences, present life situations and cultural background, as well as their conceptions and attitudes, in order to understand why some patients have or may encounter difficulty in following treatment recommendations and realising treatment goals. Four main themes related to the primary research questions were identified. Patients with diabetes may regard diabetes as a lifelong follower but not a real problem: a trifle in relation to the daily struggle with difficulties; something out of one's control; something not worth giving up the good things in life for. In our opinion, the main result of this study is that patients may view diabetes as a marginal problem in relation to other burdens and troubles in life, such as other somatic diseases and symptoms, mental illnesses due to previous traumatic experiences, concerns for loved ones and economy. We argue that the desired goals in terms of adherence and outcomes for patients with diabetes in general need to be adapted to what is desirable and realistic for the individual patient. Copyright © 2016 John Wiley & Sons.
Adolescent health services, or youth centres, have been established throughout Sweden with the ambition to exclusively address issues in relation to adolescent health. In this study, we evaluated an adolescent health service in Angered, a district in a large Swedish city facing a combination of challenges and resources on account of high prevalence of different nationalities as well as socioeconomic disadvantage, high-risk lifestyles and high rates of ill
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