Identification and risk assessment of Swedish youth at risk of chlamydia

Hammarström, Sofia; Tikkanen, Ronny; Stenqvist, Karin

doi:10.1177/1403494815572722

Cited by 13 publications

(22 citation statements)

References 27 publications

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“…The inclusion was further motivated by convenience for the youth clinic staff, who are already advised to ask about alcohol and drug use. Two items, age at sexual debut and number of sexual partners, were included based on their association with sexual risk-taking, transactional sex, sexual violence and STIs [2,3,7,[28][29][30]. One item concerning experience of firstdate sex was included in order to prompt a clinical conversation about related risks, such as condom non-use, and unwanted sexual experiences.…”

Section: Sexit Itemsmentioning

confidence: 99%

“…One item concerning experience of firstdate sex was included in order to prompt a clinical conversation about related risks, such as condom non-use, and unwanted sexual experiences. First-date sex reduces the possibility of knowing whether the partner has tested for STIs, and unprotected sex with a new or unknown partner has been associated with chlamydia [2] and other related factors: alcohol use [25], drug use, early sexual debut, multiple sexual partners and sex against one's will [21]. Two items, concerning chlamydia and unintended pregnancy, capture previous risk-taking and serve as possible markers of future risk-taking and ill health [10,11,27,31].…”

Section: Sexit Itemsmentioning

confidence: 99%

“…Different manifestations of sexual ill health tend to be interrelated and share many associated factors. To mention a few, STIs are associated with multiple sexual partners, early sexual debut, alcohol use and experience of transactional sex [2,3]. Experience of sexual violence is associated with unintended pregnancy and STIs through unprotected sex, and a greater likelihood of engaging in transactional sex [4][5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Identifying young people exposed to or at risk of sexual ill health: pilot implementation of an evidence-informed toolkit (SEXIT) at Swedish youth clinics

Hammarström

Nilsén

Lindroth

et al. 2019

The European Journal of Contraception & Reproductive Health

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Objectives: We aimed to develop and pilot-implement an evidence-informed toolkit (SEXual health Identification Tool; SEXIT) for identifying young people exposed to or at risk of sexual ill health, at Swedish youth clinics, and to investigate SEXIT's potential to identify young people in need of special care and monitoring. Methods: The SEXIT toolkit was developed, validated and pilot-implemented at three Swedish youth clinics. Pre-implementation staff readiness was assessed and youth clinic visitors' responses to SEXIT were analysed. Results: All staff perceived a need for screening for sexual risk-taking and exposure. The response rate from 268 youth clinic visitors (aged 15-24 years) was 86%. Half of the visitors had one or no variable associated with sexual ill health, a third had two or three, and 15% reported between four and seven variables. The most common variables were alcohol use, three or more sexual partners in the past year and previous chlamydia. Visitors rated SEXIT as important and not uncomfortable or difficult to answer. Conclusions: The SEXIT toolkit was found to be feasible and highly acceptable in a clinical setting. The use of SEXIT may facilitate important questions on sexual risk-taking and sexual ill health to be raised with youth clinic visitors.

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Section: Sexit Itemsmentioning

confidence: 99%

Section: Sexit Itemsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Identifying young people exposed to or at risk of sexual ill health: pilot implementation of an evidence-informed toolkit (SEXIT) at Swedish youth clinics

Hammarström

Nilsén

Lindroth

et al. 2019

The European Journal of Contraception & Reproductive Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Risk factors which can be linked to sexual risk-taking are, for example, experience of sexual abuse, difficult conditions during childhood and adolescence, feelings of hopelessness, depression and suicide attempts (31). A high consumption of alcohol, drug abuse, having a sexually transmitted infection over the past 12 months, sexual debut before the age of 15, experience of sexual acts against your will, sex for payment and vulnerable socioeconomic living conditions are also risk factors (29,41). Greater knowledge of why young people have unprotected sex aims to propose methods and initiatives which can prevent sexual risk-taking and promote sexual health.…”

Section: Protective Factors and Risk Factorsmentioning

confidence: 99%

“…Among them 4 per cent had 6-10 unprotected sex contacts (partners) over the past year. Those who had unprotected sex with many partners need to be reached by the prevention work as the number of partners can impact the risk of sexually transmitted infections (41). Counselling on the number of partners and sexual health should contain an investigation and openness of how the persons live sexually, whether they have the number of partners which they want to have and whether they use protection against HIV, sexually transmitted infections and unwanted pregnancy to the extent necessary (78).…”

Section: Safer Sexmentioning

confidence: 99%

Development of a Mobile Phone App to Promote Safe Sex Practice Among Youth in Stockholm, Sweden: Qualitative Study

2020

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Background Mobile health (mHealth) has been shown to be effective in increasing knowledge of sexual health among youth. To date, evaluations mostly refer to interventions delivered via computer, email, and text messages. The possibility of downloading apps on mobile devices has opened up opportunities to develop engaging interventions on safe sexual health promotion. To attract young users and have them engage with a sexual health app, it is important to involve youth in intervention development. Objective This study aimed to obtain input from youth on the content of a mobile phone app intended to promote safe sex and increase condom use among youth in Stockholm. Methods This study was conducted at the Youth Health Clinics (YHC) in Stockholm County, Sweden. A total of 15 individual in-depth interviews and 2 focus group discussions (with youth aged 18-23 years) were conducted at the YHC in Stockholm. Areas explored were: (1) youth perceptions of condom use (advantages and obstacles), (2) perceptions of mHealth to promote safe sexual practices, and (3) content development for a mobile phone app to promote safe sex. Results The smartphone app was developed based on the categories that emerged from the data. With regard to content, youth requested sex education, including information on sexually transmitted infections. In addition, condom-specific information, including practical usage technique, advice on how to have the condom talk, and how to decrease shame related to condom use, was requested. Youth suggested different modes to deliver the content, including text messages, movie clips, and push notifications. It was suggested that the tone of the messages delivered should be fun, entertaining, and supportive. The inputs from youth influenced the development of the following sections of the app: Condom Obstacles and Solutions; Quiz; Games; Self-Refection; Challenges; Stories by Peers (stories from peers and information from a doctor); Condom Tips, Pep Talk, and Boosting; and Random Facts. Conclusions It is important to use input from youth when developing a smartphone intervention since the success of the intervention largely depends on the level of engagement and usage by youth. Furthermore, if proven efficient in increasing condom use, it is important that the development, including content and mode, is thoroughly described so that the intervention can be replicated. Likewise, if proven inefficient, it is important to learn from mistakes to improve and adjust the intervention. The effect of this smartphone app on safe sexual practices among youth is being evaluated in a pragmatic randomized controlled trial in Stockholm (ISRCTN13212899) and will be reported separately.

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Vulnerability Analysis in Sexual and Reproductive Health and Rights (SRHR) — Indications of Intersecting Vulnerable Positions in a National Survey Among Young People in Sweden

Schindele

Josefsson²,

Lindroth³

2022

Sex Res Soc Policy

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Introduction Sexual and reproductive health and rights (SRHR) policies use gender as the foremost social determinant to explain vulnerability in relation to SRHR among young people. Therefore, our aim was to explore intersecting vulnerable positions within the three SRHR-related outcome areas: unsafe sex, sex against one’s will, and transactional sex, among young people aged 16–29. Methods The data set is from a randomised, cross-sectional, and population-based SRHR survey conducted in Sweden in 2015, and the 7755 respondents imply a response rate (26%) in line with the power estimations. How gender intersects with five other social positions, i.e. social determinants (sexual identity, transgender experience, perceived economy, being foreign-born, and social welfare recipiency), was explored through a stepwise descriptive intersecting vulnerability analysis exemplified through three outcome variables: unsafe sex, sex against one’s will, and transactional sex. Results Gender intersects with other social determinants and creates vulnerable positions in SRHR-related outcomes. The most vulnerable positions within each of the three outcome variables were the following: (1) for unsafe sex: being a man and homosexual; (2) for sex against one’s will: being a woman and bisexual; and (3) for transactional sex: being a man and having transgender experience. Conclusions Despite limitations, the descriptive intersecting vulnerability analysis indicates how gender intersects with other social determinants and generates multiple vulnerable positions in relation to SRHR. Policy Implications The results can be of interest in future studies on vulnerability and inform policies that intend to fulfil the intention of leaving no one behind, as stated in the Agenda 2030.

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Identification and risk assessment of Swedish youth at risk of chlamydia

Cited by 13 publications

References 27 publications

Identifying young people exposed to or at risk of sexual ill health: pilot implementation of an evidence-informed toolkit (SEXIT) at Swedish youth clinics

Identifying young people exposed to or at risk of sexual ill health: pilot implementation of an evidence-informed toolkit (SEXIT) at Swedish youth clinics

Development of a Mobile Phone App to Promote Safe Sex Practice Among Youth in Stockholm, Sweden: Qualitative Study

Vulnerability Analysis in Sexual and Reproductive Health and Rights (SRHR) — Indications of Intersecting Vulnerable Positions in a National Survey Among Young People in Sweden

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