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Thitasan, A., Aytar, O., Annerbäck, E.-M. -. & Velandia, M. (2019). Young people's health and risk behaviours in relation to their sexual orientation: A cross-sectional study of Thailand and Sweden. Sexual & Reproductive HealthCare, 21, 67-74
Open this publication in new window or tab >>Young people's health and risk behaviours in relation to their sexual orientation: A cross-sectional study of Thailand and Sweden
2019 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 21, p. 67-74Article in journal (Refereed) Published
Abstract [en]

Objectives: This study examined the associations between sexual orientation of young people and their health and risk behaviours in Thailand and Sweden, and to explore similarities and differences between the countries. Study design: A cross-sectional study using data from the Life and Health – Young surveys in Thailand and Sweden. Three different statistical analyses were used to examine the associations of the variables. Results: In total, 3869 students aged 16–18 years old were included: 1488 Thai students and 2381 Swedish students. Significantly more Thai (20%) than Swedish (9%) students identified themselves as bisexual, homosexual or unsure (p < .001). Bivariate analysis showed that, in Thailand, self-harm was more often reported by the homosexual, unsure, and bisexual groups than by the heterosexual group (p = .005). In Sweden, early sexual debut was more often reported by the unsure, bisexual, and homosexual groups than by the heterosexual group (p = .033). Multiple logistic regression analysis showed that homosexual and unsure sexual orientations were significantly associated with self-harm (p < .05) among Thai students. Unsure sexual orientation was significantly associated with early sexual debut (p = .04) among Swedish students. Multiple correspondence analysis indicated that sexual orientation was associated with health and risk behaviours, and varied by different subcategories of students’ backgrounds such as country, sexual orientation, family structure and adult support. Conclusions: Sexual minority young people reported more risk behaviours and poorer health than their heterosexual counterparts. The findings are useful for policy programmes on sexual and reproductive health and rights of young people.

Place, publisher, year, edition, pages
Elsevier B.V., 2019
Keywords
Adolescents, Gender, Sexual minorities
National Category
Computer and Information Sciences
Identifiers
urn:nbn:se:mdh:diva-44870 (URN)10.1016/j.srhc.2019.05.004 (DOI)2-s2.0-85068206631 (Scopus ID)
Note

Export Date: 11 July 2019; Article; Correspondence Address: Thitasan, A.Ponpan Road 224, Ampher Maung, Thailand; email: anchalee.thitasan@mdh.se

Available from: 2019-07-11 Created: 2019-07-11 Last updated: 2019-07-11Bibliographically approved
Aytar, O. (2018). Involuntary Marriages From a Human Rights Perspective: Towards an Analytical Framework. The Journal of Mesopotamian Studies, 3(1), 95-120
Open this publication in new window or tab >>Involuntary Marriages From a Human Rights Perspective: Towards an Analytical Framework
2018 (English)In: The Journal of Mesopotamian Studies, ISSN 2147-6659, Vol. 3, no 1, p. 95-120Article in journal (Refereed) Published
Abstract [en]

The aim of this article is to develop an analytical framework for understanding involuntary marriages from a human rights perspective based on the United Nations’ human rights conventions and the European Convention for the Protection of Human Rights and Fundamental Freedoms. The empirical material used as a basis for an analytical framework consists of 16 thematic open-ended interviews with Kurds in Sweden. A total of eight of the 16 respondents were below 18 years of age when they married. The results from these interviews show that the majority of interviewees’ marriages are arranged. The results also show that the reasons behind these marriages and the consequences of them are complex and go beyond being mere expressions of gender roles. In addition to the fathers who typically have greater influence than the mothers do, there are differences in power and influence among women as well, such as mothers’ power over daughters and step-mothers’ power over step-daughters. Therefore, there is a need for new and wider perspectives on involuntary marriages, and the analytical framework developed in this article is a part of such a purpose.

Place, publisher, year, edition, pages
Mardin: Mardin Artuklu University, 2018
Keywords
Involuntary marriage, arranged marriage, child marriage, forced marriage
National Category
Social Work Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-38934 (URN)
Available from: 2018-04-09 Created: 2018-04-09 Last updated: 2018-04-27Bibliographically approved
Aytar, O., Tillgren, P., Söderlund, A., Bogg, L. & Akhavan, S. (2017). Health Care Provider’s Perceptions about and Experiences of Achieving Equitable Health Care: An Evaluation Study. Quality in Primary Care, 25(5), 289-296
Open this publication in new window or tab >>Health Care Provider’s Perceptions about and Experiences of Achieving Equitable Health Care: An Evaluation Study
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2017 (English)In: Quality in Primary Care, ISSN 1479-1072, E-ISSN 1479-1064, Vol. 25, no 5, p. 289-296Article in journal (Refereed) Published
Abstract [en]

Background: In June 2011 the Swedish government signed an agreement with The Swedish Association of Local Authorities and Regions (SALAR), for a three year project to develop and implement “Health care on equal terms.” The project, which involved seven Primary Health Care Units (PHCU) from five county councils in different parts in Sweden, was completed in early 2014. The aim of the project was to develop methods and activities that could promote more equal health care provision in socio-economically disadvantaged areas.

Aim: To assess and compare health care providers’ experiences of and perceptions about equitable health care at the beginning and end of the national project “Health care on equal terms”.

Methods: A web survey was sent to all staff at the seven participating Primary Health Care Units (PHCU) at the beginning (2012) and the end (2013) of the project. Data were analyzed with descriptive statistics and the open issues with content analysis.

Results: In 2013, the percentage of health care providers who reported thinking patients’ ethnicity had no or very little impact on access to care increased, but the proportion of those who reported that they had “no idea” that patients’ gender, age, mental health and physical functioning were significant for access to care was lower in 2013 than in 2012. The results from analysis of the open-ended questions did not show meaningful changes in the respondents’ perceptions of the issues addressed in 2012-2013, but the analysis contributes to a deeper explanation of the answers.

Conclusion: The main conclusion is that it was possible to implement changes aiming for more equitable care through projects with a focus on learning.

Place, publisher, year, edition, pages
London: , 2017
Keywords
Sweden; Primary health care providers; Equity; Health services research
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Social Work
Research subject
Care Sciences; Social Work
Identifiers
urn:nbn:se:mdh:diva-37165 (URN)
Projects
Det nationella lärandeprojektet - Vård på lika villkor
Available from: 2017-10-31 Created: 2017-10-31 Last updated: 2018-01-09Bibliographically approved
Aytar, O. & Brunnberg, E. (2016). Empowering Unaccompanied Children in Everyday Life in a New Country: A Resilience Support Centre in Sweden Evaluated from the Perspective of Program Theory. Revista de Asistenta Sociala, 15(2), 35-56
Open this publication in new window or tab >>Empowering Unaccompanied Children in Everyday Life in a New Country: A Resilience Support Centre in Sweden Evaluated from the Perspective of Program Theory
2016 (English)In: Revista de Asistenta Sociala, ISSN 1583-0608, Social Work Review, ISSN 1583-0608, Vol. 15, no 2, p. 35-56Article in journal (Refereed) Published
Abstract [en]

Unaccompanied asylum-seeking children coming to Sweden are almost all fleeing from violent or threatening situations in their home country and have been sent abroad for their protection. They form a specific growing group of children looked after by local authorities in kinship foster families, network foster families or traditional foster families, as well as in small institutions (HVB-hem) or interim accommodation (Mellanbo) as preparation for independent living. This study explores success factors and impeding factors in a social work intervention for empowering unaccompanied children at a support centre for daily activities in a Swedish municipality from a program-theory perspective. The unaccompanied children in this study are staying in foster families. The data was collected at the centre and with a mixed method design. The results show that unaccompanied children’s relationships with other children improved; they developed their ability to plan and adapt; some of them started to attend regular schools; and traumatic experiences were processed to some extent. All of these can be interpreted as increased empowerment in unaccompanied children’s everyday life. However, there were still significant gaps in participation in clubs and associations and leisure activities, and some children were mentally unwell. Success factors, challenges and risks coexist in a transnational life situation in which most unaccompanied asylum-seeking children continue to interact with their parents and other family members in their home country or another country using modern technology (online parenting).

Place, publisher, year, edition, pages
Bucharest: , 2016
Keywords
unaccompanied children, intervention, social work, program theory, migration
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-31270 (URN)
Available from: 2016-03-13 Created: 2016-03-13 Last updated: 2017-11-30Bibliographically approved
Aytar, O. (2016). Interkulturella möten för integration i praktiken: Utvärdering av verksamheten flyktingguide/språkvän i Eskilstuna kommun och kommunens regionala/nationella samordningsroll. Eskilstuna: Mälardalens högskola, Akademin för hälsa, vård och välfärd
Open this publication in new window or tab >>Interkulturella möten för integration i praktiken: Utvärdering av verksamheten flyktingguide/språkvän i Eskilstuna kommun och kommunens regionala/nationella samordningsroll
2016 (Swedish)Report (Other academic)
Abstract [sv]

Syftet med utvärderingen var att identifiera styrkor och svagheter för Eskilstunamodellen för flyktingguide/språkvän i förhållande till verksamhetsmålen på lokal, regional och nationell nivå under 2013-2015. Kvalitativa intervjuer har genomförts med nyanlända och deras språkvänner och med ett urval av projektmedarbetare i Eskilstuna, i Södermanland och i andra kommuner i olika regioner. En observation har genomförts vid en gruppmatchning och tillgängliga dokument från lokal, regional och national nivå har analyserats. I resultat- och diskussionsavsnitten presenteras resultat, reflektioner och slutsatser i form av rekommendationer för hur verksamheter på de tre nivåerna kan utvecklas. Några centrala slutsatser från utvärderingen är:

* Resultaten visar generellt att verksamhetsmålen på lokal, regional och nationell nivå är uppfyllda.

* Av de styrkor som har kommit fram i resultaten kan ett visst antal framgångsrika erfarenheter och praktiker lyftas fram.

* Av de svagheter som kommit fram i resultaten kan nya utvecklings-, förbättrings- och      förändringsarbeten identifieras i förhållande till respektive verksamhets förutsättningar och behov.

* Av de formella och praktiska benämningar såsom flyktingguide/språkvän, språkvän,      kulturvän, etablerade-oetablerade, volontärer eller liknande, vilka förekommer i olika verksamheter, framgår att det behövs en översyn över benämningar som passar bättre till respektive verksamhets form och innehåll.

* Av genomgång av befintliga dokument och intervjuresultat framgår att det behövs mer sammanhängande utvärderingsperspektiv i synnerhet i relativt stora verksamheter.

* Resultaten visar också på behovet av en systematisk dokumentation när förändringsarbeten genomförs.

Place, publisher, year, edition, pages
Eskilstuna: Mälardalens högskola, Akademin för hälsa, vård och välfärd, 2016. p. 54
Series
Utvärderingsrapport
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-32324 (URN)
Projects
Projekt om flyktingguide/språkvän i Eskilstuna, Södermanland och nationellt
Note

Slutrapporten från utvärdering av verksamheterna flyktingguide/språkvän i Eskilstuna, Södermanland och nationellt med finansiering från Eskilstuna kommun, Länsstyrelsen i Södermanlands län

Available from: 2016-07-06 Created: 2016-07-04 Last updated: 2016-12-22Bibliographically approved
Akhavan, S., Tillgren, P., Aytar, O., Bogg, L. & Söderlund, A. (2016). Practice and Policy in Promoting Health and Equity –experiences from a national project in primary health care in Sweden. In: : . Paper presented at 22nd IUHPE World Conference on Health Promotion, CURITIBA, BRAZIL.
Open this publication in new window or tab >>Practice and Policy in Promoting Health and Equity –experiences from a national project in primary health care in Sweden
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2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction: The Swedish Health Care Law requires the health system to provide good care on equal terms to all. However, several reports from different governmental agencies have revealed that health care is uneven in quality, lacking in accessibility, and not offered on equal terms to all people. Recent public health reports show that inequalities in health in the population have increased. To provide health care on equal terms has become a challenge for health care.

In order to apply methods for developing practice and policy in promoting health and equity the Swedish Association of Local Authorities and Regions developed and implemented a national project entitled Care on Equal Terms. The project began in 2011 and was completed in 2014 at seven Primary Health Care Units (PHCUs) in five regions. The aim of this study was to evaluate the outcomes of this project.

Methods: Based on a program theoretical approach an evaluation design was developed which included process, results and economical evaluation. In the data collection and analysis mixed methods were applied.

Results: According to the process evaluation, seven different strategies were applied in the process to develop primary health care on equal terms. One of the key observations was that in order to achieve health on more equal terms, health care needs to be provided on unequal terms, i. e. more needs to be done to reach those who need more assistance to access health services. Health promotion was one of the applied strategies and it was the most common strategy at some of the health care centers with the aim of developing patients' knowledge, awareness and understanding about health, care and self-care. The results evaluation showed that the PHCUs staff identified structural and organizational factors in health care as important factors for developing health promotion and equity in access. The health economic evaluation showed that the costs for implementing the activities for an improved equity were limited. Yet the majority of the PHCUs thought that the detailed regulation of their financing and reporting requirements were a limitation in their work for improved equity. Four of five county councils have recently introduced a primary care provider payment system (ACG) which may not be supportive of efforts to improve equity in access.

Conclusions: It is possible to develop and maintain practices that can contribute to more equitable care and increase health care personnel’s awareness about practice and policy in promoting health and equity.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-30887 (URN)
Conference
22nd IUHPE World Conference on Health Promotion, CURITIBA, BRAZIL
Available from: 2016-01-29 Created: 2016-01-29 Last updated: 2016-12-22Bibliographically approved
Aytar, O. & Söderlund, A. (2015). Att utvärdera med processtänkande för lärande. Socialmedicinsk Tidskrift, 92(2), 162-175
Open this publication in new window or tab >>Att utvärdera med processtänkande för lärande
2015 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 162-175Article in journal (Refereed) Published
Abstract [en]

Change-projects can be evaluated in different ways. One of the ways is to evaluate with process thinking, which means that evaluators are involved in the process from the very beginning. Involvement of evaluators already in the beginning of a project can mean several challenges for both the project itself and the evaluators. This study is about describing and analyzing how and with what results the perspective of process thinking on evaluation of the national learning project Care on equal terms was used. The results indicate, among other things, that it was a good choice to bring in evaluation perspective at the beginning of the project. Process thinking has, among other things, contributed to the activities throughout the project, and played a role in learning from and implementation of the project itself.

Place, publisher, year, edition, pages
Stockholm: , 2015
Keywords
Processutvärdering, uppföljning, lärande, aktiviteter, genombrottsmetoden
National Category
Social Work Health Care Service and Management, Health Policy and Services and Health Economy Physiotherapy
Research subject
Social Work; Care Sciences
Identifiers
urn:nbn:se:mdh:diva-29358 (URN)
Projects
Lärandeprojektet - Vård på lika villkor
Available from: 2015-10-16 Created: 2015-10-16 Last updated: 2017-12-01Bibliographically approved
Åkerström, J., Aytar, O. & Brunnberg, E. (2015). Intra- and Inter-generational Perspectives on Youth Participation in Sweden: A Study with Young People as Research Partners. Children & society, 29(2), 134-145
Open this publication in new window or tab >>Intra- and Inter-generational Perspectives on Youth Participation in Sweden: A Study with Young People as Research Partners
2015 (English)In: Children & society, ISSN 0951-0605, E-ISSN 1099-0860, Vol. 29, no 2, p. 134-145Article in journal (Refereed) Published
Abstract [en]

In this study, intra- and inter-generational perspectives on youth participation are combined and compared. Young people were invited to participate as research partners in an interactive research circle and conducted a survey about participation with other young people as respondents. The discussion concerns how an interactive methodology contributes to the understanding of the concept of participation. It is suggested that political definitions of participation be amended to include having a sense of being recognised in a communicative context, taking responsibility and share with other people one’s experiences. This is based on the perspectives of young people.

Keywords
children’s rights, generation, interactive research, participation, school
National Category
Social Sciences Sociology
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-20895 (URN)10.1111/chso.12027 (DOI)000348844900005 ()2-s2.0-84921542409 (Scopus ID)
Available from: 2013-08-13 Created: 2013-08-13 Last updated: 2017-10-31Bibliographically approved
Aytar, O. (2015). ”Ja, så tänker vi också …”: – Ett programteoretiskt perspektiv på det nationella Lärandeprojektet – Vård på lika villkor. Socialmedicinsk Tidskrift, 92(2), 116-131
Open this publication in new window or tab >>”Ja, så tänker vi också …”: – Ett programteoretiskt perspektiv på det nationella Lärandeprojektet – Vård på lika villkor
2015 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 116-131Article in journal (Refereed) Published
Abstract [en]

Developing a program theory for a project and evaluate the project based on this program theory has both its merits and limitations. These merits and limitations in turn may be depend on the existing attitude towards a particular program theory. This study is about exploring how different phases and parts of the national learning project Care on equal terms (2011-2014) functioned in relation to the program theory developed in the beginning of the project. The result shows that the program theoretical perspective on the project contributed to a better structuring of the various forms of evaluation, given a broader understanding of the project's components and provided better opportunities to improve monitoring of the project by the research team in collaboration with the project management of the Swedish Association of Local Authorities and Regions (SALAR) and the participating health care units.

Place, publisher, year, edition, pages
Stockholm: , 2015
Keywords
Programutvärdering, intressenter, primärvård, jämlikhet, arbetssätt
National Category
Social Work Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Social Work; Care Sciences
Identifiers
urn:nbn:se:mdh:diva-29357 (URN)
Projects
Lärandeprojektet - Vård på lika villkor
Available from: 2015-10-16 Created: 2015-10-16 Last updated: 2017-12-01Bibliographically approved
Gustafsson, G., Aytar, O. & Tillgren, P. (2015). Primärvårdens förutsättningar och befolkningens behov i sju vårdverksamheter. Socialmedicinsk Tidskrift, 92(2), 132-143
Open this publication in new window or tab >>Primärvårdens förutsättningar och befolkningens behov i sju vårdverksamheter
2015 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 92, no 2, p. 132-143Article in journal (Refereed) Published
Abstract [en]

Developing a program theory for a project and evaluate the project based on this program theory has both its merits and limitations. These merits and limitations in turn may be depend on the existing attitude towards a particular program theory. This study is about exploring how different phases and parts of the national learning project Care on equal terms (2011-2014) functioned in relation to the program theory developed in the beginning of the project. The result shows that the program theoretical perspective on the project contributed to a better structuring of the various forms of evaluation, given a broader understanding of the project's components and provided better opportunities to improve monitoring of the project by the research team in collaboration with the project management of the Swedish Association of Local Authorities and Regions (SALAR) and the participating health care units.

Place, publisher, year, edition, pages
Stockholm: , 2015
Keywords
Primärvård, socioekonomiska aspekter, hälsorelaterade aspekter, verksamhetsrelaterade aspekter
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology Social Work
Research subject
Care Sciences; Social Work
Identifiers
urn:nbn:se:mdh:diva-29359 (URN)
Projects
Lärandeprojektet - Vård på lika villkor
Available from: 2015-10-16 Created: 2015-10-16 Last updated: 2017-12-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9496-4342

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