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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)000485335500012 ()31395236 (PubMedID)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: 2019-11-13
Aytar, O. (2018). Att se sårbarhet i livet ur ett värdighetsperspektiv:: Mod att våga vara sårbar i livet. In: : . Paper presented at Astrid Janzon Symposium, Röda Korsets Högskola, 23 november 2018, Huddinge/ Stockholm.
Open this publication in new window or tab >>Att se sårbarhet i livet ur ett värdighetsperspektiv:: Mod att våga vara sårbar i livet
2018 (Swedish)Conference paper, Oral presentation only (Other academic)
National Category
Social Work
Identifiers
urn:nbn:se:mdh:diva-46020 (URN)
Conference
Astrid Janzon Symposium, Röda Korsets Högskola, 23 november 2018, Huddinge/ Stockholm
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13
Aytar, O. (2018). Di şertên globalîzma îroyin de Kurd [Kurder under dagens globaliserings villkor]:: Vîzyon, îmkan û astengî [Vision, möjligheter och hinder]. In: : . Paper presented at Asîmîlasyon û Kurdên Anatolîya Navîn [Assimilering och Mellersta Anatoliens kurder], anordnad av Platforma Kurdên Anatolîya Navin, 3 juni 2018, Troisdorf/ Tyskland.
Open this publication in new window or tab >>Di şertên globalîzma îroyin de Kurd [Kurder under dagens globaliserings villkor]:: Vîzyon, îmkan û astengî [Vision, möjligheter och hinder]
2018 (Kurdish)Conference paper, Oral presentation only (Other academic)
National Category
Sociology Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-46022 (URN)
Conference
Asîmîlasyon û Kurdên Anatolîya Navîn [Assimilering och Mellersta Anatoliens kurder], anordnad av Platforma Kurdên Anatolîya Navin, 3 juni 2018, Troisdorf/ Tyskland
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13
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: 2019-11-13
Thitasan, A., Aytar, O., Annerbäck, E.-M. & Velandia, M. (2018). Life and health of young people in relation to their sexual orientation: A study in Thailand and Sweden. In: : . Paper presented at International Conference innovation Prevention and Care Of NCDs and Global Health, 12-14 December 2018, Udonthani province in Thailand..
Open this publication in new window or tab >>Life and health of young people in relation to their sexual orientation: A study in Thailand and Sweden
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Life and health of young people in relation to their sexual orientation: A study in Thailand and Sweden

 

Anchalee Thitasan a*, Osman Aytar b, Eva-Maria Annerbäck c, Marianne Velandia d

a Obstetric Department, Boromarajonnani College of Nursing Sunpasittiprasong, Muang, Ubon Ratchathani, 34000

b School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 325, SE-631 05, Eskilstuna, Sweden

c Centre for Clinical Research, Uppsala University, Eskilstuna Sweden.

d School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 883, SE-721 23, Västerås, Sweden

Corresponding Author Anchalee Thitasan; E-mail: anrakar@yahoo.com

 

Abstract

 

Background: In many societies sexual minorities are not fully accepted. The experiences of oppression, stigma and discrimination may negatively influence young people’s life and health, in relation to the heterosexual norm as a standard. There is a lack of studies comparing sexual orientation of young people in relation to their living conditions and health between Asian and European countries, therefore Thailand and Sweden were purposively selected. In Sweden youth friendly services concerning sexual and reproductive health and rights are provided for all young people through youth clinics. Unlike in Sweden, young people in Thailand are likely to receive less support regarding sexual health and sexuality. This can lead to different health consequences especially among sexual minority groups.

Objectives: The aim of this study was to examine associations between sexual orientation and life and health of young people in Thailand and Sweden.

Study design: A cross-sectional study was performed using data from the Life and Health – Young surveys in Thailand and Sweden in year 2014. Data were analyzed for grade 11 students in Thailand (n=1,488) and year 2 students in Sweden (n=2,381). Multiple correspondence analysis was used to examine the association among variable categories of sexual orientation, living conditions, lifestyles and health variables. Preliminary result showed that students who identified themselves as bisexual, homosexual or unsure sexual orientation were more closely related with self-harm and poor health than their heterosexual counterparts. Conclusion: Sexual orientation was associate with life and health of young people both in Thailand and in Sweden. The findings can be beneficial to improve health and wellbeing of young people in relation to their sexual orientation.

National Category
Health Sciences
Research subject
Care Sciences; Social Work
Identifiers
urn:nbn:se:mdh:diva-46125 (URN)
Conference
International Conference innovation Prevention and Care Of NCDs and Global Health, 12-14 December 2018, Udonthani province in Thailand.
Available from: 2019-11-17 Created: 2019-11-17 Last updated: 2019-11-17
Thitasan, A., Aytar, O., Howharn, C., Annerbäck, E.-M. & Velandia, M. (2018). Risk factors for being a victim of sexual violence of young people in Thailand and Sweden. In: : . Paper presented at BCNSP National and International Conference 2018: "Gobal Health: Trends and Innovation in Healthcare", Thailand, May 30 - June 1, 2018.
Open this publication in new window or tab >>Risk factors for being a victim of sexual violence of young people in Thailand and Sweden
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Risk factors for being a victim of sexual violence of young people in Thailand and Sweden

 

Anchalee Thitasan a*, Osman Aytar b, Chularat Howharn c, Eva-Maria Annerbäck d, Marianne Velandiae

a Obstetric Department, Boromarajonnani College of Nursing Sunpasittiprasong, Muang, Ubon Ratchathani, 34000

b School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 325, SE-631 05, Eskilstuna, Sweden

c Praboromrajchanok Institute for Health Workforce Development, Ministry of Public Health, Thailand,

24/64 Soi Thanphuying Ngamwongwan Rd. Ladyao Chatuchak Bangkok 10900 Thailand

d Centre for Clinical Research, Uppsala University, Eskilstuna Sweden.

e School of Health, Care and Social Welfare, Mälardalen University, P.O. Box 883, SE-721 23, Västerås, Sweden

Corresponding Author’s E-mail: anrakar@yahoo.com

 

Abstract

Background: Young people both girls and boys worldwide have been a victim of sexual violence. Sexual violence can have physical and mental effects on the victims. Sexual violence remains highly stigmatized in all settings, therefore levels of disclosure of the assault can vary between countries and can be associated with multiple factors. It is worthy to get better understanding of risk factors for being a victim of sexual violence as it can be used to inform programs seeking to promote sexual and reproductive health of young people. Aim: To examine sexual violence and associations with background factors and other types of violence in Thailand and Sweden.  Method: A cross-sectional comparative study was performed among 7,334 high schools students who participated in the 2014 Life and Health Young survey in Thailand and Sweden. Data were analyzed for grade 9 and 11 or year 2 students (2,717 Thailand, 4,617 Sweden). Multiple logistic regression was used to investigate the associations of demographic factors, substance use, life in school, violence, mental health, and sexual violence. Preliminary results: About 7.3% of the students in Thailand (6.8% girls and 8.1% boys) and 5.6% of students in Sweden (5.8% girls and 5.5% boys) were exposed to sexual violence. Prevalence of sexual violence was not different between girls and boys in each country. After controlling demographic factors, sexual violence of the students in the two countries was associated with getting beaten by adult and being bullied. Feeling depressed and feeling bad during the last three months were associated with sexual violence among the students in Sweden but not among the students in Thailand. Regarding to gender difference, in Thailand, sexual violence was associated with getting beaten by adult among girls but not among boys. In Sweden, sexual violence was associated with feeling bad during the last three months among boys but not among girls. Conclusions: Sexual violence and a risk of becoming sexual violence victim vary by countries. To get better understanding of the risk of becoming sexual violence victim a disparity of personal factors of young people in individual level needed to be considered.

Keywords
sexual coercion; comparative study; high school students; adolescent
National Category
Health Sciences
Research subject
Care Sciences; Social Work
Identifiers
urn:nbn:se:mdh:diva-46124 (URN)
Conference
BCNSP National and International Conference 2018: "Gobal Health: Trends and Innovation in Healthcare", Thailand, May 30 - June 1, 2018
Available from: 2019-11-17 Created: 2019-11-17 Last updated: 2019-11-17
Aytar, O. (2018). Îmkan û astengî ji bo Kurdên diasporayê [Möjligheter och hinder för kurder i diaspora]:: Mînaka Kurdên Swêdê [Exemplet Sveriges kurder]. In: : . Paper presented at Koçberî û civaka Kurdên Anatolîya Navîn [Migration och kurdiska gruppen från Mellersta Anatolien], anordnad Platforma Kurdên Anatolîya Navin, 20 oktober 2018, Stockholm.
Open this publication in new window or tab >>Îmkan û astengî ji bo Kurdên diasporayê [Möjligheter och hinder för kurder i diaspora]:: Mînaka Kurdên Swêdê [Exemplet Sveriges kurder]
2018 (Kurdish)Conference paper, Oral presentation only (Other academic)
National Category
Sociology Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-46021 (URN)
Conference
Koçberî û civaka Kurdên Anatolîya Navîn [Migration och kurdiska gruppen från Mellersta Anatolien], anordnad Platforma Kurdên Anatolîya Navin, 20 oktober 2018, Stockholm
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13
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
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9496-4342

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