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  • 1.
    Appelgren Engstrom, Heléne
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Borneskog-Sinclair, Catrin
    Linköpings universitet.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mothers in Same-Sex Relationships Describe the Process of Forming a Family as a Stressful Journey in a Heteronormative World: A Swedish Grounded Theory Study.2018In: Maternal and Child Health Journal, ISSN 1092-7875, E-ISSN 1573-6628, Vol. 22, no 10, p. 1444-1450Article in journal (Refereed)
    Abstract [en]

    Objectives The aim of this study was to gain insight into how women in same-sex relationships experience the process of forming a family through the use of assisted reproduction technique (ART), from planning the pregnancy to parenthood, and their experience of parental support from healthcare professionals. Methods The participants were 20 women in a same-sex relationship who had conceived through ART at a Swedish clinic. Semi-structured interviews including open questions about pregnancy, parenthood and support from healthcare professionals were conducted. The interviews were tape-recorded and transcribed verbatim. The data were analysed according to grounded theory. Results The core category, A stressful journey through a heteronormative world, emerged from the analysis, as did three subcategories: A journey fraught with difficulties and decisions; The nuclear family as the norm; and A need for psychological support. Same-sex parents expressed a need for more information about how to access ART in Sweden. Both the healthcare organization and treatment were perceived as heteronormative. In particular, these women lacked psychological support during the demanding process of utilizing a sperm donor to conceive. Conclusions for Practice Professionals in antenatal care should undergo mandatory cultural competency training to ensure cultural sensitivity and the provision of updated information, tailored brochures and early parental support for families with same-sex parents. All parents need guidance and support from competent, caring personnel throughout the entire process of forming a family.

  • 2.
    Erlandsson, Kerstin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare.
    Prenatal parental education from the perspective of fathers with experience as primary caregiver immediately following birth: a phenomenographic study2010In: The Journal of Perinatal Education, ISSN 1058-1243, Vol. 19, no 1, p. 19-28Article in journal (Refereed)
    Abstract [en]

    The aim of this phenomenographic study was to capture fathers' conceptons of parental educatio topics illuminated by their experiences as primary caregiver of their child immediately following bith. Fifteen fathers were interviewed between 8 days and 6 weeks after the birth of their child. For further information go to abstract in the article.

  • 3.
    Erlandsson, Kerstin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Jinghede Nordvall, Cecilia
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Qualitative interviews with adolescents about "Friends-with-Benefits" relationships2013In: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 30, no 1, p. 47-57Article in journal (Refereed)
    Abstract [en]

    Objective: To describe the thoughts, reflections, and experiences of friends-with-benefits relationships among a group of Swedish adolescents. Design and Sample: A qualitative study with an explorative and descriptive design. Eight adolescents, aged 16-18, were interviewed. Measures: Individual in-depth interviews were undertaken. Data were analyzed using latent content analysis. Results: The informants involved themselves in Friends-with-benefits (FWB) relationships to find physical and psychological intimacy without any expectations or demands. FWB relationships were perceived to have more advantages when the partner was a close friend with whom an informant felt comfortable. There was ambivalence about the legitimacy of romantic feelings in an FWB relationship, although it was quite common. Sexual concurrency was common and often accepted. Sexual risk-taking behavior involving the use of alcohol and a lack of contraception was considered common in FWB relationships. Informants requested more education and support as regards their sexual behavior. Conclusions: FWB relationships were often initiated to find physical and psychological intimacy with no expectations or demands. Advantages such as sexual concurrency and no demands were central. A deeper understanding of how adolescents think and reason about sexuality and relationships can make a difference when working to improve young people's sexual and reproductive health.

  • 4.
    Erlandsson, Kerstin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Linder, Hanna
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare.
    Experiences of gay women during their partner's pregnancy and childbirth2010In: British journal of midwifery, ISSN 0969-4900, E-ISSN 2052-4307, Vol. 18, no 2, p. 99-103Article in journal (Refereed)
    Abstract [en]

    Growing numbers of openly gay women choose to have children, but there have been few studies on the topic. The aim of this study was to describe the co-mother's experiences of care provided during their partner's pregnancy, childbirth and the postnatal period. Six co-mothers were interviewed between six weeks and three years after the birth of their child. The open interviews were analysed using content analysis. The overall theme of the findings was 'like everyone else, but not quite'. The following main categories were identified: need for acknowledgement, need for care designed to suit same-sex couples, and in the hands of nursing staff. Co-mothers felt themselves to be 'like everyone else but not quite'. In order to support the relationship of same-sex parents in parenthood it is important for midwifery staff to recognize co-mothers as an equal parent of the child

  • 5.
    Häggström-Nordin, Elisabet
    Mälardalen University, Department of Caring and Public Health Sciences.
    Påverkas ungdomar av pornografi och sexualiserad media?2005In: Jordemodern, no 2Article in journal (Other (popular science, discussion, etc.))
  • 6.
    Häggström-Nordin, Elisabet
    Mälardalen University, Department of Caring and Public Health Sciences.
    Skillnader i sexualvanor och attityder till pornografi bland ungdomar på teoretiska och praktiska gymnasieprogram i Sverige2007In: Nordisk Jordemorkongress, Åbo, 2007Conference paper (Refereed)
    Abstract [en]

    Bakgrund: Tidigare studier har visat att ungdomar på praktiska gymnasieprogram har en tidigare sexualdebut och tar fler risker förknippade med sexuell hälsa, jämfört med ungdomar på teoretiska program. Lättillgänglig pornografi har visat sig ha ett samband med ungdomars sexualvanor samt skapa sexuella förväntningar och krav.

    Syfte: Att undersöka eventuella skillnader i demografiska faktorer och skattad relation till föräldrar samt sexualvanor, pornografikonsumtion och attityder till pornografi bland ungdomar på teoretiska och praktiska gymnasieprogram.

    Material och metod: Ett slumpmässigt urval av klasser (n=47), med totalt 718 elever i gymnasiets årskurs 3 i en medelstor svensk stad, besvarade en klassrumsenkät med 74 flervalsfrågor.

    Resultat: Ungdomar på praktiska gymnasieprogram hade i högre utsträckning föräldrar med ett praktiskt yrke (p<0.001). Föräldrar till ungdomar på teoretiska program ägde i högre utsträckning sitt boende (p<0.001). Inga skillnader upptäcktes mellan de båda studiegrupperna avseende föräldrars sysselsättning eller invandrarbakgrund. Ingen skillnad framkom heller avseende ungdomars skattning av relationen till sina föräldrar.Ungdomar på praktiska program hade i högre utsträckning erfarenhet av olika sexuella aktiviteter, jämfört med ungdomar på teoretiska program. Fler elever på praktiska program hade konsumerat pornografi (92 %) jämfört med elever på teoretiska program (81; p<0.001). Fler ungdomar på praktiska program rapporterade att de blev sexuellt upphetsade, hade fantiserat om att utföra, samt hade provat att utföra aktiviteter de sett på pornografisk film (p<0.05). Fler unga män än kvinnor hade positiva attityder till pornografi (p<0.001; p<0.037). Fler unga kvinnor (33 %) än män (9 %) ansåg att pornografi skapar osäkerhet och krav.

    Slutsatser: Ungdomarnas studieval avspeglade i viss mån deras sociala bakgrund. Elever på praktiska program var mer sexuellt erfarna än elever på teoretiska program och de verkade i högre utsträckning påverkas av pornografi. Fler unga män jämfört med unga kvinnor hade en positiv inställning till pornografi medan de unga kvinnorna i högre utsträckning ansåg att pornografi skapar osäkerhet och krav.

  • 7.
    Häggström-Nordin, Elisabet
    Mälardalen University, Department of Caring and Public Health Sciences.
    Ungdomar, pornografi och sexualiserad media2006In: Tidsskrift for Jordmödre, ISSN 1502-1300, Vol. 112, no 9, p. 21-22p. 21-22Article in journal (Other (popular science, discussion, etc.))
  • 8.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Institutinen för kvinnors och barns hälsa, Uppsala universitet.
    Ungdomars relationer och sexualitet2013In: Omvårdnad på avancerad nivå: Kärnkompetenser inom sjuksköterskans specialistområden / [ed] Anna-Karin Edberg et. al., Lund: Studentlitteratur , 2013, p. Bokens webbplats-Chapter in book (Other academic)
  • 9.
    Häggström-Nordin, Elisabet
    Mälardalen University, Department of Caring and Public Health Sciences.
    Worlds apart!? Sexual behaviour, Contraceptive use, and pornography consumption among young women and men.2005Doctoral thesis, monograph (Other scientific)
    Abstract [en]

    The overall aim of this thesis was to investigate the knowledge of, attitudes toward, and experiences of the emergency contraceptive pill (ECP), sexual behaviour, and pornography consumption among high school students and young people. Data were obtained by questionnaires (studies I, II, and III), and by qualitative in-depth interviews (study IV).

    A majority of 16-year old high-school students were aware that ECP existed, and knew where to obtain it. Attitudes toward using ECP were generally positive, but more girls than boys were hesitant as to whether ECP should be available without a prescription. Of those having experienced sexual intercourse, more than one fourth stated that they themselves or their partner had ever used ECP (I).

    Almost half of the 16-year old high-school students surveyed (46%) had had sexual intercourse, a number similar in studies conducted 10 and 20 years earlier. Use of contraceptives at first intercourse had increased (to 76%) and use of alcohol had decreased (to 23%). More students in practical rather than theoretical programs smoked, had sexual intercourse at an earlier age, had more partners, and used contraceptives at first intercourse less often (II).

    Three out of four 18-year old students had had sexual intercourse, of which almost three quarters reported contraceptive use at first intercourse. Anal intercourse was reported by one sixth, with infrequent condom use. Males who consumed more pornography were more likely than males who consumed less pornography to engage in a variety of sexual activities, as were males with an early age at first sexual intercourse (III).

    The core category that emerged in the interviews was “Living with the current sexual norm”, pornography created sexual expectations and demands. The interviewees expressed contradictory feelings towards pornography and felt that sexuality was separated from intimacy. In order to deal with the current sexual norm, participants had different individual handling strategies, including liberal-, normalization-, distance-, feminist- and conservative strategies (IV).

    Overall, the studies highlight several differences between genders and between students attending practical- and theoretical study programs in questions concerning ECP, sexual behaviour and pornography. These differences should be addressed while planning for counselling and sex education. We suggest that health- and school personnel discuss how sexuality is portrayed in pornographic material with young people.

  • 10.
    Häggström-Nordin, Elisabet
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Borneskog, Catrin
    Eriksson, Mats
    Orebro Univ Hosp.
    Tydén, Tanja
    Uppsala Univ.
    Sexual behaviour and contraceptive use among Swedish high school students in two cities: Comparisons between genders, study programmes, and over time2011In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 16, no 1, p. 36-40Article in journal (Refereed)
    Abstract [en]

     Objectives To investigate sexual behaviour and contraceptive use among first-year high school students in two Swedish cities in 2009, to compare male and female students, students in theoretical and vocational study programmes, and their sexual behaviour with that reported in 1979, 1989 and 1999. Methods In a cluster sample of 20 classes, students (N = 387), median age 16 years, completed a questionnaire consisting of 46 questions. Results More girls than boys had experienced petting (p <= 0.003) and had received oral sex (p <= 0.01). More boys than girls had masturbated (p <= 0.0001) and watched pornography (p <= 0.0001). The median age at first sexual intercourse was 15 years. Students in vocational programmes were more sexually experienced compared to their theoretical peers. The proportion of students having had sexual intercourse (p <= 0.0002), and contraceptive use at first (p <= 0.0001) and latest (p <= 0.0001) sexual intercourse increased from 1979 to 2009. Alcohol use at first intercourse decreased over the period (p <= 0.0001). Conclusions Girls were more sexually experienced than boys, as were students in vocational programmes compared to their theoretical peers; this should be considered when tailoring sex education and counselling. Over time, an increase in students having had sexual intercourse, and contraceptive use at first and latest sexual intercourse was found.

  • 11.
    Häggström-Nordin, Elisabet
    et al.
    Uppsala University, Sweden.
    Hanson, U
    Uppsala University, Sweden.
    Tydén, T
    Uppsala University, Sweden.
    Associations between pornography consumption and sexual practices among adolescents in Sweden2005In: International Journal of STD and AIDS, ISSN 0956-4624, Vol. 16, no 2, p. 102-107Article in journal (Refereed)
    Abstract [en]

    Pornography consumption and sexual behaviour were studied, with an aim to investigate any associations. Participants were 718 students from 47 high school classes, mean age 18 years, in a medium-sized Swedish city. More men (98%) than women (72%) had ever consumed pornography. More male high consumers than low consumers or women got sexually aroused by, fantasized about, or tried to perform acts seen in a pornographic film (P < 0.001). Three-quarters of the sample had had sexual intercourse, of which 71% reported contraceptive use at first intercourse. Anal intercourse was reported by 16%, with infrequent condom use (39%). Intercourse with a friend (adjusted odds ratio (adj. OR) 2.29; 95% confidence interval (CI) 1.27-4.12) was significantly associated with high consumption of pornography among men, while anal intercourse (adj. OR 1.99; 95% CI 0.95-4.16) and group sex (adj. OR 1.95; 95% CI 0.70-5.47) tended to be associated. A significant confounder was early age of sexual debut (adj. OR 1.49; 95% CI 1.18-1.88).

  • 12.
    Häggström-Nordin, Elisabet
    et al.
    Uppsala University, Uppsala, Sweden.
    Hanson, Ulf
    Uppsala University, Uppsala, Sweden.
    Tydén, Tanja
    Uppsala University, Uppsala, Sweden.
    Sex behavior among high school students in Sweden: improvement in contraceptive use over time.2002In: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 30, no 4, p. 288-95Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To investigate sexual behavior and attitudes toward sexuality among first-year high school students in Sweden in 1999 and to compare the sexual behavior with that reported from similar studies in 1979 and 1989. METHODS: In Spring 1999, a questionnaire with 47 questions mainly of multiple-choice nature was administered to a random sample of 20 classes in senior high school in two medium-sized cities in Sweden. The median age of the students was 16 years. Differences in sexual behavior and attitudes were evaluated with the Chi-square and Student's t-test. RESULTS: Almost half of the students (46%) had had intercourse, showing that the age of coitarche had not decreased during the past two decades. The median age at intercourse of those who had had intercourse was 15 years in both genders. More students in practical (vocational-technical) programs (60%) than in theoretical (college preparatory) ones (37%) had had sexual intercourse. More teenagers in theoretical (90%) than in practical programs (64%) had used contraceptives at their first intercourse, an increase from 65% in 1979 to 76% in 1999. One-fourth of the teenagers were under the influence of alcohol at the first intercourse, a decrease, compared with 1979. CONCLUSIONS: Contraceptive use at coitarche has increased and alcohol use decreased over the 20-year-period. The tendency noted 10 years ago that students attending practical programs put themselves at more health risk than students in theoretical programs continues. This fact should be considered when planning for counseling and sex education.

  • 13.
    Häggström-Nordin, Elisabet
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala universitet.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kommunikation inom ungdomsmottagning2014In: Kommunikation med barn och unga i vården / [ed] Maja Söderbäck, Stockholm: Liber , 2014, p. 87-100Chapter in book (Other academic)
  • 14.
    Häggström-Nordin, Elisabet
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Rådestad, Ingela
    Mälardalen University, School of Health, Care and Social Welfare.
    Ungdomars sexuella och reproduktiva hälsa2009In: Lärobok för barnmorskor / [ed] Kaplan, Annette, Lund: Studentlitteratur , 2009, 3, p. 617-628Chapter in book (Other academic)
  • 15.
    Häggström-Nordin, Elisabet
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Sandberg, Jonas
    Mälardalen University, Department of Caring and Public Health Sciences.
    Hanson, U.
    Uppsala University, Uppsala, Sweden.
    Tydén, T.
    Uppsala University, Uppsala, Sweden.
    “It's everywhere!” Young Swedish people's thoughts and reflections about pornography.2006In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 4, p. 386-393Article in journal (Refereed)
    Abstract [en]

    Pornography is one of the most sought-after topics on the Internet, and is easily available for anyone, including children and adolescents. At youth centres, nurse-midwives have noticed that young people have different kinds of questions about sexual practices compared with a few years ago. The aim of this study was to gain an understanding of thoughts and reflections about pornography consumption, and its possible influence on sexual practices, among young women and men. The staff at a youth centre in a city in central Sweden asked the visitors if they had seen pornography and if they wanted to be interviewed about their experiences. Ten young women and eight men, aged 16–23 years, participated. In-depth interviews were performed and open-ended questions about pornography and sexuality were posed. The interviews were tape-recorded and transcribed verbatim. Data were analysed according to grounded theory. The core category 'Living with the current sexual norm' depicted how pornography created sexual expectations and demands, for instance, to perform certain sexual acts. The informants expressed contradictory feelings towards pornography and felt that sexuality was separated from intimacy. A moral attitude was described and examples of stereotypic gender roles were given. To deal with the current sexual norm, informants had different individual handling strategies and attitudes to pornography, namely liberal, normalization, distance, feminist or conservative. Limitations of this study were the small sample size and that results from a qualitative research study cannot be generalized. The results contribute to an understanding of how pornographic material can influence young peoples' thoughts, reflections and sexual behaviour. This indicates the importance, for personnel at youth centres and schools, to discuss sexual behaviour and how sexuality is portrayed in pornographic material with young people.

  • 16.
    Häggström-Nordin, Elisabet
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Tydén, T
    Swedish teenagers' attitudes toward the emergency contraceptive pill.2001In: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 28, no 4, p. 313-8Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To explore knowledge, attitudes toward, and experience with, the emergency contraceptive pill (ECP) among teenagers in Sweden. METHODS: A questionnaire with 23 questions concerning the students' demographics, knowledge of, attitudes toward, and experience of the ECP was delivered to a random sample of 20 classes in senior high school in two medium-sized cities in Sweden. The participation rate was 100% (n = 408). Differences in responses between teenagers in the two cities, boys and girls, theoretical and practical classes, or native Swedish and immigrant teenagers were calculated with the Chi-square test. RESULTS: The mean age was 16.5 years. Almost half (45.4%) of the teenagers had had sexual intercourse and of those, 28.3% stated that they themselves or their partner had used ECP. Four of five teenagers knew about ECP and where to obtain it if necessary. Many teenagers (67.3%) also knew that ECP prevented implantation. The main sources of information about ECP were youth clinics (n = 179) and friends (n = 159). The attitude toward using ECP in an emergency situation was positive, but the teenagers, especially girls, were restrictive as to whether ECP should be available without a prescription. The girls believed ECP could be used much more, and two-thirds of both sexes thought it could lead to negligence with ongoing contraception. Seventy-seven percent of teenagers preferred turning to a youth clinic when in need of ECP. One in four believed that concerns for side effects could deter them from using ECP. CONCLUSIONS: Based on the results in the present study, the importance of counseling in this situation is confirmed. The awareness about ECP was good, but teenagers also expressed concerns about side effects. The girls were more hesitant than the boys about having ECP available over the counter.

  • 17.
    Häggström-Nordin, Elisabet
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Tydén, T
    Uppsala universitet.
    Hanson, U
    Uppsala universitet.
    Larsson, M
    Uppsala universitet.
    Experiences of and attitudes towards pornography among a group of Swedish high school students2009In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 14, no 4, p. 277-284Article in journal (Refereed)
    Abstract [en]

    Objectives To investigate consumption of and attitudes toward pornography in relation to demographic factors and relationships to parents among third-year high school students. Methods A random sample of 718 students with a mean age 18 years range 1721 completed a classroom questionnaire consisting of 89 questions. Results More students in practical than in theoretical study programmes had parents with a practical profession p < 0.001. More parents to students attending theoretical programmes owned their housing p < 0.001. More men than women had ever consumed pornography 98 vs. 72; p < 0.001. More practical than theoretical students were influenced by watching pornographic films, fantasising about p < 0.05 or having performed acts inspired by pornography p < 0.05. Both theoretical and practical male students had more favourable attitudes toward pornography than either group of female students p < 0.001; p 0.037. More female, than male students, were of the opinion that pornography could create uncertainty and demands. Conclusion Students' high school programme choices partly reflect their social background. Pornography was consumed mainly by male students, who also had the most favourable attitudes, while females mainly had negative attitudes. To promote sexual health these differences between genders and study programmes should be taken into consideration in counselling, and in sex- and relationships education.

  • 18.
    Häggström-Nordin, ELlisabeth
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ungas kommunikation på internet2014In: Kommunikation med barn och unga i vården / [ed] Maja Söderbäck, Stockholm: Liber, 2014, p. 30-33Chapter in book (Other academic)
  • 19. Larsson, Margareta
    et al.
    Tyden, Tanja
    Hanson, Ulf
    Häggström-Nordin, Elisabet
    Mälardalen University, Department of Caring and Public Health Sciences.
    Preventivt arbete behövs för att främja ungdomars hälsa2007In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 104, no 26-27, p. 1992-1995Article, review/survey (Other (popular science, discussion, etc.))
  • 20. Larsson, Margareta
    et al.
    Tydén, Tanja
    Hansson, Ulf
    Häggström-Nordin, Elisabet
    Mälardalen University, Department of Caring and Public Health Sciences.
    Contraceptive use and associated factors among Swedish high school students2007In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 12, no 2, p. 119-124Article, review/survey (Other (popular science, discussion, etc.))
    Abstract [en]

    OBJECTIVES: To investigate self-reported sexual experiences, abortions, sexually transmitted infections (STIs), use of contraception and possible influencing factors on contraceptive use among Swedish high school students. METHODS: An anonymous classroom survey was distributed to a random sample (n = 924) of 18-year-old high school students in a medium-sized Swedish city. The response rate was 78% (n = 718). RESULTS: Three out of four students had experienced intercourse and the majority of them stated that they were satisfied with their sexual life. Few students reported having had an abortion (5%) or a STI (4%). Alcohol use appeared the most important contributing risk factor for non-use of contraception in relation to both first and latest intercourse, and the young men reported more unprotected latest intercourse than the young women did. CONCLUSION: The fact that young men appear less inclined to use contraception is disturbing, and must be addressed in sexual education and individual counseling to promote a better sexual health for adolescents.

  • 21.
    Magnusson, Chris
    et al.
    Stockholms universitet.
    Häggström-Nordin, ElisabetMälardalen University, School of Health, Care and Social Welfare.
    Ungdomar, sexualitet och relationer2009Collection (editor) (Other academic)
  • 22.
    Mattebo, M.
    et al.
    Uppsala University, Uppsala, Sweden.
    Grün, N.
    Karolinska University Hospital, Sweden.
    Rosenblad, A.
    Uppsala University, Uppsala, Sweden.
    Larsson, M.
    Uppsala University, Uppsala, Sweden.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Dalianis, T.
    Karolinska University Hospital, Sweden.
    Tydén, T.
    Uppsala University, Uppsala, Sweden .
    Sexual experiences in relation to HPV vaccination status in female high school students in Sweden2014In: European Journal of Contraception and Reproductive Health Care, ISSN 1362-5187, Vol. 19, no 2, p. 86-92Article in journal (Refereed)
    Abstract [en]

    Objectives To investigate sexual experiences, sexually transmitted infections (STIs) and use of condoms in relation to human papillomavirus (HPV)-vaccination status in female high school students. Methods In 2013, 355 female students with a median age of 18 years from randomly selected high schools in Sweden answered a classroom questionnaire on sexual experiences and HPV-vaccination status. Results In total 227/348 (65%) of the women reported having received at least one HPV vaccine dose. Median age at first intercourse was 15 and 16 years respectively, in the 141/227 (62%) vaccinated after, and the 86/227 (38%) vaccinated before their sexual debut. There were no differences between the HPV-vaccinated and non-vaccinated groups regarding condom use, STIs, and experiences of oral and anal sex, or friends- with-benefit relationships. However, having had sexual intercourse and 'one-night stands' were more common in the vaccinated group (both p < 0.05). Conclusion Many students (62%) were vaccinated against HPV, with two-thirds after their sexual debut. There were no differences in condom use and STIs, and only a few differences in sexual experiences between the HPV-vaccinated and non-vaccinated groups. Initiating HPV vaccination before sexual debut is important, as is information about the link between HPV, sexual behaviour and cancer. 

  • 23.
    Mattebo, Magdalena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Larsson, Margareta
    Kvinnors och barns hälsa, Uppsala universitet.
    Tydén, Tanja
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Professionals' perceptions of the effect of pornography on Swedish adolescents2014In: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 31, no 3, p. 196-205Article in journal (Refereed)
    Abstract [en]

    Objective: The aims were to gain a deeper understanding of how personnel, who work with adolescents, reason about the effect of pornography and its spread in the media, and to explore how well prepared they consider themselves to be in addressing sexual health and gender equality. Design and Sample: An inductive, exploratory, qualitative study with focus group discussions was selected. Seventeen participants with different professions were invited into five heterogeneous groups. Measures: Data were analyzed according to grounded theory. Results: Conflicting messages about sexuality became the core category. Participants were of the opinion that pornography conveyed a contradictory message compared with national public health goals, societal laws, and regulations. They believed that young people use pornography as a source of information and stimulation. Furthermore, they thought that pornography contributed to norm-creating ideals and a demanding sexuality, thus, confirming the traditional gender order. The participants opined that a professional approach was required when addressing sexuality and gender equality issues and requested better training tools and more cultural competence. Conclusions: Professionals working with adolescents perceived that pornography conveys a conflicting message about sexuality. They expressed a need for adequate tools for improving education on health and sexuality, including gender equality aspects and critical media analysis.

  • 24.
    Mattebo, Magdalena
    et al.
    Uppsala University, Sweden.
    Larsson, Margareta
    Uppsala University, Sweden.
    Tydén, Tanja
    Uppsala University, Sweden.
    Olsson, Tove
    Mälardalen University, School of Health, Care and Social Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare.
    Hercules and Barbie?: Reflections on the influence of pornography and its spread in the media and society in groups of adolescents in Sweden2012In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 17, no 1, p. 40-49Article in journal (Refereed)
    Abstract [en]

    Objectives To describe and get a deeper understanding of how groups of young women and men reflect on and discuss pornography and its spread in the media and society, and its possible influence on sexual behaviour and relationships.

    Methods Six focus group interviews were conducted with teenagers, three with women (n = 17) and three with men (n = 18). Open questions about pornography and its spread in the media and society were discussed. The interviews were tape-recorded and transcribed verbatim. Data were analysed according to Grounded Theory.

    Results The core category ‘A discriminatory sexuality’ illustrates how participants felt regarding the messages conveyed by pornography portraying a man's role as dominant and a woman's role as subordinate. Pornographic messages were described as ‘Fiction’ depicting a distorted reality. Feelings of ambivalence towards pornography were expressed: anxiety and fear, but also inspiration. Participants said pornography occurred everywhere in the media and society, and felt pressured by messages relating to looks and sexual techniques.

    Conclusions Pornography and its spread in the media and society were considered as presenting a discriminatory image of body ideals, sexuality and relationships. Despite this awareness, both men and women considered pornography as sources of knowledge and inspiration: an apparent paradox.

  • 25.
    Mattebo, Magdalena
    et al.
    Uppsala Univ, Sweden.
    Tyden, Tanja
    Uppsala Univ, Sweden.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare. Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nilsson, Kent W.
    Uppsala Univ, Sweden.
    Larsson, Margareta
    Uppsala Univ, Sweden.
    Pornography and Sexual Experiences Among High School Students in Sweden2014In: Journal of Developmental and Behavioral Pediatrics, ISSN 0196-206X, E-ISSN 1536-7312, Vol. 35, no 3, p. 179-188Article in journal (Refereed)
    Abstract [en]

    Objectives: The study investigated the differences between high school boys and girls in: (1) the use of pornography, (2) sexual experiences, (3) experience of sexual abuse, and (4) perceptions of sexuality and pornography. It also examined the possible predictors of experiencing sexual activities, such as sex, sociodemographic factors (high school program, household, and ethnic background), pornography consumption, experience of sexual abuse, perception of sexuality, and perception of pornography. Method: A population-based classroom survey of 16-year-old boys (n = 477) and girls (n = 400) from 53 randomly selected high school classes in 2 towns in mid-Sweden. Results: Almost all boys (96%, n = 453) and 54% of the girls (n = 213) had watched pornography. Regardless of sex, pornography consumers had a positive perception of pornography. There were no differences between pornography-consuming boys and girls regarding fantasies, and they had attempted sexual acts inspired by pornography. A higher proportion of girls (15%) than boys (6%) had experienced sexual abuse. Predictors for being sexually experienced (oral sex, intercourse, and anal sex) included: being a girl, attending a vocational high school program, living with separated parents, having experience of sexual abuse, stating that boys and girls are equally interested in sex, and having a positive perception of pornography (Adj. R-2 = 0.166). Conclusion: Boys had more experience of and a more positive perception of pornography, but there were only a few differences between boys and girls in the pornography-consumer group. Girls were more sexually experienced than boys. A positive perception of pornography predicted being sexually experienced.

  • 26.
    Mattebo, Magdalena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Institutionen för kvinnors och barns hälsa, Uppsala universitet.
    Tydén, Tanja
    Institutionen för folkhälso- och vårdvetenskap, Uppsala universitet.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Institutionen för kvinnors och barns hälsa, Uppsala universitet.
    Larsson, Margareta
    Institutionen för kvinnors och barns hälsa, Uppsala universitet.
    Nilsson, Kent W.
    Centrum för klinisk forskning, Uppsala universitet, Landstinget Västmanland.
    Pornography consumption, sexual experiences, lifestyles, and self-rated health among male adilescents in Sweden2013In: Journal of Developmental and Behavioral Pediatrics, ISSN 0196-206X, E-ISSN 1536-7312, Vol. 34, no 7, p. 460-468Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE::

    To describe patterns of pornography use among high school boys and to investigate differences between frequent, average, and nonfrequent users of pornography with respect to sexual experiences, lifestyles, and self-rated health.

    METHODS::

    A population-based classroom survey among 16-year-old boys (n = 477), from 53 randomly selected high school classes in 2 towns in mid-Sweden.

    RESULTS::

    Almost all boys, 96% (n = 453), had watched pornography. Frequent users of pornography (everyday) (10%, n = 47) differed from average users (63%, n = 292) and nonfrequent users (27%, n = 126). Frequent users versus average users and nonfrequent users had more sexual experiences, such as one night stands (45, 32, 25%, respectively) and sex with friends more than 10 times (13, 10, 2%). A higher proportion of frequent users spent more than 10 straight hours at the computer several times a week (32, 5, 8%) and reported more relationship problems with peers (38, 22, 21%), truancy at least once a week (11, 6, 5%), obesity (13, 3, 3%), use of oral tobacco (36, 29, 20%), and use of alcohol (77, 70, 52%) versus average and nonfrequent users. One third of frequent users watched more pornography than they actually wanted. There were no differences between the groups regarding physical and psychological self-rated health.

    CONCLUSIONS::

    The boys, defined as frequent users of pornography, were more sexually experienced, spent more time at the computer, and reported an unhealthier lifestyle compared with average and nonfrequent users. No differences regarding self-rated health were detected even though obesity was twice as common among frequent users.

  • 27.
    Mattebo, Magdalena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Tydén, Tanja
    Uppsala universitet.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Nilsson, Kent
    Centrum för klinisk forskning, Västerås, Uppsala universitet.
    Larsson, Margareta
    Uppsala universitet.
    Pornography consumpton among adolescent girls in Sweden2016In: The European Journal of Contraception & Reproductive Health Care, ISSN 1362-5187, Vol. 21, no 4, p. 295-302Article in journal (Refereed)
    Abstract [en]

    Objectives: The aims of this study were to describe patterns of pornography consumption, investigatedifferences between consumers and non-consumers of pornography regarding sexual experiences,health and lifestyle and determine associations between pornography consumption and sexualexperiences, health and lifestyle among adolescent girls. The hypotheses were that adolescent girlscategorised as pornography consumers would report sexual experiences to a greater extent, and ariskier lifestyle and poorer health, compared with non-consumers.Methods: A classroom survey was conducted among 16-year-old girls (N¼393).Results: One-third (30%) consumed pornography. In this group, almost half (43%) had fantasiesabout trying to copy sexual acts seen in pornography and 39% had tried to copy sexual activitiesseen in pornography. A higher proportion of pornography-consuming girls reported sexual experiencescompared with peers. A third (30%) reported experience of anal sex compared with 15%among non-consuming peers (p¼0.001). Furthermore, peer-relationship problems (17% vs 9%;p¼0.015), use of alcohol (85% vs 69%; p¼0.001) and daily smoking (27% vs 14%; p¼0.002) werereported to a greater extent than in non-consuming peers. Pornography consumption, use of alcoholand daily smoking were associated with experience of casual sex.Conclusions: Pornography-consuming girls reported sexual experiences and a risky lifestyle to agreater extent compared with non-consuming girls. This indicates that pornography consumptionmay influence sexualisation and lifestyle. This is important to acknowledge when designing andimplementing sexual health programmes for adolescents.

  • 28.
    Nordfors, Cecilia
    et al.
    Department of Oncology-Pathology, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden .
    Grün, Nathalie
    Department of Oncology-Pathology, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden .
    Haeggblom, Linnea
    Department of Oncology-Pathology, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden .
    Tertipis, Nikolaos
    Department of Oncology-Pathology, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden .
    Sivars, Lars
    Department of Oncology-Pathology, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden .
    Mattebo, Magdalena
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden .
    Larsson, Margareta E.
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden .
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden .
    Tydén, Tanja
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Ramqvist, Torbjörn
    Department of Oncology-Pathology, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden .
    Dalianis, Tina
    Department of Oncology-Pathology, Karolinska Institutet, Karolinska University Hospital, 171 76 Stockholm, Sweden .
    Oral human papillomavirus prevalence in high school students of one municipality in Sweden2013In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 45, no 11, p. 878-881Article in journal (Refereed)
    Abstract [en]

    The rise in human papillomavirus (HPV) infection has been suggested to be responsible for the increased incidence of oropharyngeal cancer in the Western world. This has boosted interest in oral HPV prevalence and whether HPV vaccines can prevent oral HPV infection. In a previous study we showed oral HPV prevalenceto be almost 10% in youth aged 15-23 y attending a youth clinic in Stockholm, Sweden. However, this may not be a generalizable sample within the Swedish population. Therefore, mouthwashes were used to investigate oral HPV prevalence in 335 Swedish high school students aged 17-21 y (median age 18 y), from 1municipality with 140,000 inhabitants. The presence of HPV DNA in the oral samples, as examined by a Luminex-based assay, was significantly lower in this cohort, only 1.8% (3.1% in females and 0.6% in males), as compared to our previous study.

  • 29.
    Skagerström, Janna
    et al.
    Linköping Univ.
    Alehagen, Siw
    Fac Hlth Sci, Div Nursing Sci, Dept Med & Hlth Sci, SE-58185 Linköping.
    Häggstrom-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Arestedt, Kristofer
    Fac Hlth Sci, Div Nursing Sci, Dept Med & Hlth Sci, SE-58185 Linköping.
    Nilsen, Per
    Linköping Univ.
    Prevalence of alcohol use before and during pregnancy and predictors of drinking during pregnancy: a cross sectional study in Sweden2013In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13, p. 780-Article in journal (Refereed)
    Abstract [en]

    Background: There is a paucity of research on predictors for drinking during pregnancy among women in Sweden and reported prevalence rates differ considerably between studies conducted at different antenatal care centres. Since this knowledge is relevant for preventive work the aim of this study was to investigate these issues using a multicenter approach. Methods: The study was conducted at 30 antenatal care centers across Sweden from November 2009 to December 2010. All women in pregnancy week 18 or more with a scheduled visit were asked to participate in the study. The questionnaire included questions on sociodemographic data, alcohol consumption prior to and during the pregnancy, tobacco use before and during pregnancy, and social support. Results: Questionnaires from 1594 women were included in the study. A majority, 84%, of the women reported alcohol consumption the year prior to pregnancy; about 14% were categorized as having hazardous consumption, here defined as a weekly consumption of > 9 standard drinks containing 12 grams of pure alcohol or drinking more than 4 standard drinks at the same occasion. Approximately 6% of the women consumed alcohol at least once after pregnancy recognition, of which 92% never drank more than 1 standard drink at a time. Of the women who were hazardous drinkers before pregnancy, 19% reduced their alcohol consumption when planning their pregnancy compared with 33% of the women with moderate alcohol consumption prior to pregnancy. Factors predicting alcohol consumption during pregnancy were older age, living in a large city, using tobacco during pregnancy, lower score for social support, stronger alcohol habit before pregnancy and higher score for social drinking motives. Conclusions: The prevalence of drinking during pregnancy is relatively low in Sweden. However, 84% of the women report drinking in the year preceding pregnancy and most of these women continue to drink until pregnancy recognition, which means that they might have consumed alcohol in early pregnancy. Six factors were found to predict alcohol consumption during pregnancy. These factors should be addressed in the work to prevent alcohol-exposed pregnancies.

  • 30.
    Skagerström, Janna
    et al.
    Linköpings universitet, Sweden.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Kvinnors och barns hälsa, Uppsala universitet, Sweden.
    Alehagen, Siw
    Linköpings universitet, Sweden.
    The voice of non-pregnant women on alcohol consumption during pregnancy: A focus group study among women in Sweden2015In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, no 1, article id 1193Article in journal (Refereed)
    Abstract [en]

    Background: Consensus is that fetal exposure to alcohol is harmful. Abstinence while trying to conceive and throughout pregnancy is recommended. Despite this, there are many women who consume alcohol around conception and until pregnancy recognition. The aim of this study was to explore the voice of non-pregnant women concerning alcohol consumption and its relation to pregnancy.

    Methods: Data were collected through seven focus groups interviews with 34 women of fertile age, who were neither pregnant nor mothers. Semi-structured interviews were undertaken, recorded and transcribed verbatim and then analysed using thematic analysis.

    Results: Three main themes were identified in the analysis: an issue that cannot be ignored; awareness and uncertainty concerning alcohol and pregnancy; and transition to parenthood. Alcohol was an integral part of the women’s lives. A societal expectation to drink alcohol was prevalent and the women used different strategies to handle this expectation. Most women agreed not to drink alcohol during pregnancy although their knowledge on the specific consequences was scanty and they expressed a need for more information. Most of the participants found drinking alcohol during pregnancy to be irresponsible and saw pregnancy as a start of a new way of life.

    Conclusions: Social expectations concerning women’s alcohol use change with pregnancy when women are suddenly expected to abstain. Although most study participants shared an opinion for zero tolerance during pregnancy, their knowledge regarding consequences of drinking during pregnancy were sparse. In order for prospective mothers to make informed choices, there is a need for public health initiatives providing information on the relationship between alcohol consumption and reproduction.

  • 31.
    Sreyasak, Atcharawadee
    et al.
    Adultand Aging, Prachomklao College of Nursing,Phetchaburi Province, Thailand.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sridawruang, Chaweewan
    Boromarajonani College of Nursing Udon Thani, Udon Thani, Thailand.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Parents’ experiences of their teenage children’s parenthood: An interview study2018In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 20, no 1, p. 39-45Article in journal (Refereed)
    Abstract [en]

    In this study, we described and analyzed parents’ experiences of teenage parenthood and the provision of support to their teenage children who had recently have become parents. A quali- tative method was used. In-depth interviews with 24 participants were conducted, all parents of teenage parents. Data were analyzed using content analysis; four themes and 11 subthemes were identified. The results show that parents’ norms and values were strongly influenced by their religious beliefs. The participants had mixed emotions and reactions to their teenage chil- dren’s parenthood. Also participants were sources of support to the teenage parents and assisted them in their transition to parenthood. However, the participants also expressed the importance that their teenage children continue their education and avoid repeated pregnan- cies. This study highlights how emotional, instrumental, and informational support provided by parents to their teenagers can assist the latter in their transition to parenthood. In their work with teenage parents, healthcare providers can benefit from teenage parent's own parents involvement and experiences. 

  • 32.
    Sriyasak, Atcharawadee
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Anna Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sridawruang, C.
    Boromarajonani College of Nursing Udon Thani Thailand .
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Father role: A comparison between teenage and adult first-time fathers in Thailand2015In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 17, no 3, p. 377-386Article in journal (Refereed)
    Abstract [en]

    In this study, we compared perceived father roles among teenage and adult first-time fathers in Thailand. The design was cross-sectional and comparative, and the sample involved 70 teenage and 70 adult fathers, whose children were 2-6 months old. The fathers were recruited from 32 primary healthcare centers in the western region of Thailand. Three validated, self-reported questionnaires with multiple-choice questions were used for data collection. Differences between the two groups were analyzed using χ2-test and the Mann-Whitney U-test. The results revealed differences between teenage and adult fathers concerning income, educational level, and intention to have a baby. The teenage father group had a lower sense of competence, and scored lower on childrearing behavior and father-child relationship than the adult father group. These findings provide healthcare professionals with increased knowledge and understanding of teenage fathers' needs in preparing for parenthood. Given that we now know the importance of positive father roles in children's lives, health authorities should be expected to provide resources to help support these fathers. © 2015 Wiley Publishing Asia Pty Ltd.

  • 33.
    Sriyasak, Atcharawadee
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sridawruang, C.
    Häggström-Nordin, Elisabeth
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Healthcare providers’ experiences of caring for teenage parents in ThailandIn: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393Article in journal (Refereed)
  • 34.
    Sriyasak, Atcharawadee
    et al.
    Prachomklao Coll Nursing, 203 Moo2, Thongchai 76000, Muang, Thailand..
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sridawruang, Chaweewan
    Boromarajonani Coll Nursing Udon Thani, Mueang 41330, Udon Thani, Thailand..
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Healthcare providers' caring for Thai teenage parents: A focus group study2019In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 69, p. 172-178Article in journal (Refereed)
  • 35.
    Sriyasak, Atcharawadee
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Prachomklao College of Nursing, Phetchaburi, Thailand.
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Sridawruang, Chaweewan
    Boromarajonani College of Nursing, Udon Thani, Thailand.
    Neamsakul, Wanwadee
    Boromarajonani College of Nursing, Uttraradit, Thailand.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare. Kvinnors och barns hälsa, Uppsala universitet, Sweden.
    The New Generation of Thai Fathers: Breadwinners involved in Parenting2018In: American Journal of Men's Health, ISSN 1557-9883, E-ISSN 1557-9891, no 5, p. 1368-1378Article in journal (Refereed)
    Abstract [en]

    Becoming a father for the first time might cause great changes in a man’s identity and lifestyle. Teenage fathers must strive to balance two competing roles: the teenage role and the father role. The current study design followed grounded theory methodology to gain a deeper understanding of how Thai teenage fathers reason about becoming and being a father from a gender equality perspective. Participants were selected from a heterogeneous group of fathers until saturation was reached (n = 25). Most of the fathers were cohabiting with their partner in an extended family. An interview guide was developed, a pilot study was undertaken, and interviews were performed on two different occasions: once during the second trimester of pregnancy and again when the baby was 5 to 6 months old. The core category, “Male breadwinners involved in parenting,” encompassed persons making the transition from being solely a teenager to being a teenage father. Most of the fathers accepted the unintended pregnancy and took on the expected breadwinning responsibility of a father. They prepared for fatherhood and changed their lifestyle. Their families provided support. Nevertheless, the fathers sought to avoid further unplanned parenthood by learning about family planning. The teenage fathers emphasized breadwinning first, then involved himself in the child and the housework. These findings provide an increased understanding of Thai teenage fathers.

  • 36.
    Sriyasak, Atcharawadee
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Prachomklao College of Nursing, Phetchaburi province, Thailand .
    Almqvist, Anna-Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sridawruang, Chaweewan
    Boromarajonani College of Nursing, Udon Thani, Thailand.
    Neumsakul, Wanwadee
    Suranaree University of Technology, Thailand.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Struggling with motherhood and coping with fatherhood: A grounded theory study among Thai teenagers2016In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, ISSN 0266-6138, Vol. 42, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Objective to gain a deeper understanding of Thai teenage parents’ perspectives, experiences and reasoning about becoming and being a teenage parent from a gender perspective. Design an exploratory design using grounded theory methodology. Semi-structured interviews were used to collect data. An interview guide was developed, a pilot study was undertaken, and interviews were performed on two different occasions: once during the second trimester of pregnancy and again when the infant was 5–6 months old. Setting a province in the western part of Thailand. Participants the selection of a heterogeneous group of teenage parents-to-be continued until saturation was reached, as describe by Glaser and Strauss (1967), in all n=50. Inclusion criteria for participants were that they were heterosexual couples, under 20 years of age, cohabiting, and expecting their first child. Findings the core category ‘struggling with motherhood and coping with fatherhood’ comprises descriptions of the process from when the teenagers first learned about the pregnancy until the child was six months old. The teenagers had failed to use contraceptives which led to an unintended parenthood. Their parenthood became a turning point as the teenagers started to change their behaviours and lifestyle during pregnancy, and adapted their relationships to partner and family. Family commitments was a facilitator, through support given by their families. Finally, becoming a parent describes ways of dealing with the parental role, by engaging in parental activities and reestablishing goals in life. Most of the teenage parents reproduced traditional gender roles by being a caring mother or a breadwinning father respectively. Key conclusions ‘struggling with motherhood and coping with fatherhood’ referred to the parents’ stories about how they struggled and coped with life changes and their parental role when they became unintentionally pregnant, accepted their parenting, and finally became parents. After becoming parents, the main concerns of most of the teenage parents were being a caring mother and a breadwinning father. Implications for practice this study contributes a deeper understanding of Thai teenage parents’ experiences of becoming and being a parent and might improve health care professionals’ adaptation of care for teentranatanage parents and inspire them to tailor their care specifically to teenager's needs from early pregnancy to parenthood.

  • 37.
    Söderbäck, Maja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wilhelmsson, Emma
    Mälardalen University, School of Health, Care and Social Welfare.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare.
    Absence and reliance: Liberian women's experience of vaginal fistula2012In: African Journal of midwifery and women's health, ISSN 1759-7374, Vol. 6, no 1, p. 28-34Article in journal (Refereed)
    Abstract [en]

    Childbirth entails considerable risk in developing countries. A prolonged labour process can cause the woman sustained injuries and lead to the death of the unborn child. Many women in Africa suffer from vaginal fistulas, causing a constant leakage of urine and/or faeces. The aim of this study was to explore and describe women's experiences of living with fistulas and how the condition affects their daily life. An ethnographic-inspired design involving observation, group- and individual conversations, was carried out at a gynaecological ward at a rural hospital in Liberia with 14 women. The reflexive analysis during fieldwork revealed two main themes in the women's experiences: absence and reliance. The results demonstrate that the women felt a loss of control over a perceived traumatic birth, loss of the dead child, loss of status as a woman and wife and loss of social fellowship. They also felt a loss of self-confidence. In contrast, the women relied on their belief and trust in God to help them with the difficult situation.

  • 38. Tydén, T
    et al.
    Olsson, S
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare.
    Improved use of contraceptives, attitudes toward pornography, and sexual harassment among female university students.2001In: Women's health issues, ISSN 1049-3867, E-ISSN 1878-4321, Vol. 11, no 2, p. 87-94Article in journal (Refereed)
    Abstract [en]

    This study describes sexual behavior over a 10-year period in a female student population. The use of condoms at first coitus increased from 40% to 77%. Sexually transmitted diseases decreased from 26% to 14%, and abortions from 11% to 5.5%. One-fourth of students had had anal intercourse, and 86% had performed oral sex. Half of the women had read pornography. The majority of women with experience of oral sex graded it as positive, whereas they graded anal sex as mostly negative. Twelve percent of the women had been sexually harassed, mainly by their male peers (80%).

  • 39.
    Tydén, Tanja
    et al.
    Uppsala universitet, Sweden.
    Aneblom, Gunilla
    Uppsala universitet, Sweden.
    von Essen, Louise
    Uppsala universitet, Sweden.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare. Uppsala universitet, Sweden.
    Larsson, Margareta
    Uppsala universitet, Sweden.
    Odlind, Viveca
    Uppsala universitet, Sweden.
    Trots lättillgängliga akut-p-piller sjunker inte antalet aborter. Studier av kvinnors kunskaper, attityder och erfarenheter av metoden.2002In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 99, no 47, p. 4730-4735Article in journal (Refereed)
    Abstract [sv]

    Despite the fact that emergency contraceptive pills (ECP) have become easily available across the country during recent years, abortion numbers continue to rise in Sweden, especially in the young age groups (< 25). In a series of studies, we have investigated knowledge, attitudes and experience of ECP among young women. Our results show that, whereas most women are aware of the method, many lack knowledge about the mechanism of action and time frames for best use, which could explain why ECPs are not used by more than a fraction of women who might have had benefit from their use. Since half of the women requesting a termination of pregnancy stated that they would have used ECP if they had had them available at home at the time of the unprotected intercourse which led to an unintended pregnancy, it seems reasonable to encourage women to keep ECPs at home, in case the need should arise. It is important that ECPs are available without prescription, but beyond that, much more information about ECP is necessary in order for the method to be widely accepted and used as a back-up after failure with other contraceptives.

  • 40.
    Udmuangpia, Tipparat
    et al.
    Univ Missouri, Sinclair Sch Nursing, Columbia, MO 65211 USA.;Boromarajonani Coll Nursing, Khon Kaen 40000, Thailand..
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Worawong, Chiraporn
    Boromarajonani Coll Nursing, Udonthani 41000, Thailand..
    Tanglakmankhonge, Kamonthip
    Boromarajonani Coll Nursing, Udonthani 41000, Thailand..
    Bloom, Tina
    Univ Missouri, Sinclair Sch Nursing, Columbia, MO 65211 USA..
    A Qualitative study: Perceptions Regarding Adolescent Pregnancy Among A Group of Thai Adolescents in Sweden2017In: PACIFIC RIM INTERNATIONAL JOURNAL OF NURSING RESEARCH, ISSN 1906-8107, Vol. 21, no 1, p. 75-87Article in journal (Other academic)
    Abstract [en]

    Sweden has relatively high rates of adolescent pregnancy despite comprehensive sexual education for adolescents, and Thai adolescent immigrants are particularly at risk. The aim of this study was to explore perceptions of adolescent pregnancy among Thai adolescents living in Sweden. A qualitative descriptive study was conducted in 2011, using a purposive sampling strategy to recruit male and female Thai adolescents (age 15-19). Eligibility criteria included: Thai-speaking; single; residing in Sweden >= 6 months but <5 years. Four focus groups were undertaken (N = 18). Each group was transcribed verbatim, and analyzed using a manifest content analysis approach. Five different categories emerged in analysis: risk factors, preventative factors, negative consequences, factors for considering and ending pregnancy, and strategies for prevention. Participants perceived adolescent pregnancy as having negative consequences, including social perceptions within Thai immigrant communities of pregnant adolescents as "a bad person." Participants identified family readiness, economic factors, maturity, and cultural influences, in particular related to Buddhist beliefs, as key factors in Thai adolescents' decision-making about abortion when facing an unintended pregnancy. Although Thai adolescents residing in Sweden live in a sexually open society with comprehensive sexual education and youth services, they endorsed contraceptive myths and perceived adolescent sexual activity and pregnancy as stigmatized among their family and peers. Attention to family, peers, and contraceptive knowledge variables may be particularly important in sexual health interventions for this population group.

  • 41.
    Von Feilitzen, C
    et al.
    Department, Women's Clinic, Kullbergska Hospital, Katrineholm.
    Rådestad, Ingela
    Mälardalen University, School of Health, Care and Social Welfare.
    Hildingsson, I
    Mittuniversitetet.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare.
    Women’s advice to mothers-to-be: 'Clearly voice your needs'2009In: British Journal of Midwifery, Vol. 8, no 17, p. 514-518Article in journal (Refereed)
    Abstract [en]

    The objectives were to investigate what advice women who have given birth would give to parents-to-be using an open question analysed by content analysis. This was a populationbased study including women giving birth in Sweden. Data were collected by means of anonymous postal questionnaires and information was provided by 322 women. The advice was predominantly directed towards mothers-to-be. Six categories were identified: preparation, optimize preparation before birth; support, strengthen confidence In your own capacity; confidence, encouragement to rely on the staff and destiny; control, understand the situation; live in the present, do not worry in advance; parenthood, cooperation with partner is important. A theme for all advice was formulated as 'stand up for yourself'. Key conclusions and implications for practice were that through their advice, the women wanted to strengthen mothers-to-be to clearly voice their needs during labour. Health professionals can Improve how they support women during pregnancy and birth so that women's ability to express their needs is strengthened.

  • 42.
    Wätterbjörk, Inger
    et al.
    Örebro universitet.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare.
    Hägglund, Doris
    Örebro universitet.
    Provider strategies for contraceptive counselling among Swedish midwives2011In: British journal of midwifery, ISSN 0969-4900, E-ISSN 2052-4307, Vol. 19, no 5, p. 296-301Article in journal (Refereed)
    Abstract [en]

    Previous studies have shown that in contraceptive counselling the provider sets the agenda. The aim of this study was to describe how a group of Swedish nurse-midwives think and act in their role as contraceptive counsellors. Semi-structured questions were put to a convenience sample of 16 nurse-midwives. Data were analysed using qualitative content analysis. Five categories were identified: exploring the woman's situation; providing information about contraceptive methods; performing medical evaluation; guiding the decision-making process; and following up on the counselling. Results showed that the providers had developed their own strategies and suggest the use of interventions which combine counselling methods to provide information, with a theory for decision-making, to help in giving advice. This study could contribute to personal reflection on contraceptive counselling in practice, both for experienced counsellors and those new to the task.

1 - 42 of 42
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