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  • 1.
    Donevan, M.
    et al.
    Akademiska sjukhuset, Uppsala, Sweden.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The relationship between frequent pornography consumption, behaviours, and sexual preoccupancy among male adolescents in Sweden2017In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 82-87Article in journal (Refereed)
  • 2.
    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)
  • 3.
    Häggström-Nordin, Elisabet
    et al.
    Mälardalen University, School of Health, Care and Social Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kommunikation inom ungdomsmottagning i  Kommunikation med barn och unga i vården in Söderbäck (2014). Stockholm, Liber.[in English: Communication in Youth Centers in Communication with children and young people in Health care].2014In: Kommunikation med barn och unga i vården / [ed] Söderbäck Maja, Liber, 2014, 1, p. 1-216Chapter in book (Other academic)
  • 4.
    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)
  • 5.
    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. 

  • 6.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare.
    Aldrig för tidigt: Utvärdering av samtalsunderlaget Reproduktiv Livsplan för att öka ungas medvetenhet och kunskap om fertilitet och reproduktiv hälsa2016Other (Refereed)
  • 7.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare.
    Chans eller risk? En mixad metod-studie om genusnormer, sexuellt risktagande och kondomanvändning bland ungdomar och unga vuxna.2015Other (Refereed)
  • 8.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Important but far away – Adolescents’ beliefs, awareness and experiences regarding fertility and preconception health – A qualitative study2019Conference paper (Refereed)
  • 9.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    It’s never too early – a project about fertility and preconception health among young women and men2019Other (Refereed)
  • 10.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Kan jämställdhetsarbete i skolan förbättra barn och ungdomars psykiska hälsa2019Other (Refereed)
  • 11.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare.
    Pornography consumption among adolescent girls in Sweden2016In: Pornography consumption among adolescent girls in Sweden, 2016Conference paper (Refereed)
  • 12.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pre- och perikonceptionell hälsa som del av en reproduktiv livsplan - Bestämningsfaktorer och intervention2019Other (Refereed)
  • 13.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare.
    Reproductive life planning (RLP) for adolescents2015Other (Refereed)
  • 14.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Reproduktiv livsplan för ungdomar: ett forskningsprojekt för att öka medvetenhet och kunskap om levnadsvanor och fruktsamhet bland ungdomar i Sverige2019Other (Refereed)
  • 15.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Socialtjänstens preventiva arbete i skolan. En fallstudie i en svensk kommun2018Other (Refereed)
  • 16. Mattebo, Magdalena
    Ungdomar, pornografi och sex2014Conference paper (Refereed)
  • 17.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare.
    Ungdomar, sex och pornografi2016Conference paper (Refereed)
  • 18.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare.
    Ungdomsmottagningar: jämlik tillgång till insatser av god kvalitet? En studie av tvärprofessionalitet, ojämlikheter och evidensbaserad praktik på ungdomsmottagningar i Sverige2016Other (Refereed)
  • 19.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ungdomsmottagningars praktik: En studie av tvärprofessionalitet, preventionsarbete och evidensbaserad praktik2017Other (Refereed)
  • 20.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare.
    Utvecklingen av ny sex- och samlevnadsundervisning i Sverige. Från forskning om ungdomars kunskap, attityder och erfarenheter till ett datorunderstött undervisningsprogram2015Other (Refereed)
  • 21.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Viktigt men avlägset- Ungdomars tankar och medvetenhet kring fruktsamhet och prekonceptionell hälsa- en kvalitativ studie2018Conference paper (Refereed)
  • 22.
    Mattebo, Magdalena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Bogren, M.
    Sahlgrenska Academy, University of Gothenburg, Sweden.
    Brunner, N.
    Dalarna University, Sweden.
    Dolk, A.
    Dalarna University, Sweden.
    Pedersen, C.
    Dalarna University, Sweden.
    Erlandsson, K.
    Dalarna University, Sweden.
    Perspectives on adolescent girls’ health-seeking behaviour in relation to sexual and reproductive health in Nepal2019In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 20, p. 7-12Article in journal (Refereed)
    Abstract [en]

    Aim: To explore health care providers’ perspectives on adolescent girls’ health-seeking behaviour in Nepal in relation to their sexual and reproductive health and rights. Twenty health-care providers were included in this interview study. Ethical approval was obtained from the Nepal Health Research Council. Findings: The main category ‘Barriers affect adolescent girls’ health-seeking behaviour in relation to their sexual and reproductive health’ was divided into five categories: a conservative society with social stigma; lack of information, education and knowledge; lack of facilities and respectful care; insufficient confidentiality and privacy; and unmet needs of adolescent-friendly facilities. Conclusions: Lack of knowledge among adolescent girls and unmet needs of adolescent-friendly facilities affect their access to sexual and reproductive health care in Nepal. Lack of knowledge could be seen as a barrier, and as a reason why adolescent girls do not seek sexual and reproductive health care. 

  • 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. Uppsala universitet, Sweden.
    Tydén, Tanja
    Uppsala universitet, Sweden.
    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.
    Larsson, Margareta
    Uppsala universitet. Sweden.
    Pornography consumption and psychosomatic and depressive symptoms among Swedish adolescents: a longitudinal study2018In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, ISSN 0300-9726, Vol. 123, no 4, p. 237-246Article in journal (Refereed)
    Abstract [en]

    Background: The aims of this longitudinal study were to identify predictors for continued pornography consumption and to investigate pornography consumption in relation to psychosomatic and depressive symptoms among a group of adolescents in Sweden.

    Methods and materials: A longitudinal study in classroom environment in 53 randomly selected senior high school classes in mid-Sweden in years 2011 and 2013. Out of 477 participating boys and 400 girls in 2011, 224 boys (47%) and 238 girls (60%) participated in 2013.

    Results: Higher pornography consumption at baseline and being born outside Sweden predicted continued pornography consumption at follow-up (adjusted R2 = 0.689).

    Psychosomatic symptoms at follow-up were predicted by higher pornography consumption at baseline (adjusted R2 = 0.254), being a girl, living with separated parents, and attending a vocational high school program. By contrast, depressive symptoms at follow-up were predicted by less pornography consumption at baseline (adjusted R2 = 0.122) and being a girl.

    Conclusions: Pornography consumption may, for some individuals, be associated to mental health issues. Differences between teenage boys and girls and between adolescents with diverse ethnic backgrounds imply that counseling and discussion about pornography need to be adjusted and individualized.

  • 28.
    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.

  • 29.
    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.

  • 30.
    Ragnar, Maria Ekstrand
    et al.
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden..
    Grandahl, Maria
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden..
    Stern, Jenny
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.
    Mattebo, Magdalena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden.
    Important but far away: adolescents' beliefs, awareness and experiences of fertility and preconception health2018In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 23, no 4, p. 265-273Article in journal (Refereed)
    Abstract [en]

    Objectives: The aim was to explore adolescents' beliefs and awareness regarding fertility and preconception health, as well as their views and experiences of information about fertility and preconception health directed at their age group. Methods: We performed seven semi-structured focus group interviews among upper secondary school students (n = 47) aged 16-18 years in two Swedish counties. Data were analysed by qualitative content analysis. Results: One theme ('important but far away') and five categories ('starting a family far down on the list'; 'high awareness but patchy knowledge of fertility and preconception health'; 'gender roles influence beliefs about fertility and preconception health'; 'wish to preserve fertility and preconception health in order to keep the door to procreation open'; 'no panacea - early and continuous education about fertility and preconception health') emerged from the interviews. Participants recognised the importance of preconception health and were highly aware of the overall importance of a healthy lifestyle. Their knowledge, however, was patchy and they had difficulties relating to fertility and preconception health on a personal and behavioural level. Participants wanted more information but had heterogeneous beliefs about when, where and how this information should be given. Conclusion: The adolescents wanted information on fertility and preconception health to be delivered repeatedly as well as through different sources.

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