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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, 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)
  • 4.
    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. 

  • 5.
    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.

  • 6.
    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.

  • 7.
    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.

  • 8.
    Mattebo, Magdalena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala universitet.
    Tydén, Tanja
    Uppsala universitet.
    Häggström-Nordin, Elisabet
    Mälardalen University, School of Health, Care and Social Welfare. Kvinnors och barns hälsa, Uppsala universitet.
    Nilsson, Kent
    Centrum för klinisk forskning.
    Larsson, Margareta
    Uppsala universitet.
    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.

  • 9.
    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.

  • 10.
    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.

  • 11.
    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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