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  • 1.
    Oscarsson, Marie
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Department of Public Health and Caring Sciences, Uppsala University.
    Qvarnström, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Tydén, Tanja
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala,.
    Attitude to cervical cancer screening and sexual behavior among HPV vaccinated young women: a qualitative pilot study2013In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 5, no 7A4, p. 13-18Article in journal (Refereed)
    Abstract [en]

    Objectives: To explore attitudes to cervical cancer screening and sexual behaviour among human papillomavirus (HPV)-vaccinated young women in southern Sweden. Methods: Sixteen women aged 17-26 years who had received the HPV vaccine were submitted to an individual semi-structured interview. Interviews were recorded and transcribed verbatim. The data were analysed qualitatively by means of latent content analysis. Results: The interviewees had a poor understanding of cervical cancer screening. After it was explained to them, they stated that they were willing to participate in the screening. The young women thought their future sexual behaviour would not be affected by the vaccination. They considered themselves to be more aware of it and less likely to engage in risky behaviour than their peers. They knew little about the relation among HPV, sexual transmission and cervical cancer, and they expressed a desire for more information. Conclusions: These young women who recently had been administered HPV vaccine had a limited understanding of the importance of participating in future cervical cancer screening. It is necessary that more and more appropriate information of cervical cancer screening be given on the occasion of the HPV vaccination.

  • 2.
    Oscarsson, Marie
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Qvarnström, Anna
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Tydén, Tanja
    Uppsala Unversitet.
    Possible effects on participation in cervical cancer screening and sexual behaviour following HPV vaccination in Sweden2012In: 28th International Papillomavirus Conference & Clinical and Public Health Workshops: abstracts book - epidemiology / public health, 2012, p. 405-405Conference paper (Refereed)
    Abstract [en]

    Objective. To illustrate attitudes towards future cervical cancer screening and future sexual behavior among young HPV vaccinated women and parents of HPV vaccinated girls.

    Design. Study with qualitative approach.

    Setting. Mid-sized cities in the south of Sweden.

    Sample. Young women aged 17 to 26 years (n=17) and parents of girls aged 13 to 17 years (n=6) vaccinated against HPV.

    Method. Individual semi-structured interviews were analyzed with qualitative content analysis.

    Results. The attitudes towards future participation in cervical cancer screening was positive in both groups, but nearly half of the young women did not know what cervical cancer screening meant. Among the young women, there was a lack of understanding about the relation between sexual transmission, HPV and cervical cancer. The parents had better understanding. Future sexual behavior was thought would not be affected by the vaccination, but participants discussed the possibility of it leading to increased sexual risk taking among others. We could also see that discussions prior to the vaccination increased knowledge about sexually transmitted infections and encouraged conversations about safe sex between parents and daughters.

    Conclusions. Young HPV vaccinated women are unaware of cervical cancer screening and to what extent HPV vaccination offers protection. Accurate information about HPV, sexual transmission and cervical cancer is important to prevent possible negative effects on participation in cervical cancer screening and on future sexual behavior.

  • 3.
    Qvarnström, Anna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    An Internet based survey on how Swedish men who have sex with men percieve pre-travel prevention efforts on HIV/STIs2014Conference paper (Refereed)
    Abstract [en]

    Background: Overseas travellers and men who have sex with men (MSM) are prioritised groups when it comes to HIV/STI prevention. Travelling increases sexually risky behaviour and sexual contacts abroad are common; among MSM, there is a high prevalence of HIV/STIs.

    Objective: To investigate the experiences of and attitudes towards prevention efforts against HIV/STI before travelling abroad among MSM.

    Methods: The study had a cross sectional design and is based on survey responses from 656 MSM, recruited through a Nordic website, who had travelled abroad during the preceding year of the survey. Analysis is primarily descriptive, but bivariate analyses were also performed, and statistically significant differences between groups were investigated using the chi-square test. The level of significance was p <. 05.

    Results: Very few of the men felt that they encountered prevention efforts against HIV/STIs in Sweden (4.9%) and abroad (22.7%), and a majority (58.4%) felt that more should be offered, in particular to younger men. They felt that it was easy to find out information(79%), and most of them would use the Internet (87%). As to prevention efforts, a majority (68.3%) preferred free access to condoms and lubrications or written information/travel advice (59%).

    Conclusion: Prevention efforts aimed at overseas travellers can involve links to information on the Internet about sexual health. The results suggest that it is primarily younger men who should be prioritised. It is important that the information is conveyed respectfully since this group may have the experience of feeling stigmatised or discriminated against.

  • 4.
    Qvarnström, Anna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Erfarenheter och attityder till preventionsarbete mot hiv/STI inför utlandsresor2014Report (Other academic)
    Abstract [sv]

    Rapporten består av två delstudier:

    I Information man inte kan få för mycket av. En kvalitativ intervjustudie med unga vuxna 20-29 år som rest utomlands senaste året.

    II Mycket viktigt, men eget ansvar? En webbaserad kvantitativ studie om preventionsarbete riktat mot MSM som rest utomlands senaste året.

  • 5.
    Qvarnström, Anna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Experiences of and attitudes towards HIV/STI prevention among holidaymaking men who have sex with men living in Sweden: A cross-sectional Internet survey2015In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, no 5, p. 490-496Article in journal (Refereed)
    Abstract [en]

    Aim: Foreign travellers and men who have sex with men (MSM) are prioritised groups for human immunodeficiency virus/sexually transmitted infection (HIV/STI) prevention efforts in Sweden because of high prevalence of sexual risk-taking. This study aims to describe experiences of and attitudes towards HIV/STI prevention efforts, prior to travelling abroad, among MSM, and to investigate the kinds of prevention efforts that are desirable.

    Methods: The study is based on survey responses from 656 MSM who had travelled abroad. recruitment took place through a Nordic website, and had a cross-sectional design.The analysis has mainly been descriptive, but bivariate analyses were performed using the chi-square test.The level of significance was p <.05.

    Results: Only a few of the participants had encountered HIV/STI prevention efforts in Sweden (5%) and abroad (23%), and a majority (58%) felt that it should be more prevalent. Having free access to condoms and lubricants was preferred among 68% of the men. Furthermore, having written information, as opposed to oral, was also preferred (68% vs. 26%). MSM felt that it was easy to find out information (79%) and claimed they would use the Internet to do so (87%).

    Conclusions: Service providers who offer their services to travellers are encouraged to provide helpful links to information about sexual health. Information that is geared towards risk groups such as young adults should be presented with awareness that MSM are also part of that group. It is important for information to be conveyed respectfully to everyone, but perhaps MSM in particular, since they may have experienced feelings of being stigmatised or discriminated against previously. 

  • 6.
    Qvarnström, Anna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    HIV/STI prevention among young adults: a qualitative study on experiences of prevention efforts prior to travelling abroad2014Conference paper (Refereed)
    Abstract [en]

    Background: Young adults are at risk for HIV/STIs because of multiple sexual partners and low condom use. Travelling increases sexually risky behaviour and sexual contacts abroad are common. Better knowledge about young adults’ experiences of prevention efforts prior to travelling as well as what they would prefer in terms of prevention efforts are important when planning prevention efforts targeted towards this group.

    Objective: To investigate the experiences of and attitudes towards prevention efforts against HIV/STIs among young adults in Sweden who have travelled abroad.

    Method: We conducted 12 focus-group interviews and four individual interviews with young adults (20–29 years) who had travelled abroad within the last 12-months, altogether 48 participants. The interviews were analysed using thematic content analysis.

    Results: Only a few had any experience of prevention efforts against HIV/STIs. The majority welcomed the idea of prevention efforts prior to travelling abroad and would have welcomed more, preferably brief reminders, links to reliable websites or someone professional to discuss the issue with. Most of them would use the Internet to search for information. They proposed the possibility of reaching young adults through social media and the importance of receiving better basic knowledge in school.

    Conclusion: Prevention efforts on HIV/STIs must focus on the use of established forums, when reaching young adults prior to trips abroad is difficult. Setting the foundation for a positive attitude towards condom use is needed during school years. Even social media, where there is the possibility for dialogue, should be used as an information source.

  • 7.
    Qvarnström, Anna
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Oscarsson, Marie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Perceptions of HIV/STI prevention among young adults in Sweden who travel abroad: a qualitative study with focus group and individual interviews2014In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 14, article id 897Article in journal (Refereed)
    Abstract [en]

    Background

    Young adults are at risk for HIV/STIs because they generally have an active sex life with multiple sexual partners; moreover, they use condoms to a lesser extent. Travelling increases sexually risky behaviour, and among both women and men, sexual contacts abroad are common. Better knowledge of how young adults experience prevention efforts prior to travelling, and what they prefer, is important when planning prevention efforts to this group. Experiences of and attitudes towards prevention efforts against HIV/STI among young adults in Sweden who have travelled abroad were investigated.

    Method

    We conducted 12 focus-group interviews and four individual interviews with young adults (20-29 years) who had travelled abroad within the last 12 months. The interviews were recorded, transcribed verbatim, and analysed using thematic content analysis. Results were discussed from a salutogenic perspective.

    Results

    Only a few had any experience of prevention efforts against HIV/STIs. The majority welcomed the idea of prevention efforts prior to travelling and would have welcomed more, preferably short reminders or links to reliable websites, or someone professional to discuss the issue with. Most of the young adults would use the Internet to search for information. They proposed the possibility of reaching young adults through social media, and the importance of better basic knowledge in school.

    Conclusion

    It is difficult to reach young adults before their trips abroad. Prevention efforts on HIV/STI must therefore focus on the use of established forums. Setting the foundation for a positive attitude towards condom use is needed during school years. Even social media, where there is the possibility for dialogue, should be used as an information source

1 - 7 of 7
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