Sexuellt risktagande bland unga i Sverige: har erfarenhet av immigration någon betydelse?
Project number : 111721
Created by: Anna Kågesten, 2012-10-05
Last revised by: Carin Sjöström-Greenwood, 2019-08-08
Project created in: FoU i Västra Götalandsregionen

PublishedPublished

1. Översiktlig projektbeskrivning

Engelsk titel

Assessing sexual risk-taking among youth in Sweden: does immigrant status matter?

Populärvetenskaplig sammanfattning av projektet

Abstract
Background: Sexually transmitted infections (STI’s) including Chlamydia are widespread among youth 15-29 years in Sweden. Research suggest disparities in knowledge, attitudes and contact with sexual health services among youth of immigrant origin in Sweden, but few studies have explored the importance of such factors for sexual behavior and risk of STI. The aim of the current study was to investigate whether immigrant status influences sexual risk-taking behavior among youth, taking into consideration a set of contextual factors that may mediate such a relationship.
Methods: National data of 5233 youth aged 16-28 years who took part in the cross-sectional study UngKab09 in 2009. Native youth (56% female, 44% males) comprised 85% of the sample, 7.9% were second generation (62% female, 38% male) and 7.9 % first generation (50% female and male) youth. Chi-square test of significance and a series of logistic regression models were performed to assess relationships between immigrant status and indicators of sexual risk-taking: early sexual debut (< age 15), multiple sexual partners (>1) over last 12 months and condom use among youth with multiple partners (yes/no). Part of the analysis explored mediation by contextual factors.
Results: The majority of respondents were sexually active. Second generation youth had similar sexual behavior to native youth. Controlling for sociodemographic factors, first generation immigrant females had a higher median age of first sex (p<0.0001) and were less likely than native females of having an early sexual debut (OR=0.56, 95% CI 0.34-0.95). Conservative attitudes and low Chlamydia knowledge among first generation females could potentially mediate part of the relationship. Immigrant status was independently associated with condom use at last vaginal/anal sex among males with multiple partners (OR first generation vs. native=2.24, 95% CI 1.19-4.22). For both genders, first generation youth had lower Chlamydia knowledge (p<0.0001) and were less likely to know of test facilities than native youth (OR females=0.27, 95% CI 0.16-0.46; OR males=0.41, 95% CI 0.28-0.60).
Conclusion: Sexual risk-taking behavior is similar comparing Swedish youth of native and immigrant origin. Distinctions among first generation youth are likely influenced by more conservative attitudes in addition to sociodemographic factors. As such, STI prevention strategies should use intersectional approaches rather than target ‘immigrant youth’ generically. Yet, the results indicate that youth born outside of Sweden and especially females are more deficient in relation to Chlamydia knowledge and test facilities. These findings should be further investigated to ensure that sexual health services including STI prevention are reaching all youth, irrespective of background.

Vetenskaplig sammanfattning av projektet

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Typ av projekt

Forskningsprojekt

MeSH-termer för att beskriva typ av studier

checked Tvärsnittsstudier (Cross-Sectional Studies)


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MeSH-termer för att beskriva ämnesområdet

information Added MeSH terms
Sexual Behavior
Sexual activities of humans.
Adolescent
A person 13 to 18 years of age.
Sexually Transmitted Diseases
Diseases due to or propagated by sexual contact.
Risk-Taking
Undertaking a task involving a challenge for achievement or a desirable goal in which there is a lack of certainty or a fear of failure. It may also include the exhibiting of certain behaviors whose outcomes may present a risk to the individual or to those associated with him or her.
Sweden
Description missing
Emigration and Immigration
The process of leaving one's country to establish residence in a foreign country.
Culture
A collective expression for all behavior patterns acquired and socially transmitted through symbols. Culture includes customs, traditions, and language.

Projektets delaktighet i utbildning

checked D-uppsats / Magisterexamen


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2. Projektorganisation och finansiering

Arbetsplatser involverade i projektet

information Added workplaces
Regioner - Västra Götalandsregionen - Närhälsan - Hälso- och specialistvård för barn och unga - Barn- och ungdomsmedicin - Område B2 - Närhälsan Hisingen barn- och ungdomsmedicinsk mottagning workplace verified by Västra Götalandsregionen on 2018-02-27
Hivprevention i Västra Götaland
Miscellaneous
Johns Hopins School of Public Health
Statligt - Övrigt - Smittskyddsinstitutet
Statligt - Universitet - Göteborgs universitet - Samhällsvetenskapliga fakulteten - Institutionen för socialt arbete [1954 - ]

Sexuellt risktagande bland unga i Sverige: har erfarenhet av immigration någon betydelse?, from FoU i Västra Götalandsregionen
http://www.researchweb.org/is/html/vgr/project/111721