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  • 1.
    Anticona, Cynthia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Bergdahl, Ingvar
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
    San Sebastian, Miguel
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Easier said than done: applying the Ecohealth principles to a study of heavy metals exposure among indigenous communities of the Peruvian Amazon2013Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13, artikel-id 437Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background The renewed interest in community participation in health research is linked to its potential for bridging gaps between research and practice. Its main attributes are the generation of knowledge that can lead to socially robust, long-lasting solutions and the creation of a colearner relationship between researchers and research users. Following this philosophy, Ecohealth has evolved into a specialized framework for participatory research on the impact of pollution on ecosystems and human health. However, its principles pose considerable challenges. Its outcomes are strongly influenced by contextual factors that are impossible to control for ahead of time.

    This paper describes how the Ecohealth principles were applied to an epidemiological study of heavy metals exposure among indigenous communities of the Peruvian Amazon. It illustrates how knowledge generated from participatory research does not necessarily imply solving a public health problem. This study aimed to contribute to the understanding of the benefits and barriers of following the basic principles of the Ecohealth approach, and assist researchers working in similar contexts.

    Research process Based upon their personal experience as participant observers, the authors describe the research process; then, they discuss the most important challenges faced, their implications, and the attempted strategies for resolution.

    Challenges Challenges were grouped into four themes: (1) building trust; (2) one partnership, many stakeholders, multiple agendas; (3) being a researcher; and (4) communicating complex and unexpected findings.

    Conclusions Integrating the principles of transdisciplinarity and participation posed a series of challenges to the research process that were difficult, and sometimes impossible to overcome. However, positive outcomes from this experience were the lessons learned by the different actors. Despite the lack of immediate action, it is expected that useful interventions to prevent and control lead exposure in the Corrientes population will be implemented in the medium term.

  • 2.
    Chávez, Susana
    et al.
    Centro de Promoción y Defensa de los Derechos Sexuales y Reproductivos (PROMSEX), Lima, Peru.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Emergency contraception in Peru: Shifting government and donor policies and influences2007Ingår i: Reproductive Health Matters, ISSN 0968-8080, Vol. 15, nr 29, s. 139-148Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Inclusion of emergency contraception in national family planning programmes is consistent with international agreements that countries should strive to ensure access to a wide range of contraceptive methods and promote voluntary, informed choice. Yet in 2005, USAID/Peru requested that its NGO grantees in Peru take a “neutral” position on emergency contraception in activities or materials that involve its funds. For many decades, donor countries have viewed conservative religious forces in low-income countries as an obstacle to expanding family planning programmes. Today, however, far-right organisations in the United States are having an unprecedented influence on US public policy, including in countries such as Peru. This article analyses shifts in USAID/Peru's policy on emergency contraception in Peru since 1992. In Peru today, there is widespread official and public support for making emergency contraception available. Given USAID's long support for family planning internationally and in Peru, the current policy appears to be the result of attacks by US far-right organisations carried out in synergy with sympathetic US public officials and anti-choice Peruvian allies.

  • 3.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Being in the spaces where decisions are made: Reproductive rights advocacy and policy influence in two regions of Peru2009Ingår i: Social Movement Studies, ISSN 1474-2837, E-ISSN 1474-2829, Vol. 8, nr 4, s. 427-447Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In the 1990s, some segments of Latin American feminist movements shifted to advocacy strategies to influence government policies. Long-standing social movement theories predict that this tactical change to institutional means has two possible consequences for a movement: either it gains greater influence over policy arenas and becomes more effective in achieving outcomes, or it loses capacity to carry out protest tactics and becomes less effective in achieving outcomes. However, empirical studies on Latin American feminist organizations intervening in policies, and recent social movement theorizing, indicate that the relationship between social movements and policy influence is more complex. Moreover, these theories have been formulated based on empirical studies in contexts with established democratic frameworks and institutions. The study presented here employed Grounded Theory to examine inductively the research questions of how reproductive rights organizations carry out advocacy to influence government policies in Peru. Data was collected through participant observation and focus group discussions among two reproductive rights coalitions in the regions of Arequipa and Cusco. The findings indicate that the reproductive rights coalitions develop a multiplicity of interactions with government officials, as a means to influence policies through various channels and handle constraints on their ability to act as independent pressure groups. In addition, the findings show that the coalitions deal with a wide range of factors to influence policies: organizational capacity, advocacy strategies, issue frames, relationships with other policy actors as well as political and social aspects that facilitate or hinder advocacy. The study concludes that the relationship between social movements and policy influence is more complex than portrayed by long-standing theories. Instead, the findings are consistent with, and enhance the scholarship on Latin American feminist organizations involved in policies, as well as recent social movement theorizing that takes into account how various factors affect social movement influence on policies.

  • 4.
    Coe, Anna-Britt
    Center for Health and Gender Equity, Lima, Peru.
    From Anti-Natalist to Ultra-Conservative: Restricting Reproductive Choice in Peru2004Ingår i: Reproductive health matters, ISSN 0968-8080, E-ISSN 1460-9576, Vol. 12, nr 24, s. 56-69Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article examines Peru’s population policy since the 1994 International Conference on Population and Development and assesses to what extent its policies and programmes have affected reproductive health and rights. It is drawn from data collected during ongoing monitoring of sexual and reproductive health policies and programmes in Peru since 1998 for the Centre for Health and Gender Equity (CHANGE). Accomplishments since 1994 in Peru demonstrate good faith on the part of the government and foreign donors to make progress towards fulfilling the ICPD agenda by addressing key reproductive health concerns and promoting women’s rights. Unfortunately, this progress has not been consistent. It has been overshadowed by two periods of anti-choice policies and interventions. The first, in 1996–97 under the Fuijimori government, was a demographic approach that used numerical targets and undue pressure on women to accept sterilisation as the government’s main poverty reduction strategy, which led to documented abuses. The second, in 2001–03 under the Toledo government, was a far-right approach that worked to limit access to essential services, including emergency contraception, condoms and post-abortion care. In spite of their contradictory nature, these two policy approaches have been the greatest obstacles to making long-lasting improvements to reproductive health and rights in Peru.

  • 5.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    How social movements influence policies: Advocacy, framing, emotions and outcomes among reproductive rights coalitions in Peru.2010Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    With its origins in the early 1990s, feminist advocacy directed at influencing public policies is a relatively new phenomenon in Latin America that is commonly studied at the national level. The aim of this thesis was to study feminist advocacy on reproductive rights at the sub-national level in Peru. Specifically, it explored two research questions: how do feminist movements carry out advocacy to intervene with government agencies and what effects does their advocacy have on policies. This aim ties in with the body of literature that seeks to explain how and what outcomes are produced by social movements. Grounded Theory was used to collect and analyze empirical materials on two reproductive rights coalitions and their members in Arequipa and Cusco, Peru. Empirical materials consisted of focus group discussions, individual interviews and participant observation. Data analysis resulted in two core categories: Coalition-Government Interactions and Policy Outcomes. Linked to the core categories are thirteen categories, which constitute factors that the reproductive rights coalitions “deal with” or “strategize about” in order to interact with government officials and attain policy outcomes. The coalitions maneuver those factors they have immediate control over - tactics, organization, framing and emotions - as a means to deal with those factors they do not have immediate control over - relationships with other policy actors as well as political, cultural and social contexts. The findings help refine existing theories on how and what outcomes are attained by social movements. The coalitions and their members influence policies through various channels by developing an array of interactions with government officials. This allows the coalitions to handle potential constraints on their ability to be a critical voice. Political, cultural and social contexts are not the only external factors affecting the coalitions’ influence on policies. Another key external factor is their relationships with other policy actors comprised of a range of organized political and social groups. Concerning internal factors, the coalitions and their members rely on framing activities and emotion work in addition to organization and tactics. Indeed, the coalitions and their members engage in framing activities and emotion work by means of their relationships with other policy actors to influence policies. Finally, the coalitions perceive effects of their advocacy including, but not limited to, the modification of laws and policies. Instead, outcomes were identified along different stages of the policy process, including the impact of coalition frames on policy positions.

  • 6.
    Coe, Anna-Britt
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    “I Am Not Just a Feminist Eight Hours a Day”: Youth Gender Justice Activism in Ecuador and Peru2015Ingår i: Gender & Society, ISSN 0891-2432, E-ISSN 1552-3977, Vol. 29, nr 6, s. 888-913Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article focuses on youth feminist political action in Ecuador and Peru and its relationship to contemporary gender hierarchies. I examine how and why youth gender justice activists understand their political action differently from the professionalized adult feminists who mobilize them. Grounded theory was used to collect and analyze interviews with 21 young women and men activists on gender justice. Youth activists seek cultural changes using social advocacy to target the family, household, and intimate partnerships, what I describe as politicizing the sociocultural. They develop new ways of perceiving political action in response to challenges produced by emergent gender hierarchies, which they understand as blurred gender inequalities or processes that simultaneously enable and constrain gender equality.

  • 7.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Inconsistency in policy elites’ support for movement claims: Feminist advocacy in two regions of Peru2013Ingår i: Research in Social Movements, Conflicts and Change / [ed] Patrick G. Coy, Bingley, U.K.: Emerald , 2013, Vol. 36, s. 107-132Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    This paper bridges cultural and political approaches to determine why elite support for movement claims may be inconsistent across the policy process. I analyze this question empirically through sixteen in-depth interviews with government officials in two regions of Peru: Arequipa and Cusco. Regional officials’ appraised feminist advocacy in two opposing ways. First, they valued feminist advocates’ contributions to policy processes, which enabled them to advance reproductive rights and gender equity initiatives. They also perceived women as a group deserving of these initiatives and framed gender policies in terms of rights and equality. Second, they were critical of feminist advocates’ weaknesses in mobilizing support, which hindered the officials’ own ability to advance reproductive rights and gender equity initiatives. Furthermore, regional officials understood reproductive rights and gender equality to be thwarted by the State’s economic instrumentalism and by the Catholic Church’s ultra-conservatism. This research shows how a cultural approach to policy elites’ support for movement claims goes beyond their individual attitudes and calculations to capture their perceptions, frames and understandings tied to the broader cultural context. This wider conceptualization in turn helps clarify inconsistencies in policy elites’ support for movement claims across the policy process.

  • 8.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Policy change as one piece of the picture: Outcomes among reproductive rights advocates in Peru2012Ingår i: Journal of Gender Studies, ISSN 0958-9236, E-ISSN 1465-3869, Vol. 21, nr 2, s. 151-167Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In the 1990s, feminist movements in Peru began to shift strategies from a focus on community training to an emphasis on policy advocacy. Since then, they have seen many of their demands translated into public policies favoring gender equity and reproductive rights. Some scholars argue that such policy changes have a limited impact on women’s daily life in Latin America and it is necessary to conceptualize the outcomes of social movements more broadly to include their cultural and political effects as well as the links between these. Findings are presented from a study of two coalitions engaged in reproductive rights advocacy in Arequipa and Cusco, Peru. The approach for evaluating the materials included participant observation, focus group discussions and individual interviews with coalition members. The study found that coalition members perceive the effects of their advocacy on government policies in terms of five dimensions: coalition-government interactions, issue visibility and recognition, policy enactments, policy implementation and policy position. I conclude that a broader definition of social movement outcomes is needed to evaluate efficacy and models for future action and that this should take into account the complexities of social and political change particularly concerning reproductive rights and gender equity.

  • 9.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Practicing Gender and Race in Online Activism to Improve Safe Public Space in Sweden2018Ingår i: Sociological inquiry, ISSN 0038-0245, E-ISSN 1475-682X, Vol. 88, nr 3, s. 510-534Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article aims to locate the social practices of activist groups online and clarify how they collectively practice gender and race. It draws upon a qualitative study of two locale-oriented groups that sought to improve safe public space in their respective cities in Sweden. Using Grounded Theory method, I observed and analyzed each group’s public Facebook site from initiation until decline or maintenance. The findings captured five routine behaviors done by the groups in a tacit manner: responding to a concrete incident,creating meaningful participation, fostering substantive debate, formulating a long-term vision, and questioning social hierarchies. Working with theories of social,gendered, and racialized practices, I analyze these behaviors as practices available to the activist groups to do, yet open for social change through their performance. Although all five practices were detected among both groups, the two groups performed them differently and this had consequences for their maintenance as well as their ability to challenge gender and racial hierarchies. The analysis makes an important contribution tosocial movement scholarship by showing how tacit and routine behavior forms the backbone of any collective action and is a crucial site for the (re)construction of social hierarchies.

  • 10.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Pushing back and stretching: Frame adjustments among reproductive rights advocates in Peru2011Ingår i: Mobilization, ISSN 1086-671X, E-ISSN 1938-1514, Vol. 16, nr 4, s. 495-512Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The paper examines how two reproductive rights coalitions in Peru adjust their framing by way of regular interactions with other collective actors. Qualitative data were gathered from the coalitions in the regions of Arequipa and Cusco. The findings demonstrate how the coalitions engage in framing practices not only among their members as they select and refine advocacy goals and strategies, but also by means of interaction, communication, and negotiation with a range of organized social and political actors. Through these interactions, coalition members adjust their own framing of reproductive rights in response to what they perceive from other actors, taking frames from them and directing frames back to them. These interactions occur within broader political and cultural contexts consisting of stable and variable opportunity structures. Thus, the coalitions’ framing practices entail stretching favorable interpretations among allies and neutral actors, while pushing back the boundaries in which the Catholic Church leadership attempts to transmit its own interpretations.

  • 11.
    Coe, Anna-Britt
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    The importance of taking into account different perspectives of a health problem: the case of fibromyalgia2017Ingår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, artikel-id 1275189Artikel i tidskrift (Refereegranskat)
  • 12.
    Coe, Anna-Britt
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Goicolea, Isabel
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Hurtig, Anna-Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    San Sebastian, Miguel
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Understanding how young people do activism: Youth strategies on sexual health in Ecuador and Peru2015Ingår i: Youth & society, ISSN 0044-118X, E-ISSN 1552-8499, Vol. 47, nr 1, s. 3-28Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    While social movement research employs “tactical repertoire” to emphasize protest tactics directed at the state, literature on youth activism globally indicates that young people do politics outside the realm of formal political spheres. Youth activism on body politics in Latin America offers evidence that enhances conceptual tools intended for understanding how young people make claims and towards whom they make them. This paper takes young activists’ strategies as its point of departure through a study that explored how young people perceived their activism to advance sexual health in Ecuador and Peru. Young activists employed a range of interconnected strategies that went beyond protests directed at the state, including responding to adult allies, carrying out social advocacy among youth, building organizations, carrying out political advocacy and developing themselves as activists. Strategies were shaped by the degree to which young activists negotiated alternative notions of ‘youth’ with different actors.

  • 13.
    Coe, Anna-Britt
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Goicolea, Isabel
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Öhman, Ann
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    How gender hierarchies matter in youth activism: young people's mobilizing around sexual health in Ecuador and Peru2013Ingår i: Journal of Youth Studies, ISSN 1367-6261, E-ISSN 1469-9680, Vol. 16, nr 6, s. 695-711Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Despite a growing body of research on youth activism, few studies examine how this intersects with gender. Our study aimed to explore whether and how young activists themselves perceived gender hierarchies as needing to be addressed through their collective action on sexual health in Peru and Ecuador. Using Grounded Theory, qualitative data was collected and analyzed from young activists across four cases. Cases ranged in complexity from a single youth organization operating at the district level to numerous youth organizations articulating at the national level. We linked the GT analysis to a conceptual framework based on Tayor’s (1999) theorizing of gender and social movements. Accordingly, young activists perceived gender, and even class, “race” and age, as salient to their collective actions. These actions corresponded to the social movement concept of mobilizing structures that consist of pre-existing structures, tactics and organizations. Young activists understood gender and other social categories as imbued by power differentials and therefore as social hierarchies, within which their activism was embedded. The paper thereby demonstrates the need for an enhanced conceptual framework for the study of youth activism and its intersection with gender hierarchies.

  • 14.
    Coe, Anna-Britt
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Rönnblom, Malin
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Collective caring: creating safety through interactions between young activist groups and young adults in Sweden2019Ingår i: Journal of Youth Studies, ISSN 1367-6261, E-ISSN 1469-9680, Vol. 22, nr 6, s. 839-855Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Existing research explores safety among young adults as a complex phenomenon in diverse social spaces. Nonetheless, it largely approaches perceptions of unsafety and safety strategies as discrete individual action. In this paper, we show how safety is created through the social interactions between young activist groups and their main target or audience, young adults. Our study aimed to explore how young adults created meanings and actions of safety within their activism. Grounded Theory method was use to collect and analyze qualitative interviews with young adults often social change groups located in two medium-size cities inSweden. To interpret our findings, we drew upon interactionist concepts of shared definitions and joint action [Blumer, Herbert.1966. “Sociological Implications of the thought of George Herbert Mead.” American Journal of Sociology 71 (5): 535–544]. Shared definitions challenged narrow notions of unsafety by identifying uniform categories and harmful stereotypes as the source of the problem, and thereby locating constraints upon the capacity ofdifferent groups of young adults to define situations as (un)safe. Joint action combined an immediate response of moving to where young adults were with an enduring response of being there for young adults. Combined, these constituted an overarching social process of collective caring, which we linked to Isabel Lorey’s [2015. State of Insecurity. London: Verso] concept of practices of caring.

  • 15.
    Coe, Anna-Britt
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Sandberg, Linda
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Att ta plats/att ta tillbaka plats: att mobilisera för en trygg stad2016Ingår i: Gränser, mobilitet och mobilisering: Boundaries, mobility and mobilisation : Nationell konferens för genusforskning = Swedish conference for gender research / [ed] Silje Lundgren, Maja Lundqvist, Björn Pernrud, Göteborg: Nationella sekretariatet för genusforskning , 2016, s. 97-98Konferensbidrag (Övrigt vetenskapligt)
  • 16.
    Coe, Anna-Britt
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Sandberg, Linda
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Gender beliefs as a dimension of tactical choice: the 'Take Back the Night' march in Sweden2019Ingår i: Social Movement Studies, ISSN 1474-2837, E-ISSN 1474-2829, Vol. 18, nr 5, s. 622-638Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Two main explanations of tactical choice among social movements are repertoires of contention and characteristics of collective actors. Feminist theorizing suggests another dimension of tactical choice: the role of gender beliefs. This paper examines the relationship between these three explanations by drawing on a qualitative study that explored how activist groups in Sweden selected the 'Take Back the Night' (TBTN) march as a tactic. Begun in the 1970s, the TBTN march has been performed around the world, usually on central city streets at nighttime, to protest gender violence in spaces presumed to be gender neutral and safe for women. Our findings resulted in three themes that captured how activist groups selected it as a tactic: a routine performance in publicly visible urban settings, alignment with preferred forms of feminist organizing, and refusal of normalized fear and violence in the seemingly safe city. Each theme corresponded to one of the three explanations and shed light on a different dimension of tactical choice. We propose three heuristic tools for identifying these dimensions: making claims, enacting claims and reclaiming spaces. The different dimensions relate to distinct conceptions of power: centralized authority, movement agency and gender power relations respectively.

  • 17.
    Coe, Anna-Britt
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Schnabel, Annette
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Emotions matter after all: how reproductive rights advocates orchestrate emotions to influence policies in Peru2011Ingår i: Sociological perspectives, ISSN 0731-1214, E-ISSN 1533-8673, Vol. 54, nr 4, s. 665-688Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Emotions clearly matter in social movements, but it is less apparent how social movement participants actively handle emotions in their line of activities. In this article, the authors address this question by examining how two reproductive rights coalitions in Peru employ and manage emotions in relation to different actors who they must deal with to influence policies. Empirical materials consist of participant observation, focus groups, and individual interviews conducted with the coalitions and their members. Grounded theory was used to analyze the data. The authors distinguish relationships with five relevant actors: the internal members of the coalitions, allies, the general public, the Catholic Church as the major opponent, and government officials as the main target. As each relationship requires distinct emotion work, coalition members simultaneously adjust to contradictory emotional expectations while actively evoking and coordinating emotions. The authors refer to this as the orchestration of emotion work.

  • 18.
    Coe, Anna-Britt
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
    Vandegrift, Darcie
    Youth Politics and Culture in Contemporary Latin America: A Review2015Ingår i: Latin American Politics and Society, ISSN 1531-426X, E-ISSN 1548-2456, Vol. 57, nr 2, s. 132-153Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Youth politics in contemporary Latin America diverge from those of previous generations. Increasingly decoupled from parties, unions, and the state, young people glide seamlessly across previously assumed boundaries: culture and politics, individual and organization, subjectivity and collectivity, virtual and real. This article presents findings from a systematic review of research on youth politics and demonstrates the new direction through three main categories: repression, incorporation, and exclusion, relationships between state institutions and youth identities; generational, cultural, and digital lenses, the innovative trends for theorizing current patterns of youth politics; and unsettling politics, the fusion and diffusion of youth political dexterity. The article concludes by highlighting current strengths and proposing future steps to build on this new direction.

  • 19.
    Coe, Anna-Britt
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Wiklund, Maria
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Fysioterapi.
    Uttjek, Margaretha
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Nygren, Lennart
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Youth politics as multiple processes: how teenagers construct political action in Sweden2016Ingår i: Journal of Youth Studies, ISSN 1367-6261, E-ISSN 1469-9680, Vol. 19, nr 10, s. 1321-1337Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Alternative approaches to power in youth politics are needed to overcome the conceptual dichotomy between youth political action that is either linked to – or delinked from – state institutions. This paper offers an alternative drawn from a study that sought to empirically explore, and build theory upon, how teenagers construct their political action. Our qualitative study among 10 activists aged between 17 and 19 in a medium-size city in Northern Sweden found that youth constructed their political action as four different processes: moving from consciousness to action, moving from personal experience to shared goals, moving from social activities to political activities, and moving from single to multiple arenas. We integrated these processes in the concept Youth Politics as Multiple Processes. Youth efforts to bring about these processes were not always fruitful because, as their political action gained complexity, youth faced greater constraints for recognizing, addressing and challenging power from age-based exclusion, state-centered definitions of politics, and adult disinterest in youth demands. According to our findings, youth constructed political action based in an approach to power that was not state-centered. We linked our findings to youth politics research and social movement theory that similarly proposed alternative approaches to power.

  • 20.
    Goicolea, Isabel
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Hurtig, Anna-Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    San Sebastian, Miguel
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Mechanisms for achieving adolescent-friendly services: a realist evaluation approach2012Ingår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 5, s. 18748-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Despite evidence showing that adolescent-friendly health services (AFSs) increase young people's access to these services, health systems across the world are failing to integrate this approach.

    In Latin America, policies aimed at strengthening AFS abound. However, such services are offered only in a limited number of sites, and providers' attitudes and respect for confidentiality have not been addressed to a sufficient extent.

    Methods: The aim of this study was to explore the mechanisms that triggered the transformation of an 'ordinary' health care facility into an AFS in Ecuador. For this purpose, a realist evaluation approach was used in order to analyse three well-functioning AFSs. Information was gathered at the national level and from each of the settings including: (i) statistical information and unpublished reports; (ii) in-depth interviews and focus group discussions with policy makers, health care providers, users and adolescents participating in youth organisations and (iii) observations at the health care facilities. Thematic analysis was carried out, driven by the realist evaluation approach, namely exploring the connections between mechanisms, contexts and outcomes.

    Results: The results highlighted that the development of the AFSs was mediated by four mechanisms: grounded self-confidence in trying new things, legitimacy, a transformative process and an integral approach to adolescents. Along this process, contextual factors at the national and institutional levels were further explored.

    Conclusion: The Ministry of Health of Ecuador, based on the New Guidelines for Comprehensive Care of Adolescent Health, has started the scaling up of AFSs. Our research points towards the need to recognise and incorporate these mechanisms as part of the implementation strategy from the very beginning of the process.

    Although contextually limited to Ecuador, many mechanisms and good practices in these AFS may be relevant to the Latin American setting and elsewhere.

  • 21.
    Goicolea, Isabel
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Coe, Anna-Britt
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    San Sebastián, Miguel
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Hurtig, Anna-Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Developing and sustaining adolescent-friendly health services: a multiple case study from Ecuador and Peru2017Ingår i: Global Public Health, ISSN 1744-1692, E-ISSN 1744-1706, Vol. 12, nr 8, s. 1004-1017Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Adolescent-Friendly Health Services (AFHSs) are those that are accessible, acceptable, equitable, appropriate and effective for different youth sub-populations. This study investigated the process through which four clinics in two countries - Peru and Ecuador - introduced, developed and sustained AFHSs. A multiple case study design was chosen, and data from each clinic were collected through document review, observations and informant interviews. National level data were also collected. Data were analysed following thematic analysis. The findings showed that the process of introducing, developing and sustaining AFHSs was long term, and required a creative team effort and collaboration between donors, public institutions and health providers. The motivation and external support was crucial to initiating and sustaining the implementation of AFHSs. Health facilities' transformation into AFHSs was linked to the broader organisation of country health systems, and the evolution of national adolescent health policies. In Peru, the centralised approach to AFHSs introduction facilitated the dissemination of a comprehensive national model to health facilities, but dependency on national directives made it more difficult to systemise them when ideological and organisational changes occurred. In Ecuador, a less centralised approach to introducing AFHSs made for easier integration of the AFHSs model.

  • 22.
    Goicolea, Isabel
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Öhman, Ann
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Easy to Oppose, Difficult to Propose: Young Activist Men's Framing of Alternative Masculinities under the Hegemony of Machismo in Ecuador2014Ingår i: Young - Nordic Journal of Youth Research, ISSN 1103-3088, E-ISSN 1741-3222, Vol. 22, nr 4, s. 399-419Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Debates are ongoing on whether man can engage in gender change and challenge hegemonic masculinities. The study aimed to analyze in what ways young Ecuadorian mencurrently or recently involved in activism to advance gender equality and reproductive rightsdefined different masculinities, hegemonic and alternative. We used Grounded Theory to collect and analyze three focus group discussions and 15 individual interviews with 30 young activist men in Ecuador. A core category captured the process of defining masculinities: Moving from passive acceptance of machismo to critical reflection and action' that in turn linked to three theoretical categories: Opposing machismo', From machos to men', and Inspiring opposition to machismo'. We drew upon framing theory in social movement studies to interpret the findings and thereby enhance the theory of hegemonic masculinity. Young activist men successfully framed the problem and motives for collective mobilization, but they wavered when it came to framing solutions.

  • 23.
    Hultstrand Ahlin, Cecilia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Hörnsten, Åsa
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Lilja, Mikael
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
    Hajdarevic, Senada
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Allmänmedicin.
    Wishing to be perceived as a capable and resourceful person: A qualitative study of melanoma patients’ experiences of the contact and interaction with healthcare professionals2018Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 28, nr 7–8, s. 1223-1232Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore patients' experiences of contact and interaction with healthcare professionals (HCPs) during the diagnostic process of melanoma.

    BACKGROUND: In Sweden, most patients with suspected skin lesions seek care at the primary level of services in the first instance. Previous research describes the diagnostic process as a complex journey with uncertainty. Nonetheless, the importance of contact and interaction between patient and HCPs during the diagnostic process is rarely explored.

    DESIGN: This study adopted a qualitative design in which semi-structured interviews were conducted and the COREQ-checklist for qualitative studies employed (EQUATOR guidelines).

    METHODS: A sample of 30 patients (15 women, 15 men) diagnosed with melanoma was included. Secondary analysis of interviews was carried out using qualitative content analysis.

    RESULTS: One theme emerged: Wishing to be perceived as a capable and resourceful person that consisted of three categories: (a) The need of being valued, (b) The need of being informed and (c) The need of taking actions.

    CONCLUSIONS: Our results suggest that patients wish to be valued as capable and resourceful persons as well as to be provided with honest and sufficient information about the diagnosis and subsequent procedures. By fulfilling these wishes, HCPs can involve patients in the diagnostic process and reduce patients' uncertainty. A need of supportive and accessible health care to manage the diagnostic process and to reduce patients' struggle for care was also identified.

    RELEVANCE TO THE CLINICAL PRACTICE: Patients are satisfied when health care is organised in a patient-/person-centred manner, that is, in accordance with patients' needs, avoiding gatekeeping, and when HCPs interact respectfully in encounters. Accessible HCPs during the diagnostic process of melanoma are required to inform, support and navigate patients within the healthcare system and through their diagnostic journey.

  • 24.
    Sandberg, Linda
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Brandén, Jennie
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Rönnblom, Malin
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Hudson, Christine
    Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    Rädsla och trygghet i ord och handling2017Rapport (Övrig (populärvetenskap, debatt, mm))
  • 25.
    Tetui, Moses
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Makerere University School of Public Health (MakSPH), Makerere University, New Mulago Complex, Kampala, Uganda.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Hurtig, Anna-Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Bennett, Sara
    Kiwanuka, Suzanne N.
    George, Asha
    Kiracho, Elizabeth Ekirapa
    A participatory action research approach to strengthening health managers' capacity at district level in Eastern Uganda2017Ingår i: Health Research Policy and Systems, ISSN 1478-4505, E-ISSN 1478-4505, Vol. 15, artikel-id 110Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Many approaches to improving health managers' capacity in poor countries, particularly those pursued by external agencies, employ non-participatory approaches and often seek to circumvent (rather than strengthen) weak public management structures. This limits opportunities for strengthening local health managers' capacity, improving resource utilisation and enhancing service delivery. This study explored the contribution of a participatory action research approach to strengthening health managers' capacity in Eastern Uganda.

    Methods: This was a qualitative study that used open-ended key informant interviews, combined with review of meeting minutes and observations to collect data. Both inductive and deductive thematic analysis was undertaken. The Competing Values Framework of organisational management functions guided the deductive process of analysis and the interpretation of the findings. The framework builds on four earlier models of management and regards them as complementary rather than conflicting, and identifies four managers' capacities (collaborate, create, compete and control) by categorising them along two axes, one contrasting flexibility versus control and the other internal versus external organisational focus.

    Results: The findings indicate that the participatory action research approach enhanced health managers' capacity to collaborate with others, be creative, attain goals and review progress. The enablers included expanded interaction spaces, encouragement of flexibility, empowerment of local managers, and the promotion of reflection and accountability. Tension and conflict across different management functions was apparent; for example, while there was a need to collaborate, maintaining control over processes was also needed. These tensions meant that managers needed to learn to simultaneously draw upon and use different capacities as reflected by the Competing Values Framework in order to maximise their effectiveness.

    Conclusions: Improved health manager capacity is essential if sustained improvements in health outcomes in low-income countries are to be attained. The expansion of interaction spaces, encouragement of flexibility, empowerment of local managers, and the promotion of reflection and accountability were the key means by which participatory action research strengthened health managers' capacity. The participatory approach to implementation therefore created opportunities to strengthen health managers' capacity.

  • 26.
    Tetui, Moses
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Department of Health Policy, Planning and Management, Makerere University College of Health Sciences, School of Public Health (MakCHS-SPH), Kampala, Uganda.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Hurtig, Anna-Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Ekirapa-Kiracho, Elizabeth
    Kiwanuka, Suzanne N.
    Experiences of using a participatory action research approach to strengthen district local capacity in Eastern Uganda2017Ingår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, artikel-id 1346038Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: To achieve a sustained improvement in health outcomes, the way health interventions are designed and implemented is critical. A participatory action research approach is applauded for building local capacity such as health management. Thereby increasing the chances of sustaining health interventions.

    OBJECTIVE: This study explored stakeholder experiences of using PAR to implement an intervention meant to strengthen the local district capacity.

    METHODS: This was a qualitative study featuring 18 informant interviews and a focus group discussion. Respondents included politicians, administrators, health managers and external researchers in three rural districts of eastern Uganda where PAR was used. Qualitative content analysis was used to explore stakeholders' experiences.

    RESULTS: 'Being awakened' emerged as an overarching category capturing stakeholder experiences of using PAR. This was described in four interrelated and sequential categories, which included: stakeholder involvement, being invigorated, the risk of wide stakeholder engagement and balancing the risk of wide stakeholder engagement. In terms of involvement, the stakeholders felt engaged, a sense of ownership, felt valued and responsible during the implementation of the project. Being invigorated meant being awakened, inspired and supported. On the other hand, risks such as conflict, stress and uncertainty were reported, and finally these risks were balanced through tolerance, risk-awareness and collaboration.

    CONCLUSIONS: The PAR approach was desirable because it created opportunities for building local capacity and enhancing continuity of interventions. Stakeholders were awakened by the approach, as it made them more responsive to systems challenges and possible local solutions. Nonetheless, the use of PAR should be considered in full knowledge of the undesirable and complex experiences, such as uncertainty, conflict and stress. This will enable adequate preparation and management of stakeholder expectations to maximize the benefits of the approach.

  • 27.
    Tetui, Moses
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Makerere University School of Public Health (MakSPH), Makerere University, New Mulago Complex, P.O. B0X 7072, Kampala, Uganda.
    Hurtig, Anna-Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Ekirpa-Kiracho, Elizabeth
    Kiwanuka, Suzanne N.
    Coe, Anna-Britt
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Building a competent health manager at district level: a grounded theory study from Eastern Uganda2016Ingår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 16, artikel-id 665Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Health systems in low-income countries are often characterized by poor health outcomes. While many reasons have been advanced to explain the persistently poor outcomes, management of the system has been found to play a key role. According to a WHO framework, the management of health systems is central to its ability to deliver needed health services. In this study, we examined how district managers in a rural setting in Uganda perceived existing approaches to strengthening management so as to provide a pragmatic and synergistic model for improving management capacity building.

    Methods: Twenty-two interviews were conducted with district level administrative and political managers, district level health managers and health facility managers to understand their perceptions and definitions of management and capacity building. Kathy Charmaz's constructive approach to grounded theory informed the data analysis process.

    Results: An interative, dynamic and complex model with three sub-process of building a competent health manager was developed. A competent manager was understood as one who knew his/her roles, was well informed and was empowered to execute management functions. Professionalizing health managers which was viewed as the foundation, the use of engaging learning approaches as the inside contents and having a supportive work environment the frame of the model were the sub-processes involved in the model. The sub-processes were interconnected although the respondents agreed that having a supportive work environment was more time and effort intensive relative to the other two sub-processes.

    Conclusions: The model developed in our study makes four central contributions to enhance the WHO framework and the existing literature. First, it emphasizes management capacity building as an iterative, dynamic and complex process rather than a set of characteristics of competent managers. Second, our model suggests the need for professionalization of health managers at different levels of the health system. Third, our model underscores the benefits that could be accrued from the use of engaging learning approaches through prolonged and sustained processes that act in synergy. Lastly, our model postulates that different resource investments and a varied range of stakeholders could be required at each of the sub-processes.

  • 28.
    Tetui, Moses
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Makerere University College of Health Sciences, School of Public Health (MakCHS-SPH), Kampala, Uganda.
    Zulu, Joseph Mumba
    School of Public Health, University of Zambia, Lusaka, Zambia.
    Hurtig, Anna-Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Ekirapa-Kiracho, Elizabeth
    Makerere University College of Health Sciences, School of Public Health (MakCHS-SPH), Kampala, Uganda.
    Kiwanuka, Suzanne N.
    Makerere University College of Health Sciences, School of Public Health (MakCHS-SPH), Kampala, Uganda.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Elements for harnessing participatory action research to strengthen health managers’ capacity: a critical interpretative synthesis2018Ingår i: Health Research Policy and Systems, ISSN 1478-4505, E-ISSN 1478-4505, Vol. 16, artikel-id 33Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Background: Health managers play a key role in ensuring that health services are responsive to the needs of the population. Participatory action research (PAR) is one of the approaches that have been used to strengthen managers’ capacity. However, collated knowledge on elements for harnessing PAR to strengthen managers’ capacity is missing. This paper bridges this gap by reviewing existing literature on the subject matter.

    Methods: A critical interpretive synthesis method was used to interrogate eight selected articles. These articles reported the use of PAR to strengthen health managers’ capacity. The critical interpretive synthesis method’s approach to analysis guided the synthesis. Here, the authors interpretively made connections and linkages between different elements identified in the literature. Finally, the Atun et al. (Heal Pol Plann, 25:104–111, 2010) framework on integration was used to model the elements synthesised in the literature into five main domains.

    Results: Five elements with intricate bi-directional interactions were identified in the literature reviewed. These included a shared purpose, skilled facilitation and psychological safety, activity integration into organisational procedures, organisational support, and external supportive monitoring. A shared purpose of the managers’ capacity strengthening initiative created commitment and motivation to learn. This purpose was built upon a set of facilitation skills that included promoting participation, self-efficacy and reflection, thereby creating a safe psychological space within which the managers interacted and learnt from each other and their actions. Additionally, an integrated intervention strengthened local capacity and harnessed organisational support for learning. Finally, supportive monitoring from external partners, such as researchers, ensured quality, building of local capacity and professional safety networks essential for continued learning.

    Conclusions: The five elements identified in this synthesis provide a basis upon which the use of PAR can be harnessed, not only to strengthen health managers’ capacity, but also to foster other health systems strengthening initiatives involving implementation research. In addition, the findings demonstrated the intricate and complex relations between the elements, which further affirms the need for a systems thinking approach to tackling health systems challenges.

  • 29. Vives-Cases, Carmen
    et al.
    Espinar-Ruiz, Eva
    Castellanos-Torres, Esther
    Coe, Anna-Britt
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Multiple struggles in fighting violence against women: implications among Romani women leaders in Spain2017Ingår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, artikel-id 1317084Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Violence against women (VAW) is a central issue in gender studies and one that has united feminist activists from around the world. But this does not mean that this struggle is singular: indeed, one can say that there are many, diverse and sometimes even contradictory struggles occurring throughout the world.

    OBJECTIVES: To identify and analyze the different struggles faced by women from Roma organizations in Spain in relation to VAW and their work with affected women.

    METHODS: Twelve semi-structured interviews were conducted among women actively involved in Roma associations in different Spanish cities, in 2015. An inductive thematic analysis was used to analyze the empirical materials.

    RESULTS: Our analysis resulted in three themes that captured different struggles that women from Roma organizations have faced: 'between persistence and rupture of restrictive gender norms', 'invisibility and normalization of violence against women' and 'willingness and trust in daily work with women'. The activities related to VAW carried out by the interviewed women were more related to their personal initiatives and abilities than to strategies proposed by the organizations they work for.

    CONCLUSIONS: The results show the need to support the initiatives of Romani women and their own struggles related to identity. This is what makes them true promoters of social change and, more specifically, change related to gender relations both within and outside of their communities.

  • 30.
    Wiklund, Emelie
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Fysioterapi.
    Jonsson, Emma
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Fysioterapi.
    Coe, Anna-Britt
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Wiklund, Maria
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Fysioterapi.
    'Strong is the new skinny': navigating fitness hype among teenagers in northern Sweden2019Ingår i: Sport, Education and Society, ISSN 1357-3322, E-ISSN 1470-1243, Vol. 24, nr 5, s. 441-454Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    An increased interest in health, diet, and physical activity exist among young people, in this study termed 'fitness hype'. Viewing the body and health as commodities can be understood as part of a healthism discourse. In this study, we explored how Swedish high school students perceive and negotiate the trend regarding exercise, diet and body ideals.

    Semi-structured interviews were conducted with ten high school students, aged 16 to 18 years, from various educational programs and with varying levels of physical activity. Using qualitative content analysis, we developd one overarching theme navigating life satisfaction in the face of an 'unhealthy fitness hype'. Four additional, interrelated categories showed how the young people negotiated this developing trend through: 1) the quest for social recognition and value, 2) social media sets the standards, 3) the paradox of strong and skinny as the new standard, and 4) the need for new safety nets.

    Our results highlight the young people's perceptions of an excessive and influential focus on health and exercise in contemporary society. They described a fitness hype as exorbitant and unhealthy ideals of body and exercise, and understood this as problematic. Social media was seen as contributing to this hype as a powerful arena for 'the quest for social recognition and value'. While not all the young people felt negatively affected by the fitness hype, they perceived its influence on their lives. Further, body and fitness ideals were gendered. Teenage girls faced the paradox of shaping themselves as 'strong and skinny'. Social ties were recognized as an important safety net, particularly classmates, sports mates, and coaches. Knowledge of these problems from the perspective of young people is crucially needed among health professionals and educators. Further research should explore additional support strategies, and young people's experiences of fitness hype among additional youth groups.

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