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Nkulu Kalengayi, FaustineORCID iD iconorcid.org/0000-0002-2061-323x
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Publications (10 of 22) Show all publications
Nkulu Kalengayi, F. K., Baroudi, M. & Hurtig, A.-K. (2024). Prevalence of perceived discrimination, determinants and associations with self-rated general and sexual health, healthcare utilization and self-perceived integration: a cross-sectional survey of migrants in Sweden. BMC Public Health, 24, Article ID 699.
Open this publication in new window or tab >>Prevalence of perceived discrimination, determinants and associations with self-rated general and sexual health, healthcare utilization and self-perceived integration: a cross-sectional survey of migrants in Sweden
2024 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 24, article id 699Article in journal (Refereed) Published
Abstract [en]

Background: Sweden has welcomed migrants, but attitudes have shifted, becoming hostile due to populism and the growing number of migrants. This has left migrants feeling unwelcome and marginalized. Few studies have examined the extent to which migrants perceive discrimination, who, why, where and its relationships with different outcomes. This study has two aims: to assess the prevalence, reasons, and determinants of perceived discrimination among migrants (1) and its associations with self-rated health, sexual health, healthcare use, and integration (2).

Methods: We analysed data from a 2018 survey on migrants' sexual and reproductive health and rights. The survey included 1740 migrants aged 16 or older. We used descriptive and log-binomial regression analyses to estimate prevalence, crude and adjusted prevalence ratios (APR) with 95% confidence interval (CI).

Results: About 36% of participants perceived discrimination in Sweden, with ethnic origin (62%) and religion (35%) as main reasons. Perceived discrimination occurred in public spaces (47%), schools (33%), internet (20%), work (19%), public services (18%), residential areas (16%), and healthcare settings (10%). Migrant men (APR: 1.26, CI:1.07–1.49), born in Middle East and North Africa (APR: 1.57, CI:1.26–1.95) and South Asia (APR: 1.61, CI:1.27–2.04) regions, with more than 12 years of education (APR: 1.33, CI:1.10–1.60), a non-heterosexual orientation (APR: 1.21, CI: 1.02–1.43), a non-Christian religion (APR: 1.41, CI: 1.10–1.80), economic stress (APR:1.67, CI: 1.44–1.93) or Swedish language skills (APR: 1.24, CI:1.07–1.43) perceived discrimination more than their counterparts. In contrast, the oldest participants (46 years or more) perceived less discrimination (APR:0.55, CI: 0.37–0.80) than the youngest ones (16–25 years). Moreover, perceived discrimination was associated with poor self-rated general (APR:1.72, CI: 1.45–2.04) and sexual health (APR:1.40, CI:1.2–1.64), integration (APR:1.25, CI:1.14–1.37), and healthcare access (APR: 1.48, 1.16–1.89).

Conclusions: This study shows that migrants in Sweden face widespread perceived discrimination based on ethnicity and religion. This can affect their health, healthcare use, and social integration. The study calls for policies and interventions that tackle systemic perceived discrimination, foster inclusion, and guarantee equal opportunities in accessing healthcare and resources for migrants. It also urges support for vulnerable groups who perceive more discrimination, such as migrants from certain regions or under economic stress.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-221889 (URN)10.1186/s12889-024-18160-2 (DOI)38443834 (PubMedID)2-s2.0-85186878462 (Scopus ID)
Funder
Public Health Agency of Sweden
Available from: 2024-03-07 Created: 2024-03-07 Last updated: 2024-03-18Bibliographically approved
Brunet Johansson, A., Hurtig, A.-K. & Nkulu Kalengayi, F. (2024). Sexual and reproductive health and rights for young migrants in Sweden: an ideal-type analysis exploring regional variations of accessible documents. International Journal of Public Health, 69, Article ID 1606568.
Open this publication in new window or tab >>Sexual and reproductive health and rights for young migrants in Sweden: an ideal-type analysis exploring regional variations of accessible documents
2024 (English)In: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 69, article id 1606568Article in journal (Refereed) Published
Abstract [en]

Objectives: This study aims to map sexual and reproductive health and rights (SRHR) policies, strategies, and interventions targeting young migrants and describe the patterns of organisation, resources, and services across Sweden’s 21 regions.

Methods: We conducted a document analysis of accessible online documents on SRHR policies, strategies, and interventions targeting young migrants in Sweden’s 21 regions. We used ideal-type analysis of the documents to create a typology, which formed the basis of a ratings system illustrating variations in organisation, resources, and services across regions.

Results: Findings suggest that efforts aimed at addressing young migrants’ SRHR are fragmented and unequal across regions. While SRHR policies and strategies are commonplace, they routinely lack specificity. Available resources vary depending on region and resource type. Additionally, information and interventions, although common, do not consistently meet the specific needs of migrant youths.

Conclusion: This study suggests that fragmented efforts are fuelling geographic inequalities in fulfilling SRHR among young migrants. There is an urgent need to improve national coordination and collaboration between national and local actors in SRHR efforts targeting young migrants to ensure equity.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2024
Keywords
document analysis, migrant health, sexual and reproductive health, sexual and reproductive rights, young adults
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-224256 (URN)10.3389/ijph.2024.1606568 (DOI)001211095100001 ()38698911 (PubMedID)2-s2.0-85191964775 (Scopus ID)
Available from: 2024-05-14 Created: 2024-05-14 Last updated: 2024-05-14Bibliographically approved
Mzilangwe, E. S., Chande Mallya, R., Lindkvist, M., Kaaya, S. & Nkulu Kalengayi, F. K. (2024). Sexual violence victimisation and response among university students in sub-Saharan Africa: a scoping review protocol. BMJ Open, 14(1), Article ID e076015.
Open this publication in new window or tab >>Sexual violence victimisation and response among university students in sub-Saharan Africa: a scoping review protocol
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2024 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 14, no 1, article id e076015Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Sexual violence (SV) is highly prevalent among university campuses across the globe, despite of several initiatives implemented to address it. Several studies have been published focusing on various aspects of SV on campuses. However, no review has been retrieved from the Joanna Briggs Institute (JBI) Database, Cochrane Library or Ovid examining evidence synthesis on prevalence, risk factors, victims and perpetrators, policies, laws and universities responses to SV in sub-Saharan Africa (SSA). This review aims to map the existing literature on SV victimisation among university students in SSA, related response strategies, and identify gaps in the evidence.

METHODS AND ANALYSIS: This review will follow JBI guidelines and will be conducted from 1 July 2023 to 31 December 2023. A team of five reviewers will screen eligible documents and articles for relevance from various data sources including electronic databases such as MEDLINE, EMBASE, PsycINFO, CINAHL, Google Scholar, PubMed and websites for government and agencies. Standard information for each study will be collected and a common analytical framework for all the primary documents will be conducted.

ETHICS AND DISSEMINATION: This review will involve analysis of published data only and therefore does not require ethics approval. The results will be published in a peer-reviewed journal.

REGISTRATION: This review has been registered with the Open Science Framework.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024
Keywords
Health Equity, Health Services Accessibility, Health policy, Organisation of health services, PUBLIC HEALTH, Risk Factors
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-220286 (URN)10.1136/bmjopen-2023-076015 (DOI)001154790300040 ()38233058 (PubMedID)2-s2.0-85182799422 (Scopus ID)
Funder
Familjen Erling-Perssons Stiftelse
Available from: 2024-01-31 Created: 2024-01-31 Last updated: 2024-02-13Bibliographically approved
Nkulu Kalengayi, F., Hurtig, A.-K. & Linander, I. (2023). "Discrimination is harder to live with than the disease": an interview study of the perceptions and experiences of sexual and reproductive health and rights among women living with HIV in Sweden. Sexual and Reproductive Health Matters, 31(1), Article ID 2245197.
Open this publication in new window or tab >>"Discrimination is harder to live with than the disease": an interview study of the perceptions and experiences of sexual and reproductive health and rights among women living with HIV in Sweden
2023 (English)In: Sexual and Reproductive Health Matters, E-ISSN 2641-0397, Vol. 31, no 1, article id 2245197Article in journal, News item (Refereed) Published
Abstract [en]

Around 40% of people living with human immunodeficiency virus (HIV) in Sweden are women. However, little is known about their experiences, particularly those related to sexual and reproductive health and rights (SRHR). This study aims to explore perceptions and experiences of SRHR among women living with HIV (LWH). Twelve interviews were conducted with women LWH from September to October 2019 and analysed using thematic analysis. The central theme describing participants’ experiences of social relationships, intimate encounters and reproductive life, “Discrimination is harder to live with than the disease itself”, is based on three themes that contain subthemes. Theme 1 describes how participants reconsider and reorient their sexual and reproductive life after diagnosis. Theme 2 highlights how (mis)perceptions of HIV affect sexual and reproductive life and lead to abusive treatment and internalisation. Theme 3 describes a paradoxical shift of responsibilities where participants experience being compelled to take greater responsibility in some situations and stripped of the right to decide in others. This study suggests that despite notable progress in HIV treatment, stigma and discrimination stemming from outdated beliefs and (mis)conceptions, ambiguous policies and guidelines, and unequal access to information affect SRHR experiences of women LWH more than the virus itself. The results emphasise the need to: update knowledge within healthcare settings and among the public; clarify ambiguous legislations and guidelines; ensure equal access to information to enable all women LWH to take informed decisions, make fully informed choices and realise their SRHR; and consider the diversity of women LWH and enable shared decision-making.

Abstract [fr]

En Suède, les femmes représentent près de 40% des personnes vivant avec le virus de l’immunodéficience humaine (VIH). Pourtant, on sait peu de choses sur leurs expériences, en particulier celles qui se rapportent à la santé et aux droits sexuels et reproductifs. Cette étude souhaite explorer les perceptions et les expériences de la santé et des droits sexuels et reproductifs chez les femmes vivant avec le VIH. Douze entretiens ont été menés avec des femmes séropositives entre septembre et octobre de 2019, et ont fait l’objet d’une analyse thématique. « La discrimination est plus difficile à vivre que la maladie elle-même » est le thème central qui décrit les expérience des participantes en matière de relations sociales, de rencontres intimes et de vie reproductive. L’analyse est fondée sur trois thèmes qui contiennent des sous-thèmes. Le thème 1 décrit comment les participantes revoient et réorientent leur vie sexuelle et reproductive après le diagnostic. Le thème 2 met en lumière comment les idées (erronées) sur le VIH influent sur la vie sexuelle et reproductive et conduisent à des traitements abusifs et à l’intériorisation. Le thème 3 décrit un déplacement paradoxal des responsabilités où les participantes sont contraintes d’assumer une plus grande responsabilité dans certaines situations et sont privées du droit de décider dans d’autres. Cette étude suggère qu’en dépit des progrès notables accomplis dans le traitement du VIH, la stigmatisation et la discrimination découlant de croyances obsolètes et d’idées erronées, de politiques et de directives ambiguës, et d’un accès inégal à l’information influent davantage sur les expériences des femmes vivant avec le VIH en matière de santé et droits sexuels et reproductifs que le virus lui-même. Les résultats mettent en évidence la nécessité: de mettre à jour les connaissances dans les établissements des soins de santé et parmi le grand public; de clarifier les législations et les directives ambiguës; de garantir l’accès sur un pied d’égalité à l’information afin de permettre à toutes les femmes vivant avec le VIH de prendre des décisions éclairées, de faire des choix pleinement informés et de réaliser leurs droits à la santé sexuelles et reproductive; de tenir compte de la diversité des femmes vivant avec le VIH et de permettre une prise de décision partagée.

Abstract [es]

Aproximadamente el 40% de las personas que viven con el virus de inmunodeficiencia humana (VIH) en Suecia son mujeres. Sin embargo, no se sabe mucho sobre sus experiencias, en particular aquellas relacionadas con la salud y los derechos sexuales y reproductivos (SDSR). Este estudio pretende explorar las percepciones y experiencias de SDSR entre mujeres que viven con VIH (MVVIH). Se realizaron 12 entrevistas con MVVIH de septiembre a octubre de 2019, las cuales se analizaron con análisis temático. “Es más difícil vivir con discriminación que con la enfermedad” es el tema central que describe las experiencias de las participantes con relaciones sociales, encuentros íntimos y su vida reproductiva. Se basa en tres temas que contienen subtemas. El tema 1 describe cómo las participantes reconsideran y reorientan su vida sexual y reproductiva después del diagnóstico. El tema 2 destaca cómo las percepciones (erróneas) del VIH afectan la vida sexual y reproductiva y propician un trato abusivo e internalización. El tema 3 describe un cambio paradójico de responsabilidades mediante el cual las participantes se sienten obligadas a asumir mayor responsabilidad en algunas situaciones y despojadas de su derecho a decidir en otras. Este estudio indica que, a pesar de notables avances en el tratamiento del VIH, el estigma y la discriminación derivados de creencias y conceptos (erróneos) obsoletos, políticas y directrices ambiguas, y acceso no equitativo a la información afectan las experiencias de SDSR de las MVVIH más que el virus. Los Resultados Ponen de Relieve la Necesidad de: Actualizar los Conocimientos en los Establecimientos de Salud y en el Público; aclarar legislaciones y directrices ambiguas; garantizar acceso equitativo a la información para que todas las MVVIH puedan tomar decisiones informadas, hacer elecciones completamente informadas y realizar su SDSR; y considerar la diversidad de MVVIH y permitir la toma de decisiones compartida.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2023
Keywords
HIV infection, Women, Sexual health, Reproductive health, Reproductive rights, Disclosure, Stigma, Discrimination, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-214242 (URN)10.1080/26410397.2023.2245197 (DOI)37671828 (PubMedID)2-s2.0-85169766019 (Scopus ID)
Funder
Public Health Agency of Sweden
Available from: 2023-09-09 Created: 2023-09-09 Last updated: 2023-09-11Bibliographically approved
Baroudi, M., Nkulu Kalengayi, F., Goicolea, I., Jonzon, R., San Sebastian, M. & Hurtig, A.-K. (2022). Access of Migrant Youths in Sweden to Sexual and Reproductive Healthcare: A Cross-sectional Survey. International Journal of Health Policy and Management, 11(3), 287-298
Open this publication in new window or tab >>Access of Migrant Youths in Sweden to Sexual and Reproductive Healthcare: A Cross-sectional Survey
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2022 (English)In: International Journal of Health Policy and Management, ISSN 2322-5939, E-ISSN 2322-5939, Vol. 11, no 3, p. 287-298Article in journal (Refereed) Published
Abstract [en]

Background: This study aims to assess migrant youths’ access to sexual and reproductive healthcare (SRHC) in Sweden, to examine the socioeconomic differences in their access, and to explore the reasons behind not seeking SRHC. 

Methods: A cross-sectional survey was conducted for 1739 migrant youths 16 to 29 years-old during 2018. The survey was self-administered through: ordinary post, web survey and visits to schools and other venues. We measured access as a 4-stage process including: healthcare needs, perception of needs, utilisation of services and met needs. 

Results: Migrant youths faced difficulties in accessing SRHC services. Around 30% of the participants needed SRHC last year, but only one-third of them fulfilled their needs. Men and women had the same need (27.4% of men [95% CI: 24.2, 30.7] vs. 32.7% of women [95% CI: 28.2, 37.1]), but men faced more difficulties in access. Those who did not categorise themselves as men or women (50.9% [95% CI: 34.0, 67.9]), born in South Asia (SA) (39% [95% CI: 31.7, 46.4]), were waiting for residence permit (45.1% [95% CI: 36.2, 54.0]) or experienced economic stress (34.5% [95% CI: 30.7, 38.3]) had a greater need and found more difficulties in access. The main difficulties were in the step between the perception of needs and utilisation of services. The most commonly reported reasons for refraining from seeking SRHC were the lack of knowledge about the Swedish health system and available SRHC services (23%), long waiting times (7.8%), language difficulties (7.4%) and unable to afford the costs (6.4%). 

Conclusion: There is an urgent need to improve migrant youths’ access to SRHC in Sweden. Interventions could include: increasing migrant youths’ knowledge about their rights and the available SRHC services; improving the acceptability and cultural responsiveness of available services, especially youth clinics; and improving the quality of language assistance services.

Place, publisher, year, edition, pages
Kerman University of Medical Sciences, 2022
Keywords
Migrants, Youth, Access to Healthcare, Sexual Health, Reproductive Health, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-173748 (URN)10.34172/ijhpm.2020.123 (DOI)000719952400001 ()32729283 (PubMedID)2-s2.0-85108111651 (Scopus ID)
Funder
Public Health Agency of Sweden
Available from: 2020-07-30 Created: 2020-07-30 Last updated: 2023-03-24Bibliographically approved
Nkulu Kalengayi, F., Anne, O. & Hurtig, A.-K. (2022). 'HIV ended up in second place' - prioritizing social integration in the shadow of social exclusion: an interview study with migrants living with HIV in Sweden. International Journal for Equity in Health, 21, Article ID 175.
Open this publication in new window or tab >>'HIV ended up in second place' - prioritizing social integration in the shadow of social exclusion: an interview study with migrants living with HIV in Sweden
2022 (English)In: International Journal for Equity in Health, E-ISSN 1475-9276, Vol. 21, article id 175Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Migrants are overrepresented among people living with HIV in Sweden as they often face conditions that increased their risk and vulnerability for HIV/STI infections prior, during or after migration. Yet, there is limited research on their experiences and perceptions of living with HIV in the Swedish context. This study aims to explore migrants' experiences of living with HIV in Sweden.

METHODS: This is a qualitative study based on in-depth interviews with 13 migrants from 11 countries living with HIV in Sweden. Interviews were analysed with thematic analysis using an intersectional perspective to explore the interactions of multiple social identities such as ethnicity, socio-economic status, gender, age, and sexual orientation that shape an individual's or group's experiences.

RESULTS: The analysis resulted in a main theme: 'Prioritizing social integration-HIV ends up in second place', which is based on four subthemes: 'Better opportunities in the new country than what the home country could offer', 'Better conditions for LGBTQI people than in the home country', 'Navigating a new system: linguistic and bureaucratic challenges' and 'Feeling like a second-class resident: racism, xenophobia and multiple discrimination'. The results suggest that migrants living with HIV in Sweden experience social integration as a greater challenge than HIV infection. Although the new country offers opportunities for better living conditions, many participants described being challenged in their daily life by linguistic and structural barriers in their encounters with public services. They are facing multiple discrimination simultaneously as migrants due to their multiple and intersecting identities (e.g. being non-white, foreigners/foreign-born and non-Swedish speakers), which is compounded by HIV status and thus limit their opportunities in the new country and too often result in an existence of exclusion.

CONCLUSION: The study shows that most of the challenges that migrants living with HIV face are related to their status as migrants rather than HIV status, which is often not known by the public or authorities. These challenges are similar, but still differ depending on social position, previous experiences, time since arrival and since diagnosis. This emphasizes the importance of both intersectional, intersectoral and multisectoral approaches to address reported issues.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Ethnicity, HIV/AIDS, Intersectionality, Intersectoral collaboration, Language barrier, LGBTQI-person, Migrant/immigrant, Multiple discrimination, Racism, Sweden, Xenophobia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-201518 (URN)10.1186/s12939-022-01783-5 (DOI)000894462400001 ()36471317 (PubMedID)2-s2.0-85143409005 (Scopus ID)
Funder
Public Health Agency of Sweden
Available from: 2022-12-06 Created: 2022-12-06 Last updated: 2024-01-17Bibliographically approved
Nkulu-Kalengayi, F. K., Jonzon, R., Deogan, C. & Hurtig, A.-K. (2021). Evidence and gaps in the literature on HIV/STI prevention interventions targeting migrants in receiving countries: a scoping review. Global Health Action, 14(1), Article ID 1962039.
Open this publication in new window or tab >>Evidence and gaps in the literature on HIV/STI prevention interventions targeting migrants in receiving countries: a scoping review
2021 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 14, no 1, article id 1962039Article, review/survey (Refereed) Published
Abstract [en]

BACKGROUND: Evidence suggests that migration increases vulnerability to human immunodeficiency virus (HIV) and other sexually transmitted infections (STI). However, there is limited knowledge about what has been done or needs to be done to address migrants' vulnerability in receiving countries.

OBJECTIVES: A scoping review was carried out to map the existing literature in this field, describe its characteristics, identify gaps in knowledge and determine whether a Sexual and Reproductive Health and Rights (SRHR)-perspective was applied.

METHODS: We used the Arksey and O'Malley framework and the Joanna Briggs Institute guidelines for scoping reviews and subsequent enhancements proposed by other authors. We searched three databases and grey literature to identify relevant publications.

RESULTS: A total of 1,147 records were found across the three electronic databases and compiled. Of these, only 29 papers that met the inclusion criteria were included. The review shows that research in this field is dominated by studies from the USA that mostly include behavioural interventions for HIV and HBV prevention among migrants from Latin America and Asian countries, respectively. None of the interventions integrated an SRHR perspective. The intervention effects varied across studies and measured outcomes. The observed effects on knowledge, attitudes, perceptions, behavioural intentions and skills were largely positive, but reported effects on testing and sexual risk behaviours were inconsistent.

CONCLUSIONS: There is a need for good quality research, particularly in parts of the world other than the USA that will address all STIs and specifically target the most vulnerable subgroups of migrants. Further research requires greater scope and depth, including the need to apply an SRHR perspective and incorporate biomedical and structural interventions to address the interacting causes of migrants' vulnerability to HIV/STIs.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2021
Keywords
Sexually transmitted diseases/STDs, behavioural, biomedical and/or structural interventions, combination prevention, population mobility, randomised controlled trials/RCT, sexual and reproductive health and rights, trend statement
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-187174 (URN)10.1080/16549716.2021.1962039 (DOI)000685899700001 ()34404337 (PubMedID)2-s2.0-85113755585 (Scopus ID)
Funder
Public Health Agency of Sweden
Available from: 2021-09-05 Created: 2021-09-05 Last updated: 2021-09-06Bibliographically approved
Baroudi, M., Hurtig, A.-K., Goicolea, I., San Sebastian, M., Jonzon, R. & Nkulu Kalengayi, F. (2021). Young migrants' sexual rights in Sweden: a cross-sectional study. BMC Public Health, 21(1), Article ID 1618.
Open this publication in new window or tab >>Young migrants' sexual rights in Sweden: a cross-sectional study
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2021 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 21, no 1, article id 1618Article in journal (Refereed) Published
Abstract [en]

In national public health surveys including those assessing sexual and reproductive health, migrants generally tend to be underrepresented due to cultural, linguistic, structural and legal barriers, minimising the possibility to measure sexual rights' fulfilment in this group. This study aims to describe to what extent sexual rights of young migrants in Sweden are being fulfilled. A self-administered questionnaire was used to collect data from 1773 young (16 - 29 years) migrants by post, online, and at language schools and other venues. Sexual rights were operationalised and categorised into five domains adapted from the Guttmacher-Lancet Commission's definition. These domains included the right to: 1) access sexual and reproductive healthcare, 2) access information and education about sexuality and sexual and reproductive health and rights, 3) have bodily integrity, 4) make free informed decisions about sexuality and sexual relations and 5) have a satisfying and safe sexual life. Descriptive analysis was used to assess the extent of fulfilment for each right. There were wide variations in the fulfilment of sexual rights between subgroups and among the five domains. Most respondents rated their sexual health as good/fair, however, 6.3% rated their sexual health as bad/very bad. While most of those who visited related services were satisfied, 17.4% of respondents refrained from visiting the services despite their needs. Around four in ten respondents did not know where to get information about sexuality and sexual health. One-fourth of respondents reported sexual violence. Another 12.7% were limited by family members or fellow countrymen regarding with whom they can have an intimate relationship. Most respondents were satisfied with their sexual life, except for 11.9%. Men, non-binary respondents, lesbians, gays, bisexuals, asexuals, those who were awaiting a decision regarding residence permit and those born in South Asia reported poor sexual health to a greater extent and fulfilment of their sexual rights to a lesser extent than other groups. Timely and culturally adapted information about sexual rights, gender equalities, laws and available services in Sweden should be provided in appropriate languages and formats in order to raise awareness about sexual rights and improve access to available services. Tailored attention should be paid to specific vulnerable subgroups.

Place, publisher, year, edition, pages
BioMed Central, 2021
Keywords
Young migrants, Sexual rights, Sexual health services, Non-binary, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-187202 (URN)10.1186/s12889-021-11672-1 (DOI)000693086600001 ()34482819 (PubMedID)2-s2.0-85114318658 (Scopus ID)
Funder
Public Health Agency of Sweden
Available from: 2021-09-06 Created: 2021-09-06 Last updated: 2023-08-28Bibliographically approved
Anyango, C., Nkulu Kalengayi, F., Goicolea, I. & Linander, I. (2020). "A One-size-fit-all model is not good"?: Ambivalent perceptions and experiences of African immigrant parents towards Swedsih sexual and reproductive health services for young people. BMC Research Notes, 13, Article ID 449.
Open this publication in new window or tab >>"A One-size-fit-all model is not good"?: Ambivalent perceptions and experiences of African immigrant parents towards Swedsih sexual and reproductive health services for young people
2020 (English)In: BMC Research Notes, E-ISSN 1756-0500, Vol. 13, article id 449Article in journal (Refereed) Published
Abstract [en]

Objective: Parents have a key role regarding young people’s access to sexual and reproductive health services, thus their perceptions go a long way towards promoting or discouraging young people from using such services. Research has revealed that immigrant young people in Sweden access these essential services to a lesser extent than their native peers, and that they perceive their parents as unsupportive of such visits. This pilot study’s objective was to explore immigrant parents’ perceptions and experiences of the sexual and reproductive health services provided by Swedish youth clinics.

Results: Two categories were developed from the data analysis: (i) Youth clinics are well-known (to some) and appreciated (to a certain extent), and (ii) Parents feel left out from youth clinics and that the clinics have taken over parental responsibility. This study presents an ambivalent scenario connected to immigrant parents’ experiences and perceptions of having neither a space nor a voice within the existing youth clinic model. Parents expressed the desire for the youth clinics to recognise their cultural backgrounds, norms, and beliefs while providing sexual and reproductive health services to their children.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2020
Keywords
Migrant Youths, Youth clinics, Sexual and Reproductive Health Services, Parents, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
health services research
Identifiers
urn:nbn:se:umu:diva-176524 (URN)10.1186/s13104-020-05289-7 (DOI)000574247600002 ()2-s2.0-85091471174 (Scopus ID)
Available from: 2020-11-05 Created: 2020-11-05 Last updated: 2024-04-11Bibliographically approved
Nkulu Kalengayi, F., Goicolea, I., Baroudi, M. & Hurtig, A.-K. (2020). Migration, sexuell hälsa och hiv- och STI-prevention: en kartläggning av unga migranters sexuella och reproduktiva hälsa och rättigheter i Sverige. Stockholm: Folkhälsomyndigheten
Open this publication in new window or tab >>Migration, sexuell hälsa och hiv- och STI-prevention: en kartläggning av unga migranters sexuella och reproduktiva hälsa och rättigheter i Sverige
2020 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: Folkhälsomyndigheten, 2020. p. 131
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-175221 (URN)
Available from: 2020-09-22 Created: 2020-09-22 Last updated: 2020-10-01Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2061-323x

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