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Cognitive social capital as a health-enabling factor for STI testing among young men in Stockholm, Sweden: A cross-sectional population-based study
Department of Global Public Health, Karolinska Institutet, Tomtebodavägen 18a, Widerströmska Huset, Stockholm, Sweden.
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0003-0108-4237
Department of Global Public Health, Karolinska Institutet, Tomtebodavägen 18a, Widerströmska Huset, Stockholm, Sweden.
Department of Global Public Health, Karolinska Institutet, Tomtebodavägen 18a, Widerströmska Huset, Stockholm, Sweden; Jönköping International Business School, Jönköping University, Gjuterigatan 5, Jönköping, Sweden.
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2023 (English)In: Heliyon, E-ISSN 2405-8440, Vol. 9, no 10, article id e20812Article in journal (Refereed) Published
Abstract [en]

Objective: To assess whether different forms of cognitive social capital increased the relative probability of testing for sexually transmitted infections (STIs) among young men living in Stockholm, Sweden.

Methods: A population-based cross-sectional study was conducted in 2017 with men aged 20–29 years living in Stockholm County, Sweden (n = 523). The main outcome was STI testing patterns (never tested, tested only within a 12-month period, tested only beyond a 12-month period, repeatedly tested). The main exposure were two forms of cognitive social capital: social support (having received help, having someone to share inner feelings with) and institutionalized trust (in school, healthcare, media). Data were analyzed using weighted multivariable multinomial logistic regression to obtain adjusted weighted relative probability ratio (aRPR).

Results: After adjusting for confounding factors, receiving help (aRPR: 5.2, 95% CI: 1.7–16.2) and having someone to share inner feelings with (aRPR: 3.1, 95% CI: 1.2–7.7) increased the relative probabilities of young men testing for STIs, but only for those testing beyond a 12-month period. Trust in media increased the relative probability of STI testing for those testing only within a 12-month period (aRPR: 2.6, 95% CI: 1.1–6.1) and for those testing repeatedly (aRPR: 3.6, 95% CI: 1.5–8.8).

Conclusion: Young men in Stockholm County exhibit distinct STI testing patterns. Social support and trust in media were factors that increased the probability of being tested for STIs, with this effect varying according to the young men's STI testing pattern. Further studies are required to explore how trust in media might promote STI testing in this population.

Place, publisher, year, edition, pages
2023. Vol. 9, no 10, article id e20812
Keywords [en]
HIV testing, Sexually transmitted diseases, Social capital, Social support, Sweden, Trust
National Category
Social Work
Identifiers
URN: urn:nbn:se:umu:diva-215922DOI: 10.1016/j.heliyon.2023.e20812Scopus ID: 2-s2.0-85174465180OAI: oai:DiVA.org:umu-215922DiVA, id: diva2:1809214
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-00594Available from: 2023-11-02 Created: 2023-11-02 Last updated: 2023-11-02Bibliographically approved

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Eriksson, Malin

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