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  • 1.
    Goicolea, Isabel
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Gotfredsen, Anne
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Jonsson, Frida
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Arctic Research Centre at Umeå University.
    Wernesjö, Ulrika
    Department of Culture and Society, Linköping University, Linköping, Sweden.
    The Promise of Belonging: Racialized Youth Subject Positions in the Swedish Rural North2023In: Journal of International Migration and Integration, ISSN 1488-3473, E-ISSN 1874-6365, Vol. 24, p. 695-713Article in journal (Refereed)
    Abstract [en]

    This article analyses how youth subject positions of the ‘racialized other’ are produced, and how these positions interconnect with the concept of belonging to the rural community. We do this by analysing 15 group discussions with 63 young people living in rural areas in northern Sweden taking a discursive psychology approach, and focusing on how discourses produce certain subject positions of ‘the racialized other’. Drawing on the concepts of the politics of belonging and the ‘stranger’, we argue that discourses on belonging to the (rural) community create boundaries that exclude ‘other’ youth, as well as resistance and contestation. The subject positions that such discourses produce represent racialized youth in stereotypical ways and imply a promise of belonging for certain ‘others’ based on their fulfilment of particular norms. However, such a depoliticized promise of belonging that places the responsibility for becoming integrated on the ‘others’ was also challenged. Firstly, in relation to criticisms of the welfare system, and secondly, in relation to racism as an unwelcome threat in rural communities.

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  • 2.
    Goicolea, Isabel
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Richter Sundberg, Linda
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
    Gotfredsen, Anne
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Christianson, Monica
    Umeå University, Faculty of Medicine, Department of Nursing.
    Widening the scope of mental health with a 'youth centred' approach: a qualitative study involving health care professionals in Sweden’s youth clinics2024In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 19, no 1, article id 2348879Article in journal (Refereed)
    Abstract [en]

    Purpose: The aim of this study was to explore how health care providers at youth clinics (YCs) in Sweden engage with, focus on, and navigate across the mental health youth space, while upholding the core bedrock principle of "youth-centeredness".

    Methods: Qualitative interviews were conducted with 21 health care professionals working in three YCs located in three different regions of Sweden. Data were analysed using reflexive thematic analysis informed by the work of Braun and Clarke.

    Results: The three themes were: 1) "youth mission-at the core of the YCs" work and challenged by a stronger involvement in mental ill health'; 2) "YCs" unique and complementary role in the youth mental health system: a holistic perspective, team work, and a focus on normalization', and 3) "Caught between a rock and a hard place: to treat at a care level that is not optimal for the young users" needs or to refer within an unreliable system'.

    Conclusion: This study reflects the individuality and key features of YCs, their widening roles within the mental health sphere, and the challenges faced in maintaining and expanding the characteristic "youth-centred" approach while expanding their work with mental health

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  • 3.
    Gotfredsen, Anne
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Carving out collective spaces: Exploring the complexities of gender and everyday stressors within rural youth leisure2021Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: The reasons why young people are increasingly suffering frommental health problems, and the opportunities to turn this development aroundare globally debated. Stressors such as education, relationships, futuretrajectories of housing and employment all constitute important factors affectingyoung people’s mental health, leading to stress and achievement pressureespecially among girls and young women. The need to reduce individualization ofyoung people’s health problems, and instead encourage spaces for collectivesupport, action, and change has been called for in previous studies. Leisureparticipation has the potential to be such a collective space where young peopletogether can respond to stressors experienced in their daily life. Apart fromstudies on individual behavior change, leisure participation has been anoverlooked arena within public health and within research on young people’smental health and stress in particular. The complexity of youth leisure, especiallyin relation to gender and spatiality, calls for further investigation, exploring thesocial places of leisure that young people create themselves.

    Aim: The aim of this thesis is to understand how places of youth leisure areperceived and collectively constructed as social factors of youth mental health,and to analyze the strategies developed within these places to handle and respondto the everyday stressors experienced by young people.

    Conceptual framework: The analysis builds on four conceptual sections: (i)The stress process model explores stressors as situated in a wider social context,where social factors shape both the stressors that affect mental health, theresources to handle those stressors as well as the mental health outcomes. (ii) Thesocial practice theory highlights how social practices within places of leisure canbe identified as resources in relation to responses to stressors. (iii) The thirdsection of the framework takes on the relationship between stress, leisure, andpost-feminist perspectives on gender and successful femininity. The final section(iv) outlines leisure as a spatial (re)construction; emphasizing rural space andplace in relation to gender, stress, and precarity.

    Methods: This thesis builds on two sub-studies, generating three papers. SubstudyI is based on data from individual interviews with eight adult leaders fromdifferent leisure organizations (paper 1), and sub-study II (paper 2 and 3) is basedon an ethnographic multiple-case study with 16 girls (age 14-21) from two leisureorganizations. The setting for both sub-studies is rural northern Sweden. Thematerial from the ethnographic study was collected through participatoryobservations and focus group discussions using photo elicitation. For the first andsecond paper, thematic analysis was used as an analytical strategy, while a4discursive psychology approach (interpretative repertoires) was used for the thirdand final paper.

    Results: The first part of the results concerns how girls and adult leadersperceived and experienced daily stressors within the context of youth leisure.Such stressors were represented by the high demands girls face in relation toachievement pressure and time management, school, gender norms andexpectations, but also in relation to their leisure engagement. The second partexplores how the girls and adult leaders developed and negotiated strategies torespond to stressors, within the context of leisure. Responses were constructedthrough daily social practices within the context of leisure e.g. through sharingexperiences of stress with each other, based on a sense of belonging and trust. Inthe final part, rurality holds a central position in how place and space werediscursively constructed by the participants, in relation to leisure, gender, andstressors. Here, one of the main results in the third part was the complexity ofhow the participants’ constructed leisure as a place of wellbeing. In order to buildand maintain a space that enabled responses to stressors, the girls constantlyneeded to invest time, engagement, achievements, and emotions. In addition,places of leisure needed to be constructed in certain ways to be perceived asbeneficial and ‘positive’, for example as a place marked by respectability and selfdevelopment.This illustrates the precarity of youth leisure where educational andlabor-market opportunities have changed how young people now understand freetime as something that should be ‘productive and meaningful’. The metaphor of‘carving out spaces’ speaks for the effort the girls had to make in order to createand sustain such places; not only in relation to a successful femininity, but alsoin relation to the rural community and the survival of rural places of leisure.

    Conclusions: This study contributes to a better understanding of youth leisure,and how to build sustainable and inclusive places of leisure from a gender andrural perspective. Places of leisure and civic engagement are perceived asimportant social factors of youth mental health, and needs to be taken intoconsiderations when young people’s stress and mental health are discussed.Places of youth leisure are spaces where responses to everyday stressors can becollectively developed. At the same time, youth leisure is also precarious,demanding, and contributes to the reproduction of gendered discourses onrespectability and responsibility, both in relation to a successful femininity, butalso in making it work for the rural collective.

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  • 4.
    Gotfredsen, Anne C.
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Landstedt, Evelina
    Department of Social and Psychological Studies, Karlstad University, Sweden.
    'I teach them that anything is possible': exploring how adult leaders perceive and handle social factors of youth mental health in the context of young people’s civic engagement2021In: Community Development Journal, ISSN 0010-3802, E-ISSN 1468-2656, Vol. 56, no 3, p. 506-523Article in journal (Refereed)
    Abstract [en]

    The aim of this qualitative study was 2-fold: to explore, in the context of young people’s civic engagement in Sweden, (i) how adult leaders perceive social factors of youth mental health and (ii) how adult leaders handle such social factors within their organizations. Interviews were conducted with leaders engaged in various civic organizations that provide leisure activities for young people. Using thematic analysis, three themes were constructed. Firstly, the social landscape of youth mental health described how adult leaders perceived the social factors of youth mental health within the context of civic engagement. Secondly, the organizational structures developed by adult leaders illustrated the organizing forms that leaders created for young people’s civic engagement. Thirdly, adult leaders’ strategies for addressing the social factors of youth mental health reflected the strategies developed to handle e.g. stress and achievement pressure. The adult leaders recognized the importance of their organizations and their huge potential to have a positive impact on youth mental health. However, some participants also saw limitations in terms of their own resources and competence. They found themselves having to address the complex issue of social factors of youth mental health regardless of whether they felt competent and prepared to do this or not. Our findings contribute to the existing knowledge on youth and community development via the role of adult leaders in promoting young people’s mental health by highlighting the organizational structures and leadership strategies developed by them.

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  • 5.
    Gotfredsen, Anne Christina
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Goicolea, Isabel
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Landstedt, Evelina
    Department of Social and Psychological Studies, Karlstad University , Karlstad, Sweden.
    Carving out space for collective action: a study on how girls respond to everyday stressors within leisure participation2020In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, no 1, article id 1815486Article in journal (Refereed)
    Abstract [en]

    Purpose: Stress and achievement pressure constitute factors affecting young people's mental health, especially among girls. Leisure participation holds the potential to be a collective space where young people can respond to stressors together. This study explores how girls collectively construct responses to daily stressors within the context of leisure participation.

    Methods: Nine focus groups were conducted with 16 girls aged 14-21 who were active members in two sport organizations in northern Sweden. Data was collected by using participatory observations and photo-elicited focus group discussions.

    Results: Our findings from the inductive thematic analysis were interpreted by combining the stress process model with social practice theory, resulting in three subthemes or responses: sharing sites of responsibility, resisting norms related to (gendered) youth and focused distraction. The subthemes were abstracted into the central theme of trustful belonging as a resource for collective responses, representing what pre-conditions need to be in place to make the responses possible.

    Conclusion: Leisure participation is an important relational space for young people to respond to stressors by making use of everyday routines, and the agency these social practices hold. However, the effort needed to respond to these stressors brought additional pressure in terms of responsibilities, and achievements.

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  • 6.
    Gotfredsen, Anne
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    Enlund, Desirée
    Department of Thematic Studies, Gender studies, Linköping University, Linköping, Sweden.
    Goicolea, Isabel
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Landstedt, Evelina
    Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.
    Precarious leisure in a teenage wasteland?: Intertwining discourses on responsibility and girls’ place-making in rural Northern Sweden2022In: Journal of Youth Studies, ISSN 1367-6261, E-ISSN 1469-9680, Vol. 25, no 10, p. 1350-1366Article in journal (Refereed)
    Abstract [en]

    The relationship with place has been recognized as a significant dimension of rural youth leisure, both through the discursive constructions of place, but also as affective and embodied dimensions. This study captures these processes by applying the concept of place-making as a set of recurrent discursive processes, analyzing how girls in Northern Sweden engage in place-making alongside, beyond, and in contrast to dominant discourses on leisure, rurality and wellbeing. The study draws on data from photo-elicited focus groups with girls from two sports organizations. The discursive psychology analysis resulted in three interpretative repertoires. The first repertoire describes the sharp contrast between discourses of the ‘rural dull’ and how stressful the participants constructed their own places of leisure. The second illustrates the gendered discourses around what is considered to be productive and respectable leisure. The third shows how the participants are made responsible for the survival of their leisure. Through place-making, the participants shape places of leisure, affecting both themselves and their rural community. They engage in, conform to, and challenge place-making within discourses of responsibility and precariousness, creating space for their own initiatives, which are simultaneously shaped by the material conditions under which these practices take place.

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  • 7.
    Gotfredsen, Anne
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Linander, Ida
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Young trans people's experiences of leisure and mental health: belonging, creativity, and navigation2023In: Wellbeing, Space and Society, ISSN 2666-5581, Vol. 4, article id 100139Article in journal (Refereed)
    Abstract [en]

    There is a lack of research on young trans people's everyday leisure. This article analyses how leisure, defined within a broad spatial context beyond sport and physical activity, is perceived and experienced by trans youth in relation to their mental health and wellbeing. We draw upon theoretical concepts of cisnormativity and spatiality to our analysis of sixteen interviews with young trans people (16-25 years old) in Sweden. Three themes emerged. The first refers to how both queer- and non-queer-specific leisure spaces connect people with similar (and different) experiences regarding queer and trans identities and shows how these identities can shift in importance. The second highlights how creative spaces (e.g., theatre, cosplay) can offer opportunities to carve out a leisured space to explore different gender identity/ies and expressions that are often crucial and life changing. The final theme illustrates how leisure is avoided, postponed, waited for, and reclaimed by trans youth. Excluding mechanisms such as transphobia, cisnormativity, and the lack of access to gender-confirming care can hinder young people's leisure participation. Our analysis illustrates the complex connections between leisure and mental health among young people with trans experiences. Leisure can be a source of discomfort and distress but also of belongingness and affirmation of one's identity. Finding and accessing strengthening leisure spaces demands emotional investment, engagement, and navigation.

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  • 8.
    Gotfredsen, Anne
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Strömbäck, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Fritidens betydelse för ungas psykiska hälsa - rättigheter, möjligheter och hinder: kunskapsläge och forskningsbehov2023Report (Refereed)
    Abstract [sv]

    Denna kunskapsöversikt har för avsikt att kartlägga befintlig kunskap omhur fritid och fritidsaktiviteter kan bidra med friskfaktorer för ungas psykiskahälsa. Översikten har ett tydligt ungdoms- och rättighetsperspektiv för attlyfta ungas egna upplevelser av fritid och om fritiden sker på lika villkor. 

  • 9.
    Jonsson, Frida
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Umeå University, Arctic Research Centre at Umeå University.
    Gotfredsen, Anne C.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Goicolea, Isabel
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    How can community-based (re)engagement initiatives meet the needs of ‘NEET’ young people? Findings from the theory gleaning phase of a realist evaluation in Sweden2022In: BMC Research Notes, E-ISSN 1756-0500, Vol. 15, no 1, article id 232Article in journal (Refereed)
    Abstract [en]

    Objective: There has been a lack of systematic and theoretically underpinned evaluations, internationally and in Sweden, of local multi-component initiatives delivered outside public employment services and formal education systems to young people who are not in employment, education or training (‘NEETs’). To bridge this knowledge gap, the objective of this study was to present findings from the theory gleaning phase of a realist evaluation aimed at assessing how Swedish community-based initiatives may work to (re)engage vulnerable ‘NEET’ young people in education or employment, under what conditions and why.

    Results: Based on insights gleaned and synthesised from various sources, three candidate programme theories were elicited drawing attention to the importance of community-based initiatives in Sweden adopting a ‘caring approach’, a ‘capability approach’ and a ‘collaborative approach’ to (re)engage ‘NEET’ young people in education or employment. While limited to the initial phase of theory gleaning, the study provides valuable insights into the potential functioning of (re)engagement initiatives directed towards vulnerable ‘NEETs’ in addition to increasing the transparency of a highly iterative research project.

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  • 10.
    Linander, Ida
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Goicolea, Isabel
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
    Gotfredsen, Anne
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Strömbäck, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
    Power and subjectivity: Making sense of sexual consent among adults living in Sweden2021In: NORA: Nordic Journal of Feminist and Gender Research, ISSN 0803-8740, E-ISSN 1502-394X, Vol. 29, no 2, p. 110-123Article in journal (Refereed)
    Abstract [en]

    While sexual consent has been a hot topic during recent years in the Swedish context, there is a lack of empirical studies on the issue. The aims of this study were to analyse how adults in Sweden experience and make sense of sexual (non)consent in sexual encounters, and to contribute to a conceptual discussion of sexual consent, especially in relation to a Foucauldian understanding of power and subjectivity.

    The analysis is based on 31 interviews with adults living in Sweden. Participants describe consenting to sex due to being exposed to interpersonal forms of power, ranging from violence and clear violations of consent to nagging and being subjected to pressure from others. But they also feel pressure and give consent to sex based on self-regulation and disciplinary forms of power, connected to normative ideals about "the good relationship", monogamy and heterosexuality, men and women, and age. Our Foucauldian analytical lens allowed us to explore and challenge understandings of autonomous, rational subjects who communicate consent on the basis of authentic feelings. It also provided an analytical strategy for analysing and understanding the complex power relations that matter in the negotiation of sexual consent.

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  • 11.
    Linander, Ida
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Strömbäck, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Gotfredsen, Anne
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Goicolea, Isabel
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Ljungcrantz, Desireé (Contributor)
    Folkhälsomyndigheten.
    Eriksson, Tommy (Contributor)
    Folkhälsomyndigheten.
    Deogan, Charlotte (Contributor)
    Folkhälsomyndigheten.
    Ett spektrum av sexuella samtycken: En intervjustudie om samtycke hos sexuellt aktiva vuxna2020Report (Other academic)
    Abstract [sv]

    Studien undersöker hur sexuellt samtycke förstås, praktiseras och upplevs: Samtycke anses ofta vara en typ av avtal för sexuell aktivitet, men definitionen av sexuellt samtycke är komplex. Tidigare forskning har till stor del fokuserat på amerikanska collegestudenter, och det har saknats svenska empiriska studier som undersöker sexuellt samtycke i befolkningen.

    Syftet med den här studien är därför att undersöka hur sexuellt samtycke förstås, praktiseras och upplevs i sexuella relationer bland vuxna i Sverige idag.

    Studien är en kvalitativ intervjustudie med 31 sexuellt aktiva personer 23–61 år. Deltagarna rekryterades via annonser i lokaltidningar, breda Facebook-grupper och på stora arbetsplatser. Intervjuerna var semi-strukturerade och berörde sexuell kommunikation, sexuella relationer och erfarenheter av sexuellt samtycke. Intervjumaterialet analyserades med hjälp av tematisk analys.

    Samtycke kan placeras in på ett spektrum: Analysen av intervjuerna resulterade i ett huvudtema: Ett spektrum av samtycken: kontextuellaoch kontinuerliga sexuella praktiker. 

    Huvudtemat beskriver hur samtycke är mångfacetterat och uttrycks olika beroende av situation,relation och föreställningar om kvinnlig och manlig sexualitet och sexuell praktik. Det beskriver också hur samtycke i sig och hur samtycke kommuniceras är föränderligt och pågående, bådeöver tid och i den sexuella situationen. Huvudtemat beskriver vidare hur deltagarnas förståelse, praktik och upplevelser av samtycke och brist på samtycke kan placeras in på ett spektrummellan fullkomligt samförstånd och avsaknad av samtycke, det vill säga i form av övergrepp och sexuellt våld. Däremellan kan kommunikationen vara bättre eller sämre, och förväntningar på kvinnlig och manlig sexualitet kan spela in i vad som upplevs eller förstås som samtycke. Gråzoner för vad som upplevs som självklart och lustfyllt, eller obekvämt eller tveksamt är en del av samtyckets spektrum. 

    Huvudtemat byggs upp av fem underteman:

    1. Kommunikation – så tydligt, så svårt belyser deltagarnas syn på tydlig och lyhördkommunikation som en nyckel till ett fungerande sexuellt samtycke och samspel. Samtidigt upplever deltagarna att det är svårt att kommunicera om sex och samtycke, och att de därför kan behöva träna på det och finna forum för att förbättra dessa färdigheter. Vidare beskriver deltagarna att typen av kommunikation skiljer sig åt mellan olika slags sexuella situationer och praktiker. Det som upplevs som tabubelagt kan också försvåra en god kommunikation.

    2. Sex och samspel i samförstånd belyser hur sexuellt samtycke när det fungerar bra förstås som självklart och ömsesidigt. Det beskriver hur samtycken kan förändras och fungera olika beroende på situation och utifrån individuella och relationella faktorer. Samtycket är någonting pågående som sker här och nu.

    3. Samtyckets gråzoner beskriver upplevelser där deltagarna varit osäkra på sitt eget eller andras samtycke, och erfarenheter av att bristande lust har omvandlats till samtycke efter hand.

    4. Avsaknad av samtycke handlar om att samtycke inte uppnås utan på olika sätt överträds, exempelvis i form av sexuellt våld. Temat handlar också om konsekvenserna av att bära med sig dessa erfarenheter. 

    5. Att navigera och utmana föreställningar och praktiker för sexualitet belyser hur olika föreställningar om och förväntningar på sexuellt beteende utifrån kön påverkar hur deltagarna förstår, kommunicerar och praktiserar sexuellt samtycke. I temat ingår inslag av att utmana förväntningar på romantisk och tvåsam kärlek. 

    Viktiga insikter för arbetet för sexuell hälsa och motsexuellt våld: Kunskapen från studien kan öka förståelsen för hur sexuellt aktiva vuxna kommunicerar, praktiserar och upplever sexuellt samtycke. Detta har både vetenskaplig och samhälleligbetydelse. Insikterna kan bidra till att utveckla det hälsofrämjande arbetet för sexuell hälsa samtutveckla interventionerna i det förebyggande arbetet och de behandlande insatserna vid sexuellatrakasserier och sexuellt våld.

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  • 12.
    Richter Sundberg, Linda
    et al.
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Gotfredsen, Anne
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Christianson, Monica
    Umeå University, Faculty of Medicine, Department of Nursing.
    Wiklund, Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.
    Hurtig, Anna-Karin
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Goicolea, Isabel
    Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
    Exploring cross-boundary collaborationfor youth mental health in Sweden: a qualitative study using the integrativeframework for collaborative governance2024In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 24, article id 322Article in journal (Refereed)
    Abstract [en]

    Background: Youth mental health is a major health concern in almost every country. Mental health accounts for about 13% of the global burden of disease in the 10-to-19-year age group. Still there are significant gaps between the mental health needs of young people and the quality and accessibility of available services. Collaboration between health and social service actors is a recognized way of reducing gaps in quality and access. Yet there is little scientific evidence on how these collaborations are applied, or on the challenges of cross-boundary collaboration in the youth mental health space. This study aims to explore how collaboration is understood and practiced by professionals working in the Swedish youth mental health system.

    Methods: We conducted 42 interviews (November 2020 to March 2022) with health and social care professionalsand managers in the youth mental health system in Sweden. Interviews explored participants’ experience andunderstanding of the purpose, realization, and challenges of collaboration. Data were analysed under an emergentstudy design using reflexive thematic analysis.

    Results: The analysis produced three themes. The first shows that collaboration is considered as essential andimportant, and that it serves diverse purposes and holds multiple meanings in relation to professionals’ roles andresponsibilities. The second addresses the different layers of collaboration, in relation to activities, relationships, andtarget levels, and the third captures the challenges and criticisms in collaborating across the youth mental healthlandscape, but also in growing possibilities for future development.

    Conclusion: We conclude that collaboration serves multiple purposes and takes many shapes in the Swedish youth mental health system. Despite the many challenges, participants saw potential in further building collaboration. Interestingly our participants also raised concerns about too much collaboration. There was scepticism about collaboration directing attention away from young people to the professionals, thereby risking the trust and confidentiality of their young clients. Collaboration is not a panacea and will not compensate for an under-resourced youth mental health system.

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  • 13. Skovdal, M.
    et al.
    Gee, S.
    Gotfredsen, Anne
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Reale, M.
    "The child belongs to Bangladesh and must be returned'': The commodification of Bangladeshi children rescued from trafficking in India2018In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 94-94Article in journal (Other academic)
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