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Publications (10 of 11) Show all publications
Ekstrand Ragnar, M., Grandahl, M., Stern, J. & Mattebo, M. (2018). Important but far away: adolescents' beliefs, awareness and experiences of fertility and preconception health. European journal of contraception & reproductive health care, 23(4), 265-273
Open this publication in new window or tab >>Important but far away: adolescents' beliefs, awareness and experiences of fertility and preconception health
2018 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 23, no 4, p. 265-273Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim was to explore adolescents' beliefs and awareness regarding fertility and preconception health, as well as their views and experiences of information about fertility and preconception health directed at their age group.

Methods: We performed seven semi-structured focus group interviews among upper secondary school students (n = 47) aged 16-18 years in two Swedish counties. Data were analysed by qualitative content analysis.

Results: One theme ('important but far away') and five categories ('starting a family far down on the list'; 'high awareness but patchy knowledge of fertility and preconception health'; 'gender roles influence beliefs about fertility and preconception health'; 'wish to preserve fertility and preconception health in order to keep the door to procreation open'; 'no panacea - early and continuous education about fertility and preconception health') emerged from the interviews. Participants recognised the importance of preconception health and were highly aware of the overall importance of a healthy lifestyle. Their knowledge, however, was patchy and they had difficulties relating to fertility and preconception health on a personal and behavioural level. Participants wanted more information but had heterogeneous beliefs about when, where and how this information should be given.

Conclusion: The adolescents wanted information on fertility and preconception health to be delivered repeatedly as well as through different sources.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD, 2018
Keywords
Adolescents, fertility awareness, focus group discussion, preconception health
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-368770 (URN)10.1080/13625187.2018.1481942 (DOI)000446985600004 ()30010448 (PubMedID)
Available from: 2018-12-10 Created: 2018-12-10 Last updated: 2019-02-01Bibliographically approved
Mattebo, M., Tydén, T., Häggström-Nordin, E., Nilsson, K. W. & Larsson, M. (2018). Pornography consumption and psychosomatic and depressive symptoms among Swedish adolescents: a longitudinal study. Upsala Journal of Medical Sciences, 123(4), 237-246
Open this publication in new window or tab >>Pornography consumption and psychosomatic and depressive symptoms among Swedish adolescents: a longitudinal study
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2018 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 123, no 4, p. 237-246Article in journal (Refereed) Published
Abstract [en]

Background: The aims of this longitudinal study were to identify predictors for continued pornography consumption and to investigate pornography consumption in relation to psychosomatic and depressive symptoms among a group of adolescents in Sweden.

Methods and materials: A longitudinal study in classroom environment in 53 randomly selected senior high school classes in mid-Sweden in years 2011 and 2013. Out of 477 participating boys and 400 girls in 2011, 224 boys (47%) and 238 girls (60%) participated in 2013.

Results: Higher pornography consumption at baseline and being born outside Sweden predicted continued pornography consumption at follow-up (adjusted R2 = 0.689).

Psychosomatic symptoms at follow-up were predicted by higher pornography consumption at baseline (adjusted R2 = 0.254), being a girl, living with separated parents, and attending a vocational high school program. By contrast, depressive symptoms at follow-up were predicted by less pornography consumption at baseline (adjusted R2 = 0.122) and being a girl.

Conclusions: Pornography consumption may, for some individuals, be associated to mental health issues. Differences between teenage boys and girls and between adolescents with diverse ethnic backgrounds imply that counseling and discussion about pornography need to be adjusted and individualized.

Keywords
Adolescents, longitudinal, pornography, psychological health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-375784 (URN)10.1080/03009734.2018.1534907 (DOI)000455702800007 ()30411651 (PubMedID)
Available from: 2019-02-01 Created: 2019-02-01 Last updated: 2019-02-01Bibliographically approved
Donevan, M. & Mattebo, M. (2017). The relationship between frequent pornography consumption, behaviours, and sexual preoccupancy among male adolescents in Sweden. Sexual & Reproductive HealthCare, 12, 82-87
Open this publication in new window or tab >>The relationship between frequent pornography consumption, behaviours, and sexual preoccupancy among male adolescents in Sweden
2017 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 82-87Article in journal (Refereed) Published
Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD, 2017
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-326216 (URN)10.1016/j.srhc.2017.03.002 (DOI)000401884100014 ()28477937 (PubMedID)
Available from: 2017-08-09 Created: 2017-08-09 Last updated: 2019-02-01Bibliographically approved
Mattebo, M., Tydén, T., Häggström-Nordin, E., Nilsson, K. W. & Larsson, M. (2014). Pornography and sexual experiences among high school students in Sweden. Journal of Developmental and Behavioral Pediatrics, 35(3), 179-188
Open this publication in new window or tab >>Pornography and sexual experiences among high school students in Sweden
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2014 (English)In: Journal of Developmental and Behavioral Pediatrics, ISSN 0196-206X, E-ISSN 1536-7312, Vol. 35, no 3, p. 179-188Article in journal (Refereed) Published
Abstract [en]

Objectives:

The study investigated the differences between high school boys and girls in: 1) use of pornography, 2) sexual experiences, 3) experience of sexual abuse, and 4) perceptions of sexuality and pornography. It also examined possible predictors of experiencing sexual activities, such as: sex, sociodemographic factors (high school program, household, and ethnic background), pornography consumption, experience of sexual abuse, perception of sexuality, and perception of pornography.

Method:

A population-based classroom survey of 16-year-old boys (n = 477) and girls (n = 400) from 53 randomly selected high school classes in two towns in mid-Sweden.

Results:

Almost all boys (96%, n = 453) and 54% of the girls (n = 213) had watched pornography. Regardless of sex, pornography consumers had a positive perception of pornography. There were no differences between pornography-consuming boys and girls regarding fantasies and attempted sexual acts inspired by pornography. A higher proportion of girls (15%) than boys (6%) had experienced sexual abuse. Predictors for being sexually experienced (oral sex, intercourse, and anal sex) included: being a girl, attending a vocational high school program, living with separated parents, having experience of sexual abuse, stating that boys and girls are equally interested in sex, and having a positive perception of pornography (Adj R2 = 0.145).

Conclusion:

Boys had more experience of and a more positive perception of pornography but there were only a few differences between boys and girls in the pornography-consumer group. Girls were more sexually experienced than boys. A positive perception of pornography predicted being sexually experienced.

Keywords
Adolescents, Pornography, Sexuality, Sexual experiences
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-217338 (URN)10.1097/DBP.0000000000000034 (DOI)000336849100003 ()
Available from: 2014-02-10 Created: 2014-02-03 Last updated: 2019-02-01Bibliographically approved
Mattebo, M., Larsson, M., Tydén, T. & Häggström-Nordin, E. (2014). Professionals’ perceptions of the effect of pornography on Swedish adolescents. Public Health Nursing, 31(3), 196-205
Open this publication in new window or tab >>Professionals’ perceptions of the effect of pornography on Swedish adolescents
2014 (English)In: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 31, no 3, p. 196-205Article in journal (Refereed) Published
Abstract [en]

Objective:The aims were to gain a deeper understanding of how personnel, who work with adolescents, reason about the effect of pornography and its spread in the media, and to explore how well prepared they consider themselves to be in addressing sexual health and gender equality.

Design and Sample: An inductive, exploratory, qualitative study with focus group discussions was selected. Seventeen participants with different professions were invited into five heterogeneous groups.

Measures: Data were analyzed according to grounded theory. Results: Conflicting messages about sexuality became the core category. Participants were of the opinion that pornography conveyed a contradictory message compared with national public health goals, societal laws, and regulations. They believed that young people use pornography as a source of information and stimulation. Furthermore, they thought that pornography contributed to norm-creating ideals and a demanding sexuality, thus, confirming the traditional gender order. The participants opined that a professional approach was required when addressing sexuality and gender equality issues and requested better training tools and more cultural competence.

Conclusions: Professionals working with adolescents perceived that pornography conveys a conflicting message about sexuality. They expressed a need for adequate tools for improving education on health and sexuality, including gender equality aspects and critical media analysis.

Keywords
adolescents, grounded theory, health education, personnel, pornography
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-217335 (URN)10.1111/phn.12058 (DOI)000334045300002 ()
Available from: 2014-02-10 Created: 2014-02-03 Last updated: 2019-02-01Bibliographically approved
Mattebo, M., Grün, N., Rosenblad, A., Larsson, M., Häggström-Nordin, E., Dalianis, T. & Tydén, T. (2014). Sexual experiences in relation to HPV vaccination status in female high school students in Sweden. European journal of contraception & reproductive health care, 19(2), 86-92
Open this publication in new window or tab >>Sexual experiences in relation to HPV vaccination status in female high school students in Sweden
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2014 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 19, no 2, p. 86-92Article in journal (Refereed) Published
Abstract [en]

Objectives

To investigate sexual experiences, sexually transmitted infections (STIs) and use of condoms in relation to human papillomavirus (HPV)-vaccination status in female high school students.

Methods

In 2013, 355 female students with a median age of 18 years from randomly selected high schools in Sweden answered a classroom questionnaire on sexual experiences and HPV-vaccination status.

Results

In total 227/348 (65%) of the women reported having received at least one HPV vaccine dose. Median age at first intercourse was 15 and 16 years respectively, in the 141/227 (62%) vaccinated after, and the 86/227 (38%) vaccinated before their sexual debut. There were no differences between the HPV-vaccinated and non-vaccinated groups regarding condom use, STIs, and experiences of oral and anal sex, or friends- with-benefit relationships. However, having had sexual intercourse and 'one-night stands' were more common in the vaccinated group (both p < 0.05).

Conclusion

Many students (62%) were vaccinated against HPV, with two-thirds after their sexual debut. There were no differences in condom use and STIs, and only a few differences in sexual experiences between the HPV-vaccinated and non-vaccinated groups. Initiating HPV vaccination before sexual debut is important, as is information about the link between HPV, sexual behaviour and cancer.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-219730 (URN)10.3109/13625187.2013.878021 (DOI)000333031300003 ()24555926 (PubMedID)
Available from: 2014-03-05 Created: 2014-03-05 Last updated: 2019-02-01Bibliographically approved
Mattebo, M. (2014). Use of Pornography and its Associations with Sexual Experiences, Lifestyles and Health among Adolescents. (Doctoral dissertation). Uppsala: Acta Universitatis Upsaliensis
Open this publication in new window or tab >>Use of Pornography and its Associations with Sexual Experiences, Lifestyles and Health among Adolescents
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to investigate pornography consumption and its relation to sexual experiences, lifestyles, health and perceptions of sexuality and pornography. One qualitative study (focus group discussions) and one prospective longitudinal quantitative study (baseline and follow-up questionnaires) are included.

The core category emerging from the focus group discussions, among personnel working with adolescents, was “Conflicting messages about sexuality”. The participants’ stated that the message conveyed by pornography was contradictory to the message conveyed by national public health goals and laws. A professional approach was emphasized, and adequate methods and knowledge to improve sexuality and relationship education were requested (I).

Participants at baseline in 2011 were 477 boys and 400 girls, aged 16 years. Almost all boys (96%) and 54% of the girls had watched pornography. The boys were categorized into frequent users (daily), average users (every week or a few times every month) and nonfrequent users (a few times a year, seldom or never) of pornography. A higher proportion of frequent users reported experience of sex with friends, the use of alcohol, a sedentary lifestyle, peer-relationship problems and obesity. One-third watched more pornography than they actually wanted to (II).

There were few differences between pornography-consuming girls and boys regarding fantasies about sexual acts, attempted sexual acts inspired by pornography and perceptions of pornography. Predictors for being sexually experienced included: being a girl, attending a vocational high school programme, stating that boys and girls are equally interested in sex, and having a positive perception of pornography. Boys were generally more positive towards pornography than girls (III).

Participants at follow-up in 2013 were 224 boys (47%) and 238 girls (60%). Being male, attending a vocational high school programme and being a frequent user of pornography at baseline predicted frequent use at follow-up. Frequent use of pornography at baseline predicted psychosomatic symptoms to a higher extent at follow-up than depressive symptoms (IV).

In conclusion, pornography has become a part of everyday life for many adolescents. Frequent users of pornography were mainly boys, and there were minor differences in sexual experiences between the male consumption groups. Frequent use was associated with lifestyle problems, such as the use of alcohol and a sedentary lifestyle to a higher extent than with sexual experiences and physical symptoms. In the longitudinal analyses frequent use of pornography was more associated to psychosomatic symptoms compared with depressive symptoms. Access to pornography will presumably remain unrestrained. It is therefore important to offer adolescents arenas for discussing pornography in order to counterbalance the fictional world presented in pornography, increase awareness regarding the stereotyped gender roles in pornography and address unhealthy lifestyles and ill health among adolescents.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2014. p. 82
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 974
Keywords
Adolescents, Pornography, Sexuality, Sexual experiences, Lifestyles, Health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medical Science
Identifiers
urn:nbn:se:uu:diva-218279 (URN)978-91-554-8881-9 (ISBN)
Public defence
2014-03-28, Aulan, Ing 21, Västmanlands sjukhus, Västerås, 09:15 (Swedish)
Opponent
Supervisors
Available from: 2014-03-07 Created: 2014-02-10 Last updated: 2019-02-01
Nordfors, C., Grun, N., Haeggblom, L., Tertipis, N., Sivars, L., Mattebo, M., . . . Dalianis, T. (2013). Oral human papillomavirus prevalence in high school students of one municipality in Sweden. Scandinavian Journal of Infectious Diseases, 45(11), 878-881
Open this publication in new window or tab >>Oral human papillomavirus prevalence in high school students of one municipality in Sweden
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2013 (English)In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 45, no 11, p. 878-881Article in journal (Refereed) Published
Abstract [en]

The rise in human papillomavirus (HPV) infection has been suggested to be responsible for the increased incidence of oropharyngeal cancer in the Western world. This has boosted interest in oral HPV prevalence and whether HPV vaccines can prevent oral HPV infection. In a previous study we showed oral HPV prevalence to be almost 10% in youth aged 15-23 y attending a youth clinic in Stockholm, Sweden. However, this may not be a generalizable sample within the Swedish population. Therefore, mouthwashes were used to investigate oral HPV prevalence in 335 Swedish high school students aged 17-21 y (median age 18 y), from 1 municipality with 140,000 inhabitants. The presence of HPV DNA in the oral samples, as examined by a Luminex-based assay, was significantly lower in this cohort, only 1.8% (3.1% in females and 0.6% in males), as compared to our previous study.

Keywords
HPV, oral HPV infection, high school students
National Category
Clinical Medicine
Identifiers
urn:nbn:se:uu:diva-210561 (URN)10.3109/00365548.2013.821626 (DOI)000325817000011 ()
Available from: 2013-11-13 Created: 2013-11-11 Last updated: 2019-02-01Bibliographically approved
Mattebo, M., Tydén, T., Häggström-Nordin, E., Nilsson, K. W. & Larsson, M. (2013). Pornography consumption, sexual experiences, lifestyles, and self-rated health among male adolescents in Sweden. Journal of Developmental and Behavioral Pediatrics, 34(7), 460-468
Open this publication in new window or tab >>Pornography consumption, sexual experiences, lifestyles, and self-rated health among male adolescents in Sweden
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2013 (English)In: Journal of Developmental and Behavioral Pediatrics, ISSN 0196-206X, E-ISSN 1536-7312, Vol. 34, no 7, p. 460-468Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE

To describe patterns of pornography use among high school boys and to investigate differences between frequent, average, and nonfrequent users of pornography with respect to sexual experiences, lifestyles, and self-rated health.

METHODS

A population-based classroom survey among 16-year-old boys (n = 477), from 53 randomly selected high school classes in 2 towns in mid-Sweden.

RESULTS

Almost all boys, 96% (n = 453), had watched pornography. Frequent users of pornography (everyday) (10%, n = 47) differed from average users (63%, n = 292) and nonfrequent users (27%, n = 126). Frequent users versus average users and nonfrequent users had more sexual experiences, such as one night stands (45, 32, 25%, respectively) and sex with friends more than 10 times (13, 10, 2%). A higher proportion of frequent users spent more than 10 straight hours at the computer several times a week (32, 5, 8%) and reported more relationship problems with peers (38, 22, 21%), truancy at least once a week (11, 6, 5%), obesity (13, 3, 3%), use of oral tobacco (36, 29, 20%), and use of alcohol (77, 70, 52%) versus average and nonfrequent users. One third of frequent users watched more pornography than they actually wanted. There were no differences between the groups regarding physical and psychological self-rated health.

CONCLUSIONS

The boys, defined as frequent users of pornography, were more sexually experienced, spent more time at the computer, and reported an unhealthier lifestyle compared with average and nonfrequent users. No differences regarding self-rated health were detected even though obesity was twice as common among frequent users.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-214708 (URN)10.1097/DBP.0b013e31829c44a2 (DOI)000330359000002 ()23899659 (PubMedID)
Available from: 2014-01-09 Created: 2014-01-09 Last updated: 2019-02-01Bibliographically approved
Mattebo, M., Larsson, M., Tydén, T., Olsson, T. & Häggström-Nordin, E. (2012). Hercules and Barbie?: Reflections on the influence of pornography and its spread in the media and society in groups of adolescents in Sweden. European journal of contraception & reproductive health care, 17(1), 40-49
Open this publication in new window or tab >>Hercules and Barbie?: Reflections on the influence of pornography and its spread in the media and society in groups of adolescents in Sweden
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2012 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 17, no 1, p. 40-49Article in journal (Refereed) Published
Abstract [en]

Objectives

To describe and get a deeper understanding of how groups of young women and men reflect on and discuss pornography and its spread in the media and society, and its possible influence on sexual behaviour and relationships.

Methods

Six focus group interviews were conducted with teenagers, three with women (n = 17) and three with men (n = 18). Open questions about pornography and its spread in the media and society were discussed. The interviews were tape-recorded and transcribed verbatim. Data were analysed according to Grounded Theory.

Results

The core category 'A discriminatory sexuality' illustrates how participants felt regarding the messages conveyed by pornography portraying a man's role as dominant and a woman's role as subordinate. Pornographic messages were described as 'Fiction' depicting a distorted reality. Feelings of ambivalence towards pornography were expressed: anxiety and fear, but also inspiration. Participants said pornography occurred everywhere in the media and society, and felt pressured by messages relating to looks and sexual techniques.

Conclusions

Pornography and its spread in the media and society were considered as presenting a discriminatory image of body ideals, sexuality and relationships. Despite this awareness, both men and women considered pornography as sources of knowledge and inspiration: an apparent paradox.

Keywords
Adolescents, Pornography, Sexuality, Attitudes, Grounded Theory
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:uu:diva-163307 (URN)10.3109/13625187.2011.617853 (DOI)000299053700004 ()22122411 (PubMedID)
Available from: 2011-12-09 Created: 2011-12-09 Last updated: 2019-02-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-5566-3421

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