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Title [sv]
Migration och jämlik sexuell och reproduktiv hälsa: Betydelsen av kulturella värderingars dynamik och samskapande för förbättrad praktik
Title [en]
Migration and equity in sexual and reproductive health: The importance of dynamics in cultural and social values for improving practice through co-production
Abstract [en]
Sweden is a multicultural country. Many migrants from the Middle East (ME) and Somalia have cultural values that contrast sharply with liberal values in Sweden. Sexual and reproductive health (SRH) is a value-infused area that gives rise to cross-cultural conflicts. Our earlier studies have indicated that problems arise when healthcare providers (HCPs)¬†are expected to respect perpetuation of SRH-related gender inequality by migrants from gender-conservative countries, rather than upholding traditions of gender equality. Optimal solutions for these problems must be evidence-based and¬†devised jointly by the main stakeholders, such as patients and HCPs, to ensure equality in health and gender.¬†Within the next six years we aim to (1) study how and why gender values change over time in the course of a randomised intervention aimed at enhancing newly arrived ME migrants’ employment opportunities; (2) co-produce and implement culturally tailored tools to assist HCP¬†in addressing value conflicts, and¬†the dynamics of cultural change, to ensure equity in SRH; (3) promote cultural change towards abundant of female genital cutting in Somalia, using RCT in co-production with Swedish Somali migrants who have rejected this harmful practice. The long-term goal is to create a multidisciplinary research environment, a Knowledge Centre for Migrant SRH, that will implement evidence-based ¬†practice using co-production techniques, in collaboration with scholars, HCP¬†and migrant representatives.
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Essén, B., Wickramasinghe, A., Eriksson, L., Vartanova, I., Tibajev, A. & Strimling, P. (2024). Assessing knowledge of migrant sexual reproductive health and rights: a national cross-sectional survey among health professionals in Sweden. Frontiers in Sociology, 9, Article ID 1356418.
Open this publication in new window or tab >>Assessing knowledge of migrant sexual reproductive health and rights: a national cross-sectional survey among health professionals in Sweden
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2024 (English)In: Frontiers in Sociology, E-ISSN 2297-7775, Vol. 9, article id 1356418Article in journal (Refereed) Published
Abstract [en]

Introduction: Despite the commitment of the Swedish government to ensuring equal access to Sexual Reproductive Health and Rights services for all citizens, shortcomings persist among the migrant population. In cases where healthcare providers lack sufficient knowledge or hold misconceptions and biases about these contentious issues, it can lead to the delivery of suboptimal care. Therefore, the objective of this study was to assess the level of knowledge of Swedish healthcare providers on global and Swedish migrant Sexual Reproductive Health and Rights.

Methods: A national cross-sectional study was conducted using a questionnaire consisting of seven questions related to global and Swedish migrant Sexual Reproductive Health and Rights. The questionnaire was distributed among midwives, nurses, gynecologists and obstetricians, and hospital social workers (N = 731). The analysis was guided by the Factfulness framework developed by Hans Rosling to identify disparities between healthcare providers’ viewpoints and evidence-based knowledge.

Results: There was an overall lack of knowledge among the health care providers on these issues. The highest correct responses were on the question on abandonment of female genital cutting/mutilation after migration (74%). The findings indicated that healthcare providers originating from Sweden, physicians, those with fewer years of clinical experience, and exhibiting more migrant-friendly attitudes, demonstrated a higher level of knowledge regarding global and Swedish migrant Sexual and Reproductive Health and Rights.

Conclusion: This study demonstrates that healthcare providers lacked knowledge of global and Swedish migrant Sexual Reproductive Health and Rights, which was almost uniformly distributed, except among those with more comprehensive and recent education. Contrary to expectations, healthcare professionals did not primarily rely on their education and experiences but were influenced by their personal values and opinions. The study underscores the importance of upgrading knowledge in Sexual Reproductive Health and Rights and encourages policymakers, professionals, and students to base their opinions on well-founded facts, particularly in the context of a diverse and globalized society.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2024
Keywords
migrants, sexual reproductive health and rights, migrants healthcare, health professionals, healthcare providers, norms and values, sexual and reproductive healthcare
National Category
Obstetrics, Gynecology and Reproductive Medicine Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-530868 (URN)10.3389/fsoc.2024.1356418 (DOI)001244754500001 ()38873341 (PubMedID)
Projects
MigraMed
Funder
Swedish Research Council, 2018-03365Uppsala University
Available from: 2024-06-10 Created: 2024-06-10 Last updated: 2024-07-04Bibliographically approved
Principal InvestigatorEssén, Birgitta
Coordinating organisation
Uppsala University
Funder
Period
2018-12-01 - 2024-12-31
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
DiVA, id: project:6131Project, id: 2018-03365_VR

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