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Identifying young people exposed to or at risk of sexual ill health: pilot implementation of an evidence-informed toolkit (SEXIT) at Swedish youth clinics
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Narhalsan Knowledge Ctr Sexual Hlth, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Jonkoping Univ, Sweden; Malmo Univ, Sweden.
Narhalsan Knowledge Ctr Sexual Hlth, Sweden; Univ Gothenburg, Sweden.
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2019 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 24, no 1, p. 45-53Article in journal (Refereed) Published
Abstract [en]

Objectives: We aimed to develop and pilot-implement an evidence-informed toolkit (SEXual health Identification Tool; SEXIT) for identifying young people exposed to or at risk of sexual ill health, at Swedish youth clinics, and to investigate SEXITs potential to identify young people in need of special care and monitoring. Methods: The SEXIT toolkit was developed, validated and pilot-implemented at three Swedish youth clinics. Pre-implementation staff readiness was assessed and youth clinic visitors responses to SEXIT were analysed. Results: All staff perceived a need for screening for sexual risk-taking and exposure. The response rate from 268 youth clinic visitors (aged 15-24 years) was 86%. Half of the visitors had one or no variable associated with sexual ill health, a third had two or three, and 15% reported between four and seven variables. The most common variables were alcohol use, three or more sexual partners in the past year and previous chlamydia. Visitors rated SEXIT as important and not uncomfortable or difficult to answer. Conclusions: The SEXIT toolkit was found to be feasible and highly acceptable in a clinical setting. The use of SEXIT may facilitate important questions on sexual risk-taking and sexual ill health to be raised with youth clinic visitors.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2019. Vol. 24, no 1, p. 45-53
Keywords [en]
Adolescents; implementation; risk assessment; sexual behaviour; sexual violence; young adults; youth clinic
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-156216DOI: 10.1080/13625187.2018.1564815ISI: 000461893000010PubMedID: 30730215OAI: oai:DiVA.org:liu-156216DiVA, id: diva2:1303214
Note

Funding Agencies|Public Health Agency of Sweden [03393-2015]; Healthcare Board, Region Vastra Gotaland, Sweden [VGFOUREG-573441]; Medical Research Council of Southeast Sweden [FORSS-664621]

Available from: 2019-04-09 Created: 2019-04-09 Last updated: 2019-04-09

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Hammarström, SofiaNilsen, Per
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Division of Community MedicineFaculty of Medicine and Health Sciences
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Citation style
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