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Knowledge, challenges, and standard of care of young women with ADHD at Swedish youth clinics
Danderyd Hosp, Sweden.
Danderyd Hosp, Sweden.
Karolinska Inst, Sweden.
Linköping University, Faculty of Medicine and Health Sciences.
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2022 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 32, article id 100727Article in journal (Refereed) Published
Abstract [en]

Objectives: Sexual risk-taking and its consequences for young women with ADHD(attention deficit hyperactivity disorder) including sexually transmitted diseases, teenage pregnancies and underage parenthood constitute substantial challenges for individuals and midwives. The aim was to investigate current knowledge and specific challenges in reproductive health and contraceptive counselling for women with ADHD at Swedish youth clinics.

Method: Inductive qualitative interview study of ten midwives at six youth health clinics in Stockholm and Uppsala County. We used a semi-structured interview guide. The interviews were transcribed verbatim and analyzed with the NVivo 12 qualitative data analysis software.

Results: Three main categories were identified: (1) challenges in provision of care of young women with ADHD, (2) standard of care and active adaptations towards women with ADHD and (3) organizational readiness for change;. Several challenges and frustrations, such as difficulties with attention with or without concomitant impulsivity and overactivity, in provision of reproductive health and contraceptive counselling for young women with ADHD were identified. Midwives reported high organizational readiness for improvement of standard of care.

Conclusions: Inadequate contraceptive counseling or lack of knowledge on specific challenges in the sexual and reproductive health of young women with ADHD may contribute to this group failing to access, inadequately respond to, or act upon counseling at youth clinics. Support for midwives with evidence-based interventions specifically developed for these women are imperative. Development of such tools should be a priority for research.

Place, publisher, year, edition, pages
Oxford, United Kingdom: Elsevier, 2022. Vol. 32, article id 100727
Keywords [en]
Targeted interventions; Contraception; Young women; ADHD; Youth clinics
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:liu:diva-185578DOI: 10.1016/j.srhc.2022.100727ISI: 000797272600009PubMedID: 35461165Scopus ID: 2-s2.0-85129569470OAI: oai:DiVA.org:liu-185578DiVA, id: diva2:1665921
Available from: 2022-06-08 Created: 2022-06-08 Last updated: 2022-06-16Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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Language
  • de-DE
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  • Other locale
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Output format
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