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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

Journal article
Authors S. Hammarström
P. Nilsen
M. Lindroth
Karin Stenqvist
Susanne Bernhardsson
Published in European Journal of Contraception and Reproductive Health Care
Volume 24
Issue 1
Pages 45-53
ISSN 1362-5187
Publication year 2019
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
Institute of Medicine, Department of Public Health and Community Medicine
Pages 45-53
Language en
Keywords Adolescents, implementation, risk assessment, sexual behaviour, sexual violence, young adults, youth clinic, adolescent, alcohol consumption, article, Chlamydia, high risk behavior, human, juvenile, monitoring, nonhuman, sexual health, staff, Swedish citizen, young adult
Subject categories Public Health, Global Health, Social Medicine and Epidemiology


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 SEXIT’s 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. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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