Assessing the youth-friendliness of youth clinics in northern Sweden: a survey analyzing the perspective of the youth

• Published in: BMC Health Services Research
• Main Authors: Anna-Karin Waenerlund, Miguel San Sebastian, Anna-Karin Hurtig, Maria Wiklund, Monica Christianson, Isabel Goicolea
• Format: Article in Journal/Newspaper
• Language: English
• Published: BMC 2020
• Subjects: Youth clinic; Sweden; Youth friendly; Health services; Health service accessibility; Youth; Public aspects of medicine; RA1-1270; Northern Sweden
• Online Access: https://doi.org/10.1186/s12913-020-05188-4; https://doaj.org/article/adc159a7c8444ec7a8530f770e0d9fee

Abstract Background Sweden has nearly 300 youth clinics that have been offering services since the 1970s. However, no evaluation has been done to assess their youth-friendliness. This study aims to assess: i) to what extent youth clinics are perceived as youth-friendly by the young people using them; and ii) if the level of youth friendliness is equally perceived across different sociodemographic groups of users. Methods The four northernmost counties of Sweden were included in the study. Of the total identified 22 youth clinics, 20 participated by giving out questionnaires to the youth after their visits to the respective youth clinics. In total 1110 youth participated in the study and answered questions according to the World Health Organization’s criteria of accessibility, equity, respect, privacy and confidentiality, no judgement, and quality. Means and frequencies were calculated, and t-test and ANOVA were used to compare means by sociodemographic variables. Results Participants perceived the youth clinics as very youth friendly across the measured domains, with scores as high as 4.8 and 4.9 (of a maximum of 5). Youth clinics were perceived in a similar way regardless of gender, but other sociodemographic factors influenced some of the domains, especially ethnic background. Conclusions The perception of youth friendliness in youth clinics was very high. Nonetheless, younger users; users who did not categorize themselves as either heterosexual, homosexual, or bisexual; users with trans-experiences; and users with non-Swedish backgrounds gave youth clinics lower scores for certain domains.