{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:45:44Z","timestamp":1792014344790,"version":"4.4.0"},"reference-count":56,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T00:00:00Z","timestamp":1491350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Swedish Research Council for Health, Working Life and Welfare","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Faculty of Medicine, Uppsala University, Sweden"},{"name":"Stiftelsen famileplaneringsfonden i Uppsala"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>In this article, we explore how reproductive health care providers in Sweden, a country often described as one of the most gender-equal countries in the world, incorporate gender equality ideals in multicultural contraceptive counseling. In the tension between gender equality promotion on one hand and respect for cultural diversity and individualized care on the other, we will demonstrate that values of gender equality were often given priority. This is not necessarily undesirable. Nevertheless, our proposal is that the gender equality ideology may inhibit providers\u2019 ability to think differently about issues at stake in contraceptive counseling, which may negatively influence women\u2019s possibilities to obtain adequate support. At the end of the article, we suggest how health care providers\u2019 reflexivity might be used as a working tool for increased awareness about the taken-for-granted cultural norms that exist in their clinical milieu.<\/jats:p>","DOI":"10.1177\/1049732317697099","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T03:35:24Z","timestamp":1491363324000},"page":"1518-1528","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Unintended Consequences of Gender Equality Promotion in Swedish Multicultural Contraceptive Counseling: A Discourse Analysis"],"prefix":"10.1177","volume":"27","author":[{"given":"Jonna","family":"Arousell","sequence":"first","affiliation":[{"name":"Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aje","family":"Carlbom","sequence":"additional","affiliation":[{"name":"Malm\u00f6 University, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Johnsdotter","sequence":"additional","affiliation":[{"name":"Malm\u00f6 University, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elin C.","family":"Larsson","sequence":"additional","affiliation":[{"name":"Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitta","family":"Ess\u00e9n","sequence":"additional","affiliation":[{"name":"Uppsala University, Uppsala, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,5]]},"reference":[{"key":"bibr1-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2016.1214746"},{"key":"bibr2-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/j.wsif.2013.01.008"},{"key":"bibr3-1049732317697099","volume-title":"Frihet och gr\u00e4nser. Filosofiska perspektiv p\u00e5 religionsfrihet och tolerans","author":"Appelros E.","year":"2006"},{"key":"bibr4-1049732317697099","volume-title":"Analysing policy: What\u2019s the problem represented to be?","author":"Bacchi C.","year":"2009"},{"key":"bibr5-1049732317697099","doi-asserted-by":"publisher","DOI":"10.4236\/ojps.2012.21001"},{"key":"bibr6-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.01.016"},{"key":"bibr7-1049732317697099","first-page":"9","volume":"8","author":"Bernard H. R.","year":"1996","journal-title":"The Cultural Anthropology Methods Journal"},{"key":"bibr8-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr9-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1080\/13648470.2012.675049"},{"key":"bibr10-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1007\/s11019-015-9646-5"},{"key":"bibr11-1049732317697099","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v7.23710"},{"key":"bibr12-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1007\/s12147-016-9159-4"},{"key":"bibr13-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)17872-6"},{"key":"bibr14-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0034193"},{"key":"bibr15-1049732317697099","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303393"},{"key":"bibr16-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00945-9"},{"key":"bibr17-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2015-103266"},{"key":"bibr18-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2005.07.012"},{"key":"bibr19-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0030294"},{"key":"bibr20-1049732317697099","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-88-2-251"},{"key":"bibr21-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0125990"},{"key":"bibr22-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1080\/13510347.2015.1039994"},{"key":"bibr23-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1177\/0011392112438339"},{"key":"bibr24-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1093\/sp\/jxn005"},{"key":"bibr25-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1080\/09581590903436895"},{"key":"bibr26-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.03.050"},{"key":"bibr27-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"bibr28-1049732317697099","volume-title":"Street level bureaucracy: Dilemmas of the individual in public services","author":"Lipsky M.","year":"2010","edition":"30"},{"key":"bibr29-1049732317697099","volume-title":"Thinking about social problems","author":"Loseke D.","year":"2003"},{"key":"bibr30-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1624\/105812409X474807"},{"key":"bibr31-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1080\/09589236.2014.964668"},{"key":"bibr32-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12317"},{"key":"bibr33-1049732317697099","author":"The National Board of Health and Welfare","year":"2006","journal-title":"Kompetensbeskriving f\u00f6r legitimerad barnmorska"},{"key":"bibr34-1049732317697099","volume-title":"Att m\u00f6tas i h\u00e4lso- och sjukv\u00e5rd. Ett utbildningsmaterial f\u00f6r reflektion om bem\u00f6tande och j\u00e4mlik v\u00e5rd","author":"The National Board of Health and Welfare","year":"2015"},{"key":"bibr35-1049732317697099","volume-title":"M\u00e5lbeskrivningar i l\u00e4karnas ST (SOSFS 2008:17)\/Obstetrik och gynekologi","author":"The National Board of Health and Welfare","year":"2015"},{"key":"bibr36-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9248.2012.00951.x"},{"key":"bibr37-1049732317697099","volume-title":"Governing refugees through gender equality: Care, control, emancipation","author":"Olivius E.","year":"2014"},{"key":"bibr38-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2015.09.010"},{"key":"bibr39-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.07.018"},{"key":"bibr40-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1080\/21699763.2014.886609"},{"key":"bibr41-1049732317697099","volume-title":"Sverige, framtiden och m\u00e5ngfalden \u2013 fr\u00e5n invandrarpolitik till integrationspolitik","author":"Prop. 1997\/98:16","year":"1997"},{"key":"bibr42-1049732317697099","volume-title":"Homo Capax: texter av Paul Ricouer om etik och filosofisk antropologi","author":"Ricoeur P.","year":"2011"},{"key":"bibr43-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1186\/1475-9276-10-37"},{"key":"bibr44-1049732317697099","unstructured":"Statistics Sweden. (2015). Invandringar efter f\u00f6delseland och \u00e5r [Immigration in accordance to country of birth and year]. Retrieved from http:\/\/www.statistikdatabasen.scb.se\/pxweb\/sv\/ssd\/START__BE__BE0101__BE0101J\/ImmiEmiFod\/table\/tableViewLayout1\/?rxid=f55f0fd4-7048-41f3-b444-4507cabbeddd"},{"key":"bibr45-1049732317697099","unstructured":"The Swedish Association of Midwives. (2016). Barnmorskan [The midwife]. Retrieved from http:\/\/www.barnmorskeforbundet.se\/barnmorskan\/"},{"key":"bibr46-1049732317697099","volume-title":"Handlingsplan f\u00f6r j\u00e4mst\u00e4lldhetsintegrering p\u00e5 Folkh\u00e4lsomyndigheten 2016-2018","author":"The Swedish Public Health Agency","year":"2015"},{"key":"bibr47-1049732317697099","unstructured":"The Swedish Secretariat for Gender Research. (2016). GMGA: Gender mainstreaming in government agencies. Retrieved from http:\/\/www.genus.se\/en\/about-us\/our-assignments\/gmga\/"},{"key":"bibr48-1049732317697099","doi-asserted-by":"publisher","DOI":"10.7577\/njsr.2080"},{"key":"bibr49-1049732317697099","doi-asserted-by":"publisher","DOI":"10.18356\/9c9efe4c-en"},{"key":"bibr50-1049732317697099","unstructured":"UNWomen. (2016). Gender mainstreaming. Retrieved from http:\/\/www.un.org\/womenwatch\/osagi\/gendermainstreaming.htm"},{"key":"bibr51-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1002\/jid.2947"},{"key":"bibr52-1049732317697099","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.12236"},{"key":"bibr53-1049732317697099","unstructured":"World Economic Forum. (2015). The global gender gap report 2015. Retrieved from http:\/\/reports.weforum.org\/global-gender-gap-report-2015\/"},{"key":"bibr54-1049732317697099","volume-title":"Roadmap for action: Integrating equity, gender, human rights, and social determinants into the work of WHO","author":"World Health Organization","year":"2015"},{"key":"bibr55-1049732317697099","volume-title":"A foundation to address equity, gender and human rights in the 2030 agenda: Progress in 2014-2015","author":"World Health Organization","year":"2016"},{"key":"bibr56-1049732317697099","unstructured":"World Values Survey. (2016). Findings and Insights. Retrieved from http:\/\/www.worldvaluessurvey.org\/WVSContents.jsp?CMSID=Findings"}],"container-title":["Qualitative Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732317697099","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1049732317697099","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732317697099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:40:46Z","timestamp":1777686046000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049732317697099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,5]]},"references-count":56,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1177\/1049732317697099"],"URL":"https:\/\/doi.org\/10.1177\/1049732317697099","relation":{},"ISSN":["1049-7323","1552-7557"],"issn-type":[{"value":"1049-7323","type":"print"},{"value":"1552-7557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,5]]}}}