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Migrants in Swedish sexual and reproductive health and rights related policies: a critical discourse analysis
Malmö University, Malmö, Sweden; Uppsala University, Uppsala, Sweden.
Malmö University, Malmö, Sweden.
Halmstad University, School of Health and Welfare. Malmö University, Malmö, Sweden.ORCID iD: 0000-0001-8403-6534
2022 (English)In: International Journal for Equity in Health, E-ISSN 1475-9276, Vol. 21, no 1, article id 125Article in journal (Refereed) Published
Abstract [en]

Background: Previous research has shown that migrants in Sweden are disadvantaged in terms of sexual and reproductive health and rights (SRHR). SRHR policies might play a crucial role in shaping migrants’ SRHR outcomes. The purpose of the study was to critically examine: a) how migrants were represented in the discourses embedded within Swedish SRHR-related policies, and b) how migrants’ SRHR-related issues were framed and addressed within these discourses.

Methods: Critical discourse analysis (CDA) was used to analyze a total of 54 policy documents. Following Jäger’s approach to CDA, discourse strands and entanglements between different discourse strands were examined.

Results: Our findings consisted of three discourse strands: 1) “Emphasizing vulnerability”, 2) “Constructing otherness”, and 3) “Prioritizing the structural level or the individual level?”. Migrants’ representation in Swedish SRHR-related policies is often associated with the concept of vulnerability, a concept that can hold negative connotations such as reinforcing social control, stigma, and disempowerment. Alongside the discourse of vulnerability, the discourse of otherness appears when framing migrants’ SRHR in relation to what is defined as honor-related violence and oppression. Furthermore, migrant SRHR issues are occasionally conceptualized as structural issues, as suggested by the human rights-based approach embraced by Swedish SRHR-related policies. Relevant structural factors, namely migration laws and regulations, are omitted when addressing, for example, human trafficking and HIV/AIDS.

Conclusions: We conclude that the dominant discourses favor depictions of migrants as vulnerable and as the Other. Moreover, despite the prevailing human rights-based discourse, structural factors are not always considered when framing and addressing migrants’ SRHR issues. This paper calls for a critical analysis of the concept of vulnerability in relation to migrants’ SRHR. It also highlights the importance of avoiding othering and paying attention to the structural factors when addressing migrants’ SRHR. © 2022, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2022. Vol. 21, no 1, article id 125
Keywords [en]
Critical discourse analysis, Migrants, Policy analysis, SRHR, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hh:diva-48514DOI: 10.1186/s12939-022-01727-zISI: 000850069000002PubMedID: 36064412Scopus ID: 2-s2.0-85137200201OAI: oai:DiVA.org:hh-48514DiVA, id: diva2:1705155
Funder
Swedish Research Council, 2018-03365
Note

Open access funding provided by Malmo University. This study was funded by the Swedish Research Council. Grant number: 2018-03365_VR.

Available from: 2022-10-21 Created: 2022-10-21 Last updated: 2024-01-17Bibliographically approved

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Ouis, Pernilla

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