1) Navigating Digital Health: Sociodemographic and Neuropsychiatric Influences on Youth uptake of Sexual and Reproductive Health Services; 2) Endometriosis and psychiatric comorbidity

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• 1) Lovisa Hellsten 2) Marika Rostvall. Both speakers are from the Karolinska Institutet
• Wednesday 16 April 2025, 11:30-13:00
• https://us02web.zoom.us/j/87076030035?pwd=XUpJuh8jiR0mae1AhkV79qbg8MtlSM.1.

If you have a question about this talk, please contact Simon Braschi.

1) Telehealth is increasingly becoming an integral part of modern healthcare systems – following the COVID 19 pandemic digital modalities like video and message-based consultations have expanded rapidly. Youth represent a particularly promising demographic for digital healthcare, for whom a key priority is access to sexual and reproductive health (SRH) services. Recent studies suggest that technology-based SRH services are perceived as confidential and private by youth. Still, among young people large-scale studies of population-based uptake remain sparce. However, in the general population digital solutions have been observed to be disproportionally accessed and adopted by more advantaged groups in the general population. Furthermore, comparisons of uptake across different digital modalities remain understudied, and it is unclear whether some might be more equitably accessed across sociodemographic groups than others. In this research project, we leverage Sweden’s unique national registries and health data to examine the dynamics of digital SRH service use among youth. The doctoral project focuses on youth clinics offering free-of-charge sexual and reproductive health services for youth 12-22 in Stockholm, Sweden. Whereas the first article focused on comparing uptake of in-person and digital services across sociodemographic groups (sex, age, migrant background and socioeconomic status), a forthcoming study will examine the uptake among neurotypical and neurodiverse youth (autism spectra and ADHD ).

2) Endometriosis is a common gynecological condition that can lead to chronic pain and infertility. Approximately 1/10 of all women of reproductive age are believed to be affected but underdiagnosis is common. Despite how common and costly the disease is, there is still no complete cure, and we know relatively little about how it develops. Women with endometriosis also have an increased risk of experiencing mental health issues. The most commonly observed comorbidity between endometriosis and psychiatric disorders is depression and anxiety disorders. It has previously largely been seen as a consequence of the chronic pain many endometriosis patients experience as well as the psychological toll of having a chronic disease. There have, however, been several studies, including one from our group, that have shown an increased incidence of other psychiatric disorders, such as bipolar disorder, ADHD , and personality disorders, where the link to pain is much less clear. In our project we want to examine other possible causes for the comorbidity, such as genetics and family environment, that could explain the high prevalence of mental disorders in endometriosis sufferers. To do this we utilize data from large national registers as well as genetic data to try to elucidate exactly how endometriosis and psychiatric disorders are linked.

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