Vulnerability Analysis in Sexual and Reproductive Health and Rights (SRHR) : Indications of Intersecting Vulnerable Positions in a NationalSurvey Among Young People in Sweden

Introduction Sexual and reproductive health and rights (SRHR) policies use gender as the foremost social determinant toexplain vulnerability in relation to SRHR among young people. Therefore, our aim was to explore intersecting vulnerablepositions within the three SRHR-related outcome areas: unsafe sex, sex against one’s will, and transactional sex, amongyoung people aged 16–29. Methods The data set is from a randomised, cross-sectional, and population-based SRHR survey conducted in Swedenin 2015, and the 7755 respondents imply a response rate (26%) in line with the power estimations. How gender intersectswith fve other social positions, i.e. social determinants (sexual identity, transgender experience, perceived economy, beingforeign-born, and social welfare recipiency), was explored through a stepwise descriptive intersecting vulnerability analysisexemplifed through three outcome variables: unsafe sex, sex against one’s will, and transactional sex. Results Gender intersects with other social determinants and creates vulnerable positions in SRHR-related outcomes. Themost vulnerable positions within each of the three outcome variables were the following: (1) for unsafe sex: being a manand homosexual; (2) for sex against one’s will: being a woman and bisexual; and (3) for transactional sex: being a man andhaving transgender experience.Conclusions Despite limitations, the descriptive intersecting vulnerability analysis indicates how gender intersects withother social determinants and generates multiple vulnerable positions in relation to SRHR. Policy Implications The results can be of interest in future studies on vulnerability and inform policies that intend to fulflthe intention of leaving no one behind, as stated in the Agenda 2030