Bio


Dr. Signe Svallfors is a Wallenberg postdoctoral scholar with the Department of Sociology and a Global Health Postdoctoral Affiliate with the Center for Innovation in Global Health (CIGH) at Stanford University.

Signe’s research concerns the impact of armed conflict and other crises on demographic and health dynamics, particularly in Latin America. Signe has studied topics such as reproductive autonomy, access to healthcare, pregnancy outcomes, family planning, gender norms, sexual and gender minority rights, and gender-based violence, drawing on a combination of nationally representative surveys, spatiotemporal data on violence, and original expert interviews.

Prior to joining Stanford, Signe was a postdoctoral scholar with the Global and Sexual Health research group at the Department of Global Public Health, Karolinska Institute in Sweden, and a guest researcher at the Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health. Signe holds a PhD in Sociological Demography from the Department of Sociology, Stockholm University in Sweden.

2023-24 Courses


All Publications


  • Giving Birth While Facing Death: Cesarean Sections and Community Violence in Latin America POPULATION RESEARCH AND POLICY REVIEW Svallfors, S. 2024; 43 (2)
  • Armed conflict, insecurity, and attitudes toward women's and girls' reproductive autonomy in Nigeria. Social science & medicine (1982) Svallfors, S., Båge, K., Ekström, A. M., Elimian, K., Gayawan, E., Litorp, H., Kågesten, A. 2024; 348: 116777

    Abstract

    Armed conflict and insecurity have been linked to deteriorations in reproductive health and rights globally. In Nigeria, armed violence has taken a significant toll on women's and girls' health and safety. However, knowledge is limited about how conflict shapes attitudes surrounding their ability to make autonomous decisions on relationships and childbearing. Drawing on a socioecological framework and terror management theory, we aimed to investigate the association between conflict, insecurity, and attitudes toward women's and girls' reproductive autonomy in Nigeria.We conducted a cross-sectional study using data from two sources: the World Values Survey (WVS) and the Uppsala Conflict Data Program-Georeferenced Event Dataset (UCDP-GED). Nationally representative data on attitudes of 559 men and 534 women was collected by WVS in 2017-2018. Linear probability models estimated the association between attitudes toward five dimensions of women and girl's reproductive autonomy (contraception, safe abortion, marital decision-making, delayed childbearing, early marriage), respondents' perceptions of neighborhood insecurity using WVS data, and geospatial measures of conflict exposure drawn from UCDP-GED.Exposure to armed conflict and perceived neighborhood insecurity were associated with more supportive attitudes toward access to safe abortion among both men and women. Among women, conflict exposure was associated with higher support for contraception and the perception that early marriage can provide girls with security. Conflict-affected men were more likely to support a delay in girls' childbearing.Our findings suggest that conflict and insecurity pose a threat to, but also facilitate opportunities for, women's and girls' reproductive autonomy. Contraception, abortion, early marriage, and postponement or childbearing may be perceived as risk-aversion strategies in response to mortality threats, livelihood losses, and conflict-driven sexual violence. Our findings foreshadow changes in fertility and relationship patterns in conflict-affected Nigeria and highlight the need for health programming to ensure access to contraception and safe abortion services.

    View details for DOI 10.1016/j.socscimed.2024.116777

    View details for PubMedID 38569280

  • Reproductive Justice in the Colombian Armed Conflict. Disasters Svallfors, S. 2023

    Abstract

    This study explores the impacts of armed conflict on women's sexual and reproductive health in Colombia, building on a reproductive justice perspective on original interviews with stakeholders in healthcare, women's rights, and peacebuilding. The analysis reveals a threefold impact of war on women's sexual and reproductive health, through violent politicization, collateral damage, and intersectional dimensions. Multiple armed actors have used women's health as an instrument in politically motivated strategies to increase their power, assigning political meaning to sexuality and reproduction within the context of war. Women's health has also suffered from secondary damages of conflict resulting from a range of factors. Marginalized women have been particularly affected by a discriminatory nexus of poverty, ethnicity, and geographic inequality. The article concludes with a reflection on opportunities for reproductive justice in Colombia.

    View details for DOI 10.1111/disa.12618

    View details for PubMedID 38102735

  • Gender Dynamics During the Colombian Armed Conflict SOCIAL POLITICS Svallfors, S. 2023

    View details for DOI 10.1093/sp/jxad016

    View details for Web of Science ID 001011912200001

  • COVID-19 vaccine hesitancy among first-generation immigrants living in Sweden. European journal of public health Svallfors, S., Larsson, E. C., Puranen, B., Ekström, A. M. 2023

    Abstract

    In many countries, immigrants face higher risks of contracting and dying from COVID-19 compared with the native-born population. Moreover, their COVID-19 vaccination uptake tends to be lower. This study aimed to investigate COVID-19 vaccine hesitancy in relation to sociodemographic characteristics, COVID-19-related exposures and social values, norms and perceptions among first-generation immigrants in Sweden. Vaccine hesitancy is an important public health issue to ensure protection against vaccine-preventable mortality and morbidity.Nation-wide representative data were collected by the Migrant World Values Survey. Descriptive and multinomial multivariate analyses were performed to analyze vaccine hesitancy among 2612 men and women aged ≥16 years.One-quarter of the respondents expressed some degree of vaccine hesitancy; 5% said they would definitely not vaccinate, 7% probably not, 4% did not know and 7% did not want to answer. Young age, arriving to Sweden during the large migration wave in 2015, Eastern European origin, female gender, lower education and low trust in authorities, and less perceived benefits of vaccination were all significant determinants of vaccine hesitancy.The results underscore the importance of trust in healthcare providers and government authorities. Additionally, the importance of providing adequate and targeted information about vaccination to groups who face the largest barriers to care, enabling informed decision-making about the benefits and risks of vaccination in relation to health risks. Given these health risks, it is crucial that government agencies and the health sector address the multiple social dimensions that shape the low vaccine uptake and, in turn, health equity.

    View details for DOI 10.1093/eurpub/ckad073

    View details for PubMedID 37229599

  • Hidden Casualties: The Links between Armed Conflict and Intimate Partner Violence in Colombia POLITICS & GENDER Svallfors, S. 2023; 19 (1): 133-165