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Publications (10 of 16) Show all publications
Mosleh, M., Al Jeesh, Y., Dalal, K., Eriksson, C., Carlerby, H. & Viitasara, E. (2020). Barriers to managing and delivery of care to war-injured survivors or patients with non-communicable disease: a qualitative study of Palestinian patients' and policy-makers' perspectives. BMC Health Services Research, 20(1)
Open this publication in new window or tab >>Barriers to managing and delivery of care to war-injured survivors or patients with non-communicable disease: a qualitative study of Palestinian patients' and policy-makers' perspectives
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2020 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 20, no 1Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Improving access to optimal quality of care is a core priority and ambitious health policy goal in spite of impediments, threats and challenges in Palestine. Understanding the factors that may impede quality of care is essential in developing an effective healthcare intervention for patient with non-communicable disease (NCD) or war-injured survivors. METHODS: Qualitative interviews were performed using a purposive sampling strategy of 18 political-key informants, 10 patients with NCD and 7 war-injured survivors from different health facilities in Gaza Strip. A semi-structured interview guide was developed for data collection. The interviews were audio recorded and transcribed verbatim. Important field notes of the individual interviews were also reported. Thematic-driven analytic approach was used to identify key themes and patterns. RESULTS: From the policy maker's perspective, the following important barriers to accessing optimal healthcare for patients with NCD or war-injured survivors' treatment were identified; 1) organizational/structural 2) availability 3) communication 4) personnel/lack of staff 5) financial and political barriers. Patient with NCD or war-injury had similar experiences of barriers as the policy makers. In addition, they also identified socioeconomic, physical and psychological barriers for accessing optimal healthcare and treatment. CONCLUSIONS: The main perceived barriers explored through this study will be very interesting and useful if they are considered seriously and handled carefully, in order to ensure efficient, productive, cost-effective intervention and delivery of a high-standard quality of care and better disease management.

Keywords
Barriers, Healthcare, NCD, Palestine, Policy makers, War injured survivors
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-39067 (URN)10.1186/s12913-020-05302-6 (DOI)2-s2.0-85084544965 (Scopus ID)
Available from: 2020-05-26 Created: 2020-05-26 Last updated: 2020-05-26
Forsberg, H., Carlerby, H., Norstrand, A., Risberg, A. & Kostenius, C. (2019). Positive self-reported health might be an important determinant of student's experiences of high school in northern Sweden. International Journal of Circumpolar Health, 78(1), Article ID 1598758.
Open this publication in new window or tab >>Positive self-reported health might be an important determinant of student's experiences of high school in northern Sweden
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2019 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 78, no 1, article id 1598758Article in journal (Refereed) Published
Abstract [en]

There is a need for more knowledge about positive health determinants in the school setting. The overall aim of this study was to analyse if positive self-reported health is associated with experiences of school among high-school students. Data originated from the health dialogue questionnaire answered by students in grade 1 of high school. A total of 5035 students participated from the academic years 2013 to 2016. Logistic regression with positive odds ratio (POR) was used to analyse associations between positive self-reported health and school experiences. There was an association between positive self-reported health and school experiences among students. Positive mental health was the strongest predictor for positive school experiences. To frequently participate in Physical Education, have a positive body image and satisfactory sleep nearly doubled the students' odds for positive school experiences. The results also revealed gender differences; boys more often reported positive experiences of school and positive health than girls. Positive self-reported health is associated with positive experiences of school, particularly mental health. Moreover, these findings have significant implications for how students experience school and demonstrate the importance of including health-promoting interventions in systemic school improvement, meeting both girls' and boys' needs.

Keywords
Adolescent health, health dialogue, health promotion, school health, self, reported health, positive odds ratio, high school students
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-36181 (URN)10.1080/22423982.2019.1598758 (DOI)000463178700001 ()30940013 (PubMedID)2-s2.0-85063865300 (Scopus ID)
Available from: 2019-05-22 Created: 2019-05-22 Last updated: 2019-05-24Bibliographically approved
Warne, M., Wall, E., Carlerby, H. & Vinberg, S. (2018). Alcohol- and drug prevention among seasonal employees at a Swedish ski resort. In: Siw Tone Innstrand, Geir Arild Espnes and Bjarne Bruun Jensen (Ed.), 10th IUHPE European Conference and International Forum for Health Promotion Research: Implementing Health Promotion in the Life Course - User Involvement in Practice and Research. Paper presented at The 10th IUHPE - Health Promotion in the Life Course Conference hosted by the Norwegian University of Science and Technology, Trondheim, Norway, 24 - 26 September 2018..
Open this publication in new window or tab >>Alcohol- and drug prevention among seasonal employees at a Swedish ski resort
2018 (English)In: 10th IUHPE European Conference and International Forum for Health Promotion Research: Implementing Health Promotion in the Life Course - User Involvement in Practice and Research / [ed] Siw Tone Innstrand, Geir Arild Espnes and Bjarne Bruun Jensen, 2018Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Seasonal employees at ski resorts represent a high-risk population for the use of alcohol and drugs, as well as other negative lifestyle behaviours. These employees work and live in a context where the customers are on holiday and hence alcohol is used frequently. To our knowledge there is a gap in the literature regarding alcohol and drug consumption among seasonal employees. Particularly studies in the context of ski resorts are lacking. The overall purpose of our study was to evaluate a policy-based intervention at a ski resort area in Sweden. The intervention was led by a project leader together with managers from different tourism industries, the health sector, social service and police. Components in the intervention were e.g. policy development and implementation, education of managers and creation of a manager network.  In total, 48 enterprises participated. A questionnaire, concerning alcohol and drug use and social aspects, was distributed before and after the intervention. The firs questionnaire was answered by 611 (47%) respondents and 423 (34%) respondents the follow-up questionnaire after two years. In addition, five persons in the project group was interviewed after the intervention.  Based on survey data, comparisons before and after the intervention showed several positive results. The  results show a significant reduction of hazardous drinking and an  increased awareness of the companies’ alcohol- and drug policies among the employees. No significant effects on drug consumption were found. The project group reported better knowledge about alcohol and drugs. However, most important was the increased collaboration between managers in tourism industries. The intervention also resulted in new norm breaking ideas such as a sober end of the season instead of the traditional “drinking the bar dry” and managers taking employees out on hiking instead of going out for a beer.

 

The conclusion is that seasonal tourism industries need to work with hazardous alcohol- and drug consumption from a “whole village perspective”. Successful health promotion work among seasonal employees, needs collaboration between private and public sector and should be related to cultural norms as well as working- and living conditions in the particular context, in this case the tourist resort.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-35287 (URN)
Conference
The 10th IUHPE - Health Promotion in the Life Course Conference hosted by the Norwegian University of Science and Technology, Trondheim, Norway, 24 - 26 September 2018.
Available from: 2018-12-18 Created: 2018-12-18 Last updated: 2018-12-19Bibliographically approved
Carlerby, H., Svanholm, S. & Viitasara, E. (2018). Authority officials' views on health promotion and power relations among new arrivals in northern Sweden. European Journal of Public Health, 28, 115-115
Open this publication in new window or tab >>Authority officials' views on health promotion and power relations among new arrivals in northern Sweden
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 115-115Article in journal, Meeting abstract (Other academic) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-33736 (URN)10.1093/eurpub/cky048.010 (DOI)000432430700325 ()
Available from: 2018-06-10 Created: 2018-06-10 Last updated: 2018-06-10Bibliographically approved
Svanholm, S., Carlerby, H. & Viitasara, E. (2018). Authority officials' views on organisation and collaboration in health promotion for new arrivals in Sweden. European Journal of Public Health, 28, 129-129
Open this publication in new window or tab >>Authority officials' views on organisation and collaboration in health promotion for new arrivals in Sweden
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 129-129Article in journal, Meeting abstract (Other academic) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-33737 (URN)10.1093/eurpub/cky048.053 (DOI)000432430700368 ()
Available from: 2018-06-10 Created: 2018-06-10 Last updated: 2018-06-10Bibliographically approved
Viitasara, E., Svanholm, S. & Carlerby, H. (2018). Health promoting factors for newly arrived migrants - Experiences from rural and urban municipalities. European Journal of Public Health, 28, 475-476
Open this publication in new window or tab >>Health promoting factors for newly arrived migrants - Experiences from rural and urban municipalities
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 475-476Article in journal, Meeting abstract (Other academic) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-36161 (URN)000461384202183 ()
Available from: 2019-05-20 Created: 2019-05-20 Last updated: 2019-05-20Bibliographically approved
Carlerby, H., Svanholm, S. & Viitasara, E. (2018). How population density and type of the municipality in Sweden influences health promotion activities for newly arrivals. European Journal of Public Health, 28, 146-146
Open this publication in new window or tab >>How population density and type of the municipality in Sweden influences health promotion activities for newly arrivals
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 146-146Article in journal, Meeting abstract (Other academic) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-33735 (URN)10.1093/eurpub/cky048.106 (DOI)000432430700422 ()
Available from: 2018-06-10 Created: 2018-06-10 Last updated: 2018-06-10Bibliographically approved
Svanholm, S., Carlerby, H. & Viitasara, E. (2018). Local authority officials' collaboration in health promotion activities for newly arrived migrants. Paper presented at 11th European Public Health Conference. Ljubljana, Slovenia, 28 November - 1 December, 2018. European Journal of Public Health, 28, 469-470
Open this publication in new window or tab >>Local authority officials' collaboration in health promotion activities for newly arrived migrants
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 469-470Article in journal, Meeting abstract (Other academic) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-36158 (URN)000461384202165 ()
Conference
11th European Public Health Conference. Ljubljana, Slovenia, 28 November - 1 December, 2018
Available from: 2019-05-20 Created: 2019-05-20 Last updated: 2019-05-20Bibliographically approved
Carlerby, H., Svanholm, S. & Viitasara, E. (2018). Officials' reflections about health promotion and power relations among newly arrived migrants. European Journal of Public Health, 28, 474-475
Open this publication in new window or tab >>Officials' reflections about health promotion and power relations among newly arrived migrants
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 474-475Article in journal, Meeting abstract (Other academic) Published
National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-36163 (URN)000461384202180 ()
Available from: 2019-05-20 Created: 2019-05-20 Last updated: 2019-05-20Bibliographically approved
Carlerby, H. & Persson, M. (2017). Officials Reflections about Health Promoting Factors among Newly Arrivals: An Introductory Analysis. International Journal of Community & Family Medicine, 2(1), Article ID IJCFM-124.
Open this publication in new window or tab >>Officials Reflections about Health Promoting Factors among Newly Arrivals: An Introductory Analysis
2017 (English)In: International Journal of Community & Family Medicine, ISSN 2456-3498, Vol. 2, no 1, article id IJCFM-124Article in journal (Refereed) Published
Abstract [en]

Background: Resulting from conflicts, millions of peoples have been forced to leave their countries of origin. In Sweden, the Employment Agency is responsible for making decisions of immigrants’ residence in municipalities and in co-operation with these allow the immigrants’ establishment in the society. Preventive interventions among migrants and refugees, and health interventions in heterogeneous populations show that increased participation in society has positive imprints on health development. A new country includes getting acquaintance with non-familiar cultures. For example, other expectations on rules of gender, sickness, and illness. Recent years the low density populated areas in northern Sweden have received a high number of refugees in comparison with their population size. The purpose of this study was to explore how officials the Employment Agency and a selection of municipalities reflect over and define health promoting factors in their meetings with newly arrived.

Methods: All officials (N 68) in one of the four northern counties were invited to recording their reflections on health promoting factors close to their meetings with newly arrived. The officials recorded how they defined health promoting factors according to the Audit method. The data collection of experiences of importance considering health promotion and social determinants was collected by five focus group interviews with twenty-three officials.

Results: This study showed that the officials defined access to the health care, participation in the society, and sufficient collaboration between the authorities for not losing valuable time during the establishment period as imported factors for their clients’ opportunities for health. The officials take power among males for given, while they more often reflected over lack of power among women. However, the Swedish ideal of gender as equal quite often a challenge the newly arrivals.

Keywords
Employment Agency, Establishment program, Health and social determinants, Low density populated area, Migration, Mixedmethod, Municipality social office
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-30473 (URN)10.15344/2456-3498/2017/124 (DOI)
Available from: 2017-03-21 Created: 2017-03-21 Last updated: 2017-03-21Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5134-4338

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