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Abbasi, S. H., Sundin, Ö., Jalali, A., Soares, J. & Macassa, G. (2018). Ethnic differences in the risk factors and severity of coronary artery disease: a patient-based study in Iran. Journal of Racial and Ethnic Health Disparities, 5(3), 623-631
Open this publication in new window or tab >>Ethnic differences in the risk factors and severity of coronary artery disease: a patient-based study in Iran
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2018 (English)In: Journal of Racial and Ethnic Health Disparities, ISSN 2197-3792, Vol. 5, no 3, p. 623-631Article in journal (Refereed) Published
Abstract [en]

Background Diverse ethnic groups may differ regarding the risk factors and severity of coronary artery disease (CAD). This study sought to assess the association between ethnicity and CAD risk and severity in six major Iranian ethnic groups.

Methods In this study, 20,165 documented coronary artery disease patients who underwent coronary angiography at a tertiary referral heart center were recruited. The demographic, laboratory, clinical, and risk factor data of all the patients were retrieved. The Gensini score (an indicator of CAD severity) was calculated for all, and the risk factors and severity of CAD were compared between the ethnical groups, using adjusted standardized residuals, Kruskal–Wallis test, and multivariable regression analysis.

Results The mean age of the participants (14,131 [70.1%] men and 6034 [29.9%] women) was 60.7 ± 10.8 years. The Fars (8.7%) and Gilak (8.6%) ethnic groups had the highest prevalence of ≥4 simultaneous risk factors. The mean Gensini score was the highest for the Gilaks (77.1 ± 55.9) and the lowest among the Lors (67.5 ± 52.8). The multivariable regression analysis showed that the Gilaks had the worst severity (β 0.056, 95% CI 0.009 to 0.102; P = 0.018), followed by the Torks (β 0.032, 95% CI 0.005 to 0.059; P = 0.020). Meanwhile, the Lors showed the lowest severity (β −0.087, 95% CI −0.146 to −0.027; P = 0.004).

Conclusions This study found that there was heterogeneity in CAD severity and a diverse distribution in its well-known traditional risk factors among major Iranian ethnic groups.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2018
Keywords
Health status disparities, Ethnicity, Coronary heart disease, Iran
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-31406 (URN)10.1007/s40615-017-0408-3 (DOI)000439352900021 ()28776137 (PubMedID)
Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2018-08-13Bibliographically approved
Hashemi, E., Zangi, M., Sadeghi-Bazargani, H., Soares, J., Viitasara, E. & Mohammadi, R. (2018). Population-based epidemiology of non-fatal injuries in Tehran, Iran. Health Promotion Perspectives, 8(2), 127-132
Open this publication in new window or tab >>Population-based epidemiology of non-fatal injuries in Tehran, Iran
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2018 (English)In: Health Promotion Perspectives, ISSN 2228-6497, Vol. 8, no 2, p. 127-132Article in journal (Refereed) Published
Abstract [en]

Background: Our aim in this survey was to explore descriptive epidemiology of injuries in Tehran in 2012 and to report the recalled estimates of injury incidence rates.

Methods: A population survey was conducted in Tehran during 2012, within which a total of 8626 participants were enrolled. The cluster sampling was used to draw samples in 100 clusters with a pre-specified cluster size of 25 households per cluster. Data were collected on demographic features, accident and injury characteristics based on the International Classification of Diseases (ICD10).

Results: A total of 618 injuries per 3 months were reported, within which 597 cases (96.6%)were unintentional injuries. More than 82% of all injuries were those caused by exposure to inanimate mechanical forces, traffic accidents, falls and burns. Above 80% of the traffic injuries happened among men (P<0.001). About 43% of the unintentional injuries were mild injuries.After the age of 40, women, unlike men, had higher risks for being injured. The estimated annual incidence rate for all types of injuries was 284.8 per 1000 (95% CI: 275.4-294.4) and for unintentional injuries was 275.2 per 1000.

Conclusion: Injuries are major health problems in Tehran with a highly reported incidence. The status is not substantially improved over the recent years which urges the need to be adequately and emergently addressed. As the incidence rate was estimated based on participant recalls, the real incidence rate may even be higher than those reported in the current study.

National Category
Health Sciences
Identifiers
urn:nbn:se:miun:diva-34218 (URN)10.15171/hpp.2018.16 (DOI)000436136100005 ()29744308 (PubMedID)
Available from: 2018-08-10 Created: 2018-08-10 Last updated: 2018-08-10Bibliographically approved
Hiswåls, A.-S., Walander, A., Soares, J. & Macassa, G. (2017). Employment Status, Anxiety and Depression in a Municipal Context. Research in Health Science, 2(1)
Open this publication in new window or tab >>Employment Status, Anxiety and Depression in a Municipal Context
2017 (English)In: Research in Health Science, ISSN 2470-6213, Vol. 2, no 1Article in journal (Refereed) Published
Abstract [en]

Objectives: This  study  aimed  to  investigate  the  prevalence  of  anxiety  and  depression  by  employment status among a sample of the working age population residing in Gävle Municipality in Sweden.

Methods:  A  total  of  241  persons  completed  a  self-administered  postal  questionnaire  in  the  baseline survey  of  the  Gävle  Household,  Labour  Market  and  Health  Outcomes  (GHOLDH)  survey,  which collected  information  on  the  employment  status  and  psychological  health  (anxiety  and  depression) among persons aged 18-65 years. Descriptive and multivariate analyses were performed.

Results:  The  prevalence  and  risk  of  anxiety  and  depression  were  high  among  people  who  were  out  of work. In the multiple regression analysis, compared to employed people, those who were not employed had a risk of anxiety of 7.76 (5.97-9.75) and 4.67 (3.60-5.74) for depression.

Conclusion: The prevalence of anxiety and depression was higher among those who were out of labour marketas compared to those employed. Furthermore, people who were out of work had a higher risk of anxiety and depression. The odds were slightly higher for anxiety than for depression.

Keywords
Gävle, employment status, anxiety, depression
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:miun:diva-30394 (URN)10.22158/rhs.v2n1p12 (DOI)
Available from: 2017-03-06 Created: 2017-03-06 Last updated: 2017-12-15Bibliographically approved
Macassa, G., Bergström, H., Malstam, E., Hiswåls, A.-S., Soares, J., Ahmadi, N. & Marttila, A. (2017). Experiences of employment precariousness and psychological well-being in east central Sweden. Health Science Journal, 11(2)
Open this publication in new window or tab >>Experiences of employment precariousness and psychological well-being in east central Sweden
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2017 (English)In: Health Science Journal, ISSN 1108-7366, Vol. 11, no 2Article in journal (Refereed) Published
Abstract [en]

Background: In the past decade, temporary employment arrangements, including fixed-term and sub-contracted jobs, as well as project work, on-call work and work via temporary-help agencies have increased in developed countries, including Sweden. The objective of this study was to explore precariously employed individuals’experiences and perceptions of employment strain and its effect on their psychological well-being in Gävleborg County, Sweden.

Methods: Semi-structured interviews were conducted with 16 respondents residing in Gävleborg County about their experiences of precarious employment and their perceptions of the relationship between their precarious employment and psychological well-being. Thematic analysis was conducted to relate the results to the employment strain framework.

Results: The main theme to emerge in the data was managing stress. Respondent’s perceived significant stress related to keeping employment as well as having future work. In addition, they had difficulties in coping with everyday life because of economic strain, lack of work opportunities and isolation.

Conclusions: The results of this study highlight how precariously employed individuals are unable to cope with the stress related to uncertainty in maintaining their current work or having control of their working hours. In addition, the results indicate that precariously employed workers experience economic strain related to income uncertainty, which affects their ability to cope with dailylife.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-30643 (URN)10.21767/1791-809X.1000491 (DOI)
Available from: 2017-04-21 Created: 2017-04-21 Last updated: 2018-03-23Bibliographically approved
Macassa, G., Winersjö, R., Wijik, K., Magrath, C., Ahmadi, N. & Soares, J. (2017). Fear of crime and its relationship with self-reported health and stress among men. Journal of Public Health Research, 6(3), 169-174
Open this publication in new window or tab >>Fear of crime and its relationship with self-reported health and stress among men
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2017 (English)In: Journal of Public Health Research, ISSN 2279-9028, E-ISSN 2279-9036, Vol. 6, no 3, p. 169-174Article in journal (Refereed) Published
Abstract [en]

Background: Fear of crime is a growing social and public health problem globally, including in developed countries such as Sweden. This study investigated the impact of fear of crime on self-reported health and stress among men living in Gävleborg County.Design and Methods: The study used data collected from 2993 men through a cross sectional survey in the 2014 Health in Equal Terms survey. Descriptive and logistic regression analyses were carried out to study the relationship between fear of crime and self-reported health and stress. Results: There was a statistically significant association between fear of crime and self-reported poor health and stress among men residing in Gävleborg County. In the bivariate analysis, men who reported fear of crime had odds of 1.98 (CI 1.47- 2.66) and 2.23 (CI 1.45-3.41) respectively. Adjusting for demographic, social and economic variables in the multivariate analysis only reduced the odds ratio for self-reported poor health to 1.52 (CI 1.05-2.21) but not for self-reported stress with odds of 2.22 (1.27-3.86). Conclusions: Fear of crime among men was statistically significantly associated with self-reported poor health and stress in Gävleborg County. However, the statistically significant relationship remained even after accounting for demographic, social and economic factors, which warrants further research to better understand the role played by other variables.

Keywords
Fear of crime, men, self-reported health and stress, Gävleborg County
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-32093 (URN)10.4081/jphr.2017.1010 (DOI)
Available from: 2017-11-17 Created: 2017-11-17 Last updated: 2018-01-15Bibliographically approved
Eslami, B., Macassa, G., Melchiorre, M. G., Barros, H., Viitasara, E., Lindert, J., . . . Soares, J. J. .. (2017). Life-time abuse and mental health among older persons: a European study. Journal of Aggression, Maltreatment & Trauma, 26(6), 590-607
Open this publication in new window or tab >>Life-time abuse and mental health among older persons: a European study
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2017 (English)In: Journal of Aggression, Maltreatment & Trauma, ISSN 1092-6771, E-ISSN 1545-083X, Vol. 26, no 6, p. 590-607Article in journal (Refereed) Published
Abstract [en]

This study aimed to investigate the association of lifetime abuse and mental health among older persons, considering associated factors (e.g., demographics) through a cross-sectional design. We recruited 4,467 women and men ages 60–84 years from 7 European cities. Mental health was measured with the Hospital Anxiety and Depression Scale, and abuse (psychological, physical, sexual, financial, and physical injuries) based on the Revised Conflict Tactics Scale and the UK survey of abuse/neglect of older people. Multiple logistic regression analyses showed that country of residence, low educational level, and experienced financial strain increased the odds of probable cases of anxiety and depression. Female sex, white-collar profession, and financial support by social/other benefits/or partner income were associated with higher odds of anxiety, while older age and experience of lifetime injury were associated with increased odds of depressive symptoms. The findings of this study indicate that socioeconomic factors, as well as experienced lifetime severe physical abuse leading to injuries, are significant in perceived mental health of adults in later life.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-30084 (URN)10.1080/10926771.2017.1330295 (DOI)000409344800002 ()2-s2.0-85021064195 (Scopus ID)
Available from: 2017-02-09 Created: 2017-02-09 Last updated: 2017-10-23Bibliographically approved
Fraga, S., Soares, J. J. .., Melchiorre, M., Barros, H., Eslami, B., Ioannidi-Kapolou, E., . . . Viitasara, E. (2017). Lifetime Abuse and Quality of Life among Older People. Health & Social Work, 42(4), 215-222
Open this publication in new window or tab >>Lifetime Abuse and Quality of Life among Older People
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2017 (English)In: Health & Social Work, ISSN 0360-7283, E-ISSN 1545-6854, Vol. 42, no 4, p. 215-222Article in journal (Refereed) Published
Abstract [en]

Few studies have evaluated the impact of lifetime abuse on quality of life (QoL) among older adults. By using a multinational study authors aimed to assess the subjective perception of QoL among people who have reported abuse during the course of their lifetime. The respondents (N = 4,467; 2,559 women) were between the ages of 60 and 84 years and living in seven European countries (Germany, Greece, Italy, Lithuania, Portugal, Spain, and Sweden). Lifetime abuse was assessed by using a structured questionnaire that allowed to assess lifetime experiences of abuse. QoL was assessed with the World Health Organization Quality of Life–Old module. After adjustment for potential confounders, authors found that to have had any abusive experience decreased the score of sensory abilities. Psychological abuse was associated with lower autonomy and past, present, and future activities. Physical abuse with injuries significantly decreased social participation. Intimacy was also negatively associated with psychological abuse, physical abuse with injury, and sexual abuse. The results of this study provide evidence that older people exposed to abuse during their lifetime have a significant reduction in QoL, with several QoL domains being negatively affected.

Keywords
abuse, aging, quality of life, violence
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-29163 (URN)10.1093/hsw/hlx036 (DOI)000414389500004 ()29025015 (PubMedID)2-s2.0-85034853034 (Scopus ID)
Projects
ABUEL
Available from: 2016-10-29 Created: 2016-10-29 Last updated: 2018-01-19Bibliographically approved
Soares, J. (2017). O idoso agressor vs o idoso vitima. In: : . Paper presented at XV Encontro sobre Envelhecimento Centro Cultural do Entroncamento, Entroncamento, Portugal November 2017.
Open this publication in new window or tab >>O idoso agressor vs o idoso vitima
2017 (Portuguese)Conference paper, Oral presentation only (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-32176 (URN)
Conference
XV Encontro sobre Envelhecimento Centro Cultural do Entroncamento, Entroncamento, Portugal November 2017
Available from: 2017-11-29 Created: 2017-11-29 Last updated: 2017-11-29Bibliographically approved
Begum, A., Rahman, A. F., Rahman, A., Soares, J., Khankeh, H. R. & Macassa, G. (2017). Prevalence of suicide ideation among adolescents and young adults in Bangladesh. International Journal of Mental Health, 46(3), 177-187
Open this publication in new window or tab >>Prevalence of suicide ideation among adolescents and young adults in Bangladesh
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2017 (English)In: International Journal of Mental Health, ISSN 0020-7411, E-ISSN 1557-9328, Vol. 46, no 3, p. 177-187Article in journal (Refereed) Published
Abstract [en]

Suicide is a leading cause of death world-wide. However, adolescent suicidal behavior is a neglected public health issue, especially in low-income countries such as Bangladesh. The study was conducted to estimate the prevalence of suicidal ideation among adolescents in a rural community and to examine factors associated with suicidal ideation. A cross-sectional survey was carried out in 2013 among 2,476 adolescents aged 14–19 years, selected randomly from a rural community of Bangladesh. An adapted version of the WHO/SUPRE-MISS questionnaire was used to collect data in the Raiganj sub-district. A two stage screening was performed to identify the suicidal ideation cases. It was found that the life-time prevalence for suicidal ideation was 5 percent among adolescents. The majority of the adolescents with suicidal ideation were females 66 (52.8%), unmarried 103 (82.4%), and students 92 (73%). Suicidal ideation was statistically significantly associated with age, education, occupation, living with parents or others, and house ownership. Respondents who were aged 18–19 years, had secondary school certificate (SSC) and secondary school certificate (HSC) or higher education, were day laborers, had own house, and do not lived with parents had odds ratios of 2.31 (CI 1.46–3.65), 2.38 (CI 1.51–3.77), 4.15 (CI 2.41–7.14), 0.28 (CI 0.13–0.60), 0.14(CI 0.05–0.35), and 1.80 (CI 1.07–3.03), respectively. Among adolescents, the prevalence of life-time suicidal ideation was moderately high. Age, education, occupation, house ownership, and living with parents were statistically significantly associated with suicidal ideation. It is important to design and implement effective community based suicide prevention programs for adolescents in Bangladesh.

Keywords
Adolescents, rural, suicidal ideation
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-30597 (URN)10.1080/00207411.2017.1304074 (DOI)000416758800003 ()2-s2.0-85017473895 (Scopus ID)
Available from: 2017-04-14 Created: 2017-04-14 Last updated: 2017-12-21Bibliographically approved
Chaquisse, E., Fraga, S., Meireles, P., Macassa, G., Soares, J., Mbofana, F. & Barros, H. (2017). Sexual and physical intimate partner violence among women using antenatal care in Nampula, Mozambique. Journal of Public Health in Africa, 25(Suppl 3)
Open this publication in new window or tab >>Sexual and physical intimate partner violence among women using antenatal care in Nampula, Mozambique
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2017 (English)In: Journal of Public Health in Africa, ISSN 2038-9922, E-ISSN 2038-9930, Vol. 25, no Suppl 3Article in journal, Meeting abstract (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-31484 (URN)10.1093/eurpub/ckv168.001 (DOI)
Available from: 2017-08-26 Created: 2017-08-26 Last updated: 2018-03-26Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5221-9504

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