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  • 1. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nocturia in relation to somatic health, mental health and pain in adult men and women2005In: BJU International, ISSN 1464-4096, E-ISSN 1464-410X, Vol. 95, no 6, p. 816-819Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To assess the relationship of nocturia to somatic health, mental health and bodily pain. SUBJECTS AND METHODS: A randomly selected group of men and women aged 20-64 years, living in three small municipalities in northern Sweden, or in the city of Ostersund or in Stockholm, were sent a postal questionnaire containing questions on somatic and mental health, satisfaction with life, pain, nocturnal voiding, work and sick-listing from work. RESULTS: Reports (from 1948 respondents) on poor somatic and mental health and on pain all increased in parallel with increasing frequency of nocturnal voids. In a multiple logistic regression analysis with sex, age, somatic health, mental health and bodily pain as the independent variables, significant independent correlates (odds ratios, confidence intervals) of nocturnal micturition (two or more episodes vs none or one) were: age 45-59 vs 20-44 years, 1.9 (1.3-2.7), > or =60 vs 20-44 years, 3.8 (2.4-6.0); somatic health, poor vs good, 2.3 (1.4-3.7); mental health, poor vs good, 1.9 (1.2-3.0); pain, rather mild vs very mild or none, 1.5 (1.0-2.3); rather severe vs very mild or none, 1.9 (1.1-3.2); and very severe vs very mild or none, 6.0 (2.5-14.0). Gender was deleted by the logistic model. Sick-listing for > or = 60 days during the past year was reported by 4.9%, 10.6%, 5.6% and 38.9% of the men with none, one, two or > or = three nocturnal voids, respectively, and by 10%, 12.4%, 23% and 46.7% (both P < 0.001) of the corresponding women, respectively. Life satisfaction decreased in parallel with increased nocturia. CONCLUSION: The impairment of both somatic and mental health was associated with increased nocturnal voiding. Pain was associated with a substantial increase in nocturia after adjusting for age and somatic and mental health. Sick-leave was more common in association with more nocturnal voids.

  • 2. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Place of residence as a correlate of sickness absence in Sweden2007In: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 30, no 2, p. 147-151Article in journal (Refereed)
    Abstract [en]

    A postal questionnaire was sent to 1500 randomly selected men and women aged 20-64 years living in three sparsely populated municipalities in northern Sweden with high rates of sickness absence, and to 1000 corresponding inhabitants in the Swedish capital Stockholm with a low rate of sickness absence. The proportion of participants aged >or=45 years was higher and incomes were lower in municipalities with high rates of sickness absence. In multiple logistic regression analyses with age, education, income, somatic health, mental health, pain and place of residence as independent variables, significant correlates of sick listing in men were: age >or=45 years (odds ratio 5.0; 95% confidence interval 2.4-10.3), poor somatic health (5.4; 2.6-11.0) and severe musculoskeletal pain (4.7; 2.4-9.1); and in women: age >or=45 years (2.6; 1.5-4.8), poor somatic health (12.2; 6.1-24.4), poor mental health (4.5; 2.0-10.1) and severe musculoskeletal pain (5.4; 2.7-10.5). Mental health was deleted by the logistic model for men, and income, education and place of residence for both sexes. We conclude that no support was found for the assumption that factors attributable to place of residence could explain the regional differences in sickness absence.

  • 3. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Sleep in relation to sickness absence, unemployment and place of residence2005In: Sleep and hypnosis, ISSN 1302-1192, Vol. 7, no 1Article in journal (Refereed)
    Abstract [en]

    This study, a questionnaire survey, was undertaken to assess the influence of sickness absence and unemployment on sleep in a randomly selected group of men and women in five Swedish municipalities with very different demographic conditions, living conditions and health profiles. The survey comprised 1,948 randomly selected persons (47.7% men) of ages 20–64 years. Poor sleep was reported by 17.0% of the men and 18.5% of the women (NS). Poor sleep was 5.5 (3.5–8.6) times more common in sick listed men and 6.8 (4.7–9.9) times more common is such women than in men and women, respectively, who were not sick-listed. The proportion reporting poor sleep increased in parallel with increasing numbers of days on sickness benefit during the last year. In a multiple logistic regression analysis significant independent correlates of poor sleep in men were: being on sickness benefit (OR 2.1; 95%CI 1.1–3.8), poor somatic health (3.6; 2.0–6.3) and poor mental health (7.0; 4.0–12.3). The corresponding correlates in women were: being on sickness benefit (2.5; 1.4–4.3), poor somatic health (3.2; 1.8–5.8) and poor mental health (5.5; 3.3–9.2). Age, marital status, employment status and the place of residence were deleted by the logistic model for both sexes. It is concluded that poor sleep increased in men and women on sickness benefit but not those who were unemployed after adjustment for age, health, marital status and place of residence.

  • 4. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sleep in relation to somatic health, mental health and pain2004In: Sleep and Hypnosis, ISSN 1302-1192, Vol. 6, no 4, p. 148-154Article in journal (Refereed)
    Abstract [en]

    The present study, a questionnaire survey, was undertaken to assess the influence of somatic health, mental health, pain and age on sleep in a group of men and women. The survey comprised 1948 randomly selected persons (47.7% men) of ages 20-64 years. Poor somatic health was reported by 12.5% of the men and 15.3% of the women and poor mental health by 8.7% of the men and 10.6% of the women. Among the men very good sleep was reported by 34.7% and rather good, rather poor and very poor sleep by 52.8%, 10.9%, and 1.6%, respectively. The corresponding frequencies in women were 32.7%, 51.9%, 12.9% and 2.5%, respectively (NS). No or very light pain was reported by 50.7% of the men and rather light, rather severe or very severe pain by 35.7%, 12.0%, and 1.6%, respectively. The corresponding frequencies in women were 48.1%, 35.4%, 14.1% and 2.4%, respectively (NS). A forward stepwise regression analysis showed that in men, more severe sleep disturbances were associated with poorer mental health (R2=0.227), pain (R2=0.292) and poorer somatic health (R2=0.304). Correspondingly, more severe sleep disturbances were associated with poorer somatic health (R2 = 0.218), poorer mental health (R2=0.280) and pain (R2=0.326) in women. Age, education, being gainfully employed and income were deleted by the regression model in both sexes. It is concluded that poor mental health exerts the most detrimental influence on sleep in men, somatic health in women, and that age does not independently affect sleep at all.

  • 5.
    Marnetoft, Sven-Uno
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Selander, John
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    Dahl, Annika
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    A comparison of perceived health, attitudes to work, leisure time, and social welfare systems among people in a rural area in the north of Sweden and among people in the city of Stockholm2007In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 28, no 2, p. 153-164Article in journal (Refereed)
    Abstract [en]

    A problem attracting considerable attention in Sweden today is the substantial regional differences in sickness absence. The aim of the study was to investigate and compare how people, from a random sample of the population in both a rural area in the north of Sweden and the Swedish capital Stockholm, perceive their health, and what their attitudes are to work, leisure time and social welfare systems. Results showed that a larger proportion of those answering in Stockholm considered their health status to be "very good", compared with those in the rural area (p<0.0001). A majority in the rural area compared to the city of Stockholm reported a high or very high level of aches/pain (p<0.0001) and that work causes them physical problems p<0.0001). The population in both Stockholm and the rural area is of the opinion that the increase in sickness absence is mainly due to deterioration in the work environment. Almost half of the individuals in both the rural area and in Stockholm are of the opinion that many of those sick-listed are not actually ill. It may be that in the rural area in north Sweden people are more inclined to put their opinions to practice than those in Stockholm are

  • 6.
    Selander, John
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Marnetoft, Sven-Uno
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Asplund, Ragnar
    Locus of control and regional differences in sickness absence in Sweden.2005In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 27, no 16, p. 925-928Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to investigate if there are differences in locus of control (LOC), at a societal level, between two residential areas in Sweden with substantial differences in sickness absence. METHOD: A postal questionnaire was sent to 1500 randomly selected men and women aged 20 - 64 years. Five hundred questionnaires were sent to people living in Stromsund (a sparsely populated municipality in northern Sweden with high rates of sickness absence) and 1000 questionnaires to people in the Swedish capital of Stockholm, which has a low rate of sickness absence. RESULTS AND CONCLUSION: A comparison of LOC in the two study areas supported our hypothesis to a certain extent, external locus being more prominent in Stromsund. When physical and mental health and income were considered, however, the differences disappeared. Consequently, this study did not support the opinion that differences in sickness absence can be explained by LOC at a societal level

  • 7.
    Vadla, Drazenka
    et al.
    Inst Publ Hlth Koprivnica Krizevci Cty, Koprivnica 48000, Croatia.
    Bozikov, Jadranka
    Univ Zagreb, Andrija Stampar Sch Publ Hlth, Sch Med, Zagreb 41000, Croatia.
    Åkerstrom, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Cheung, Wai-Yee
    Swansea Univ, Sch Med, Swansea, W Glam, Wales.
    Kovacic, Luka
    Univ Zagreb, Andrija Stampar Sch Publ Hlth, Sch Med, Zagreb 41000, Croatia .
    Masanovic, Maria
    Inst Publ Hlth Dubrovnik Neretva Cty, Dubrovnik, Croatia.
    Merilainen, Satu
    Elderly Care Serv, Social & Hlth Serv, Espoo, Finland.
    Mihel, Sandra
    Croatian Natl Inst Publ Hlth, Zagreb, Croatia.
    Nummelin-Niemi, Hanna
    Elderly Care Serv, City Porvoo, Porvoo, Finland.
    Stefanaki, Ioanna
    Hlth Ctr Viannos, Iraklion, Greece.
    Stencrantz, Bo
    Department of Public Health, County Council of Varmland and Jamtland, Sweden.
    Differences in healthcare service utilisation in elderly, registered in eight districts of five European countries2011In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 39, no 3, p. 272-279Article in journal (Refereed)
    Abstract [en]

    Aims: The aim of the study was to compare and analyse the differences in self-reported frequencies of visits paid to physicians and hospitalisation rates, as well as their association with socio-demographic factors and health status self-rated by elderly. Methods: A cross-sectional study was performed in eight districts of five European countries (Finland, Sweden, Ireland, Croatia, and Greece). A total of 3540 persons aged 70 or more were interviewed by trained interviewers. Healthcare service utilisation and its association with demographic characteristics and self-rated health were analysed using descriptive statistical methods, chi-square test, and logistic regression. Results: Almost 90% of elderly visited a physician in the past year; 50% visited a specialist, while 24% were hospitalised. A visit to a specialist was paid by 70% of the Greek, 50% to 60% of the Croatian, and around 40% of the Irish, the Finnish, and the Swedish elderly. The highest proportion of hospitalisations (32%) was encountered in Greece and the lowest one (20%) in Sweden. Self-rated poor health appears to be the only common denominator associated with increased healthcare utilisation. Younger age stood out as a statistically significant predictor of the likelihood of specialist consults, while older age, male gender, and the synergy of male gender and current single life were disclosed as the predictors of hospitalisation frequency. Conclusions: Healthcare service utilisation exercised by the elderly across European districts was found to be highly variable and showed a clear distinction between north-western and south-eastern Europe; this is in line with differences in self-rated health.

  • 8.
    Åkerstrom, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Adults with autism and mental retardation - A life-span perspective: Meeting abstract2000In: Journal of intellectual disability research, vol. 44 part 3-4, 2000, Vol. 44Conference paper (Other academic)
  • 9. Åkerström, Bengt
    Adults with Autism and Mental Retardation: A Life- Span Perspective2001Doctoral thesis, monograph (Other scientific)
  • 10.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Self-reported health in people with mild intellectual disability: A pilot study2012In: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 56, no 7-8, p. 809-809Article in journal (Other academic)
  • 11.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sickness absence and Perceived Health in Parents of Children and Adolescents with Disabilities2005Conference paper (Other scientific)
  • 12.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Studier av livsförlopp hos personer med autismspektrumstörningar2004In: Handikappforskning på tillväxt?, Stockholm: Forskningsrådet för arbetsliv och socialvetenskap , 2004Chapter in book (Other scientific)
  • 13.
    Åkerström, Bengt
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    The role of social networks as an explanatory factor regarding regional differences in sickness absence, physical and mental health and bodily pain in Sweden2005Conference paper (Other scientific)
  • 14.
    Åkerström, Bengt
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Henriksson, Gunilla
    Inventering av psykiskt funktionshindrade samt livskvalitetsundersökning i Jämtlands län 20052008Report (Other academic)
    Abstract [en]

    Utifrån kritik från Socialstyrelsen och Länsstyrelsen att kommunerna inte hade tillräckligt god kunskap om målgruppen psykiskt funktionshindrade, bristande samordning med den landstingsstyrda psykiatrin samt kommunernas egna önskemål om bättre kunskap, genomfördes en länsövergripande inventering av psykiskt funktionshindrade i Jämtlands kommuner under 2005. Syftet var att kartlägga personer med psykiska funktionshinder och deras behov, utveckla uppsökande verksamhet, identifiera gråzoner, ge underlag för att utveckla samarbetet kommun – psykiatri samt ge möjlighet till kommunvisa jämförelser. Som en del av inventeringen skulle också en livskvalitetsintervju göras med ett urval av de identifierade personerna. Kartläggningen genomfördes i enlighet med en målgruppsdefinition och inventeringsmodell föreslagen av Socialstyrelsen med ett enkätförfarande riktat till uppgiftslämnare inom olika berörda myndigheter. Enkäter lämnades till kommunernas vård och socialtjänst, psykiatrin, primärvården, arbetsförmedlingen och försäkringskassan. Enkäterna innehöll frågor om insatser och behov från respektive instans samt i vilken mån de var tillfredsställda. Livskvalitetsundersökningen genomfördes i form av personliga intervjuer med instrumentet Lancashires livskvalitetsprofil på ett slumpmässigt urval ur gruppen med klarlagd diagnos. Undersökningen har utifrån sitt syfte om kartläggning gett information om 454 personer där uppgift om relevant diagnos gått att belägga (i rapporten benämnda Grupp 1). Detta utgör 75 % av det förväntade antalet med psykiska funktionshinder (0,6 % av befolkningen). Personerna i Grupp 1 inrapporterades i huvudsak från psykiatrin och socialtjänsten. Av denna grupp var drygt en tredjedel inrapporterade av psykiatrin eller annan myndighet men inte av kommunerna. Detta kan tolkas som att dessa personer och deras behov inte var kända hos kommunerna vid inventeringstillfället. Utöver detta har också uppgifter om 329 personer som av handläggare bedömts ha sådana problem att de hör till målgruppen/har liknande behov (i rapporten kallade Grupp 2) men där diagnos eller kontakter med psykiatrin inte kunnat verifieras, kommit in. Dessa personer var i huvudsak rapporterade från socialtjänsten. I båda grupperna var det en övervikt av män. Medelåldern var 51.4 år i Grupp 1 och 52.5 i Grupp 2. I båda grupperna bodde drygt två tredjedelar i egen bostad. Endast omkring 30 % av dem i arbetsför ålder i båda grupperna hade uppgifter om att de hade arbete eller deltog i organiserad sysselsättning. Medicinering och läkarkontakt var de vanligaste insatserna från psykiatrin medan kommunal hälso- och sjukvård och stöd i eget boende var vanligast i kommunerna. Sammanfattningsvis bedömde både psykiatrin och kommunerna behovet av ytterligare stöd till målgruppen (Grupp 1) som stort. Intervjuundersökningen om livskvalitet har trots ett högt (delvis förväntat) bortfall gett en fördjupad bild av målgruppens behov och syn på sina livsförhållanden. Intervjupersonernas (n = 56) sammanfattande skattningar av olika livsområden visade att man var relativt nöjd med sin livskvalitet med medelvärden på 4 och 5 på en sjugradig skala. Minst nöjd var man med sin ekonomiska situation medan några av de områden man var mest nöjd med var fritid och säkerhet. Som förslag till åtgärder utifrån inventeringens resultat noteras behov av ökade resurser för utredningar (bl.a. utifrån Grupp 2), vikten av uppsökande verksamhet, utveckling av mer varierat utbud av sysselsättning och tydlighet kring ansvaret för samordningen av insatser för personer med psykiska funktionshinder.

  • 15.
    Åkerström, Bengt
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nilsson, I
    Societal support and health in parents of children with autism spectrum disorders: Poster presented at the 7th International Congress Autism-Europe Lisboa 20032003Conference paper (Other scientific)
    Abstract [en]

    The strain of having a child with a disability, especially an autism spectrum disorder, can be lessened or worsened due to the quality and co-ordination of support from society. By order of the County Council, the local authorities and the Social Insurance Office, the present study aimed at investigating two main questions. First, the forms of support available for children with disabilities and parents' perception of its function and quality. Second, the parents' experience of their own health related to observations of elevated frequencies of long-term sick leave in parents of disabled children. The study, designed in co-operation with the local societies for children with disabilities, was conducted in the County of Jämtland, Sweden, during the year 2002. A questionnaire was mailed to parents of all children registered in child habilitation services, children in schooling for the mentally retarded and children with only visual or hearing disability or diabetes, covering a total of about 800 children including 120 with autism spectrum disorders. The questionnaire consisted of two parts, a) questions covering different forms of support including schooling and expert treatment for the child, b) a standardised health form (SF 36) to be completed by the parents of the child. The presentation will focus on the perception of support and experienced health in parents by comparing the situation for children with autism spectrum disorders to the rest of the sample including a discussion of improvements that could be made as a result of the study.

  • 16.
    Åkerström, Bengt
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nilsson, I
    Societal support and perceived health in parents of children and adolescents with disabilities: Meeting Abstract2004In: JOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Oxford: Blackwell , 2004, p. 383-383Conference paper (Refereed)
    Abstract [en]

    Although there is an availability of support in different forms as financial support, experts and treatment, short time relief care and personal assistance the health ratings indicated that support provided by society is still not good enough. There is a challenge for society to better provide for and coordinate support in order to help parents to maintain good physical and mental health.

  • 17.
    Åkerström, Bengt
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nilsson, I
    Upplevelse av hälsa och livskvalitet hos föräldrar till barn och ungdomar med funktionshinder: Föredrag vid Socialförsäkringsstämman 2003, Stockholm.2003Conference paper (Other scientific)
    Abstract [sv]

    Hälsoformuläret SF-36 användes som en del i en enkätstudie av samhällsstödet till ca 800 barn och ungdomar och deras föräldrar i Jämtlands län genomförd på uppdrag av Landstinget, Försäkringskassan och kommunerna. Presentationen kommer att belysa föräldrarnas upplevelse av sin hälsa jämfört med befolkningen samt utifrån barnets grad av funktionshinder, sjukskrivningsfrekvens och upplevt samhällsstöd.

  • 18.
    Åkerström, Bengt
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nilsson, Ingrid
    Parent´s views on the future for their diabled child and family2010In: Contemporary Issues in Intellectual Disabilities / [ed] V. P. Prasher, New York: Nova Science Publishers, Inc., 2010, p. 247-254Chapter in book (Other academic)
  • 19.
    Åkerström, Bengt
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nilsson, Ingrid
    Parents' views on the future for their disabled child and the family: Meeting abstract2008In: JOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Wiley-Blackwell, 2008, Vol. 52, no 8-9, p. 719-719Conference paper (Refereed)
  • 20.
    Åkerström, Bengt
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Nilsson, Ingrid
    Samhällsstödet till barn och ungdomar med funktionshinder och deras föräldrar i Jämtlands län2004Report (Other academic)
  • 21.
    Åkerström, Bengt
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Westerdahl, Gunilla
    Utvärdering av projektet Vårdknuten: Ett personal- och kompetensförsörjningsprojekt inom vård och omsorg i Jämtlands län2003Report (Other academic)
1 - 21 of 21
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