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  • 201.
    Heikkila, Katriina
    et al.
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Nyberg, Solja T.
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Fransson, Eleonor I.
    Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden.
    Alfredsson, Lars
    Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden.
    De Bacquer, Dirk
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Bjorner, Jakob B.
    Natl Res Ctr Working Environm, Copenhagen, Denmark.
    Bonenfant, Sebastien
    INSERM, U1018, Ctr Res Epidemiol & Populat Hlth, Villejuif, France.
    Borritz, Marianne
    Bispebjerg Hosp, Dept Occupat Med, Copenhagen, Denmark.
    Burr, Hermann
    Ctr Maritime Hlth & Safety, Esbjerg, Denmark.
    Clays, Els
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Casini, Annalisa
    Univ Libre Brussels, Sch Publ Hlth, Brussels, Belgium.
    Dragano, Nico
    Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany.
    Erbel, Raimund
    Univ Duisburg Essen, W German Heart Ctr Essen, Dept Cardiol, Essen, Germany.
    Geuskens, Goedele A.
    TNO, Hoofddorp, Netherlands.
    Goldberg, Marcel
    INSERM, U1018, Ctr Res Epidemiol & Populat Hlth, Villejuif, France.
    Hooftman, Wendela E.
    TNO, Hoofddorp, Netherlands.
    Houtman, Irene L.
    TNO, Hoofddorp, Netherlands.
    Joensuu, Matti
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Joeckel, Karl-Heinz
    Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany.
    Kittel, France
    Univ Libre Brussels, Sch Publ Hlth, Brussels, Belgium.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Koskenvuo, Markku
    Univ Helsinki, Dept Publ Hlth, Helsinki, Finland.
    Koskinen, Aki
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Kouvonen, Anne
    Wroclaw Fac, Warsaw Sch Social Sci & Humanities, Wroclaw, Poland.
    Leineweber, Constanze
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.
    Lunau, Thorsten
    Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany.
    Madsen, Ida E. H.
    Natl Res Ctr Working Environm, Copenhagen, Denmark.
    Hanson, Linda L. Magnusson
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.
    Marmot, Michael G.
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Nielsen, Martin L.
    Bispebjerg Hosp, Dept Occupat & Environm Med, Copenhagen, Denmark.
    Nordin, Maria
    Umea Univ, Dept Publ Hlth & Clin Med Occupat & Environm Med, Umea, Sweden.
    Pentti, Jaana
    Finnish Inst Occupat Hlth, Turku, Finland.
    Salo, Paula
    Finnish Inst Occupat Hlth, Turku, Finland.
    Rugulies, Reiner
    Natl Res Ctr Working Environm, Copenhagen, Denmark.
    Steptoe, Andrew
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Siegrist, Johannes
    Univ Dusseldorf, Dept Med Sociol, D-40225 Dusseldorf, Germany.
    Suominen, Sakari
    Univ Turku, Dept Publ Hlth, Turku, Finland.
    Vahtera, Jussi
    Finnish Inst Occupat Hlth, Turku, Finland.
    Virtanen, Marianna
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Vaananen, Ari
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Westerholm, Peter
    Uppsala Univ, Uppsala, Sweden.
    Westerlund, Hugo
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.
    Zins, Marie
    INSERM, U1018, Ctr Res Epidemiol & Populat Hlth, Villejuif, France.
    Theorell, Tores
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.
    Hamer, Mark
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Ferrie, Jane E.
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Singh-Manoux, Archana
    INSERM, U1018, Ctr Res Epidemiol & Populat Hlth, Villejuif, France.
    Batty, G. David
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Kivimaeki, Mika
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Job Strain and Tobacco Smoking: An Individual-Participant Data Meta-Analysis of 166 130 Adults in 15 European Studies2012Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 7, nr 7, artikkel-id e35463Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Tobacco smoking is a major contributor to the public health burden and healthcare costs worldwide, but the determinants of smoking behaviours are poorly understood. We conducted a large individual-participant meta-analysis to examine the extent to which work-related stress, operationalised as job strain, is associated with tobacco smoking in working adults. Methodology and Principal Findings: We analysed cross-sectional data from 15 European studies comprising 166 130 participants. Longitudinal data from six studies were used. Job strain and smoking were self-reported. Smoking was harmonised into three categories never, ex- and current. We modelled the cross-sectional associations using logistic regression and the results pooled in random effects meta-analyses. Mixed effects logistic regression was used to examine longitudinal associations. Of the 166 130 participants, 17% reported job strain, 42% were never smokers, 33% ex-smokers and 25% current smokers. In the analyses of the cross-sectional data, current smokers had higher odds of job strain than never-smokers (age, sex and socioeconomic position-adjusted odds ratio: 1.11, 95% confidence interval: 1.03, 1.18). Current smokers with job strain smoked, on average, three cigarettes per week more than current smokers without job strain. In the analyses of longitudinal data (1 to 9 years of follow-up), there was no clear evidence for longitudinal associations between job strain and taking up or quitting smoking. Conclusions: Our findings show that smokers are slightly more likely than non-smokers to report work-related stress. In addition, smokers who reported work stress smoked, on average, slightly more cigarettes than stress-free smokers.

  • 202.
    Heikkila, Katriina
    et al.
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Nyberg, Solja T.
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Fransson, Eleonor I.
    Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden.
    Alfredsson, Lars
    Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden.
    De Bacquer, Dirk
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Bjorner, Jakob B.
    Natl Res Ctr Working Environm, Copenhagen, Denmark.
    Bonenfant, Sebastien
    Ctr Res Epidemiol & Populat Hlth, Inserm U1018, Villejuif, France.
    Borritz, Marianne
    Bispebjerg Hosp, Dept Occupat Med, Copenhagen, Denmark.
    Burr, Hermann
    Ctr Maritime Hlth & Safety, Esbjerg, Denmark.
    Clays, Els
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Casini, Annalisa
    Univ Libre Brussels, Sch Publ Hlth, Brussels, Belgium.
    Dragano, Nico
    Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany.
    Erbel, Raimund
    Univ Duisburg Essen, West German Heart Ctr Essen, Dept Cardiol, Essen, Germany.
    Geuskens, Goedele A.
    TNO, Hoofddorp, Netherlands.
    Goldberg, Marcel
    Ctr Res Epidemiol & Populat Hlth, Inserm U1018, Villejuif, France.
    Hooftman, Wendela E.
    TNO, Hoofddorp, Netherlands.
    Houtman, Irene L.
    TNO, Hoofddorp, Netherlands.
    Joensuu, Matti
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Joeckel, Karl-Heinz
    Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany.
    Kittel, France
    Univ Libre Brussels, Sch Publ Hlth, Brussels, Belgium.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Koskenvuo, Markku
    Univ Helsinki, Dept Publ Hlth, Helsinki, Finland.
    Koskinen, Aki
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Kouvonen, Anne
    Wroclaw Fac, Warsaw Sch Social Sci & Humanities, Wroclaw, Poland.
    Leineweber, Constanze
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.
    Lunau, Thorsten
    Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Essen, Germany.
    Madsen, Ida E. H.
    Natl Res Ctr Working Environm, Copenhagen, Denmark.
    Hanson, Linda L. Magnusson
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.
    Marmot, Michael G.
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Nielsen, Martin L.
    Bispebjerg Hosp, Dept Occupat & Environm Med, Copenhagen, Denmark.
    Nordin, Maria
    Umea Univ, Dept Publ Hlth & Clin Med Occupat & Environm Med, Umea, Sweden.
    Pentti, Jaana
    Finnish Inst Occupat Hlth, Turku, Finland.
    Salo, Paula
    Finnish Inst Occupat Hlth, Turku, Finland.
    Rugulies, Reiner
    Natl Res Ctr Working Environm, Copenhagen, Denmark.
    Steptoe, Andrew
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Siegrist, Johannes
    Univ Dusseldorf, Dept Med Sociol, D-40225 Dusseldorf, Germany.
    Suominen, Sakari
    Univ Turku, Dept Publ Hlth, Turku, Finland.
    Vahtera, Jussi
    Finnish Inst Occupat Hlth, Turku, Finland.
    Virtanen, Marianna
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Vaananen, Ari
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Westerholm, Peter
    Uppsala Univ, Uppsala, Sweden.
    Westerlund, Hugo
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.
    Zins, Marie
    Ctr Res Epidemiol & Populat Hlth, Inserm U1018, Villejuif, France.
    Theorell, Tores
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden.
    Hamer, Mark
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Ferrie, Jane E.
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Singh-Manoux, Archana
    Ctr Res Epidemiol & Populat Hlth, Inserm U1018, Villejuif, France.
    Batty, G. David
    UCL, Dept Epidemiol & Publ Hlth, London, England.
    Kivimaki, Mika
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Job Strain and Alcohol Intake: A Collaborative Meta-Analysis of Individual-Participant Data from 140 000 Men and Women2012Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 7, nr 7, s. Art. no. e40101-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: The relationship between work-related stress and alcohol intake is uncertain. In order to add to the thus far inconsistent evidence from relatively small studies, we conducted individual-participant meta-analyses of the association between work-related stress (operationalised as self-reported job strain) and alcohol intake. Methodology and Principal Findings: We analysed cross-sectional data from 12 European studies (n = 142 140) and longitudinal data from four studies (n = 48 646). Job strain and alcohol intake were self-reported. Job strain was analysed as a binary variable (strain vs. no strain). Alcohol intake was harmonised into the following categories: none, moderate (women: 1-14, men: 1-21 drinks/week), intermediate (women: 15-20, men: 22-27 drinks/week) and heavy (women: > 20, men: > 27 drinks/week). Cross-sectional associations were modelled using logistic regression and the results pooled in random effects meta-analyses. Longitudinal associations were examined using mixed effects logistic and modified Poisson regression. Compared to moderate drinkers, non-drinkers and (random effects odds ratio (OR): 1.10, 95% CI: 1.05, 1.14) and heavy drinkers (OR: 1.12, 95% CI: 1.00, 1.26) had higher odds of job strain. Intermediate drinkers, on the other hand, had lower odds of job strain (OR: 0.92, 95% CI: 0.86, 0.99). We found no clear evidence for longitudinal associations between job strain and alcohol intake. Conclusions: Our findings suggest that compared to moderate drinkers, non-drinkers and heavy drinkers are more likely and intermediate drinkers less likely to report work-related stress.

    Fulltekst (pdf)
    fulltext
  • 203.
    Heikkila, Katriina
    et al.
    London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London WC1, England.
    Nyberg, Solja T.
    Finnish Inst Occupat Hlth, Tampere 33100, Finland.
    Madsen, Ida E. H.
    Natl Res Ctr Working Environm, DK-2100 Copenhagen, Denmark.
    de Vroome, Ernest
    TNO, NL-2316 ZL Leiden, Netherlands.
    Alfredsson, Lars
    Karolinska Inst, Inst Environm Med, S-17177 Stockholm, Sweden.
    Bjorner, Jacob J.
    Natl Res Ctr Working Environm, DK-2100 Copenhagen, Denmark.
    Borritz, Marianne
    Koge Hosp, DK-4600 Koge, Denmark.
    Burr, Hermann
    Fed Inst Occupat Safety & Hlth, D-10317 Berlin, Germany.
    Erbel, Raimund
    Univ Duisburg Essen, West German Heart Ctr Essen, Dept Cardiol, D-45122 Essen, Germany.
    Ferrie, Jane E.
    UCL, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England.
    Fransson, Eleonor I.
    Karolinska Inst, Inst Environm Med, S-17177 Stockholm, Sweden.
    Geuskens, Goedele A.
    TNO, NL-2316 ZL Leiden, Netherlands.
    Hooftman, Wendela E.
    TNO, NL-2316 ZL Leiden, Netherlands.
    Houtman, Irene L.
    TNO, NL-2316 ZL Leiden, Netherlands.
    Joeckel, Karl-Heinz
    Univ Duisburg Essen, Inst Med Informat Biometry & Epidemiol, Fac Med, D-45122 Essen, Germany.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Koskenvuo, Markku
    Univ Helsinki, Dept Publ Hlth, Helsinki 00140, Finland.
    Lunau, Thorsten
    Univ Dusseldorf, Fac Med, Inst Med Sociol, D-40225 Dusseldorf, Germany.
    Nielsen, Martin L.
    Frederiksberg Univ Hosp, Unit Social Med, DK-2000 Frederiksberg, Denmark.
    Nordin, Maria
    Umea Univ, Dept Psychol, S-90187 Umea, Sweden.
    Oksanen, Tuula
    Finnish Inst Occupat Hlth, Tampere 33100, Finland.
    Pejtersen, Jan H.
    Danish Natl Ctr Social Res, DK-1052 Copenhagen, Denmark.
    Pentti, Jaana
    Finnish Inst Occupat Hlth, Tampere 33100, Finland.
    Shipley, Martin J.
    UCL, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England.
    Steptoe, Andrew
    UCL, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England.
    Suominen, Sakari B.
    Univ Turku, Dept Publ Hlth, Turku 20014, Finland.
    Theorell, Toeres
    Stockholm Univ, Stress Res Inst, SE-10691 Stockholm, Sweden.
    Vahtera, Jussi
    Finnish Inst Occupat Hlth, Tampere 33100, Finland.
    Westerholm, Peter J. M.
    Uppsala Univ, Occupat & Environm Med, S-75185 Uppsala, Sweden.
    Westerlund, Hugo
    Stockholm Univ, Stress Res Inst, SE-10691 Stockholm, Sweden.
    Dragano, Nico
    Univ Dusseldorf, Fac Med, Inst Med Sociol, D-40225 Dusseldorf, Germany.
    Rugulies, Reiner
    Natl Res Ctr Working Environm, DK-2100 Copenhagen, Denmark.
    Kawachi, Ichiro
    Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, 665 Huntington Ave, Boston, MA 02115 USA.
    Batty, G. David
    UCL, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England.
    Singh-Manoux, Archana
    UCL, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England.
    Virtanen, Marianna
    Finnish Inst Occupat Hlth, Tampere 33100, Finland.
    Kivimaki, Mika
    Finnish Inst Occupat Hlth, Tampere 33100, Finland.
    Long working hours and cancer risk: a multi-cohort study2016Inngår i: British Journal of Cancer, ISSN 0007-0920, E-ISSN 1532-1827, Vol. 114, nr 7, s. 813-818Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Working longer than the maximum recommended hours is associated with an increased risk of cardiovascular disease, but the relationship of excess working hours with incident cancer is unclear. Methods: This multi-cohort study examined the association between working hours and cancer risk in 116 462 men and women who were free of cancer at baseline. Incident cancers were ascertained from national cancer, hospitalisation and death registers; weekly working hours were self-reported. Results: During median follow-up of 10.8 years, 4371 participants developed cancer (n colorectal cancer: 393; n lung cancer: 247; n breast cancer: 833; and n prostate cancer: 534). We found no clear evidence for an association between working hours and the overall cancer risk. Working hours were also unrelated the risk of incident colorectal, lung or prostate cancers. Working >= 55 h per week was associated with 1.60-fold (95% confidence interval 1.12-2.29) increase in female breast cancer risk independently of age, socioeconomic position, shift-and night-time work and lifestyle factors, but this observation may have been influenced by residual confounding from parity. Conclusions: Our findings suggest that working long hours is unrelated to the overall cancer risk or the risk of lung, colorectal or prostate cancers. The observed association with breast cancer would warrant further research.

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    fulltext
  • 204.
    Heikkilä, K.
    et al.
    Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250 Helsinki, Finland .
    Fransson, E. I.
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Nyberg, S. T.
    Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250 Helsinki, Finland .
    Zins, M.
    Centre for Research in Epidemiology and Population Health, Villejuif, France .
    Westerlund, H.
    Stress Research Institute, Stockholm University, Stockholm, Sweden .
    Westerholm, P.
    Department of Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden .
    Virtanen, M.
    Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250 Helsinki, Finland .
    Vahtera, J.
    Finnish Institute of Occupational Health, Turku, Finland .
    Suominen, S.
    Department of Public Health, University of Turku, Turku, Finland .
    Steptoe, A.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Salo, P.
    Finnish Institute of Occupational Health, Turku, Finland.
    Pentti, J.
    Finnish Institute of Occupational Health, Turku, Finland .
    Oksanen, T.
    Finnish Institute of Occupational Health, Turku, Finland.
    Nordin, M.
    Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden .
    Marmot, M. G.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Lunau, T.
    Department of Medical Sociology, University of Düsseldorf, Düsseldorf, Germany .
    Ladwig, K. -H
    German Research Center for Environmental Health, Munich, Germany .
    Koskenvuo, M.
    Department of Public Health, University of Helsinki, Helsinki, Finland .
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Kittel, F.
    School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.
    Jöckel, K. -H
    Institute for Medical Informatics, Biometry, and Epidemiology, University Duisburg- Essen, Essen, Germany.
    Goldberg, M.
    Centre for Research in Epidemiology and Population Health, Villejuif, France .
    Erbel, R.
    Department of Cardiology, West-German Heart Center Essen, University Duisburg-Essen, Germany .
    Dragano, N.
    Department of Medical Sociology, University of Düsseldorf, Düsseldorf, Germany .
    DeBacquer, D.
    Department of Public Health, Ghent University, Ghent, Belgium .
    Clays, E.
    Department of Public Health, Ghent University, Ghent, Belgium .
    Casini, A.
    School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.
    Alfredsson, L.
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden .
    Ferrie, J. E.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Singh-Manoux, A.
    Centre for Research in Epidemiology and Population Health, Villejuif, France .
    Batty, G. D.
    Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, United Kingdom .
    Kivimäki, M.
    Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, 00250 Helsinki, Finland .
    Job strain and health-related lifestyle: Findings from an individual-participant meta-analysis of 118 000 working adults2013Inngår i: American Journal of Public Health, ISSN 0090-0036, E-ISSN 1541-0048, Vol. 103, nr 11, s. 2090-2097Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives. We examined the associations of job strain, an indicator of work-related stress, with overall unhealthy and healthy lifestyles. Methods. We conducted a meta-analysis of individual-level data from 11 European studies (cross-sectional data: n = 118 701; longitudinal data: n = 43 971). We analyzed job strain as a set of binary (job strain vs no job strain) and categorical (high job strain, active job, passive job, and low job strain) variables. Factors used to define healthy and unhealthy lifestyles were body mass index, smoking, alcohol intake, and leisure-time physical activity. Results. Individuals with job strain were more likely than those with no job strain to have 4 unhealthy lifestyle factors (odds ratio [OR] = 1.25; 95% confidence interval [CI] = 1.12, 1.39) and less likely to have 4 healthy lifestyle factors (OR = 0.89; 95% CI = 0.80, 0.99). The odds of adopting a healthy lifestyle during study follow-up were lower among individuals with high job strain than among those with low job strain (OR = 0.88; 95% CI = 0.81, 0.96). Conclusions. Work-related stress is associated with unhealthy lifestyles and the absence of stress is associated with healthy lifestyles, but longitudinal analyses suggest no straightforward cause-effect relationship between workrelated stress and lifestyle. Copyright © 2013 by the American Public Health Association®.

  • 205.
    Heikkilä, K.
    et al.
    Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland.
    Madsen, I. E. H.
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Nyberg, S. T.
    Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland.
    Fransson, E. I.
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden .
    Westerlund, H.
    Stress Research Institute, Stockholm University, Stockholm, Sweden .
    Westerholm, P. J. M.
    Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden .
    Virtanen, M.
    Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland.
    Vahtera, J.
    Finnish Institute of Occupational Health, Turku, Finland .
    Väänänen, A.
    Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland .
    Theorell, T.
    Stress Research Institute, Stockholm University, Stockholm, Sweden .
    Suominen, S. B.
    Department of Public Health, University of Turku, Turku, Finland .
    Shipley, M. J.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Salo, P.
    Department of Psychology, University of Turku, Turku, Finland .
    Rugulies, R.
    Department of Public Health, Department of Psychology, University of Copenhagen, Copenhagen, Denmark .
    Pentti, J.
    Department of Public Health, University of Turku, Turku, Finland .
    Pejtersen, J. H.
    Danish National Centre for Social Research, Copenhagen, Denmark .
    Oksanen, T.
    Finnish Institute of Occupational Health, Turku, Finland .
    Nordin, M.
    Department of Psychology, Umeå University, Umeå, Sweden .
    Nielsen, M. L.
    Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark .
    Kouvonen, A.
    School of Sociology Social Policy and Social Work, Queen's University Belfast, Belfast, United Kingdom .
    Koskinen, A.
    Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland .
    Koskenvuo, M.
    Department of Public Health, University of Helsinki, Helsinki, Finland .
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Ferrie, J. E.
    Social and Community Medicine, University of Bristol, Bristol, United Kingdom .
    Dragano, N.
    Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany .
    Burr, H.
    Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany .
    Borritz, M.
    Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark .
    Bjorner, J. B.
    National Research Centre for the Working Environment, Copenhagen, Denmark .
    Alfredsson, L.
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden .
    Batty, G. D.
    Centre for Cognitive Ageing and Cognitive Epidemiology, University of Edinburgh, Edinburgh, United Kingdom .
    Singh-Manoux, A.
    Inserm U1018 Centre for Research in Epidemiology and Population Health, Villejuif, France .
    Kivimäki, M.
    Finnish Institute of Occupational Health, Uimalankatu 1, 33540 Tampere, Finland .
    Job strain and the risk of severe asthma exacerbations: A meta-analysis of individual-participant data from 100 000 European men and women2014Inngår i: Allergy. European Journal of Allergy and Clinical Immunology, ISSN 0105-4538, E-ISSN 1398-9995, Vol. 69, nr 6, s. 775-783Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Many patients and healthcare professionals believe that work-related psychosocial stress, such as job strain, can make asthma worse, but this is not corroborated by empirical evidence. We investigated the associations between job strain and the incidence of severe asthma exacerbations in working-age European men and women. Methods We analysed individual-level data, collected between 1985 and 2010, from 102 175 working-age men and women in 11 prospective European studies. Job strain (a combination of high demands and low control at work) was self-reported at baseline. Incident severe asthma exacerbations were ascertained from national hospitalization and death registries. Associations between job strain and asthma exacerbations were modelled using Cox regression and the study-specific findings combined using random-effects meta-analyses. Results During a median follow-up of 10 years, 1 109 individuals experienced a severe asthma exacerbation (430 with asthma as the primary diagnostic code). In the age- and sex-adjusted analyses, job strain was associated with an increased risk of severe asthma exacerbations defined using the primary diagnostic code (hazard ratio, HR: 1.27, 95% confidence interval, CI: 1.00, 1.61). This association attenuated towards the null after adjustment for potential confounders (HR: 1.22, 95% CI: 0.96, 1.55). No association was observed in the analyses with asthma defined using any diagnostic code (HR: 1.01, 95% CI: 0.86, 1.19). Conclusions Our findings suggest that job strain is probably not an important risk factor for severe asthma exacerbations leading to hospitalization or death. © 2014 The Authors. Allergy Published by John Wiley & Sons Ltd.

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  • 206. Heikkilä, K.
    et al.
    Pentti, J.
    Madsen, I. E. H.
    Lallukka, T.
    Virtanen, M.
    Alfredsson, L.
    Bjorner, J.
    Borritz, M.
    Brunner, E.
    Burr, H.
    Ferrie, J. E.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Koskinen, A.
    Leineweber, C.
    Magnusson Hanson, L. L.
    Nielsen, M. L.
    Nyberg, S. T.
    Oksanen, T.
    Pejtersen, J. H.
    Pietiläinen, O.
    Rahkonen, O.
    Rugulies, R.
    Singh-Manoux, A.
    Steptoe, A.
    Suominen, S.
    Theorell, T.
    Vahtera, J.
    Väänänen, A.
    Westerlund, H.
    Kivimäki, M.
    Job Strain as a Risk Factor for Peripheral Artery Disease: A Multi-Cohort Study2020Inngår i: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, ISSN 2047-9980, E-ISSN 2047-9980, Vol. 9, nr 9Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Job strain is implicated in many atherosclerotic diseases, but its role in peripheral artery disease (PAD) is unclear. We investigated the association of job strain with hospital records of PAD, using individual-level data from 11 prospective cohort studies from Finland, Sweden, Denmark, and the United Kingdom. Methods and Results Job strain (high demands and low control at work) was self-reported at baseline (1985-2008). PAD records were ascertained from national hospitalization data. We used Cox regression to examine the associations of job strain with PAD in each study, and combined the study-specific estimates in random effects meta-analyses. We used τ2, I2, and subgroup analyses to examine heterogeneity. Of the 139 132 participants with no previous hospitalization with PAD, 32 489 (23.4%) reported job strain at baseline. During 1 718 132 person-years at risk (mean follow-up 12.8 years), 667 individuals had a hospital record of PAD (3.88 per 10 000 person-years). Job strain was associated with a 1.41-fold (95% CI, 1.11-1.80) increased average risk of hospitalization with PAD. The study-specific estimates were moderately heterogeneous (τ2=0.0427, I2: 26.9%). Despite variation in their magnitude, the estimates were consistent in both sexes, across the socioeconomic hierarchy and by baseline smoking status. Additional adjustment for baseline diabetes mellitus did not change the direction or magnitude of the observed associations. Conclusions Job strain was associated with small but consistent increase in the risk of hospitalization with PAD, with the relative risks on par with those for coronary heart disease and ischemic stroke.

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  • 207.
    Heikkilä, Katriina
    et al.
    Finnish Institute of Occupational Health, Helsinki, Finland .
    Madsen, Ida E. H.
    National Research Centre for the Working Environment, Copenhagen, Denmark .
    Nyberg, Solja T.
    Finnish Institute of Occupational Health, Helsinki, Finland .
    Fransson, Eleonor I.
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden .
    Ahola, Kirsi
    Finnish Institute of Occupational Health, Helsinki, Finland .
    Alfredsson, Lars
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden .
    Bjorner, Jakob B.
    National Research Centre for the Working Environment, Copenhagen, Denmark .
    Borritz, Marianne
    Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark .
    Burr, Hermann
    Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany .
    Dragano, Nico
    Institute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany .
    Ferrie, Jane E.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Koskenvuo, Markku
    Department of Public Health, University of Helsinki, Helsinki, Finland .
    Koskinen, Aki
    Finnish Institute of Occupational Health, Helsinki, Finland .
    Nielsen, Martin L.
    Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark .
    Nordin, Maria
    Department of Psychology, Umeå University, Umeå, Sweden .
    Pejtersen, Jan H.
    Danish National Centre for Social Research, Copenhagen, Denmark .
    Pentti, Jaana
    Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland .
    Rugulies, Reiner
    National Research Centre for the Working Environment, Copenhagen, Denmark .
    Oksanen, Tuula
    Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland .
    Shipley, Martin J.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Suominen, Sakari B.
    Folkhälsan Research Center, Helsinki, Finland .
    Theorell, Tores
    Stress Research Institute, Stockholm University, Stockholm, Sweden .
    Väananen, Ari
    Finnish Institute of Occupational Health, Helsinki, Finland .
    Vahtera, Jussi
    Finnish Institute of Occupational Health, Helsinki, Tampere and Turku, Finland .
    Virtanen, Marianna
    Finnish Institute of Occupational Health, Helsinki, Finland .
    Westerlund, Hugo
    Stress Research Institute, Stockholm University, Stockholm, Sweden .
    Westerholm, Peter J. M.
    Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden .
    Batty, G. David
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Singh-Manoux, Archana
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Kivimäki, Mika
    Department of Epidemiology and Public Health, University College London, London, United Kingdom .
    Job Strain and the Risk of Inflammatory Bowel Diseases: Individual-Participant Meta-Analysis of 95 000 Men and Women2014Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 9, nr 2, s. e88711-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and Aims: Many clinicians, patients and patient advocacy groups believe stress to have a causal role in inflammatory bowel diseases, such as Crohn's disease and ulcerative colitis. However, this is not corroborated by clear epidemiological research evidence. We investigated the association between work-related stress and incident Crohn's disease and ulcerative colitis using individual-level data from 95 000 European adults. Methods: We conducted individual-participant data meta-analyses in a set of pooled data from 11 prospective European studies. All studies are a part of the IPD-Work Consortium. Work-related psychosocial stress was operationalised as job strain (a combination of high demands and low control at work) and was self-reported at baseline. Crohn's disease and ulcerative colitis were ascertained from national hospitalisation and drug reimbursement registers. The associations between job strain and inflammatory bowel disease outcomes were modelled using Cox proportional hazards regression. The study-specific results were combined in random effects meta-analyses. Results: Of the 95 379 participants who were free of inflammatory bowel disease at baseline, 111 men and women developed Crohn's disease and 414 developed ulcerative colitis during follow-up. Job strain at baseline was not associated with incident Crohn's disease (multivariable-adjusted random effects hazard ratio: 0.83, 95% confidence interval: 0.48, 1.43) or ulcerative colitis (hazard ratio: 1.06, 95% CI: 0.76, 1.48). There was negligible heterogeneity among the study-specific associations. Conclusions: Our findings suggest that job strain, an indicator of work-related stress, is not a major risk factor for Crohn's disease or ulcerative colitis.

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  • 208.
    Heikkilä, Katriina
    et al.
    Finnish Institute of Occupational Health, 00250 Helsinki, Finland.
    Nyberg, Solja T.
    Finnish Institute of Occupational Health, 00250 Helsinki, Finland.
    Theorell, Tores
    Stress Research Institute, Stockholm University, Stockholm, Sweden.
    Fransson, Eleonor I.
    Stress Research Institute, Stockholm University, Stockholm, Sweden.
    Alfredsson, Lars
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Bjorner, Jakob B.
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Bonenfant, Sebastien
    Versailles-Saint Quentin University, Versailles, France.
    Borritz, Marianne
    Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark.
    Bouillon, Kim
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Burr, Herman
    Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany.
    Dragano, Nico
    Institute for Medical Informatics, Biometry, and Epidemiology, University Duisburg-Essen, Essen, Germany.
    Geuskens, Goedele A.
    TNO, Hoofddorp, Netherlands.
    Goldberg, Marcel
    Versailles-Saint Quentin University, Versailles, France.
    Hamer, Mark
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Hooftman, Wendela E.
    TNO, Hoofddorp, Netherlands.
    Houtman, Irene L.
    TNO, Hoofddorp, Netherlands.
    Joensuu, Matti
    Finnish Institute of Occupational Health, 00250 Helsinki, Finland.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Koskenvuo, Markku
    Department of Public Health, University of Helsinki, Helsinki, Finland.
    Koskinen, Aki
    Finnish Institute of Occupational Health, 00250 Helsinki, Finland.
    Kouvonen, Anne
    School of Sociology, Social Policy and Social Work, Queen's University Belfast, Belfast, United Kingdom.
    Madsen, Ida E. H.
    National Research Centre for the Working Environment, Copenhagen, Denmark.
    Magnusson, Linda L.
    Stockholm Univ, Stress Res Inst, S-10691 Stockholm, Sweden .
    Marmot, Michael G.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Nielsen, Martin L.
    Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark.
    Nordin, Maria
    Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umea University, Umea, Sweden.
    Oksanen, Tuula
    Finnish Institute of Occupational Health, Turku, Finland.
    Pentti, Jaana
    Finnish Institute of Occupational Health, Turku, Finland.
    Salo, Paula
    Finnish Institute of Occupational Health, Turku, Finland.
    Rugulies, Reiner
    Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
    Steptoe, Andrew
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Suominen, Sakari
    Folkhälsan Research Center, Helsinki, Finland.
    Vahtera, Jussi
    Department of Public Health, University of Turku, Turku, Finland.
    Virtanen, Marianna
    Finnish Institute of Occupational Health, 00250 Helsinki, Finland.
    Vaananen, Ari
    Finnish Institute of Occupational Health, 00250 Helsinki, Finland.
    Westerholm, Peter
    Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.
    Westerlund, Hugo
    Stress Research Institute, Stockholm University, Stockholm, Sweden.
    Zins, Marie
    Versailles-Saint Quentin University, Versailles, France.
    Ferrie, Jane E.
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Singh-Manoux, Archana
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Batty, G. David
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Kivimaki, Mika
    Department of Epidemiology and Public Health, University College London, London, United Kingdom.
    Work stress and risk of cancer: meta-analysis of 5700 incident cancer events in 116 000 European men and women2013Inngår i: BMJ. British Medical Journal, E-ISSN 1756-1833, Vol. 346, s. Art. no. f165-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective To investigate whether work related stress, measured and defined as job strain, is associated with the overall risk of cancer and the risk of colorectal, lung, breast, or prostate cancers. Design Meta-analysis of pooled prospective individual participant data from 12 European cohort studies including 116 056 men and women aged 17-70 who were free from cancer at study baseline and were followed-up for a median of 12 years. Work stress was measured and defined as job strain, which was self reported at baseline. Incident cancers (all n=5765, colorectal cancer n=522, lung cancer n=374, breast cancer n=1010, prostate cancer n=865) were ascertained from cancer, hospital admission, and death registers. Data were analysed in each study with Cox regression and the study specific estimates pooled in meta-analyses. Models were adjusted for age, sex, socioeconomic position, body mass index (BMI), smoking, and alcohol intake Results A harmonised measure of work stress, high job strain, was not associated with overall risk of cancer (hazard ratio 0.97, 95% confidence interval 0.90 to 1.04) in the multivariable adjusted analyses. Similarly, no association was observed between job strain and the risk of colorectal (1.16, 0.90 to 1.48), lung (1.17, 0.88 to 1.54), breast (0.97, 0.82 to 1.14), or prostate (0.86, 0.68 to 1.09) cancers. There was no clear evidence for an association between the categories of job strain and the risk of cancer. Conclusions These findings suggest that work related stress, measured and defined as job strain, at baseline is unlikely to be an important risk factor for colorectal, lung, breast, or prostate cancers.

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    Heikkilä_work_stress_cancer
  • 209.
    Helg, Åsa Elisabet
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Integration ur ett hälsoperspektiv: En kvalitativ studie med fokus på jämlikhet och hälsans bestämningsfaktorer2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
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  • 210.
    Hergens, Maria-Pia
    et al.
    Stockholm Cty Council, Dept Communicable Dis Control, S-11891 Stockholm, Sweden.
    Galanti, Rosaria
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Hansson, Jenny
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Fredlund, Peeter
    Stockholm Cty Council, Ctr Epidemiol & Community Med, S-11891 Stockholm, Sweden.
    Ahlbom, Anders
    Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden.
    Alfredsson, Lars
    Karolinska Inst, Inst Environm Med, S-10401 Stockholm, Sweden.
    Bellocco, Rino
    Univ Milano Bicocca, Dept Stat, Milan, Italy.
    Eriksson, Marie
    Umeå Univ, Dept Stat, S-90187 Umeå, Sweden.
    Fransson, Eleonor I.
    Jönköping Univ, Sch Hlth Sci, Jönköping, Sweden.
    Hallqvist, Johan
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.
    Jansson, Jan-Håkan
    Umeå Univ, Dept Med, Umeå, Sweden.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Pedersen, Nancy
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
    Lagerros, Ylva Trolle
    Karolinska Inst, Dept Med, Unit Clin Epidemiol, Stockholm, Sweden.
    Otstergren, Per-Olof
    Lund Univ, Dept Clin Sci Malmo, Lund, Sweden.
    Magnusson, Cecilia
    Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden.
    Use of Scandinavian Moist Smokeless Tobacco (Snus) and the Risk of Atrial Fibrillation2014Inngår i: EPIDEMIOLOGY, ISSN 1044-3983, Vol. 25, nr 6, s. 872-876Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Snus is a smokeless tobacco product, widely used among Swedish men and increasingly so elsewhere. There is debate as to whether snus is an acceptable "harm-reduction" tobacco product. Since snus use delivers a dose of nicotine equivalent to cigarettes, and has been implicated in cardiac arrhythmia because of associations with sudden cardiovascular death, a relation with atrial fibrillation is plausible and important to investigate. Methods: To assess the relation between use of snus and risk of atrial fibrillation, we carried out a pooled analysis of 7 prospective Swedish cohort studies. In total, 274,882 men, recruited between 1978 and 2004, were followed via the National Patient Register for atrial fibrillation. Primary analyses were restricted to 127,907 never-smokers. Relative risks were estimated using Cox proportional hazard regression. Results: The prevalence of snus use was 25% among never-smokers. During follow-up, 3,069 cases of atrial fibrillation were identified. The pooled relative risk of atrial fibrillation was 1.07 (95% confidence interval = 0.97-1.19) in current snus users, compared with nonusers. Conclusion: Findings from this large national pooling project indicate that snus use is unlikely to confer any important increase in risk of atrial fibrillation.

  • 211.
    Hermansson, Jonas
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Shift work and cardiovascular disease2015Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Shift work is often defined as working time outside daytime hours (06:00 to 18:00). In recent years, shift work has been associated with an increased risk of cardiovascular disease (CVD), type II diabetes, and the metabolic syndrome. While some studies support the associations, others do not. Therefore, more research is needed. The aim of this thesis was to further study the association between shift work and CVD. This was addressed by performing four studies, one analysed if shift workers had an increased risk of ischemic stroke, the second study analysed whether shift workers had an increased risk of short-term mortality (case fatality)after a myocardial infarction (MI). The third study analysed if shift work interacts with other risk factors for MI and the fourth study analysed if parental history of CVD interacted with shift work on the risk of MI. The studies were performed using logistic regression analyses and additive interaction analyses in two different case-control databases. Shift workers did not have an increased risk of ischemic stroke. Male shift workers had an increased risk of death within 28 days after a MI. Shift work interacts with some CVD risk factors and interacts with paternal history of CVD and the risk of MI for males. The findings from this thesis provide new evidence showing that shift work is in different ways associated with an increased risk of MI and related mortality, but not with ischemic stroke. However, more research is needed to clarify and characterise these results.

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  • 212.
    Hermansson, Jonas
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Bøggild, H.
    Hallqvist, J.
    Karlsson, B.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Nilsson, T.
    Reuterwall, C.
    Gillander-Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Interaction between shift work and coronary risk factors on risk of myocardial infarctionManuskript (preprint) (Annet vitenskapelig)
  • 213.
    Hermansson, Jonas
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Karlsson, Berndt
    Umeå Universitet.
    Lindahl, Bernt
    Umeå Universitet.
    Stegmayr, Birgitta
    Umeå Universitet.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ischemic stroke and shift work2007Inngår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 33, nr 6, s. 435-439Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: This study analyzed the potential association between shift work and ischemic stroke. METHODS: The analysis was carried out using a nested case-control study consisting of 138 shift workers and 469 day workers from the register of the Northern Sweden Monitoring of Trends and Determinants in Cardiovascular Diseases (MONICA) study and the Vasterbotten Intervention Programme. Logistic regression analysis was used to analyze the risk estimate for day workers in a comparison with shift workers and the risk of ischemic stroke. RESULTS: The crude odds ratio for shift workers' risk of experiencing an ischemic stroke was 1.0 (95% confidence interval 0.6-1.8) for both the men and the women. The risk estimates were consistent despite the introduction of several recognized risk factors for ischemic stroke in the logistic regression models. CONCLUSIONS: In the present study, none of the findings indicated a higher risk of shift workers undergoing an ischemic stroke than day workers.

  • 214.
    Hermansson, Jonas
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Karlsson, B.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Interaction between parental history of myocardial infarction or sudden cardiac death and shift work on the incidence of myocardial infarction among malesManuskript (preprint) (Annet vitenskapelig)
  • 215. Hermansson, U
    et al.
    Knutsson, Anders
    Rönnberg, S
    Brandt, L
    Feasibility of brief intervention in the workplace for the detection and treatment of excessive alcohol consumption1998Inngår i: International Journal of Occupational and Environmental Health, ISSN 1077-3525, Vol. 4, nr 2, s. 71-78Artikkel i tidsskrift (Fagfellevurdert)
  • 216. Hermansson, Ulric
    et al.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Brandt, Lena
    Huss, Anders
    Rönnberg, Sten
    Helander, Anders
    Screening for high-risk and elevated alcohol consumption in day and shift workers by use of the AUDIT and CDT2003Inngår i: Occupational Medicine, ISSN 0962-7480, E-ISSN 1471-8405, Vol. 53, nr 8, s. 518-526Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The present findings on employees who attended for regular health examinations suggest that shift workers did not show a higher level of risky alcohol consumption than day workers, according to the results with the AUDIT, CDT and GGT. On the contrary, the two-shift workers appeared to drink significantly less.

  • 217.
    Hiswåls, Anne-Sofie
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. University of Gävle.
    Walander, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. Institutionen för folkhälsovetenskap, Karolinska Institutet, Department of Public Health Science, Karolinska Institutet.
    Soares, Joaqim
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Macassa, Gloria
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. University of Gävle; Karolinska Institute.
    Employment Status, Anxiety and Depression in a Municipal Context2017Inngår i: Research in Health Science, ISSN 2470-6213, Vol. 2, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    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.

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  • 218. Hofman-Bang, Claes
    et al.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Nordlander, Rolf
    Nygren, Åke
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Öhman, Arne
    Rydén, Lars
    Two year results of a controlled study of a residential rehabilitation for patients treated with percutaneous transluminal coronary angioplasty: A randomized study of a multifactorial programme1999Inngår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 20, nr 20, s. 1465-1474Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims In a multifactorial lifestyle behaviour programme, of 2 years duration, to study the maintenance of achieved behaviour and risk factor-related changes. Methods and Results Out of a consecutive population of 151 patients treated with percutaneous transluminal angioplasty under 65 years of age, 87 were randomly allocated to an intervention group (n=46) or to a control group (n=41). The programme started with a 4 week residential stay, which was focused on health education and the achievement of behaviour change. During the first year of follow-up, a maintenance programme included regular contacts with a nurse, while no further rehabilitative efforts were offered during the second year. One patient died (control). During the second year the proportion of hospitalized patients was lower in the intervention group (4% vs 20%;P<0·05). Patients in the intervention group improved several lifestyle dependent behaviours: diet (index at 0, 12 and 24 months): 10·5±3·4, 12·9±2·5 and 12·4±2·6 in the intervention group (I) vs 10·1±3·2, 10·7±3·0 and 11·8±3·2 in the control group (C);P<0·05, exercise sessions per week: 2·5±2·3, 4·5±1·9 and 4·4±2·1 (I) vs 3·1±2·2, 3·5±2·3 and 3·7±2·7 (C);P<0·05, and smoking; 18%, 6% and 9% (I) vs 12%, 21% and 18% (C);P<0·05. This corresponded to improvement in exercise capacity (0, 12 and 24 months): 156±42, 174±49 and 165±47W (I) vs 164±40, 163±49 and 156±48 watts (C);P<0·05. There were no significant differences between the two groups with regard to serum cholesterol levels at 0 and 24 months: 5·4±0·8 and 5·2±0·9mmol.l–1(I) vs 5·4±1·0 and 4·9±0·9mmol.l–1(C); ns, low density lipoprotein cholesterol level: 3·6±0·8 and 3·4±0·8mmol.l–1(I) vs 3·7±0·9 and 3·3±0·7mmol.l–1(C); ns, triglyceride level: 2·2±1·6 and 1·8±1·3mmol.l–1(I) vs 2·2±1·4 and 1·6±0·6mmol.l–1(C); ns, body mass index (0, 12 and 24 months): 27·5±4·5, 27·0±4·3 and 27·4± 4·5kg.m–2(I) vs 26·8±2·8, 26·9±2·7 and 26·9± 3·2kg.m–2(C); ns, waist/hip ratio or blood pressure. The two groups did not differ in quality of life, or psychological factors. Return to work after 12 and 24 months was 74% and 78% (I) vs 68% and 61% (C); ns. Conclusion This rehabilitation programme influenced important lifestyle behaviour and reduced some, but not all, important risk factors Key Words: Rehabilitation, risk factors

  • 219.
    Hultin, Anna Donatella
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Stödinsatser för arbete vid psykiska funktionshinder: - En studie om Arbetsförmedlingens möjligheter att ge stöd till unga vuxna med diagnos inom autismspektrum.2018Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 220.
    Hultman, Barbro
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Self-rated quality of life among unemployed people and people in work in northern Sweden2007Licentiatavhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Self-assessed quality of life (QoL) is analysed using a QoL questionnaire (Hörnquist’s QLcs)covering the life spheres: somatic health, mental well-being, cognitive ability, social and family life,activity, financial situation, meaning in life and a global score for ‘entire life’. In all, 487unemployed and 2917 employed subjects aged 25-64; and 651 unemployed subjects and 2802 inwork (including employment, studying and military service) in the 18-24 age group, wereinvestigated in a population-based cross-sectional study on life and health in northern Sweden in1997.In line with previous findings, results showed that unemployed people exhibited poorer QoL. Thegreatest difference between unemployed people and those in work was in the financial domain (18-24, 25-64). Unemployed women (aged 25-64) rated the final values of QoL – ‘entire life’ andmeaning in life – higher than unemployed men did. In the young group (aged 18-24), unemployedwomen did not rate any of the domains higher. The young unemployed men rated somatic health andmental well-being higher. Interaction effects were interpreted in the following way: a) unemployedmen (aged 25-64) were worst off in the global domain ‘entire life’; b) employed respondents, havinga university/college education was beneficial for QoL, while for unemployed respondents (25-64) itwas not; c) in the young group (aged 18-24), people in work rated their activity higher thanunemployed people, and the effect was strengthened when they were regularly active during leisure.Close friends and cash reserve were important for all participants, no matter whether they wereemployed or not. The risk of being young and unemployed was greater if the person had a shortereducation, worse economy (according to their own ratings) and was in the upper half of the agegroup (aged 21-24). Finally, the conclusion that QoL is poorer when in unemployment – both for theyoung and those who are older (aged 25-64) – is in line with earlier findings; however, in contrast tothree previous studies, we conclude that psychological well-being is even poorer for young peoplethan for those who are older.Intervention, in terms of steadily improved labour market conditions to counteract the negativeeffects of exclusion from the labour market, is of great importance from a public health perspective.

  • 221.
    Hultman, Barbro
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hemlin, S
    Self-Rated Quality of Life among the Young Unemployed and the Young in Work in Northern Sweden2008Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 30, nr 4, s. 461-472Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study analysed self-assessed quality of life (QoL), using a QoL questionnaire (Hörnquist's QLcs) covering life spheres, somatic health, mental well-being, cognitive ability, social and family life, activity, financial situation, meaning in life and a global score "entire life", for young people aged 18-24 in a population-based cross-sectional study in northern Sweden. Of these, 651 were unemployed and 2802 were in work (employed, students and in military service). Results showed that the young unemployed exhibited poorer QoL than the young in work and the greatest difference was found regarding their financial situation. Young men rated somatic health and mental well-being higher than young women. However, QoL in other essential domains was rated higher by young women in work. Close friends and money reserve were important for all participants, no matter whether they were employed or not. The risk of being young and unemployed was greater if the person had a worse financial situation, shorter education, and fewer leisure activities with other people. Finally, it was concluded that while QoL is poorer when in unemployment - both for the young and those who are older (aged 25-64) - psychological well-being, in contrast to several previous studies, is even poorer for young people than for those who are older. This is worrying in a public health perspective and could have implications for unemployment policies for younger and less well-educated age groups.

  • 222.
    Hultman, Barbro
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hemlin, Sven
    Centre for Research Ethics, The Sahlgrenska Academy at Göteborg University, Göteborg.
    Hörnquist, Jan Olof
    Department for Health Sciences, University of Örebro, Örebro.
    Quality of life among unemployed and employed people in northern Sweden: Are there any differences?2006Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, nr 1, s. 47-56Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study analysed self-assessed quality of life (QoL), using a QoL questionnaire (Hörnquist's QLcs) covering the life spheres, somatic health, mental well-being, cognitive ability, social and family life, activity, financial situation, meaning in life and a global score "entire life", in 487 unemployed subjects and 2917 employed subjects aged 25-64, in a population-based cross-sectional study in northern Sweden. In line with previous findings, results showed that unemployed people exhibited poorer QoL. Unemployed women scored higher in existential life domains than unemployed men did. Unemployed men were worst off in terms of general life situation. Employed respondents benefited in QoL by a university/college education, while unemployed respondents with a university/college education did not. Close social relations and money reserve were associated with higher QoL generally. It was concluded that further research is needed to differentiate various aspects of QoL and unemployment, and to compare with other samples.

  • 223.
    Hummelblad, Christine
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Kariesprevention hos förskolebarn: med fokus på samverkan och samsyn2019Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 224.
    Höglund, Viktoria
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Äldres upplevelser av deltagande inom en social gemenskap och dess påverkan på välbefinnandet.2014Independent thesis Basic level (university diploma), 10 poäng / 15 hpOppgave
  • 225.
    Hörlin Hartmann, Katarina
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    School´s role in supporting a healthy lifestyle-A management and staff perspective in Ho Chi Minh City, Vietnam2015Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 226.
    Ingvarsson, Agneta
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Begreppet hälsolittercitet som strategi till vård på lika villkor2015Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 227.
    Iversen, Sofia
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Receptfria värktabletter bland vuxna: Konsumtion av receptfria värktabletter och förekomst av ekonomiska bekymmer, ängslan, ångest och oro och stress.2011Independent thesis Basic level (degree of Bachelor), 15 poäng / 22,5 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 228.
    Jacobsson, Elin
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Attityder till hormonella preventivmedel bland kvinnor 20-24 år i Stockholms län: En kvalitativ studie2013Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Magisteruppsats
  • 229.
    Jakobsson, Björn
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Co-operation in Vocational Rehabilitation employment: Methods in multiprofessional intersectorial group meetings and their effects on2004Licentiatavhandling, monografi (Annet vitenskapelig)
    Abstract [en]

    ABSTRACT Vocational rehabilitation is a complex process. As well as the client, it often involves the employer, medical professionals, national-insurance officials, employment counsellors from the employment office and social services officials. In complex cases, it is customary to arrange specific meetings between the officials from the different authorities. The overall aim of the work presented in this thesis was to increase knowledge of co-operation between different public instances in the provision of vocational rehabilitation. The main question was whether, and if so how, a group involving a client and different rehabilitation workers can improve the client�s prospects. Regarding employment outcome, a larger proportion of clients exposed to the the particular form of cooperation become employed than those in either comparison group. The higher employment rate persisted two years after the end of rehabilitation and the chance of becoming employed after rehabilitation was about twice that of people in either group of conventional rehabilitation.

  • 230.
    Jakobsson, Björn
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Co-operation in vocational rehabilitation: methods in multiprofessional cross-sector group meetings and effects on employment2008Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The overall aim of the thesis was to acquire an increased knowledge of co-operation between different rehabilitation actors in the provision of vocational rehabilitation (VR). One aim was to investigate the differences in effects on employment between clients rehabilitated according to a systematic multi-professional cross-sector co-operation model (SMCVR) and clients subjected to conventional co-operation. A second aim was to investigate the communicative process in the rehabilitation group meetings and female clients’ experiences during the VR process.

     

    The studies used material collected from two intervention projects, enabling natural experimental designs. Fifty-one unemployed clients with various work limitations, who underwent intervention with SMCVR I model during a period of 18 months, were individually matched into pairs using records from the Swedish Public Employment Service. Three matched comparison groups, representing the conventional way of co-operation between VR actors, were formed at local, county, and national levels. A distinctive feature of the SMCVR I model was that the client’s rehabilitation was planned by multi-professional cross-sector rehabilitation groups consisting of the client, a rehabilitation official from the social insurance office, an occupational therapist from a primary care unit, an employment counsellor from the county employment office and a social worker from the municipal social administration office. The main effect variable was the number of persons in employment. ANOVA for repeated measures for binary responses and a logistic regression model was used. The VR actors involved in the SMCVR II model were a public employer (a municipality), the social insurance office and an occupational health service. The material consisted of 22 systematic multi-professional cross-sector rehabilitation group meetings with clients who underwent intervention (20 women, 2 men). An observer attended each meeting to observe communication; each meeting was tape-recorded and subsequently transcribed. The analysis was based upon these transcriptions, using content analysis.

     

    A larger proportion of clients subjected to this particular form of developed co-operation studied (SMCVR I) became employed during the first 2 years compared with similar clients in neighboring municipalities or among those in a national register; the higher employment rate showed a peak two years after closure of the intervention; the chance of becoming employed after rehabilitation in the 2-year follow-up was roughly twice as high as that in both comparison groups with conventional co-operation. There was a difference between the study group, the national and county comparison groups on 6 measuring occasions over the period from 1 year following closure of the intervention to the 6th year after. The logistic regression model showed that the clients with mental/social work limitations were at a greater risk of being unemployed after VR than clients with somatic work limitations. In the SMCVR II model the topics discussed primarily concerned the client’s situation regarding the field of medical and health care, previous and new work, and social insurance and none of the professionals dominated the meetings. The clients had the highest percentage of utterances. Clients were allowed ample scope to address their own requirements, thoughts and feelings. ‘Adaptation’ was a pervading theme in the discussions during the observations. The ‘importance of work’ for the clients emerged as a sub-theme; positive and neutral aspects occurred. The conflict between health and work was an ever-present theme of substantial importance for VR. Support from the employer and fellow workers during the client’s return to work was important. This support appeared as both a positive and a negative force in the VR.

     

    In conclusion, systematic multi-professional cross-sector co-operation – which can be performed without any changes in law – leads to seeing a greater proportion of clients in employment over a long period of time compared with “co-operation as usual”. It is possible to achieve a creative communicative climate in multi-professional cross-sector rehabilitation group meetings, which can favor good results in VR.

  • 231.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Schüldt Ekholm, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Svedlund, Marianne
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Multi-professional vocational rehabilitation group meetings with female clients - a qualitative study.2008Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 30, nr 4, s. 413-421Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Many women require vocational rehabilitation before they can return to work. The objective with the present study was to describe female clients' situation during the rehabilitation process, as it became apparent during the rehabilitation meetings with the various actors involved. The clients' diagnoses varied, but the majority was affected with musculoskeletal disorders. The meetings were audio-taped and transcribed verbatim, after which they were analysed by qualitative content analysis. The following themes emerged: Adaptation to the rehabilitation group; client's health status; the workplace's significance for rehabilitation; and the client's decision-point. Conflict between health and work was immensely important for rehabilitation. Differences in attitude were apparent during the rehabilitation meetings, as some clients were passive and exercised less influence on the planning, than the other more active clients did.

  • 232.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Olsson, Inger
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Utvärdering av projektet Tidig samordnad rehabilitering i Jämtlands län.: En rapport om människors upplevelser av rehabilitering. Arbetsrapport 31999Rapport (Annet vitenskapelig)
  • 233.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Schüldt Ekholm, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Do systematic multiprofessional rehabilitation group meetings improve efficiency in vocational rehabilitation?2005Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 24, nr 3, s. 279-290Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The aim of the present study was to investigate differences in the effects on employment between clients whose rehabilitation was coordinated in systematic multiprofessional rehabilitation group meetings and clients whose rehabilitation was coordinated in the "conventional" way. METHOD: The study was based on a sample of 51 individuals who received systematic group meeting coordination. All individuals in the study group were unemployed before the rehabilitation intervention. Two different comparison groups were chosen: one at a local level and another at a national level. The groups were matched on an individual level based on records obtained from The National Labour Market Board (AMS) and The National Social Insurance Board (RFV). The data were analysed by an analysis of variance (ANOVA) for repeated measures for binary responses. RESULTS: 68.6% in the study group and 49% in both the local comparison group and national group had some form of employment 24 months after rehabilitation. The ANOVA analyses (in terms of odds ratio) found that when all measurement points (6, 12 and 24 months after the rehabilitation) were included in the calculations that there was twice as high a chance of becoming employed after having received rehabilitation services through the multiprofessional group than for both comparison groups. The majority of employment in all the groups was associated with some form of subsidy or sheltered employment.

  • 234.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm Schüldt, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Improved employment rates after multiprofessional cross-sector cooperation in vocational rehabilitation: A 6-year follow-up with comparison groups2010Inngår i: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 33, nr 1, s. 72-80Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective of this study was to better understand the long-term effects of an improved model for cooperation on employment between rehabilitation professionals in vocational rehabilitation (VR). To compare these effects with those associated with the traditional model of cooperation. The study featured a group of patients who participated in a developmental project. All of the patients had some degree of restricted work capacity, which was evidenced somatically as well as mentally/socially. They had all experienced long periods of unemployment during the 2-year period before the intervention. A 'natural experiment study design' that relied on database records was used. Using matching criteria, we identified 'social twins' from a government register to create comparison groups at the local, county and national levels (n=4×51 patients). Repeated-measures analysis of variance and logistic regression were used to analyse the data. The majority (59%) of the study group was employed 3 years after the intervention compared with 39 and 41% in the two matched control groups, respectively. The corresponding figures after 6 years were 51 versus 39 and 37%. An individual with a somatically restricted work capacity was about twice as likely to secure gainful employment following VR as compared with an individual with a mentally/socially restricted work capacity. In conclusion, the study focused on an improved method of cooperation between rehabilitation actors in the context of VR programmes. A model that included systematic multiprofessional cross-sector group meetings was explored, and we concluded that a substantial percentage of the enrolled patients successfully secured employment over a 6-year period. This percentage exceeded that of matched pairs in a county and national group; we presume that these groups represented 'the usual form of cooperation'.

  • 235.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Olsson, I
    Bergroth, M
    Kärrholm, J
    Schüldt-Håård, U
    Bergroth, A
    Ekholm, J
    Samverkan i rehabilitering: En utvärdering av Betaprojektet i Kungsbacka kommun, Kort om utvärdering av Stockholmsprojektet, samt En jämförelse med utvärdering av FRISAM.1998Rapport (Annet vitenskapelig)
  • 236.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Olsson, Inger
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Maria
    Samverkan i rehabiliteringsprocessen: som lösning av rundgångsproblemet?1997Inngår i: Socialmedicinsk Tidskrift:, ISSN 0037-833X, Vol. 74, nr 8-9, s. 381-389Artikkel i tidsskrift (Fagfellevurdert)
  • 237.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Olsson, Inger
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Rehabilitering i Samverkan En process- och registerstudie av Betagruppens arbete i Kungsbacka kommun2004Rapport (Annet vitenskapelig)
    Abstract [sv]

    Syftet med föreliggande rapport är att undersöka den fortsatta utvecklingen av arbetsmetoden; systematiserade flerpartssamtal och att studera effekterna av rehabiliteringsarbetet i Betagruppen. Den föregående utvärderingen av Betaprojektet hade en före- och efterdesign och det var inte så lätt att ställa resultaten av utvärderingen i relation till mera �konventionell� handläggning av rehabiliteringsärenden. För att få en uppfattning om effekterna av Betas arbetssätt jämförs i denna studie Betas arbetssätt med effekter av att arbeta mera �konventionellt�. I studien matchas Betagruppen med individer från andra kommuner i närområdet som har en liknande struktur som Kungsbacka kommun. Dessutom görs också en jämförelse med en riksgrupp. För att få fram effekter av de båda arbetssätten används registerstudier och för att få fram kunskaper om Betagruppens utveckling av samverkan mellan rehabiliteringsaktörerna och eventuella förändringar används gruppintervjuer och enkät.

  • 238.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Olsson, Inger
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Maria
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Samverkan i rehabilitering.: En utvärdering av Betaprojektet i Kungsbacka kommun. Slutrapport1998Rapport (Annet vitenskapelig)
  • 239.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Olsson, Inger
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Maria
    Kärrholm, Jenny
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Schuldt-Håård, Ulrika
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Samverkan i rehabilitering av Betaprojektet i Kungsbacka kommun. kort om utvärdering av Stockholmsprojektet samt en jämförelse med utvärdering av FRISAM Projektrapport2001Rapport (Annet vitenskapelig)
  • 240.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Schüldt Håård, Ulrika
    Karolinska institutet.
    Selander, John
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Karolinska institutet.
    Improved co-operation in vocational rehabilitation with systematic rehabilitation group meetings.2002Inngår i: Disability and Rehabilitation, ISSN 0963-8288, Vol. 24, nr 14, s. 734-740Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The present aim was to investigate the communicative pattern in two rehabilitation groups. The rehabilitation group consisted of the client, a supervisor, an employer representative, an occupational health physician, a rehabilitation counsellor from the national social insurance office and a support person. METHOD: Participatory observation of 22 rehabilitation meetings. The communication was tape-recorded and transcribed word for word. The transcripts were coded and analysed both qualitatively and quantitatively. RESULTS AND CONCLUSION: The client made the most utterances in the groups, but most often in the form of answers to questions from the other actors. Following the client, the physician made the next most frequent utterances, most often as questions. The subjects most discussed concerned the client's situation regarding work, health and material support. None of the "professionals" dominated the meetings, although one picture that emerged was that the physician and employer representative played more prominent roles as takers of initiative and as coordinators while the client was more passive than the other actors. The discussions were calm and much latitude was allowed for the participants to put forward their own requirements, thoughts and feelings. The rehabilitation group may be viewed as a meeting place for "experts" and clients. The further management of the rehabilitation was by the actor the client most immediately needed. In this, rehabilitation in the rehabilitation group differs from the "case management" common in the rehabilitation field.

  • 241.
    Jakobsson, Björn
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Schüldt, U.
    Bergroth, M.
    Kärrholm, Jenny
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, J.
    Utvärdering av Stockholmsprojektet: Rehabilitering i samverkan - Slutrapport2000Rapport (Annet vitenskapelig)
  • 242.
    Johansson, Annika
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Ekonomiska besparingar i landstingen genom mera hälsosamma levnadsvanor: En studie baserad på Jämtlands län2013Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Download (pdf)
    bilaga
  • 243.
    Jong, Miek C
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Sjöling, Mats
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Baars, Eric W
    University of Leiden, The Netherlands.
    Systematic Evaluation of the Safety of Injectables as used in Homeopathic and Anthroposophic Medicine2010Konferansepaper (Fagfellevurdert)
  • 244.
    Jonsdottir, I. H.
    et al.
    Institute of Stress Medicine, Carl Skottsbergs gatan 22B, SE-413 19 Gothenburg, Sweden.
    Nordlund, A.
    Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, University of Gothenburg, Mölndal, Sweden.
    Ellbin, S.
    Institute of Stress Medicine, Carl Skottsbergs gatan 22B, SE-413 19 Gothenburg, Sweden.
    Ljung, Thomas
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Glise, K.
    Institute of Stress Medicine, Carl Skottsbergs gatan 22B, SE-413 19 Gothenburg, Sweden.
    Währborg, P.
    Area of Work Science, Business Economics, and Environmental Psychology, Department of Landscape Planning, Swedish University of Agricultural Sciences, Alnarp, Sweden.
    Wallin, A.
    Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, University of Gothenburg, Mölndal, Sweden.
    Cognitive impairment in patients with stress-related exhaustion2013Inngår i: Stress, ISSN 1025-3890, E-ISSN 1607-8888, Vol. 16, nr 2, s. 181-190Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Patients who seek medical care for stress-related mental health problems frequently report cognitive impairments as the most pronounced symptom. The purpose of the present study was to compare cognitive function in patients with stress-related exhaustion with that in healthy controls, using a comprehensive battery of cognitive tests. We also explored whether neuropsychological findings were related to severity of illness measured using the Shirom-Melamed burnout questionnaire and hospital anxiety and depression scale. Thirty-three patients (15 males) and 37 healthy controls (11 males), mean age 46 years [standard deviation (SD) 3.9] and 47 years (SD 4.3), respectively, were included in the final analysis. Five cognitive domains were assessed: (1) speed, attention and working memory, (2) learning and episodic memory, (3) executive functions, (4) visuospatial functions and (5) language. The most pronounced difference between patients and controls was seen on executive function, when tested with a multidimensional test, including aspects of speed, control and working memory. The patients also performed poorer on Digit span, measuring attention span and working memory as well as on learning and episodic memory, when measured as delayed recall and the difference between immediate and delayed recall. Delayed recall was the only test that was significantly related to severity of burnout symptoms among the patients. This could reflect poor cognitive sustainability in the patients with the highest burnout scores, as this particular test was the last one performed during the test session. This study clearly shows that cognitive impairment should be considered when evaluating and treating patients who seek medical care for stress-related exhaustion. 

  • 245.
    Jonsson, Cathrin
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Skolsköterskans arbete med fysisk aktivitet.2012Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 246.
    Juhlin, Jenny
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ledares syn på sitt ledarskap i relation till de anställdas hälsa: En kvalitativ organisationsstudie2012Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Medarbetares hälsa på arbetsplatser inom organisationer påverkas av ledares sätt att arbeta. Att arbeta hälsofrämjande på arbetsplatser innebär ett arbete där ledaren har en viktig roll till att främja medarbetarnas hälsa och förbättra arbetsmiljön. Det hälsofrämjande arbetet och dess ledarskap är viktigt för att främja folkhälsan.  Syfte: Studiens syfte är att undersöka hur ledare vid en större organisation ser på sin roll som ledare i relation till de anställdas hälsa i arbetslivet. Metod: Fyra semistrukturerade intervjuer genomfördes inom en större organisation. Både kvinnliga och manliga ledare intervjuades. Materialet analyserades med hjälp av en kvalitativ innehållsanalys. Resultat: Resultatet visade att ledarna uppfattade att deras centrala roll som ledare i relation till medarbetarna går ut på att vara tillgänglig, engagera medarbetarna, få dem att känna att de är en del av ett sammanhang och att i sin ledarroll skapa kontroll i arbetet. Ledarnas arbetssätt påminner om ett sjukdomsförebyggande förhållningssätt då de arbetar förebyggande. Dock visar även studien på att ledarnas handlingar påminner om den salutogena modellen KASAM. Slutsats: Resultatet visade att ledarna uppfattar sitt ledarskap i relation till de anställdas hälsa på olika sätt dock har deltagarna gemensamt att de medvetet och omedvetet arbetar hälsofrämjande i sitt ledarskap.

    Fulltekst (pdf)
    Ledares syn på sitt ledarskap i relation till de anställdas hälsa
  • 247.
    Julià, Mireia
    et al.
    Universitat Pompeu Fabra, Barcelona, Spain.
    Ollé-Espluga, Laia
    Universitat Pompeu Fabra, Barcelona, Spain.
    Vanroelen, Christophe
    Universitat Pompeu Fabra, Barcelona, Spain.
    De Moortel, Deborah
    Vrije Universiteit Brussel.
    Mousaid, Sarah
    Vrije Universiteit Brussel.
    Vinberg, Stig
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Puig-Barrachina, Vanessa
    Agència de Salut Pública de Barcelona.
    Sánchez, Esther
    Agència de Salut Pública de Barcelona.
    Muntaner, Carles
    Universitat Pompeu Fabra, Barcelona, Spain and Division of Social and Behavioural Health Sciences, University of Toronto, Canada.
    Artazcoz, Lucia
    Agència de Salut Pública de Barcelona.
    Benach, Joan
    Universitat Pompeu Fabra, Barcelona, Spain.
    Employment and Labor Market Results of the SOPHIE Project: Concepts, Analyses, and Policies2017Inngår i: International Journal of Health Services, ISSN 0020-7314, E-ISSN 1541-4469, Vol. 47, nr 1, s. 18-39Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article reports evidence gained by the SOPHIE Project regarding employment and labor market-related policies. In the first step, quality of employment and of precarious and informal employment in Europe were conceptualized and defined. Based on these definitions, we analyzed changes in the prevalence and population distribution of key health-affecting characteristics of employment and work between times of economic prosperity and economic crisis in Europe and investigated their impact on health outcomes. Additionally, we examined the effects of several employment and labor market-related policies on factors affecting health equity, including a specific analysis concerning work-related gender equity policies and case studies in different European countries. Our findings show that there is a need to standardize definitions and indicators of (the quality of) employment conditions and improve information systems. This is challenging given the important differences between and within European countries. In our results, low quality of employment and precarious employment is associated with poor mental health. In order to protect the well-being of workers and reduce work-related health inequalities, policies leading to precarious working and employment conditions need to be suspended. Instead, efforts should be made to improve the security and quality of employment for all workers.

  • 248.
    Junehag, Lena
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Svedlund, Marianne
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    A qualitative study: Perceptions of the psychosocial consequences and access to support after an acute myocardial infarction2014Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 30, nr 1, s. 22-30Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The aim of this study was to describe individuals' perceptions of the psychosocial consequences of an acute myocardial infarction (AMI) and of their access to support one year after the event. Methods: The study included 20 participants (14 men and six women) who lived in rural areas and had experienced their first AMI. Eleven were offered contact with a mentor. The participants were interviewed one year after their AMI. Results: The findings are presented in three themes: having a different life, having to manage the situation and having access to support, with 11 subthemes. During their recovery, the participants experienced psychosocial consequences, consisting of anxiety and the fear of being afflicted again. Most mentees appreciated their mentor and some of those without mentors wished they had received organised support. Participants were often more dissatisfied than satisfied with the follow-up provided during recovery. Conclusions: After an AMI, follow-up is important during recovery, but the standardised information provided is inadequate. During recovery, people need help dealing with existential crises. After discharge, receiving peer support from lay people with similar experiences could be valuable. The knowledge gleaned from this study could be used in education at coronary care units and in health care outside the hospital setting. © 2013 Elsevier Ltd.

  • 249.
    Jung, Karin
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Finns associationer mellan fysisk aktivitetsnivå repsektive grad av självtillit ohc fysiska symtom hos ungdomar?2015Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
  • 250.
    Jung, Karin
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Predictors increase in physical activity level in adolescents: a two-year prospective study2015Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
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