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  • 301.
    Kovacs, Judit
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Vårdpersonalens inställning till psykospatienternas rökning2014Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 302.
    Kristensson, Ulrika
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Medvetenhet om påverkbara risk- och skyddsfaktorer för bröstcancer En kvanitativ studie.2016Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 303.
    Kvamme, Brita Odland
    et al.
    Univ Hosp North Norway, Div Addict & Specialized Psychiat, N-9291 Tromso, Norway..
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad. Mid Sweden Univ, Dept Nursing Sci, Sundsvall, Sweden..
    Bjerke, Trond Nergaard
    Univ Hosp North Norway, Psychiat Res Ctr Northern Norway, N-9291 Tromso, Norway..
    Drinking resumption: problematic alcohol use relapse after rehabilitation. A phenomenological hermeneutical perspective2015Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, nr 4, s. 716-723Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The majority of patients being treated for alcohol abuse disorders experience one or more relapses after treatment. The fact that people use this inebriant in a way leading to so much harm and suffering might seem a conundrum. Therapists, family and others might find the person's relapse to be dramatic and upsetting, and one might question whether the person has the sufficient will or motivation to change. However, few previous studies have explored relapse from the patient's perspective. The aim of this study was to illuminate the patient's lived experience of relapse and to develop a deeper understanding of this phenomenon. The study consisted of qualitative interviews using a phenomenological hermeneutical approach. Three main themes emerged from the analyses: 'craving', 'self-image' and 'time'. The findings were discussed in the context of phenomenological literature. Cravings could occur unpredictably; nevertheless, craving was a common experience for the patients and signified a risk of relapse. Bodily experiences of craving were frequently mentioned, and alcohol addiction could be understood as to be a disease or a learned habit. Self-image was, at times, adversely affected by relapse episodes. Therefore, feelings of shame, self-respect and recognition were significant concepts. This study found that the perception of time as past, present and future greatly influenced the participants' experiences of relapse and rehabilitation. Thus, relapse was an upsetting and dramatic experience that could cause great discomfort and sometimes life-threatening situations. However, relapse could also be viewed as a planned event. This study highlights important truth and reality about alcoholism and relapse grounded in people's lived experience.

  • 304.
    Kyu, Hmwe H
    et al.
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Pinho, Christine
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Wagner, Joseph A
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Brown, Jonathan C
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Bertozzi-Villa, Amelia
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Charlson, Fiona J
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Coffeng, Luc Edgar
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Dandona, Lalit
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Erskine, Holly E
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Ferrari, Alize J
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Fitzmaurice, Christina
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Fleming, Thomas D
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Forouzanfar, Mohammad H
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Graetz, Nicholas
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Guinovart, Caterina
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Haagsma, Juanita
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Higashi, Hideki
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Kassebaum, Nicholas J
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Larson, Heidi J
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Lim, Stephen S
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Mokdad, Ali H
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Moradi-Lakeh, Maziar
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Odell, Shaun V
    Univ Washington, Med Ctr, Seattle, WA 98195 USA.
    Roth, Gregory A
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Serina, Peter T
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Stanaway, Jeffrey D
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Misganaw, Awoke
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Whiteford, Harvey A
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Wolock, Timothy M
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Wulf Hanson, Sarah
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Abd-Allah, Foad
    Cairo Univ, Dept Neurol, Cairo, Egypt.
    Abera, Semaw Ferede
    Kilte Awlaelo Hlth & Demog Surveillance Site, Mekelle, Ethiopia.
    Abu-Raddad, Laith J
    Weill Cornell Med Coll Qatar, Infect Dis Epidemiol Grp, Doha, Qatar.
    AlBuhairan, Fadia S
    King Saud bin Abdulaziz Univ Hlth Sci, King Abdullah Specialized Childrens Hosp, Riyadh, Saudi Arabia.
    Amare, Azmeraw T
    Univ Groningen, Univ Med Ctr Groningen, Dept Epidemiol, Groningen, Netherlands.
    Antonio, Carl Abelardo T
    Univ Philippines, Coll Publ Hlth, Dept Hlth Policy & Adm, Manila, Philippines.
    Artaman, Al
    Barker-Collo, Suzanne L
    Univ Auckland, Sch Psychol, Auckland 1, New Zealand.
    Barrero, Lope H
    Pontificia Univ Javeriana, Sch Engn, Dept Ind Engn, Bogota, Colombia.
    Benjet, Corina
    Natl Inst Psychiat Ramon de la Fuente, Mexico City, DF, Mexico.
    Bensenor, Isabela M
    Univ Sao Paulo, Sao Paulo, Brazil.
    Bhutta, Zulfiqar A
    Aga Khan Univ, Med Ctr, Karachi, Pakistan.
    Bikbov, Boris
    AI Evdokimov Moscow State Univ Med & Dent, Moscow, Russia.
    Brazinova, Alexandra
    Int Neurotrama Res Org, Vienna, Austria.
    Campos-Nonato, Ismael
    Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico.
    Castañeda-Orjuela, Carlos A
    Inst Nacl Salud, Colombian Natl Hlth Observ, Bogota, Colombia.
    Catalá-López, Ferrán
    Ottawa Hosp Res Inst, Clin Epidemiol Program, Ottawa, ON, Canada.
    Chowdhury, Rajiv
    Univ Cambridge, Dept Publ Hlth & Primary Care, Cambridge, England.
    Cooper, Cyrus
    Univ Southampton, MRC Lifecourse Epidemiol Unit, Southampton, England.
    Crump, John A
    Univ Otago, Dunedin Sch Med, Ctr Int Hlth, Dunedin, New Zealand.
    Dandona, Rakhi
    Publ Hlth Fdn India, New Delhi, India.
    Degenhardt, Louisa
    Univ New S Wales, Natl Drug & Alcohol Res Ctr, Sydney, NSW, Australia.
    Dellavalle, Robert P
    Univ Colorado, Sch Med, Aurora, CO USA.
    Dharmaratne, Samath D
    Univ Peradeniya, Fac Med, Dept Community Med, Peradeniya, Sri Lanka.
    Faraon, Emerito Jose A
    Univ Philippines, Coll Publ Hlth, Dept Hlth Policy & Adm, Manila, Philippines.
    Feigin, Valery L
    Auckland Univ Technol, Natl Inst Stroke & Appl Neurosci, Auckland, New Zealand.
    Fürst, Thomas
    Univ London Imperial Coll Sci Technol & Med, Dept Infect Dis Epidemiol, London, England.
    Geleijnse, Johanna M
    Wageningen Univ, Div Human Nutr, NL-6700 AP Wageningen, Netherlands.
    Gessner, Bradford D
    Agence Med Prevent, Paris, France.
    Gibney, Katherine B
    Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia.
    Goto, Atsushi
    Tokyo Womens Med Univ, Dept Publ Hlth, Tokyo, Japan.
    Gunnell, David
    Univ Bristol, Sch Social & Community Med, Bristol, England.
    Hankey, Graeme J
    Univ Western Australia, Sch Med & Pharmacol, Perth, WA 6009, Australia.
    Hay, Roderick J
    Int Fdn Dermatol, London, England.
    Hornberger, John C
    Cedar Associates, Menlo Pk, CA USA.
    Hosgood, H Dean
    Albert Einstein Coll Med, Bronx, NY 10467 USA.
    Hu, Guoqing
    Cent S Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Changsha 410083, Peoples R China.
    Jacobsen, Kathryn H
    George Mason Univ, Fairfax, VA 22030 USA.
    Jayaraman, Sudha P
    Virginia Commonwealth Univ, Dept Surg, Richmond, VA 23284 USA.
    Jeemon, Panniyammakal
    Ctr Chron Dis Control, New Delhi, India.
    Jonas, Jost B
    Heidelberg Univ, Med Fac Mannheim, Dept Ophthalmol, Mannheim, Germany.
    Karch, André
    Helmholtz Ctr Infect Res, Epidemiol & Stat Methods Res Grp, Braunschweig, Germany.
    Kim, Daniel
    Northeastern Univ, Dept Hlth Sci, Boston, MA 02115 USA.
    Kim, Sungroul
    Soonchunhyang Univ, Seoul, South Korea.
    Kokubo, Yoshihiro
    Natl Cerebral & Cardiovasc Ctr, Dept Prevent Cardiol, Suita, Osaka, Japan.
    Kuate Defo, Barthelemy
    Univ Montreal, Sch Publ Hlth, Dept Social & Prevent Med, Montreal, PQ, Canada.
    Kucuk Bicer, Burcu
    Hacettepe Univ, Inst Publ Hlth, Ankara, Turkey.
    Kumar, G Anil
    Publ Hlth Fdn India, New Delhi, India.
    Larsson, Anders
    Uppsala Univ, Dept Med Sci, Uppsala, Sweden.
    Leasher, Janet L
    Nova SE Univ, Coll Optometry, Ft Lauderdale, FL 33314 USA.
    Leung, Ricky
    SUNY Albany, Rensselaer, NY USA.
    Li, Yongmei
    Genentech Inc, San Francisco, CA 94080 USA.
    Lipshultz, Steven E
    Wayne State Univ, Sch Med, Detroit, MI USA.
    Lopez, Alan D
    Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia.
    Lotufo, Paulo A
    Univ Sao Paulo, Sao Paulo, Brazil.
    Lunevicius, Raimundas
    Aintree Univ Hosp Natl Hlth Serv Fdn Trust, Liverpool, Merseyside, England.
    Lyons, Ronan A
    Swansea Univ, Farr Inst, Swansea, W Glam, Wales.
    Majdan, Marek
    Trnava Univ, Fac Hlth Sci & Social Work, Trnava, Slovakia.
    Malekzadeh, Reza
    Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran.
    Mashal, Taufiq
    Minist Publ Hlth, Kabul, Afghanistan.
    Mason-Jones, Amanda J
    Univ York, Dept Hlth Sci, York YO10 5DD, N Yorkshire, England.
    Melaku, Yohannes Adama
    Mekelle Univ, Coll Hlth Sci, Sch Publ Hlth, Mekelle, Ethiopia.
    Memish, Ziad A
    Saudi Minist Hlth, Riyadh, Saudi Arabia.
    Mendoza, Walter
    United Nations Populat Fund, Lima, Peru.
    Miller, Ted R
    Pacific Inst Res & Evaluat, Calverton, MD USA.
    Mock, Charles N
    Univ Washington, Harborview Injury Prevent & Res Ctr, Seattle, WA 98195 USA.
    Murray, Joseph
    Univ Cambridge, Dept Psychiat, Cambridge, England.
    Nolte, Sandra
    Charite, Ctr Internal Med & Dermatol, Dept Psychosomat Med, D-13353 Berlin, Germany.
    Oh, In-Hwan
    Kyung Hee Univ, Sch Med, Dept Prevent Med, Seoul, South Korea.
    Olusanya, Bolajoko Olubukunola
    Ctr Hlth Start Initiat, Ikoyi, Nigeria.
    Ortblad, Katrina F
    Harvard Univ, TH Chan Sch Publ Hlth, Boston, MA 02115 USA.
    Park, Eun-Kee
    Kosin Univ, Coll Med, Dept Med Humanities & Social Med, Busan, South Korea.
    Paternina Caicedo, Angel J
    Univ Cartagena, Cartagena, Colombia.
    Patten, Scott B
    Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada.
    Patton, George C
    Univ Melbourne, Murdoch Childrens Res Inst, Melbourne, Vic, Australia.
    Pereira, David M
    Univ Porto, Fac Farm, Dept Quim, REQUIMTE LAQV,Lab Farmacognosia, Rua Campo Alegre 823, P-4100 Oporto, Portugal.
    Perico, Norberto
    Mario Negri Inst Pharmacol Res, Ist Ricovero & Cura Carattere Sci, Bergamo, Italy.
    Piel, Frédéric B
    Univ Oxford, Dept Zool, S Parks Rd, Oxford, England.
    Polinder, Suzanne
    Univ Med Ctr Rotterdam, Erasmus MC, Dept Publ Hlth, Rotterdam, Netherlands.
    Popova, Svetlana
    Univ Toronto, Ctr Addict & Mental Hlth, Toronto, ON, Canada.
    Pourmalek, Farshad
    Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC V5Z 1M9, Canada.
    Quistberg, D Alex
    Univ Washington, Harborview Injury Prevent & Res Ctr, Seattle, WA 98195 USA.
    Remuzzi, Giuseppe
    Mario Negri Inst Pharmacol Res, Ist Ricovero & Cura Carattere Sci, Ctr Anna Maria Astori, Bergamo, Italy.
    Rodriguez, Alina
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi. Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England.
    Rojas-Rueda, David
    Barcelona Inst Global Hlth ISGlobal, Ctr Res Environm Epidemiol, Barcelona, Spain.
    Rothenbacher, Dietrich
    Univ Ulm, Inst Epidemiol & Med Biometry, D-89069 Ulm, Germany.
    Rothstein, David H
    Women & Childrens Hosp Buffalo, Dept Pediat Surg, Buffalo, NY USA.
    Sanabria, Juan
    Case Western Reserve Univ, Cleveland, OH 44106 USA.
    Santos, Itamar S
    Univ Sao Paulo, Dept Internal Med, Sao Paulo, Brazil.
    Schwebel, David C
    Univ Alabama Birmingham, Birmingham, AL USA.
    Sepanlou, Sadaf G
    Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran.
    Shaheen, Amira
    An Najah Natl Univ, Dept Publ Hlth, Nablus, Israel.
    Shiri, Rahman
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    Shiue, Ivy
    Northumbria Univ, Hlth & Life Sci, Newcastle Upon Tyne NE1 8ST, Tyne & Wear, England.
    Skirbekk, Vegard
    Columbia Univ, New York, NY USA.
    Sliwa, Karen
    Univ Cape Town, Fac Hlth Sci, Hatter Inst Cardiovasc Res Africa, ZA-7925 Cape Town, South Africa.
    Sreeramareddy, Chandrashekhar T
    Int Med Univ, Dept Community Med, Kuala Lumpur 57000, Malaysia.
    Stein, Dan J
    Univ Cape Town, Dept Psychiat, ZA-7925 Cape Town, South Africa.
    Steiner, Timothy J
    Univ London Imperial Coll Sci Technol & Med, Div Brain Sci, London, England.
    Stovner, Lars Jacob
    Norwegian Univ Sci & Technol, Dept Neurosci, N-7034 Trondheim, Norway.
    Sykes, Bryan L
    Univ Calif Irvine, Dept Criminol Law & Soc, Irvine, CA USA.
    Tabb, Karen M
    Univ Illinois, Sch Social Work, Champaign, IL USA.
    Terkawi, Abdullah Sulieman
    Univ Virginia, Dept Anesthesiol, Charlottesville, VA USA.
    Thomson, Alan J
    Adapt Knowledge Management, Victoria, BC, Canada.
    Thorne-Lyman, Andrew L
    Harvard Univ, TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA 02115 USA.
    Towbin, Jeffrey Allen
    Bonheur Childrens Hosp, Memphis, TN USA.
    Ukwaja, Kingsley Nnanna
    Fed Teaching Hosp, Dept Internal Med, Abakaliki, Nigeria.
    Vasankari, Tommi
    UKK Inst Hlth Promot Res, Tampere, Finland.
    Venketasubramanian, Narayanaswamy
    Raffles Hosp, Raffles Neurosci Ctr, Singapore, Singapore.
    Vlassov, Vasiliy Victorovich
    Natl Res Univ Higher Sch Econ, Moscow, Russia.
    Vollset, Stein Emil
    Norwegian Inst Publ Hlth, Oslo, Norway.
    Weiderpass, Elisabete
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
    Weintraub, Robert G
    Univ Melbourne, Melbourne, Vic, Australia.
    Werdecker, Andrea
    Fed Inst Populat Res, German Natl Cohort, Competence Ctr Mortal Follow Up, Wiesbaden, Germany.
    Wilkinson, James D
    Wayne State Univ, Sch Med, Detroit, MI USA.
    Woldeyohannes, Solomon Meseret
    Univ Gondar, Inst Publ Hlth, Dept Epidemiol & Biostat, Gondar, Ethiopia.
    Wolfe, Charles D A
    Kings Coll London, Div Hlth & Social Care Res, London WC2R 2LS, England.
    Yano, Yuichiro
    Northwestern Univ, Dept Prevent Med, Chicago, IL 60611 USA.
    Yip, Paul
    Univ Hong Kong, Social Work & Social Adm Dept, Hong Kong, Hong Kong, Peoples R China.
    Yonemoto, Naohiro
    Natl Ctr Neurol & Psychiat, Kodaira, Tokyo, Japan.
    Yoon, Seok-Jun
    Korea Univ, Coll Med, Dept Prevent Med, Seoul 136705, South Korea.
    Younis, Mustafa Z
    Jackson State Univ, Jackson, MS USA.
    Yu, Chuanhua
    Wuhan Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Wuhan 430072, Peoples R China.
    El Sayed Zaki, Maysaa
    Mansoura Fac Med, Mansoura, Egypt.
    Naghavi, Mohsen
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Murray, Christopher J L
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Vos, Theo
    Univ Washington, Inst Hlth Metr & Evaluat, 2301 Fifth Ave,Ste 600, Seattle, WA 98121 USA.
    Global and National Burden of Diseases and Injuries Among Children and Adolescents Between 1990 and 2013: Findings From the Global Burden of Disease 2013 Study.2016Inngår i: JAMA pediatrics, ISSN 2168-6203, E-ISSN 2168-6211, Vol. 170, nr 3, s. 267-287Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    IMPORTANCE: The literature focuses on mortality among children younger than 5 years. Comparable information on nonfatal health outcomes among these children and the fatal and nonfatal burden of diseases and injuries among older children and adolescents is scarce.

    OBJECTIVE: To determine levels and trends in the fatal and nonfatal burden of diseases and injuries among younger children (aged <5 years), older children (aged 5-9 years), and adolescents (aged 10-19 years) between 1990 and 2013 in 188 countries from the Global Burden of Disease (GBD) 2013 study.

    EVIDENCE REVIEW: Data from vital registration, verbal autopsy studies, maternal and child death surveillance, and other sources covering 14 244 site-years (ie, years of cause of death data by geography) from 1980 through 2013 were used to estimate cause-specific mortality. Data from 35 620 epidemiological sources were used to estimate the prevalence of the diseases and sequelae in the GBD 2013 study. Cause-specific mortality for most causes was estimated using the Cause of Death Ensemble Model strategy. For some infectious diseases (eg, HIV infection/AIDS, measles, hepatitis B) where the disease process is complex or the cause of death data were insufficient or unavailable, we used natural history models. For most nonfatal health outcomes, DisMod-MR 2.0, a Bayesian metaregression tool, was used to meta-analyze the epidemiological data to generate prevalence estimates.

    FINDINGS: Of the 7.7 (95% uncertainty interval [UI], 7.4-8.1) million deaths among children and adolescents globally in 2013, 6.28 million occurred among younger children, 0.48 million among older children, and 0.97 million among adolescents. In 2013, the leading causes of death were lower respiratory tract infections among younger children (905 059 deaths; 95% UI, 810 304-998 125), diarrheal diseases among older children (38 325 deaths; 95% UI, 30 365-47 678), and road injuries among adolescents (115 186 deaths; 95% UI, 105 185-124 870). Iron deficiency anemia was the leading cause of years lived with disability among children and adolescents, affecting 619 (95% UI, 618-621) million in 2013. Large between-country variations exist in mortality from leading causes among children and adolescents. Countries with rapid declines in all-cause mortality between 1990 and 2013 also experienced large declines in most leading causes of death, whereas countries with the slowest declines had stagnant or increasing trends in the leading causes of death. In 2013, Nigeria had a 12% global share of deaths from lower respiratory tract infections and a 38% global share of deaths from malaria. India had 33% of the world's deaths from neonatal encephalopathy. Half of the world's diarrheal deaths among children and adolescents occurred in just 5 countries: India, Democratic Republic of the Congo, Pakistan, Nigeria, and Ethiopia.

    CONCLUSIONS AND RELEVANCE: Understanding the levels and trends of the leading causes of death and disability among children and adolescents is critical to guide investment and inform policies. Monitoring these trends over time is also key to understanding where interventions are having an impact. Proven interventions exist to prevent or treat the leading causes of unnecessary death and disability among children and adolescents. The findings presented here show that these are underused and give guidance to policy makers in countries where more attention is needed.

  • 305.
    Kärrholm, Jenny
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Ekholm, Karolina
    Department of Economics, Stockholm School of Economics, Stockholm.
    Jakobsson, Björn
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Ekholm, Jan
    Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Schüldt Ekholm, Kristina
    Section for Rehabilitation Medicine, Department of Public Health Sciences, Karolinska Institutet, Stockholm.
    Effects on work resumption of a co-operation project in vocational rehabilitation: Systematic, multi-professional, client-centred and solution-oriented co-operation2006Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 28, nr 7, s. 457-467Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The present aim was to evaluate the effect of systematic multi-professional co-ordinated rehabilitation (the Stockholm Co-operation Project) on the number of days' sick leave during the first and second half-years after the rehabilitation co-ordination period, compared to the year before. Another aim was to evaluate the economic effects at national level. METHOD: A matched-pairs design was used. The study group was based on 64 rehabilitees employed by a public employer in Stockholm, who took part in a systematic multi-professional co-operation project. To obtain pairs, the 64 individuals were individually matched with 64 people who received conventionally organised rehabilitation. Thus, there were 128 subjects altogether. RESULTS: The study group had substantially less sick leave days per month than the comparison group during the second half-year after the rehabilitation co-ordination period. The effect was even greater in a subgroup with more previous sick leave. During the first half-year after the intervention the comparison group had relatively more sick leave. No effect was found for a subgroup with less previous sick leave. The economic benefit of the intervention was estimated to 1,278 euros per month and person based on the whole group, and to 2,405 euros per month and person based on those with more sick leave. CONCLUSIONS: People who undergo co-ordinated rehabilitation have more working days after the intervention period than those with conventional rehabilitation. This way for rehabilitation actors to co-operate gives better outcomes for rehabilitation cases with long previous sick leave, but not for cases with less previous sick leave. It also generates economic gains at several levels.

  • 306.
    Kärrholm, Jenny
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Karolina
    Jakobsson, Björn
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Schüldt Ekholm, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Systematic co-operation between employer, occupational health service and social insurance office: A 6-year follow-up of vocational rehabilitation for people on sick-leave, including economic benefits2008Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 40, nr 8, s. 628-636Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To evaluate the effects of systematic co-operation among municipal employees on the number of sick-leave days per month and the type of benefit granted by the Social Insurance Office. A further aim was to evaluate the economic consequences for society.Design: A 6-year follow-up study with a matched-pairs design.Methods: Days on sick-leave were calculated for each subject one year before the intervention started and yearly for the following 6-year period. Statistical mixed-model analysis was used. The economic benefit of the intervention was estimated as the increased production stemming from fewer days on sick-leave.Subjects: Sixty-four employees on long-term sick-leave were individually matched with controls from another Social Insurance Office in a county with a socioeconomic structure similar to that of the study group.Results: The study group had 5.7 fewer days on sick-leave per month and person over the 6-year period (p=0.003). The estimated average economic benefit of the intervention was (sic)36,600 per person over the 6-year period. In conclusion, those who received systematic co-operation in vocational rehabilitation had fewer days on sick-leave than their "treatment-as-usual" peers. This effect persisted over 6 years, generating substantial net economic gains for society.

  • 307.
    Kärrholm, Jenny
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Jakobsson, Björn
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Schuldt Håård, Ulrika
    Ekholm, Jan
    Schuldt Ekholm, Krstina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    The views of sick-listed employees' immediate superiors on co-operation in vocational rehabilitation.2007Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 29, nr 2, s. 101-111Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The purpose of this research was to investigate the views of sick-listed employees' immediate superiors on co-operation in vocational rehabilitation before and during a systematic, multi-professional, client-centred, solution-oriented co-operation project in vocational rehabilitation (SMVR intervention). METHOD: A same-subject study with a questionnaire was used, with 95 immediate superiors giving their views on co-operation both before and during the SMVR intervention. RESULTS AND CONCLUSIONS: The immediate superiors felt that the SMVR intervention was successful in promoting co-operation, and reported a significant decrease in referrals of employees from one organisation to another without the problem being resolved. Hence SMVR co-operation was experienced positively by the immediate superiors and in fact led to a joint responsibility in finding solutions. The immediate superiors saw greater possibilities than before for employees to resume regular or other jobs during the SMVR intervention. A more elaborate co-operation model such as the SMVR intervention increased the immediate superiors' experience of successful vocational rehabilitation. Organizations seeking to increase efficiency in vocational rehabilitation might well analyse their work methods and improve their forms of co-operation.

  • 308.
    Kärrholm, Jenny
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Jakobsson, Björn
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Schüldt, U.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, J.
    Utvärdering av Stockholmsprojektet 5: En registerstudie av ohälsa hos anställda som genomgått rehabilitering i samverkan inom Stockholmsprojektet.2000Rapport (Annet vitenskapelig)
  • 309.
    Landgren, Anton
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Personalens uppfattning om rökavvänjning bland patienter med schizofreni.2015Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 310.
    Landgren, Anton
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Supportive factors for tobaccor cessation: A study on Swedish certiified tobacco cessation counsellors2018Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
  • 311.
    Landstad, Bodil
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jenny
    Schuldt, K.
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Health-related quality of life in women at work despite ill-health. A prospective, comparative study of hospital cleaners/home-help staff before and after staff support2000Inngår i: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 23, nr 2, s. 91-101Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aims of this prospective, non-randomized, comparative study were to elucidate how 99 female hospital cleaners and home-helps, at work despite ill-health, experienced their quality of life, and to study whether this was affected by a particular programme of staff support. The SF-36 questionnaire was used. This contains questions on physical, mental and social health status. Health status, i.e. experienced health, was assessed by the respondents themselves. Low quality of life relating to the dimensions bodily pain, general health perceptions and vitality proved to apply both to the hospital cleaners and the home-help staff, compared to a normal Swedish female population. No significant differences between the intervention group and the reference group were demonstrated among either the cleaners or the home-helps. Following the intervention/period of customary measures, experienced quality of lift was somewhat changed in the groups compared with the normal Swedish female population. This may indicate a certain unspecific improvement in experienced quality of life in both the intervention groups and the reference groups.

  • 312.
    Landstad, Bodil J
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hedlund, Marianne
    Högskolen i Nord-Tröndelag.
    Wendelborg, Christian
    NTNU.
    Brattaas, Hilfrid V
    Högiskolen i Nord-Tröndelag.
    Long-term sick workers experience of professional support for re-integration back to work.2009Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 32, nr 1, s. 39-48Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In recent years researchers have tried to identify important factors that can explain re-integration to work for workers on long-term sick leave. The results indicate that multiple factors can explain whether or not people return to work. The aim of the study was to investigate long-term sick workers' experience of professional support for re-integration to work. Participants were drawn from the database of The National Social Insurance Board in Norway. A random sample was selected of persons with mental illness or musculoskeletal disorders (either p- or 1-diagnosis/symptoms related to International Classification in Primary Care), who were in receipt of Rehabilitation allowance. The questionnaire was sent to 1 493 persons of whom 740 responded. The most significant finding is that work training/mastering actions were identified by the majority of the rehabilitation benefit recipients as being of slight or moderate use. This highlights the importance of work training/mastering actions being relevant in proportion to the specific situation the individual is presently within. Delays in waiting for treatment attributed to approximately half of the rehabilitation benefit recipient's problems returning to work. This study also highlights that rehabilitation benefit recipients   experience loss of co-ordinated measures from those who are supposed to   contribute to simplifying their return to work.

  • 313.
    Landstad, Bodil
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Wendelborg, C
    Department of Social Work and Health Science, Norwegian University of Technology and Science, Trondheim, Norway.
    Hedlund, M
    Faculty of Health Science, Nord-Trøndelag University College, Levanger, Norway.
    Factors explaining return to work for long-term sick workers in Norway2009Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 31, nr 15, s. 1215-1226Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose. This study investigates factors that will affect the chances of long-term sick workers returning to work.

    Method. The study is based on a representative sample of persons with mental illnesses and musculoskeletal disorders who received a rehabilitation allowance in Norway in 2002. Their occupational status in 2005 and experiences from the rehabilitation process were charted through their responses to a questionnaire in combination with national register data. Our analytical framework is based on three domains: the medical domain, the domain of authoritative bodies and the production domain (working life), as described by Lindqvist (Att satta granser: organisationer och reformer i arbetsrehabiliteringen. Umea: Borea; 2000).

    Results. Our main findings are that earlier work experience, age and other members in household, in addition, to influence over one's own rehabilitation process explains whether workers on long-term sick leave return to work. Furthermore, individual factors such as gender and diagnosis (i.e. musculoskeletal disorder and mental illness) do not explain the probability to return to work. Experience and contact with representatives of the medical, the authoritative bodies and the production domain only explain to a small extent the probability to return to work. It is even interesting to note that regular contact with the social insurance office (SIO) has a negative effect on the probability to return to work. This may indicate that contact with the SIO subjects sick workers to a risk of developing a 'social insurance career' to secure their income.

    Conclusions. The findings show that the medical, the authoritative bodies and the production domain might represent different logics that can pull a sick worker in different directions during the rehabilitation process. However, these different logics do not fully explain, which outcome a rehabilitation process takes. It is important to extend the analysis to include how the individuals respond to these logics during the rehabilitation process.

  • 314.
    Landstedt, Evelina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    "Det viktigaste är hur man har det runtomkring sig och det bemötande man får" - En intervjustudie ur ett genusperspektiv om livsvillkorens betydelse för gymnasieungdomars psykiska hälsa : D-uppsats Malmö2005Annet (Annet vitenskapelig)
    Abstract [sv]

    Det finns ett genusmönster i ungdomars psykiska hälsa där unga tjejers situation är sämre än unga killars. Bakgrunden till denna studie är att det saknas kunskap om hur detta mönster är relaterat till ungdomars livsvillkor. Uppsatsens syfte är att, ur ett genusperspektiv, synliggöra och öka kunskapen om livsvillkorens betydelse för gymnasieungdomars psykiska hälsa. Genus utgör uppsatsens centrala analytiska begrepp. Studien bygger på fokusgruppsintervjuer med gymnasieungdomar om vilka faktorer som de anser vara betydelsefulla för psykisk hälsa. Materialet är analyserat enligt metoden för innehållsanalys. Resultatet visar att för ungdomarna betydelsefulla livsvillkor är: Krav i form av prestationer, utseende, ansvar, relationer och bemötande samt utsatthet för sexuella trakasserier och våld. Det finns könsskillnader i erfarenheterna av dessa livsvillkor. Den genusteoretiska analysen synliggör hur såväl materiella/reella levnadsförhållanden som diskursiva aspekter av genusordningen bidrar till genusmönstren i psykisk hälsa. Uppsatsens huvudsakliga slutsatser är: a) ungdomarna anser att livsvillkor som krav, relationer, sexuella trakasserier och våld har betydelse för psykisk hälsa; b) innebörden och erfarenheterna av dessa är genusrelaterade; samt c) framtida folkhälsovetenskapliga forskning inom fältet bör uppmärksamma de livsvillkor ungdomarna har betonat, anlägga ett genusperspektiv i studier av dem samt utveckla sina metoder. Detta i syfte att skapa kunskap utifrån vilken hälsofrämjande och förebyggande arbete kan utformas.

  • 315.
    Landstedt, Evelina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Life circumstances and adolescent mental health: Perceptions, associations and a gender analysis2010Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Despite a well-documented gender pattern of adolescent mental health, public health research investigating possible influencing factors from a gender-theoretical approach is scarce. This study aimed to explore what factors and circumstances are related to adolescent mental health and to apply a gender analysis to the findings in order to improve the understanding of the relationships between life circumstances and the gendered patterning of mental health among young people.

     

    The study population was 16-19-year-old Swedish students and data was collected by means of focus groups (N=29) and self-administered questionnaires (N=1,663, 78.3% response rate) in school settings. Mental health problems were defined in a broad sense including the adolescents’ own understandings, perceived stress, psychological distress and deliberate self-harm.

     

    The mental health problems of perceived stress, psychological distress and deliberate self-harm were twice as common among girls as boys. The findings suggest that adolescent mental health is associated with the life circumstances of social relationships, demands and responsibility taking and experiences of violence and harassment.  Supportive relationships with friends, family and teachers were found to be of importance to positive mental health, whereas poor social relationships, loneliness and lack of influence were associated with mental health problems.  Perceived demands and responsibility taking regarding school work, relationships, future plans, appearance and financial issues were strongly related to mental health problems, particularly among girls regardless of social class. The results indicate that physical violence, sexual assault, bullying and sexual harassment are severe risk factors for mental health problems in young people. Boys and girls experienced different types of violence, and the victim-perpetrator relationships of physical violence differed. These diverging experiences appeared to influence the associations with mental health problems in boys and girls.

     

    A gender analysis provides the tools to gain knowledge about the ways that boys’ and girls’ lives are shaped by gender relations and constructions at different levels in society and how these life circumstances represent risk- or protective factors for mental health. For example, unequal power structures and the ways girls are expected to ‘do’ femininity likely influence their life circumstances in ways that place them at greater risk of mental health problems. Hegemonic constructions of masculinity and advantaged positions likely contribute to life circumstances that are positive for mental health but are also implying risk factors for poor mental health among boys, e.g., violence. It is also important to recognise how the intertwined cultural and structural aspects of gender and social class influence the lives and mental health of boys and girls. In conclusion, gendered and class-related mechanisms at the different levels in society influence the distribution of risk factors unevenly among boys and girls, which could be a possible explanation for the gender differences in reports of perceived stress, psychological distress and deliberate self-harm.

     

    The likelihood of gender and socioeconomic differences in mental health problems should be taken into account in prevention and health promotion strategies at all levels in society. A greater awareness about gender relations and the gendered social circumstances under which young people live is required. The school environment is an important arena with respect to prevention and health promotion. There is also a need for a joint action against violence and harassment at all levels in society. Implications do not only concern young people; social policy and legislation should focus on reducing gender and class inequalities in general.

    Fulltekst (pdf)
    Landstedt_thesis_kappa
  • 316.
    Landstedt, Evelina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Lyssna på oss! Rapport från en intervjustudie med gymnasieungdomar i Västernorrlands län hösten 20052006Rapport (Annet vitenskapelig)
  • 317.
    Landstedt, Evelina
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gender and adolescent mental health - a focus group study with 16-19 year old students2007Inngår i: 7th Conference on Advances in Health Care Science Research, Karolinska Institutet, Stockholm, 7-8 Nov 2007, 2007Konferansepaper (Fagfellevurdert)
  • 318.
    Landstedt, Evelina
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Understanding adolescent mental health: the influence of social processes, doing gender and gendered power relations2009Inngår i: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566, Vol. 31, nr 7, s. 962-978Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Despite a well-documented gender pattern in adolescent mental health, research investigating possible explanatory factors from a gender-theoretical approach is scarce. This paper reports a grounded theory study based on 29 focus groups. The aim was to explore 16- to 19-year-old students' perceptions of what is significant for mental health, and to apply a gender analysis to the findings in order to advance understanding of the gender pattern in adolescent mental health. Significant factors were identified in three social processes categories, including both positive and negative aspects: (1) social interactions, (2) performance and (3) responsibility. Girls more often experienced negative aspects of these processes, placing them at greater risk for mental health problems. Boys' more positive mental health appeared to be associated with their low degree of responsibility-taking and beneficial positions relative to girls. Negotiating cultural norms of femininity and masculinity seemed to be more strenuous for girls, which could place them at a disadvantage with regard to mental health. Social factors and processes (particularly responsibility), gendered power relations and constructions of masculinities and femininities should be acknowledged as important for adolescent mental health.

     

     

  • 319.
    Landstedt, Evelina
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Deliberate self-harm and associated factors in 17-year-old Swedish students2011Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 39, nr 1, s. 17-25Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Deliberate self-harm (DSH) in young people is an important public health issue. To prevent DSH, more knowledge is needed about its prevalence and associated contextual factors in community samples of adolescents. Aims: To determine the prevalence of deliberate self-harm in 17-year-old Swedish students and to explore the association of demographic variables, psychological distress, experiences of violence, and school-related factors with DSH. Methods: Data were derived from a cross-sectional study in which 17-year-old students completed questionnaires during school hours (n=1,663; 78.3%). The variables used in this analysis are as follows: deliberate self-harm, demographic variables, psychological distress, experiences of violence, and school-related factors. Data were analysed using chi-squared statistics and logistic regression. Results: The lifetime prevalence of DSH was 17%, and it was more common among girls (23.3%) than boys (10.5%). There were considerable socioeconomic differences in reports of DSH. Psychological distress was strongly associated with DSH in both boys and girls, as were experiences of bullying, sexual harassment, physical violence and sexual assault. Social support, safety and academic factors in school were related to reports of DSH in both girls and boys. There were some gender differences with respect to which factors were associated with DSH. Conclusions: Deliberate self-harm is common and more frequently reported by girls than boys. Psychological distress, experiences of different types of violence, and school-related factors (academic, social and safety-related), should be considered risk factors for DSH in young people. Findings can be applied to health-promotion policy and interventions in various contexts, for example schools.

  • 320.
    Landstedt, Evelina
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Experiences of violence among adolescents: gender patterns in types, perpetrators and associated psychological distress2011Inngår i: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 56, nr 4, s. 419-427Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: To explore the psychological distress associations of experiences of several types of violence and the victim-perpetrator relationship of physical violence, a gender analysis was applied. Methods: Data were derived from a cross-sectional questionnaire study among 17-year-old upper secondary school students (N = 1,663). Variables in focus were: self-reported psychological distress, experiences of physical violence, sexual assault, bullying and sexual harassment. Logistic regressions were used to examine associations. Results: Experiences of physical violence, sexual assault, bullying and sexual harassment were associated with psychological distress in boys and girls. The perpetrators of physical violence were predominately males. Whether the perpetrator was unknown or known to the victim seem to be linked to psychological distress. Victimisation by a boyfriend was strongly related to psychological distress among girls. Conclusions: Experiences of several types of violence should be highlighted as factors associated with mental health problems in adolescents. The victim-perpetrator relationships of violence are gendered and likely influence the psychological distress association. Gendered hierarchies and norms likely influence the extent to which adolescents experience violence and how they respond to it in terms of psychological distress.

  • 321.
    Landstedt, Evelina
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Seventeen and Stressed – Do Gender and Class Matter?2012Inngår i: Health Sociology Review, ISSN 1446-1242, E-ISSN 1839-3551, Vol. 21, nr 1, s. 82-98Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Despite increasing concerns about stress levels in adolescents, knowledge is scarce about what boys and girls from different social backgrounds find stressful. This cross-sectional study explored gender and class patterning of perceived stress and reported stressors in a sample of 1,663 17-year-old Swedish students. The students, especially girls, were highly stressed. No class difference (indicated by educational programme) was found. Performance-related stressors (e.g. school work) and stress due to pressure on looks was mainly patterned by gender (girls), whilst relational stressors were patterned by class (vocational programme students). There was a complex gender and class patterning of stress due to school work and lack of money. The interplay of gender and class inequalities should be acknowledged in identifying determinants of stress in young people. Challenging normative ideals and implementing policies aiming at reducing gender and class inequalities are central components for stress-reducing interventions in, for example, schools.

  • 322.
    Landstedt, Evelina
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Persson, Susanne
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Bullying, cyberbullying, and mental health in young people2014Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 42, nr 4, s. 393-399Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To investigate the factors associated with exposure to in-real-life (IRL) bullying, cyberbullying, and both IRL and cyberbullying and to explore the relationship between these types of bullying and mental health among 13-16-year-old Swedish boys and girls. Methods: Data was derived from a cross-sectional web-based study of 13-16-year-old students in northern Sweden (n=1214, response rate 81.9%). Results: The combination of IRL- and cyberbullying was the most common type of bullying. A non-supportive school environment and poor body image were related to exposure to bullying for both genders but the relationship was more distinct in girls. All types of bullying were associated with depressive symptoms in both boys and girls and all forms of bullying increased the likelihood of psychosomatic problems in girls. Conclusions: Cyberbullying can be seen as an extension of IRL bullying. A combination of IRL- and cyberbullying seems to be particularly negative for mental health. Interventions should focus on improved school environment and body image as well as anti-violence programmes. Gender aspects of bullying need to be acknowledged.

  • 323.
    Landstedt, Everlina
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Enhancing adolescent mental health - understanding the significance of contextual factors and a gender perspective.2006Konferansepaper (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Existing studies show a negative trend in adolescent mental health and a gender pattern where girls in general report more mental health problems. There is a knowledge gap regarding the significance of contextual factors and a lack of qualitative studies. The aim was to explore what conditions upper secondary school adolescents perceive as significant for mental health, analysed from a gender perspective. METHODS: The study was conducted according to grounded theory and consisted of 29 semi-structured, focus group interviews with 16-19 years old adolescents. Data was analysed by constant comparative method. RESULTS: Significant conditions for mental health were identified in three processes comprising what the participants perceived as positive and negative for mental health. These were processes of (i) social interactions, ranging from supportive relations to assault, (ii) performance, ranging from encouraging success to demands and heavy work load, (iii) responsibility, when processes of interaction and performance are intertwined and reinforced. The category of responsibility included processes ranging from limited responsibility taking to responsibility as a burden and lack of control. Mainly girls had experiences of negative aspects of these conditions. CONCLUSION: The adolescents emphasised the significance of contextual factors in general and specifically those concerning relations, treatment, expectations, demands and assault. A gender perspective can contribute to a deeper understanding of gender patterns in adolescent mental health. Different experiences among girls and boys in their everyday life may affect their mental health.Contextual factors, gendered power relations and cultural norms of masculinity and femininity should be acknowledged in mental health promotion and preventive work among adolescents.

  • 324.
    Landström, Camilla
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Mittuniversitetet.
    Känslan av sammahang och hälsofrämjande ledarskap: En kvalitativ studie med kvinnliga ledare inom den privata sektorn2011Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 325. Landström, U
    et al.
    Knutsson, Anders
    Lennernäs, M
    Stenudd, A
    Onset of drowsiness and satiation after meals with different energy contents2001Inngår i: Nutrition and Health, ISSN 0260-1060, Vol. 15, nr 2, s. 87-95Artikkel i tidsskrift (Fagfellevurdert)
  • 326. Landström, U
    et al.
    Knutsson, Anders
    Lennernäs, M
    Söderberg, L
    Laboratory studies of the effects of carbohydrate consumption on wakefulness2000Inngår i: Nutrition and Health, ISSN 0260-1060, Vol. 13, nr 4, s. 213-225Artikkel i tidsskrift (Fagfellevurdert)
  • 327. Landström, Ulf
    et al.
    Knutsson, Anders
    Lennernäs, Maria
    Field studies on the effects of food content on wakefulness2000Inngår i: Nutrition and Health, ISSN 0260-1060, Vol. 14, nr 4, s. 195-204Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The investigation included six drivers engaged in day driving and six drivers engaged in night driving. Changes in wakefulness were analysed by means of a questionnaire where the drivers were asked to rate their wakefulness on a 100 mm rating scale. Changes in wakefulness were analysed during intake of food with higher and lower contents of fat. The day-drivers had their intakes as breakfast and lunch, the night-drivers as dinner and between meals. No significant difference was observed between the two types of intake, meaning that the balance between fat, protein and carbohydrate does not effect the development of drowsiness.

  • 328. Larsson, Agneta
    et al.
    Karlqvist, Lena
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gard, G
    Effects of work ability and health promoting interventions for women with musculoskeletal symptoms: A 9-month prospective study2008Inngår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 9, s. 105-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Women working in the public human service sector in 'overstrained' situations run the risk of musculoskeletal symptoms and long-term sick leave. In order to maintain the level of health and work ability and strengthen the potential resources for health, it is important that employees gain greater control over decisions and actions affecting their health - a process associated with the concept of self-efficacy. The aim of this study was to describe the effects of a self-efficacy intervention and an ergonomic education intervention for women with musculoskeletal symptoms, employed in the public sector.Methods: The design of the study was a 9-month prospective study describing the effects of two interventions, a comprehensive self-efficacy intervention (n = 21) and an ergonomic education intervention ( n = 21). Data were obtained by a self-report questionnaire on health-and work ability-related factors at baseline, and at ten weeks and nine months follow-up. Within-group differences over time were analysed.Results: Over the time period studied there were small magnitudes of improvements within each group. Within the self-efficacy intervention group positive effects in perceived work ability were shown. The ergonomic education group showed increased positive beliefs about future work ability and a more frequent use of pain coping strategies.Conclusion: Both interventions showed positive effects on women with musculoskeletal symptoms, but in different ways. Future research in this area should tailor interventions to participants' motivation and readiness to change.

    Fulltekst (pdf)
    fulltext
  • 329. Leander, Karen
    et al.
    Berlin, Marie
    Danielsson, Maria
    Eriksson, Annika
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hensing, Gunnel
    Krantz, Gunilla
    Swahnberg, Katarina
    Våld2009Inngår i: Folkhälsorapport 2009 / [ed] Socialstyrelsen, Stockholm: Socialstyrelsen , 2009, s. 339-372Kapittel i bok, del av antologi (Annet (populærvitenskap, debatt, mm))
  • 330.
    Leander, Karen
    et al.
    Department of Public Health Science, Karolinska Institutet, deceased.
    Berlin, Marie
    Swedish National Board of Health and Welfare.
    Eriksson, Annika
    National Council for Crime Prevention.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hensing, Gunnel
    Department of Community Medicine and Public Health, Gothenburgh University.
    Krantz, Gunilla
    Department of Community Medicine and Public Health, Gothenburgh University.
    Swahnberg, Katarina
    Department of Clinical and Experimental Medicine, Linköping University.
    Danielsson, Katja
    Swedish National Board of Health and Welfare.
    Violence Health in Sweden: The National Public Health Report 20122012Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 40, nr Supplement 9, s. 229-254Artikkel i tidsskrift (Annet vitenskapelig)
    Fulltekst (pdf)
    fulltext
  • 331.
    Lieblein, Vaiva Sunniva Deraas
    et al.
    Department of Public Health Science, Faculty of Landscape and Society, Norwegian University of Leif Sciences, Ås, Norway.
    Warne, Maria
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Huot, Suzanne
    Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver , Canada.
    Rudman, Debbie Laliberte
    School of Occupational Therapy, University of Western Ontario, London, Canada.
    Raanaas, Ruth Kersti
    Department of Public Health Science, Faculty of Landscape and Society, Norwegian University of Life Sciences, Ås, Norway.
    A photovoice study of school belongingness among high school students in Norway2018Inngår i: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 77, nr 1, artikkel-id 1421369Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Although high school graduation is important for living conditions and health throughoutlife, many students do not complete. In Norway’s northern most county, Finnmark, up to 45% of students do not complete high school. Contrary to prior research that has primarilyfocused on causes for dropout, this study’s aim was to deepen understanding of factors thatsupport high school attendance. A strengths-based participatory approach using photovoiceaddressed attendance factors as perceived by seven participating students from one highschool in Finnmark. Qualitative content analysis of data generated through group dialogueabout participant-generated photos and individual interviews identified six factors importantfor students’ school attendance: a supportive school environment, a good learningenvironment, recuperation and recreation, family and friends, goals and ambitions, andplace attachment. Related aspects of a supportive environment and belongingness, where school staff made important contributions to promoting a positive environment, were essential.

    Fulltekst (pdf)
    fulltext
  • 332.
    Liljemark, Agneta
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Vilka faktorer är viktiga för att lärare skall trivas på arbetsplatsen?2011Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    FULLTEXT01
  • 333. Linder, Juergen
    et al.
    Schüldt Ekholm, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Brodda Jansen, G
    Lundh, Göran
    Ekholm, Jan
    Long-term sick-leavers with difficulty in resuming work: comparisons between psychiatric-somatic co-morbidity and monodiagnosis2009Inngår i: International Journal of Rehabilitation Research, ISSN 0342-5282, E-ISSN 1473-5660, Vol. 32, nr 1, s. 20-35Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The number of patients with difficulty in resuming work after long-term sick leave has increased in several European countries including Sweden. The general aim of this study was a comprehensive description - based on multidisciplinary diagnostics and assessments - of patients with the common feature of marked difficulty in resuming working life after a long absence. A particular aim was to elucidate the possible effect of comorbidity on pain descriptors, disability, quality of life, assessed working ability and rehabilitation needs. Six hundred and thirty-five long-term sick leavers were referred from National Insurance Offices and consecutively accepted for investigation. Several self-report questionnaires were used. All patients were examined by three board-certified specialist physicians in psychiatry, orthopaedic surgery and rehabilitation medicine, respectively. Fifty-five percent of the patients had psychiatric-somatic comorbidity. The three most frequent combinations of diagnoses in the comorbidity group were fibromyalgia/myalgia and depressive episode, fibromyalgia/myalgia and recurrent depression, spinal pain and depressive episode, whereas the three most frequent in those with psychiatric diagnosis only were depressive episode, recurrent depression, phobias/anxiety. Differences in pain descriptors and in difficulties with activities were found among the three groups. All had lower health-related quality of life than references. Only one-sixth had no assessed working capacity and only 3% were assessed as able to resume work without rehabilitation; 80% were multidisciplinarily assessed as needing rehabilitation. Patients with psychiatric diagnoses, with or without concomitant somatic diagnoses, need medical rehabilitation or medical/vocational rehabilitation in combination to a greater extent than patients with somatic diagnoses only. This implies that medical rehabilitation programmes ought to adapt increasingly to the needs of patients with psychiatric-somatic comorbidity.

  • 334.
    Linder, Jurgen
    et al.
    Dept Clin Neurosci, Div Insurance Med, Stockholm, Sweden.
    Jansen, Gunilla Brodda
    Karolinska Inst, Danderyd Univ Hosp, Dept Clin Sci, Div Rehabil Med, Stockholm, Sweden.
    Schüldt-Ekholm, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Ekholm, Jan
    Karolinska Inst, Danderyd Univ Hosp, Dept Clin Sci, Div Rehabil Med, Stockholm, Sweden.
    RELATIONSHIP BETWEEN SLEEP DISTURBANCE, PAIN, DEPRESSION AND FUNCTIONING IN LONG-TERM SICK-LISTED PATIENTS EXPERIENCING DIFFICULTY IN RESUMING WORK2014Inngår i: JOURNAL OF REHABILITATION MEDICINE, ISSN 1651-2081, Vol. 46, nr 8, s. 798-805Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To describe the frequency of reported sleeping, depression and pain problems, the severity of these problems and the degree of self-estimated difficulties in mental functions and activities in relation to the sleep disturbance and pain category group in patients on long-term sick-leave. Design: Cross-sectional study. Patients: A total of 1206 patients experiencing difficulty in resuming work. Methods: Patient examinations by specialists in psychiatry, orthopaedic surgery and rehabilitation medicine. Validated questionnaires, including status regarding depression, sleep, pain and functioning were used. Results: The prevalence of sleep disturbance was 83%; 74% of the patients with moderate/severe sleep disturbance also had moderate/severe pain problems and 26% had no/mild pain problems. Fifty-seven percent of the patients with no/mild sleep disturbance and 83% of the patients with moderate/severe sleep disturbance also had depression. The degree of difficulty in performing the 6 selected International Classification of Functioning, Disability and Health activities and mental functions was higher for the category with moderate/severe sleep problems, compared with those with no/mild sleep problems. Conclusion: To optimize rehabilitation for patients on long-term sick-leave experiencing difficulties in returning to work, the results indicate a need also to focus attention on sleep problems and not only on pain and depression. This may entail the planning of measures to improve decision-making and concentration and alleviate lassitude, fatigability, sadness and pessimistic thoughts.

  • 335.
    Lindert, Jutta
    et al.
    Protestant Univ Ludwigsburg, Dept Publ Hlth Sci, Ludwigsburg, Germany .
    Barros, H.
    Univ Porto, Sch Med, Dept Clin Epidemiol Predict Med & Publ Hlth, P-4100 Oporto, Portugal .
    Stankunas, M.
    Kaunas Univ Med, Dept Hlth Management, Kaunas, Lithuania .
    Torres-Gonzales, F.
    Univ Granada, Dept Sect Psychiat & Psychol Med, E-18071 Granada, Spain .
    Ioannidi, E.
    Natl Inst Hlth & Sci Aging INRCA, Socio Econ Res Ctr, Ancona, Italy .
    Melchiore, G.
    Natl Sch Publ Hlth, Dept Sociol, Athens, Greece .
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Domestic violence in late life and health and social care needs2012Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 22, nr Suppl 2, s. 70-70Artikkel i tidsskrift (Annet vitenskapelig)
  • 336.
    Lindgren, Emma
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Equity in dementia care focusing on immigrants in Sweden: a nationwide register-based study.2016Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
  • 337.
    Lindh, Maja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Kubanska jordbrukares upplevelse av sin arbetssituation på ekologiska jordbruk2011Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 338.
    Lindroth, Malin
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Hälsa och anställningsbarhet hos deltagare i en arbetsmarknadspolitisk åtgärd - En kvalitativ studie om personalens upplevelser.2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 339.
    Lindström, Birgitta
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Kartläggning av fallolyckor bland äldre i Sveriges kommuner och län.Har hemsjukvårdens driftsform och rehabiliteringsresurser något samband med antalet fallolyckor bland äldre?2015Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 340.
    Lindström, Sara
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Onelinespelet World of Warcraft En kvantitativ studie om dataspelsproblem samt hälsokonsekvenser bland svenska spelare.2014Independent thesis Basic level (university diploma), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 341.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Hofman-Bang, Claes
    Nordlander, Rolf
    Rydén, Lars
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Öhman, Arne
    Nygren, Åke
    Multifactorial evaluation of a program for lifestyle behavior change in rehabilitation and secondary prevention of coronary artery disease1999Inngår i: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 33, nr 1, s. 9-16Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A comprehensive, multifactorial lifestyle behavior change program was developed for rehabilitation and secondary prevention of subjects with coronary artery disease. The purpose of the present report is to describe this intervention model and to analyze results achieved in a first group of consecutive participants. Main inclusion criteria for the 292 subjects were a recent history of acute myocardial infarction, coronary artery bypass surgery, or percutaneous transluminal coronary angioplasty. The program commenced with a 4-week residential stay, with the focus on health education and the achievement of behavior change in major lifestyle areas. During the year of follow-up a systematic maintenance program included regular contact with a nurse. Morbidity and mortality was low. Self-reported quality of life improved and there were significant improvements in blood lipids, exercise capacity and body mass index. There were also significant changes both in psychological variables such as Type A behavior, anger, hostility, and in major lifestyle areas such as stress reactions, diet, exercise and smoking. These changes compared favorably with data from relevant samples from the Swedish normal population. This program had a considerable effect on a number of important factors for rehabilitation and secondary prevention of coronary artery disease.

  • 342.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Schill, Ulla
    Lisstilsförändring vid primärprevention och rehabilitering av kranskärlssjukdom2004Inngår i: Den hälsosamma arbetsplatsen: från analys till åtgärd, Karlstad: Stress Management Center , 2004, s. 384-Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 343.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Hofman-Bang, Claes
    Nordlander, Rolf
    Nygren, Åke
    Rydén, Lars
    Öhman, Arne
    Behavioral effects of a comprehensive, multifactorial program for lifestyle change after percutaneous transluminal coronary angioplasty: A prospective, randomized, controlled study1999Inngår i: Journal of Psychosomatic Research, ISSN 0022-3999, Vol. 46, nr 2, s. 143-154Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A group of 93 coronary patients recently treated with percutaneous transluminal coronary angioplasty (PTCA) were randomly assigned to either an intervention or a control group. Subjects in the intervention group participated in a comprehensive behaviorally oriented program aimed at achieving significant long-term changes in risk factor–related lifestyle behavior. Assessments of lifestyle behaviors, psychological factors, biological risk factors, and rehabilitation as well as secondary prevention endpoints were carried out, at inclusion and after 12 months. Results showed that the intervention patients, as compared with controls, improved significantly on measures assessing smoking, exercise, and diet habits. These self-rated changes were confirmed by weight reductions and improved exercise capacity, as well as by between-group differences in subclinical chest pain during an exercise test. However, few effects were found on the different psychological variables, as well as on morbidity or return to work.

  • 344.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Söderman, Eva
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Nygren, Åke
    The effects on and off depression: An Exploratory Study of Rehabilitation and Secondary Prevention in Coronary Artery Disease1999Inngår i: Scandinavian Journal of Behaviour Therapy, ISSN 0284-5717, Vol. 28, nr 1, s. 9-18Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Forty consecutive participants in a comprehensive, behaviourally oriented coronary rehabilitation and secondary prevention program were followed for three years. Changes in depression (as measured with the Beck Depression Inventory) as well as the influence of baseline levels of depression on achieved changes in lifestyle behaviour and on rehabilitation and secondary prevention effects were analyzed. Subjects with moderate levels of baseline depression experienced short-term reductions of depression, which was maintained at the 12-month follow-up. Clinically depressed subjects experienced less positive results, with smaller immediate reductions as well as relapse to baseline levels after 12 months, specifically in non-physical, cognitive-affective depression symptoms. There were, however, no differences in lifestyle changes or in hospital treatment between groups with different pre-treatment depression levels. These results are discussed in relation to earlier research on the detrimental effects of depression on the prognosis of coronary artery disease.

  • 345.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Öhman, A
    Nygren, Å
    Livsstilsförändring hos hjärtsjuka ur LO-kollektivet - Ett-års resultat av en prospektiv, randomiserad utvärderingsstudie: 5:e Nordiska kongressen i hjärtrehabilitering, Skellefteå, juni 19991999Konferansepaper (Annet vitenskapelig)
  • 346.
    Lobosco, Hanna
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    How do nurses search for information about immunizations?: A quantative study about searching behavior and main sources2014Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
  • 347.
    Lobosco, Hanna
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Implementation of international strategies against antimicrobial resistance: a review of scientific literature and the case of Brazil2012Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Antimicrobial resistance (AMR) is a growing problem around the world. To meet the threat of a futurewithout effective treatment of infection, WHO and other authorities have published strategies and actionplans. However, it is unclear to what extent they have been implemented. As the seventh wealthiesteconomy in the world, Brazil could serve as a role model for other fast developing countries in the battleagainst AMR. The objective of this study was to investigate if and how implementation of internationalAMR strategies is addressed in literature, and to describe how such guidelines have been implemented inBrazil. The study was carried out as a literature review of scientific articles and of documents published byBrazilian authorities. In the scientific literature great importance was given to a multidisciplinary approachand to surveillance, with a special emphasis on local data. Brazilian documents showed a focus on healthcare settings and on actions concerning surveillance. Many tools were in place, such as networks and legalframework. Using local data, identifying measures most important for the target group and thenimplementing them, was considered most important. Generally, there was a lack of assessments. Brazil stillhas a long way to go, but has started out well with its focus on surveillance.

    Fulltekst (pdf)
    LOBOSCO_Implementation-AMR-strategies_June2012
  • 348.
    Lundberg, Olle
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Små välfärdsresurser ger sämre hälsa2011Inngår i: Tvärsnitt, ISSN 0348-7997, nr 3-4, s. 52-55Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 349.
    Lundholm, Elisabeth
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Organisationskultur i Landstinget och mentalt välbefinnande: Hur aspekter av organisationskultur i Landstinget upplevs influera äldre kvinnliga medarbetares mentala välbefinnande2018Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 350.
    Lundström, Tomas
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    The impact of Global Health Initiatives and HIV and AIDS Programs on the Zambian Health System2012Independent thesis Advanced level (degree of Master (One Year)), 40 poäng / 60 hpOppgave
    Abstract [en]

    Background: The Human immunodeficiency virus infection (HIV) and Acquired immunodeficiency syndrome (AIDS) epidemic peaked in 1999, which led to an increase in funding by donors and Global Health Initiatives (GHI) to combat the epidemic. This literature review examined how the substantial influx of funding for GHI’s and HIV and AIDS since early 2000 has impacted the health system in Zambia. Method: The method used for the study was a systematic literature review.  Results: There is conflicting views and mixed evidence about whether GHIs and HIV and AIDS initiatives have benefitted the general health system. It is clear that GHIs and HIV and AIDS initiatives have added substantially to the increase in funding for health in Zambia. Furthermore, it seems likely that the special attention put on HIV and AIDS created an exclusive and skewed environment with increased capacity to tackle HIV and AIDS, but with less capacity built for health services in general. In-coming support from Global Health Initiatives and funding for HIV and AIDS in Zambia has to some extent been controlled by and led by the contributing donor, giving the Zambian authorities limited oversight of the resources. Conclusions: The influx of funding for HIV and AIDS has led to increased support for a specific disease, but it has not generated support to the health sector in general. It has also led to a fragmented approach, where HIV and AIDS have fallen outside of the regular coordination of the health sector.

     

    Keywords: Zambia, HIV and AIDS, Health systems, vertical initiatives, strengthening, impact.

    Fulltekst (pdf)
    fulltext
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