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  • 51.
    Bergkvist, Joanna
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Ökade kunskaper främjar dialogen inom organisationerFöretagshälsovårdsanställdas upplevelser av framgångsfaktorer i arbetsmiljöarbete.2016Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 52.
    Bergqvist, Kersti
    et al.
    Centre for Health Equity Studies, Stockholm University, Karolinska Institutet, Stockholm, Sweden .
    Åberg Yngwe, Monica
    Centre for Health Equity Studies, Stockholm University, Karolinska Institutet, Stockholm, Sweden .
    Lundberg, Olle
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. Centre for Health Equity Studies, Stockholm University, Karolinska Institutet, Stockholm, Sweden .
    Understanding the role of welfare state characteristics for health and inequalities - an analytical review2013Inngår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13, s. Art. no. 1234-Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Background: The past decade has witnessed a growing body of research on welfare state characteristics and health inequalities but the picture is, despite this, inconsistent. We aim to review this research by focusing on theoretical and methodological differences between studies that at least in part may lead to these mixed findings. Methods: Three reviews and relevant bibliographies were manually explored in order to find studies for the review. Related articles were searched for in PubMed, Web of Science and Google Scholar. Database searches were done in PubMed and Web of Science. The search period was restricted to 2005-01-01 to 2013-02-28. Fifty-four studies met the inclusion criteria. Results: Three main approaches to comparative welfare state research are identified; the Regime approach, the Institutional approach, and the Expenditure approach. The Regime approach is the most common and regardless of the empirical regime theory employed and the amendments made to these, results are diverse and contradictory. When stratifying studies according to other features, not much added clarity is achieved. The Institutional approach shows more consistent results; generous policies and benefits seem to be associated with health in a positive way for all people in a population, not only those who are directly affected or targeted. The Expenditure approach finds that social and health spending is associated with increased levels of health and smaller health inequalities in one way or another but the studies are few in numbers making it somewhat difficult to get coherent results. Conclusions: Based on earlier reviews and our results we suggest that future research should focus less on welfare regimes and health inequalities and more on a multitude of different types of studies, including larger analyses of social spending and social rights in various policy areas and how these are linked to health in different social strata. But, we also need more detailed evaluation of specific programmes or interventions, as well as more qualitative analyses of the experiences of different types of policies among the people and families that need to draw on the collective resources.

    Fulltekst (pdf)
    fulltext
  • 53.
    Björklund, Malin
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Skolpersonalens erfarenheter av att vara en vuxen förebild för elever i åländska grundskolor - matvanor och fysik aktivitet ur ett hälsoperspektiv.2015Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 54.
    Bodin, Andrea
    et al.
    tillfälligt anställd som forskningsassistent på IHV.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gymnasieelevers arbetsmiljö och hälsa: Rapport från elevenkäten VT 2012, åk 2 Jämtlands gymnasieum.2012Rapport (Annet (populærvitenskap, debatt, mm))
  • 55. Boethius, G.
    et al.
    Landahl, M.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Weimer, Kerstin
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Operation tobacco-free: Offering pre-operative tobacco cessation support to patients a in county-scale projekt - Feasibility aspects2006Inngår i: The 13th World Conference on Tobacco and Health: July 12-15, 2006, Washington, DC, 2006Konferansepaper (Annet vitenskapelig)
  • 56.
    Bolin, Malin
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för samhällsvetenskap.
    Nordin, Maria
    Umeå universitet .
    Do Sex Differences in the Association between Work Exposure and Health in the Manufacturing Industry Depend on Work Context?: Results from the WOLF-Study2014Inngår i: Psychology, ISSN 2152-7180, E-ISSN 2152-7199, Vol. 5, nr 8, s. 896-907Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study is to investigate the associations between work exposure such as psychosocial work factors and work posture, and health in men and women with the same type of occupation in the manufacturing industry. Two follow-ups with a follow-up rate of 67% from the WOrk, Lipids and Fibrinogen (WOLF) cohort from the Northern Sweden were used. The database included 1589 men and 286 women, which is representative of the proportions between men and women in the Swedish manufacturing industry. To be able to understand the importance of work context, the participants were categorized according to work tasks (working with things or symbols). Logistic regression was used for interaction analyses between sex and psychosocial work factors (such as demand, control, social support, role conflict, and work-family conflict) as well as physical work factors (such as work posture), and health outcomes (work overcommitment, fatigue, and neck and back pain). The results showed contextually different patterns of sex different associations between psychosocial work factors and health outcomes. For instance, women were at larger risk of ill-health (in the form of work overcommitment) when working with things, whereas men were at larger risk of both work overcommitment and fatigue when working with symbols. Women working with symbols had a larger risk of neck and back pain due to work-family conflict. The health outcome that was most sensitive to the sex different associations was work overcommitment. In conclusion, the work context matters for sex differences in the association between psychosocial work factors and health and since work overcommitment is a predictor of disease, it should be of interest for the Occupational Health Services and personnel departments to survey.

    Fulltekst (pdf)
    fulltext
  • 57.
    Bolin, Malin
    et al.
    Umeå Universitet.
    Nordin, Maria
    Umeå universitet .
    Hälsa hos kvinnor i industrin: Organisation, arbetsmiljö, yrke och kön2012Rapport (Annet vitenskapelig)
  • 58.
    Bolsöy, Helena
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Är "information overload" ett problem?: Medarbetares upplevelser av informationsmängden på ett informationsintensivt företag2009Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Informationsmängden har i och med Internets utveckling accelererat, vilket påverkar klimatet på många arbetsplatser. Det fenomen som uppstår när en individ får svårigheter att hantera informationen brukar kallas ”information overload”. Särskilt i informationsintensiva miljöer finns en risk att informationsmängden kan orsaka information overload. Huvudsyftet med studien var att öka kunskapen om hur informationsmängden upplevs, hur den hanteras och hur den påverkar arbetsprestationen för individer på ett informationsintensivt företag. Ett delsyfte var att belysa om informationsmängden upplevs som stressande och om stressen påverkar informationshanteringen och arbetsprestationen för individerna. Som undersökningsmetod användes kvalitativa halvstrukturerade intervjuer som utfördes med fem medarbetare på en tidningsredaktion i Mellansverige. Analysen av intervjuerna genomfördes med hjälp av innehållsanalys. Resultaten visade att informationsmängden inte upplevdes som för stor. Respondenterna använde datorn samt vissa andra strategier för att hantera informationen. Man ansåg inte att arbetsprestationen påverkades av informationsmängden i någon större utsträckning. Stress ansågs inte uppstå på grund av informationsmängden utan snarare av störningar och avbrott i arbetet. Att arbetet kunde bli försenat pga. tidsbrist ansågs också stressande. Vid stress kunde vissa svårigheter med att t.ex. sortera informationen uppstå och enklare fel kunde göras. Trots att respondenterna uppgav att den externa informationen ökat de senaste tio åren upplevdes inte detta som ett problem. En slutsats som drogs är att det inte finns belägg för information overload bland respondenterna.

    Fulltekst (pdf)
    FULLTEXT01
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  • 59.
    Bonér, Ann-Kathrine
    Mittuniversitetet. Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Faktorer av betydelse för de svårigheter fäder upplever i samband med tidigt föräldraskap.: En longitudinell studie i Västernorrland.2009Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Att bli förälder är en stor händelse i livet. Graviditeten är en tid där både fysiska

    och psykiska förändringar påverkar livet för båda parter och också en tid att

    förbereda sig inför föräldraskapet. Syftet var att belysa vilka faktorer som har

    betydelse för de svårigheter som fäder upplever i samband tidigt föräldraskap. En

    prospektiv longitudinell studie genomfördes vid samtliga kvinnokliniker i

    Västernorrland. Deltagande var 827 partners till kvinnor som varit gravida och fött

    barn under perioden juni 2007-juni 2008. Data samlades in med hjälp av tre

    frågeformulär. Regressionsanalysen visade att oro för ekonomi var den främsta

    anledningen till upplevelse av svårigheter med att vara förälder. Stödet från

    barnmorskan och från närstående påverkade inte utfallet för upplevelse av

    svårigheter under graviditeten, men stöd från partner efter förlossningen minskade

    pappors oro. Högskoleutbildade pappor och förstagångspappor var de som var

    mest oroade. Studien talar för att mer forskning behövs om pappors egna behov av

    stöd i föräldraskapet.

     

    Fulltekst (pdf)
    FULLTEXT01
  • 60.
    Boothroyd, Roger A.
    et al.
    University of South Florida.
    Stiles, PG
    University of South Florida.
    Snyder, Kristen
    University of South Florida.
    Zong, X
    University of South Florida.
    Service Penetration by persons with severe mental illness: How should it be measured?2002Inngår i: Journal of Behavioral Health Services & Research, ISSN 1094-3412, E-ISSN 1556-3308, Vol. 29, nr 2, s. 198-207Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    As performance indicators and outcomes measures become essential parts of doing business, providers of mental health services are developing and using a number of access measures. One that is being used with increasing frequency is service penetration. However, the lack of standard methods for calculating and reporting service penetration has made the comparison of penetration rates cross studies difficult. This article discusses the conceptualization and operationalization of service penetration. In addition, it presents an exploratory study of service penetration using data from the same persons using very different data sources; these data were collected during an evaluation of a Medicaid managed care system in Florida. The article offers recommendations for the use and reporting of service penetration rates.

  • 61.
    Boothroyd, Roger
    et al.
    University of South Florida.
    Stiles, P
    University of South Florida.
    Snyder, K. M.
    University of South Florida.
    Murrin, M. R.
    University of South Florida.
    The Health and Mental Health Needs of Service Utilization of Children of TANF recipients2000Inngår i: 12th Annual Research Conference Proceedings: A System of Care for Children's Mental Health: Expanding the Research Base / [ed] C. Liberton, C. Newman, K. Kutash, R. Friedman, tampa: University of South Florida , 2000Konferansepaper (Fagfellevurdert)
  • 62.
    Borg, Kristian
    et al.
    Karolinska institutet.
    Goine, Hans
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Söderberg, Elsy
    Linköpings universitet.
    Marnetoft, Sven-Uno
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Alexanderson, Kristina
    Comparison of seven measures of sickness absence-based on data from three counties in Sweden2006Inngår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, nr 4, s. 421-428Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objective was to compare the applicability of and results provided by the two measures of sickness absence used most often within the Swedish social insurance administration (that is, unadjusted sick-leave rate and adjusted sick-leave rate) and five measures suggested by epidemiological researchers. Data consisted of four cross-sectional data sets of registry sick-leave data covering four separate years (1997-2000) in three counties. In total 454,000 persons qualified for sickness insurance and aged 20-64 years were included. The two measures used within the social insurance administration and three of the five measures suggested by epidemiological researchers revealed sex-related dissimilarities in absence patterns that indicated that women had more sickness absence than men. However, in marked contrast to those results, two of the epidemiologically based measures (i.e., length of sickness absence and duration of sickness absence) instead showed highly comparable rates of sick leave for men and women, and such information is seldom obtained, albeit definitely of importance, when trying to make a correct assessment of sickness absence. The measure of sickness absence that is used influences the findings and should therefore be chosen with care. Complementing the measures used in the social insurance administration by five measures suggested by epidemiological researchers provided a more informative and comprehensive picture of sickness absence in a population. Further investigations into the effect of using different measures is needed, as well as international consensus on what to call different measures.

  • 63.
    Bring, Annika
    et al.
    Department of Neuroscience, Physiotherapy, Uppsala University, Husargatan 3, 75124 Uppsala, Sweden .
    Bring, Johan
    University of Gävle, Gävle, Sweden .
    Söderlund, Anne
    Department of Neuroscience, Physiotherapy, Uppsala University, Husargatan 3, 75124 Uppsala, Sweden .
    Wasteson, Elisabet
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Åsenlöf, Pernilla
    Department of Neuroscience, Physiotherapy, Uppsala University, Husargatan 3, 75124 Uppsala, Sweden .
    Coping Patterns and Their Relation to Daily Activity, Worries, Depressed Mood, and Pain Intensity in Acute Whiplash-Associated Disorders2013Inngår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 20, nr 2, s. 293-303Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There is a lack of knowledge regarding how individuals with acute whiplash-associated disorders (WAD) appraise and cope with situation-specific stressors. The aim of the study was to describe the daily process of coping reported in a daily coping assessment by individuals with acute WAD within 1 month after the accident. More specifically, profiles of coping strategies were identified and patterns between stressors, primary and secondary appraisals, and coping strategy profiles were described in relation to reported level of activity, worries, depressed mood and pain intensity during the day. A descriptive and exploratory design was applied. Two hundred and twenty-nine whiplash-associated disorders-daily coping assessment (WAD-DCA) collected during seven consecutive days from 51 participants with acute WAD in Sweden, were included. Cluster analysis was used to obtain coping strategy profiles and data were graphically visualised as patterns through the coping process. When measuring coping as a daily process relating to the specific stressful situation, different coping process patterns appeared. During days with a high degree of physical and mental well-being, high self-efficacy beliefs seemed to be working as an important secondary appraisal, whereas during days with a low degree of physical and mental well-being primary appraisals of the stressor as a threat and catastrophic thoughts were present in the coping process. Early identification of situational- and individual-specific stressors, appraisals and coping efforts as measured by the WAD-DCA may contribute to the understanding of the coping process in the acute stage of WAD and its possible impact on recovery and adjustment.

  • 64.
    Bring, Annika
    et al.
    Department of Neuroscience, Uppsala University, Box 593/BMC, Husargatan 3, Uppsala, 75124, Sweden.
    Söderlund, Anne
    Department of Physiotherapy, School of Health, Care and Social Wellfare, Västerås, Sweden.
    Wasteson, Elisabet
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Asenlof, Pernilla
    Department of Neuroscience, Uppsala University, Box 593/BMC, Husargatan 3, Uppsala, 75124, Sweden.
    Daily stressors in patients with acute whiplash associated disorders2012Inngår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 34, nr 21, s. 1783-1789Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: Stressors in acute whiplash associated disorders (WAD), as reported on a daily basis, have hitherto been neglected in research. The primary aim of this study was to describe the most stressful daily situation or event reported by individuals with acute WAD within a month of a whiplash trauma. Another aim was to describe the meaning and significance of these daily stressors, i.e. primary appraisal. Method: A descriptive design with a content analysis approach was used. 260 WAD-daily coping assessments (WAD-DCA) generated during 1 week by 51 participants with acute WAD were included in the study. Stressors were analysed using qualitative content analysis. Results: The reported stressors generated 13 categories covering a wide range of stressful situations in daily life related to (i) work, (ii) physical symptoms, (iii) feelings and cognitions, (iv) family and home responsibilities and (v) recreation. The majority of the stressors were appraised as "expected" as well as "disabling". Most threatening stressors were related to work, driving and feelings/cognitions. Conclusions: The wide variety of stressors indicates that it is not only pain itself that influences daily life in acute WAD. Early identification of individual and situation-specific stressors gives new data regarding what bothers individuals suffering from WAD after a collision and may be helpful in understanding the coping process in relation to specific stressors and stressor appraisals.

  • 65. Brostedt, Erica M.
    et al.
    de Faire, Ulf
    Westerholm, Peter
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Alfredsson, Lars
    Job strain and plasminogen activator inhibitor-1: results from the Swedish WOLF Study2004Inngår i: International Archives of Occupational and Environmental Health, ISSN 0340-0131, Vol. 77, nr 5, s. 341-344Artikkel i tidsskrift (Fagfellevurdert)
  • 66. Brostedt, Erika M.
    et al.
    Alfredsson, Lars
    Westerholm, Peter
    Knutsson, Anders
    de Faire, Ulf
    Job strain och PAI-12002Inngår i: Psykosocial belastning och riskfaktorer för hjärt-kärlsjukdom : Minisymposium i WOLF-projektet 8 februari 2001 / [ed] Peter Westerholm, Stockholm: Arbetslivsinstitutet , 2002, s. 3-6Kapittel i bok, del av antologi (Annet vitenskapelig)
    Fulltekst (pdf)
    fulltext
  • 67. Brulin, Christin
    et al.
    Goine, Hans
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Edlund, C
    Knutsson, Anders
    Prevalence of long term sick leave among female home care personnel in Northern Sweden1998Inngår i: Journal of Occupational Rehabilitation, ISSN 1053-0487, Vol. 8, nr 2, s. 103-111Artikkel i tidsskrift (Fagfellevurdert)
  • 68. Brulin, Christine
    et al.
    Gerdle, Björn
    Granlund, Brittmarie
    Höög, Jonas
    Knutsson, Anders
    Sundelin, Gunnevi
    Physical and psychosocial work related risk factors associated with musculoskeletal symptoms among home care personnel1998Inngår i: Scandinavian journal of caring sciences, ISSN 0283-9318, Vol. 12, nr 2, s. 104-110Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this cross-sectional study was to investigate physical and psychosocial aspects of the work environment, sociodemographic data and certain lifestyle factors, and the relationship between these variables and complaints in the shoulder/neck and low back area among female home care personnel. A questionnaire was completed by 361 randomly selected women. Multiple logistic regression analyses were conducted to evaluate the importance of several exposure factors for complaints in the shoulder/neck and low back areas. The results of this study clearly indicate that 'standing in forward-bent and twisted postures' can be viewed as a risk factor for shoulder/neck pain. A combination of this physical exposure and 'no possibility of influencing the planning of work' gave an increase in odds ratio, indicating an interaction between these two exposure indices. However, this interaction was not found for low back pain. 'Standing in forward-bent and twisted postures', 'standing in awkward positions' and whether the subject had children staying at home were significantly correlated to complaints about the low back. In fact, the latter factor decreased the risk of having complaints. The results indicated that certain physical and psychosocial work risk factors could influence shoulder/neck and low back pain.

  • 69.
    Brännström, Lars
    et al.
    Stockholms Universitet.
    Sellström, Eva
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Arnoldsson, Göran
    Umeå universitet.
    Boendesegregation. Konsekvenser för ungdomars framtida levnadsförhållanden2010Inngår i: Social rapport 2010, Stockholm: Socialstyrelsen , 2010, , s. 313s. 204-220Kapittel i bok, del av antologi (Annet vitenskapelig)
    Fulltekst (pdf)
    FULLTEXT01
  • 70. Bråbäck, Lennart
    et al.
    Breborowicz, Andrzej
    Dreborg, Sten
    Knutsson, Anders
    Pieklik, H
    Björksten, Bengt
    Atopic sensitization and respiratory symptoms among Polish and Swedish school children1994Inngår i: Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, ISSN 0954-7894, Vol. 24, nr 9, s. 826-835Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Allergic sensitization and symptoms from the airways in relation to air pollution were compared in 10-12-year-old school children (n = 1113) from urban Konin in central Poland and both urban and rural parts of Sundsvall in northern Sweden. The measurements included parental questionnaires, skin-prick tests and serial peak flow measurements during 2 weeks with simultaneous monitoring of outdoor air pollutants. The skin-prick test technique was validated by IgE antibody determinations. The levels of common industrial pollutants, SO2 and smoke particles were much higher in Konin than in urban Sundsvall and the levels of NO2 were similar. Various respiratory symptoms were more often reported among school children in Konin (except for wheezing and diagnosed asthma). Multiple logistic regression analyses yielded the following increased odds ratios for children in Konin as compared with the reference group (rural Sundsvall): chest tightness and breathlessness 3.48 (95% confidence interval 2.08-5.82), exercise-induced coughing attacks 3.69 (95% confidence interval 1.68-8.10), recurrent episodes of common cold 2.79 (95% confidence interval 1.53-5.09) and prolonged cough 4.89 (95% confidence interval 2.59-9.23). In contrast, as compared with rural Sundsvall, the adjusted odds ratio for a positive skin-prick test was decreased in Konin, but increased in urban Sundsvall, 0.58 (95% confidence interval 0.37-0.91) and 1.67 (95% confidence interval 1.15-2.42) respectively. The study confirms that living in urban, as compared with rural areas, is associated with an increased prevalence of respiratory symptoms and sensitization to allergens. These differences could be explained by air pollution. Respiratory symptoms were more common in a similar urban group of Polish children who were exposed to even higher levels of air pollution. These children, however, had a much lower prevalence of sensitization to allergens, as compared with the Swedish children. This indicates that differences in lifestyle and standard of living between western Europe and a former socialist country influences the prevalence of atopy.

  • 71.
    Bråbäck, Lennart
    et al.
    Mittuniversitetet.
    Breborowicz, Anna
    Julge, Kaja
    Knutsson, Anders
    Riikjärv, Mall Anne
    Vasar, Maire
    Björksten, Bengt
    Risk factors for respiratory symptoms and atopic sensitisation in the Baltic area1995Inngår i: Archives of Disease in Childhood, ISSN 0003-9888, Vol. 72, nr 6, s. 487-493Artikkel i tidsskrift (Fagfellevurdert)
  • 72.
    Buchanan, A.
    et al.
    Department of Psychiatry, Division of Law and Psychiatry, Yale University School of Medicine, 34 Park St, New Haven, CT 06519, United States .
    Nich, C.
    Department of Psychiatry, Division of Law and Psychiatry, Yale University School of Medicine, 34 Park St, New Haven, CT 06519, United States .
    Douglas, Kevin S.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för samhällsvetenskap. Department of Psychology, Simon Fraser University, Burnaby, BC, Canada.
    Babuscio, T.
    Department of Psychiatry, Division of Law and Psychiatry, Yale University School of Medicine, 34 Park St, New Haven, CT 06519, United States .
    Easton, C. J.
    Department of Psychiatry, Division of Law and Psychiatry, Yale University School of Medicine, 34 Park St, New Haven, CT 06519, United States .
    Risk factors of violence during a 4-week period in a psychiatric outpatient population2013Inngår i: Journal of Nervous and Mental Disease, ISSN 0022-3018, E-ISSN 1539-736X, Vol. 201, nr 12, s. 1021-1026Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The clinical impact of structured risk assessment instruments has been limited by a lack of information regarding a) their short-term accuracy and b) the relationship between change as measured by the instrument and a change in the risk for harm. Data were collected every 4 weeks on a) variables designed to resemble the items of a structured risk assessment instrument, b) substance use, c) social circumstances and mental state, and d) violent behavior. Scores on the variables designed to resemble the items of a risk assessment instrument were associated with violence during the ensuing 4 weeks. However, an increase in a subject's score on these variables was not associated with violence. Instead, increasing cocaine use and increasing social conflict as described by the subject at interview were associated with violence during those weeks. Copyright © 2013 Lippincott Williams & Wilkins.

  • 73.
    Buxton, Jessica L.
    et al.
    Univ London Imperial Coll Sci Technol & Med, Dept Med, Sect Investigat Med, London, England.
    Das, Shikta
    Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Ctr Environm & Hlth, MRC,Publ Hlth England,Dept Epidemiol & Biostat, London, England.
    Rodriguez, Alina
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi. Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Ctr Environm & Hlth, MRC,Publ Hlth England,Dept Epidemiol & Biostat, London, England.
    Kaakinen, Marika
    Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Ctr Environm & Hlth, MRC,Publ Hlth England,Dept Epidemiol & Biostat, London, England.
    Alves, Alexessander Couto
    Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Ctr Environm & Hlth, MRC,Publ Hlth England,Dept Epidemiol & Biostat, London, England.
    Sebert, Sylvain
    Univ Oulu, Inst Hlth Sci, Oulu, Finland.
    Millwood, Iona Y.
    Univ Oxford, Clin Trial Serv Unit, Oxford, England.
    Laitinen, Jaana
    Finnish Inst Occupat Hlth, Helsinki, Finland.
    O'Reilly, Paul F.
    Kings Coll London, Inst Psychiat, MRC, Social Genet & Dev Psychiat Ctr, London, England.
    Jarvelin, Marjo-Riitta
    Natl Inst Hlth & Welf, Dept Children & Young People & Families, Oulu, Finland.
    Blakemore, Alexandra I. F.
    Univ London Imperial Coll Sci Technol & Med, Dept Med, Sect Investigat Med, London, England.
    Multiple Measures of Adiposity Are Associated with Mean Leukocyte Telomere Length in the Northern Finland Birth Cohort 19662014Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 9, nr 6, s. Art. no. e99133-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Studies of leukocyte telomere length (LTL) and adiposity have produced conflicting results, and the relationship between body mass index (BMI) and telomere length throughout life remains unclear. We therefore tested association of adult LTL measured in 5,598 participants with: i) childhood growth measures (BMI and age at adiposity rebound (AR)); ii) change in BMI from childhood to adulthood and iii) adult BMI, waist-to-hip ratio (WHR), body adiposity index (BAI). Childhood BMI at AR was positively associated with LTL at 31 years in women (P = 0.041). Adult BMI and WHR in both men (P = 0.025 and P = 0.049, respectively) and women (P = 0.029 and P = 0.008, respectively), and BAI in women (P = 0.021) were inversely associated with LTL at 31 years. An increase in standardised BMI between early childhood and adulthood was associated with shorter adult LTL in women (P = 0.008). We show that LTL is inversely associated with multiple measures of adiposity in both men and women. Additionally, BMI increase in women from childhood to adulthood is associated with shorter telomeres at age 31, potentially indicating accelerated biological ageing.

    Fulltekst (pdf)
    fulltext
  • 74. Bylund, Sonja H.
    et al.
    Burström, Lage
    Knutsson, Anders
    A descriptive study of women injured by hand-arm vibration2002Inngår i: Annals of Occupational Hygiene, ISSN 0003-4878, Vol. 46, nr 3, s. 299-307Artikkel i tidsskrift (Fagfellevurdert)
  • 75.
    Båskman, Jennifer
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Samband mellan oro för samhällsfenomenen och psykosomatiska problem hos ungdomar i Jämtland.2016Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 76. Bögglid, Henrik
    et al.
    Knutsson, Anders
    Meta-analyse epidemiologischer literatur über schicharbeit und herzerkrankungen.2000Inngår i: Zeitschrift für Arbeitswissenschaft., ISSN 0340-2444, Vol. 54, nr 3/4, s. 330-334Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Shift work has been associated with a higher risk of heart disease. The epidemiological literature is heterogeneous with some studies finding risks for shift workers twice as high as for day workers, while other studies do not find shift workers to be at a higher risk of heart disease. We have examined the literature, using a meta analytic approach to give both a more precise estimate of the risk and to explore reasons for the apparent heterogeneity. The analysis suggests that among the longitudinal studies using individual exposure classification at least two different study populations existed based on statistical testing, one finding an increased risk of heart disease with a meta risk estimate of 1.31 (95% confidence interval (CI): 1.17-1.45), the other finding no excess risk with an estimate of 0.96 (95% CI: 0.85-1.08). Study characteristics including publication year, geographic area, exposure estimation, outcome, follow up period, confounding control or overall quality of study did not explain the heterogeneity. In conclusion shift work seems in some instances, not explained by study characteristics, to raise the risk of heart disease.

  • 77. Bøggild, H
    et al.
    Knutsson, Anders
    Shift work, risk factors and cardiovascular disease1999Inngår i: Scandinavian Journal of Work Environment & Health, ISSN 0355-3140, Vol. 25, nr 2, s. 85-99Artikkel i tidsskrift (Fagfellevurdert)
  • 78.
    Caesar, Anna
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Nutrient awareness among Swedish vegans- An exploratory survey study2016Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
  • 79.
    Carlberg, Michael
    et al.
    Örebro University, Sweden.
    Hedendahl, Lena
    Independent Environment and Health Research Luleå, Sweden.
    Ahonen, Mikko
    Institute of Environmental Health and Safety, Tallinn, Estonia.
    Koppel, Tarmo
    Tallinn University of Technology, Estonia.
    Hardell, Lennart
    Örebro University, Sweden.
    Increasing incidence of thyroid cancer in the Nordic countries with main focus on Swedish data2016Inngår i: BMC Cancer, ISSN 1471-2407, E-ISSN 1471-2407, Vol. 16, artikkel-id 426Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Radiofrequency radiation in the frequency range 30 kHz-300 GHz was evaluated to be Group 2B, i.e. 'possibly' carcinogenic to humans, by the International Agency for Research on Cancer (IARC) at WHO in May 2011. Among the evaluated devices were mobile and cordless phones, since they emit radiofrequency electromagnetic fields (RF-EMF). In addition to the brain, another organ, the thyroid gland, also receives high exposure. The incidence of thyroid cancer is increasing in many countries, especially the papillary type that is the most radiosensitive type.

    METHODS: We used the Swedish Cancer Register to study the incidence of thyroid cancer during 1970-2013 using joinpoint regression analysis.

    RESULTS: In women, the incidence increased statistically significantly during the whole study period; average annual percentage change (AAPC) +1.19 % (95 % confidence interval (CI) +0.56, +1.83 %). Two joinpoints were detected, 1979 and 2001, with a high increase of the incidence during the last period 2001-2013 with an annual percentage change (APC) of +5.34 % (95 % CI +3.93, +6.77 %). AAPC for all men during 1970-2013 was +0.77 % (95 % CI -0.03, +1.58 %). One joinpoint was detected in 2005 with a statistically significant increase in incidence during 2005-2013; APC +7.56 % (95 % CI +3.34, +11.96 %). Based on NORDCAN data, there was a statistically significant increase in the incidence of thyroid cancer in the Nordic countries during the same time period. In both women and men a joinpoint was detected in 2006. The incidence increased during 2006-2013 in women; APC +6.16 % (95 % CI +3.94, +8.42 %) and in men; APC +6.84 % (95 % CI +3.69, +10.08 %), thus showing similar results as the Swedish Cancer Register. Analyses based on data from the Cancer Register showed that the increasing trend in Sweden was mainly caused by thyroid cancer of the papillary type.

    CONCLUSIONS: We postulate that the whole increase cannot be attributed to better diagnostic procedures. Increasing exposure to ionizing radiation, e.g. medical computed tomography (CT) scans, and to RF-EMF (non-ionizing radiation) should be further studied. The design of our study does not permit conclusions regarding causality.

  • 80.
    Carlerby, Heidi
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Health and Social Determinants Among Boys and Girls in Sweden: Focusing on Parental Background2012Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The majority of Swedish boys and girls have good psychosomatic health. Despite that the risk of mental health problems such as nervousness, feeling low and sleeping difficulties has increased steadily in recent decades. Moreover, previous surveys on health and well-being indicate that boys and girls of foreign extraction in Sweden are at increased risk of ill health compared to boys and girls of Swedish background.

     

    The main aim of this thesis was to analyse health and social determinants among boys and girls of foreign extraction in Sweden. The factors explored in papers I–IV include parental background, family affluence and gender and their associations with subjective health complaints, psychosomatic problems or health risk behaviours. Other included risk factors for ill health were involvement in bullying, low participation and discrimination at school. This thesis takes an intersectional perspective, with ambitions to be able to emphasize the interplay between different power relations (i.e. gender, social class and parental background).

     

    Two sets of cross-sectional data were used. Three papers were based on the Swedish part of the World Health Organization’s Health Behaviour in School-Aged Children. The sample consisted of 11,972 children (boys n = 6054; girls n = 5918) in grades five, seven and nine from the measurement years 1997/98, 2001/02 and 2005/06. The response rate varied between 85 and 90%. About one fifth of the included children were of foreign extraction. For the fourth paper regional data from Northern Sweden were used. Boys (n = 729) and girls (n = 798) in grades six to nine answered a questionnaire in 2011 and the response rate was 80%. About 14% of the included children were of foreign extraction. Statistical methods used were chi-square test, correlation analyses, logistic regression analyses, cluster analyses and test of mediating factor.

     

    The results showed that girls of foreign background were at increased risk of subjective health complaints (SHC) and boys of mixed background were at increased risk of psychosomatic problems (PSP). Increased risk of allocation to the cluster profile of multiple risk behaviour was shown in boys and girls of mixed background, in girls of foreign background and in girls of low family affluence. Increased risk of allocation to the cluster profile of inadequate tooth brushing was shown in boys and girls of foreign background and in girls of low family affluence. General risk factors for increased risk of ill health for boys and girls in Sweden were: any form of bullying involvement, low family affluence, low participation and discrimination at school, of which the latter also was a mediating factor for ill health. Living with a single parent was a risk factor for ill health among girls.

     

    The results can function as a basis for developing health promotion programmes at schools that focus on social consequences of foreign extraction, family affluence, participation as well as health risk behaviours and gender.

    Fulltekst (pdf)
    Health and Social Determinants Among Boys and Girls in Sweden: Focusing on Parental Background
  • 81.
    Carlerby, Heidi
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Erling, Englund
    Research and Development Centre for the County Council of Västernorrland.
    Viitasara, Eija
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Risk behaviour, parental background, and wealth: a cluster analysis among Swedish boys and girls in the HBSC study2012Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 40, nr 4, s. 368-376Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To analyse how health risk behaviours (HRB) are clustered and associated with parental background and family wealth among Swedish boys and girls.

    Methods: Data were collected from Health Behaviour in School-aged Children (HBSC),a global cross-sectional survey for 1997/98, 2001/02, and 2005/06. A total of 11,972 boys and girls in grades 5, 7, and 9 participated in the study. The pupils were categorised in subgroups according to parental background: Swedish (80.0%), mixed (10.6%), and foreign (9.4%). Cluster analyses were used to identify HRB profiles. Multinomial logistic regression analysis was used to estimate associations between cluster allocation, parental background, and family affluence.

    Results: In total 11,232 pupils were identified and allocated to five cluster profiles, half of them in the cluster profile of low-risk behaviour. The most disadvantaged cluster was multiple HRB, which was characterised by high prevalence of smoking, drunkenness, low physical activity, and high soft-drink consumption. The cluster profile of multiple HRB was associated with both mixed background and foreign background in girls and with mixed background in boys.. The cluster profile of inadequate tooth brushing was associated with foreign background in both boys and girls. The cluster profiles of multiple HRB and inadequate tooth brushing were associated with low family affluence in girls.

    Conclusions: The cluster profiles of multiple HRB and inadequate tooth brushing were associated with parental foreign extraction in boys and girls and with low family affluence in girls. Prevention programmes based on identified clusters of HRB, including consideration of impact of socio-demographic indicators, are needed.

  • 82.
    Carlerby, Heidi
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Persson, Mats
    Headquarters, Policy and Plans Department, Swedish Armed Forces.
    Officials Reflections about Health Promoting Factors among Newly Arrivals: An Introductory Analysis2017Inngår i: International Journal of Community & Family Medicine, ISSN 2456-3498, Vol. 2, nr 1, artikkel-id IJCFM-124Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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

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

    Fulltekst (pdf)
    fulltext
  • 83.
    Carlerby, Heidi
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Viitasara, Eija
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    How Bullying Involvement is Associated with the Distribution of Parental Background and With Subjective Health Complaints Among Swedish Boys and Girls2013Inngår i: Social Indicators Research, ISSN 0303-8300, E-ISSN 1573-0921, Vol. 111, nr 3, s. 775-783Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study aimed to analyze how bullying involvement is associated with the distribution of parental background and with subjective health complaints (SHC) among Swedish boys and girls. Data were collected from the World Health Organization, Health Behavior in School-aged Children (WHO/HBSC) survey, measurement years 1997/1998, 2001/2002 and 2005/2006. A total of 11,972 boys (50.6 %) and girls (49.4 %) in grades five, seven and nine participated in the study. The adolescents were categorized in subgroups according to parental background: Swedish (80.1 %), mixed (10.5 %) and foreign(9.7 %). Multivariate logistic regressions were used to estimate remaining risk of SHC in the categories of bullying involvement. The frequencies of bullying involvement once or more were: none involved (74.8 %), victims (10.6 %), bullies (10.3 %) and bully/victims (4.4 %). Six out of ten involved in bullying were boys. Boys of foreign background were more involved as bullies compared to boys of mixed or Swedish background. Girls of foreign background were more involved in all three categories of bullying than girls of mixed or Swedish background. Increased risk of SHC was estimated among all adolescents involved in bullying, with highest OR in the category of bully/victims, OR 3.95 (CI 3.13–4.97) for the boys and OR 4.51 (CI 4.51–6.40) for the girls. The multivariate models were stable even after adjustment for socio-demographics. There are some associations between bullying involvement and parental background. Regardless of parental background, family affluence, family structure and gender, all adolescents involved in bullying are at increased risk of SHC.

  • 84.
    Carlerby, Heidi
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Viitasara, Eija
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    How discrimination and participation are associated with psychosomatic problems among boys and girls in northern Sweden2012Inngår i: Health, ISSN 1949-5005, Vol. 4, nr 10, s. 866-872Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Negative impact on health from school disturbance due to asymmetric power relations such as discrimination and offensive treatment are frequent problems among students. This study sought to analyze associations between occurrence of discrimination at school, participation and psychosomatic problems. Methods: Pupils in grades 6–9 in ten schools in a northern Swedish municipality participated in the study. The frequency of discrimination at school was measured by six items: sex; culture or ethnicity; disability; religion beliefs; sexual preferences; and any other form of discrimination. The Social and Civic Objectives Scale (SCOS) was used for an estimation of the level of participation. The pupils’ health was measured by the PsychoSomatic Problem (PSP) scale. Multivariate logistic regression models were used for estimation of increased risk of PSP. The formula Z=d/s (d)was used to test mediation. Results: Two thirds of the boys and three fourths of the girls reported occurrences of discrimination at schools (p = 0.001). Discrimination was a mediating factor between participation and PSP among boys and girls as the mediating formula Z=d/s (d) was > + 2 SD, –2.59 for boys and –39.27 for girls. Independent of each other, low participation and discrimination were associated with increased risk of PSP. Conclusion: Discrimination was a mediating factor between participation and PSP. The mediating effectwas stronger in girls than in boys. There is a need for school health promotion programsfocusing on participation in terms of democratic processes, communication and cooperation in the classroom.

  • 85.
    Carlerby, Heidi
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Viitasara, Eija
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Knutsson, Anders
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Subjective health complaints among boys and girls in the Swedish HBSC study: focussing on parental foreign background2011Inngår i: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 56, nr 5, s. 457-464Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The general aim of this study was to explore the associations between foreign extraction and subjective health complaints (SHC) among school-aged children in Sweden. Methods: Data were obtained from the global cross-sectional survey Health Behaviour in School-aged Children (HBSC), 1997/1998, 2001/2002, and 2005/2006. A total of 11,972 pupils in grades 5, 7 and 9 participated in the survey. Logistic regression analyses were used to estimate remaining risk of SHC among the subgroups of pupils. The analyses were adjusted for socio-demographic indicators, grade and measurement year. Results: Parental background: Swedish n = 9,585, mixed n = 1,263, and foreign n = 1,124. The results showed an increased risk of SHC among girls with a foreign background OR 1.27 (95% CI 1.04-1.55) compared with girls with a Swedish background and among girls in single-adult households OR 1.42 (95% CI 1.20-1.67) compared with girls in two-adult households. No such differences were shown among boys. Conclusions: A significantly increased risk of ill health remained in girls of foreign background after adjustment for socio-demographic indicators, grade and measurement year. © 2011 Swiss School of Public Health.

  • 86.
    Carlsson, R.
    et al.
    Karlstad Hosp, Karlstad, Sweden.
    Burell, G.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden .
    Hambraeus, K.
    Falun Cent Hosp, Dept Cardiol, Falun, Sweden .
    Johansson, P.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden .
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Perk, J.
    Linnaeus Univ, Sch Hlth & Caring Sci, Kalmar, Sweden.
    The challenge of lifestyle counselling after percutaneous coronary intervention2012Inngår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 33, nr Supp 1, s. 560-560Artikkel i tidsskrift (Annet vitenskapelig)
  • 87. Chamberlain, M A
    et al.
    Moser, V F
    Schuldt Ekholm, Kristina
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    O´Connor, Rory J
    Herceg, Malvina
    Ekholm, Jan
    Vocational rehabilitation: An educational review2009Inngår i: Journal of rehabilitation, ISSN 0022-4154, Vol. 41, nr 11, s. 856-869Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    The aim of this review is to describe aspects of vocational rehabilitation relevant for a physician aiming to become a specialist in physical and rehabilitation medicine (PRM). The review discusses the epidemiology of incapacity for work, the major patient groups in vocational rehabilitation (musculoskeletal and psychiatric diagnoses comprise approximately 50-70% of the patients), the influence of different kinds of environmental and individual risk factors on work resumption (such as the legal framework, application of the law, resources for rehabilitation and its effectiveness, the degree of co-operation between vocational rehabilitation agencies, economic factors/labour market situation, medical and personal factors). The review describes different models of vocational rehabilitation, the effectiveness of various vocational rehabilitation programmes on work resumption or sick leave (where strong evidence is reported for multimodal rehabilitation programmes for patients with long-lasting musculoskeletal pain). Finally, there are sections about the PRM physician's history-taking in vocational rehabilitation (using the International Classification of Functioning, Disability and Health (ICF)), and report writing with a Structure where ICF body functions and activity limitations are reported separately.

  • 88.
    Chen, Qi
    et al.
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden .
    Sjölander, Arvid
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden .
    Långström, Niklas
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden .
    Rodriguez, Alina
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi. Department of Epidemiology and Biostatistics, Imperial College London, London, United Kingdom .
    Serlachius, Eva
    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden .
    D'Onofrio, Brian M.
    Department of Psychological and Brain Sciences, Indiana University, Bloomington, IN, United States .
    Lichtenstein, Paul
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden .
    Larsson, Henrik
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden .
    Maternal pre-pregnancy body mass index and offspring attention deficit hyperactivity disorder: a population-based cohort study using a sibling-comparison design2014Inngår i: International Journal of Epidemiology, ISSN 0300-5771, E-ISSN 1464-3685, Vol. 43, nr 1, s. 83-90Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Methods We conducted a population-based cohort study via linkage of Swedish national and regional registers to investigate maternal pre-pregnancy BMI (underweight: BMI < 18.5; overweight: 25 BMI < 30; obesity: BMI epsilon 30) in relation to offspring ADHD. We followed 673 632 individuals born in Sweden between 1992 and 2000, with prospectively collected information on maternal pre-pregnancy BMI, until they received an ADHD diagnosis or ADHD medication, death, emigration or 31 December 2009. Hazard ratios (HRs) were estimated by Cox proportional hazards models. Stratified Cox proportional hazards models were applied to data on full siblings to control for unmeasured familial confounding. Results At the population level, pre-pregnancy overweight/obesity was associated with increased risk of offspring ADHD (HRoverweight = 1.23, 95% CI = 1.18-1.27, P = 0.01; HRobesity = 1.64, 95% CI = 1.57-1.73, P = 0.01), after adjustment for measured covariates. In full sibling comparisons, however, previously observed associations no longer remained (HRoverweight = 0.98, 95% CI = 0.83-1.16, P = 0.82; HRobesity = 1.15, 95% CI = 0.85-1.56, P = 0.38). Conclusions The results suggested that the association between maternal pre-pregnancy overweight/obesity and offspring ADHD could be ascribed to unmeasured familial confounding.

  • 89.
    Costa, D
    et al.
    Institute of Public Health, University of Porto, Rua das Taipas, 135, Porto, 4050-600, Portugal .
    Hatzidimitriadou, E
    Faculty of Health and Social Care Sciences, Kingston University and St George's, University of London, London, United Kingdom .
    Ioannidi-Kapolou, E
    Department of Sociology, National School of Public Health, Athens, Greece .
    Lindert, J
    University of Emden, Emden, Germany .
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Toth, O
    Institute of Sociology, Hungarian Academy of Sciences, Budapest, Hungary .
    Barros, H
    Institute of Public Health, University of Porto, Rua das Taipas, 135, Porto, 4050-600, Portugal .
    Intimate partner violence and health-related quality of life in European men and women: Findings from the DOVE study2015Inngår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 24, nr 2, s. 463-473Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Abstract

    Purpose

    Little is known on the specific relation between

    being a perpetrator or both a victim and perpetrator of

    intimate partner violence (IPV) and health-related quality

    of life (HRQoL). We assessed the association between

    HRQoL and abuse, considering men and women as victims,

    perpetrators or reciprocally.

    Methods

    Participants were adult men and women

    (

    n=

    3,496), randomly selected from the general population

    of six European cities. The Revised-Conflict-Tactics-Scales

    and the Medical-Outcomes-Study 36-item Short-Form

    Health Survey (SF-36) were used to measure IPV and

    HRQoL. The age-, education-, and city-adjusted mean

    scores[standard error] of the physical and of the mental SF-

    36 component summaries were used to compare victimsonly,

    perpetrators-only, and those involved in both (bidirectional

    or reciprocal cases) with those not involved in pastyear

    and lifetime physical assault and/or sexual coercion.

    Results

    The physical component summary was significantly

    lower in women involved in past-year bidirectional

    physical assault compared with non-abused women. The

    mental component summary in women not involved in IPV

    was significantly higher than in those physically abused,

    regardless of type of involvement. Women victims-only of

    past-year sexual coercion and victims or involved in bidirectional

    concomitant physical and sexual IPV also presented

    lower scores in the mental component summary than

    women not involved in IPV. In men, significantly lower

    scores in the mental component summary were found in the

    past-year bidirectional physically assaulted group and

    among those involved bidirectionally in both physical and

    sexual IPV compared with men not involved in IPV.

  • 90.
    Costa, D.
    et al.
    Univ Porto, P-4100 Oporto, Portugal..
    Hatzidimitriadou, E.
    Univ Kingston, London, England.
    Ioannidi-Kapolou, E.
    Natl Sch Publ Hlth, Athens, Greece..
    Lindert, J.
    Univ Emden, Emden, Germany.
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap. Mid Sweden Univ, Sundsvall, Sweden..
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi. Mid Sweden Univ, Ostersund, Sweden..
    Toth, O.
    Hungarian Acad Sci, Budapest, Hungary..
    Barros, H.
    Univ Porto, Inst Publ Hlth, P-4100 Oporto, Portugal..
    Physical Intimate Partner Violence in Europe: Results from a Population-Based Multi-Center Study in Six Countries.2015Inngår i: International Journal of Epidemiology, ISSN 0300-5771, E-ISSN 1464-3685, Vol. 44, nr S1, s. 264-264, artikkel-id 3583Artikkel i tidsskrift (Annet vitenskapelig)
  • 91.
    Costa, Diogo
    et al.
    Univ Porto, Sch Med, Dept Clin Epidemiol Predict Med & Publ Hlth, P-4100 Oporto, Portugal .
    Matanov, A.
    Queen Mary Univ London, Unit Social & Community Psychiat, London, England .
    Canavan, R.
    Natl Univ Ireland, Hlth Promot Res Ctr, Galway, Ireland .
    Gabor, E.
    Natl Inst Hlth Dev, Budapest, Hungary .
    Greacen, T.
    Etab Publ Sante Maison Blanche, Lab Rech, Paris, France .
    Vondrackova, P.
    Charles Univ Prague, Fac Med 1, Dept Addictol, Prague, Czech Republic .
    Kluge, U.
    Univ Med Berlin, Charite, Clin Psychiat & Psychotherapy, Berlin, Germany .
    Nicaise, P.
    Catholic Univ Louvain, Inst Hlth & Soc IRSS, B-1200 Brussels, Belgium .
    Moskalewicz, J.
    Inst Psychiat & Neurol, Warsaw, Poland .
    Diaz-Olalla, J. M.
    Madrid Salud, Madrid, Spain .
    Strassmayr, C.
    Ludwig Boltzmann Inst Social Psychiat, Vienna, Austria .
    Kikkert, M.
    Univ Amsterdam, Acad Med Ctr, NL-1012 WX Amsterdam, Netherlands .
    Soares, Joaquim
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gaddini, A.
    Laziosanita ASP Publ Hlth Agcy, Rome, Lazio Region, Italy.
    Barros, H.
    Univ Porto, Sch Med, Dept Clin Epidemiol Predict Med & Publ Hlth, P-4100 Oporto, Portugal .
    Priebe, S.
    Queen Mary Univ London, Unit Social & Community Psychiat, London, England .
    Factors associated with quality of services for marginalized groups with mental health problems in 14 European countries2012Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 22, nr Suppl 2, s. 70-71Artikkel i tidsskrift (Annet vitenskapelig)
  • 92. Cranner, J
    et al.
    Adolfsson, S
    Thorlacius, S
    Bergroth, Alf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ekholm, Jan
    Grönlund, R
    Kärrholm, Jenny
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Pettersson, T
    Nordiska rehabiliteringssystem - likheter och olikheter.: En komparativ beskrivning med inriktning på rehabiliteringsprocess och rundgångsproblematik2001Inngår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 78, nr 6, s. 532-552Artikkel i tidsskrift (Fagfellevurdert)
  • 93.
    Dahlbom, Susanne
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Violence Against Women: A comparison between how organizations in Costa Rica and Sweden work with the public health problem domestic violence2018Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 94.
    Dahlqvist, Heléne
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Landstedt, Evelina
    Umeå universitet.
    Gillander Gådin, Katja
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Poly-victimization of Bullying, Sexual Harassment and Violence in Youth - A Latent Class Analysis2019Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Introduction: Violence in a broad sense among youth is common and there is some evidence that there are groups of youth who are victims of more than one form of violence. More knowledge is needed in terms of patterning of subgroups of poly-victimization. The aim was to explore if there are distinct subgroups of youth with particular patterns of violence victimization.

    Method: Survey data from a Swedish sample (n = 1,569) of 14-16-year-olds were used (females 48.4%). Measures were physical violence, threat of physical violence, bullying, sexual harassment, and cyber bullying and harassment in the past six months as well as lifetime physical violence. Latent Class Analysis (LCA) was used to identify subgroups of youth with particular violence victimization patterns. Model fit assessment was based on model parsimony, theoretical justification and fit indices criteria (the Akaike information criterion and the Bayesian information criterion).

    Result: A three-latent-class model was selected: 1. Poly-victims with high probabilities of being victimized by a multitude of different types of violence (girls 47.6%). 2. Overall low probabilities of violence victimization (girls 47.5%). 3. High probabilities of victimization of sexual harassment off- and online as well as bullying online (girls 65.6%).

    Discussion: Three distinct subgroups of violence victimization in youth was evident in the data. There was a greater representation of girls in the purely sexualized violence sub-group. Further research and preventive programs should acknowledge that young people who are victims of one type of violence are likely also to be victims of other types of violence.

  • 95.
    Dallender et al, J
    et al.
    England.
    Nolan, P
    Soares, Joaquim
    Thomsen, S
    Arnetz, B
    A comparative study of perceptions of British mental health nurses and psychiatrists of their work environment1999Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 29, nr 1, s. 36-43Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This comparative study of the perceptions of mental health nurses and psychiatrists about aspects of their work environment was undertaken in the West Midlands in England. The aim of the study was to ascertain the extent to which the environment in which mental health professionals' work impacts on their own mental and physical well-being. Seventy-four psychiatrists and 301 mental health nurses responded to a postal questionnaire. Analysis of data indicated that significant differences exist between nurses and psychiatrists in their working conditions, their physical working environment, their sources of support with a work-related problem, and the effects of their work on their own mental and physical health. The main recommendation derived from this study was to improve communication between mental health professionals and their managers by giving more structured feedback and guidance about one's work performance. This may help to alleviate the mental strain many mental health professionals experience in their work.

  • 96.
    Danielsson, Ida
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Förskole- och lågstadielärares upplevelser av möjlighet att påverka barns rörelseglädje och fysiska aktivitetsnivå med hjälp av rörelseverktyget Röris.2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 97.
    Dauvrin, M.
    et al.
    Institute of Health and Society IRSS, Université Catholique de Louvain, Clos Chapelle aux Champs 30 B1.30.15, 1200 Bruxelles, Belgium.
    Lorant, V
    Institute of Health and Society IRSS, Université Catholique de Louvain, Clos Chapelle aux Champs 30 B1.30.15, 1200 Bruxelles, Belgium.
    Sandhu, S
    Unit for Social and Community Psychiatry, London and the Barts School of Medicine and Dentistry, Queen Mary University of London, London E13 8SP, United Kingdom.
    Devillé, W
    International and Migrant Health, NIVEL (Netherlands Institute for Health Services Research), Otterstraat 118-124, 3500, BN Utrecht, Netherlands.
    Dia, H
    Etablissement Public de Santé Maison Blanche, 3-5 rue Lespagnol, 75020 Paris, France.
    Dias, S
    Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Rua da Junqueira, 96, 1349-008, Lisbon, Portugal.
    Gaddini, A
    Laziosanit ASP Public Health Agency for the Lazio Region, Via S. Costanza 53, 00185 Rome, Italy.
    Ioannidis, E
    Department of Sociology, National School of Public Health, 196 Alexandras avenue, Athens 11521, Greece.
    Jensen, N
    Department of Public Health, Danish Research Centre for Migration, Ethnicity and Health (MESU), University of Copenhagen, Oster Farimagsgade 5, DK-1014 Copenhagen, Denmark.
    Kluge, U
    Clinic for Psychiatry and Psychotherapy, University Medicine Berlin, CCM, Charitéplatz 1, 10117 Berlin, Germany.
    Mertaniemi, R
    Department for Mental Health and Substance Abuse Services, National Institute for Health and Welfare (THL), P.O.B. 30, FIN-00271 Helsinki, Finland.
    Puigpinás I Riera, R
    Agency of Public Health of Barcelona, Pça. Lesseps, 1, 08023 Barcelona, Spain.
    Sárváry, A
    Faculty of Health, University of Debrecen, Sástái út 2-4, 4400 Nyíregyháza, Hungary.
    Stramayr, C
    Ludwig Boltzmann Institute for Social Psychiatry, Lazarettgasse 14A-912, 1090 Vienna, Austria.
    Stankunas, M
    Department of Health Management, Lithuanian University of Health Sciences, A. Mickeviciaus 9, Kaunas 44307, Lithuania.
    Soares, Joaquim J. F.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Welbel, M
    Institute of Psychiatry and Neurology, Ul. Sobieskiego 9, 02-957 Warsaw, Poland.
    Priebe, S
    Unit for Social and Community Psychiatry, London and the Barts School of Medicine and Dentistry, Queen Mary University of London, London E13 8SP, United Kingdom.
    Health care for irregular migrants: Pragmatism across Europe. A qualitative study2012Inngår i: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 5, s. Art. no. 99-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Abstract. Background: Health services in Europe face the challenge of delivering care to a heterogeneous group of irregular migrants (IM). There is little empirical evidence on how health professionals cope with this challenge. This study explores the experiences of health professionals providing care to IM in three types of health care service across 16 European countries. Results: Semi-structured interviews were conducted with health professionals in 144 primary care services, 48 mental health services, and 48 Accident & Emergency departments (total n = 240). Although legal health care entitlement for IM varies across countries, health professionals reported facing similar issues when caring for IM. These issues include access problems, limited communication, and associated legal complications. Differences in the experiences with IM across the three types of services were also explored. Respondents from Accident & Emergency departments reported less of a difference between the care for IM patients and patients in a regular situation than did respondents from primary care and mental health services. Primary care services and mental health services were more concerned with language barriers than Accident & Emergency departments. Notifying the authorities was an uncommon practice, even in countries where health professionals are required to do this. Conclusions: The needs of IM patients and the values of the staff appear to be as important as the national legal framework, with staff in different European countries adopting a similar pragmatic approach to delivering health care to IM. While legislation might help to improve health care for IM, more appropriate organisation and local flexibility are equally important, especially for improving access and care pathways. © 2012 Dauvrin et al; licensee BioMed Central Ltd.

    Fulltekst (pdf)
    fulltext
  • 98. de la Fuente, L
    et al.
    Bravo, MJ
    Barrio, G
    Silva, T
    La instructiva historia de la epidemia de VIH/SIDA en los inyectores de drogas españoles: lecciones para el futuro2003Inngår i: La utilización de la evidencia en las decisiones sanitarias, Alicante: Universidad de Alicante, 2003Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 99.
    de la Fuente, Luis
    et al.
    Secretaría del Plan Nacional sobre el Sida. Ministerio de Sanidad y Consumo. Madrid.
    Brugal, M Teresa
    Agència de Salut Pública de Barcelona.
    Ballesta, Rosario
    Fundación Andaluza para la Atención a las Drogodependencias. Sevilla.
    Bravo, Maria J
    Secretaría del Plan Nacional sobre el Sida. Ministerio de Sanidad y Consumo. Madrid.
    Barrio, Gregorio
    Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia. Universidad Complutense de Madrid.
    Domingo, Antonia
    Unidad de Investigación en Servicios Sanitarios. Institut Municipal d'Investigació Mèdica (IMIM).
    Silva, Teresa
    Centro Nacional de Epidemiología. Instituto de Salud Carlos III. Madrid.
    Ambrós, Mireia
    Agència de Salut Pública de Barcelona.
    Metodología del estudio de cohortes del proyecto ITINERE sobre consumidores de heroína en tres ciudades españolas y características básicas de los participantes2005Inngår i: Revista Española de Salud Pública, ISSN 1135-5727, Vol. 79, s. 475-491Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Cohort Study Methodology of the ITINERE Project on Heroin Users in Three Spanish Cities and Main Characteristics of the Participants

    Background: Cohort studies make it possible to monitor the health impact of drug use and to identify related factors. We describe the methodology and baseline characteristics of a cohort of heroin users designed with this objective. Methods: The participants were 991 young, community-recruited heroin users in Barcelona, Madrid and Seville. Most subjects were named by other participants (39.7%) or by non-participating drug users or ex-users (44.7%). A computer-aided questionnaire was administered (self-administered with audio for questions related with sex). A dried-blood spot sample was collected and anthropometric measurements were made. Both participants and recruiters received remuneration. Univariate and bivariate statistical methods were used. Results: Some 42.4% had changed the main route of heroin administration, mainly to injection in Barcelona and to the pulmonary route in Seville. About 75.8% (Barcelona), 49.8% (Madrid), and 15.5% (Seville) had injected drugs in the last 12 months. In Madrid and Seville, 96-97% used heroin in base form, while in Barcelona heroin hydrochloride predominated. Heroin and cocaine were frequently mixed in the same dose (generally base cocaine in Madrid and Seville, and cocaine hydrochloride in Barcelona). Conclusions: Important geographic differences persist in the prevalence of drug injection and in the patterns of heroin and cocaine use, which could explain the unequal distribution of some health problems. The difficulties encountered in recruiting the sample suggest that the incidence of heroin use has declined considerably.

  • 100.
    de la Fuente, Luis
    et al.
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6, 28029 Madrid, Spain.
    Toro, Carlos
    Hospital Carlos III, Madrid, Spain.
    Soriano, Vicente
    Hospital Carlos III, Madrid, Spain.
    Brugal, M Teresa
    Agència de Salut Pública de Barcelona, Spain.
    Vallejo, Fernando
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6, 28029 Madrid, Spain.
    Barrio, Gregorio
    Delegación del Gobierno para el Plan Nacional sobre Drogas, Madrid, Spain.
    Jimenez, Victoria
    Hospital Carlos III, Madrid, Spain.
    Silva, Teresa
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6, 28029 Madrid, Spain.
    HTLV infection among young injection and non-injection heroin users in Spain: Prevalence and correlates2006Inngår i: Journal of Clinical Virology, ISSN 1386-6532, E-ISSN 1873-5967, Vol. 35, nr 3, s. 244-249Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Although some studies have described the epidemiology of infection with HIV or hepatitis B and C in young users in Spain – one of the European countries with the highest prevalences – there are no studies of the prevalence of HTLV infection and the most important associated factors.

    Objectives

    To evaluate the prevalence and main determinants of HTLV-1 and HTLV-2 infection in young heroin users (including both injection (IDUs) and non-injection drug users (NIDUs)) recruited outside health care services in three of Spain's principal cities.

    Study design

    Cross-sectional cohort study. All participants (981) were street-recruited by chain referral procedures between April 2001 and December 2003. Face-to-face interviews were conducted using a structured questionnaire and dried blood spot samples were collected for serological testing.

    Results

    No sample was positive for HTLV-1 and 27 samples were positive for HTLV-2; all of these were found only in Spanish IDUs in the cities of Madrid (17, 6.2%) and Barcelona (10, 3.5%). The only two factors significantly associated with HTLV infection in the logistic regression analysis were HIV infection (OR 5.7; 95% CI 2.2–14.8) and having injected in the last 30 days (OR 6.5; 95% CI 1.4–29.8). Having been in prison (OR 2.4; 95% CI 0.9–6.4) and HCV infection (OR 3.8; 95% CI 0.5–30.7), which were strongly and significantly associated in the bivariate analysis, were no longer significant in the logistic analysis. Almost the same variables were selected in the tree analysis, in which subjects could be classified into three groups: high prevalence (28.5%, HIV+ and HBV+ who had injected in the last 30 days), medium prevalence (17.8%) and low (<3%) or zero prevalence (HIV−, HCV− and HBV−).

    Conclusions

    HTLV-1 was not detected among young Spanish heroin users. HTLV-2 was not found in NIDUs (perhaps due to the low rate of sexual transmission); it was found only in IDUs from Madrid and Barcelona, but not in those from Seville. Its prevalence is very low and the main correlates of infection were HIV infection and injection as the usual route of heroin administration.

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