| 151. |
|
|
| 152. |
|
|
| 153. |
- Ryden, Lars, et al.
(författare)
-
Periodontitis Increases the Risk of a First Myocardial Infarction A Report From the PAROKRANK Study
- 2016
-
Ingår i: Circulation. - : Lippincott Williams & Wilkins. - 0009-7322 .- 1524-4539. ; 133:6, s. 576-583
-
Tidskriftsartikel (refereegranskat)abstract
- Background The relationship between periodontitis (PD) and cardiovascular disease is debated. PD is common in patients with cardiovascular disease. It has been postulated that PD could be causally related to the risk for cardiovascular disease, a hypothesis tested in the Periodontitis and Its Relation to Coronary Artery Disease (PAROKRANK) study. Methods and Results Eight hundred five patients (<75 years of age) with a first myocardial infarction (MI) and 805 age- (mean 628), sex- (male 81%), and area-matched controls without MI underwent standardized dental examination including panoramic x-ray. The periodontal status was defined as healthy (80% remaining bone) or as mild-moderate (from 79% to 66%) or severe PD (<66%). Great efforts were made to collect information on possibly related confounders (approximate to 100 variables). Statistical comparisons included the Student pairwise t test and the McNemar test in 2x2 contingency tables. Contingency tables exceeding 2x2 with ranked alternatives were tested by Wilcoxon signed rank test. Odds ratios (95% confidence intervals) were calculated by conditional logistic regression. PD was more common (43%) in patients than in controls (33%; P<0.001). There was an increased risk for MI among those with PD (odds ratio, 1.49; 95% confidence interval, 1.21-1.83), which remained significant (odds ratio, 1.28; 95% confidence interval, 1.03-1.60) after adjusting for variables that differed between patients and controls (smoking habits, diabetes mellitus, years of education, and marital status). Conclusions In this large case-control study of PD, verified by radiographic bone loss and with a careful consideration of potential confounders, the risk of a first MI was significantly increased in patients with PD even after adjustment for confounding factors. These findings strengthen the possibility of an independent relationship between PD and MI.
|
|
| 154. |
|
|
| 155. |
|
|
| 156. |
- Skerfving, Annemi, 1946-
(författare)
-
Barn till föräldrar med psykisk ohälsa : Barndom och uppväxtvillkor
- 2015
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this doctoral thesis is to – from a child perspective and with children as informants – describe and analyze childhood conditions for children whose parents suffer from severe mental illness. The method used is qualitative – 28 children, 10 boys and 18 girls, 7–18 years old, were interviewed about their parents’ mental disorder; the family situation and their own personal life – in school and during free time. The analyses are based on Sociology of Childhood and Family Sociology. Previous studies have, to a great extent, focused on the risk the children run of developing mental health- and social problems and what helps them to grow up healthy. The increased risk of mental health- and social problems has been well confirmed, but also that preventive interventions can contribute to resilience in the children. Although some studies have explored children’s experiences of their parents’ mental illness and the challenges they meet, research from a childhood perspective, has so far been scarce. The results of this study reveal different degrees of emotional, physical and social exposure for the children. Their childhood conditions were related to gender, relations, communication, problem load and social situation of the family. If the parent with a mental illness was a woman, the situation for the child was often more exposed than if it was the father – most likely due to parental roles and expectations on men and women in the Swedish society at that time. Girls seemed more emotionally involved in the parents’ problems than boys, especially if the parent with a mental illness was a father. Most of the parents were divorced or had never lived together. Parental conflicts complicated the life of the children, who were expected to have maintained relationships to both parents. Lack of communication about the parent’s mental disorder in - and outside the family - was common. The children were often uninformed about the parent’s problems. If hindered to pass information between and outside their two homes, they were left to handle difficult, sometimes dangerous, situations with the mentally ill parent, alone. The home was not always the safe place for rest and recovery, as homes are expected to be. The heavier the total problem load of the family, the more exposed was the child. Most exposed were children whose both parents had severe problems – mental illness or addiction. They were often placed in out of home care, for longer or shorter periods. The kind and degree of exposure the children experienced varied. Four kinds of childhood sceneries could be recognized: (1) the well organized childhood, where the parent’s mental health problem was mainly an emotional burden for the children; (2) the complicated childhood, where the parents conflicts and inability to protect the child made the child either too involved or too lonely in handling the problems that the parent’s mental illness caused them; (3) the problematic childhood where the parent’s mental illness was not the only problem in the family, but factors like the other parent’s drinking, siblings’ problems, social and economical difficulties added to the burden and (4) the exposed childhood where none of the parents was able to take care of the child. Knowledge and openness, about the parents’ problems, seemed to increase competence and decrease feelings of guilt and responsibility for the parent. All of the children stood forward, not as passive victims, but as competent agents in their own lives – although often more or less powerless because of their dependence of their parents and other adults around them. It was clear, though, that there is a need for professionals in adult psychiatry, social services, school and preschool, to pay attention to the children of parents with mental health problems and see to that they get the information and support they need. Keywords: Children, childhood conditions, children as agents, parental mental illness/mental disorders, mental health knowledge, exposed life situations, competence.
|
|
| 157. |
- Sohl, Lena, 1975-
(författare)
-
Att veta sin klass : Kvinnors uppåtgående klassresor i Sverige
- 2014
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis examines women’s upward class mobility in a Swedish context, with particular focus on notions of class, gender, race, Swedishness and sexuality. The thesis analyses qualitative interviews with 16 upwardly mobile women. In the analysis the women’s lived experiences, contextualized through structural processes, are in focus.The women’s educational success seems to be crucial in their understanding of how they were able to move out of the working class. The analysis suggests that being duktig (good, capable and efficient) is central in the women’s understanding of their upward class mobility. Further, the analysis shows that racialization and notions of Swedishness clearly structure the women’s experiences of upward class mobility in different ways.I argue that the women’s need to “escape” from working-class positions must be understood by highlighting the complex processes of inequalities based on notions of class, gender, race, Swedishness and sexuality. Moreover, contrasting dynamics within common stories of “class escape” suggest the possibility of using such narratives as entry points: not only into the complexities of social location in present-day Sweden; but also the complexities of what is required in order to move through social space.
|
|
| 158. |
- Sundhall, Jeanette, et al.
(författare)
-
Witness or victim or actor – or all of these? : Children with a father who is violent to their mother and children’s right to voice in family law proceedings
- 2006
-
Konferensbidrag (refereegranskat)abstract
- The paper presents preliminary findings from an ongoing explorative project in Sweden on children as social actors in family law proceedings, with particular focus on children whose father is violent to the mother. Since 1996 it is required by law that investigators, unless it is directly inappropriate, seek information about the child’s “view” and give information about this to the court. Until now, these encounters between children and family law investigators, and the implications for both children and professionals involved, have not been studied in any great detail in Sweden. The empirical material consists of three sets of qualitative data: semi-structured individual interviews with children; semi-structured group interviews with professionals from three work places; and written documentation (reports) submitted to the court by the professionals. The preliminary findings presented here concern notions of children who see and hear violence as ”witnesses to” and ”victims of” violence respectively, what such constructions mean for interpretations of children with a violent father, as well as for the professionals’ conversations with these children and documentation of the children’s perspectives.
|
|
| 159. |
|
|
| 160. |
- Wernesjö, Ulrika, 1980-
(författare)
-
Conditional Belonging : Listening to Unaccompanied Young Refugees’ Voices
- 2014
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis explores negotiations of belonging among unaccompanied young refugees in Sweden. The thesis further aims to shed light on methodological aspects of bringing out their voices. The analysis draws on postcolonial and poststructuralist approaches to belonging and relates belonging to the concepts of home, place, racialization and notions of “Swedishness”.The thesis analyses qualitative interviews with 17 young people, who arrived in Sweden as unaccompanied asylum-seeking minors and have been granted permanent residency. The interviews are complemented with walk-alongs and photography-based interviews.Paper 1 gives an overview and discussion of research on unaccompanied asylum-seeking minors. I argue that there is a lack of their voices in the research, and that their own agency and perspectives are not addressed due to a focus on vulnerability and emotional health (or lack thereof). Paper II, which is delimited to participants in a rural village, shows that they negotiate belonging and a sense of home related to places but that othering is constraining. In paper II and III I suggest that the participants’ belongings and position in Sweden can be understood as conditional due to othering and racialization. In paper III, I argue that expressing gratitude can be understood as a form of impression management and, thus be a strategy to negotiate their position in the interview setting as in the host country.I finally argue that in order to understand the participants’ negotiations of belonging attention has to be paid to their agency as well as the conditioning of belonging in discourses and in interactions on the local level.
|
|
