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- Gillander Gådin, Katja
(författare)
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Obstacles for equity in health in a school health promotion project among young students
- 2007
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Konferensbidrag (refereegranskat)abstract
- There is a need for more knowledge about school as an agent for equity in health. The present study is a part of an action research project performed in a Swedish school (grade one to six) in a socially disadvantaged area. The point of departure was that young students have competences to define problems and priorities of changes in their school environment as well as being active participants in the changing process. All students participated in groups in a process of defining suggestions of health promoting changes in their school environment. The aim with the present study was to analyse obstacles for equity in health in a school health promotion project where the students have been active participants. Method: Single-sex focus group interviews (half with girls and half with boys) were conducted with students in two sets: eight interviews were performed directly after the group work at school was completed and another six interviews about a half year after the changing process had started. The students in the focus group interviews were recruited from all classes and ages at the school. The interviews were analyzed with a grounded theory approach. Results: The preliminary results showed that power relations within the group of boys, between the groups of boys and girls, and within the group of girls were obstacles for equity in health. Categories such as harassment, injustice, responsibility taking, homosociality and gender based violence have been developed.Conclusions: Young students can be active participants in the work for a healthy environment at school but the staff at school must consider the unequal power relations between the students and to work with the social climate in general to a higher degree to be successful in reducing inequity among young students.
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- Kristenson, Margareta, et al.
(författare)
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The role of saliva cortisol measurements in health and disease : A matter of theory and methodology
- 2010
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Ingår i: International Journal of Behavioral Medicine. - : Springer. - 1070-5503 .- 1532-7558. ; , s. S206-S206
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Konferensbidrag (refereegranskat)abstract
- Over the last decade, the technique of using ambulatory salivary sampling has become increasingly popular in field research and clinical studies. The non-invasive method is easy to administer and analyze and allows implmentation in large scale study designs. However, this large interest in the use of salivary cortisol measurement is paralleled with frustrations on opposing results. This presentation is based on a critical evaluation of the existing literature on salivary cortisol, aiming to evaluate the utility of salivary cortisol as a biomarker in various settings and how we can understand cortisol reactivity using evidence of experiences from different study designs. The work is compiled by the Scandinavian Stress and Cortisol Network, a network financed by the Swedish Research Council, and one main question asked was: is it possible that different results of studies involving cortisol assessments are functions of differences in the theoretical assumptions made and methods used. In particular, the symposium will focus on how the many different ways of evaluating levels and dynamics of salivary cortisol (i. e. with regard to time points of assessment and different algorithms based on multiple time points) may have an impact on the interpretation of cortisol measurements in various contexts. Salivary cortisol has been studied in relation to the following topics: demographic variables, psychosocial work environment, psychosocial resources (e.g. mastery) and outcomes (e.g. burnout), sleep quality, biological markers (markers of cardivascular risk, inflammation and metabolism) and somatic outcome.
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- Landstedt, Everlina, et al.
(författare)
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Enhancing adolescent mental health - understanding the significance of contextual factors and a gender perspective.
- 2006
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Konferensbidrag (refereegranskat)abstract
- 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.
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