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Sökning: WFRF:(Sparén Pär) > Samhällsvetenskap

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1.
  • Jukkala, Tanya, et al. (författare)
  • Age, period and cohort effects on suicide mortality in Russia, 1956-2005
  • 2017
  • Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 17
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Russian suicide mortality rates changed rapidly over the second half of the twentieth century. This study attempts to differentiate between underlying period and cohort effects in relation to the changes in suicide mortality in Russia between 1956 and 2005. Methods: Sex-and age-specific suicide mortality data were analyzed using an age-period-cohort (APC) approach. Descriptive analyses and APC modeling with log-linear Poisson regression were performed. Results: Strong period effects were observed for the years during and after Gorbachev ' s political reforms (including the anti-alcohol campaign) and for those following the break-up of the Soviet Union. After mutual adjustment, the cohort-and period-specific relative risk estimates for suicide revealed differing underlying processes. While the estimated period effects had an overall positive trend, cohort-specific developments indicated a positive trend for the male cohorts born between 1891 and 1931 and for the female cohorts born between 1891 and 1911, but a negative trend for subsequent cohorts. Conclusions: Our results indicate that the specific life experiences of cohorts may be important for variations in suicide mortality across time, in addition to more immediate effects of changes in the social environment.
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3.
  • Malki, Ninoa, et al. (författare)
  • Temporal trends in incidence of myocardial infarction and ischemic stroke by socioeconomic position in Sweden 1987-2010
  • 2014
  • Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 9:8, s. e105279-
  • Tidskriftsartikel (refereegranskat)abstract
    • Background We analyzed temporal trends in the incidence of myocardial infarction and ischemic stroke in Sweden by socioeconomic position and investigated whether social inequalities in incidence of these diseases changed over time.Materials and Methods We studied a cohort of almost three million Swedish residents born between 1932 and 1960 followed from 1987 until 2010. Incident cases of myocardial infarction and ischemic stroke were identified in the Swedish National Inpatient Register and Cause of Death Register. Socioeconomic position was retrieved from the Population and Housing Censuses. Incidence rates of myocardial infarction and ischemic stroke and incidence rate ratios comparing levels of socioeconomic position were estimated using flexible parametric survival models adjusted for calendar year, attained age, sex, and birth country.Results The overall incidences of myocardial infarction and ischemic stroke decreased over time among men, but were stable over time among women. With regard to ischemic stroke incidence, socioeconomic inequality increased over time in the age group 55 to 59: the incidence rate ratios for low manual compared to high non-manual increased from 1.3 (95% CI: 1.2-1.4) in 1997 to 1.5 (1.4-1.7) in 2010 among men, and from 1.4 (1.3-1.6) in 1997 to 2.1 (1.8-2.5) in 2010 among women. The socioeconomic inequality in incidence of myocardial infarction was stable over time for both men and women.Conclusion There was a decrease in myocardial infarction and ischemic stroke incidence over time among men but no significant change for women. Our study highlights existing, and in some cases increasing, social inequalities in the incidence of cardiovascular diseases.
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4.
  • Sparén, Pär, et al. (författare)
  • Stagnation, sammanbrott och social nyordning - rötterna till den ryska folkhälsokrisen
  • 2000
  • Ingår i: Sociologisk forskning. - : Sveriges Sociologförbund. - 0038-0342 .- 2002-066X. ; 37:1, s. 127-149
  • Tidskriftsartikel (refereegranskat)abstract
    • Stagnation, break-down and a new social order - the roots of the Russian public health crisisLong term trends of deteriorating health status in Soviet Union and Eastern Europe during the last two decades of communism were followed by a new crisis in health, after the collapse of its social system. In contrast, the perestroika period coincided with strongly improved public health. Explanations for the latest Russian health crisis are discussed. It is concluded that explanations based on poor medical care, excessive alcohol consumption or nutrional deprivation are, at best, insufficient. The collapse of the social system itself has lead to a narrowing of individual and collective decision latitudes; we speculate that historical factors, such as vulnerability of specific birth cohorts or segments of the population, may be part of the unexpected and very steep rise of mortality during the first half of the 1990s.
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5.
  • Stenbeck, M., et al. (författare)
  • Causes of increasing cancer prevalence in Sweden
  • 1999
  • Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 354:9184, s. 1093-1094
  • Tidskriftsartikel (refereegranskat)abstract
    • The prevalence of cancer in Sweden has increased greatly during the past 30 years. 40-47% of the observed increase can be explained by population dynamics, and 30% by better survival. Hence, only 23-29% is attributable to risk increase.
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6.
  • Stickley, Andrew, et al. (författare)
  • Risk factors for intimate partner violence against women in St. Petersburg, Russia
  • 2008
  • Ingår i: Violence against Women. - : SAGE Publications. - 1077-8012 .- 1552-8448. ; 14:4, s. 483-95
  • Tidskriftsartikel (refereegranskat)abstract
    • This exploratory study examines which risk factors are associated with intimate partner violence against women in St. Petersburg, Russia. Women attending two crisis centers and a birthing house constituted the study sample. The male partner's frequent alcohol consumption and seeing his father hit his mother in childhood were associated with an increased risk of violence, whereas living in a communal apartment reduced the risk of intimate partner violence. The importance of crisis centers in Russia is highlighted by the study, as the women who turn to them are likely to have experienced more severe forms of violence.
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