| 1. |
- Brandt, Patrik, et al.
(författare)
-
Informatisk forskning om riskanalysprocess applicerad på Apoteket AB:s kundcenterverksamhet
- 2004
-
Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- English summary This licentiate paper describes a study of how the introduction of Customer Care Centres into The Corporation of Swedish Pharmacies affects its work on risk analysis. The two Customer Care Centres in operation today function as central nodes to which calls are connected that before were usually answered by one of the country’s 900 pharmacies. In addition the Customer Care Centres can offer extra channels of communication such as fax, e-mail and the Internet via The Corporation of Swedish Pharmacies’ home page, to increase access for customers and other interested parties as well as to meet the demand for different ways of obtaining information in today’s information age. The integration with The Corporation of Swedish Pharmacies’ other systems offers a rapid answering service and allows customers to accomplish the greater part of their errands themselves. What is easily overlooked, however, is how information security is affected by the introduction of Customer Care Centres and the accompanying integration and especially the dangers and risks that threaten the organisation and indirectly even the customers. A valuable tool that is used in information security, to try to foresee as well as to narrow down as many of the threats as possible, is risk analysis. Today one has begun to see an increased awareness in the general public of the risks and threats related to, amongst other things, the Internet regarding its use by both individuals and commercial and other organisations. As a result firms and organisations have realized the importance of pursuing an active security policy in order to provide an appropriate level of security. It is very important that customers have the same confidence in the firm’s or organisation’s trademark as before, irrespective of organisational or technological changes that have taken place internally. An important part of the process to achieve this, is risk analysis and the results it produces. In this study we have drawn attention to the need of adapting the risk analysis, used in the organisation, to the new Customer Care Centres. This need is great, especially since the communication channels are of different kinds. This results in their respective threats being different. Therefore this broad spectrum of threats must be highlighted in risk analysis and the work with it. Developments in the surrounding environment should also be reflected in risk analysis which accordingly needs to be dynamic. In this study we have attached great importance to the placing of risk analysis in a holistic context.
|
|
| 2. |
- Mamani-Ortiz, Yercin, 1985-
(författare)
-
Cardiovascular risk factors in Cochabamba, Bolivia : estimating its distribution and assessing social inequalities
- 2019
-
Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: The increase in the prevalence of cardiovascular risk factors (CVRFs) is considered one of the most important public health problems worldwide and especially in Latin American (LA) countries. Although the systematic surveillance of chronic diseases and their risk factors has been recommended, Bolivia has not yet implemented a national strategy to collect and monitor CVRF information. Evidence from previous studies in Bolivia and other Latin American countries has suggested that CVRFs affect women more than men and mestizos more than indigenous people. However, a more accurate and comprehensive picture of the CVRF situation and how ethnicity and gender intersect to affect CVRFs is dearly needed to support the development of health policies to improve population health and reduce inequalities.Objective: to estimate the distribution of CVRFs and to examine intersectional in equalities in Cochabamba – Bolivia in order to provide useful information for public health practice and decision making. The specific objectives are: i) to estimate the prevalence of preventable risk factors associated with CVDs and ii) to assess and explain obesity inequalities in the intersectional spaces of ethnicity and gender.Methods: The data collection procedure was based on the Pan-American version (V2.0) of the WHO STEPS approach adapted to the Bolivian context. Between 2015 and 2016, 10,754 individuals aged over 18 years old were surveyed. The two first stages of the STEPS approach were conducted: a) Step 1 consisted of the application of a questionnaire to collect demographic and lifestyle data; b) Step 2 involved taking measurements of height, weight, blood pressure, and waist circumference of the participants.To achieve objective 1, the prevalence of relevant behavioural risk factors and anthropometric measures were calculated, and then odds ratios/prevalence ratios were estimated for each CVRF, both with crude and adjusted regression models. Regarding objective 2, an intersectionality approach based on the method suggested by Jackson et al. (67) was used to analyse the ethnic and gender inequalities in obesity. Gender and ethnicity information were combined to form four mutually exclusive intersectional positions: i) the dually disadvantaged group of indigenous women; ii) the dually advantaged group of mestizo men; and the singly disadvantaged groups of iii) indigenous men and iv) mestizo women. Joint and excess intersectional disparities in abdominal obesity were estimated as absolute prevalence differences between binary groups, using binomial regression models. The Oaxaca-Blinder decomposition was applied to estimate the contributions of explanatory factors underlying the observed intersectional disparities.Main findings: Our findings revealed that Cochabamba had a high prevalence of CVRFs, with significant variations among the different socio-demographic groups. Indigenous populations and those living in the Andean region showed, in general, a lower prevalence for most of the risk factors evaluated. The prevalence of behavioural risk factors were: current smoking (11.6%); current alcohol consumption (42.76%); low consumption of fruits and vegetables (76.73%); and low level of physical activity (64.77%). The prevalence of metabolic risk factors evaluated were: being overweight (35.84%); obesity (20.49%); abdominal obesity (54.13%); and raised blood pressure (17.5%). It is important to highlight that 40.7% of participants had four or more CVRFs simultaneously.Dually and singly disadvantaged groups (indigenous women, indigenous men, and mestizo women) were less obese than the dually advantaged group (mestizomen). The joint disparity showed that the obesity prevalence was 7.26 percentage points higher in the doubly advantaged mestizo men (MM) than in the doubly disadvantaged indigenous women (IW). Mestizo men (MM) had an obesity prevalence of 4.30 percentage points higher than mestizo women (MW) and 9.18 percentage points higher than indigenous men (IM). The resulting excess intersectional disparity was 6.22 percentage points, representing -86 percentage points of the joint disparity. The lower prevalence of obesity in the doubly disadvantaged group of indigenous women (7.26 percentage points) was mainly due to ethnic differences alone. However, they had higher obesity than expected when considering both genders alone and ethnicity alone. Health behaviours were important factors in explaining the intersectional inequalities, while differences in socioeconomic and demographic factors played less important roles.Conclusion: The prevalence of all CVRFs in Cochabamba was high, and nearly two-thirds of the population reported two or more risk factors simultaneously. The intersectional disparities illustrate that abdominal obesity is not distributed according to expected patterns of structural disadvantages in the intersectional spaces of ethnicity and gender in Bolivia. A high social advantage was related to higher rates of abdominal obesity, with health behaviours as the most important factors explaining the observed inequalities. The information generated by this study provides evidence for health policymakers at the regional level and a baseline data for department-wide action plans to carry out specific interventionsin the population and on individual levels.
|
|
