| 1. |
|
|
| 2. |
- Jablonska, Beata, et al.
(författare)
-
A national cohort study of parental socioeconomic status and non-fatal suicidal behaviour-the mediating role of school performance
- 2012
-
Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 12, s. 17-
-
Tidskriftsartikel (refereegranskat)abstract
- Background: A link between low parental socioeconomic status and mental health problems in offspring is well established in previous research. The mechanisms that explain this link are largely unknown. The present study investigated whether school performance was a mediating and/or moderating factor in the path between parental socioeconomic status and the risk of hospital admission for non-fatal suicidal behaviour. Methods: A national cohort of 447 929 children born during 1973-1977 was followed prospectively in the National Patient Discharge Register from the end of their ninth and final year of compulsory school until 2001. Multivariate Cox proportional hazards and linear regression analyses were performed to test whether the association between parental socioeconomic status and non-fatal suicidal behaviour was mediated or moderated by school performance. Results: The results of a series of multiple regression analyses, adjusted for demographic variables, revealed that school performance was as an important mediator in the relationship between parental socioeconomic status and risk of non-fatal suicidal behaviour, accounting for 60% of the variance. The hypothesized moderation of parental socioeconomic status-non-fatal suicidal behaviour relationship by school performance was not supported. Conclusions: School performance is an important mediator through which parental socioeconomic status translates into a risk for non-fatal suicidal behaviour. Prevention efforts aimed to reduce socioeconomic inequalities in non-fatal suicidal behaviour among young people will need to consider socioeconomic inequalities in school performance.
|
|
| 3. |
- Jablonska, Beata, et al.
(författare)
-
Pain among women: Association with socioeconomics and work conditions
- 2006
-
Ingår i: European Journal of Pain. - : Wiley. - 1090-3801 .- 1532-2149. ; 10:5, s. 435-447
-
Tidskriftsartikel (refereegranskat)abstract
- We examined pain prevalence (general/body sites) and its characteristics/consequences among a randomised sample of women from the general population between 18 and 64 years (n=3,616). We also scrutinised associations between pain and various factors (e.g. socio-economic) by means of multivariate logistic/linear regression analyses. The women completed a questionnaire assessing various areas (e.g. pain). The design was cross-sectional and data were collected during 8 consecutive weeks. Sixty-three per cent of women reported pain during the last 3 months, of which 65% during more than 3 months. The multivariate analyses revealed associations between various socio-economic factors (e.g. financial strain) and pain in general/all studied body sites. In addition, psychosocial work conditions (i.e. work strain and social support) were significantly related to pain. Moreover, the multivariate analyses conducted among women with pain indicated relationships between socio-economic/psychosocial work conditions, and pain characteristics (e.g. intensity) and consequences (i.e. disability). A large number of women from the general population suffer from pain, in particularly prolonged pain. Women in a deprived socio-economic situation not only run a higher pain risk, but also experience their pain as more severe/disabling than their more privileged counterparts. Improvements of, for example, the socio-economic status among women living in deprived social and material circumstances, along with improved working environment may be crucial to reduce women's pain problems.
|
|
| 4. |
- Jablonska, Beata, et al.
(författare)
-
School effects on risk of non-fatal suicidal behaviour : a national multilevel cohort study
- 2014
-
Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 49:4, s. 609-618
-
Tidskriftsartikel (refereegranskat)abstract
- ObjectiveResearch has demonstrated school effects on health, over and above the effects of students’ individual characteristics. This approach has however been uncommon in mental health research. The aim of the study was to assess whether there are any school-contextual effects related to socioeconomic characteristics and academic performance, on the risk of hospitalization from non-fatal suicidal behaviour (NFSB).MethodsA Swedish national cohort of 447,929 subjects was followed prospectively in the National Patient Discharge Register from the completion of compulsory school in 1989–93 (≈16 years) until 2001. Multilevel logistic regression was used to assess the association between school-level characteristics and NFSB.ResultsA small but significant share of variation in NFSB was accounted for by the school context (variance partition coefficient <1 %, median odds ratio = 1.26). The risk of NFSB was positively associated with the school’s proportion of students from low socioeconomic status (SES), single parent household, and the school’s average academic performance. School effects varied, in part, by school location.ConclusionNFSB seems to be explained mainly by individual-level characteristics. Nevertheless, a concentration of children from disadvantaged backgrounds in schools appears to negatively affect mental health, regardless of whether or not they are exposed to such problems themselves. Thus, school SES should be considered when planning prevention of mental health problems in children and adolescents.
|
|
| 5. |
- Jablonska, Beata, et al.
(författare)
-
School performance and hospital admissions due to self-inflicted injury : a Swedish national cohort study.
- 2009
-
Ingår i: International Journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 38:5, s. 1334-1341
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Self-inflicted injury in youth has increased in many Western countries during recent decades. Education is the most influential societal determinant of living conditions in young people after early childhood. This study tested the hypothesis that school performance predicts self-inflicted injury. METHODS: A national cohort of 447 929 children born during 1973-77 was followed prospectively in the National Patient Discharge Register from the end of their ninth and last year of compulsory school until 2001. Multivariate Cox analyses of proportional hazards were used to test hypotheses regarding grades in ninth grade as predictors of hospital admission due to self-inflicted injury. RESULTS: The risk of hospital admission because of self-inflicted injury increased steeply in a step-wise manner with decreasing grade point average. Hazard ratios were 6.2 (95% confidence interval 5.5-7.0) in those with the lowest level of grade point average compared with the highest. The risks were similar for women and men. Adjustment for potential socio-economic confounders in a multivariate proportional hazards regression analysis attenuated this strong gradient only marginally. CONCLUSION: School performance is a strong factor for predicting future mental ill-health as expressed by self-inflicted injury.
|
|
| 6. |
- Jablonska, Beata
(författare)
-
Self-inflicted injury among adolescents and young adults : the role of ethnicity, socioeconomic conditions and school performance
- 2011
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: Over the past ten years, the number of hospitalisations due to self-inflicted injury has increased significantly among young people in Sweden. The underlying causes are often both psychological and social. Whilst the great deal of research into SII in youth has focused upon psychological factors, the influence of the social ones has been investigated to a lesser extent. The general picture is that females, ethnic minorities, and youth from less favorable socioeconomic background appear to be particularly at risk. Furthermore, increasing empirical evidence is emerging for the important role of school performance. Aim: The overall aim of this thesis is to investigate the role of ethnicity, socioeconomic conditions and school performance, both at an individual and school level, on the risk of hospitalization due to SII among youth in Sweden. Since these factors, most probably, do not operate in isolation from each other, we aimed to study how they are interrelated in their effects on risk of SII. Study I aimed to examine socioeconomic factors as confounders of the association between ethnicity and risk of hospital admission due to SII among youth. Study II aimed to examine whether the grade point average when leaving compulsory school predict hospital admission because of SII among youth. Study III aimed to investigate the impact of parental SES on youths‘ risk of hospital admission because of SII and whether this influence is mediated or/and moderated by a subjects` school performance. Study IV aimed to examine how both individual-level factors and school composition are related to an individual-level risk of SII, as well as to assess interactions effects between individual-level and school composition-level factors (cross-level effects). Method: All four studies are based on data from the national registers of the Swedish National Board of Health and Welfare and Statistics Sweden comprising information about socioeconomic and health indicators of the entire Swedish population. The study population consisted of the entire Swedish population born between 1973 and 1982 (N=1 009 157) and between 1973 and 1977 (N=491 258) residing in Sweden according to the Swedish Population and Housing Census of 1985 or 1990. The outcome variable—hospital admission at least once due to SII was obtained through individual records linkage to the National Hospital Discharge Register. Information about country of birth of the individuals in the study population and their parents was obtained from the Register of the Total Population. Socioeconomic variables were created by linkage to: The Swedish Population and Housing Census 1985 and 1990. School performance indicator, grade point average at the time of leaving compulsory school was created by linkage to The National School Register. Results: Ethnic minorities in Sweden (except those from Southern Europe) had an increased risk of SII as compared with the native population (HRs ranged between 1.6 and 2.3). When socioeconomic conditions were also adjusted for, however, the risks decreased for all ethnic minorities, but remained significantly higher for immigrants from Finland, Western Europe/other Western countries and those in the mixed group. School performance in compulsory school clearly emerged as an important independent predictor of SII [HRs ranged between 1.4 (for GPA=M+1SD) and 6.2 for GPA=(
|
|
| 7. |
- Soares, Joaquim J.F, et al.
(författare)
-
Men´s experiences of violence : extent, nature and ‘determinants’
- 2007
-
Ingår i: International Journal of Social Welfare. - 1369-6866 .- 1468-2397. ; 16:3, s. 269-277
-
Tidskriftsartikel (refereegranskat)abstract
- We examined the extent, nature and 'determinants' of violence in a randomly selected sample of men from the general population (18-64 years, n = 520). The men were assessed on various factors (e.g. demographics). The design was cross-sectional and data were collected over eight consecutive weeks. About 68 per cent of the men reported experiencing violence at some point during their lifetime, and just over 14 per cent in the past 12 months. The violence occurred mainly in public and work settings, with threatening/aggressive language/physical assaults as the most common forms. The main perpetrators were strangers or clients. Sexual abuse was rare. Repeated/multiple abuses were common and injuries were sustained. The victims and non-victims were similar for many factors (e.g. alcohol use). Only younger age and being a blue-collar/low white-collar worker were risk factors for violence. Men's experiences of violence (e.g. physical assaults/multiple abuses) should be a source of concern as they can have profound negative effects. Extensive research on the impact of violence on men's health appears necessary in light of the present findings.
|
|
| 8. |
- Soares, Joaquim JF, et al.
(författare)
-
Psychosocial experiences of foreign and native patients with/without pain
- 2004
-
Ingår i: Scandinavian Journal of Occupational Therapy. - 1103-8128 .- 1651-2014. ; 11:1, s. 36-48
-
Tidskriftsartikel (refereegranskat)abstract
- The psychosocial experiences of foreign/native primary care patients with/without pain were examined. The study comprised 328 foreign patients and 794 native patients who completed various scales (e.g. burnout). The design was cross-sectional and data were collected over 15 consecutive days at 20 randomly selected primary care centres. Pain patients were faring worse than pain-free patients concerning demographics/finances, depression, burnout and job demands/control/strain. Foreign pain patients had the worst situation of all patients. Foreign background was a risk factor for depression and burnout. Foreign pain patients also had a more severe clinical situation (e.g. disability) than native pain patients and being a foreign pain patient was associated with a higher risk of disability/the diagnosis of multiple pain. However, foreign background was not a pain risk factor. Female gender was a risk factor for pain and for complex/constant pain/disability. Variables such as sick leave were also important. The authors confirmed previous research and may have provided new insights into the experiences of foreign/native primary care patients with/without pain. However, further research appears necessary, not the least concerning the role of burnout as an antecedent to pain and the role of ethnicity.
|
|
