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- Eriksson, Erik, 1977, et al.
(författare)
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Participation in a Swedish cervical cancer screening program among women with psychiatric diagnoses: a population-based cohort study.
- 2019
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Ingår i: BMC public health. - : Springer Science and Business Media LLC. - 1471-2458. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- In Sweden, organized screening programs have significantly reduced the incidence of cervical cancer. For cancers overall, however, women with psychiatric diagnoses have lower survival rates than other women. This study explores whether women with psychiatric diagnoses participate in cervical cancer screening programs to a lesser extent than women on average, and whether there are disparities between psychiatric diagnostic groups based on grades of severity.Between 2000 and 2010, 65,292 women within screening ages of 23-60 had at least two ICD-10 (International Statistical Classification of Diseases and Related Health Problems - Tenth Revision) codes F20*-F40* registered at visits in primary care or psychiatric care in Region Västra Götaland, Sweden. Participation in the cervical cancer screening program during 2010-2014 was compared with the general female population using logistic regression adjusted for age.Relative risk for participation (RR) for women diagnosed within psychiatric specialist care RR was 0.94 compared with the general population, adjusted for age. RR for diagnoses outside specialist care was 0.99. RR for psychoses (F20*) was 0.81.Women with less-severe psychiatric diagnoses participate in the screening program to the same extent as women overall. Women who have received psychiatric specialist care participate to a lesser extent than women overall. The lowest participation rates were found among women diagnosed with psychoses.
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- Lau, Malena, et al.
(författare)
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Etnicitet, vithetsnormer och rasifiering
- 2022. - 2
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Ingår i: Jämlik vård. - Lund : Studentlitteratur. - 9789144151069 ; , s. 101-132
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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- Olsson, Erik, 1977, et al.
(författare)
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Community collaboration to increase foreign-born women’s participation in a cervical cancer screening program in Sweden: a quality improvement project
- 2014
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Ingår i: International Journal for Equity in Health. - : Springer Science and Business Media LLC. - 1475-9276. ; 13:1, s. 62-72
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The prevailing inequities in healthcare have been well addressed in previous research, especiallyscreening program participation, but less attention has been paid to how to overcome these inequities. This paperexplores a key factor of a successful improvement project: collaboration with local doulas to raise cervical cancerscreening participation by more than 40 percent in an area with a large number of foreign-born residents.Methods: Data was collected through two focus group discussions with the doulas in order to designinterventions and debrief after interventions had been carried out in the community. Various tools were used toanalyze the verbal data and monitor the progress of the project.Results: Three major themes emerged from the focus group discussions: barriers that prevent women fromparticipating in the cervical cancer screening program, interventions to increase participation, and the role of thedoulas in the interventions.Conclusions: This paper suggests that several barriers make participation in cervical cancer screening programmore difficult for foreign-born women in Sweden. Specifically, these barriers include lack of knowledge concerningcancer and the importance of preventive healthcare services and practical obstacles such as unavailable child careand language skills. The overarching approach to surmount these barriers was to engage persons with a sharedcultural background and mother tongue as the target audience to verbally communicate information. The doulaswho helped to identify barriers and plan and execute interventions gained increased confidence and a sense ofpride in assisting to bridge the gap between healthcare providers and users.
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- Olsson, Erik, 1977, et al.
(författare)
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When one size does not fit all: Using participatory action research to co-create preventive healthcare services
- 2015
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Ingår i: Action Research. - : SAGE Publications. - 1741-2617 .- 1476-7503. ; 13:1, s. 9-29
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Tidskriftsartikel (refereegranskat)abstract
- Organized screening programs have proved effective at reducing cervical cancer inSweden by offering early detection of precancerous cells. However, participationrates vary across groups of women. The purpose of this paper is to explore howparticipatory action research contributes to (re)designing cervical cancer screeningprograms to better meet local residents’ needs and expectations. The paper examinesthe Pap smear testing barriers encountered by foreign-born women. It is also reportedhow different actors within the healthcare system as well as civil society can worktogether to address these barriers and improve healthcare services. Moreover, thepaper contributes to action research methodology by demonstrating how participatoryinquiries benefit from quantitative monitoring of improvement initiatives.
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- Wångdahl, Josefin, 1983-, et al.
(författare)
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Hälsolitteracitet – en kommunikativ utmaning för hälso- och sjukvården.
- 2017
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Ingår i: Socialmedicinsk Tidskrift. - 0037-833X .- 2000-4192. ; 94:2, s. 126-135
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Tidskriftsartikel (refereegranskat)abstract
- Hälsolitteracitet, en persons förmåga att få tag på, förstå, kommunicera, vär-dera och använda sig av hälsoinformation är en förutsättning för patientens delaktighet i sin vård. Studier har visat att hälsolitteracitet kan påverka när och hur patienter söker vård, deltar i screeningprogram, följer behandlings-rekommendationer med mera. Hur patienten använder hälsoinformation på-verkas dels av individuella förutsättningar men ännu mer av hälso- och sjuk-vårdens förmåga att kommunicera och ge information som är lätt att förstå, inkluderande och tillgänglig. Tre konkreta metoder som kan användas för att göra hälso- och sjukvården mer hälsolitterat är: Förstå mig rätt/teach-back, personcentrerad patientutbildning och kommunikationsstöd med bilder.
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