| 1. |
- Petersson, Joakim
(författare)
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Identifying risk for recidivism among partner violent men reported to the Swedish police
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Intimate partner violence (IPV) against women is a global public health issue, where every third woman has experienced such violence. Moreover, IPV recidivism rates are generally high. These figures indicate that the police need a better understanding of the risk factors related to those perpetrators who pose the highest risk of recidivating in IPV. To this end, research has found that IPV perpetrators who are violent towards their partner as well as others (referred to as the antisocial subtype) display more risk factors for IPV than those perpetrators who are violent only against their partner (referred to as the family-only subtype). However, there are still uncertainties whether these two subtypes differ in terms of characteristics related to recidivism (i.e., risk profile) and actual recidivism. Thus, this thesis aimed to examine differences in risk profiles and recidivism rates between the antisocial perpetrators and the family-only perpetrators. This thesis was based on a systematic literature review and three empirical studies. The empirical studies were based on data collected from the Swedish police and consisted of IPV risk assessments. The risk assessments were performed by the police using the Brief Spousal Assault Form for the Evaluation of Risk (B-SAFER). These empirical studies relied on a sample of 657 male perpetrators who had been reported to the police and subjected to a violence risk assessment for allegedly perpetrating IPV against a female partner. The results demonstrated that categorizing partner violent men as either antisocial or family-only can help identify the perpetrators most at risk to recidivate in IPV. As such, the antisocial perpetrators displayed a greater diversity as well as degree of risk factors for IPV, and were more likely to recidivate in IPV, despite legal interventions from the police. In contrast, the family-only perpetrators presented with fewer risk factors, were characterized as socially well-adjusted outside of the relationship, and less likely to recidivate in IPV. However, several family-only perpetrators recidivated in IPV, meaning that such perpetrators should not routinely be dismissed as low-risk perpetrators. In conclusion, the results of this thesis can be used to improve the ability of those assigned to assess risk for future IPV to identify those perpetrators most at risk to recidivate. In turn, this could enable a more informed and adequate response aiming to prevent, or at best reduce, this risk.
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| 2. |
- Begum, Afroza, et al.
(författare)
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Parental socio-economic position and suicidal ideation among adolescents in Rural Bangladesh
- 2018
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Ingår i: Journal of Psychiatry and Behavioral Sciences. - : MedDocs Publishers LLC. - 2637-8027. ; :4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Suicide is a leading cause of death worldwide and becoming a public health concern among adolescents. However, adolescent suicidal behaviour is a neglected public health issue, especially in low-income countries such as Bangladesh. Of great importance is the understanding of which factors might be related to this growing public problem. Objective: To examine the relationship between parental socio-economic position and suicide ideation among adolescents in rural Bangladesh Methods: A cross-sectional survey was conducted in 2013 among 2,476 adolescents, aged 14-19 years, selected randomly from a rural community of Bangladesh. An adapted version of the WHO/SUPRE-MISS questionnaire was used to collect data in the Raiganj sub-district, which is a surveillance area of the Centre for Injury Prevention and Research, Bangladesh (CIPRB).Descriptive statistics and binary logistic regression analyses were used to analyze the data. Comparisons of proportions between groups were carried out using the χ2 test. Multivariate logistic regression analysis was used to examine the relationship between parental co-variants and suicidal thoughts among adolescents. The significance level was set atp <0.05. All analyses were performed using SPSS 20. Results: The majority of parents had education only up to primary school (mothers 58.7% and fathers 49.5%). Most of them were farmers (53.3% of fathers) and housewives (96.5% of mothers). Monthly income and expenditure of the adolescent’s parents were mainly upto 10,000 taka only. Suicidal ideation is more common among adolescents of low income group parents 104 (5.5%) and who were not living with their parents 18 (8.2%). Adolescent’s suicidal ideation was found to be significantly associated with education, marital status and house ownership of their parents. Not being able to live with their parents was also a significant factor. Parents who received education up to SSC had odds ratio of 2.10 (1.21,3.64) and 1.92 (1.15, 3.23) for mothers and fathers respectively. Parent’s income or expenditure was not associated with adolescent’s suicidal ideation. Adolescent’s suicidal ideation of single parents had higher odds (OR 3.00, CI 1.75-5.19) in comparison to adolescents who had both parents. Adolescents whose parents owned a house and who weren’t living withtheir parents had odds ratios of 0.14 (0.05,0.35), and 1.80 (1.07,3.03) respectively. After adjusting for other covariates parents’ marital status and house ownership significantly associated with the adolescent suicide ideation. Conclusion: Parental socio-economic position was associated with suicidal ideation. Adolescent with single parents were more likely to report suicidal ideation. Low parental education and socio-economic status, marital status, house ownership, not living with parents at home as well as adolescent loneliness were the important factors for suicidal ideation.
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| 3. |
- Begum, Afroza
(författare)
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Social Determinants of Suicidal Ideation among Adolescents in Rural Bangladesh
- 2021
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background and Objective: Suicide is a leading cause of death and a critical public health problem among adolescents worldwide. However, adolescent suicidal behaviour is a neglected public health issue, especially in low- and middle-income countries, such as Bangladesh. There is evidence from developed countries showing that suicidal ideation (SI) among adolescents is related to social indicators as well as individual risk factors. Scarce evidence from studies inlow- and middle-income countries suggests that social factors may influence adolescent SI. In Bangladesh, only a few studies have focused on the social determinants of suicide, and the present study is the first to examine the prevalence and social determinants of suicidal ideation among adolescents in rural Bangladesh. Therefore, the present thesis assessed the effects of socioeconomic status (SES) on adolescent SI.Methods: The present thesis is based on two studies, which used data from a cross-sectional survey conducted in 2013 among 2,476 adolescents aged 14-19 years selected randomly in arural community in Bangladesh. An adapted version of the WHO/SUPRE-MISS questionnaire was used to collect data in the Raiganj sub-district, an area surveyed within the Injury Prevention Program of the Centre for Injury Prevention and Research, Bangladesh (CIPRB). Study I estimated the prevalence of suicidal ideation among adolescents and investigated what factors were associated with suicidal ideation. Study II examined the relationship between parental socio-economic factors and suicidal thoughts among adolescents.Results: Study I showed that life time prevalence of suicidal ideation was 5% among adolescents. The majority of adolescents with suicidal ideation were female (67, 5.3%), unmarried (106, 5.5%) and students (86, 6.2%). Suicidal ideation was significantly associated with age, education, occupation and living with parents or others. Respondents aged 18-19 years, had a Secondary school certificate (SSC) and Higher Secondary school certificate (HSC) or higher, were day labourers, living without parent had odds ratios of 2.31 (CI 1.46-3.65), 2.38(CI 1.51-3.77), 4.15 (CI 2.41-7.14), .28 (CI 0.13-0.60) and 1.80 (CI 1.07-3.03), respectively.In study 2, results demonstrated that suicidal ideation was more common among adolescents with parents from the low-income group (5.5%). In addition, adolescent SI was found to be significantly associated with parental education, marital status and house ownership. Adolescents whose parents received an SSC or higher had an SI odds ratio of 2.10 (CI 1.21-3.64) and 1.92 (CI 1.15-3.23) for mothers and fathers respectively. Suicidal ideation among adolescents with single parents was higher with an odds ratio of 3.00 (CI 1.75-5.19) in comparison to adolescents who had both parents. Adolescents whose parents owned a house had an odds ratio of 0.14 (0.05, 0.35).Conclusion: The thesis found that the prevalence of lifetime suicidal ideation among adolescents is moderately high in a rural community of Bangladesh. Furthermore, it was observed that personal characteristics such as parental marital status, education and homeownership were statistically significantly associated with suicidal ideation among adolescentseven after adjusting for potential confounders.
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| 4. |
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| 5. |
- Hussain, A. H. M. Enayet, 1963-, et al.
(författare)
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Barriers to the uptake of eye health services of the children in rural Bangladesh : A community-based cross-sectional survey
- 2023
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 18:12
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Tidskriftsartikel (refereegranskat)abstract
- Globally, ocular morbidity and disability among children are major public health concerns.This study was designed to explore the health-seeking behaviours of parents in Bangladesh whose children have ocular problems. A cross-sectional mixed method was followed for this study. The method was designed to measure the eye health care-seeking practices of caregivers/parents with children with ocular morbidity in three unions (the lowest administrative geographical area comprising 30,000–50,000 population) of the Raiganj Upazila under the Sirajganj District of Bangladesh. The study period was from January to April 2017. Face-to face interviews using a semi-structured quantitative questionnaire with the caregivers and KI were conducted among the health service providers during the study period. This was the first community-based study conducted in Bangladesh to find out caregivers’ health-seeking behaviour with identified ocular morbidity. Among 198 confirmed cases of childhood ocular problems, only 87 (43.9%) parents sought health care for their children’s ocular morbidities. Better health-seeking behavior was found among the wealthier families. Proportions were 55.3% and 36% among wealthy and low-income families, respectively. Affluent families sought care from qualified service providers. Educated household heads chose qualified service providers for their children at a higher rate than illiterate household heads. Lack of knowledge, lack of awareness and financial constraints are significant barriers to seeking proper health care. More than half of the caregivers did not seek any eye care services for their children. Socio-demographic factors, and financial constraints play an essential role in the health-seeking behaviour of the parents.
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| 6. |
- Högh, Annie, et al.
(författare)
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A systematic review of longitudinal studies of nonfatal workplace violence
- 2005
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Ingår i: European Journal of Work and Organizational Psychology. - : Psychology Press. - 1359-432X .- 1464-0643. ; 14:3, s. 291-313
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Forskningsöversikt (refereegranskat)abstract
- Risk factors and consequences of exposure to violence at work were examinedthrough a systematic review of longitudinal studies of workplace violence.Literature in different databases was screened and the articles were selected onthe basis of a set of inclusion criteria. Sixteen studies were included into thereview and they were evaluated according to a number of criteriarecommended for use in systematic reviews. Of the reviewed studies, 12 metmore than half of the evaluation criteria. The studies identified individual,situational, and structural risk factors of workplace violence. Five studiesdemonstrated that being subjected to violence at work have both acute andlong-term consequences for the exposed staff and the workplace. Two studiesalso found symptoms of Posttraumatic Stress Disorder in victims. In view ofthe detrimental effects of violence, it is important that preventive measures aretaken and evaluated in future longitudinal studies.
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| 7. |
- Jong, Miek C., 1968-, et al.
(författare)
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Protocol of a mixed-method randomised controlled pilot study evaluating a wilderness programme for adolescent and young adult cancer survivors : the WAYA study
- 2022
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 12
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Tidskriftsartikel (refereegranskat)abstract
- Introduction The majority of childhood, adolescent and young adult (AYA) cancer survivors suffer from long-term and late effects such as fatigue, psychological distress or comorbid diseases. Effective health promotion strategies are needed to support the health of this vulnerable group. This protocol provides a methodological description of a study that aims to examine the feasibility and safety of performing a randomised clinical trial (RCT) on a wilderness programme that is developed to support the health of AYA cancer survivors.Methods and analysis The pilot RCT study has a mixedmethod design, including quantitative and qualitative evaluations. Participants are AYAs, aged 16–39 years, that have been diagnosed with cancer during childhood, adolescence or young adulthood. A total of 40 participants will be randomly assigned to a wilderness programme (n=20) or a holiday programme (n=20). Both arms include participation in an 8-day summer programme, followed by a 4-day programme 3 months later. Primary outcomes are feasibility and safety parameters such as time to recruitment, willingness to be randomised, programme adherence and adverse effects. Secondary outcomes include self-reported health such as self-esteem, quality of life, self-efficacy and lived experiences. Descriptive statistics will be used to analyse outcomes and explore indications of differences between the programmes. Interviews are analysed by directed content analysis and hermeneutic phenomenology. A convergent parallel mixed-method analysis design will be applied to integrate quantitative and qualitative data. Results of this feasibility study will inform the preparation for a larger RCT with AYA cancer survivors.
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| 8. |
- Mosleh, Marwan, et al.
(författare)
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Barriers to managing and delivery of care to war-injured survivors or patients with non-communicable disease : a qualitative study of Palestinian patients' and policy-makers' perspectives
- 2020
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Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundImproving access to optimal quality of care is a core priority and ambitious health policy goal in spite of impediments, threats and challenges in Palestine. Understanding the factors that may impede quality of care is essential in developing an effective healthcare intervention for patient with non-communicable disease (NCD) or war-injured survivors.MethodsQualitative interviews were performed using a purposive sampling strategy of 18 political-key informants, 10 patients with NCD and 7 war-injured survivors from different health facilities in Gaza Strip. A semi-structured interview guide was developed for data collection. The interviews were audio recorded and transcribed verbatim. Important field notes of the individual interviews were also reported. Thematic-driven analytic approach was used to identify key themes and patterns.ResultsFrom the policy maker’s perspective, the following important barriers to accessing optimal healthcare for patients with NCD or war-injured survivors’ treatment were identified; 1) organizational/structural 2) availability 3) communication 4) personnel/lack of staff 5) financial and political barriers. Patient with NCD or war-injury had similar experiences of barriers as the policy makers. In addition, they also identified socioeconomic, physical and psychological barriers for accessing optimal healthcare and treatment.ConclusionsThe main perceived barriers explored through this study will be very interesting and useful if they are considered seriously and handled carefully, in order to ensure efficient, productive, cost-effective intervention and delivery of a high-standard quality of care and better disease management.
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| 9. |
- Mosleh, Marwan, PhD researcher, 1975-
(författare)
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Non-communicable diseases and war injuries in Palestine : burden, incidence and management in the health system
- 2020
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: The epidemics of non-communicable diseases (NCDs) and war-related injuries are a significant health concerns, and are rapidly emerging as major causes of mortality and disability globally, particularly in low and middle-income countries (LMICs) such as Palestine. Health research on the epidemiology and management of NCDs and war injuries is scarce and largely neglected. Therefore, this research responds to epidemiologic and public health concerns due to the increasing incidences of NCDs and war-injuries. The objective of this thesis was to describe, characterize and analyze the burden, incidence and management of NCDs and war-related injuries in the Palestinian health system (PHS).Methods: A combination of methods was employed in the research, including quantitative (study I and II), and qualitative approaches (study III and IV) in order to achieve the study aims and to gain a better understanding of NCDs and war injuries related issues in the PHS. For study I, the Disability-Adjusted Life Years (DALYs) framework was employed using available registry data of NCDs from 2010 to quantify the burden of NCDs, whereas, for study II a registry injuries data of the 2014 Gaza war was used to analyze the incidence and patterns of war injuries in the PHS. For study III, a qualitative focus group strategy was used to explore healthcare providers’ perspectives on NCDs and war injuries management and for study IV, a qualitative interview strategy was applied, using study topic guides to explore patients and policy makers’ perspectives of barriers to managing and delivering of care to war injured survivors or patients with NCDs. The participants were purposely selected and invited to be involved in the focus group discussions and interviews. The qualitative data were transcribed verbatim and analyzed using manifest content and thematic analysis in study III and IV respectively.Results: The research concludes that the total burden of reported NCDs was estimated at 57/1000 and 60/1000 DALYs in the Gaza Strip and the West Bank in 2010 respectively, with each DALY being thought of as one lost year of optimal healthy life. Heart diseases were found to be the leading causes of NCDs related burden among the population (study I). Study II showed that males experienced more war injury than females with a male: female ratio of 3.1:1. Almost half of victims were of age 20-39, followed by children and individuals younger than 20 years (31.4%). The overall incidence of war injuries was 6.4/1000 of the population, but it varied among regions. Explosion or blast injuries were the major causes of war-related injuries (72.9%) in the Gaza Strip. The largest percentage of injuries were reported to be in the upper body (study II). In study III, the qualitative analysis resulted in four main themes, resulting from the accounts of the key healthcare providers. The informants frequently expressed feeling that despite some positive aspects in the health system, there were, however, fundamental changes and significant improvements are necessary to make care work better than they do now. Some expressed serious concerns about the healthcare system, suggesting that it needs complete rebuilding in order to make it work better. In study IV, important barriers were explored by patients and key-policy makers, relating to managing and delivery care to war injured survivors or patients with NCDs, including organizational/structural, availability, communication, personal/shortage of staff, and financial and political barriers. Patients had similar experiences of barriers to those of the policy makers. In addition, patients experienced socioeconomic, physical, and psychological barriers.Conclusion: The epidemic of NCDs, especially heart disease, and the high influx of war-associated injuries, impose a substantial and heavy burden on the PHS. The health system has many deficiencies and public hospitals do not work as they should, because of many challenges and the burden of diseases in the health system. Given this evidence, immediate actions and effective interventions should be initiated to tackle the burden of NCDs and war injuries in Palestine. A clear cost-effective health policy with a focus on preventive measures should be implemented. Further research using recent data on large scale populations are important to provide further insights on the magnitude and trend of NCDs and war injuries in this problematic context. Using research evidence to develop health policy-making is vital.
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| 10. |
- Mosleh, Marwan, PhD researcher, 1975-, et al.
(författare)
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Perceptions of health-care professionals about quality of care and barriers to management of war injuries in Gaza Strip : A qualitative analysis
- 2021
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Ingår i: The Lancet. - : Elsevier. - 0140-6736 .- 1474-547X. ; 398:Supplement 1, July 2021, s. S37-
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: War-related injury is a growing clinical and public health concern in occupied Palestinian territory, especially in the Gaza Strip. However, little research has been done into the quality of care and management of war injuries in public hospitals. We explored the perceptions of health-care workers about these factors in Palestinian health-care facilities in Gaza. METHODS: This was a qualitative descriptive study. Data were obtained in four focus group discussions attended at public health facilities by 30 purposively selected health-care providers, comprising 14 head surgeons, and 16 head nurses, aged 38-55 years. A semi-structured topic guide was developed by the authors for the study based on earliest literature, and was critically reviewed by a panel of experts to ensure the trustworthiness of the qualitative guide and to minimise complexity and enhance clarity of the questions for participants. Audio recordings of discussions were transcribed verbatim, translated, and analysed with a thematic analysis approach. The study was approved by the Palestinian Health Research Council and facilitated by the Ministry of Health. FINDINGS: A consensus was expressed that, despite some positive aspects in the system, fundamental changes and essential improvements were needed to advance the care and facilitation of war injury management. Some respondents had serious concerns about the health-care system, suggesting that it needs to be comprehensively rebuilt. Unanimous views were expressed about the important barriers to effective management and quality of care: shortages of resources, medicines, and funding; underuse or absence of specific and unified clinical practice guidelines; no official commitment by the Ministry of Health to adopt updated clinical guidelines; few incentives and poor motivation, poor communications; blockade and siege; division of health systems in the country; overcrowding of patients with war injuries in hospitals with limited capacity; spreading of infection due to poor cleanliness; shortages in fuel and power supply; and low wages, which negatively affected staff motivation. Respondents also reported inadequate sharing of care and cooperation between different health-care facilities. INTERPRETATION: The perceptions about barriers to management of war injuries and the quality of care provided were similar across Palestinian health-care facilities in the Gaza strip. Our findings suggest that fundamental changes and comprehensive reform of the health-care system are needed to make the care of patients with war injuries more effective and efficient. One of the important strengths of this study is that it addressed the perspective and opinions of different key health professionals, which made it possible gain deeper and better understanding of how war injuries are managed in the Palestinian health system. In addition, the outcomes of the study were based on diverse information. However, the analysis of the qualitative data may represent challenges, and be more complicated and time consuming than a quantitative approach.
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