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| 5. |
- Alexanderson, K, et al.
(författare)
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Swedish Council on Technology Assessment in Health Care (SBU). Chapter 2. Methods used for the systematic literature search and for the review of relevance, quality, and evidence of studies
- 2004
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 3263, s. 31-35
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Tidskriftsartikel (refereegranskat)abstract
- Published scientific studies on the topics of sick leave, disability pension, and sick-listing practices were searched for, reviewed, and compiled for this report. The approach used reflects in many ways the criteria for systematic literature reviews in health care often associated with the Cochrane Collaboration (1). The area addressed by the literature review - sick leave - requires, however, some specific review criteria (see below).
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| 6. |
- Alexanderson, K, et al.
(författare)
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Swedish Council on Technology Assessment in Health Care (SBU). Chapter 2. Methods used for the systematic literature search and for the review of relevance, quality, and evidence of studies
- 2004
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 63, s. 31-5
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Tidskriftsartikel (refereegranskat)abstract
- Published scientific studies on the topics of sick leave, disability pension, and sick-listing practices were searched for, reviewed, and compiled for this report. The approach used reflects in many ways the criteria for systematic literature reviews in health care often associated with the Cochrane Collaboration (1). The area addressed by the literature review - sick leave - requires, however, some specific review criteria (see below).
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| 7. |
- Allebeck, P, et al.
(författare)
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Swedish Council on Technology Assessment in Health Care (SBU). Chapter 3. Causes of sickness absence: research approaches and explanatory models
- 2004
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 3263, s. 36-43
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Tidskriftsartikel (refereegranskat)abstract
- Research on sickness absence, emanating from different theoretical perspectives and questions, is carried out within several different scientific disciplines. Studies are often based on explanatory models addressing the causes of sickness absence. Here, a brief summary of the various approaches and explanatory models used in sickness-absence research is presented. Also explanatory models for changes over time in sickness absence are briefly discussed.
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| 8. |
- Allebeck, P, et al.
(författare)
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Swedish Council on Technology Assessment in Health Care (SBU). Chapter 5. Risk factors for sick leave - general studies
- 2004
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 3263, s. 49-108
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Tidskriftsartikel (refereegranskat)abstract
- Extensive information is available from official statistics and descriptive studies on the association between different socio-demographic background factors and sickness absence. This information addresses age, gender, place of residence, and socio-economic status. However, few studies have thoroughly analysed these background factors, and rigorous scientific evidence on the causal relationship between these factors and sick leave is lacking. Regarding the family, we found no scientific evidence that marital status or children living at home were associated with sickness absence. However, we found limited scientific evidence for an effect of divorce. Regarding work-related factors, we found limited scientific evidence for an effect of physically stressful work, and moderate scientific evidence for low psychological control over the work situation. We found limited scientific evidence for a correlation in time between unemployment and sickness absence, but insufficient scientific evidence for the causes of the association. There was moderate scientific evidence that the amount of sickness absence is influenced by the design of the social insurance system, but insufficient evidence on the magnitude of change required to influence the level of sickness absence. Essentially the same results apply to disability pension, although the number of studies is small. However, we found moderate scientific evidence for the effects of socio-economic status, which could be explained partly by childhood experiences.
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| 9. |
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| 10. |
- Brew, Bronwyn K., et al.
(författare)
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Using fathers as a negative control exposure to test the Developmental Origins of Health and Disease Hypothesis : A case study on maternal distress and offspring asthma using Swedish register data
- 2017
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Ingår i: Scandinavian Journal of Public Health. - Stockholm : Sage Publications. - 1403-4948 .- 1651-1905. ; 45:17, s. 36-40
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Tidskriftsartikel (refereegranskat)abstract
- Background: Developmental Origins of Health and Disease Hypothesis (DOHaD) studies are often observational in nature and are therefore prone to biases from loss to follow-up and unmeasured confounding. Register-based studies can reduce these issues since they allow almost complete follow-up and provide information on fathers that can be used in a negative control analysis to assess the impact of unmeasured confounding.Aim: The aim of this study was to propose a causal model for testing DOHaD using paternal exposure as a negative control, and its application to maternal distress in pregnancy and offspring asthma.Methods: A causal diagram including shared and parent-specific measured and unmeasured confounders for maternal (fetal) and paternal exposures is proposed. The case study consisted of all children born in Sweden from July 2006 to December 2008 (n=254,150). Information about childhood asthma, parental distress and covariates was obtained from the Swedish national health registers. Associations between maternal and paternal distress during pregnancy and offspring asthma at age five years were assessed separately and with mutual adjustment for the other parent's distress measure, as well as for shared confounders.Results: Maternal distress during pregnancy was associated with offspring asthma risk; mutually adjusted odds ratio (OR) (OR 1.32, 95% CI 1.23, 1.43). The mutually adjusted paternal distress-offspring asthma analysis (OR 1.05, 95% CI 0.97, 1.13) indicated no evidence for unmeasured confounding shared by the mother and father.Conclusions: Using paternal exposure in a negative control model to test the robustness of fetal programming hypotheses can be a relatively simple extension of conventional observational studies but limitations need to be considered.
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| 11. |
- Byass, P
(författare)
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Patterns of mortality in Bavi, Vietnam, 1999-2001
- 2003
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 3162, s. 8-11
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Demographic data including detailed mortality patterns for Vietnam are relatively sparse, mainly coming from national census data. This paper describes detailed mortality findings from a sample drawn from the population of one district of northern Vietnam, over the three-year period 1999-2001. Methods: These data were based on quarterly household visits to collect data on vital events, covering 142,318 person-years of observation over a three-year period. Results: Crude mortality was 5.1 per 1,000 person-years (4.7 for females and 5.6 for males). Infant mortality was 21.6 per 1,000 live births and crude birth rate was 14.7 per 1,000. Life expectancy at birth was 75.2 years (78.8 year for females and 71.1 for males). Residents of mountainous and highland areas experienced lower mortality than riverside and island dwellers. Conclusions: These findings are discussed in the light of two major demographic factors: the legacy of the Vietnam War and, more recently, the effect of Vietnam's two-child policy. Although these mortality estimates seem low, there is good reason to believe that they accurately reflect the current state of this population. Vietnam as a whole enjoys low mortality in relation to its socioeconomic status compared with neighbouring countries.
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| 12. |
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| 13. |
- Eriksson, Marie, et al.
(författare)
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MONICA quality assessments.
- 2003
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 61, s. 25-30
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Tidskriftsartikel (refereegranskat)abstract
- The authors give an overview of the quality assessments in the WHO MONICA project and compare the quality of the data from Northern Sweden with other reporting units. METHODS AND RESULTS: Standardized measurement procedures and routine checks were used to ensure good quality of the data. The quality has been evaluated by a scoring system. The results show that the data from Northern Sweden have good quality for all variables except total cholesterol in the initial survey. In the subsequent surveys, the quality of cholesterol data was good. CONCLUSIONS: Great effort was put in to ensure good data quality and Northern Sweden is one of the MONICA units with very good quality of data.
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| 14. |
- Hallmans, Göran, et al.
(författare)
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Cardiovascular disease and diabetes in the Northern Sweden Health and Disease Study Cohort : evaluation of risk factors and their interactions.
- 2003
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Ingår i: Scandinavian Journal of Public Health. Supplement Links. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 61, s. 18-24
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this paper is, first, to describe the organization, sampling procedures, availability of samples/database, ethical considerations, and quality control program of the Northern Sweden Health and Disease Study Cohort. Secondly, some examples are given of studies on cardiovascular disease and diabetes with a focus on the biomarker programme. The cohort has been positioned as a national and international resource for scientific research.
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| 15. |
- Hang, Hoang Minh, et al.
(författare)
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Community-based assessment of unintentional injuries: a pilot study in rural Vietnam
- 2003
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905 .- 1403-4956. ; 31:Supplement 62, s. 38-44
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: Although unintentional injuries are recognised as a major public health problem globally, little is known about their patterns and rates at the community level in most low-income countries. Rapid social development, leading to increased traffic and industrialization, may be changing patterns of injury. Injuries within the home environment have not so far been recognized to the same extent as traffic and work-related injuries in Vietnam, largely because they have not been effectively counted. This study took place in northern Vietnam, in the context of a longitudinal community surveillance site called FilaBavi, as a pilot project aiming to determine the community incidence of unintentional injury and to explore appropriate methods for community-based injury surveillance. METHODS: An initial study population of 23,807 was identified and asked about their experience of injury in the preceding three months. RESULTS: Overall 450 new injuries were detected over 5,952 person-years, a rate of 76 per 1,000 person-years. Males were injured at 1.6 times the rate of females, and home and road traffic accidents were most common. Most injuries occurred during unpaid household tasks. Cutting and crushing injuries occurred most frequently. Of 221 deaths from all causes in the FilaBavi population during 1999 among 43,444 person-years, 25 were attributed to unintentional injuries and two to suicide. Unintentional injury was the third leading cause of death in this community, with a case-fatality rate of 0.8%. DISCUSSION: The findings suggest that greater attention needs to be directed toward the prevention of injuries occurring in the home in rural Vietnam. On the basis of this pilot study, a one-year study using the same approach is under way to characterize the patterns of unintentional injury in more detail, including any seasonal variation.
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| 16. |
- Hansson, Tommy H., 1943, et al.
(författare)
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Swedish Council on Technology Assessment in Health Care (SBU). Chapter 6. Sickness absence due to back and neck disorders
- 2004
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Ingår i: Scand J Public Health Suppl. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 63, s. 109-51
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Tidskriftsartikel (refereegranskat)abstract
- The scientific evidence on the causes for sick leave attributed to back and neck disorders was reviewed. Categories were established for acute, recurring, and chronic problems based on the duration of the sick leave period. Forty-eight articles were found to be relevant, whereof two were of high quality and 26 were of medium or low quality. Quality was assessed exclusively in relation to the aim of this systematic review. The results reveal limited published research on causes for sick leave from back and neck disorders. The generalisability of the findings is also limited since most of the subjects were men and employees in manufacturing industries. Women, white-collar workers, employees in the public sector (care, social services, schools, etc) were underrepresented in the studies. Hence, these groups and areas should be studied further to verify conclusions and enhance knowledge about the causes for sick leave from back and neck disorders. The following factors were found to have consistent, but limited, support as regards their influence on the risk for sick leave due to back and neck disorders: (a) heavy physical workload, bent or twisted working position, and low work satisfaction increases the risk for short-term and long-term sick leave; (b) specific back diagnoses and previous sick leave due to back disorders increases the risk for short-term and long-term sick leave; (c) female gender, smoking, exposure to vibration, and deficient social support were not found to significantly increase the risk for short-term and long-term sick leave; (d) self-reported pain and functional impairments were associated with a high risk for long-term sick leave; (e) longer employment periods reduced the risk for short-term sick leave; (f) perceived demands at work did not influence short-term sick leave; (g) female gender and higher age increases the risk for disability pension.
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| 17. |
- Hasselberg, M
(författare)
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Chapter 5.7: major public health problems - injuries
- 2006
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 3467, s. 113-124
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Tidskriftsartikel (refereegranskat)
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| 18. |
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| 19. |
- Hensing, Gunnel, 1956, et al.
(författare)
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Swedish Council on Technology Assessment in Health Care (SBU). Chapter 7. Sickness absence and psychiatric disorders.
- 2004
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 63, s. 152-80
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Forskningsöversikt (refereegranskat)abstract
- There is limited scientific evidence that women have a higher frequency and incidence of sickness absence due to psychiatric diagnoses. Because of conflicting findings, there is insufficient evidence on gender differences in the duration of sickness absence. Because of conflicting findings, there is also insufficient evidence on the association between age and sickness absence with psychiatric diagnoses. There is insufficient evidence on the association of sickness absence due to psychiatric diagnoses with work-related factors, factors related to family and social networks outside of the job, and psychosocial factors in childhood and adolescence since none of the individual factors were investigated in more than a single study. The results were conflicting (insufficient evidence) in five studies that investigated whether individuals with psychiatric disorders were at greater risk for sickness absence and disability pension, irrespective of the diagnosis on the sickness certificate. The four studies that used alcohol diagnoses to identify alcohol problems found increased sickness absence irrespective of the diagnosis on the certificate (expressed as more sick-leave days or an increased risk for prolonged sickness absence in individuals with alcohol problems). Furthermore, two of the studies found an increased risk for disability pension in women diagnosed with alcohol problems. There is insufficient evidence because of too few studies. The results are conflicting with regard to the association between high alcohol consumption and sickness absence, irrespective of the diagnosis on the certificate (insufficient evidence).
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| 20. |
- Hoa, NP, et al.
(författare)
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Knowledge of tuberculosis and associated health-seeking behaviour among rural Vietnamese adults with a cough for at least three weeks
- 2003
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 3162, s. 59-65
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Good general lay knowledge of tuberculosis (TB), its cause and treatment is considered important for both prompt healthcare seeking and adherence to treatment. The main aim of this study was to describe the knowledge of TB among men and women with a cough for more than three weeks and to see how their health seeking related to TB knowledge. Methods: A population-based survey was carried out within a demographic surveillance site in Vietnam. The study population included 35,832 adults aged 15 years or over. Cough cases were identified at household level and structured interviews were carried out with all cases of cough in person. Results: A total of 559 people (1.6%) reported coughing with a duration of three weeks or longer (259 men and 300 women). A large proportion of individuals with a cough for more than three weeks had limited knowledge of the causes, transmission modes, symptoms, and curability of TB. Men had a significantly higher knowledge score than women (3.04 vs 2.55). Better knowledge was significantly related to seeking healthcare and seeking hospital care. More men than women did not take any health care action at all. Discussion: Health education for TB thus seems to be useful, but efforts must be made to ensure that both men and women in different socioeconomic contexts can access the information.
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| 21. |
- Kahn, Kathleen, et al.
(författare)
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Mortality trends in a new South Africa : hard to make a fresh start
- 2007
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 35:69 Suppl., s. 26-34
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Tidskriftsartikel (refereegranskat)abstract
- Aims: This paper examines trends in age-specific mortality in a rural South African population from 1992 to 2003, a decade spanning major sociopolitical change and emergence of the HIV/AIDS pandemic. Changing mortality patterns are discussed within a health-transition framework. Methods: Data on population size, structure, and deaths, obtained from the Agincourt health and demographic surveillance system, were used to calculate person-years at risk and death rates. Life tables were computed by age, sex and calendar year. Mortality rates for the early period 1992—93 and a decade later, 2002— 03, were compared. Results: Findings demonstrate significant increases in mortality for both sexes since the mid-1990s, with a rapid decline in life expectancy of 12 years in females and 14 years in males. The increases are most prominent in children (0—4) and young adult (20—49) age groups, in which increases of two- and fivefold respectively have been observed in the past decade. Sex differences in mortality patterns are evident with increases more marked in females in most adult age groups. Conclusions: Empirical data demonstrate a marked ``counter transition'' with mortality increasing in children and young adults, ``epidemiologic polarization'' with vulnerable subgroups experiencing a higher mortality burden, and a ``protracted transition'' with simultaneous emergence of HIV/AIDS together with increasing non-communicable disease in older adults. The health transition in rural South Africa is unlikely to predict patterns elsewhere; hence the need to examine trends in as many contexts as have the data to support such analyses.
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| 22. |
- Khe, ND, et al.
(författare)
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Faces of poverty: sensitivity and specificity of economic classifications in rural Vietnam
- 2003
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 3162, s. 70-75
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Poverty concepts and measurements have occupied philosophers for centuries and are subject to debate by researchers. A wide range of possible measures have been developed and used. Most research is country specific and different methods produce different pictures of poverty. This study aimed to compare measures of poverty within an epidemiological field laboratory in Bavi District, northern Vietnam (FilaBavi) and specifically to find out whether the official economic classification made by the local authority matched other measurements of socioeconomic status. Methods: Structured questionnaires were used to collect socioeconomic information in 11,547 households. In addition, the official classification for individual households was recorded. Five economic indicators were constructed: income, expenditure, household assets, housing conditions, and local authority's estimation. Results: Official economic classification and housing score were symmetrically distributed, while assets score and particularly income were highly skewed. Design effects were high because of high intra-cluster correlations. No indicator was closely correlated with any other. Sensitivity and positive predictive value for poverty were generally low for all indicators. Discussion: The authors' findings do not suggest that any of the indicators used is substantially better than the other or better than the Official Economic Classification made by local authority. The results also show that no indicator is particularly useful to predict the values of any other indicator and different poverty indicators may classify different socioeconomic groups as poor.
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| 23. |
- Larsson, K, et al.
(författare)
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Chapter 8: old people's health
- 2006
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 3467, s. 185-198
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Tidskriftsartikel (refereegranskat)
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| 24. |
- Larsson, K, et al.
(författare)
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Chapter 8: old people's health
- 2006
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Ingår i: Scandinavian journal of public health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 67, s. 185-98
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Tidskriftsartikel (refereegranskat)
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| 25. |
- Lindahl, Bernt, et al.
(författare)
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Trends in lifestyle 1986-99 in a 25- to 64-year-old population of the Northern Sweden MONICA project.
- 2003
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Ingår i: Scandinavian Journal of Public Health. Supplement. - : SAGE Publications. - 1403-4956 .- 1403-4948 .- 1651-1905. ; 61, s. 31-7
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: The authors explore the time trends in lifestyle factors in the Northern Sweden MONICA population, including physical activity, intake of certain foods, coffee and alcohol consumption, smoking, and the use of smokeless tobacco. METHODS: Four health surveys during a 14-year time span were compared (1986, 1990, 1994, and 1999). The participation rate in all surveys was high. A questionnaire with similar or comparable questions about lifestyle factors was used across all health surveys. RESULTS: A large variation was demonstrated in the consumption of saturated fat in dairy products across the surveys. The use of butter on bread and of 3% fat milk clearly declined in favour of using low-fat margarine and 1-1.5% fat milk. A decline in the intake of boiled or baked potatoes together with an increase in the intake of pasta and rice was demonstrated. There were no changes in leisure-time physical activity. The proportion of the population using tobacco was unaltered. In men, smoking declined during the period but simultaneously there was an increase in the use of smokeless tobacco. The use of "boiled" or Scandinavian coffee diminished and more frequent use of alcohol was seen, especially in men. CONCLUSION: Pronounced changes were seen in food consumption with a decrease in saturated fat intake, boiled coffee, and potatoes and an increase in alcohol, rice, and pasta consumption. No clear time trends were found in physical activity or in the use of tobacco.
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