| 1. |
- Aronson, Olov, 1991-
(författare)
-
Understanding the social integration of adolescents of foreign origin : Longitudinal investigations of inter-origin friendship formation
- 2021
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The present dissertation aims to understand some of the opportunities for, and influences on, the social integration of adolescents of foreign origin in Sweden. Informed by previous research, the dissertation suggests that successful social integration involves friendship formation between peers of similar origins (intra-origin friendship formation) as well as friendship formation between peers of different origins (inter-origin friendship formation). Social integration can be difficult to achieve in practice because most individuals tend to be homophilic and form intra-origin friendships rather than inter-origin friendships.Four studies based on longitudinal data are presented in the dissertation. The first study seeks to widen the understanding of refugee girls’ friendship formation through a qualitative analysis of interviews with refugee girls. The second study estimates stochastic actor-oriented models to investigate the friendship formation of adolescents with supportive and/or controlling parent-child relationships. The third article presents cross-lagged panel models for the reciprocal longitudinal associations between friendship formation and two forms of leisure: visits to youth centers and participation in structured leisure activities. Finally, the fourth study uses stochastic actor-oriented models to analyze with whom adolescents form friendships when they are involved in different forms of digital leisure, including online communication, video watching, and digital gaming.The refugee girls in the qualitative study stated that they formed close friendships with family members, such as cousins and siblings, rather than with peers of native origin because they experienced the latter as too dissimilar from themselves. The adolescents in the first quantitative study formed relatively more inter-origin friendships when their parents were supportive and fewer inter-origin friendships when their parents were controlling. According to the third study, visits to youth centers were associated with a larger number of intra-origin friendships among adolescents of foreign origin, while participation in structured leisure activities, such as sports and cultural projects, was related to more friendship formation regardless of origin. The fourth study suggested that native adolescents who were involved in digital gaming formed fewer friendships with native peers and had fewer friends outside of the school class, and foreign adolescents who communicated more online formed fewer friendships with native classmates but more friendships outside of the school class.All four studies indicate that the social integration of adolescents of foreign origin is not an automatic process that invariably happens when adolescents of different origins are mixed in the same location. When adolescents organize their own social lives away from the involvement of adults, they seem to remain or become more homophilic and form more friendships with peers of their own origin. By contrast, native and foreign adolescents tend to form more inter-origin friendships when adults provide them with support and structured social activities. In other words, the social integration of foreign adolescents seems to require supportive and committed adults, who contribute to facilitating inter-origin friendship formation.
|
|
| 2. |
- Carlsson, Emma
(författare)
-
The importance of psychological and physical stressors on diabetes-related immunity in a young population – an interdisciplinary approach
- 2016
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: The prevalence of immunological disorders such as type 1 diabetes (T1D) is increasingly common amongst children, adolescents and young adults. There is also an increase in psychosomatic symptoms (depression, insomnia, anxiety, headaches and fatigue etc.) as well as a decrease in physical activity amongst young people, affecting the well-being and overall health of our younger population. It is therefore important to study the effects of psychological and physical stressors on the immune system, to evaluate their impact on juvenile health.Aim: This thesis explores the impact of psychological and physical stressors on the cellular immune system with special focus on diabetes-related immunity in a young population, using an interdisciplinary approach.Method: When exploring the impact of psychological and physical stressors such as psychological stress due to exposure to psychological stressful experiences or degree of physical activity/training on the cellular immune system in children, adolescents and young women, peripheral blood mononuclear cells (PBMC) were stimulated with antigens (tetanus toxoid (TT) and β-lactoglobulin (βLG)) as well as diabetes-related autoantigens (insulin, heat shock protein 60 (HSP60), tyrosine phosphatase-2 (IA-2) and glutamic acid decarboxylase 65 (GAD65)) and secreted cytokines and chemokines were measured by multiplex fluorochrome technique (Luminex). Populations of Thelper (Th) cells (CD4+), T-cytotoxic (Tc) cells (CD8+), B cells (CD19+), Natural Killer (NK) cells (CD56+CD16+) as well as regulatory T (Treg) cells (CD4+CD25+FoxP3+CD127-), and their expression of CD39 and CD45RA were studied by flow cytometry. Diabetes-related parameters (glucose, C-peptide,proinsulin, pancreatic polypeptide and peptide YY) were measured to studyβ-cell activity and appetite regulation and cortisol was used as a biological marker for psychological and physical stress.Results: Children in families exposed to psychological stress showed an imbalanced cellular immune response as well as an increased immune response towards diabetes-related autoantigens. Also, previous exposure to psychological stress as well as current exposure to psychological stress in young women showed an increased immune response towards diabetes-related autoantigens. Further, previous exposure to psychological stress in young women showed increased numbers of circulating CD56+CD16+ NK cells as wellas decreased numbers of circulating CD4+CD25+FoxP3+CD127- Treg cells. High physical activity in children showed decreased spontaneous immune response as well as a decreased immune response towards diabetes-related autoantigens, while low physical activity in children showed an increased immune response towards diabetes-related autoantigens. Further, endurance training in adolescents, especially in adolescent males and young adolescents, showed an increased immune response towards the diabetes-related autoantigen IA-2.Conclusion: It is evident that psychological and physical stressors such as exposure to psychological stress and degree of physical activity/training impact the cellular immune system. Experiences associated with psychological stress seem to have a negative effect on the cellular immune system in a young population, causing an imbalance in the immune system that could possibly induce diabetes-related immunity. High physical activity in children seems to have a protective effect against diabetes-related immunity. In contrast, low physical activity in children and endurance training in adolescents seems to induce diabetes-related immunity. It is very likely that psychological stressful experiences, low physical activity and intense training such as endurance training all play important roles in the immunological process leading to the development of type 1 diabetes.
|
|
| 3. |
- Monwell, Bodil
(författare)
-
En dyster parentes – opiatregeln i svensk LARO-behandling 2010–2016
- 2019
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Opioids are well documented to arouse euphoria, relieve pain, and to have a high dependency potential. Opioid dependence is a serious chronic condition with a high risk of extensive worsened health, relapse and premature death.Opioid maintenance treatment (OMT) is well researched and has strong scientific support. In Sweden, OMT over time was subjected to polarised and infected political debate and has been strictly regulated by the National Board of Health and Welfare (NBHW). During 2010–2016 NBHW redefined the diagnostic concept of “opiate dependence” in the regulation SOSFS 2009:27. Dependence to only three opioids: heroin, opium or morphine, could give eligibility to OMT (here called the “opiate rule”). The purpose stated was to prevent those dependent to other opioides, e.g. buprenorphine,from receiving OMT. Applicants with severe opioid dependence were thereby divided into two subgroups: those with “opiate” dependence related to heroin, morphine or opium, and those with opioid dependence who lacked documentation in relation to the three opiates. The question is whether there were differences between these groups concerning problem severity or substance-related diagnostics that could justify differences in access to OMT?A population (n = 127) actualised for OMT during 2005-2011 in Jönköping County is studied regarding severity of problems, diagnostics and trajectories in and out of treatment. In order to provide precise drug use data, a cognitive tool for taking anamnestic information, called the Drug List, was developed.In Study I, using the Addiction Severity Index, the two groups were found to be quite similar in severity of health problems, social situation and drug problems, including overdoses and injections.In Study II, the Drug List was found to be superior to a traditional way of taking anamnestic data, more sensitive and giving more precise data, without taking more time. Validity was shown in relation to faked drugs.In Study III, using a structured diagnostic interview, ADDIS, with the Drug List, showed that both two groups qualified for severe opioid dependence, that opiates and other opioids had contributed equally to the development of opioid dependency, and that the two groups also had similar additional substance dependence problems.Study IV investigated how “the opiate rule” affected practice by interviewing representatives of OMT clinics as well as a representative of a users’ association. The regulation created dilemmas for clinics as well as for users. Users developed a strategy of getting "negative merits" for being eligible to OMT. Clinicians developed strategies to find ways “around” the regulation in order to admit patients in OMT.Study V followed those who had applied for OMT and found four trajectory subgroups – those denied OMT, those discharged, those readmitted, and those who remained in treatment. The study provides evidence for a more positive development being related to more involvment in OMT concerning health, social situation as well as substance use problems. Being denied or discharged is related to increased risks of a negative development.The thesis conclude that there was no support for dividing applicants according to “the opiate rule”. The purpose of top-down control using regulations, is to guarantee uniform and knowledge-based care. In this case the regulation had negative effects in these respects, increasing risks for the applicants, and lost credibility from the profession. The opiate rule in SOSFS 2009:27 is therefore a dismal parenthesis in the history of OMT in Sweden, and could be studied to prevent similar mistakes in the future.
|
|
| 4. |
- Ander, Birgitta, 1958-
(författare)
-
Ungdomars berusningsdrickande – Vem, var och med vilka?
- 2018
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of this thesis is to investigate adolescent drinking to drunkenness and connected contextual factors. The thesis is based on four studies, addressing different aspects: The first explores arenas of adolescent drunkenness, and the meaning the adolescents attribute to them. The second investigates Swedish adolescents discourse on alcohol and parties, as well as positive and negative effects of alcohol consumption. The third reports on early onset, i.e. before the age of 14, in substance use, including alcohol drinking and drunkenness, and predicts this from various psychological and social factors. The forth examines contexts of drunkenness, i.e. where and with whom 15-year olds in Sweden get drunk. Furthermore, the importance of the place and social context for drunkenness in adolescence, and what importance and strategies young people themselves associate with their alcohol consumption are examined.The studies derive from two data samples. Articles I and II utilise qualitative methods and explore Swedish changing arenas for adolescent drunkenness and adolescent discourse on drunkenness and the importance of place and space. Article I stems from a qualitative interview-material with an ethnographic approach. Twenty-three adolescents (7 females and 16 males) from three small communities in the south of Sweden in the ages of 16 to18 were interviewed. The material also included contacts with outreach social workers on local, regional and national level as well participating observations. The data for Article II stems from the interviews with twenty-three adolescents. Article I was analysed through text-analysis and Article II through thematic analysis.Articles III and IV conduct quantitative analyses, and stems from the multidisciplinary research programme, Longitudinal Research on Development In Adolescence (LoRDIA) which follows adolescents from the age of 12 and 13 until they are 18 years old, focusing on substance use and misuse, health and ill-health, peer relations and school functioning through self-reported questionnaires. Different data collection waves were used, and combined them two and two, for cross-sectional analyses. Article III combined the first two waves and by doing so, covered 91 percent of the study population of 1896 students aged 13-14. Article IV combined all 1355 grade 9 students from waves 3 and 3b. Article III investigated early onset in substance use and was analysed with bivariate and multivariate logistic regression models. Article IV investigated frequency of drunkenness and different outcomes from drunkenness in different contexts, as well as with whom adolescents got drunk together with and the negative consequences of getting drunk.The result indicates a change from drinking to drunkenness at outdoor places. The outdoor places, both public and hidden, that has been used for adolescents socializing and drinking to drunkenness were empty. Homes, without present adults are the most common places for parties. The parties stand for mainly positive experiences and a break in everyday life. Being in a home arena allows for increased control, both over own drunkenness but also over who is allowed at the party and who is not. The dissertation also investigates early onset in use of alcohol and drunkenness and shows that delinquency, perceived parental permissions and availability of substances are the strongest factors predicting onset among 13-14-year-olds. The dissertation shows that most drunkenness experiences are reported in homes without adults present, not in outdoor and hidden places. Drinking in homes did not lower the association with high frequency of drunkenness, negative consequences or peer problems.The conclusion shows the importance of place and space in understanding adolescent drunkenness and partying.
|
|
| 5. |
- Israelsson, Magnus
(författare)
-
Internationella komparativa studier av lagar om tvångsvård vid missbruk : -omfattning, trender och mänskliga rättigheter
- 2013
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The Universal Declaration of Human Rights and Fundamental Freedoms and the International Covenant on Economic, Social and Cultural Rights state that everyone has the right to good health. According to the conventions, the states have obligations to prevent and combat disease, and if necessary, ensure that the conditions for treatment of the disease are appropriate (UDHR 1948, UNCESCR 1966). The broad wording in the conventions on the right to good health includes the right to care of substance use disorders. In the 1960ies the World Health Organization recommended, that people with such disorders should be seen as sick and that the legislation governing such care should be in accordance with special administrative legislations and not criminal legislation. The recommendation indicates WHO:s clear position that persons with substance use disorders primarily should be treated as persons suffering from disease and in need of care, and not primarily as disruptive individuals or criminals who should be disciplined or punished. This applies also to situations when treatment and care cannot be provided on a voluntary basis, but compulsorily. In Swedish context, the most commonly mentioned law in these cases is the social special legislation Law (1988: 870) on care of misusers, special provisions (LVM). Ever since the implementation of LVM in 1982, its legal position as well as application in institutional care has been subject of critical discussions within social work as well as in social science research. Such debate in the Nordic countries has until now mostly been marked by two important limitations. First, most comparisons are restricted to very few countries, e.g. four of the Nordic countries; secondly the notion of involuntary care is often limited to social legislation on compulsory care without taking criminal justice legislation or mental health legislation into account. The present dissertation studies legislations on compulsory commitment to care of persons with substance use problems (CCC), and compares these legislations from a larger number of countries, on global or European levels. This approach makes it possible to explore the great variation in CCC legislation between countries, i.e. type of law (criminal justice, mental health care and social or special legislation), time limits (maximum duration) as well as levels of ambition, ethical grounds, criteria for admission, and adaption to human and civil rights. In addition, the comparisons between many countries are used to investigate factors related to different national choices in legislations from country characteristics, e.g. historical and cultural background as well as economic and social conditions, including level and type of welfare distribution. Available datasets from different times permits trend analyses to investigate whether CCC or specific types of such are increasing or decreasing internationally. Empirical materials: Article I is based on three reports from the WHO on existence of CCC legislation, before the millennium shift, in 90 countries and territories in all populated continents. Articles II and IV are based on own data collection from a survey in 38 European countries. Article III uses a combination of those data and additional information from country reports in scientific and institutional publications in three times of observation during more than 25 years, and including a total of 104 countries. Additional data for Articles I and II are information on various countries' characteristics obtained from different international databases. Findings based on data from WHO reports at the eve of the millennium show that CCC legislation was very common in the world, since 82 per cent of the 90 countries and territories had such law. Special administrative (“civil”) legislation (mental health or social) was somewhat more prevalent (56 %), but CCC in criminal justice legislation was also frequent and present in half of the countries. The study shows that economically stronger countries in the western world and many of the former communist countries in Eastern Europe, the so-called "first and second worlds" in cold war rhetoric, more often had adapted to the recommendations made by WHO in the 1960ies, with CCC more often regulated in civil legislation. In the so-called "third world" countries, CCC in criminal justice legislation dominated. The new data collection from 38 European countries ten years later confirmed that legislation on CCC is very common, since 74 per cent of the explored countries have some type of legislation. The most common type was now CCC in criminal legislation (45%), although special administrative legislation (mental health or social) was almost equally common (37%). Special administrative legislation on CCC (both acute and rehabilitative), was more common in countries with historic experience of a strong influential temperance movement, and in countries with distribution of health and welfare more directed through the state, while countries with less direct government involvement in distribution of health and welfare and lacking former influence of a strong temperance movement more often had CCC in criminal justice legislation. During all the 25 years period from early 80ies up to 2009, it was more common for countries to have some type of law on CCC than not, although some reduction of CCC legislation is shown, especially during the last decade. But within countries having CCC, more cases are compulsorily committed and for longer time duration. This is related to a global shift from civil CCC to CCC in criminal justice legislation, directly in the opposite direction from what WHO recommended in the 60ies. Changes in CCC legislation are often preceded with national political debate on ethical considerations, and criticisms questioning the efficiency and content of the care provided. Such national debates are frequent with all types of CCC legislation, but ethical considerations seem to be far more common related to special administrative (civil) legislation. National legislations on CCC within Europe should conform to the human and civil rights stipulated in ECHR (1950). There seems, to be some limitations in the procedural rules that should protect persons with misuse or dependence problems from unlawful detentions, regardless type of law. The three types of law differ significantly in terms of criteria for CCC, i.e. the situations in which care may be ensured regardless of consent. Conclusions: It is more common that societies have legislation on CCC, than not. This applies internationally – in all parts of the world as well as over time, for a period of 25 years, at least. Sweden’s legislative position is not internationally unique; on the contrary, it is quite common. Law on CCC tend to be introduced in times of drug epidemics or when drug-related problems are increasing in a society. Changes in CCC legislation are often preceded by national debates on ethics, content and benefits of such care. These findings here discussed may reflect different concurrent processes. A shift from welfare logic to a moral logic may be understood as more moralization, perhaps due to relative awaking of traditionalism related to religious movements in various parts of the world (Christian, Hindu, Muslim or other). But it may also be understood from more libertarianism that stresses both individual responsibility for one’s welfare and the state´s responsibility to discipline behaviours that inflict negatively on the lives of others. Possibly do these two tendencies work in conjunction to one another. At the same time, however, there is a stronger emphasis on care content within criminal justice CCC, especially in the Anglo-Saxon drug court system. Some shift within Civil CCC is also noticed, i.e. from social to mental health legislation. Thus drug abuse and dependence is increasingly more recognized and managed in the same way as other diseases, i.e. an increased normalization. Since social CCC has been more in focus of research and debates, this may also result in CCC turning into a more hidden praxis, which from ethical perspectives is problematic. The thesis shows that there are examples of focus on humanity and care in all three of the law types, but there are also examples of passive care, sometimes even inhumane and repressive, in all types. Thus, type of law cannot be said to in general correspond to a specific content of care. Although CCC can be delivered in accordance with human and civil rights, there is still a dissatisfying situation concerning the procedural rights that should ensure the misuser his/her rights to freedom from unlawful detention. The possibility to appeal to a higher instance is missing in about 20 percent of European CCC laws, although not differentiating one type of legislation from the others. A clear difference between the three law types concerns criteria that form the basis for who will be provided care according to the laws. This is of major importance for which persons of the needy who will receive care: addicted offenders, out-acting persons or the most vulnerable. The criteria for selecting these relate to the implicit ambitions of CCC – correction, protection, or for support to those in greatest need for care. The question is what ambition a society should have concerning care without consent in case of substance abuse and addiction problems. The trend that CCC according to special administrative legislation is declining and criminal legislation increases in the world should therefore be noticed. Keywords: Alcohol, drugs, substance misuse, coercive care, compulsory commitment to care, involuntary care, mandatory care, legislation, human and civil rights, comparative analysis, prediction models, and trend analysis
|
|
| 6. |
- Kalin, Torbjörn
(författare)
-
Om upptäckt och sortering till social barnavård : Longitudinella perspektiv på barn som far allvarligt illa
- 2024
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Att upptäcka barn som far illa är en uppgift för samhället. Merparten av världens länder har genom Barnkonventionen förbundit sig att ha effektiva system för att upptäcka barn som far illa. Det svenska systemet innebär att verksamheter som möter barn och föräldrar har en skyldighet att anmäla misstankar om barn som far illa till den sociala barnavården. Allmänheten uppmanas också att anmäla, och barn och familjer kan själva ansöka om stöd. Ambitionen bakom systemet är att de barn som är i störst behov av stöd och skydd ska upptäckas. Tidigare forskning har visat påtagliga skillnader i fråga om vilka barn som blir föremål för aktualiseringar och utredningar hos den sociala barnavården. Däremot saknas kunskap om skillnaderna kan förklaras utifrån skilda behov eller utifrån skilda föreställningar om behov, så kallad bias. Vidare saknas kunskap om det är samma barn som upplever sig fara illa som också aktualiseras och utreds.Det övergripande syftet med avhandlingen är att öka kunskapen om barn som far allvarligt illa, samt om dessa barn upptäcks och sorteras vidare till social barnavård. Fokus ligger på två områden. Dels vad som utmärker barn som far allvarligt illa, dels vad som bidrar till sorteringen av dessa barn, när de aktualiseras samt när de bedöms vara i behov av vidare utredning inom den sociala barnavården.Avhandlingen består av fyra empiriska studier baserade på data från det longitudinella forskningsprogrammet Longitudinal Research on Development to Young Adults (LoRDYA) som utgår från 1884 barn. Dessa rekryterades år 2013, vid 12 och 13 års ålder, i fyra små- och medelstora kommuner i Sverige. Metodologiskt tillämpas olika analytiska ansatser, såväl variabelcentrerade metoder som personcentrerade metoder. Genomgående används olika former av regressionsanalyser för att undersöka det unika bidraget av varje faktor kontrollerat för övriga faktorer.Resultaten visar att drygt vart fjärde barn någon gång under tonårstiden har självskattade tecken på att fara allvarligt illa. Detta trots att en mycket strikt definition av att fara allvarligt illa tillämpades. Barn med självskattade tecken på att fara allvarligt illa har mer kontakt med vanliga aktualiseringskällor, exempelvis polis, hälso- och sjukvård och elevhälsa, på grund av svårigheter än vad andra barn har. Drygt en femtedel av alla barn blir någon gång under tonårstiden aktualiserade till den sociala barnavården, men mindre än hälften av dessa aktualiserade har självskattade tecken på att fara allvarligt illa. Skillnaderna i vilka som blir aktualiserade kan främst förklaras av familjeförhållanden, där de förhållanden som utmärker sig är att ha en ensamstående förälder och att familjen lever i fattigdom. När aktualiseringar bedöms hos den sociala barnavården sorteras drygt en tredjedel av alla aktualiserade barn med självskattade tecken på att fara allvarligt illa ut. Flickors aktualiseringar blir i större utsträckning föremål för utredning än pojkars aktualiseringar. Sannolikheten för utredning ökar för flickors aktualiseringar om de har självskattade tecken på att fara allvarligt illa eller lever i fattigdom. När aktualiseringar handlar om pojkar minskar sannolikheten för utredning ju äldre pojken är eller om aktualiseringsskälen gäller beteendeproblem i kombination med försummelse. Tidigare aktualiseringar ökar utredningsbenägenheten i störst utsträckning oberoende av kön.Fynden diskuteras utifrån avhandlingens teoretiska ramverk. Slutsatsen är att systemet för att upptäcka barn som far illa har låg sensitivitet, eftersom många barn som far allvarligt illa sorteras ut. Systemet verkar därtill ha låg specificitet eftersom att leva med en ensamstående förälder eller ha knappa ekonomiska förhållanden verkar tolkas som faktiska indikatorer på att barnen far allvarligt illa, snarare än riskfaktorer, medan frånvaron av dessa förhållanden tvärtom tolkas som att barn inte far illa.
|
|
| 7. |
- Blid, Mats, 1951-
(författare)
-
Ett folkhem för alla? : Kommunala insatser mot hemlöshet
- 2008
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overarching aim of this dissertation is to explore and describe Swedish local authorities’ measures to prevent and manage homelessness; how these measures diverge between different municipal categories; what factors predict homelessness, provisions of accommodation and cov-erage rates between the number of accommodations and the respective municipalities’ housing interventions. Measures studied are policies and housing interventions. The housing interventions re-ferred to here are those provided by or through the social welfare authorities to persons living with unstable housing or who are homeless. The interventions can be divided into two main categories: 1) preventive interventions in the form of daily-life support, usually in the form of personnel support in the individual’s own apartment, designed to help persons at risk of becom-ing homeless to remain housed and prevent eviction; 2) accommodation support for persons who are already homeless and in need of housing. Such accommodations may be more or less temporary, more or less integrated and include a greater or lesser amount of care. Two sets of data were collected for the study: 1) a case study of two category-housing programmes using both qualitative and quantitative data; 2) a survey of 147 randomly chosen municipalities (about half of the municipalities in Sweden) to explore the prevalence and charac-teristics of policies and housing interventions. Findings from the case study show that special-category housing has positive direct effects on the housing stability of the residents and their feelings regarding their quality of life, but does not have a direct effect on their substance misuse. Moreover, the increased housing stability seems to be more a direct effect of the person having stayed on the programme, rather than a long-term effect. Furthermore, although their quality of life improves, the residents still experi-ence a lack of belonging and feel that their lives lack meaningful content. On the national level, the findings show that an array of housing interventions divided into 12 sub-categories is offered to counteract homelessness. These categories vary along two central dimensions: care and normality. The two most frequent types of housing interventions in all types of municipalities are daily-life support and social contracts. Other housing interventions are marginal compared with these two. There is greater fluctuation between municipalities in the level of care provided than in the level of normality. Furthermore, the more densely populated municipalities are more highly engaged in developing housing policies and the administrative means to handle them. Such policies, however, seem to decrease the level of normality without promoting levels of care. When exploring factors that predict homelessness, the findings show that urbanisation is central to understanding variations in homelessness, not only in the largest cities but also in less densely populated areas. In addition, higher rent levels and more of aggregated psychiatric prob-lems in the municipality seem to increase homelessness. The apartment rate and the proportion of public housing within the stock of apartments are both important for the possibility to pro-vide accommodations. Moreover, the proportion of single-parent households seems to enhance the need to provide such accommodations. Political majority and the functional organisation of the social services both seem to have an impact on the coverage rates. Thus, the findings indicate that the municipalities have various options for managing factors that impact on the homeless-ness rate. Keywords: housing interventions, level of care, level of normality, policies, municipality, predicting homelessness
|
|
| 8. |
- Gerdner, Arne, 1950-, et al.
(författare)
-
Health and living conditions of Samis compared with other citizens based on representative surveys in three Swedish regions
- 2020
-
Ingår i: International Journal of Social Welfare. - : John Wiley & Sons. - 1369-6866 .- 1468-2397. ; 29:3, s. 255-269
-
Tidskriftsartikel (refereegranskat)abstract
- This is the first general health survey of Samis compared with other Swedes to be based on randomised samples. In three regions, Samis were compared with respondents to the Public Health Investigation (n = 613 Samis and 6,309 respondents). Samis were also compared as to gender and membership in reindeer‐herding Sami villages (SVs). The survey shows that Samis of today have better education, work situation and health, and a healthier lifestyle than other Swedish citizens living in the same regions. There are, however, great differences among the Samis themselves. Members of SVs have weaker finances, and they report having less societal trust and worse health than non‐members do. Male members have lower education, are less involved in social activities and report worse overall health, but do not have a higher incidence of psychiatric problems, than other Samis. Samis, in general, have similar or better health and social situation than non‐Samis, but male SV‐members face greater problems and higher risks than other Samis.
|
|
| 9. |
- Kapetanovic, Sabina, 1980-
(författare)
-
Mutual actions : developmental links between aspects of the parent-adolescent relationship and adolescent risk behaviors
- 2019
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Adolescence is a critical time for the onset or intensification of engagement in risk behaviors, such as delinquency and alcohol use. Parents are often advised to supervise adolescents or set rules for behavior control in order to protect their adolescents from harm. But are such parenting strategies advantageous in preventing adolescents from engaging in risk behaviors? Little is known about what role adolescents play in the parent- adolescent relationship and their own psychosocial development? The overall aim of the dissertation was to investigate how parent- and adolescent-driven communication efforts occurring in the parent-adolescent relationship relate to risk behaviors in early to mid- adolescence.Findings show that adolescent-driven communication efforts (i.e. disclosure about their everyday activities) play a prominent role in the parent-adolescent relationship and adolescent engagement in risk behaviors. Adolescent disclosure is linked to parental knowledge of an adolescent's whereabouts, parent-adolescent emotional connectedness, and decreases in adolescent risk behaviors over time. While parental behavioral control of adolescent whereabouts can indeed be protective of adolescent engagement in risk behaviors, parents' soliciting efforts are related to higher levels of engagement in delinquency and substance use. This is particularly true for boys and adolescents with detached and fearless temperament. However, when adolescents are willing to communicate, parents can elicit more disclosure from their adolescents through soliciting efforts.This dissertation suggests that parents and adolescents both play important roles in parenting and parent-adolescent relationships. Parents can protect their adolescents from engagement in risk behaviors, especially when adolescents share information with their parents.
|
|
| 10. |
- Stenström, Nils, 1958-
(författare)
-
Sprutbyte vid Intravenöst Narkotikamissbruk : En longitudinell studie av deltagarna i sprutbytesprogrammet i Malmö
- 2008
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis is to describe the users visiting the syringe exchange clinic in Malmö with respect to what characterises the group, how they utilize the services of the clinic and how their patterns of participation relate to risk behaviour, physical and mental health and social development. The heterogeneity of the group has been captured by the use of Stimsons dimensions “integration in majority society” and “involvement in sub-culture”, yielding four different groups of syringe exchangers: “stables”, “loners”, “two-worlders” and “junkies”. The study rests on two sources of data: a register from the clinic including all syringe exchangers that have visited the clinic between 1989 and 2003, altogether 3660 individuals, and an interview of visitors at the clinic during 1995, including 496 persons.The results show that syringe exchangers, compared to other persons with severe addiction in Malmö, to a larger extent use amphetamine as their drug-of-choice, are older and inject more irregularly. The population visiting the clinic is heterogeneous with respect to integration in society and involvement in sub-cultures. The group classified as junkies do, as expected, display the highest inclination to share syringes and needles with other and hence have the most advanced risk behaviours. As to utilization of the programme, the results show that the longer the syringe exchangers stay in the programme, the more frequent they visit it. Also with respect to utilization-patterns, we find substantial variations within the studied group. Five categories are discernible: drop-in visitors with only one or two visits, sporadic visitors who in spite of contacts over a number of years never really establish a regular contact, intermittent visitors who have had contact over several years but display a very irregular visiting pattern, regular visitors who relatively fast establish a consistent contact with visits between uniform time intervals and frequent visitors who tend to stay longer than others and visit the clinic more often. Another aspect of utilization is to what extent the distribution of needles and syringes cover the needs of the visitors. With a strict definition of need, only a minority manages to cover their needs, but if we accept a more extensive individual re-use, around 90 percent of the average need is covered. Data also reveals that a very high proportion of the users on at least one occasion have visited the programme without syringe exchange taking place or any complementary service delivered. Basically these visits seem to be of a more social nature, reinforcing the contacts between the staff and the visitors.Data do not give any clear support for the basic assumption that syringe exchange reduce the incidence of HIV or hepatitis. Recent sharing of utensils or low coverage of syringe need through the programme do not predict a higher infection risk. Instead we find that the social contacts with the staff (without syringe exchange) function as a predictor of lower incidence. This indicates that the mechanisms may be more complex than just related to the provision of clean needles and syringes. The result shows that integration increase over time while sub-cultural involvement decreases. However, the patterns for different groups are very diverse and we find no evidence that more frequent contacts as such are related to increased integration. There is however, some evidence that social visits are positively related to increased integration. No support could be found for the assumption that the programme increases the number of severe addicts.
|
|
