| 1. |
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| 2. |
- Ahlm, Kristin, et al.
(författare)
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Unnatural deaths in reindeer-herding Sami families in Sweden, 1961-2001
- 2010
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Ingår i: International Journal of Circumpolar Health. - 1239-9736 .- 2242-3982. ; 69:2, s. 129-137
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: Unnatural deaths among Indigenous populations, including the Swedish Sami, occur more often than among the general population. To find prevention strategies, we explored the circumstances of the unnatural deaths of members of reindeer-herding Sami families.STUDY DESIGN: The number of deaths from among a cohort of 7,482 members of reindeer-herding Sami families were retrieved from the National Board of Health and Welfare for the years 1961- 2001.METHODS: An evaluation of the information from autopsy records at the National Board of Forensic Medicine, police reports, and available medical records identified 158 unnatural deaths. These were then analysed in detail.RESULTS: Transport-related deaths and suicides were the most common unnatural deaths among Swedish reindeer-herding Sami family members. Suicides contributed to 23% of all deaths, road traffic accidents to 16%, and snowmobile fatalities to 11%. The accidents generally reflected an "outdoor lifestyle" and the working conditions were characterized by the use of off-road vehicles such as snowmobiles. Half of the number of victims tested positive for alcohol and alcohol abuse was documented in 15% of all victims.CONCLUSIONS: The results indicate that alcohol is an important factor in preventing unnatural deaths among reindeer-herding Sami, together with increased safety of both on-road and off-road transportation.
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| 3. |
- Allard, Christina, et al.
(författare)
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Rasbiologiskt språkbruk i statens rättsprocess mot sameby : DN Debatt 2015-06-11
- 2015
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Annan publikation (populärvet., debatt m.m.)abstract
- Statens hantering av forskningsresultat i rättsprocessen med Girjas sameby utgör ett hot mot Sverige som rättsstat och kunskapsnation. Åratal av svensk och internationell forskning underkänns och man använder ett språkbruk som skulle kunna vara hämtat från rasbiologins tid. Nu måste staten ta sitt ansvar och börja agera som en demokratisk rättsstat, skriver 59 forskare.
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| 4. |
- Arnold, Melina, et al.
(författare)
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The burden of stomach cancer in indigenous populations : a systematic review and global assessment
- 2014
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Ingår i: Gut. - : BMJ. - 0017-5749 .- 1468-3288. ; 63:1, s. 64-71
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Tidskriftsartikel (refereegranskat)abstract
- Objective Stomach cancer is a leading cause of cancer death, especially in developing countries. Incidence has been associated with poverty and is also reported to disproportionately affect indigenous peoples, many of whom live in poor socioeconomic circumstances and experience lower standards of health. In this comprehensive assessment, we explore the burden of stomach cancer among indigenous peoples globally.Design The literature was searched systematically for studies on stomach cancer incidence, mortality and survival in indigenous populations, including Indigenous Australians, Maori in New Zealand, indigenous peoples from the circumpolar region, native Americans and Alaska natives in the USA, and the Mapuche peoples in Chile. Data from the New Zealand Health Information Service and the Surveillance Epidemiology and End Results (SEER) Program were used to estimate trends in incidence.Results Elevated rates of stomach cancer incidence and mortality were found in almost all indigenous peoples relative to corresponding non-indigenous populations in the same regions or countries. This was particularly evident among Inuit residing in the circumpolar region (standardised incidence ratios (SIR) males: 3.9, females: 3.6) and in Maori (SIR males: 2.2, females: 3.2). Increasing trends in incidence were found for some groups.Conclusions We found a higher burden of stomach cancer in indigenous populations globally, and rising incidence in some indigenous groups, in stark contrast to the decreasing global trends. This is of major public health concern requiring close surveillance and further research of potential risk factors. Given evidence that improving nutrition and housing sanitation, and Helicobacter pylori eradication programmes could reduce stomach cancer rates, policies which address these initiatives could reduce inequalities in stomach cancer burden for indigenous peoples.
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| 5. |
- Beckman, Linda, Docent, 1980-, et al.
(författare)
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Children and youth's perceptions of mental health-a scoping review of qualitative studies
- 2023
-
Ingår i: BMC Psychiatry. - : BioMed Central (BMC). - 1471-244X. ; 23:1
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Forskningsöversikt (refereegranskat)abstract
- BackgroundRecent research indicates that understanding how children and youth perceive mental health, how it is manifests, and where the line between mental health issues and everyday challenges should be drawn, is complex and varied. Consequently, it is important to investigate how children and youth perceive and communicate about mental health. With this in mind, our goal is to synthesize the literature on how children and youth (ages 10-25) perceive and conceptualize mental health.MethodsWe conducted a preliminary search to identify the keywords, employing a search strategy across electronic databases including Medline, Scopus, CINAHL, PsychInfo, Sociological abstracts and Google Scholar. The search encompassed the period from September 20, 2021, to September 30, 2021. This effort yielded 11 eligible studies. Our scoping review was conducted in accordance with the PRISMA-ScR Checklist.ResultsAs various aspects of uncertainty in understanding of mental health have emerged, the results indicate the importance of establishing a shared language concerning mental health. This is essential for clarifying the distinctions between everyday challenges and issues that require treatment.ConclusionWe require a language that can direct children, parents, school personnel and professionals toward appropriate support and aid in formulating health interventions. Additionally, it holds significance to promote an understanding of the positive aspects of mental health. This emphasis should extend to the competence development of school personnel, enabling them to integrate insights about mental well-being into routine interactions with young individuals. This approach could empower children and youth to acquire the understanding that mental health is not a static condition but rather something that can be enhanced or, at the very least, maintained.
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| 6. |
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| 7. |
- Daerga, L, et al.
(författare)
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Occupational musculoskeletal dysfunctions among reindeer herding Sami in Sweden
- 2006
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Ingår i: Vaartoe.
-
Konferensbidrag (populärvet., debatt m.m.)abstract
- Objectives: In a previous pilot studies it was indicated that the prevalence of musculoskeletal pain (MSP) is high among reindeer herders. The main objective of the present study was to explore potential relations between self-reported MSP, perceived dysfunction and quality of life among Swedish reindeer herding Sami, with particular emphasis on gender comparisons. Study Design: Cross-sectional, semi-randomised, cohort study. Methods: A total of 154 reindeer herders (86 men, 68 women) were offered participation in the study. They were semi-randomly selected from 7 Sami communities and represented herders who were older than 18 years of age, and belonged to households where reindeer husbandry constituted a major source of income. They answered questionnaire on pain intensity, duration and frequency in 10 separate body regions, on functional disturbances (SF-36 and Neck Disability Index), and on quality of life (in four domains - physical, social, mental and health). The questionnaires were distributed via mail to complement clinical data acquired during health examination executed by physiotherapists and GPs. Results: Preliminary analyses revealed a high prevalence of MSP, particularly of the back, neck, shoulder, elbows and wrists, both among men and women. Significant functional impairments and poor quality of life were reported by a majority of the participants. Conclusions: Detailed results and general conclusions will be presented at the conference
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| 8. |
- Dahlborg Lyckhage, Elisabeth, et al.
(författare)
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Gränshinder : en kvalitativ och kvantitativ studie av samverkandesjukvård
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The project "Health care interaction" among different care providers was introduced as a trial activity in the municipalities of Strömstad and Tanum in the spring of 2010. The aim of health care interaction is to provide citizens health care adapted to their specific need within shortest possible time frame; Is emergency care not needed, the aim is to avoid that the care seeker ends up in an emergency room at the hospital. In this study experiences from health care interaction is described with quantitative as well as qualitative data. Empirical data is based on available medical statistics, focus group interviews with nurses with long experience from pre-hospital emergency care and home health care, questionnaires data gathered from other health professionals involved in the activity, individual interviews with nurses and physicians at call centers for medical information, primary health care centers, home health care, pre-hospital health care and elderly care. The analysis of the data reveal opportunities and expectations among the personnel as well as their willingness to develop and improve the health care. It's also evident that the general impression among health care personnel is that increased interaction among health care providers improves the quality of the health care given. Health care interaction also contributes to improved opportunities for person-centered care with an increased degree of continuity and participation for the patient. The study also reveals that collaboration between colleagues promotes development of individual and collective knowledge. Conclusions drawn from the study is that the documentation and information system used in health care interaction needs to strengthen the participation of the care seekers as well as to improve in accessibility for the personnel involved. In order for health care interaction to evolve and develop through close follow-up and evaluation, a more transparent and uniform system for documentation is recommended. It's also concluded from the study that the call center for medical information (1177) as one of the major actors in the health care interaction program has the best potential to instigate an expansion and development of the health care interaction among care providers.
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| 9. |
- Edin-Liljegren, A, et al.
(författare)
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Psychosocial risk factors among Sami in Sweden : a controlled cohort study
- 2006
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Ingår i: Vaartoe.
-
Konferensbidrag (populärvet., debatt m.m.)abstract
- Objective: To investigate the occurrence of psychosocial, clinical and behavioural risk factors for cardiovascular diseases (CVD) among reindeer herding and non-reindeer herding Sami. The results on psychosocial risk factors are presented here. Materials and Methods: A cohort of 611 Swedish Sami (276 men and 335 women) was constructed from national population registers and compared with a twice as large control population of non-Sami, matched by age, gender and area of residency. Information on quality of life, social support and Karasek and Theorell`s job-strain indices was obtained from a database containing information from a regional CVD-preventive program. The data was collected from the period of 1990–2001. Results: The Sami people reported lower quality of life and higher demand and intellectual discretion at work than the non-Sami. The Sami women, the reindeer herding as well as the non-reindeer herding, had lower scores on intellectual discretion and social support at work compared with the Sami men. Conclusions: Regarding the psychosocial risk factors investigated here it seems that the Sami women are at higher risk than the Sami men.
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| 10. |
- Edin-Liljegren, A, et al.
(författare)
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Risk factors for cardiovascular diseases among Swedish Sami : a controlled cohort study
- 2004
-
Ingår i: International Journal of Circumpolar Health. - 1239-9736 .- 2242-3982. ; 63:Suppl 2, s. 292-297
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate the occurrence of clinical, psychosocial and behavioural risk factors for cardiovascular diseases (CVD) among reindeer herding (RS) and non-reindeer herding Sami (NRS). STUDY DESIGN: A retrospective cohort study, comparing risk factors behind CVD between Sami and non-Sami, RS and NRS, and Sami men and women. METHODS: A cohort of 611 Swedish Sami (276 men and 335 women) was constructed from national population registers. A twice as large control cohort of non-Sami was created, matched by age, gender and area of residence. Information on risk factors was obtained from a database containing clinical and psychosocial-behavioural data from a regional CVD preventive programme for the period 1990-2001. RESULTS: The Sami and the non-Sami showed similar risk factor patterns. The main differences were related to working conditions and lifestyle factors of the RS. The RS men had lower blood pressure, were more physically active and had higher job demand and decision latitude. The RS women showed more negative scores on the indices of the job strain model. CONCLUSIONS: Previously reported differences in CVD mortality between Sami and non-Sami, and Sami men and women, can only partly be explained by different exposure to the psychosocial and behaviour risk factors investigated in this study.
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| 11. |
- Friborg, Jeppe, et al.
(författare)
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Cancer
- 2008
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Ingår i: Health Transitions in Arctic Populations.. - Toronto, Kanada : University of Toronto Press. - 9780802091093 ; , s. 308-333
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 12. |
- Guo, Yanfei, 1984, et al.
(författare)
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Frailty Trajectories in Chinese Older Adults : Evidence From the China Health and Retirement Longitudinal Study
- 2024
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Ingår i: Innovation in Aging. - : Oxford University Press. - 2399-5300. ; 8:1, s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- Background and Objectives The individual heterogeneity in the progression of frailty has not been fully disclosed. Studies on frailty trajectories in Chinese older adults are rare and lack evidence suggesting that the frailty trajectories follow similar patterns to those in other countries. This study aims to identify distinct frailty trajectories in a nationwide cohort of community-dwelling older adults in China and explore the relationship between demographic, socioeconomic, and behavioral factors, and frailty trajectories.Research Design and Methods We included an analytical sample of 8,993 individuals aged 50 and older from the China Health and Retirement Longitudinal Study. We used group-based trajectory models to identify patterns of frailty trajectories over time. Multinomial logistic regression was used to estimate the relationship between demographic, socioeconomic, and behavioral factors, and group membership.Results Three frailty trajectories were identified: "Low and stable trajectory" (56.8% of the respondents), "Moderate and increasing trajectory" (34.4%), and "High and increasing trajectory" (8.8%). Older age (odds ratio [OR] = 7.37, 95% confidence interval [CI]: 5.90-9.20), being female (OR = 1.79, 95% CI: 1.42-2.27), no formal education (OR = 4.91, 95% CI: 2.33-10.36), living in rural areas (OR = 1.22, 95% CI: 1.01-1.47), low level of physical activity (OR = 2.65, 95% CI: 1.94-3.62), and residing in Northeast China (OR = 3.53, 95% CI: 2.56-4.88) were associated with the rapid progression of frailty, whereas moderate alcohol consumption appears to be associated with low and stable frailty trajectory (OR = 0.45, 95% CI: 0.35-0.58).Discussion and Implications The findings of the study emphasize a significant number of older adults with moderate and increasing as well as high and increasing frailty trajectories in China, which is cause for concern.
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| 13. |
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| 14. |
- Hassler, Sven, 1963-
(författare)
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A Coherence of Identities or an Identity of Coherence? : A Review of the Recent Discussion on Well-Being, Social Identities and Integration in a Multicultural Context
- 2015. - 1
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Ingår i: Building Barriers and Bridges. - : Inter-Disciplinary Press. - 9781848883253 ; , s. 11-19
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Bokkapitel (refereegranskat)abstract
- A principal element in the process of integration is identity. The ability of immigrants to integrate the cultural identity of their country of origin and the cultural identity of their new country to form a coherent self-concept has been found to be positively related to various forms of psychological well-being. But there is a lack of consensus among researchers regarding the optimal integrated identity structure. While supporters of the acculturative approach argue that a strong identification to both the original and the new groups maximizes well-being,others insist more on the importance of maintaining a coherent identity, regardless of the strength of identification and regardless of the number of social identities.As most researchers in the health oriented debate on identity have focused on abicultural context, knowledge of the identity structure that promotes well-being in a multicultural surrounding is limited. The identity politics dominating mainstream multicultural discourses are theoretically grounded on the idea that humans have essential, unchanging cores that are fully formed and integrated. Within this paradigm, groups are identified by characteristics that are understood as inherently distinctive. Therefore in order to understand the process by which social identities become integrated into a concept of self an intercultural approach of the understanding of social identities and well-being is suggested. The aim of this chapter is to review the debate on the concept of coherence in relation to identity and well-being in a multicultural context and to investigate whether identity based coherence is challenged or promoted by an intercultural approach of understanding.
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| 15. |
- Hassler, Sven, 1963-, et al.
(författare)
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Cancer among the sami : A review on the norwegian, swedish and finnish sami populations
- 2008
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Ingår i: International Journal of Circumpolar Health. - : International Association of Circumpolar Health Publishers. - 1239-9736 .- 2242-3982. ; 67:5, s. 421-432
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Forskningsöversikt (övrigt vetenskapligt/konstnärligt)abstract
- Objectives. The Sami are the Indigenous people of the northernmost parts of Sweden, Finland and Norway, and of the Kola Peninsula of Russia. The present review summarizes the main results from studies on cancer morbidity and mortality among the Sami and discusses these results in relation to exposure of known risk factors. Study Design. Literature review. Methods. A systematic search over the time period 1966–2008for relevant articles was conducted on MEDLINE. Updates and recalculations of some of the results from the original data were also done. Results. Nine articles whose main focus is on cancer incidence or mortality among the Sami were identified. In all studies, the overall incidence of cancer or cancer mortality was lower among the Sami in comparison with the national populations. The differences were less striking in relation to regional reference populations, but the rates were still significantly lower for all populations of Sami, except for Swedish Sami women. Beyond the general trend of a lower cancer incidence among the Sami, there were some notable differences between the various Sami subpopulations.
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| 16. |
- Hassler, Sven, et al.
(författare)
-
Cancer in the Sami population of Sweden, 1961-2003 : demographical aspects of different genetic and lifestyle exposure
- 2006
-
Ingår i: The 13th International Congress on Circumpolar Health.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: In previous Nordic studies it has been reported that the overall cancer incidence is lower among the Sami compared to the rest of the population living in the same area. But the relative risk varies among different Sami groups with a lower overall risk among reindeer herders compared to other Sami groups. Diet and lifestyle factors such as physical activity has been suggested to explain these differences together with genetical factors. The objective of this study is to describe the cancer incidence among different Sami groups in Sweden between 1961 and 2003 and to evaluate the effect of demographical changes on risk factors related to Sami lifestyle and heritage. Study Design: Prospective cohort study Methods: The study cohort constitutes of a total of 7 482 reindeer herders and 34 239 non-herders from which subgroups were genealogically defined, carrying with them assumptions of different levels of influence of a traditional Sami life style. Follow up was from 1961 to 2003 and standard incidence ratios (SIR) were calculated using a demographically matched control population as the standard of comparison. Results:Overall lower cancer risk was observed for reindeer herding men compared to the control population while the relative risk for non-herding women was significantly higher. Significantly lower rates of prostate was observed among reindeer herders and higher rates of stomach and ovary was observed among non-herding women. Conclusions: Protective factors in an active, more traditional life style in combination with genertical factors is suggested to explain the lower cancer rates among reindeer herding men. An assumption of declining protective influence of a traditional life style in different Sami groups is supported by an demographical and genealogical analysis of the constitution of different Sami groups. It is indicated that demographical changes resulting in various levels of integration and/or assimilation should be considered when analysing the health status of the Sami.
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| 17. |
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| 18. |
- Hassler, Sven, et al.
(författare)
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Cancer risk in the reindeer breeding Saami population of Sweden, 1961–1997
- 2001
-
Ingår i: European Journal of Epidemiology. - 0393-2990 .- 1573-7284. ; 17, s. 969-976
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Tidskriftsartikel (refereegranskat)abstract
- The Saami people are the natives of northern Scandinavia and the Kola Peninsula. In a cohort of 2033 Swedish reindeer breeding Saamis, the cancer risks between 1961 and 1997 were studied. Intotal, 193 cases of cancer were observed versus 322 expected in the general Swedish population and 249 in a geographically matched reference population of non-Saamis. In comparison to non-Saamis living in the same area, the reindeer breeding Saamis showed astatistically significant lower risk of developing cancerofthe prostate and of malignant lymphoma, whereas the risk of stomach cancer was significantly higher. Although there were no statistically significant changes ofcancer risks over time, temporal trends were indicated towards a decreased risk of cancer in the stomach and the prostate. The results suggest that the explanations ofthe low cancer risk ofthe reindeer breeding Saamis, in relation to the non-Saamis in the same environment, are to be found among lifestyle and/or genetic factors
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| 19. |
- Hassler, Sven, et al.
(författare)
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Cancer risk in the reindeer breeding Saami population of Sweden, 1961–1997
- 2001
-
Ingår i: European Journal of Epidemiology. - 0393-2990 .- 1573-7284. ; 17:10, s. 969-976
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Tidskriftsartikel (refereegranskat)abstract
- The Saami people are the natives of northern Scandinavia and the Kola Peninsula. In a cohort of 2033 Swedish reindeer breeding Saamis, the cancer risks between 1961 and 1997 were studied. In total, 193 cases of cancer were observed versus 322 expected in the general Swedish population and 249 in a geographically matched reference population of non-Saamis. In comparison to non-Saamis living in the same area, the reindeer breeding Saamis showed a statistically significant lower risk of developing cancer of the prostate and of malignant lymphoma, whereas the risk of stomach cancer was significantly higher. Although there were no statistically significant changes of cancer risks over time, temporal trends were indicated towards a decreased risk of cancer in the stomach and the prostate. The results suggest that the explanations of the low cancer risk of the reindeer breeding Saamis, in relation to the non-Saamis in the same environment, are to be found among lifestyle and/or genetic factors.
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| 20. |
- Hassler, Sven, et al.
(författare)
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Causes of death in the Sami population of Sweden, 1961-2000.
- 2005
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Ingår i: International Journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 34:3, s. 623-629
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Indigenous people often have a pattern of mortality that is disadvantageous in comparison with the general population. The knowledge on causes of death among the Sami, the natives of northern Scandinavia, is limited. The aim of the present study was to compare gender and cause specific mortality patterns for reindeer herding Sami, non-herding Sami, and non-Sami between 1961 and 2000. METHODS: A Sami cohort was constructed departing from a group of index-Sami identified as either reindeer herding Sami or Sami eligible to vote for the Sami parliament. Relatives of index-Sami were identified in the National Kinship Register and added to the cohort. The cohort contained a total of 41 721 people (7482 reindeer herding Sami and 34 239 non-herding Sami). A demographically matched non-Sami reference population four times as large, was compiled in the same way. Relative mortality risks were analysed by calculating standardized mortality ratios (SMRs). RESULTS: The differences in overall mortality and life expectancy of the Sami, both reindeer herding and non-herding, compared with the reference population were relatively small. However, Sami men showed significantly lower SMR for cancers but higher for external causes of injury. For Sami women, significantly higher SMR was found for diseases of the circulatory system and diseases of the respiratory system. An increased risk of dying from subarachnoid haemorrhage was observed among both Sami men and women. CONCLUSIONS: The similarities in mortality patterns are probably a result of centuries of close interaction between the Sami and the non-Sami, while the observed differences might be due to lifestyle, psychosocial and/or genetic factors.
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| 21. |
- Hassler, Sven
(författare)
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Coherent With What? An Explorative Analysis of the Relation Between Sense of Coherence, Integration and Identity in a Health Context
- 2014
-
Ingår i: Kultura : international journal for cultural researches. - Skopje : Centre for Culture and Cultural Studies. - 1857-7717. ; :7, s. 17-26
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Tidskriftsartikel (refereegranskat)abstract
- In order to increase the understanding on whatdetermines health among immigrants, ethnic minoritiesand indigenous people concepts as acculturation, identityand sense of coherence (SOC) have become centralfor the analysis. The process of acculturation and theassociated concepts of integration, assimilation,marginalization and separation have often been referredto when describing the health of immigrants andindigenous, of which integration has been considered toprovide the better conditions for good health. The aim ofthis study is to explore the mutual relations between theconcepts of acculturation, SOC and identity by an abductivereasoning based on an investigation on a group ofSami regarding their cultural and ethnic self‐identification.By this explorative approach the study also seek totouch upon some of the relevant neighboring conceptssuch as cultural memory and position them among themore established social determinants of health. Thestudy demonstrates that coherence as a psychosocialcharacteristic is appearing in different concepts andmodels in the area of acculturation and cognitivedevelopment as well as in cultural memory. It has anintra‐individual dimension expressed in the theories ofcognitive development and cultural memory and interindividual,social dimension noticeable in SOC and theprocess of acculturation. The mutual correspondence ofthese structures of thought, values and perspectiveshave yet to be clarified and understood, especially inrelation to health.
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| 22. |
- Hassler, Sven, et al.
(författare)
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Construction of a database on health and living conditions of the Swedish Sami population
- 2004
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Ingår i: Befolkning och bosättning i norr. - Umeå : Miscellaneous publications Centre for Sami Research, Umeå University. - 9197446807 ; , s. 107-124
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Bokkapitel (refereegranskat)abstract
- Research on the health and living conditions of the Swedish Sami population was initiated at the Southeffi Lapland Research Department in 1998 with the objective to collect and analyse data on lifestyle,environmental exposure, and incidence of various diseases and risk factors that could be used to promote a healthy Sami population. In order to analyse the epidemio.logical data on the Sami population that already exists in national demographic and health registers, a specific database has been constructed containing Swedish Sami. The basis for the construction of the database is the two definitions of Sami identity that are found in Swedish law and are used to regulate the right to register to the electoral register of the Sami parliament, and to regulate the right to breed reindeers. The registers that are connected to these defInitions functions as index registers in the creation of the database. That is, they serve as the starting point from which the expansion of the database takes place. By flnding all household members of the same household as the index persons, the database has expanded from 10 000 individuals in the index registers to a total of more than 150 000 individuals. Local kinship register within the database has also been established making the database more functional in forming Sami cohorts bUilt on family relations. A control part of the database consisting of non-Sami individuals was also formed. The Sami index regi~ters were matched with regard to sex, age and living area to form an index register of non Sami controls which then was extended in a similar way as for the Sami part of the database. An example on how the database can be used is the reconstruction of a Sami population, built on family relations that produced a Sami population that for 1998 amounted to about 44 000 individuals. By opening up new possibilities in seeking information and knowledge, the database can hopefully be come a important tool in the work to improve the health and living conditions of the Sami population of Sweden.
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| 23. |
- Hassler, Sven, 1963-
(författare)
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Fakultetssamarbete för lika rätt till hälsa - Masterprogrammet i Global hälsa vid Göteborgs universitet bryter ämnesgränser.
- 2021
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Ingår i: Socialmedicinsk Tidskrift. - Stockholm : Socialmedicinsk tidsskrift. - 0037-833X .- 2000-4192. ; 98:2, s. 224-231
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The Master’s program in Global Health at the University of Gothenburg is the fruit of a unique collaboration between four faculties and five depart-ments in order to give students tools to take on the challenge of reducing the unfair distribution of health in the world. Health challenges that with global perspectives must be understood from e.g. human rights, sustainability, cli-mate change and an unfair distribution of resources and thus demands in-terdisciplinary collaboration. After three batches of students have graduated from the programme one can conclude that interdisciplinarity within a rather tradition-laden academy can partly be regarded as a form of generic know-ledge for both students and teachers. An ability to listen, to stand back for something greater (reduce health inequities), to understand that we do not have all the answers alone and to find a common platform for communication and understanding.
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| 24. |
- Hassler, Sven, et al.
(författare)
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Fatal accidents and suicide among reindeer-herding Sami in Sweden
- 2004
-
Ingår i: International Journal of Circumpolar Health. - 1239-9736 .- 2242-3982. ; 63 Suppl 2, s. 384-388
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Tidskriftsartikel (refereegranskat)abstract
- Objective. Over the last decades, reindeer-herding management has experienced drarnatic changes, e.g. increased motorization and socio-econornic pressure. The airn of the present study was to investigate whether these changes have increased the risk of fatal, work-related accidents and suicide between 1961 and 2000. Study design and methods. A c oh ort containing 7,482 members of reindeer-herding Sami families was extracted from national population registers. Information on fatal accidents and suicide was obtained from the Swedish Causes of Death Register, and compared to the expected number of deaths in a dernographica11y matched control population of non-Sami. Results. The ffiale reindeer her- ding Sami showed a significantly increased risk of dying from accidents such as vehicle accidents and poisoning. No significant increased risk of suicide was observed. A comparison between the periods of 1961-1980 and 1981- 2000 showed non-significant differences in risk, although a trend towards incre- ased risks was observed for most types of external causes of death except suicide. Conclusions. It is suggested that the increased socio-econornic pressure and the extensive use of terrain vehicles have increased the risk for fatal accidents arnong Swedish reindeer herders, and that commercial reindeer ma- nagement is one of the most dangerous occupations in Sweden
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| 25. |
- Hassler, Sven, et al.
(författare)
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Health promotive lifestyle among reindeer herding Sami in Sweden : an analysis of gender differences
- 2007
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Ingår i: The 19th IUHPE World Conference on Health Promotion and Health Education.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objectives: The Sami are the indigenous of Northern Scandinavia. Traditional indigenous life styles are increasingly being acknowledged for their health promotive aspects such as being community based and salutogenetic in perspective. A gender difference in health among reindeer herding Sami has been observed such as lower relative risk for cancer and cardiovascular diseases among reindeer herding men compared to the women. This has partly been interpreted in terms of access to a traditional health protective life style. The objective of this study is to analyze these gender differences in health among different groups of reindeer herding Sami in the light of health promotive aspects of indigenous life styles described in the recent scientific health litterature. Study Design: Prospective cohort study and a litterature review Methods: The study cohort constitutes of a total of 7 482 reindeer herders from which subgroups with different levels of influence of a traditional Sami life style were genealogically and geographically defined. Follow-up was from 1961 to 2003 and standard incidence ratios (SIR) for major life style related diseases such as CVD and cancer were calculated using a demographically matched control population as the standard of comparison. Results: Overall lower risk for cancer and CVD was observed for reindeer herding men living in the mountain region compared to the control population while the relative risk for CVD was significantly higher among reindeer herding women living in lowland regions. Conclusions: Different access to the health promotive factors in an active, more traditional Sami life style is suggested to partly explain the gender difference in health status observed in different subgroups of the reindeer herding commun
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| 26. |
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| 27. |
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| 28. |
- Hassler, Sven, 1963-
(författare)
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MiniMili
- 2017
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Rapport (övrigt vetenskapligt/konstnärligt)
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| 29. |
- Hassler, Sven, 1963-, et al.
(författare)
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Northern Fennoscandia
- 2008
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Ingår i: Health Transitions in Arctic Populations. - Toronto, Kanada : University of Toronto Press. - 9780802091093 - 9780802094018 ; , s. 103-116
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 30. |
- Hassler, Sven, 1959-, et al.
(författare)
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Sami
- 2008
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Ingår i: Health Transitions in ArcticPopulations. - Toronto, Kanada : University of Toronto Press. - 9780802091093 ; , s. 148-178
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 31. |
- Hassler, Sven, 1963-, et al.
(författare)
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Sense of coherence and self-reported health among Roma people in Sweden : a pilot study
- 2012
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Ingår i: International Journal of Circumpolar Health. - : Informa UK Limited. - 1239-9736 .- 2242-3982. ; 71, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The Roma people have been known in Europe for a 1000 years, during which they have usually been the subject of discrimination and oppression leading to isolation, powerlessness and poor health. The objective of this study is to investigate the sense of coherence (SOC) in relation to self-reported health among a group of Roma people in southwest Sweden.STUDY DESIGN: A cross-sectional, quantitative pilot study.METHODS: A questionnaire was constructed based on the Short-Form Health Survey (SF-12) and Antonovsky's Sense of Coherence Scale (SOC-13) and was distributed among Roma people in southwest Sweden (n =102). Self-reported health was summarised in a physical score (PCS) and a mental score (MCS). Comparisons were made with a general Swedish majority population and a Sami population.RESULTS: The health scores were significantly lower among the Roma people compared to Swedes - PCS: Roma 46.0 (Swedes 52.0) and MCS: Roma 47.5 (Swedes 52.6). The SOC score for the Roma people (54.4) was significantly lower than that of the Swedes (65.2) and Sami (65.0).CONCLUSIONS: The low SOC with the Swedish majority society is a strong indication of the marginalisation and exclusion of the Roma people from mainstream society. Low scores in self-reported health among the Roma people also establishes the serious health risks the Roma people are experiencing through their present life situation.
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| 32. |
- Hassler, Sven, 1963-
(författare)
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The bidirectional agency in therapeutic alliance : an investigation of the relational resources between a social worker and a client in social work with young people that use drugs
- 2016
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Ingår i: Nordic Youth Research Symposium. - Trollhättan : Högskolan Väst. ; , s. 124-124
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Konferensbidrag (refereegranskat)abstract
- Although the therapeutic effect of the alliance between the social worker and the client is widely recognized, the knowledge on what actually constitutes a successful alliance is limited. The factors at stake are mostly referred to as common factors and include the ability of the social worker to be warm, personal, caring and devoted towards the client. With a bidirectional perspective on the construct of agency Ester Goh (2015) among others has shown that the relationship between the social worker and the client could be regarded as a resource for therapeutic success that enable the client to bean active agent in the process in his or her process of change. The aim of this study is to increase the understanding of what resources a successful relationship between a socialworker and a young client carries in the respect of enabling agentic behavior in the young client. Method In a collaboration with a drug prevention program in the municipality of Ale in the south-western part of Sweden, young clients in the age between 14 and 18 will be interviewed together with their social worker regarding their mutual relationship. Rather than addressing the social issues, the interview will focus on the relationship as such in search for the narratives of the nature of their relationship. Each paired interview will be followed up by individual interviews with the social worker and the young client respectively. Expected results The study is expected to expand the knowledge on how social workers establish functional relationship with young clients, relationships that in turn represents an important resource for the voice of the young client in his or her own process of change.
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| 33. |
- Hassler, Sven, 1963-
(författare)
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The health condition in the Sami population of Sweden, 1961-2002 : Causes of death and incidences of cancer and cardiovascular diseases
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The Sami people are the Natives of northern Scandinavia. The knowledge of the health and living conditions of the Swedish Sami is extremely limited which is in contrast to the large amount of detailed information on health and socioeconomic issues that is available for other circumpolar Natives. The encounter with the western society and the acculturation process has for many native populations had serious health consequences, causing a dramatic increase of lifestyle related diseases such as cancer, diabetes, stroke, obesity and hypertension as well as a dramatic increase of suicide and drug abuse. The overall objective of this thesis was to investigate the health conditions of the Sami population of Sweden using causes of death and incidences of cancer and cardiovascular diseases (CVD) as health indicators, and to evaluate their possible association with acculturative factors such as assimilation, integration, separation and marginalization. A Sami population was identified containing a total of 41 721 individuals. Specific cohorts were selected from this population for the different studies. A four times as large demographically matched non-Sami control population was used for comparisons. A study of causes of death, 1961-2000, showed small differences in overall mortality and life expectancy between the Sami and the non-Sami. However, Sami men showed significantly lower mortality risks for cancers but higher for external cause of injury and Sami women higher risks for diseases of the circulatory system (CVD) and of the respiratory system. An increased risk of dying from subarachnoid haemorrhage (SAH) was observed among both Sami men and women. The increased risk of dying from accidents among male reindeer herders is suggested to be caused by the increased socioeconomic pressure and the extensive use of terrain vehicles. It is concluded that commercial reindeer management is one of the most dangerous occupations in Sweden. In a study of the cancer risk among the reindeer herding Sami between 1961-1997, an overall lower risk to develop cancers, particularly prostate and malignant lymphoma was observed among the reindeer herding Sami. The risk for stomach cancer was significantly higher in relation to their non-Sami neighbours. The Sami and the non-Sami had similar risk factor-patterns for CVD. The main differences were related to working conditions and lifestyle factors of the reindeer herding Sami - the women showed a more unfavourable risk factor pattern than the men. Higher incidences of stroke were observed among Sami men and women compared to their non-Sami neighbours while the mortality rates of stroke were similar. The mortality ratio of AMI was increased for Sami women in spite of similar incidence ratios. A higher risk of SAH was observed among all groups of Sami. According to traditional socioeconomic risk factors, the differences in the levels of income and education observed between the Sami and the non-Sami, were poorely associated with the disparities of CVD. As has been shown, only minor differences in the health indicators were found between the Sami and their non-Sami neighbours. This is in clear contrast to several other native populations for which the health situation is largely unfavourable in comparison with that of the general population. The observed differences between the Sami and the non-Sami probably reflect differences in lifestyle, psychosocial and genetic factors. The relation between these factors and the acculturation process is dicussed, and it is suggested that separation or segregation of the reindeer herding Sami and the assimilation of the other Sami have influenced the health condition of the Sami, but with the largest impact probably prior to 1961 and the earliest start of follow-up for the studies in this thesis. Thus, the similarities in health between the Sami and the non-Sami 1961-2002, are probably a result of centuries of close interaction that has caused similarities in culture, attitudes and lifestyle, as well as equal accessibility to the health care services and the social security systems.
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| 34. |
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| 35. |
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| 36. |
- Ramadani, Royasia Viki, 1992, et al.
(författare)
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Effects of the COVID-19 pandemic on healthcare utilization among older adults with cardiovascular diseases and multimorbidity in Indonesia: an interrupted time-series analysis.
- 2024
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Ingår i: BMC public health. - : BioMed Central (BMC). - 1471-2458. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- The COVID-19 pandemic has disrupted healthcare utilization globally, but little is known about the effects among patients with cardiovascular diseases (CVDs) and other multimorbidities. This study analyzed the impacts of COVID-19 on healthcare utilization for patients aged 30years and older with cardiovascular diseases (CVDs) with or without other chronic disease comorbidities in Indonesia.We designed a retrospective cohort study based on the Indonesian National Health Insurance (NHI) sample data from 2016-2020. We defined healthcare utilization as monthly outpatient and inpatient visits related to chronic diseases at the hospital and primary healthcare levels per 10,000 NHI members. We used interrupted time series analysis to evaluate how the healthcare utilization patterns had changed due to the COVID-19 pandemic.Overall, hospital outpatient visits decreased by 39% when the pandemic occurred (95% Confidence Interval (CI): 0.48,0.76), inpatient visits by 28% (95% CI: 0.62,0.83), and primary healthcare visits by 34% (95% CI:0.55, 0.81). For patients with CVDs and multimorbidity, hospital outpatient and inpatient visit rates were reduced by 36% and 38%, respectively and primary healthcare visits by 32%. Some insignificant differences in the reduction of out-and inpatient visits were observed across diagnosis groups and regions.Healthcare utilization among patients with chronic diseases decreased significantly during COVID-19 and consistently across different chronic diseases and regions. To cope with the unmet needs of healthcare utilization in the context of the pandemic, the healthcare system needs to be strengthened to cater to the needs of the population-at-risk, especially for patients with CVDs andmultimorbidity.
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| 37. |
- Ramadani, Royasia Viki, 1992, et al.
(författare)
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The impact of multimorbidity among adults with cardiovascular diseases on healthcare costs in Indonesia : a multilevel analysis
- 2024
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Ingår i: BMC Public Health. - : BioMed Central (BMC). - 1471-2458. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Cardiovascular diseases (CVDs) are the leading cause of death in Indonesia, accounting for 38% of the total mortality in 2019. Moreover, healthcare spending on CVDs has been at the top of the spending under the National Health Insurance (NHI) implementation. This study analyzed the association between the presence of CVDs with or without other chronic disease comorbidities and healthcare costs among adults (> 30 years old) and if the association differed between NHI members in the subsidized group (poorer) and non-subsidized households group (better-off) in Indonesia. Methods: This retrospective cohort study analyzed the NHI database from 2016–2018 for individuals with chronic diseases (n = 271,065) ascertained based on ICD-10 codes. The outcome was measured as healthcare costs in USD value for 2018. We employed a three-level multilevel linear regression, with individuals at the first level, households at the second level, and districts at the third level. The outcome of healthcare costs was transformed with an inverse hyperbolic sine to account for observations with zero costs and skewed data. We conducted a cross-level interaction analysis to analyze if the association between individuals with different diagnosis groups and healthcare costs differed between those who lived in subsidized and non-subsidized households. Results: The mean healthcare out- and inpatient costs were higher among patients diagnosed with CVDs and multimorbidity than patients with other diagnosis groups. The predicted mean outpatient costs for patients with CVDs and multimorbidity were more than double compared to those with CVDs but no comorbidity (USD 119.5 vs USD 49.1, respectively for non-subsidized households and USD 79.9 vs USD 36.7, respectively for subsidized households). The NHI household subsidy status modified relationship between group of diagnosis and healthcare costs which indicated a weaker effect in the subsidized household group (β = -0.24, 95% CI -0.29, -0.19 for outpatient costs in patients with CVDs and multimorbidity). At the household level, higher out- and inpatient costs were associated with the number of household members with multimorbidity. At the district level, higher healthcare costs was associated with the availability of primary healthcare centres. Conclusions: CVDs and multimorbidity are associated with higher healthcare costs, and the association is stronger in non-subsidized NHI households. Households’ subsidy status can be construed as indirect socioeconomic inequality that hampers access to healthcare facilities. Efforts to combat cardiovascular diseases (CVDs) and multimorbidity should consider their distinct impacts on subsidized households. The effort includes affirmative action on non-communicable disease (NCD) management programs that target subsidized households from the early stage of the disease.
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| 38. |
- Ross, Alastair B, et al.
(författare)
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Adherence to a traditional lifestyle affects food and nutrient intake among modern Swedish Sami
- 2009
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Ingår i: International Journal of Circumpolar Health. - 1239-9736 .- 2242-3982. ; 68:4, s. 372-385
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To compare the nutrient and food intake of Sami still engaged in reindeer herding (traditional lifestyle or reindeer-herding Sami [RS]) and Sami not involved in reindeer herding (industrialized lifestyle or non-reindeer-herding Sami [NRS]) with other northern Swedish populations. STUDY DESIGN: Cross-sectional analysis of data from a prospective cardiovascular intervention program in northern Sweden. METHODS: Data were used from a prospective cardiovascular intervention program in northern Sweden. Sami recruited into this study were divided according to whether they were involved in reindeer herding (traditional lifestyle, RS) (66 females, 79 males) or not (NRS) (255 females, 195 males), and compared to non-Sami from the same area taking part in the same study (controls) (499 females, 501 males). Subjects completed a Food Frequency Questionnaire (FFQ) and clinical parameters were analysed. RESULTS: RS had a higher overall intake of energy for both females (P<0.01) and males (P<0.05), but not total food intake compared to controls and NRS. The overall Sami diet was characterized by a higher proportion of energy from protein and fat. RS had a lower energy adjusted intake of vitamins A and E, and fibre, and higher intake of sodium. RS and NRS both had a lower intake of vegetables and a higher intake of meat, and for RS, fish. Nutrient and food-intake patterns were similar for males and females. CONCLUSIONS: Classification of Sami into RS and NRS indicates that a traditional lifestyles defined by occupation is reflected in differences in food and nutrient intake.
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| 39. |
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| 40. |
- Sjölander, Per, et al.
(författare)
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Stroke and acute myocardial infarction in the Swedish Sami population : incidence and mortality in relation to income and level of education
- 2008
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Ingår i: Scandinavian Journal of Public Health. - : SAGE. - 1403-4948 .- 1651-1905. ; 36:1, s. 84-91
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Tidskriftsartikel (refereegranskat)abstract
- Background: Gender differences in cardiovascular diseases (CVD) among the Sami have been reported previously. The aim of the present study was to investigate the incidence of and mortality from stroke, subarachnoid haemorrhage (SAH), and acute myocardial infarction (AMI) in the Swedish Sami population between 1985 and 2002, and to analyse the potential impact of income and level of education on cardiovascular morbidity and mortality. Methods: A Sami cohort of 15,914 persons (4,465 reindeer herding and 11,449 non-herding Sami) were followed up from 1985 to 2002 with regard to incidence and mortality rates of AMI, stroke, and SAH. Incidence and mortality ratios were calculated using a demographically matched non-Sami control population (DMC) as the standard (71,550 persons). Results: There was no elevated risk of developing AMI among the Sami compared with the DMC. However, the mortality ratio of AMI was significantly higher for Sami women. Higher incidence rates of stroke and SAH for both Sami men and women was observed, but no differences in mortality rates. Apart from the reindeer-herding men who demonstrated lower levels of income and education, the income and education levels among Sami were similar to the DMC. Conclusions: High mortality rates from AMI rather than stroke explain the excess mortality for CVD previously shown among Sami women. The results suggest that the differences in incidence of stroke between herding and non-herding Sami men, and between Sami women and non-Sami women, are caused by behavioural and psychosocial risk factors rather than by traditional socioeconomic ones.
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| 41. |
- Young, Kue, et al.
(författare)
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Injuries and Violoence
- 2008
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Ingår i: Health Transitions in Arctic Populations. - Toronto, Kanada : University of Toronto Press. - 9780802091093 ; , s. 338-358
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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