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- Paulsson Do, Ulrica
(författare)
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Generell ohälsobeteendefaktor hos skolungdomar
- 2010
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Ingår i: Generell ohälsobeteendefaktor hos skolungdomar.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Syfte: Huvudsyftet var att undersöka om det kan finnas en generell faktor som påverkar ohälsosamma beteenden gällande måltidsvanor, fysisk aktivitet, rökning och alkoholkonsumtion hos ungdomar samt om denna faktor i så fall påverkas av kön och socioekonomiska faktorer. Metod: 10590 elever i årskurs 7 och 9 i högstadiet och årskurs 2 på gymnasiet i Uppsala län besvarade en enkät som innehöll frågor om sociodemografi, socioekonomi och hälso-/ohälsobeteenden. Strukturella ekvationsanalyser gjordes med LisRel path analysis.Resultat: Ohälsobeteendena hade ett tydligt samband med en generell ohälsobeteendefaktor hos ungdomar. Kön och socioekonomi visade sig ha ett samband med den generella ohälsobeteendefaktorn i årskurs 2 på gymnasiet.Diskussion: Av studien framgår att det finns en generell faktor som påverkar ohälsobeteenden. Detta är något som tidigare studier har antytt. Vidare studier behövs för att identifiera delar av den generella ohälsofaktorn.
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| 2. |
- Paulsson Do, Ulrica, et al.
(författare)
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Health communication with parents and teachers and unhealthy behaviours in 15- to 16-year-old Swedes
- 2017
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Ingår i: Health Psychology and Behavioral Medicine. - : Informa UK Limited. - 2164-2850. ; 5:1, s. 229-257
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Tidskriftsartikel (refereegranskat)abstract
- Background: Unhealthy behaviours during adolescence constitute a major risk for numerous diseases in adulthood.Aim: To explore the associations between multiple unhealthy behaviours in adolescents and health behaviour information communicated by their parents and teachers, how much the adolescents cared about this information and whether adolescents went to schools with an annual health-themed week or not.Methods: In this cross-sectional study, a self-reported questionnaire was delivered to pupils aged 15 and 16 (n = 492). The results were analysed using Poisson regression.Results: The number of unhealthy behaviours was lower in adolescents whose parents encouraged them to adopt healthy behaviours. Adolescents at schools with an annual health-themed week reported more unhealthy behaviours than other adolescents. In addition, attendance at such schools did not compensate for a lack of health behaviour information communicated by parents. Caring about health behaviour information communicated by parents was associated with fewer unhealthy behaviours. In contrast, the opposite was found when adolescents cared about health information communicated by teachers.Conclusion: It is important for parents to encourage their adolescent children to adopt healthy behaviours because this is particularly effective at lowering the number of unhealthy behaviours in adolescents. It also appears to be important for parents and teachers to develop credibility among adolescents regarding information communicated about health issues. The results also indicate the importance of involving parents in the school health work to influence them to encourage their adolescent children to adopt healthy behaviours.
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| 3. |
- Paulsson Do, Ulrica, et al.
(författare)
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How 15- to 16-year-old Swedish adolescents experience social relationships and health-related behaviours : A qualitative study
- 2020
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 48:5, s. 527-536
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Tidskriftsartikel (refereegranskat)abstract
- Aims: Health-related behaviours are associated with social relationships. Adolescence is a time when healthy and unhealthy behaviours are established. There is a need to investigate adolescents’ views on how social relationships are related to health-related behaviours of adolescents in the Scandinavian welfare system. This study aimed to explore Swedish adolescents’ experiences and thoughts of how social relationships in different social environments are related to health-related behaviours.Methods: A total of 36 adolescents aged 15–16 years were interviewed in seven focus-group sessions. Qualitative content analysis was used for analysis of the transcribed interviews.Results: Two themes – social context and personal management – emerged. Swedish adolescents describe that their health-related behaviours as being partly shaped by their own personal management but mainly by the social contexts that surround them. Social contexts were expressed as playing a role in the adolescents’ health-related behaviours, as they provide fellowship, pressure, dependability and engagement. Fellowship with friends and family was expressed as providing healthy behaviours and high levels of well-being. Fellowship with friends was particularly important for physical activity. Close relationships were stated to influence health-related behaviours. Pressure from friends, teachers and social media were described as mainly influencing unhealthy behaviours and, to some extent, low levels of well-being. However, adolescents’ personal ability illustrated how adolescents shaped their own health-related behaviours.Conclusions: The study results contribute to the understanding of Swedish adolescents’ views on how social relationships can shape their health-related behaviours. The findings may be useful to school professionals in supporting adolescents to improve well-being and healthy behaviours.
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| 4. |
- Paulsson Do, Ulrica, et al.
(författare)
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Psychosocial vulnerability underlying four common unhealthy behaviours in 15–16-year-old Swedish adolescents : a cross-sectional study
- 2017
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Ingår i: BMC Psychology. - : Springer Science and Business Media LLC. - 2050-7283. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Factors that influence unhealthy behaviours in adolescents may have different impacts in different sociocultural settings. There is lack of research on the association between psychosocial vulnerability and unhealthy behaviours in adolescents, particularly outside the United States. The aim was to investigate both direct and indirect relationships between psychosocial conditions (subjective well-being, social relationships and self-esteem) and four health-related behaviours (smoking, alcohol consumption, meal frequency and physical activity) in Swedish adolescents aged 15-16 years. Socio-demographic variables (socio-economic status, gender and age) were also investigated.METHODS: To study these associations, a hypothesised model was tested using structural equation modelling. In the hypothesised model, interrelated psychosocial conditions (low well-being, poor social relationships and low self-esteem) and socio-demographic factors (low self-perceived socio-economic status, being female and higher age) together represented a vulnerability underlying smoking, alcohol consumption, irregular meal frequency and low level of physical activity. In this cross-sectional study, self-report questionnaires were used to collect data from 492 adolescents.RESULTS: Hypothesised pathways between psychosocial conditions, socio-demographic factors and the four unhealthy behaviours were confirmed. Low well-being was strongly associated with unhealthy behaviours, and poor social relationships showed a strong indirect association with the unhealthy behaviours. Low self-esteem, low self-perceived socio-economic status and female gender were also vulnerability factors for the unhealthy behaviours.CONCLUSIONS: Vulnerability for four common unhealthy behaviours was found in Swedish adolescents. This study presents the interrelationships of psychosocial and socio-demographic factors and how they were related with unhealthy behaviours. The results bring new insight into how psychosocial factors are related to unhealthy behaviours in adolescents living in northern Europe.
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| 5. |
- Paulsson Do, Ulrica
(författare)
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Psychosocial Vulnerability Underlying Unhealthy Behaviours in Swedish Adolescents
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim was to examine the relationship between Swedish school adolescents´ health-related behaviours and psychosocial and socio-demographic factors, with the purpose of identifying vulnerability factors for unhealthy behaviours and exploring adolescents’ own experiences and thoughts about this.Three studies were quantitative cross-sectional studies and used data from two different questionnaires. The fourth study was a qualitative study based on focus group interviews. The sample in study I consisted of 13–18-year-old adolescents (n= 10,590) and 15–16-year-old adolescents in studies II (n=492), III (n=492) and IV (n=36). The quantitative data were analysed using a number of different statistical methods. Foremost, structural equation modelling was used in studies I and II and Poisson regression analysis in study III. Study IV used qualitative content analysis by Graneheim and Lundman.The results indicated that nearly 60 per cent of 15–16-year-old adolescents have at least two unhealthy behaviours. Interrelated psychosocial and socio-demographic factors constituted vulnerability for unhealthy behaviours in general in adolescents. Good psychosocial relationships were strongly related with high well-being, whereas poor social relationships and low well-being were associated with unhealthy behaviours in general. Low socio-economic group was associated with unhealthy behaviours in general but the strength of this association varied between the adolescent age groups. Encouragement from parents to adopt healthy behaviours was associated with less unhealthy behaviours. Having adolescents who cared about what their parents said regarding health-related behaviours was also associated with a lower number of unhealthy behaviours. The school and family were important social environments for adolescents´ health-related behaviours. Similarly, friends and social media were important social contexts. Fellowship, and close social relationships, in particular, was important to healthy behaviours. Fellowship with others was also stated to influence high well-being. The experience of feeling pressure was stated to be associated with low well-being and unhealthy behaviours in adolescents.The thesis brings new knowledge to the field of psycho-social and socio-demographic factors associated with unhealthy behaviours in Swedish adolescents. Findings may be useful in supporting adolescents to reach positive health-related behaviours.
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| 6. |
- Paulsson Do, Ulrica
(författare)
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Self-perceived economic situation and unhealthy behaviors in Swedish adolescents
- 2011
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Ingår i: Self-perceived economic situation and unhealthy behaviors in Swedish adolescents.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Introduction Earlier studies have found that socioeconomic status is associated with unhealthy behaviours in adolescents. Adolescents own perception of their economic situation and its association with unhealthy behaviours needs further study.Aim The aim was to find whether adolescents´ self-perceived economic situation was associated with unhealthy behaviors and how strong this possible association would be compared with regularly used socioeconomic indicators.Methods A postal self-report questionnaire was used for pupils aged 15 and 16 (n =492). The questionnaire assessed economic circumstances (7 different variables) and unhealthy behaviors (meal habits, physical activity, smoking and alcohol consumption) in adolescents and was distributed to 10 geographically spread schools in Sweden. Polychoric correlation and structural equation modelling using LISREL 8.80 was applied for the statistical analysis.Results Of the seven economic variables, self-perceived economic situation had the strongest association with the unhealthy behaviours included in the study.Conclusion Adolescents´ own perception of their economic situation is an important factor when it comes to economic circumstances associated with unhealthy behaviours in 15-16 year olds.
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| 7. |
- Paulsson Do, Ulrica, et al.
(författare)
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Vulnerability to unhealthy behaviours across different age groups in Swedish Adolescents : A cross-sectional study
- 2014
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Ingår i: Health Psychology and Behavioral Medicine. - : Informa UK Limited. - 2164-2850. ; 2:1, s. 296-313
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Tidskriftsartikel (refereegranskat)abstract
- Purpose:There is lack of evidence on the effects of health-promoting programmes among adolescents. Health behaviour models and studies seldom compare the underlying factors of unhealthy behaviours between different adolescent age groups. The main objective of this study was to investigate factors including sociodemographic parameters that were associated with vulnerability to health-damaging behaviours and non-adoption of health-enhancing behaviours in different adolescent age groups.Methods:A survey was conducted among 10,590 pupils in the age groups of 13–14, 15–16 and 17–18 years. Structural equation modelling was performed to determine whether health-damaging behaviours (smoking and alcohol consumption) and non-adoption of health-enhancing behaviours (regular meal habits and physical activity) shared an underlying vulnerability. This method was also used to determine whether gender and socio-economic status were associated with an underlying vulnerability to unhealthy behaviours.Results:The findings gave rise to three models, which may reflect the underlying vulnerability to health-damaging behaviours and non-adoption of health-enhancing behaviours at different ages during adolescence. The four behaviours shared what was interpreted as an underlying vulnerability in the 15–16-year-old age group. In the youngest group, all behaviours except for non-participation in physical activity shared an underlying vulnerability. Similarly, alcohol consumption did not form part of the underlying vulnerability in the oldest group. Lower socio-economic status was associated with an underlying vulnerability in all the age groups; female gender was associated with vulnerability in the youngest adolescents and male gender among the oldest adolescents.Conclusions:These results suggest that intervention studies should investigate the benefits of health-promoting programmes designed to prevent health-damaging behaviours and promote health-enhancing behaviours in adolescents of different ages. Future studies should examine other factors that may contribute to the underlying vulnerability in different age groups.
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