| 1. |
- Allebeck, Peter, 1952, et al.
(författare)
-
Gothenburg study of women and alcohol: Low prevalence of abuse - trend toward increase appears to have abated : Studie i Göteborg om kvinnor och alkohol: Låg förekomst av missbruk - ökningen förefaller ha avklingat
- 2001
-
Ingår i: Läkartidningen. - 0023-7205. ; 98:10, s. 1103-07
-
Tidskriftsartikel (refereegranskat)abstract
- Prevalence of alcohol dependence and abuse (ADA) was determined in a cohort of women selected by stratified random sampling from the general population in Gothenburg. A questionnaire was administered to 3,130 women and 399 were interviewed. Questions were asked about social background, living conditions, family and working life. Volume and frequency of alcohol intake were recorded, and diagnoses were made according to DSM-III. We found that the one-year prevalence of ADA was 1.5 percent and the life time prevalence 3.3 percent. In a follow-up five years after base-line, the prevalence of ADA was unchanged, while indicators of high alcohol consumption and high episodic drinking showed reduced levels of problem drinking.
|
|
| 2. |
- Andersson, Christina, 1955, et al.
(författare)
-
Prevalence of drug use in three cohorts of young Swedish women
- 2005
-
Ingår i: Kettil Bruun Society, Annual Meeting Riverside CA, USA, 20050530-03.
-
Konferensbidrag (refereegranskat)abstract
- The study presents prevalence of drug use among 1123 women aged 20 and 25 years in Göteborg, Sweden. The aim of the study was to measure prevalence of illegal and legal drug use in three cross-sectional cohorts interviewed in 1990, 1995 and 2000 as well as to describe the development of drug use within the same period. Prevalence was calculated for illicit and licit drug use in total and for three different patterns of drug use; narcotics only, medications only or a combination of the use of these substances. Also presented is the frequency of drug use. Further was analysed trends in changes of the use of nine specified drugs. Results: Both life-time and 12-months use of illicit drugs was significantly higher for 20-year-old women in 2000 (from 20.2% to 33.4% and from 9.5% to 22.3% respectively). The use of licit drugs was highest (but not significant) among 25-year-old women in 1990. Cannabis was the most prevalent drug used with a significant increase in life-time use for 20-year-old women from 17,4% to 28,8%. Both age-groups reported significant increases in the use of heroin, 25-year-old women in use of psychedelica and 20-year-old women in use of other drugs. Conclusions: The prevalence rates found were higher than compared to contemporary studies in Sweden. Further was found a significant trend for using both illegal and legal drugs among the youngest cohort, and a tendency for more regular use of drugs in both age-groups in 2000.
|
|
| 3. |
- Andersson, Christina, 1955, et al.
(författare)
-
Prevalens av användning/missbruk av legala och illegala droger i tre kohorter unga, svenska kvinnor
- 2004
-
Ingår i: Riksstämman, Göteborg 2004.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Bakgrund: Efter en minskning under 1980-talet visar ett flertal studier både inom och utanför Europa på en ökning av droganvändandet från 1990-talet och framåt. Detta gäller framför allt bland yngre personer och cannabis är den mest förekommande drog i alla rapporteringar. Totalt för Sverige svarade 16% bland ungdomar (19-24 år) år 2000 att man prövat narkotika. Metod: Data från en longitudinell befolkningsundersökning, “Kvinnor och alkohol i Göteborg”. Denna presentation avser tvärsnittsstudier av droganvändande hos tre kohorter 20 och 25 åriga unga kvinnor intervjuade mellan 1990 och 2000. Resultatet redovisas både som prevalenstal i jämförelse mellan de tre intervjuomgångarna och som trendanalys av förändringen i användandet av enskilda drogtyper. Resultat: Andelen 20-åriga kvinnor som enbart använt illegala droger ökade från 14,7 till 17,7% mellan åren 1995 och 2000. Vad gäller gruppen som använde både illegala droger och beroendeframkallande mediciner (BM) ökade denna bland 20-åriga kvinnor från 5,5 1995 till 15,7% 2000. Däremot var gruppen som enbart använde BM högst hos 25-åringar år 1990, därefter sågs sjunkande siffror 1995 och 2000. Livstidsprevalensen för cannabis ökade hos 20-åringar från 17,4 till 28,8%. Övriga specifika illegala droger gav prevalenstal mellan 0,5 och 5,4% med en signifikant ökning för heroin i båda åldersgrupperna år 2000. Sammanfattning: Användandet av illegala droger ökade under 90-talet, framförallt hos 20-åriga kvinnor. Det syntes en svag tendens till att även 25-åringar år 2000 fortsatte använda droger i högre grad än tidigare. Likaså syntes en tendens till att användandet blivit mer frekvent i båda åldersgrupperna år 2000. Gruppen av 20-åriga kvinnor som enbart använde BM minskade i omfattning år 2000 medan en signifikant ökning syntes för gruppen som använde både illegala droger och BM.
|
|
| 4. |
- Spak, Fredrik, 1948, et al.
(författare)
-
[The Gothenburg study of women and alcohol: problems during childhood and adolescence important risk factors]
- 2001
-
Ingår i: Lakartidningen. - 0023-7205. ; 98:10, s. 1109-14
-
Tidskriftsartikel (refereegranskat)abstract
- This is a part of longitudinal study concerning women and alcohol in Gothenburg. The aim was to find out more about risk factors for alcohol dependence and abuse (ADA) among women in the general population, as well as social conditions and life style among these women. Several indicators of dissatisfactory childhood conditions, and particularly sexual abuse before age 13, were related to ADA in adulthood. Early substance abuse, such as having been intoxicated before age 15 and having used narcotics before 18, was strongly related to future ADA. Our findings point to the need of paying attention to mental health problems in childhood and youth, and to prevent early use of alcohol and drugs.
|
|
| 5. |
|
|
| 6. |
- Spak, Lena, 1949, et al.
(författare)
-
Factors in childhood and youth predicting alcohol dependence and abuse in Swedish women: Findings from a general population study
- 1997
-
Ingår i: Alcohol and Alcoholism. - 0735-0414. ; 32:3, s. 267-274
-
Tidskriftsartikel (refereegranskat)abstract
- The aim was to assess risk factors during childhood and youth for alcohol dependence/abuse (ADA) in a population-based study of Swedish women. A total of 316 women were interviewed after stratified random sampling in the general population and a screening questionnaire. The interviews focused on social, psychological and behaviour characteristics as well as on early substance use patterns. Alcohol diagnoses were made according to DSM-III-R and CIDI-SAM. Experiences of sexual abuse before the age of 13 years, a history of psychological or psychiatric problems, early deviant behaviour and an episode of alcohol intoxication before the age of 15 years were significantly associated with ADA in a logistic model. General indicators of low social class were not associated with increased risk of ADA in a multivariate analysis. Sexual abuse in childhood was the strongest predictor of ADA. This association has potential public health importance, and should be addressed in future studies on women and alcohol. PMID: 9199727 [PubMed - indexed for MEDLINE]
|
|
| 7. |
- Spak, Lena, 1949, et al.
(författare)
-
Sexual abuse and alcoholism in a female population
- 1998
-
Ingår i: Addiction. - 0965-2140. ; 93:9, s. 1365-1373
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS: (1) To study the prevalence of childhood sexual abuse before the age of 18 years (CSA) and life-time sexual abuse (LSA) in a Swedish female, general population, (2) to analyse associations between CSA and life-time alcohol dependence or abuse (ADA), and (3) to identify possible confounding factors. DESIGN AND PARTICIPANTS: The study was conducted in two phases. Phase 1: an alcohol problem screening questionnaire was sent to 3130 women aged 25-65. The answers were scored. Phase 2: based on the questionnaire scores, a randomly selected stratified sample of 479 women was invited for an interview. Of these, 316 women participated in a structured face-to-face interview. SETTING: A sector of Göteborg city with 100,000 inhabitants. MEASUREMENTS: The interviews focused on substance use and on social, psychological and behavioural characteristics, including experiences of sexual abuse. Clinical psychiatric diagnoses were made according to DSM-III-R. Bivariate analyses and multivariate logistic regression analyses were performed. FINDINGS: The prevalence of CSA and LSA was 9.8% and 13.9%, respectively. CSA increased the risk for life-time ADA and anxiety, but not for depression. When potential confounding factors (e.g. early background factors, depression and anxiety) were adjusted for, CSA under 13 years of age still predicted ADA in multivariate analyses, but CSA under 18 years of age did not. CONCLUSIONS: LSA, and especially CSA under 13 years of age, are factors that should be considered in treatment of women with ADA and in psychiatric treatment of women. PMID: 9926542 [PubMed - indexed for MEDLINE]
|
|
| 8. |
- Sundin, Maud, et al.
(författare)
-
Substance use/abuse and suicidal behavior in young adult women: a population-based study
- 2011
-
Ingår i: Substance use & misuse. - : Informa UK Limited. - 1532-2491 .- 1082-6084. ; 46:13, s. 1690-1699
-
Tidskriftsartikel (refereegranskat)abstract
- Associations between substance use variables and suicidal behavior were analyzed in an urban population sample from ("the Women and Alcohol in Gothenburg" study). In Phase I, 20-year-old women (n = 2,069) completed a screening questionnaire. Interviews were carried out with a stratified sample (n = 560). Data, collected in 1995 and 2000, were analyzed using logistic regression to generate odds ratios. Drug use, but not risky alcohol consumption, was associated with suicidal thoughts after adjusting for current depression. Study limitations and implications for suicide prevention are discussed. The study was funded by the Swedish Research Council and the Alcohol Research Council of Sweden.
|
|
| 9. |
- Anderson, P., et al.
(författare)
-
Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
- 2016
-
Ingår i: Addiction. - : Wiley. - 1360-0443 .- 0965-2140. ; 111:11, s. 1935-1945
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: To test if training and support, financial reimbursement and option of referring screen-positive patients to an internet-based method of giving advice (eBI) can increase primary health-care providers' delivery of Alcohol Use Disorders Identification Test (AUDIT)-C-based screening and advice to heavy drinkers. Design: Cluster randomized factorial trial with 12-week implementation and measurement period. Setting: Primary health-care units (PHCU) in different locations throughout Catalonia, England, the Netherlands, Poland and Sweden. Participants: A total of 120 PHCU, 24 in each of Catalonia, England, the Netherlands, Poland and Sweden. Interventions: PHCUs were randomized to one of eight groups: care as usual, training and support (TS), financial reimbursement (FR) and eBI; paired combinations of TS, FR and eBI, and all of FR, TS and eBI. Measurements: The primary outcome measure was the proportion of eligible adult (age 18+ years) patients screened during a 12-week implementation period. Secondary outcome measures were proportion of screen-positive patients advised; and proportion of consulting adult patients given an intervention (screening and advice to screen-positives) during the same 12-week implementation period. Findings: During a 4-week baseline measurement period, the proportion of consulting adult patients who were screened for their alcohol consumption was 0.059 per PHCU (95% CI 0.034 to 0.084). Based on the factorial design, the ratio of the logged proportion screened during the 12-week implementation period was 1.48 (95% CI=1.13–1.95) in PHCU that received TS versus PHCU that did not receive TS; for FR, the ratio was 2.00 (95% CI=1.56–2.56). The option of referral to eBI did not lead to a higher proportion of patients screened. The ratio for TS plus FR was 2.34 (95% CI=1.77–3.10), and the ratio for TS plus FR plus eBI was1.68 (95% CI=1.11–2.53). Conclusions: Providing primary health-care units with training, support and financial reimbursement for delivering Alcohol Use Disorders Identification Test-C-based screening and advice to heavy drinkers increases screening for alcohol consumption. Providing primary health-care units with the option of referring screen-positive patients to an internet-based method of giving advice does not appear to increase screening for alcohol consumption. © 2016 Society for the Study of Addiction
|
|
| 10. |
|
|
| 11. |
- Andersson, Annika, 1981, et al.
(författare)
-
Riskbruk av alkohol - oklart begrepp som behöver tydlig definition
- 2010
-
Ingår i: Läkartidningen. - 0023-7205. ; 19-20:107, s. 1306-1306
-
Tidskriftsartikel (refereegranskat)abstract
- • Riskbruk av alkohol definieras vanligen utifrån konsumtionsmått, beräknat per tillfälle och/eller vecka, medan andra föredrar en definition utifrån eventuella negativa konsekvenser. • Bristande konsensus gällande definitionen av riskbruk gör att åtgärder sätts in i olika faser av problem och försvårar implementeringen av riskbruksarbetet i vården. • En tydlig definition av riskbruksbegreppet kan gynna såväl patienter/klienter och vårdpersonal som folkhälsoarbete och forskning.
|
|
| 12. |
- Andersson, Christina, 1955, et al.
(författare)
-
Användning av benzodiazepiner
- 2007
-
Ingår i: Svenska Föreningen för Alkohol- och Drogforskning, forskarmöte 20071025-26.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)
|
|
| 13. |
- Andersson, Christina, 1955, et al.
(författare)
-
Drinking context and problematic alcohol consumption in young Swedish women : Drinking context and problematic alcohol consumption
- 2013
-
Ingår i: Addiction Research and Theory. - : Informa UK Limited. - 1606-6359 .- 1476-7392. ; 21:6, s. 457-468
-
Tidskriftsartikel (refereegranskat)abstract
- Previous research has indicated that a variety of contextual factors are involved in the development of drinking behavior. An integrated perspective can extend our understanding of the context and circumstances in which individuals drink. In this study, a person-oriented approach, cluster analysis, was used to identify drinking context clusters in a population of 20- and 25-year-old Swedish women. A further aim was to analyze how these clusters were associated with problematic alcohol consumption (high episodic drinking (HED) and alcohol use disorder (AUD)). A total of 760 respondents were interviewed, some in 1996 and some in 2001. Self-reported effects of drinking and situational factors associated with drinking alcohol were used in the cluster analysis procedure. Logistic regression models were used to analyze the associations with problematic alcohol consumption. The results revealed four distinct clusters of drinking patterns: coping drinkers, social drinkers, controlled drinkers, and moderate drinkers. Differences between clusters concerning problematic alcohol consumption were found. HED was significantly more common among the social drinkers and alcohol use disorder was more prevalent among the coping drinkers. Age differences and to a lesser extent secular trends in drinking pattern could be observed. The findings suggest that information on drinking context can help to explain differences in patterns of risky drinking and AUD. This highlights the importance of identifying groups of individuals with potentially harmful drinking patterns, which could be the target of specific preventive actions.
|
|
| 14. |
- Andersson, Christina, 1955, et al.
(författare)
-
Dryckeskontextens betydelse för unga kvinnors alkoholkonsumtion. En klusteranalys av 20- och 25-åriga kvinnor åren 1995 och 2000.
- 2008
-
Ingår i: Läkarstämman, Göteborg 2008.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Dryckeskontextens betydelse för unga kvinnors alkoholkonsumtion. En klusteranalys av 20- och 25-åriga kvinnor åren 1995 och 2000. Bakgrund Under de senaste åren har framför allt en del internationell drogforskning fokuserat på fenomen som dryckeskontext och egna motiv till att dricka samt dessas samband med alkoholkonsumtion. Dryckeskontext har i nämnda studier definierats på något olika sätt, några mer teoretiskt förankrade, gemensamt kan sägas att man försökt besvara frågor om var, med vem och varför man druckit alkohol I den aktuella studien har vi analyserat sambandet mellan dryckeskontext och alkoholkonsumtion bland 20- och 25-åriga kvinnor i Göteborg. Syftet var att undersöka om det fanns specifika dryckesmönster, med hänsyftning på kontextuella variabler, om dessa dryckesmönster skiljde sig åt mellan undersökningsåren och om vissa dryckesmönster visade starkare samband med olika grader av alkoholkonsumtion. Metod Data från en befolkningsundersökning, ”Kvinnor och alkohol i Göteborg”: I studien ingick 897 unga kvinnor intervjuade under åren 1995 och 2000. Då dryckeskontext kan ses som ett multifaktoriellt fenomen valde vi att använda klusteranalys (”Two-step clustering”) för att identifiera grupper med olika dryckesmönster. Vi använde Pearson Chi-square för att undersöka skillnader i alkoholkonsumtion mellan de olika grupperna. Alkoholkonsumtion fördelades som Alkoholmissbruk/beroende - ABM, Intensivkonsumtion (60g etanol/tillfälle) - IK, Intensivkonsumtion/12 mån. – IK12 och Hög alkoholkonsumtion (20g etanol/dag senaste månaden) - HAK. Resultat Med hjälp av klusteranalys identifierades tre grupper med olika dryckesmönster för varje undersökningsår. 1995 syntes en grupp måttlighetsdrickare, en grupp som drack ofta både i sociala sammanhang och i ensamhet samt en grupp som bejakade mest upplevda effekter av sitt drickande. 2000 fann vi åter gruppen måttlighetsdrickare, därtill en grupp där man bejakade sociala effekter av alkohol och en annan grupp som uppgav mer fysiska och kognitiva effekter. 1995 visade gruppen som drack i ofta i sociala sammanhang signifikanta samband med ABM, IK12 och HAK. År 2000 sågs signifikanta samband med alla konsumtionsvariablerna hos de båda grupper som bejakande olika upplevda effekter av alkoholanvändning. Sammanfattning Klusteranalys var en god metod för att identifiera grupper med olika dryckesmönster som underlag för analys av skillnader i alkoholkonsumtion. Analysen understryker vikten av att ta hänsyn till upplevda effekter av och egna anledningar till drickande när man vill medverka till en minskad alkoholkonsumtion i befolkningen.
|
|
| 15. |
- Andersson, Christina, 1955, et al.
(författare)
-
The association between patterns of women’s daily occupations and alcohol consumption; a cluster analytic approach.
- 2009
-
Ingår i: 35th Annual Alcohol Epidemiology Symposium of the Kettil Bruun Society, Köpenhamn, DK 2009601-05.
-
Konferensbidrag (refereegranskat)abstract
- Earlier studies on women's health and women's drinking and contemporary associated risk factors have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research from both social science and occupational therapy theory have underlined the importance of deconstructing the often dichotomised way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study is to explore the relationship between patterns of women's daily occupation and alcohol consumption using the broader concept of occupation from occupational therapy theory. Method: A cross-sectional study with data from the latest wave (2000) of a population-based project, Women and Alcohol in Göteborg (WAG). The study group consists of in total 871 women, aged 20-55 years. For identifying different groups of occupational patterns we are using an individual oriented method; Two-step clustering. Further we aim to use analyses of variance to analyse if there are specific occupational patterns related to problematic alcohol consumption. The specific variables constituting the patterns of daily occupations in this study are employment status, leisure, distribution of household/maintenance work, time for free disposal and the satisfaction with each of these four domains. Preliminary results will be presented.
|
|
| 16. |
- Andersson, Christina, 1955, et al.
(författare)
-
Women's patterns of everyday occupations and alcohol consumption : Everyday occupations and alcohol consumption
- 2012
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19:3, s. 225-238
-
Tidskriftsartikel (refereegranskat)abstract
- Earlier studies on women's health and drinking and the contemporary associated risk factors, have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research, from both social science and from occupational therapy models, has underlined the importance of deconstructing the often dichotomized way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study was to explore the relationship between women's patterns of everyday occupation and alcohol consumption using the broader concept of occupation from occupational therapy models. This was a cross-sectional study from the latest wave (2000) of a population-based project, Women and Alcohol in Gothenburg (WAG). The study group consisted of 851 women, aged 20-55 years. Using an individually oriented method, two-step clustering, three distinct patterns of everyday occupations were identified. Significant associations with problematic alcohol consumption were found in the clusters, characterized by lower engagement in leisure activities and a larger amount of spare time. The need for new preventive approaches, including investigating the importance of having engaging leisure activities, is discussed.
|
|
| 17. |
- Andersson, Christina, et al.
(författare)
-
Women's patterns of everyday occupations and alcohol consumption
- 2012
-
Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19:3, s. 225-238
-
Tidskriftsartikel (refereegranskat)abstract
- Earlier studies on women's health and drinking and the contemporary associated risk factors have highlighted the need for more complex approaches in understanding the pathways into women's problem drinking. Research, from both social science and from occupational therapy models, has underlined the importance of deconstructing the often dichotomized way of investigating women's daily lives (such as in paid and unpaid work or in work and leisure) when discussing factors from the daily life environment and their impact on health issues. The aim of this study was to explore the relationship between women's patterns of everyday occupation and alcohol consumption using the broader concept of occupation from occupational therapy models. This was a cross-sectional study from the latest wave (2000) of a population-based project, Women and Alcohol in Gothenburg (WAG). The study group consisted of 851 women, aged 20-55 years. Using an individually oriented method, two-step clustering, three distinct patterns of everyday occupations were identified. Significant associations with problematic alcohol consumption were found in the clusters, characterized by lower engagement in leisure activities and a larger amount of spare time. The need for new preventive approaches, including investigating the importance of having engaging leisure activities, is discussed.
|
|
| 18. |
- Andersson, Christina, 1955, et al.
(författare)
-
Young women´s drinking contexts. A cluster analysis of 20- and 25-year old women.
- 2007
-
Ingår i: 33rd Annual Alcohol Epidemiology Symposium of the Kettil Bruun Society, Budapest 20070604-08.
-
Konferensbidrag (refereegranskat)abstract
- During the last years some international research on young adult drinking have focused on drinking contexts and drinking motives and the association with alcohol consumption. In this study we have analysed the association between drinking context and alcohol consumption in 20- and 25-year old women in Sweden. The aim was to find if drinking patterns, with respect to drinking context, varied between 1995 and 2000 and if specific drinking patterns related to specific consumption variables. Method: A total of 897 respondents were interviewed in 1995 and 2000. Looking at drinking context as a multi-dimensional phenomenon we chose two-step clustering as a method for identifying the drinking patterns. We used Pearson Chi-square to test for differences between the cluster groups with respect to problematic alcohol consumption. Results: Three clusters of drinking patterns in 1995 and 2000 respectively were defined. In 1995 the clusters were characterised as moderate drinking, partying and solitary drinking and drinking effects. In 2000 the three cluster groups were moderate drinking, social effects-drinking and individual effects and solitary drinking. Association with alcohol consumption showed significant differences: in 1995 the cluster party and solitary drinking was related to alcohol use disorders, binge drinking and high alcohol consumption, in 2000 the two clusters including drinking effects showed associations with all consumption variables.
|
|
| 19. |
- Andersson, Lena, 1965, et al.
(författare)
-
Bright waters, dark moods – explaining regional differences in early retirement with psychiatric disorders
- 2002
-
Ingår i: European Journal of Public Health. ; 12:Suppl 1
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Social insurance costs have increased dramatically in Sweden and are now higher than the total costs for all health care in the country. Aim The aim of this study was to describe the regional differences in early retirement with psychiatric disorders over the last 20 years and to analyse these differences in relation to the socio demographic distribution of the population in different regions. Method The study was performed as an ecological study comparing the rates of early retirement in Sweden, in the city of Göteborg and the county of Bohuslän, both located on the Swedish west coast. The study population was all sickness insured individuals aged 16–64 years. Data on early retirement was collected from the National Social Insurance register. Population data was collected from Statistics Sweden. Diagnoses were classified according to ICD. Longitudinal data covering the last 20 years was used. Results We found that the regional differences in early retirement with psychiatric disorders were consistent over the studied years. In 1980 the proportion of early retirement with psychiatric disorders was 25% of all early retirements in the city of Göteborg to be compared with 17% in the county of Bohuslän and 15% in Sweden overall. This proportion changed over the years and was in 1998 37% in Göteborg, 25% in Bohuslän and 24% in Sweden. These data also show the large increase of early retirement with psychiatric disorders in relation to other diagnostic groups. Standard mortality ratio 1993 with Sweden as reference was 1.14 in Bohuslän and 2.55 in Göteborg. Corresponding figures for women were 1.30 and 2.29. Conclusion Regional differences remained after controlling for age and sex distribution of the population. From a preliminarily analysis it appears as the high rate in Göteborg cannot be explained as an effect of urbanity. More knowledge is needed to understand why regional differences exist.
|
|
| 20. |
- Andersson, Lena, 1965, et al.
(författare)
-
High incidence of disability pension with a psychiatric diagnosis in western Sweden. A population-based study from 1980 to 1998
- 2006
-
Ingår i: Work. - Amsterdam, Netherlands : IOS Press. - 1051-9815 .- 1875-9270. ; 26:4, s. 343-353
-
Tidskriftsartikel (refereegranskat)abstract
- Regional differences in Sweden in the prevalence of disability pension with a psychiatric diagnosis are unexplained, in spite of the significant impact on the population's health, rehabilitation systems, and the health care system. The purpose of this study was to describe the pattern of disability pensions with a psychiatric diagnosis and to analyze the impact of age and gender. We examined the incidencerates in one urban and one semi-rural region and compared these to national rates. The study sample was drawn from employed persons between 16-64 years of age who, because of their sickness insurance coverage, would be eligible to access disability pensions should it be necessary. Analysis of annual incidences and standardized morbidity ratios were made for 1980, 1985, 1990, 1995, and 1998. Data ondisability pension cases were collected from the National Social Insurance registers. In the urban region we found that the proportion of men and women clearly outnumbered the national average: approximately twice the number of persons between 16-64 years of age with apsychiatric diagnosis were receiving a disability pension. In the semi-rural region there were fewer men overall on disability pensionswith psychiatric disorders, but in 1980, 1985, and 1995 women clearly outnumbered men. Access to psychiatric care, unemployment, alcohol dependence, and previous sickness absence are suggested as possible factors that might affect the rates of disability pension in different geographical settings. © 2006 IOS Press. All rights reserved.
|
|
| 21. |
- Bendtsen, Preben, et al.
(författare)
-
Professional's Attitudes Do Not Influence Screening and Brief Interventions Rates for Hazardous and Harmful Drinkers: Results from ODHIN Study
- 2015
-
Ingår i: Alcohol and Alcoholism. - : Oxford University Press (OUP). - 0735-0414 .- 1464-3502. ; 50:4, s. 430-437
-
Tidskriftsartikel (refereegranskat)abstract
- To determine the relation between existing levels of alcohol screening and brief intervention rates in five European jurisdictions and role security and therapeutic commitment by the participating primary healthcare professionals. Health care professionals consisting of, 409 GPs, 282 nurses and 55 other staff including psychologists, social workers and nurse aids from 120 primary health care centres participated in a cross-sectional 4-week survey. The participants registered all screening and brief intervention activities as part of their normal routine. The participants also completed the Shortened Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ), which measure role security and therapeutic commitment. The only significant but small relationship was found between role security and screening rate in a multilevel logistic regression analysis adjusted for occupation of the provider, number of eligible patients and the random effects of jurisdictions and primary health care units (PHCU). No significant relationship was found between role security and brief intervention rate nor between therapeutic commitment and screening rate/brief intervention rate. The proportion of patients screened varied across jurisdictions between 2 and 10%. The findings show that the studied factors (role security and therapeutic commitment) are not of great importance for alcohol screening and BI rates. Given the fact that screening and brief intervention implementation rate has not changed much in the last decade in spite of increased policy emphasis, training initiatives and more research being published, this raises a question about what else is needed to enhance implementation.
|
|
| 22. |
|
|
| 23. |
- Blanck, Per, 1953, et al.
(författare)
-
Riskbruket, Hälsan och Arbetslivet- en utvärdering av projektet. Nytt sätt att prata om alkohol
- 2009
-
Ingår i: Socialmedicin.
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Utvärdering av sekundärprevention av riskbruk utfört av HÖ Älsan och Arbetslivet med VG-regionens anställda. Resultat: betydande aktivitet har utförs med kompetenshöjning på områder bland personal som arbetar med frågan. Men många medarbetare har även efter utbildningen inte tagit till sig riskbruksbegreppet, utan tänker mest på missbruk/beroende.
|
|
| 24. |
- Blanck, Per, 1953, et al.
(författare)
-
"We do what we think is the best" - a content analysis of experiences of alcohol problem prevention in sweden. A short report.
- 2007
-
Ingår i: Substance use & misuse. - : Informa UK Limited. - 1082-6084 .- 1532-2491. ; 42:12, s. 2073-83
-
Tidskriftsartikel (refereegranskat)abstract
- This short report describes an ongoing project whose aim was to explore how respondents from local institutions in a Swedish municipality describe their efforts in preventing alcohol consumption and related problems. Data were collected in focus group interviews, conducted during 2003 with key informants, comprising middle-ranking civil servants from different administrative sectors such as school, social welfare, and the public health office, in four Swedish municipalities: one city district, one town, and two small municipalities. We identified low knowledge of evidence-based methods for prevention of alcohol consumption-related problems and a lack of consistent focus on strategies known to be effective. The main target group for preventive efforts was identified as young people and the most common setting mentioned was the schools. Further, the key informants appeared to regard a wide range of activities as being community* alcohol and drug use prevention. Generally these activities also lacked specification. Increased knowledge of alcohol and drug use prevention methods that are effective at the local level is needed within Swedish municipalities, as is greater understanding of how to implement those methods.
|
|
| 25. |
- DeCal, Emma, et al.
(författare)
-
Kat i Sverige - en kartläggning av katanvändning i Göteborg, Stockholm och Malmö. 2009.
- 2009
-
Ingår i: Folkhälsoinstitutet och Socialmedicin.
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Kartläggning av Katanvändning i Stockholm, Malmö och Göteborg 2008. Resultat: Katanvändningens omfattning kunde ej fastställas med använd teknik som omfattade Key INformant teknik, enkäten i lokalafolkgrupper, skolor och via webben. Materialet insamlades med enkäter översatta till somaliska och tigreiska. Försök gjordes att nå somalier, etioper och eritreaner. Viss spridning av katanvändning kunde bland ungdomar ses till andra grupper. De som som svarade upplevde att katanvändningen medförde problem; det tyckte framför allt personer som ej själva var användare. Svårigheter i data insamlingen berodde fr.a på föregående negativa skriverier i dagspressen.
|
|
| 26. |
- Eriksson, Maria Christina, 1981, et al.
(författare)
-
Long-term effects of Internet-delivered cognitive behavioral therapy for depression in primary care - the PRIM-NET controlled trial.
- 2017
-
Ingår i: Scandinavian journal of primary health care. - : Informa UK Limited. - 1502-7724 .- 0281-3432. ; 35:2, s. 126-136
-
Tidskriftsartikel (refereegranskat)abstract
- Internet-delivered cognitive behavioral therapy (ICBT) is recommended as an efficient treatment alternative for depression in primary care. However, only few previous studies have been conducted at primary care centers (PCCs). We evaluated long-term effects of ICBT treatment for depression compared to treatment as usual (TAU) in primary care settings.Randomized controlled trial.Patients were enrolled at16 PCCs in south-west Sweden.Patients attending PCCs and diagnosed with depression (n=90).Patients were assessed by a primary care psychologist/psychotherapist and randomized to ICBT or TAU. The ICBT included an ICBT program consisting of seven modules and weekly therapist e-mail or telephone support during the 3-month treatment period.Questionnaires on depressive symptoms (BDI-II), quality of life (EQ-5D) and psychological distress (GHQ-12) were administered at baseline, with follow-ups at 3, 6 and 12 months. Antidepressants and sedatives use, sick leave and PCC contacts were registered.Intra-individual change in depressive symptoms did not differ between the ICBT group and the TAU group during the treatment period or across the follow-up periods. At 3-month follow-up, significantly fewer patients in ICBT were on antidepressants. However, the difference leveled out at later follow-ups. There were no differences between the groups concerning psychological distress, sick leave or quality of life, except for a larger improvement in quality of life in the TAU group during the 0- to 6-month period.ICBT with weekly minimal therapist support in primary care can be equally effective as TAU among depressed patients also over a 12-month period.The trial was registered in the Swedish Registry, researchweb.org, ID number 30511.
|
|
| 27. |
- Fahlke, Claudia, 1964, et al.
(författare)
-
Inledning
- 2006
-
Ingår i: Riskbruk, missbruk och beroende - forskning och vård. - Göteborg : Göteborgs universitet och Beroendekliniken, Sahlgrenska universitetssjukhuset.
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 28. |
- Fornazar, Robin, et al.
(författare)
-
Alcohol Consumption among the Oldest Old and >How It Changes during Two Years
- 2013
-
Ingår i: ISRN Geriatrics. - : Hindawi Limited. - 2314-4750. ; 2013
-
Tidskriftsartikel (refereegranskat)abstract
- This longitudinal study aimed to examine the pattern of alcohol consumption (using the AUDIT-C) among the oldest old (80+) and how it changed two years later. Five hundred seventy-six persons from the Gothenburg metropolitan area were interviewed between 2008 and 2011. Men represented a higher proportion of at-risk consumers (21.8%) than women (14.5%), but there was no sex difference in binge drinking (13.8% versus 12%). Men decreased their weekly consumption and also the proportion of binge drinking, and women decreased only in binge drinking. Further studies of the causality between alcohol consumption and health are suggested.
|
|
| 29. |
|
|
| 30. |
- Geirsson, Magnus, et al.
(författare)
-
Does gender matter? A vignette study of general practitioners' management skills in handling patients with alcohol-related problems.
- 2009
-
Ingår i: Alcohol and alcoholism (Oxford, Oxfordshire). - : Oxford University Press (OUP). - 1464-3502 .- 0735-0414. ; 44:6, s. 620-5
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS: The aims of this study were to analyse the perceptions of female and male primary care physicians (PCPs) of alcohol problems in male and female patients, their recommendations to reduce or abstain from alcohol, their referrals to treatment and their views of safe levels of drinking for male and female patients. These factors were related to the physicians' own alcohol consumption. METHODS: A slightly adjusted version of the WHO Collaborative Study Questionnaire for General Practitioners was posted to all PCPs (n = 132) in the district of Skaraborg, Sweden, of whom 68 PCPs responded. In the questionnaire, the PCPs' perceptions of two patient vignettes were analysed. RESULTS: Both the gender of the patients in the vignettes and of the PCPs influenced the advice and the referrals that the patients received: 83% of male excessive drinkers and 47% of female excessive drinkers were recommended to cut down on drinking. In 50% of cases, the male excessive drinker was not referred, compared with 25% for the female excessive drinker. This was statistically significant only for excessive drinkers. The odds ratio for referral to any treatment was 0.33 (CI = 0.12-0.93) for the male excessive drinker compared with the female excessive drinker. The male PCP referred the excessive drinker less often to any treatment than did the female PCP, odds ratio 0.26 (CI = 0.08-0.90). The upper limit of alcohol consumption before the PCPs would advise the patient to cut down was significantly higher for PCPs with the AUDIT-C score >or= 3. The limit was 146 g/week for male patients and 103 g/week for female patients. Corresponding figures for PCP with the AUDIT-C score
|
|
| 31. |
|
|
| 32. |
|
|
| 33. |
- Hausken, Solveig E. S., 1986, et al.
(författare)
-
Svårt att söka och få hjälp för alkoholproblem - Yrkesverksamma, socialt etablerade föredrar individuell samtalsbehandling och privat vårdgivare, visar enkätstudie. : Svårt att söka och få hjälp för alkoholproblem - Yrkesverksamma, socialt etablerade föredrar individuell samtalsbehandling och privat vårdgivare, visar enkätstudie.
- 2016
-
Ingår i: Lakartidningen. - 1652-7518. ; 113:40, s. 1-4
-
Tidskriftsartikel (refereegranskat)abstract
- Survey of early alcohol treatment preferences shows higher confidence in face to face meetings. Adult men and women (n=307), working and living in the area of south west Sweden, answered a web based questionnaire where they graded treatment and caregiver preferences while imagining themselves developing an alcohol problem. Alcohol consumption was measured using AUDIT-C. Face-to-face delivered treatment was preferred over telephone or internet based advice. About 53 percent of the men and women considered treatment given by primary health as poor. Only 7,6 percent would prefer help from a health care centre if they were having alcohol problems. Shame and stigma were considered the main obstacles for both seeking and getting help. Despite the availability of effective treatments for early alcohol problems, many avoid seeking help for their problem. This also applies to socially established people. It is important that the health care recognizes and identifies people with less serious problems and offer them treatment.
|
|
| 34. |
|
|
| 35. |
|
|
| 36. |
|
|
| 37. |
|
|
| 38. |
|
|
| 39. |
|
|
| 40. |
- Holmqvist, Marika, 1959-
(författare)
-
Addressing Alcohol : Alcohol Prevention in Swedish Primary and Maternity Health Care and Occupational Health Services
- 2009
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Alcohol consumption in Sweden has reached its highest levels of the past 100 years in the wake of the country’s entry into the European Union in 1995. Increased alcohol prevention efforts in Swedish health care settings have been given high priority by the authorities. The Swedish parliament’s national action plan up to 2010 emphasises that public health must be protected by achieving reductions in alcohol consumption and limiting the negative physical, psychological, and social effects of alcohol.This thesis aims to investigate various aspects related to the current alcoholpreventive activity in 2006 among health care professionals in three important health care settings: primary health care (PHC), occupational health services (OHS), and maternity health care (MHC). The thesis includes four studies based on a total population mail questionnaire survey.Results from the studies show that alcohol issues in both PHC and OHS were addressed less frequently than all other lifestyle issues, i.e. smoking, physical activity, overweight, and stress. Important barriers to alcohol-preventive activity in these settings were perceived lack of time, scepticism regarding the effectiveness of addressing the issue of alcohol, fear of potentially negative patient responses, uncertainty about how to ask, uncertainty about how to give advice regarding alcohol, and uncertainty concerning where to refer the patient.OHS professionals generally considered themselves more skilful than their PHC counterparts in achieving change in patients’ alcohol habits and more knowledgeable about providing advice to patients with risky alcohol consumption. The overall frequency of initiating discussions about alcohol with patients in PHC and OHS was positively associated with self-assessed skills, knowledge, and education for all professional categories.Slightly more than one-third of the MHC midwives used a questionnaire to assess the woman’s alcohol intake before the pregnancy; AUDIT was the most commonly used questionnaire. Their perceived knowledge concerning alcohol and pregnancy matters was generally high, but the midwives considered themselves less proficient at detecting pregnant women with risky alcohol consumption before the pregnancy.MHC midwives had participated in more continuing professional education in handling risky drinking than all other categories investigated. PHC nurses was the category that had the highest proportion of professionals who lacked education in handling risky drinking. Professionals in PHC, OHS, and MHC to a large extent believed that provision of more knowledge about counselling techniques to use when alcohol-related symptoms are evident could facilitate increased alcohol intervention activity.
|
|
| 41. |
- Holmqvist, Marika, 1959-, et al.
(författare)
-
Alcohol prevention activity in Swedish primary health care and occupational health services : Asking patients about their drinking
- 2008
-
Ingår i: Nordic Studies on Alcohol and Drugs. ; 25:6, s. 489-504
-
Tidskriftsartikel (refereegranskat)abstract
- Aims To investigate the alcohol preventive activity in Swedish Occupational health services (OHS) and Primary health care (PHC) in relation to education in handling risky drinking, perceived skills in achieving change in patients’ alcohol habits, and knowledge in alcohol issues among the physicians and nurses in these two settings. Design and Methods All Swedish physicians and nurses in OHS and PHC having the authority to issue prescriptions were surveyed with a postal questionnaire. The questionnaire was returned by 313 OHS physicians (response rate 54%), 759 OHS nurses (69%), 1821 PHC physicians (47%), and 3125 PHC nurses (55%). Regression analyses were used to assess the independent and interacting effects of skills, knowledge, education, sex, age, and years in practice, patient encounters per week, and location of unit. Results OHS professionals were more active in initiating discussions about alcohol with their patients than their colleagues in PHC. OHS professionals considered themselves more skilful and knowledgeable than PHC professionals. OHS nurses and PHC physicians were the professional categories that had received most education in handling risky drinking. Skills were positively associated with activity for all categories except OHS physicians. Knowledge and education were positively associated with activity for all categories except OHS nurses. Conclusions OHS professionals were more active than the PHC professionals in addressing alcohol issues with their patients. Education, knowledge, and skills were positively associated with activity for most professional categories in the two settings.
|
|
| 42. |
|
|
| 43. |
- Holmqvist, Marika, 1959-, et al.
(författare)
-
Asking patients about their drinking - A national survey among primary health care physicians and nurses in Sweden
- 2008
-
Ingår i: Addictive Behaviors. - : Elsevier BV. - 0306-4603. ; 33:2, s. 301-314
-
Tidskriftsartikel (refereegranskat)abstract
- Aims To investigate the extent to which Swedish primary health care (PHC) general practitioners (GPs) and nurses discuss alcohol issues with their patients, their reasons for and against addressing alcohol issues, their perceived importance of these issues, and factors that could facilitate increased alcohol intervention activity among the PHC professionals. Methods All Swedish GPs and nurses who have the authority to issue prescriptions were surveyed with a postal questionnaire. The questionnaire was returned by 1821 GPs (47% response rate) and 3125 nurses (55% response rate). Results Fifty percent of the GPs and 28% of the nurses stated that they “frequently” discussed alcohol with their patients. The two most common reasons for asking patients about their drinking were that the GPs and nurses considered it part of their routines and the belief that the patient had alcohol-related symptoms. GPs said that improved opportunities for referral to specialists and provision of more knowledge about counselling techniques for use when alcohol-related symptoms are evident were the most important facilitators to increased intervention activity. Concerning the nurses, 93% stated that more time devoted to health-oriented work could facilitate increased alcohol intervention activity. Conclusions The findings highlight a considerable gap between the recognition of the significance of the alcohol problem and Swedish PHC intervention activity. Keywords: Primary health care; Alcohol intervention; Risk consumption
|
|
| 44. |
|
|
| 45. |
- Högberg, Hjördis, et al.
(författare)
-
Alcohol consumption among partners of pregnant women in Sweden: a cross sectional study
- 2016
-
Ingår i: Bmc Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 16
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Antenatal care in Sweden involves a visit in pregnancy week 6-7 for counseling about lifestyle issues, including alcohol. The aim of this study was to investigate alcohol consumption among partners of pregnant women, their motives for changing drinking patterns when becoming a parent and their perceptions of the midwife's counseling about alcohol. Method: The study was conducted at 30 antenatal care centers across Sweden in 2009-2010. All partners who accompanied a pregnant women in pregnancy week >17 were asked to participate. The questionnaire included questions on alcohol consumption. Results: Questionnaires from 444 partners were analyzed. Most, 95 %, of the partners reported alcohol consumption before pregnancy; 18 % were binge drinking (6 standard drinks or more per occasion, each drink containing 12 grams of pure alcohol) at least once every month during the last year. More than half, 58 %, of all partners had decreased their alcohol consumption following pregnancy recognition and a higher proportion of binge drinkers decreased their consumption compared to non-frequent binge drinkers (p = 0.025). Their motives varied; the pregnancy itself, fewer social gatherings (potentially involving alcohol consumption) and a sense of responsibility for the pregnant partner were reported. Of the partners, 37 % reported support for decreased drinking from others (pregnant partner, parents, friend or workmates). Further, most partners appreciated the midwife's counseling on alcohol. Conclusion: A majority of partners decreased their alcohol consumption in transition to parenthood, which also appears to be a crucial time for changing alcohol-drinking patterns. The partners with higher AUDIT-C scores reported more support for decreased drinking. Most partners appreciated the midwife's talk about alcohol and pregnancy and those who filled out AUDIT in early pregnancy reported that the counseling was more engaging. During pregnancy it is possible to detect partners with high alcohol consumption, and promote interventions for decreased drinking, also for the partners. Written information addressing alcohol use and directed to partners is needed.
|
|
| 46. |
- Högberg, Hjördis, et al.
(författare)
-
Dialogue between Midwives and Parents-to-Be about Alcohol, from a Life Cycle Perspective—An Intervention Study
- 2015
-
Ingår i: Creative Education. - : Scientific Research Publishing, Inc.. - 2151-4755 .- 2151-4771. ; 6, s. 489-500
-
Tidskriftsartikel (refereegranskat)abstract
- The objective was to investigate the use of alcohol during pregnancy among parents-to-be and to develop and evaluate a method for a dialogue about alcohol from a life cycle perspective. The study was a quasi-experiment. An intervention group (IG) with 238 couples and a comparison group (CG) with 271 couples participated. All of the participants were recruited at public antenatal care clin- ics (ANC) in Sweden. At registration, the midwife had a dialogue about alcohol with the IG, and the intervention was evaluated using questionnaires in pregnancy weeks 12 and 33. Alcohol consump- tion, alcoholism in the family, social support, and source of information were measured. More than 91% of all pregnant women reported that they never drank alcohol either at registration or late in pregnancy, with no difference between the intervention group and the comparison group. Their male partners had a different pattern; 6% abstained from alcohol and about half of them drank alcohol two to four times a month. Nine percent of the participants had experienced an alcohol-de- pendent parent and 35% of the couples reported alcoholism in either of their families. Most women (92%) stated that the partner’s support to give up alcohol was important. After the intervention, more women in the IG were offered alcohol-free alternatives. About 40% of the partners had re- duced their alcohol consumption; they received less social support for alcohol reduction than the pregnant women. A majority, 68%, of the women in the IG stated ANC as the most important source of information about alcohol and pregnancy, compared to 53% in the CG (p < 0.001). After the intervention, a higher proportion of women in the IG were offered alcohol-free alternatives and ANC became the most important source of information about alcohol. Involving the partner in counseling about alcohol-restriction during pregnancy may be a useful health promotion strategy.
|
|
| 47. |
- Högberg, Hjördis, 1951-, et al.
(författare)
-
Two screening instruments for collecting alcohol-related information from expectant mothers and fathers : Testing the reliability of the Parent Alcohol Screening Questionnaire and the Social Support for an Alcohol-Free Pregnancy Questionnaire
- 2021
-
Ingår i: Health and Social Care in the Community. - : Hindawi Limited. - 0966-0410 .- 1365-2524. ; 29:6, s. 1896-1914
-
Tidskriftsartikel (refereegranskat)abstract
- The aim is to test the reliability of two alcohol screening instruments: (1) The Parent Alcohol Screening Questionnaire (PASQ5), and (2) the Social Support for an Alcohol-free Pregnancy (SSAFP) questionnaire. This is a cohort study from the south of Sweden using repeated surveys during pregnancy. To examine if responses differed according to different data collection methods, two cohorts consisting of 289 expectant mothers and 141 fathers completed the PASQ5 both verbally (weeks 6–7) and in writing (week 12) within regular antenatal visits. One of the cohorts (n = 137/64) also completed the SSAFP in week 12 and later in week 33. The third cohort, consisting of 179 and 133 expectant mothers and fathers, respectively, completed the PASQ5 and the SSAFP twice in late pregnancy (week 31 + 33). Eight of 10 items in the PASQ5 were stable for both expectant mothers and expectant fathers when comparing verbal versus written-delivered formats. Eight of 10 questions in the PASQ5 were stable when assessing the items in a test–retest analysis in late pregnancy for expectant mothers and nine of 10 questions were stable for fathers. The SSAFP items showed high internal consistency (0.86) for expectant mothers and excellent internal consistency (0.94) for expectant fathers. Most SSAFP items (17 of 21 for expectant mothers and 18 of 22 for expectant fathers) were also stable in a test–retest scenario in late pregnancy. Both the PASQ5 and SSAFP are reliable tools and may be helpful for clinicians who aim to have a deeper dialogue about alcohol consumption during pregnancy. These tools may also be helpful for researchers aiming to better understand a person's changes in alcohol intake and/or their social support network.
|
|
| 48. |
- Jakobsson, Annika, 1949, et al.
(författare)
-
Developing a willingness to change: treatment-seeking processes for people with alcohol problems.
- 2005
-
Ingår i: Alcohol Alcohol. ; Mar-Apr;40:2, s. 118-23
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS: The study explores treatment-seeking processes in men and women with alcohol problems, focusing on promoting and hindering factors. METHODS: Open interviews were held with five women and seven men within a month of their first voluntary treatment for alcohol problems. The interview protocols were analysed consecutively in accordance with grounded theory methodology. RESULTS: Developing a willingness to change was found to be the basic psychosocial process that lead to treatment-seeking. Categories that constituted sub-processes and supported willingness to change were: (i) actuating inner forces; (ii) dealing with conflicting feelings and thoughts; and (iii) hoping to turn the situation around. These processes were continuously assisted by demanding and caring support from partners, friends or professionals. CONCLUSIONS: The processes that precede treatment-seeking were highly complex, and both internal and external factors promoted and hindered treatment entry. The social significance of alcohol and the grief related to thoughts of abstaining were the most striking hindering factors. Such feelings need to be considered when motivating people to seek treatment for alcohol problems.
|
|
| 49. |
- Jakobsson, Annika, 1949, et al.
(författare)
-
Possibilities and Hindrances for Prevention of Intimate Partner Violence: Perceptions Among Professionals and Decision Makers in a Swedish Medium-Sized Town.
- 2013
-
Ingår i: International journal of behavioral medicine. - : Springer Science and Business Media LLC. - 1532-7558 .- 1070-5503. ; 20:3, s. 337-343
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Intimate partner violence (IPV) is a major public health problem, but few evidence-based prevention programs have yet been implemented. PURPOSE: This study explored the perceptions and beliefs of local-level decision makers, social and health-care professionals, and representatives from the police force regarding the possibilities and hindrances for prevention of IPV. METHOD: An explorative qualitative approach was used, and participants were strategically selected for focus group discussions. The participants, 19 men and 23 women, were professionals or decision makers within health-care services, social welfare, municipal administration, the police force, local industry, and local politicians in a Swedish town of 54,000 inhabitants. The focus group discussions were audio recorded, transcribed verbatim, and thematically analyzed. A manifest content analysis was performed on the text. RESULTS: Preschools, schools, sports associations, workplaces, and the mass media were suggested as possible arenas for prevention measures. The proposed activities included norm building and improved social support structures. Hindrances were conceptualized as societal beliefs and attitudes, shame, silence, gender inequality, the counteracting influence of the media, and lack of resources. The participants demonstrated closeness and distance to IPV, expressed as acceptance or referral of responsibility to others regarding where and by whom prevention measures should be executed. CONCLUSION: This study gave new insights in the prevailing perceptions of professionals and decision makers of a medium-sized Swedish town, which can be a useful knowledge in future preventive work and contribute to bridge the gap between research and practice.
|
|
| 50. |
- Jakobsson, Annika, 1949, et al.
(författare)
-
The role of gendered conceptions in treatment seeking for alcohol problems
- 2008
-
Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 22:2, s. 196-202
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the inducements for treatment-seeking for alcohol problems in women and men. Specifically we wanted to identify what promoted or hindered treatment-seeking in women and men, respectively, and to what extent femininity and masculinity was reflected in the context of treatment seeking. Data was obtained from open interviews with five women and seven men within a month after their first entry into alcohol treatment. A content analysis was performed using gender as the sorting factor. Promoting factors for treatment seeking in men were characterized by belief in their own capability, and looking to the future; whereas the women placed importance on pressure from someone significant, and sharing the problem with others. Hindrances for both women and men were feelings of shame and the significant role alcohol had in their lives. The women perceived alcohol problems as incompatible with femininity, and this made them avoid talking openly about their problems, which hence hindered treatment seeking. These findings showed that the value of alcohol as a gendered symbol still exists, which could be perceptible in promoting and hindering factors for treatment seeking in women and men. These factors could be useful to consider by professionals both in the primary healthcare system and in the social services. Future research should address treatment seeking in relation to both cultural and gendered constructions and their influence on the perceptions and behaviour of women and men with alcohol problems.
|
|
