| 1. |
- Abrahamsson, Agneta, et al.
(författare)
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A salutogenic perspective could be of practical relevance for the prevention of smoking amongst pregnant women
- 2002
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Ingår i: Midwifery. - 0266-6138 .- 1532-3099. ; 18:4, s. 323-331
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to use empirical data to assess the theoretical relevance of using a salutogenic, instead of a pathogenic, perspective to prevent smoking during pregnancy. DESIGN: quantitative study, a questionnaire was completed during the first trimester of pregnancy and an interview was conducted after the baby was born. SETTING: a geographically defined area in the south-east of Sweden. PARTICIPANTS: all 395 women in the study area who were pregnant during the study period 1994-1995. FINDINGS: the women were categorised according to their smoking habits. A significant difference in the sense of coherence (SOC) score was shown between smoking and non-smoking women in indicators of bad health. Women who relapsed to smoking showed a lower level of SOC, particularly in the manageability component, than others. The SOC score was higher in the whole study group than in other comparable, non-pregnant populations. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: a salutogenic perspective could be used in antenatal care as a basis for encouraging pregnant women to stop smoking. This could enhance the SOC by making smoking more understandable for the woman, by discussing smoking as a way of coping, and by encouraging the woman's own capacity and motivation to stop smoking. Starting a dialogue about smoking from the woman's point of view could do this, with the midwife and the woman exploring together the woman's thoughts about the smoking problem.
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| 2. |
- Abrahamsson, Agneta, et al.
(författare)
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A salutogenic perspective could be of practical relevance for the prevention of smoking amongst pregnant women
- 2002
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Ingår i: Midwifery. - : Churchill Livingstone. - 0266-6138 .- 1532-3099. ; 18:4, s. 323-331
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to use empirical data to assess the theoretical relevance of using a salutogenic, instead of a pathogenic, perspective to prevent smoking during pregnancy. DESIGN: quantitative study, a questionnaire was completed during the first trimester of pregnancy and an interview was conducted after the baby was born. SETTING: a geographically defined area in the south-east of Sweden. PARTICIPANTS: all 395 women in the study area who were pregnant during the study period 1994-1995. FINDINGS: the women were categorised according to their smoking habits. A significant difference in the sense of coherence (SOC) score was shown between smoking and non-smoking women in indicators of bad health. Women who relapsed to smoking showed a lower level of SOC, particularly in the manageability component, than others. The SOC score was higher in the whole study group than in other comparable, non-pregnant populations. KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: a salutogenic perspective could be used in antenatal care as a basis for encouraging pregnant women to stop smoking. This could enhance the SOC by making smoking more understandable for the woman, by discussing smoking as a way of coping, and by encouraging the woman's own capacity and motivation to stop smoking. Starting a dialogue about smoking from the woman's point of view could do this, with the midwife and the woman exploring together the woman's thoughts about the smoking problem.
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| 4. |
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| 5. |
- Abrahamsson, Agneta
(författare)
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Addressing smoking during pregnancy:The challenge to start from the woman's view
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis has been to increase understanding on the process of smoking cessation during pregnancy from the perspective of learning. The smoking pattern before and after pregnancy related to health, Sense of Coherence (SOC) and social issues was studied among all pregnant women in south-east Skåne during the period March 1994 to August 1995. They were asked to fill in a questionnaire during the first visit to antenatal care and to answer some short questions in an interview after pregnancy. The critical point for change in smoking was when the woman became aware of her pregnancy. Women who were smokers at the time of conception declined from 30.9% to 19.3% at the time of the first visit to antenatal care. Depending on their smoking habits, the women were categorised as Non-smokers, Quitters, Decreasers, Relapsers and Continuers. In a general population the level of SOC was lower than among these pregnant women, which indicates a high level of motivation for change. Smoking and smoking cessation were related to different symptoms of ill health. Women who did not succeed in stopping smoking early in pregnancy were more often susceptible to the influence of life circumstances on smoking. However, success in stopping smoking increases self-esteem and could therefore be a way to improve self-efficacy and health in general. Pregnant and post-pregnant women’s ways of making sense of smoking during pregnancy were studied in an interview study of 17 women. A general feature amongst all women was that being a smoker and pregnant constituted shameful behaviour. Five different story types were illustrated: Smoking could be justified, Will stop smoking later, My smoking might hurt the baby, Smoking is just given up and Smoking must be taken charge of. Dialogue from a salutogenic perspective sees woman’s wish to give her children a smoke-free start in life. The woman’s way of constructing knowledge about smoking can in this way be seen as a point of access for health education. Hearsay, personal experiences and scientific facts of the dangers of smoking were interwoven with issues of well-being and social circumstances. Midwives’ ways of making sense of how they approach women who smoke were studied in interviews with 24 midwives. The story types Avoiding, Informing, Friend-making and Co-operating illustrated difficulties in changing from being an expert who gives information and advice to being a facilitator. It is suggested that health education should build on co-operation and dialogue about the smoking issue. The woman’s learning should be focused on, as she is the one who should talk and learn. The midwife’s role is to facilitate for the woman’s learning which means that she mostly listens to the woman’s view of smoking.
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| 6. |
- Abrahamsson, Agneta, et al.
(författare)
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Smoking patterns during pregnancy : differences in socio-economic and health-related varaiables
- 2000
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Ingår i: European Journal of Public Health. - 1101-1262 .- 1464-360X. ; 10:3, s. 208-213
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Tidskriftsartikel (refereegranskat)abstract
- Background: The objective of this study was to assess different smoking patterns during and after pregnancy and relate these patterns to socioeconomic conditions and different health issues such as symptoms, drug consumption and health care use. Methods: The study group included 337 pregnant women from a district in south Sweden. A questionnaire was filled in during the first part of pregnancy and an interview was conducted after the baby was born. The women were categorised according to their smoking habits. Results: The categories defined were continuers, relapsers, decreasers, quitters and non-smokers. Among relapsers three symptoms, difficulty in relaxing (OR 4.48), restlessness (OR 9.59) and dysphoria (OR 3.98), were more common than among non-smokers. All three musculoskeletal symptoms were most common among continuers. Among quitters the OR for backache was 2.05, for numbness In the arms and legs 2.76 and for tearfulness 2.92. Educational level was relatively high among quitters and few had a smoking partner. Among smokers (decreasers, relapsers and continuers) 24% used drugs regularly, compared to 5% among non-smokers. Conclusions: To prevent smoking during pregnancy awareness of the relations between different smoking categories and symptoms could make it easier for hearth personnel to individualise support. A possible starting point is to discuss how to cope with different symptoms occurring during smoking cessation. Women with predictors for continued smoking during pregnancy, such as low education, unemployment, a smoking partner and multiparous, should be focused on more intensively and preventive strategies suitable for their special needs should be developed.
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| 7. |
- Abrahamsson, Agneta, et al.
(författare)
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Smoking patterns during pregnancy : differences in socio-economic and health-related varaiables
- 2000
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Ingår i: European Journal of Public Health. - : Oxford University Press. - 1101-1262 .- 1464-360X. ; 10:3, s. 208-213
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Tidskriftsartikel (refereegranskat)abstract
- Background: The objective of this study was to assess different smoking patterns during and after pregnancy and relate these patterns to socioeconomic conditions and different health issues such as symptoms, drug consumption and health care use. Methods: The study group included 337 pregnant women from a district in south Sweden. A questionnaire was filled in during the first part of pregnancy and an interview was conducted after the baby was born. The women were categorised according to their smoking habits. Results: The categories defined were continuers, relapsers, decreasers, quitters and non-smokers. Among relapsers three symptoms, difficulty in relaxing (OR 4.48), restlessness (OR 9.59) and dysphoria (OR 3.98), were more common than among non-smokers. All three musculoskeletal symptoms were most common among continuers. Among quitters the OR for backache was 2.05, for numbness In the arms and legs 2.76 and for tearfulness 2.92. Educational level was relatively high among quitters and few had a smoking partner. Among smokers (decreasers, relapsers and continuers) 24% used drugs regularly, compared to 5% among non-smokers. Conclusions: To prevent smoking during pregnancy awareness of the relations between different smoking categories and symptoms could make it easier for hearth personnel to individualise support. A possible starting point is to discuss how to cope with different symptoms occurring during smoking cessation. Women with predictors for continued smoking during pregnancy, such as low education, unemployment, a smoking partner and multiparous, should be focused on more intensively and preventive strategies suitable for their special needs should be developed.
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| 8. |
- Abrahamsson, Katarina, 1957, et al.
(författare)
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Variations of biochemical parameters along a transect in the Southern Ocean, with special emphasis on volatile halogenated organic compounds
- 2004
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Ingår i: Deep-sea research. Part II, Topical studies in oceanography. - : Elsevier BV. - 0967-0645. ; 51:22-24, s. 2745-2756
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Tidskriftsartikel (refereegranskat)abstract
- A number of parameters of biogeochemical interest were monitored along a north-southerly transect (S 43-S 63degrees) in the Atlantic Sector of the Southern Ocean from the 8th to the 20th of December 1997. Changes in total dissolved inorganic carbon (C-T) and total alkalinity (A(T)) were mostly dependent on temperature and salinity until the ice edge was reached. After this point only a weak correlation was seen between these. Highest mean values of C-T and A(T) were observed in the Winter Ice Edge (WIE) (2195 and 2319 mumol kg(-1), respectively). Lowest mean AT (2277 mumol kg(-1)) was observed in the Sub-Antarctic Front (SAF), whereas lowest mean CT concentration (2068 mumol kg(-1)) was associated with the Sub-Tropical Front (STF). The pH in situ varied between 8.060 and 8.156 where the highest values were observed in the southern part of the Antarctic Polar Front (APF) and in the Summer Ice Edge (SIE) Region. These peaks were associated with areas of high chlorophyll a (chl a) and tribromomethane values. In the other areas the pH in situ was mainly dependent on hydrography. Bacterial abundance decreased more than one order of magnitude when going from north to south. The decrease appeared to be strongly related to water temperature and there were no elevated abundances at frontal zones. Microphytoplankton dominated in the SAF and APF, whereas the nano- and picoplankton dominated outside these regions. Volatile halogenated compounds were found to vary both with regions, and with daylight. For the iodinated compounds, the highest concentrations were found north of the STF. Brominated hydrocarbons had high concentrations in the STF, but elevated concentrations were also found in the APF and SIE regions. No obvious correlation could be found between the occurrence of individual halocarbons and chl a. On some occasions trichloroethene and tribromomethane related to the presence of nano- and microplankton, respectively.
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