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- Mårtensson, Lena, 1953, et al.
(författare)
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Long-term influences of a biopsychosocial rehabilitation programme for chronic pain patients.
- 2004
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Ingår i: Musculoskeletal care. - : Wiley. - 1478-2189 .- 1557-0681. ; 2, s. 152-64
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Chronic pain leads to high costs in the form of compensation for absence from work due to illness, production loss and health care utilization. Multidisciplinary treatment programmes at pain clinics can result in return to work and a decrease in doctor visits. The aim of this study was to evaluate the long-term influences of a rehabilitation programme in primary health care for chronic pain patients with regard to doctor visits, frequency of sick-leave and level of disability. DESIGN: A longitudinal, intervention study design was used over a three-year period. METHODS: A biopsychosocial rehabilitation programme based on ego-strengthening psychotherapy was used. An occupational therapist and a physiotherapist led the intervention, which comprised two meetings per week for six weeks. The study was performed in a primary health care area in the southwest of Sweden with 54 chronic pain patients. RESULTS: The results showed a significant decrease in the number of doctor visits as well as sick-leave days. The level of absenteeism due to occupational disability changed significantly from being on sick leave to receiving a disability pension. CONCLUSIONS: The rehabilitation programme reduced patient attendance at health care facilities but did not increase the numbers of patients returning to work.
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| 2. |
- Baigi, Amir, 1953
(författare)
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Life expectancy in the province of Halland, Sweden. A historic to modern, socio-epidemiological perspective with focus on cardiovascular diseases
- 2002
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Introduction One of the most concrete expressions of mortality in a population is the so-called life expectancy, i.e. a figure that indicates the average life span of an individual under the prevailing conditions. The life expectancy of a population is considered as a generic measure of public health. The province of Halland is situated in the Southwestern part of Sweden and has today a population of approximately 270 000 inhabitants. The province has retained its agrarian character, more so than the country as a whole. Today, the population of Halland has a life expectancy of 79.37 years, which is the highest in Sweden.The aim of the thesis was to study life expectancy and causes of death, in particular cardiovascular diseases in the province of Halland, compared to Sweden as a whole, for the purpose of identifying, from a socio-epidemiological perspective, important factors contributing to life expectancy during the 20th century.Material and Method Data on population, death rates and causes of death in Halland and Sweden between 1911 and 1950 were processed in a computer program specially designed for the purpose of studying life expectancy and causes of death from a historical perspective. From a modern perspective, mortality from cardiovascular diseases in both Halland and Sweden between 1980-1990 was investigated by means of a prospective design, the aim being to establish whether or not any association with socio-economic status exists. In addition, the incidence of acute myocardial infarction in the period 1980-1992 as well as chest pain in 1997 was studied with socio-economic status as a background variable. Poisson distribution, Poisson regression and logistic regression with 95% CI and p-value were employed.Results Since 1911, Halland has shown a longer life expectancy when compared to Sweden as a whole. From a historical perspective, this difference could be explained by lower infant mortality in combination with lower mortality from infectious diseases while, from a modern perspective, the explanations are lower mortality from cardiovascular diseases in general and ischaemic heart disease in particular. The favourable conditions in Halland can most likely be explained by the socio-structural differences in past times and individual differences in the present day.Conclusion The favourable health situation in Halland is based on a combination of a high standard of living and the associated rich nutritional intake resulting from the agricultural development of the province, in addition to the agrarian environment and the relatively homogeneous social structure.
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| 4. |
- Nilsson, Sverker, 1958, et al.
(författare)
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Evaluation of a health promotion programme to prevent the misuse of androgenic anabolic steroids among Swedish adolescents
- 2004
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Ingår i: HEALTH PROMOTION INTERNATIONAL. - : Oxford University Press (OUP). - 0957-4824 .- 1460-2245. ; 19, s. 61-7
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to design an appearance programme in order to prevent the misuse of androgenic anabolic steroids among adolescents and to evaluate the adolescents' perception of this programme. The study was performed in all schools in a primary health care area on the south west coast of Sweden. The intervention targeted all 16- and 17-year-old males and females (n = 921). The intervention and evaluation were completed by 451 boys. The strategy of the appearance programme was to create awareness of and to discuss attitudes towards steroid hormones among these adolescents. Youth leaders and health workers, who discussed these subjects with adolescents over a period of 2 years, carried out the intervention programme. The perception of the programme was analysed anonymously using questionnaires. Effects on the total population of youths were assessed by two cross-sectional surveys. The intervention programme was well received by the adolescents. The misuse of androgenic anabolic steroids had a tendency to decrease after the appearance programme. We demonstrated a method for involving the community in an appearance programme to reduce misuse of anabolic steroids and showed that youth were sensitive to our discussions about appearance and attitudes. This study indicates that drug abuse among adolescents can be decreased by health promotion activities, such as group discussions. Controlled studies are needed before the results of this appearance programme can be generalized. Key words: adolescents; androgenic anabolics; appearance; intervention
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