| 1. |
- Blank, J., et al.
(författare)
-
Prevalence of overweight and obesity among preschool children between 2004 and 2008, in a rural area of Sweden : The Skaraborg Evaluation Child Obesity Prevention Project (SECOPP)
- 2010
-
Ingår i: Special Issue: Abstracts of the 11th International Congress on Obesity, 11-15 July 2010, Stockholm, Sweden. - Chichester, England : Wiley-Blackwell. ; , s. 73-74
-
Konferensbidrag (refereegranskat)abstract
- Background: Childhood obesity is considered a serious public health problem and it has increased over the last two decades. The aim of this paper was to report 5-year change in prevalence of overweight and obesity among preschool children in a rural area of Sweden. Material and Method: Body height and weight were obtained in 2004, 2006 and 2008. A total of 1914 children (1014 boys and 900 girls), aged 4 years ± 4 months and were examined at Child Welfare Clinics in two municipalities in the Skaraborg area in Region of Västra Götaland, Sweden were included in the study. Body mass index (BMI) was calculated and categorized according to the International Obesity Task Force (IOTF) and WHO cut-off as reference methods in defining overweight and obesity, and GLM methods were used to estimate the change with age as a covariate. Result: Between 2004 and 2008, overweight increased in boys according to IOTF 2.0% (P = 0.048), whereas no such trend was seen when using WHO cut-offs. In girls, overweight increased significant according to the both definitions IOTF 9.1% (P < 0.001) and WHO 2.8% (P = 0.010). Obesity has decreased in both boys and girls, however not significant. According to IOTF obesity decreased with 1.1% in boys and 1.9% in girls, and WHO with 2.1% in boys and 1.5% in girls. Conclusion: This study shows that overweight has increased in both sexes and obesity rates remained rather steady. However, public health strategies targeting the whole population is still needed.
|
|
| 2. |
- Hutton, Katrin, 1968-, et al.
(författare)
-
Low self-rated mental health among Swedish adolescent boys and its relationship to socioeconomic factors
- 2013
-
Ingår i: European Journal of Public Health. - Oxford : Oxford University Press. - 1101-1262.
-
Konferensbidrag (refereegranskat)abstract
- BackgroundAdolescents mental health is a major public health concern and studies have shown that socioeconomic factors contribute to the experienced health of adolescents. Girls’ mental health, more than boys’ mental health, is often discussed. Therefore, the aim of this study was to investigate the association between self-rated mental health and socioeconomic factors among boys and we hypothesized that household wealth influences the association.MethodsIn 2011, a cross-sectional study was conducted at seven junior high schools in a medium sized town in south western Sweden. The data collected was based on a self-administrated questionnaire regarding socioeconomic factors, household wealth and health related quality of life (Minnesota Minneapolis Quality of Life Instrument (MMQL). In all, 235 boys between 11-13 years old and 254 boys between 14-16 years participated. The items from MMQL were summarized into a total score and dichotomized by the median and low self-rated mental health was defined as below median. Logistic regression analysis was used.ResultsAmong younger boys no association between low self-rated mental health and socioeconomic factors were seen. Among older boys with divorced parents, an increased risk of low mental health rating was seen OR: 1.83 (95%CI, 1.04;3.23), however when adjusting for household wealth the association disappeared (OR;1.76, CI 0.98;3.15). Also, having one or two parents born outside Sweden implied increased risk of a low self-rated mental health OR: 2.0 (CI; 1.15;3.47), which remained when adjusting for household wealth variables (OR; 2.16 CI; 1.17;3.99). Furthermore, having two or more negative socioeconomic variables increased the risk of low rated mental health (OR;2.60, CI 1.15;5.90) the association remained after adjusting for household wealth (OR;2.38, CI 1.03;5.33).ConclusionsBoys with divorced parents, boys from migrant backgrounds and boys with several negative socioeconomic factors constituted the identified subgroups at risk. More research in public health is essential to meet the special needs of different age groups and backgrounds among adolescent boys.Key messagesAmong older boys (14-16 years old) with divorced parents, an increased risk of low mental health rating was seen, however when adjusting for household wealth the association disappeared.Among older boys (14-16 years old) having two or more negative socioeconomic variables increased the risk of low rated mental health, the association remained after adjusting for household wealth.© The Author 2013. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
|
|
| 3. |
- Hutton, Katrin, 1968-, et al.
(författare)
-
Self-rated mental health and socio-economic background : a study of adolescents in Sweden
- 2014
-
Ingår i: BMC Public Health. - London : BioMed Central. - 1471-2458. ; 14:1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Adolescents' mental health is a major public health issue. Previous research has shown that socio-economic factors contribute to the health status of adolescents. The present study explores the association between socio-economic status and self-rated mental health among adolescents.Methods: Cross sectional data from the Halmstad Youth Quality of Life cohort was collected in a town in Sweden. In all, 948 adolescents (11-13 younger age group and 14-16 older age group) participated. Information on self-rated mental health was collected from the subscale Psychological functioning in the Minneapolis Manchester Quality of Life instrument. The items were summarized into a total score and dichotomized by the mean. Indicators measuring socio-economic status (SES) were collected in a questionnaire using the Family Affluence Scale (FAS) and additional factors regarding parents' marital status and migration were added. Logistic models were used to analyze the data.Results: Girls were more likely to rate their mental health below the mean compared to boys. With regard to FAS (high, medium, low), there was a significantly increased risk of self-rated mental health below the mean among younger boys in the medium FAS score OR; 2.68 (95% CI 1.35;5.33) and among older boys in the low FAS score OR; 2.37 (1.02;5.52) compared to boys in the high FAS score. No such trend was seen among girls. For younger girls there was a significant protective association between having parents born abroad and self-rated mental health below mean OR: 0.47 (0.24;0.91).Conclusions: A complex pattern of associations between SES and self-rated mental health, divergent between age and gender groups, was shown. The total FAS score was only associated with boys' self-rated mental health in both age groups, whereas parents' migratory status influenced only the girls' self-rated mental health. Because of the different association for girls' and boys' self-rated mental health and SES, other factors than SES should also be considered when investigating and exploring the mental health of adolescents in affluent communities. © 2014 Hutton et al.; licensee BioMed Central Ltd.
|
|
| 4. |
- Ljungkrona-Falk, Lena, et al.
(författare)
-
In order to prevent child obesity: New tool helps Nurses to talk about healthier habits to parents
- 2010
-
Ingår i: Special Issue: Abstracts of the 11th International Congress on Obesity, 11-15 July 2010, Stockholm, Sweden. - Chichester, England : Wiley-Blackwell. ; , s. 88-88
-
Konferensbidrag (refereegranskat)abstract
- Introduction: A new tool for nurses to communicate healthier habits to parents of children at 18 months and 3 years of age has been developed and implemented by a registered dietitian at the children’s health care centre (CHCC) in Skaraborg, Sweden. The tool contains questions and information about meal order, drinks, candy, snacks, fat and physical activity. Our aim was to describe the nurses’ experiences of the tool and supervision from the registered dietician at the CHCC. Methods: The tool was evaluated after 14 months in practice. In three focus groups 17 nurses participated. A structured interview guide was used and the interviews were transcribed verbatim. The transcripts were analyzed using qualitative content analysis. Findings were triangulated by a questionnaire within all nurses in Skaraborg (n = 76). Results: The nurses described their experiences in terms of comparison with the previous tool, practicability, parent’s reactions and improvement. Using the previous tool the nurses felt uncertain when talking about healthier habits. With the new tool the nurses expressed that they felt more confident. Parents were also more engaged in the dialogue. The discussion regarding physical activity was not satisfactory and the question needed improvement. The questionnaire showed, 98% of the nurses wanted to continue with the tool, and 86% found the question about physical activity needed revision. Conclusion: This is a new approach to prevent child obesity. The tool simplified the communication with parents and with supervision from dietitian, it lead to a higher quality in promoting healthier habits at CHCC.
|
|
| 5. |
- Nyholm, Maria, et al.
(författare)
-
Exploring dietary patterns, obesity and sources of bias: the Västerbotten Intervention Programme (VIP).
- 2013
-
Ingår i: Public Health Nutrition. - 1368-9800 .- 1475-2727. ; 16:4, s. 631-638
-
Tidskriftsartikel (refereegranskat)abstract
- Objective Dietary patterns capture the overall diet and thereby provide information on how nutrients are consumed in combinations, and have been suggested to be a better method than studying single nutrients. The present study explored the relationship between dietary patterns at baseline and incidence of obesity at 10-year follow-up in women. Design A longitudinal study using baseline measurements from 1992–1996, including food intake, medication, heredity, socio-economic status, lifestyle and measured body composition, and follow-up data collected in 2002–2006 including measured body composition. Setting Data from the Västerbotten Intervention Programme (VIP) in Sweden. Subjects A total of 6545 initially non-obese women aged 30–50 years. Results Among women reporting plausible energy intakes, the ‘Fruit and vegetables cluster’ predicted the highest incidence of obesity (OR = 1·76, 95 % CI 1·11, 2·76; P = 0·015) compared with women in the other food pattern groups combined. When adjusting for metabolic factors and BMI at baseline, the risk for obesity in the ‘Fruit and vegetables cluster’ was attenuated to non-significance. In contrast, high intake of fruit per se was associated with a decreased risk of developing obesity (OR = 0·69, 95 % CI 0·51, 0·91; P = 0·010). Conclusions Dietary pattern groups identified by cluster analysis are likely to reflect characteristics in addition to diet, including lifestyle, previous and current health status and risk factors for future disease, whereas intake of fruit per se was a stable indicator and less affected by baseline characteristics. These results underscore the need for complementary methods in understanding diet–disease relationships.
|
|
| 6. |
- Svedberg, Petra, 1973-, et al.
(författare)
-
Self-reported objective and subjective indicators of socio-economic status and mental health between two adolescent age groups in Sweden
- 2014
-
Ingår i: European Journal of Public Health. - Oxford : Oxford University Press. - 1101-1262 .- 1464-360X. ; 24:Suppl. 2, s. 31-31
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Research has shown that socio-economic status (SES) contributes to the mental health of adolescents; however the causality of this effect is debated. SES among adolescents is methodologically difficult to assess and SES indicators differ between age groups. The aim of this study was to evaluate objective and subjective indicators of SES and their relation to mental health in two adolescent age groups.Methods: This is a cross-sectional study based on data collected by self- report questionnaires from 11-13 years old n = 457 (younger age group) and 14-16 years old n = 462 (older age group) adolescents at schools in a rural town in south western Sweden. The Family Affluence Scale (FAS) (high, medium, low) and Perceived Wealth (PW) (high, medium, low) were used as measurement for objective and subjective socio-economic wealth. The domain psychological functioning health from the Minneapolis Manchester Quality of Life instrument (MMQL-PF) (continuous variable) was used to measure self-rated mental health.Results: When measuring SES using the two different scales, the proportion of adolescents in the younger age group stating a low SES was 28.1% using FAS and 12.1% using PW. In the older age group the proportion was 21.4% in FAS and 15.5% in PW. There was a positive significant relation between PW and self-rated mental health in both age groups, by 0.112 (95% CI.0.024; 0.199) in the younger age group and by 0.140 (95% CI.0.051; 0.223) in the older age group. This relation was not seen regarding FAS.Conclusion: In the search for SES’ relation to mental health, different aspects of adolescents’ socio-economic conditions should be considered. In this study we suggest that the subjective experiences of adolescents regarding the wealth of the family might be a stronger indicator of SES influencing mental health. This might be taken into consideration when planning for public health interventions and effective prevention programs suited for adolescents with lower SES. Key message:In the search for SES’ relation to mental health, different aspects of adolescents’ socio-economic conditions should be considered.© The Author 2014
|
|
| 7. |
- Wiman, Virginia, 1985-, et al.
(författare)
-
Workplace health promotion; views from managers of small companies
- 2012
-
Ingår i: European Journal of Public Health. - Oxford : Oxford University Press. - 1101-1262 .- 1464-360X. ; 22:Suppl. 2, s. 129-129
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Background: Workplace health promotion leads to better health, high morale, increased productivity and reduced absenteeism among employees. The role of leadership is vital when creating strategies for workplace health promotion. Small companies (less than 50 employees) have increased need for health promotion, as they often lack knowledge and resources to manage health and safety problems. Moreover, small companies have less access to occupational health service. The aim of this study was to describe how managers at small companies perceive their company as an arena for health promotion. Methods: A sample of ten managers (four females) was strategically selected using maximal variation in terms of branch of industry. Semi-structured interviews were conducted. The interviews were transcribed and analyzed using qualitative content analysis. The analysis comprised of both manifest and latent content and triangulation between the authors was used. Results: Three main categories emerged from the analysis; sees the workplace as a possible arena, sees the opportunity to promote employees health and sees a need for external support. More in-depth analysis resulted in six subcategories. The latent content of these categories is described by the theme; Health promotion leadership in order to perceive the company as a health promotion arena. A key factor for workplace health promotion was the manager´s view of health promotion as a beneficial factor for the company. Furthermore, the managers expressed that they could promote employees´ health by organizing health promotion activities and promote a positive psychosocial work environment. The findings showed a need for easily accessible external support to assist managers in their work with health promotion. It is essential that the external support contributes with inspiration and knowledge of health promotion activities, for example by highlighting good practice from other small companies. Conclusions: Using the manager´s view about the workplace as an arena for promoting health can be a step towards strategies for implementing workplace health promotion. However, for the development of healthy organizations it is necessary to have a comprehensive strategy in which employers, employees and society is pursuing the same goal.
|
|
