| 1. |
- Sundin, Maud, et al.
(författare)
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Substance use/abuse and suicidal behavior in young adult women: a population-based study
- 2011
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Ingår i: Substance use & misuse. - : Informa UK Limited. - 1532-2491 .- 1082-6084. ; 46:13, s. 1690-1699
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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.
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| 2. |
- Andersson, Annika, 1981, et al.
(författare)
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Riskbruk av alkohol - oklart begrepp som behöver tydlig definition
- 2010
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Ingår i: Läkartidningen. - 0023-7205. ; 19-20:107, s. 1306-1306
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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.
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| 3. |
- Andersson, Christina, 1955, et al.
(författare)
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Drinking context and problematic alcohol consumption in young Swedish women : Drinking context and problematic alcohol consumption
- 2013
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Ingår i: Addiction Research and Theory. - : Informa UK Limited. - 1606-6359 .- 1476-7392. ; 21:6, s. 457-468
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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.
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| 4. |
- Andersson, Christina, 1955, et al.
(författare)
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Women's patterns of everyday occupations and alcohol consumption : Everyday occupations and alcohol consumption
- 2012
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19:3, s. 225-238
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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.
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| 5. |
- Andersson, Christina, et al.
(författare)
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Women's patterns of everyday occupations and alcohol consumption
- 2012
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 19:3, s. 225-238
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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.
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| 6. |
- Fornazar, Robin, et al.
(författare)
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Alcohol Consumption among the Oldest Old and >How It Changes during Two Years
- 2013
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Ingår i: ISRN Geriatrics. - : Hindawi Limited. - 2314-4750. ; 2013
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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.
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| 7. |
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| 8. |
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| 9. |
- Jakobsson, Annika, 1949, et al.
(författare)
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Possibilities and Hindrances for Prevention of Intimate Partner Violence: Perceptions Among Professionals and Decision Makers in a Swedish Medium-Sized Town.
- 2013
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Ingår i: International journal of behavioral medicine. - : Springer Science and Business Media LLC. - 1532-7558 .- 1070-5503. ; 20:3, s. 337-343
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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.
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| 10. |
- Keurhorst, Myrna N., et al.
(författare)
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Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN) : study protocol for a cluster randomized factorial trial
- 2013
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Ingår i: Implementation Science. - : BioMed Central. - 1748-5908. ; 8
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe European level of alcohol consumption, and the subsequent burden of disease, is high compared to the rest of the world. While screening and brief interventions in primary healthcare are cost-effective, in most countries they have hardly been implemented in routine primary healthcare. In this study, we aim to examine the effectiveness and efficiency of three implementation interventions that have been chosen to address key barriers for improvement: training and support to address lack of knowledge and motivation in healthcare providers; financial reimbursement to compensate the time investment; and internet-based counselling to reduce workload for primary care providers.Methods/designIn a cluster randomized factorial trial, data from Catalan, English, Netherlands, Polish, and Swedish primary healthcare units will be collected on screening and brief advice rates for hazardous and harmful alcohol consumption. The three implementation strategies will be provided separately and in combination in a total of seven intervention groups and compared with a treatment as usual control group. Screening and brief intervention activities will be measured at baseline, during 12 weeks and after six months. Process measures include health professionals’ role security and therapeutic commitment of the participating providers (SAAPPQ questionnaire). A total of 120 primary healthcare units will be included, equally distributed over the five countries. Both intention to treat and per protocol analyses are planned to determine intervention effectiveness, using random coefficient regression modelling.DiscussionEffective interventions to implement screening and brief interventions for hazardous alcohol use are urgently required. This international multi-centre trial will provide evidence to guide decision makers.
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| 11. |
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| 12. |
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| 13. |
- Reinholdz, Hanna K, et al.
(författare)
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Different Methods of Early Identification of Risky Drinking: A Review of Clinical Signs
- 2011
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Ingår i: ALCOHOL AND ALCOHOLISM. - : Oxford University Press. - 0735-0414 .- 1464-3502. ; 46:3, s. 283-291
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Forskningsöversikt (refereegranskat)abstract
- Aims: To review the literature on detection of risky drinking to compare early identification based on everyday clinical encounters with systematic screening. We also reviewed specific clinical signs that have been suggested to be used as indicators of risky drinking. Methods: A literature review was performed in PubMed and CINAHL of articles up to November 2010. Results: Systematic screening and semi-systematic methods in various forms detected more risky drinkers than non-systematic identification during clinical encounter, but there was a lack of studies comparing the various means of identifying risky drinking. It may be too early to completely rule out the possibility of using non-systematic methods as an effective strategy to identify risky drinking. The earliest signs of risky drinking suggested in the literature are psychological distress and social problems. Conclusion: From a public health perspective, there is a lack of evidence that non-systematic or semi-systematic methods can substitute systematic screening in terms of numbers of risky drinkers detected. If early signs are going to be used to identify risky drinkers, or those to be screened for risky drinking, more focus should be on psychological and social signs because they appear earlier than somatic signs.
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| 14. |
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| 15. |
- Silfversparre, Frida, et al.
(författare)
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A Swedish randomized efficacy trial of brief intervention for alcohol consumption: is reduced alcohol consumption at follow-up due to the intervention?
- 2013
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Ingår i: Addiction Science & Clinical Practice. - 1940-0640. ; 8:Suppl. 1
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Tidskriftsartikel (refereegranskat)abstract
- In 2009, a project named SPIRA (Secondary prevention in Primary health care - Implementation of methods to reduce Risk drinking of Alcohol) was launched with the objective to investigate different methods that can draw attention to and detect risk-behavior concerning alcohol among people that seek care at primary health care units (PHC-units) in Sweden. The aims of this study were to investigate if BI (Brief intervention) counseling decreased alcohol consumption and to study if it improved health related quality of life for individuals seeking care at PHC-units in Sweden. Patients visiting PHC-units were asked to answer questionnaires containing AUDIT-C and EQ-5D-questions. 643 of 2918 respondents were contacted in 2012 for follow-up. 16 PHC-units participated and were randomized into four strands. These received two different education programs in how to detect risk-behavior related to alcohol consumption and half of the strands were assisted by implementation coaches. All received the same information on intervention methods. Intervention was done with 5-A BI or a modified MI-model. Female risk drinkers who received BI decreased the AUDIT-C total score from 4.93 to 4.29 and women who not received BI lowered the score from 4.93 to 4.29. For male risk drinkers who received BI the AUDIT-C total score decreased from 6.23 to 5.52 and male risk drinkers who did not receive BI decrease the score from 5.87 to 5.12. No statistical difference between intervention group and control group regarding AUDIT-C and EQ-5D was found at follow-up. Both groups lowered their total scores. There is no clear evidence that BI has effect on alcohol consumption or health related life quality. A larger part of individuals identified as risk drinkers did not receive BI, a finding that demands further research. Our prime suggestion to explain the findings is that also the control intervention was effective.
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