| 1. |
- Haglund, Bo JA, 1945-, et al.
(författare)
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Milestones in Nordic Health Promotion Research
- 2018
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 46:20_suppl, s. 7-19
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Tidskriftsartikel (refereegranskat)abstract
- Based on the storytelling tradition and analyses of conference material, this article provides an overview of the evolving Nordic Health Promotion Research Network (NHPRN) and its conferences over the last 20 years. The story goes from the planning of the first conference in Bergen, Norway, back in 1996 to the eighth conference in Jyväskylä, Finland, in 2016. There have been three phases of development. During the first phase, 1996–2007, the five first conferences were initiated and implemented by departments of public health in the Nordic countries. The World Health Organization (WHO) collaborative centres of Health Promotion in Bergen University and a group at Karolinska Institute, Department of Social Medicine, creating supportive environments for health in Stockholm played key roles in initiating and supporting NHPRN. During the second phase, 2007–2014, the network was strengthened and supported by the Nordic School of Public Health (NHV) in Gothenburg. The third phase started when NHV closed down in 2015 and networking activities were transferred to the European Office of WHO in Copenhagen. The Nordic Health Promotion Research Conference series has served several purposes and will continue to do so. They are important Nordic meeting places, stimulating Health Promotion research, as well as explicitly managing ongoing concerns in the international Health Promotion community. This is reflected in the shift of foci over time. The content of the conferences has been highly responsive to whatever challenges are particularly relevant at different points in time, while also contributing to developing Health Promotion as a discipline, given that every conference has built on the previous ones.
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| 2. |
- Ringsberg, Karin C., 1945, et al.
(författare)
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Concerns and future challenges of health literacy in the Nordic countries – From the point of view of health promotion practitioners and researchers
- 2018
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 46:20_suppl, s. 107-117
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Tidskriftsartikel (refereegranskat)abstract
- Background: Health literacy is an essential social determinant for promoting and maintaining the health of a population. Aim: From a health promotion perspective, explore health literacy issues, concerns and future challenges among Nordic practitioners and researchers. Methods: Data were collected in a workshop at the 8th Nordic Health Promotion Conference, and in a literature review, with articles from five databases. The search included title and abstract with the search terms health literacy* and health literacy as a MeSH term and all the Nordic countries. Qualitative and quantitative analysis were used. Results: Twenty-five persons participated in the workshop. The discussions were summarized in six themes: concept of health literacy in national language; risk of victim blaming; measuring health literacy; content in school curricula on health literacy; new technologies for information and communication; communication and collaboration between different actors in support of health. Forty-three articles on health literacy were identified, mainly conducted within three fields: development, test and adaptation of instruments for measuring health literacy; measurement of health literacy among patients, or other defined target groups and on populations; and developing and evaluating methods/tools for the training of personnel groups or different target groups. Conclusions: There is a need for further studies providing a more in-depth understanding of the health literacy concept, knowledge on how to measure health literacy, ethical aspects, application in intersectoral collaboration as well as the adaptation to new technologies for information and communication in education supporting health literacy. As health literacy is an essential social health determinant, a concern and a future challenge must be, to make the health literacy concept familiar and visible in health promotion policies, research and practice such as health education. © 2018, © Author(s) 2018.
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| 3. |
- Aytar, Osman, 1960-, et al.
(författare)
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Health Care Provider’s Perceptions about and Experiences of Achieving Equitable Health Care : An Evaluation Study
- 2017
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Ingår i: Quality in Primary Care. - London. - 1479-1072 .- 1479-1064. ; 25:5, s. 289-296
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Tidskriftsartikel (refereegranskat)abstract
- Background: In June 2011 the Swedish government signed an agreement with The Swedish Association of Local Authorities and Regions (SALAR), for a three year project to develop and implement “Health care on equal terms.” The project, which involved seven Primary Health Care Units (PHCU) from five county councils in different parts in Sweden, was completed in early 2014. The aim of the project was to develop methods and activities that could promote more equal health care provision in socio-economically disadvantaged areas.Aim: To assess and compare health care providers’ experiences of and perceptions about equitable health care at the beginning and end of the national project “Health care on equal terms”.Methods: A web survey was sent to all staff at the seven participating Primary Health Care Units (PHCU) at the beginning (2012) and the end (2013) of the project. Data were analyzed with descriptive statistics and the open issues with content analysis.Results: In 2013, the percentage of health care providers who reported thinking patients’ ethnicity had no or very little impact on access to care increased, but the proportion of those who reported that they had “no idea” that patients’ gender, age, mental health and physical functioning were significant for access to care was lower in 2013 than in 2012. The results from analysis of the open-ended questions did not show meaningful changes in the respondents’ perceptions of the issues addressed in 2012-2013, but the analysis contributes to a deeper explanation of the answers.Conclusion: The main conclusion is that it was possible to implement changes aiming for more equitable care through projects with a focus on learning.
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| 4. |
- Berensson, K., et al.
(författare)
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Health impact assessment (HIA) of political proposals at the local level : successful introduction, but what has happened 15 years later?
- 2017
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Ingår i: Global Health Promotion. - : SAGE Publications Ltd. - 1757-9759 .- 1757-9767. ; 24:2, s. 43-51
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Tidskriftsartikel (refereegranskat)abstract
- Health impact assessments (HIAs) were first introduced in Sweden in the mid-to-late 1990s, with the aim of placing health issues on the political agenda and helping to reduce health inequalities. In the early 2000s, HIAs entered a second phase and the Swedish Parliament adopted a national public health policy. A national survey conducted in 2001 showed that 10/289 municipalities had begun to use HIA and 55/289 had decided to use HIA or had initiated an adoption process. In a 2013 follow-up study based on a strategic sample of municipalities, 9/36 municipalities reported using HIA and/or similar tools. Corresponding figures for the 21 Swedish regions were 10 regions in 2001 and four in 2013. HIA and similar tools (sustainability analyses, child impact assessments, and others) were applied to the same extent as HIA. Fifteen years after implementation began, HIA is still being used. Regions show a clear decrease in the use of HIA. There are several explanations for this development. One is the political context, and other explanations are shifts in which actors are responsible for HIA and for public health at the local/regional levels.
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| 5. |
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| 6. |
- Choowong, Jiraporn, 1971-
(författare)
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Barriers, Enablers and challenges in the practice of directly observed treatment for tuberculosis patients in a local Thai community
- 2017
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Tuberculosis (TB) has presented a challenge to the public health community in Thailand, especially as regards patient adherence to TB treatment. Direct observed treatment (DOT) is recommended for promoting patient adherence to TB treatment. There is good evidence that DOT can significantly increase the patient adherence to TB treatment. However, the implementation of DOT has complex relationships to socioeconomic factors and Thai context issues. The overall aim was (1) to obtain a deeper understanding of what happens when the DOT is practised in a local Thai community, and (2) to generate knowledge for improving the implementation of DOT, and thereby improve patient adherence to TB treatment.The empirical data were collected in Trang province, in the southern region of Thailand, between 2013 and 2015. The sample of study I consisted of five District TB Coordinators and five TB clinic staff from the public health sectors in rural and urban areas. Phenomenographic analysis was used. Study II: Five focus group discussions were conducted with 25 village health volunteers and six family members; manifest and latent content analysis was used for the analysis. Study III: Twenty TB patients were interviewed, using grounded theory methodology. Study IV: A mixed-method systematic review was accessed through databases. Data from the selected studies were extracted and synthesized using thematic analysis. The fear of stigma of TB patients was considered a significant barrier to the practice of DOT and adherence to TB treatment (studies I, II and III). Lack of TB knowledge and skills among DOT observers were revealed as barriers to the practice of DOT (studies I and II). At the same time, social facilitation and TB patients’ positive thinking and self-awareness were considered enablers of patient adherence to TB treatment (studies I and III). Another result is to provide an empowerment approach for DOT observers, who, in turn, will increase the empowerment of TB patients to achieve adherence to TB treatment (study IV).This thesis contributes a deeper understanding of the perspective of healthcare providers, DOT observers and TB patients when DOT is practised in a local Thai community. A challenge from these results is to provide an empowerment approach towards DOT observers. The results of this thesis will be useful for policy-makers who will consider strategies for improving the implementation of DOT and enabling patient adherence to TB treatment in the Thai context.
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| 7. |
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| 8. |
- Choowong, Jiraporn, et al.
(författare)
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Thai district Leaders' perceptions of managing the direct observation treatment program in Trang Province, Thailand
- 2016
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Ingår i: BMC Public Health. - : BIOMED CENTRAL LTD. - 1471-2458. ; 16
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Tidskriftsartikel (refereegranskat)abstract
- Background: Thailand is 18th out of the 22 countries with the highest tuberculosis (TB) burden. It will be a challenge for Thailand to achieve the UN Millennium Development target for TB, as well as the new WHO targets for eliminating TB by 2035. More knowledge and a new approach are needed to tackle the complex challenges of managing the DOT program in Thailand. Contextual factors strongly influence the local implementation of evidence in practice. Using the PARIHS model, the aim has been to explore district leaders' perceptions of the management of the DOT program in Trang province, Thailand. Methods: A phenomenographic approach was used to explore the perceptions among district DOT program leaders in Trang province. We conducted semi-structured interviews with district leaders responsible for managing the DOT program in five districts. The analysis of the data transcriptions was done by grouping similarities and differences of perceptions, which were constructed in a hierarchical outcome space that shows a set of descriptive categories. Results: The first descriptive category revealed a common perception of the leaders' duty and wish to comply with the NTP guidelines when managing and implementing the DOT program in their districts. More varied perceptions among the leaders concerned how to achieve successful treatment. Other perceptions concerned practical dilemmas, which included fear of infection, mutual distrust, and inadequate knowledge about TB. Further, the leaders perceived a need for improved management practices in implementing the TB guidelines. Conclusion: Using the PARIHS framework to gain a retrospective perspective on the district-level policy implementation of the DOT program and studying the leadership's perceptions about applying the guidelines to practice, has brought new knowledge about management practices. Additional support and resources from the regional level are needed to manage the challenges.
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| 9. |
- Choowong, Jiraporn, et al.
(författare)
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Thai people living with tuberculosis and how they adhere to treatment : A grounded theory study
- 2017
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Ingår i: Nursing and Health Sciences. - : WILEY. - 1441-0745 .- 1442-2018. ; 19:4, s. 436-443
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Tidskriftsartikel (refereegranskat)abstract
- To develop a conceptual framework of adherence to treatment among Thai people living with tuberculosis, a grounded theory approach was used. A purposive sample of 20 Thai people living with tuberculosis, aged from 23 to 85years, was interviewed. From the participants' perspective, a core category of social belonging was highlighted, with three categories of conditions connected: personal barriers, personal resilience, and social facilitation. Personal barriers encompassed fear of stigma, concealing the illness, and lack of knowledge and motivation to complete the treatment regime. Personal resilience encompassed positive thinking and self-awareness. Social facilitation encompassed the ease of access to health services, continuity in the health service's ability to choose a directly-observed therapy observer, and social support. This study contributes a deeper understanding of the perspective of Thai people living with tuberculosis with regards to adherence to tuberculosis treatment. It might improve how local healthcare workers provide tuberculosis care, and inspire them to tailor care to people living with tuberculosis in a local community to increase personal resilience and reduce stigma.
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| 10. |
- Fosse, Elisabeth, et al.
(författare)
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The Nordic Health Promotion Research Network (NHPRN) - developing theory and research in a Nordicperspective
- 2016
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Konferensbidrag (refereegranskat)abstract
- BackgroundSince the Ottawa Charter (1986) the Nordic countries have been in the forefront in developing health promotion (HP) theory, research, policy and practice. An informal network of Nordic researchers organized five Nordic HP research conferences since 1996. In 2007, the NHPRN was established in cooperation with the Nordic School of Public Health, and three more conferences have been established.AimsThe aims of the NHPRN is to develop: the theoretical understanding of HP; Nordic research cooperation; cooperation within education on a master and PhD level; and to organize the Nordic Health Promotion ResearchConferencesOrganizationThe network members constitute a balanced representation of the Nordic countries: It is interdisciplinary with junior and senior researchers. It organizes biannual meetings at WHO’s premises in Copenhagen. The network is organized in working groups engaged in topics central for HP research and practice. Current working groups are Healthy aging; Health literacy; Equity in health; Empowerment; and Workplace health promotion. Working groups are not static and may change depending on the interests for the network members.Mode of workingIn the biannual meetings, lectures on state-of-the art issues are given by leading researchers and policy makers. Participants engage in theoretical discussions in plenum and working groups. The working groups perform research. Collaboration finds place at the meetings and through e-mail correspondence and web meetings. The working groups take part in the planning of conferences and organize workshops in line with their research interests.ProductionThe network has published the book Health literacy: teori och praktik i hälsofrämjande arbete (Ringsberg KC Olander E, Tillgren P. 2015), two supplements in Scandinavian Journal of Public Health (2010 and 2014) and several scientific articles. The network has organized three scientific conferences with a Nordic perspective: 2009;The role of health promotion in the transition of the Nordic welfare states (Gothenburg, Sweden); 2013: Promoting health in everyday settings (Vestfold, Norway); 2016: 20 years of health promotion research in the Nordic countries (Jyväskylä, Finland). A fourth conference is planned for 2019 with the topic Sustainable health promotion (Roskilde, Denmark).FutureThe network is open for PhD students and HP researchers working in the Nordic countries. The NHPRN is a working network and all participants must therefore commit to the work of the network and participate in its meetings. Researchers interested in participating in the network may obtain further information by contacting the network chairman Sami Kokko (sami.p.kokko@jyu.fi) or 1.1.2017 onwards Anne Liveng (aliveng@ruc.dk); seeing the website http://nhprn.wordpress.com; and/or reading Ringsberg KC., The Nordic Health Promotion Research Network, Scand J Publ Health 2015;43(Suppl 16):51-56.
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| 11. |
- Fredén, Lars, et al.
(författare)
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Vilken inriktning och kvalitet har examensarbeten i svenska folkhälsovetenskapliga utbildningar?
- 2017
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Ingår i: Socialmedicinsk Tidskrift. - 0037-833X .- 2000-4192. ; 94:3, s. 293-300
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Tidskriftsartikel (refereegranskat)abstract
- Den andra nationella utvärderingen av samtliga 23 utbildningsprogram på kandidat-, magister- och masternivå i folkhälsovetenskap genomfördes 2011-2012. Här presenteras en översikt av de examensarbeten som utvärderingen baserades på. Det är 218 slumpmässigt utvalda uppsatser, 67 från kandidatnivå, 55 från magisternivå och 76 från mastersnivå. Högskoleverkets hårt reglerade format medgav inte någon innehållsmässig analys av hur folkhälsovetenskapen speglades i uppsatserna. Vi åtta i bedömargruppen var dock eniga om att vidga ramarna. Vår fördjupning kom att fokuseras på vilka tillämpningsområden som studenterna valde, vilka forskningsdesigner som tillämpades och hur kvaliteten bedömdes i relation till ämne, metod och fakultetsområde. Av de nio folkhälsovetenskapliga områden som förekommer i uppsatserna var de vanligaste Hälsofrämjande och Hälsans bestämningsfaktorer. Ämnesinnehåll och olika examensnivåer varierade stort mellan de olika lärosätena. En slutsats är att utbildningen i folkhälsovetenskap har svårigheter att balansera det flervetenskapliga med att nå ett fördjupat kunskapsinnehåll.
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| 12. |
- Gustafsson, Gunnel, et al.
(författare)
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Akademiska folkhälsoutbildningar i Sverige – en översikt
- 2017
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Ingår i: Socialmedicinsk Tidskrift. - 0037-833X .- 2000-4192. ; 94:3, s. 278-292
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Tidskriftsartikel (refereegranskat)abstract
- Folkhälsovetenskap är sedan två decennier ett etablerat ämne inom den svenska högskolans alla tre utbildningsnivåer. Under åren har antalet utbildningar varierat och finns 2017 som akademisk utbildning vid 18 lärosäten. På grundnivå finns nio program och på avancerad nivå 18 olika program med vardera nio som magister- respektive masterutbildningar. Forskarutbildning i ämnet bedrivs vid tio lärosäten. Medan de varit en nedgång av antalet utbildningar på grundutbildningsnivå har det varit en kraftig utbyggnad på avancerad- och forskarutbildningsnivå. Utbildningens innehåll återspeglar väl ämnets tvärvetenskapliga karaktär och dess förankring i epidemiologi. Grundutbildningen visar på en bred inriktning och master programmen finns med flera specifika inriktningar, bland annat Global hälsa, Hälsoekonomi och Epidemiologi.
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| 13. |
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| 14. |
- Norfjord van Zyl, Maria, et al.
(författare)
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Experiences and perceptions about undergoing mammographic screening : a qualitative study involving women from a county in Sweden
- 2018
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : TAYLOR & FRANCIS LTD. - 1748-2623 .- 1748-2631. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose:An organized population-based mammographic screening programme aims for an early detection of potential breast abnormalities so that treatment can commence. Continuous participation and a high attendance rate are vital for an effective programme. It is important to understand the underlying reasons for participation in mammographic screening, should there be factors that are amendable within reason and could be adjusted. Therefore, the invited women are valuable sources of information. This study aimed at describing the experiences and perceptions about mammographic screening of women from three municipalities in a Swedish county.Method:Six semi-structured focus-group discussions, each with four to five participants, were held. Content analysis was then conducted.Results:The screening procedure, such as staff professionalism, was covered. Other people's opinions and the woman's own understanding affected the women's decisions on whether or not to undergo the procedure. Structural conditions, such as travel time and financial issues, were sources of concern. However, the offer to perform mammographic screening was perceived with gratitude.Conclusions:Structural conditions, risk and time perceptions, the screening procedure, attitudes towards undergoing it and appreciation of its benefit may influence the women's continuous willingness to be screened, which in turn may affect public and individual health.
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| 15. |
- Norfjord Zidar, Maria, et al.
(författare)
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Non-attendance of mammographic screening : the roles of age and municipality in a population-based Swedish sample.
- 2015
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Ingår i: International Journal for Equity in Health. - : BMC. - 1475-9276. ; 14:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Inequality in health and health care is increasing in Sweden. Contributing to widening gaps are various factors that can be assessed by determinants, such as age, educational level, occupation, living area and country of birth. A health care service that can be used as an indicator of health inequality in Sweden is mammographic screening. The non-attendance rate is between 13 and 31 %, while the average is about 20 %. This study aims to shed light on three associations: between municipality and non-attendance, between age and non-attendance, and the interaction of municipality of residence and age in relation to non-attendance.METHODS: The study is based on data from the register that identifies attenders and non-attenders of mammographic screening in a Swedish county, namely the Radiological Information System (RIS). Further, in order to provide a socio-demographic profile of the county's municipalities, aggregated data for women in the age range 40-74 in 2012 were retrieved from Statistics Sweden (SCB), the Public Health Agency of Sweden, the National Board of Health and Welfare, and the Swedish Social Insurance Agency. The sample consisted of 52,541 women. Analysis conducted of the individual data were multivariate logistic regressions, and pairwise chi-square tests.RESULTS: The results show that age and municipality of residence associated with non-attendance of mammographic screening. Municipality of residence has a greater impact on non-attendance among women in the age group 70 to 74. For most of the age categories there were differences between the municipalities in regard to non-attendance to mammographic screening.CONCLUSIONS: Age and municipality of residence affect attendance of mammographic screening. Since there is one sole and pre-selected mammographic screening facility in the county, distance to the screening facility may serve as one explanation to non-attendance which is a determinant of inequity. From an equity perspective, lack of equal access to health and health care influences facility utilization.
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| 16. |
- Ringsberg, Karin, et al.
(författare)
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Health literacy – challenges for the future
- 2016
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Konferensbidrag (refereegranskat)abstract
- Objective of the workshop: The aim is to highlight and discuss critical health literacy issues and concerns and pinpoint future challenges in theory, research and practice in order to strengthen supportive environments for health literacy. Background: Health literacy is a dynamic concept that more and more has come to the fore over the last ten years. This has led to an evolvement of a number of definitions with varying conceptual definitions and focus. A progression has occurred from health literacy focused on individuals' understanding of health information, to more complex definitions on people´s ability to use health literacy for societal influence i.e. critical health literacy. In a health promotion approach and in health promotion practice, health literacy is seen as a resource for the individual's health as well as for population health. Health literacy is also seen as a result of efforts to enhance health and equity in health between population groups, locally, nationally and internationally. In this workshop critical health literacy will be discussed from a health promotion perspective. PhD students who participate in the workshop and thereafter write a paper can be examined and approved equivalent for 1,5 ECTS. Organization of the workshop The workshop is building upon active interaction between the participants. It starts with a short introduction to the concept of health literacy, the most common definitions and a summing-up of current research within the field, elucidated from different perspectives with some Nordic examples from practice. Thereafter the participants discuss and reflect issues, and concerns and future challenges in research and practice from their own experiences and perspectives in subgroups. Finally a summary of the group discussions with pinpoint of future challenges according to supportive environments in plenum will be done.
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| 17. |
- Stier, Jonas, 1967-, et al.
(författare)
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Samarbete, samverkan, samproduktion
- 2016. - 1
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Ingår i: Samproduktionens retorik och praktik. - Lund : Studentlitteratur AB. - 9789144114828
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 18. |
- Stier, Jonas, 1967-, et al.
(författare)
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Samproduktionens praktik och teori
- 2016. - 1
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Ingår i: Samproduktionens retorik och praktik. - Lund : Studentlitteratur AB. - 9789144114828
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 19. |
- Tillgren, Per, 1945-
(författare)
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Folkhälsovetenskap i högre utbildning – olika perspektiv
- 2017
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Ingår i: Socialmedicinsk Tidskrift. - 0037-833X .- 2000-4192. ; 94:3, s. 276-277
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Behovet av en kvalificerad yrkeskompetens inom folkhälsoområdet är en viktig förutsättning för att kunna identifiera och följa folkhälsans utmaningar, men också för att kunna genomföra nödvändiga insatser på individ-, organisations- och samhällsnivå. En viktig katalysator och drivkraft som lyft fram detta behov är Världshälsoorganisationen (WHO).
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| 20. |
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| 21. |
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| 22. |
- Värnild, Astrid, et al.
(författare)
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Incidence of seriously injured road users in a Swedish region, 2003-2014, from the perspective of a national road safety policy
- 2019
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Ingår i: BMC Public Health. - : BioMed Central Ltd.. - 1471-2458. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Since 1997 Sweden has a policy for road safety called Vision Zero. Given that Vision Zero is mainly used to reduce fatalities among car occupants, the question has been raised by the research community whether a Vision Zero approach promotes health for all road traffic users. The objective is to measure target fulfilment of the national road safety policy for a Swedish region by examining incidence of serious injury during 2003-2014 in rural and urban road spaces with or without implemented measures. Methods: Data on seriously injured road users, defined as ISS > 8 (Injury Severity Score), were retrieved from STRADA (Swedish Traffic Accident Data Acquisition) together with data from NVDB (National Road Database). These data are used to describe where road users are seriously injured in relation to implemented national policy and using a conceptual model of a road space comprising roads, pavements and tracks for walking and cycling. Seriously injured road users in single and multiple crashes with and without vehicles are included. The development of the incidence is analysed for different road users and places in the road space. Results: Despite implemented road safety measures in the region, the incidence of seriously injured road users per 100,000 inhabitants in rural areas increased from 7.8 in 2003 to 9.3 in 2014 but doubled in urban areas from 8.0 in to 16.3 respectively. In areas not transformed by Vision Zero, only 36% were injured in rural areas while 64% were injured in urban areas. In contrast, in transformed areas 61% of injuries occurred in rural areas, whereas 39% occurred in urban areas. While the incidence decreased for car occupants on transformed national roads in rural areas, the incidence of serious injuries increased among unprotected road users in urban areas, in particular on pavements and tracks for cycling and walking than on the roads where Vision Zero had been implemented. Conclusion: The reduction in the incidence for car occupants in the region may not be adequate to contribute to fulfilling the national target. More needs to be done, especially in the urban areas, where more active mobility is desired.
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