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Sökning: elisabeth mangrio

  • Resultat 11-20 av 33
  • Föregående 1[2]34Nästa
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11.
  • Mangrio, Elisabeth, et al. (författare)
  • Antibiotic use among 8-month-old children in Malmö, Sweden--in relation to child characteristics and parental sociodemographic, psychosocial and lifestyle factors.
  • 2009
  • Ingår i: BMC Pediatrics. - : BioMed Central (BMC). - 1471-2431. ; 9:May 8
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: In the county of Scania, Sweden, antibiotic use among small children is among the highest in the country. The aim of this study was to investigate the associations between antibiotic use among 8-month-old children in Malmö and characteristics of the child as well as parental sociodemographic characteristics, lifestyle factors, and psychosocial support. METHODS: The study was a population-based cross-sectional survey. The study population consisted of children who visited the Child Health Care (CHC) centres in Malmö for their 8-month health checkup during 2003-2006 and whose parents answered a self-administered questionnaire (n = 7266 children). The questionnaire was distributed to parents of children registered with the CHC and invited for an 8-month checkup during the study period. RESULTS: The odds of using antibiotics increased as parental educational level decreased. Using high educational level as a reference group, low maternal educational level was associated with an increased antibiotic use for the child, odds ratio (OR) = 1.61 (95% CI: 1.34-1.93). Furthermore, children whose parents were born outside Sweden showed higher antibiotic use, OR = 1.43 (95% CI: 1.24-1.65), in comparison with children whose parents were born in Sweden. Exposure to environmental smoking, parental experience of economic stress, and a low level of emotional support increased the odds for antibiotic use. Boys had higher odds of use of antibiotics than girls, OR = 1.40 (95% CI: 1.25-1.57). Having a low birth weight, having an allergy and having siblings also increased the odds for early antibiotic use, while breastfeeding seemed to have a protective role. CONCLUSION: There were clear associations between parental factors such as sociodemographic, psychosocial and lifestyle factors and antibiotic use at this early stage of life. Several characteristics of the child also affected the use of antibiotics.
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12.
  • Mangrio, Elisabeth, et al. (författare)
  • Crowded living and its association with mental ill-health among recently-arrived migrants in Sweden : a quantitative study
  • 2018
  • Ingår i: BMC Research Notes. - : BioMed Central. - 1756-0500 .- 1756-0500. ; 11
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective Housing and neighbourhood conditions are widely acknowledged important social determinants of health and health inequalities that persist in developed countries despite general improvements in health outcomes across populations. Previous research has investigated what effect crowded living conditions have on mental health and concluded that women living in crowded conditions were more likely to suffer from depression. In contrast, men living in the same conditions responded with withdrawal or aggression. To the best of our knowledge, only a few studies have examined the association between recently-arrived migrants living in crowded conditions and poor mental health. The aim of this study was to investigate the association between crowded living conditions among recently-arrived migrants in Sweden and mental ill-health. The result is based on 681 migrants who completed and returned questionnaires in 2015-2016. Results The analyses, independent of gender, resulted in a significant unadjusted odds ratio of 1.46 (95% CI 1.05-2.03); even after adjustments were made, the association remained significant OR 1.47 (1.05-2.07). When adding stability in housing into the adjustment-model, the OR did not remain significant OR 1.40 (0.99-1.99), p-value 0.061.
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13.
  • Mangrio, Elisabeth, et al. (författare)
  • Early life factors and being overweight at 4 years of age among children in Malmo, Sweden
  • 2010
  • Ingår i: BMC Public Health. - : BioMed Central (BMC). - 1471-2458. ; 10
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Rising rates of obesity and overweight is an increasing public health problem all over the world. Recent research has shown the importance of early life factors in the development of child overweight. However, to the best of our knowledge there are no studies investigating the potential synergistic effect of early life factors and presence of parental overweight on the development of child overweight. Methods: The study was population-based and cross-sectional. The study population consisted of children who visited the Child Health Care (CHC) centers in Malmo for their 4-year health check during 2003-2008 and whose parents answered a self-administered questionnaire (n = 9009 children). Results: The results showed that having overweight/obese parents was strongly associated with the child being overweight or obese. Furthermore, there was an association between unfavorable early life factors (i.e., mother smoking during pregnancy, presence of secondhand tobacco smoke early in life, high birth weight) and the development of child overweight/obesity at four years of age, while breastfeeding seemed to have a protective role. For example, maternal smoking during pregnancy was associated with an odds ratio (OR) of 1.47 (95% CI: 1.22, 1.76) for overweight and 2.31 (95% CI: 1.68, 3.17) for obesity. The results further showed synergistic effects between parental overweight and exposure to unfavourable early life factors in the development of child overweight. Conclusions: The present study shows the importance of early life factors in the development of child overweight and obesity, and thus puts focus on the importance of early targeted interventions.
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14.
  • Mangrio, Elisabeth (författare)
  • Epidemiological studies of sociodemographic factors, early life factors, health, and medical care consumption among small children
  • 2011
  • Doktorsavhandling (övrigt vetenskapligt)abstract
    • By international standards, children in Sweden experience good health. Sweden has low infant mortality rates, low accident mortality rates, a high number of breastfed children and a high proportion of vaccinated children. However, during the past twenty years the prevalence of overweight children has doubled in Sweden, while that of obese children has increased 4-5 times. Furthermore, there has been an increase in self-reported problems such as anxiety and sleeping disturbances among adolescents. Asthma and other types of allergic diseases are the most common chronic diseases during childhood, while infectious diseases are the most common causes of short-term morbidity. It is well-known that the social position of the family, living conditions, and parental health-related behaviors are closely connected with health in childhood. The socioeconomic position (SEP) of the family affects the child’s health from the very beginning of life through the mother’s health-related behaviors during pregnancy. Even though the prevailing etiological model for adult chronic disease emphasizes adult risk factors, the importance of earlier life circumstances has recently attracted considerable attention. A life course perspective seems to increase our understanding of health in childhood as well as later on, in adulthood. In this thesis, the associations between sociodemographic factors and early life factors (e.g., maternal smoking during pregnancy, exposure to secondhand tobacco smoke, breastfeeding, and high birth weight) on the one hand and health and medical care consumption on the other hand, were investigated among small children in Malmö. The studies in the thesis were population-based and cross-sectional, and the study populations comprised children who visited the Child health care (CHC) centers for their 8-month or 4-year check-up during 2003-2008 and whose parents answered a self-administered questionnaire. The self-administered questionnaire was handed out to the parents of 8-month-old and 4-year-old children in conjunction with their check-up at the CHC centers aiming to reach all children in Malmö in these two age groups. The questionnaire was distributed by the pediatric nurses at the centers. The results showed that antibiotic consumption at an early age was influenced by several factors including parental sociodemographic factors, lifestyle factors, psychosocial support, as well as child-related factors. The results further showed associations between exposure to unfavorable early life factors and the development of childhood allergy and overweight or obesity. Such effects were enhanced when there were presence of parental allergy or parental overweight, respectively. Children with less educated mothers were exposed to more health risks, fewer health promoting factors, worse social support and had a higher medical care consumption than children with mothers with higher levels of education.In conclusion, the results show that children’s health seems to be highly influenced by the characteristics of the families into which they are born. The results also put focus on the importance of early targeted interventions.
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15.
  • Mangrio, Elisabeth, et al. (författare)
  • Immigrant parents’ experience with the Swedish child health care system : A qualitative study
  • 2017
  • Ingår i: BMC Family Practice. - : BioMed Central. - 1471-2296 .- 1471-2296. ; 18:32
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Immigration, particularly when it is involuntary, is known to be an emotional stressor, regardless of the reason behind it. It is always a challenge to be removed from the habitual and cultural action pattern of the person or family. This can make children more vulnerable, because they often arrive with an increased risk of poor physical health. Because of that, it is crucial that immigrant children have access to ongoing health care. The aim of this study is to shed light on the experience of non-European immigrants with Sweden’s Child Health Care system. Methods: Qualitative semi-structured interviews were conducted, with parents of children who were patients of one of the four child health care centres. The centres were in four areas in a town in southern Sweden in which there are substantial immigrant populations. The interviews were conducted, transcribed and then analyzed with content analysis. Results: The results were divided into two main categories: The first is “the sense of being cared for in another way,” which was divided into the following four subcategories: compare with the home country, getting a home visit, engagement and contentment and unfamiliarity with the language. The second main category. “The feeling of getting all the practical needs met through the child health care system” had the following four subcategories: The importance of advice and guidance, getting oral and written information, getting help when needed and getting support when needed. Conclusions: The parents expressed contentment regarding the Swedish child health care and they were thankful for how it was organized, the engagement of the nurses, the information and advices given as well as for the opportunities of getting a home visit after birth. However, more research is needed in order to find out the extent to which the Swedish child health care system is culturally appropriate in the whole country. KEYWORDS Migration, qualitative research, child health care, support
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16.
  • Mangrio, Elisabeth, et al. (författare)
  • Maternal educational level, parental preventive behavior, risk behavior, social support and medical care consumption in 8-month-old children in Malmo, Sweden
  • 2011
  • Ingår i: BMC Public Health. - : BioMed Central (BMC). - 1471-2458. ; 11:891
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The social environment in which children grow up is closely associated with their health. The aim of this study was to investigate the relationship between maternal educational level, parental preventive behavior, parental risk behavior, social support, and use of medical care in small children in Malmo, Sweden. We also wanted to investigate whether potential differences in child medical care consumption could be explained by differences in parental behavior and social support. Methods: This study was population-based and cross-sectional. The study population was 8 month-old children in Malmo, visiting the Child Health Care centers during 2003-2007 for their 8-months check-up, and whose parents answered a self-administered questionnaire (n = 9,289 children). Results: Exclusive breast feeding >= 4 months was more common among mothers with higher educational level. Smoking during pregnancy was five times more common among less-educated mothers. Presence of secondhand tobacco smoke during the first four weeks of life was also much more common among children with less-educated mothers. Less-educated mothers more often experienced low emotional support and low practical support than mothers with higher levels of education (>12 years of education). Increased exposure to unfavorable parental behavioral factors (maternal smoking during pregnancy, secondhand tobacco smoke and exclusive breastfeeding <4 months) was associated with increased odds of in-hospital care and having sought care from a doctor during the last 8 months. The odds were doubled when exposed to all three risk factors. Furthermore, children of less-educated mothers had increased odds of in-hospital care (OR = 1.34 (95% CI: 1.08, 1.66)) and having sought care from a doctor during the last 8 months (OR = 1.28 (95% CI: 1.09, 1.50)), which were reduced and turned statistically non-significant after adjustment for unfavorable parental behavioral factors. Conclusion: Children of less-educated mothers were exposed to more health risks, fewer health-promoting factors, worse social support, and had higher medical care consumption than children with higher educated mothers. After adjustment for parental behavioral factors the excess odds of doctor's visits and in-hospital care among children with less-educated mothers were reduced. Improving children's health calls for policies targeting parents' health-related behaviors and social support.
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17.
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18.
  • Mangrio, Elisabeth, et al. (författare)
  • Refugees’ experiences of healthcare in the host country : a scoping review
  • 2017
  • Ingår i: BMC Health Services Research. - : BioMed Central. - 1472-6963 .- 1472-6963. ; :17:814, s. 1-16
  • Forskningsöversikt (refereegranskat)abstract
    • Background: During the last years, Europe experienced an increase in immigration due to a variety of worldwide wars and conflicts, which in turn resulted in a greater number of physical and mental health issues present among the refugees. These factors place high demands not only on the refugees, but also on healthcare professionals who meet the refugees in different situations. Information about the refugees’ experiences of the healthcare systems in their host countries is urgently needed to improve the quality of healthcare delivered, as well as to provide opportunities for better access. The aim of this scoping review is to compile research about the experiences that the refugees have with the healthcare systems in their host countries. Methods: This study was conducted as a scoping review and the methodology is derived from Levac et al. and with inspiration from the framework of Arksey & O’Malley. A systematic article search was done in Medline, Cinahl and Psychinfo. A total of 619 articles were found in the search and finally 26 articles met the inclusion criteria and were included. Results: The results show that communication between healthcare professionals and refugees is important, however, insufficient language knowledge acts as an effective communication barrier. There is a need for more information to be given to the refugees about the reception country’s healthcare system in both oral and written formats, as well as the right to healthcare. Support from healthcare professionals is also important for refugees to have a positive experience with healthcare. In some of the studies included, refugees experienced discrimination due to low proficiency in the language of the host country, and/or because of their race or accent, which shows that culturally appropriate healthcare is needed for them. Conclusions: Since refugees are suffering from poor mental and physical health and could therefore be at a greater risk of morbidity and mortality in comparison to the rest of the population of the host country, there is an urgent need for improvements in communication, interpretation, support, and deliverance of culturally appropriate healthcare.
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19.
  • Mangrio, Elisabeth, et al. (författare)
  • Sociodemographic, physical, mental and social factors in the cessation of breastfeeding before 6 months : a systematic review
  • 2018
  • Ingår i: Scandinavian Journal of Caring Sciences. - : Nordic College of Caring Science. - 0283-9318 .- 1471-6712. ; 32:2, s. 451-465
  • Tidskriftsartikel (refereegranskat)abstract
    • Bakgrund: WHO rekommenderar exklusiv amning som enda näring under spädbarnets första sex månader. Trots denna rekommendation, ammar inte alla kvinnor, varken helt eller delvis under denna period. Syfte: Syftet med denna systematiska litteraturstudie var att sammanställa evidens gällande sociodemografiska, fysiska, psykiska och sociala faktorers påverkan på att ammande mammor slutar att amma innan barnet är 6 månader. Sökmetod: En systematisk sökning utfördes i fyra olika databaser. Inkluderingskriterier: Studier med kvantitativ forskning inkluderades. Data kollektion och analys: Totalt lästes 186 abstrakt och utav dessa ansågs 83 vara relevanta och 18 var dubbletter. Slutligen inkluderades 27 artiklar eftersom de svarade mot syftet. Kvalitetsgranskning utfördes med hjälp av en granskningsmall från SBU och evidensgradering utfördes med hjälp utav GRADE. Resultat: Det visade sig finnas ett samband mellan avslut av amning och unga mammor, låg utbildningsnivå, återgång till arbetet inom 12 veckor efter barnets födsel, kejsarsnitt och otillräcklig mjölkproduktion och detta samband hade låg evidens. Sambandet mellan depression hos mamman och avslut av amning hade mycket låg evidens. Slutsats: Sociodemografiska faktorer verkade ha samband med avslut av amning i flertalet av dem inkluderade artiklarna. Det preventiva arbetet borde fokusera på hur kunskapen hos hälso-sjukvårdspersonal kan förbättras och hur riktade interventioner kan fokusera på mammor som riskerar att avsluta sin amning innan 6 månader Nyckelord: amning, litteraturstudie, riskfaktorer, avslut av amning
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20.
  • Mangrio, Elisabeth, et al. (författare)
  • The Association Between Self-perceived Health and Sleep-Quality and Anxiety Among Newly Arrived Refugees in Sweden : A Quantitative Study.
  • 2020
  • Ingår i: Journal of Immigrant and Minority Health. - : Springer. - 1557-1912 .- 1557-1920. ; 22, s. 82-86
  • Tidskriftsartikel (refereegranskat)abstract
    • Previous research findings suggest that insomnia could be related to decreased health status and that it could also be affected by traumatic life experiences, such as war. Good health is important for newly arrived refugees for an effective integration process. The aim of the present study is, therefore, to investigate the association between self-perceived health and sleep quality among newly arrived refugees in Sweden. The results are based on 681 migrants who participated in a survey between 2015 and 2016. There was a significant odds ratio (OR) after adjustment for confounders for newly arrived refugees that were experiencing bad self-perceived health to also experience bad sleep: OR 8.07 (4.34-15.00). Furthermore, the OR remained significant but lower after adjustments for confounders for newly arrived refugees that had bad self-perceived health to be suffering from anxiety during sleep, with OR 3.83 (2.11-6.94).
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