| 1. |
- Koivusilta, L. K., et al.
(författare)
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Health inequality in adolescence. Does stratification occur by familial social background, family affluence, or personal social position?
- 2006
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Ingår i: BMC Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 6
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Tidskriftsartikel (refereegranskat)abstract
- Background: Two new sets of stratification indicators - family's material affluence and adolescent's personal social position- were compared with traditional indicators of familial social position based on parental occupation and education for their ability to detect health inequality among adolescents. Methods: Survey data were collected in the Adolescent Health and Lifestyle Survey in 2003 from nationally representative samples of 12-, 14- and 16-year-old Finns (number of respondents 5394, response rate 71%). Indicators of the familial social position were father's socio-economic status, parents' education, parents' labour market position. Indicators of material affluence were number of cars, vacation travels, and computers in the family, own room and amount of weekly spending money. Adolescent's personal social position was measured as school performance. Measures of health were long-standing illness, overweight, use of mental health services, poor self-rated health and number of weekly health complaints. Ordinal logistic regression analysis was applied to study the associations between stratification indicators and health variables. Results: All three groups of indicators of social stratification showed inequality in health, but the strongest associations were observed with the adolescent's personal social position. Health inequality was only partly identifiable by the traditional indicators of familial social position. The direction of the inequality was as expected when using the traditional indicators or personal social position: adolescents from higher social positions were healthier than those from lower positions. The indicators of family's material affluence showed mainly weak or no association with health and some of the indicators were inversely associated, although weakly. Conclusion: In addition to traditional indicators describing the socio-structural influences on the distribution of health among adolescents, indicators of family's material affluence should be further developed. Adolescents' personal social position should be included in the studies of health inequalities.
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| 2. |
- Belin, Matts-Åke, 1966-, et al.
(författare)
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Vision Zero : a road safety policy innovation
- 2012
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Ingår i: International Journal of Injury Control and Safety Promotion. - : Informa UK Limited. - 1745-7319 .- 1745-7300. ; 19:2, s. 171-179
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Tidskriftsartikel (refereegranskat)
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| 3. |
- Lagrosen, Yvonne
(författare)
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Waldorf pedagogy as an innovative approach for school health and learning
- 2019
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Ingår i: Proceedings of the European Conference on Innovation and Entrepreneurship, ECIE. - : Academic Conferences and Publishing International Limited. - 9781912764341 ; , s. 572-580
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Konferensbidrag (refereegranskat)abstract
- A research project regarding health promotion for school health, in the context of a Waldorf School received grants from the Swedish National Agency for Education. Waldorf pedagogy contains methods different from contemporary pedagogy such as integrating aesthetics and movement together in the learning process. The purpose of the study is twofold. First, to explore and evaluate the methods used in Waldorf pedagogy regarding their effects on health and learning. Second, to evaluate the suitability of the approach and methodologies per see for this kind of study. A case-study has been carried out involving pupils, staff and parents. A verified measurement instrument has been used. It is aimed at measuring health, quality and learning and it was further refined to better fit the present context. Quality dimensions previously identified for pupils and staff were used. Questionnaires were sent with a response rate ranging from 66% to 100%. Based on the questionnaires, pertinent questions were defined and explored in five quality cafés based on the world-café methodology. Feed-back from five focus-group interviews including all of the above-mentioned categories were also collected. In addition, a follow-up questionnaire was sent to co-workers and pupils. The results indicate that the school's activities with their basis in Waldorf pedagogy might have a health-promoting effect, since the school's activities are of high quality and the health of the pupils is generally good. The pupils greatly appreciated the quality cafes which gave them a forum to discuss things thoroughly as well as experiences of being listened to. The focus group interviews revealed that the pupils generally think that the school is good now, even better than before this project. Other perceived effects of the study concern increased team-building, happiness, increased awareness of importance of teachers' health, advantages of serving healthy food for learning and acceptance of each pupil's uniqueness. The study provides a holistic methodology to evaluate health promotion activities in a school project and provides insight into benefits of the Waldorf pedagogy.
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| 4. |
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| 5. |
- Larm, Peter, et al.
(författare)
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How are social capital and sense of coherence associated with hazardous alcohol use? : Findings from a large population-based Swedish sample of adults
- 2016
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 44:5, s. 525-533
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Tidskriftsartikel (refereegranskat)abstract
- Aims: This study examined whether social capital and a sense of coherence are associated with hazardous alcohol use in a large population-based Swedish sample. In particular, the objectives were (a) to examine which of five subdimensions of social capital is associated with hazardous alcohol use, (b) to investigate the moderating role of sense of coherence and (c) to examine possible sex differences. Methods: A postal survey was distributed to a sample of respondents (aged 18-84 years) from five Swedish counties that was stratified by sex, age and city; 40,674 (59.2%) participants responded, of which 45.5% were men and 54.5% were women with a mean +/- SD age of 53.8 +/- 17.9 years. Results: Structural dimensions of social capital were associated with an increased probability of hazardous alcohol use among both men and women, whereas the increased probability associated with cognitive dimensions occurred mostly among women. Sense of coherence was robustly associated with a decreased probability of hazardous alcohol use among both men and women. There were few moderating effects of sense of coherence and sex differences emerged mainly for the cognitive dimension of social capital. Conclusions: Associations between social capital dimensions and hazardous alcohol use were partly sex-specific, whereas the benefits of a sense of coherence accrued to both sexes. Social capital dimensions and sense of coherence were generally unrelated to each other. Only associations between the cognitive dimensions of social capital and hazardous alcohol use differed by sex.
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| 6. |
- Hasson, Dan, et al.
(författare)
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Self-rated Health and Allostatic Load in Women Working in Two Occupational Sectors
- 2009
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Ingår i: Journal of Health Psychology. - : Sage Publications. - 1359-1053 .- 1461-7277. ; 14:4, s. 568-577
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Tidskriftsartikel (refereegranskat)abstract
- This study set out to investigate how biological dysregulation, in terms of allostatic load (AL), relates to selfrated health (SRH) in women. Data on SRH and 12 biomarkers used to assess AL were available for 241 employees from the health care sector and 98 employees from the IT/media sector. In line with the hypothesis, results showed that a poor SRH, along with occupational sector, age and education, were significantly associated with a high AL, particularly for those working withinthe health care sector. This association between a poor SRH and AL, suggests a link between SRH and biological dysregulation.
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| 7. |
- Kirvalidze, Mariam, et al.
(författare)
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Effectiveness of integrated person-centered interventions for older people's care: Review of Swedish experiences and experts’ perspective
- 2024
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Ingår i: Journal of Internal Medicine. - : John Wiley & Sons. - 1365-2796 .- 0954-6820. ; 295:6, s. 804-824
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Tidskriftsartikel (refereegranskat)abstract
- Older adults have multiple medical and social care needs, requiring a shift toward an integrated person-centered model of care. Our objective was to describe and summarize Swedish experiences of integrated person-centered care by reviewing studies published between 2000 and 2023, and to identify the main challenges and scientific gaps through expert discussions. Seventy-three publications were identified by searching MEDLINE and contacting experts. Interventions were categorized using two World Health Organization frameworks: (1) Integrated Care for Older People (ICOPE), and (2) Integrated People-Centered Health Services (IPCHS). The included 73 publications were derived from 31 unique and heterogeneous interventions pertaining mainly to the micro- and meso-levels. Among publications measuring mortality, 15% were effective. Subjective health outcomes showed improvement in 24% of publications, morbidity outcomes in 42%, disability outcomes in 48%, and service utilization outcomes in 58%. Workshop discussions in Stockholm (Sweden), March 2023, were recorded, transcribed, and summarized. Experts emphasized: (1) lack of rigorous evaluation methods, (2) need for participatory designs, (3) scarcity of macro-level interventions, and (4) importance of transitioning from person- to people-centered integrated care. These challenges could explain the unexpected weak beneficial effects of the interventions on health outcomes, whereas service utilization outcomes were more positively impacted. Finally, we derived a list of recommendations, including the need to engage care organizations in interventions from their inception and to leverage researchers’ scientific expertise. Although this review provides a comprehensive snapshot of interventions in the context of Sweden, the findings offer transferable perspectives on the real-world challenges encountered in this field.
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| 8. |
- Almqvist, Lena, et al.
(författare)
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'I can play!' : Young children's perceptions of health
- 2006
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Ingår i: Pediatric Rehabilitation. - London : Taylor & Francis. - 1363-8491 .- 1464-5270. ; 9:3, s. 275-284
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Tidskriftsartikel (refereegranskat)abstract
- Health is today viewed as a multi-dimensional concept partly conceptualized independent from not being ill. The aim of this study was to gain knowledge of how young children perceive health. Interviews were conducted with 68 children (4–5 years), within their pre-school setting, with the help of a semi-structured interview guide. A multi-dimensional perspective represented by the health dimensions of the International Classification of Functioning, Disability and Health (ICF) was used in a manifest deductive content analysis. The children's statements were categorized and placed under one of the four health dimensions, body, activity, participation and environment. A latent content analysis was applied to identify underlying themes in the manifest categories. The results revealed that young children perceive health as a multi-dimensional construct, largely related to being engaged, i.e. to be able to perform wanted activities and participate in a supportive every-day context. This implies that improvements of child engagement should be emphasized in health promotion and to a greater extent be the central focus of health interventions for young children.
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| 9. |
- Åslund, Cecilia, et al.
(författare)
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The buffering effect of tangible social support on financial stress : Influence on psychological well-being and psychosomatic symptoms in a large sample of the adult general population
- 2014
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Ingår i: International Journal for Equity in Health. - London : Springer Science and Business Media LLC. - 1475-9276. ; 13
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Financial stress is an important source of distress and is related to poor mental and physical health outcomes. The present study investigated whether tangible social support could buffer the effect of financial stress on psychological and psychosomatic health. Methods: Two separate postal surveys were sent to random samples in five counties in Sweden in 2004 and 2008, with a total of 84 263 respondents. The questionnaires included questions about financial stress, tangible social support, psychosomatic symptoms, and psychological well-being (General Health Questionnaire-12). Results: Individuals with high financial stress and low tangible social support had six to seven times increased odds ratios for low psychological well-being and many psychosomatic symptoms. By contrast, individuals with high financial stress and high tangible social support had only two to three times increased odds ratios for low psychological well-being and three to four times increased odds ratios for many psychosomatic symptoms, suggesting a buffering effect of tangible social support. Consistent with the buffering hypothesis, there were significant interactions between financial stress and social support, particularly in relation to low psychological well-being. Conclusions: Social support had its strongest effect at high levels of financial stress. The question whether the altering of our social networks may improve physical health is important for the prevention of ill health in people experiencing financial stress. Strengthening social networks may have the potential to influence health-care costs and improve quality of life.
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| 10. |
- Björck-Åkesson, Eva, 1952-, et al.
(författare)
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The International Classification of Functioning, Disability and Health and the version for children and youth as a tool in child habilitation/early childhood intervention - feasibility and usefulness as a common language and frame of reference for practice
- 2010
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Ingår i: Disability and Rehabilitation. - London : Taylor & Francis. - 0963-8288 .- 1464-5165. ; 32:S1, s. S125-S138
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Tidskriftsartikel (refereegranskat)abstract
- Early childhood intervention and habilitation services for children with disabilities operate on an interdisciplinary basis. It requires a common language between professionals, and a shared framework for intervention goals and intervention implementation. The International Classification of Functioning, Disability and Health (ICF) and the version for children and youth (ICF-CY) may serve as this common framework and language. This overview of studies implemented by our research group is based on three research questions: Do the ICF-CY conceptual model have a valid content and is it logically coherent when investigated empirically? Is the ICF-CY classification useful for documenting child characteristics in services? What difficulties and benefits are related to using ICF-CY model as a basis for intervention when it is implemented in services? A series of studies, undertaken by the CHILD researchers are analysed. The analysis is based on data sets from published studies or master theses. Results and conclusion show that the ICF-CY has a useful content and is logically coherent on model level. Professionals find it useful for documenting children's body functions and activities. Guidelines for separating activity and participation are needed. ICF-CY is a complex classification, implementing it in services is a long-term project.
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