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Sökning: AMNE:(MEDICIN OCH HÄLSOVETENSKAP) > Mittuniversitetet > Gillander Gådin Katja 1960

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1.
  • Hermansson, J., et al. (författare)
  • Shift work, parental cardiovascular disease and myocardial infarction in males
  • 2018
  • Ingår i: Occupational Medicine. - : Oxford University Press. - 0962-7480 .- 1471-8405. ; 68:2, s. 120-125
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Shift work has been associated with an increased risk of cardiovascular disease (CVD). However, there is a need for more studies to determine whether there is an interaction between shift work and other risk factors of CVD, thereby increasing the risk of CVD in shift workers. Aims To discern whether shift work and parental mortality from myocardial infarction (MI) or sudden cardiac death (SCD) interact to increase the risk of MI in men. Methods A case-control dataset was used to assess interaction between shift work and parental history of CVD, using death from MI or SCD, or death before age 65, on an additive scale. Results were reported as relative excess risk due to interaction, attributable proportion due to interaction (AP) and synergy index (SI). Results There was an interaction between shift work and paternal mortality from MI or SCD, when both factors were present [SI = 2.39; 95% confidence interval (CI) 1.02. 5.6 and AP = 0.4; 95% CI 0.08. 0.73]. Conclusions Paternal mortality from MI or SCD interacts with shift work to increase the risk of MI in men.
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2.
  • Hermansson, Jonas, et al. (författare)
  • Interaction between Shift Work and Established Coronary Risk Factors
  • 2019
  • Ingår i: International Journal of Occupational and Environmental Medicine. - : IJOEM. - 2008-6520 .- 2008-6814. ; 10:2, s. 57-65
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Shift work is associated with increased risk of cardiovascular disease, but the causes have not yet been fully established. It has been proposed that the coronary risk factors are more hazardous for shift workers, resulting in a potential interaction effect with shift work.OBJECTIVE: To analyse interaction effects of work schedule and established risk factors for coronary artery disease on the risk of myocardial infarction.METHODS: This analysis was conducted in SHEEP/VHEEP, a case-control study conducted in two counties in Sweden, comprising all first-time cases of myocardial infarction among men and women 45-70 years of age with controls stratified by sex, age, and hospital catchment area, totalling to 4648 participants. Synergy index (SI) was used as the main outcome analysis method for interaction analysis.RESULTS: There was an interaction effect between shift work and physical inactivity on the risk of myocardial infarction with SI of 2.05 (95% CI 1.07 to 3.92) for male shift workers. For female shift workers, interaction effects were found with high waist-hip ratio (SI 4.0, 95% CI 1.12 to 14.28) and elevated triglycerides (SI 5.69, 95% CI 1.67 to 19.38).CONCLUSION: Shift work and some established coronary risk factors have significant interactions.
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3.
  • Gillander Gådin, Katja, 1960-, et al. (författare)
  • School health promotion to increase empowerment, gender equality and pupil participation : A focus group study of a Swedish elementary school initiative
  • 2013
  • Ingår i: Scandinavian Journal of Educational Research. - : Routledge. - 0031-3831 .- 1470-1170. ; 57:1, s. 54-70
  • Tidskriftsartikel (refereegranskat)abstract
    • A school health promotion project was carried out in an elementary school in Sweden where active participation, gender equality, and empowerment were leading principles. The objective of the study was to understand challenges and to identify social processes of importance for such a project. Focus group interviews were conducted with 6 single-sex groups (7–12 year olds) in grade 1–2, grade 3–4, and grade 5–6 on 2 occasions. The analysis used a grounded theory approach. The analysis identified the core category “normalization processes of violence and harassment.” It is argued that school health promotion initiatives need to be aware of normalization processes of violence and, which may be counter-productive to the increase of empowerment and participation among all pupils.
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4.
  • Gillander Gådin, Katja, 1960-, et al. (författare)
  • Young students as participants in school health promotion: an intervention study in a Swedish elementary school
  • 2009
  • Ingår i: International Journal of Circumpolar Health. - 1239-9736 .- 2242-3982. ; 68:5, s. 498-507
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives. The aim was to analyse if young students could be substantive participants in a healthpromoting school project. The specific aims were to analyse the changes the students proposed in their school environment, how these changes were prioritized by a school health committee and to discuss the students' proposals and the changes from a health and gender perspective. Study design. An intervention project was carried out in an elementary school with students (about 150) in Grades 1 through 6. The intervention included small-group discussions about health promoting factors, following a health education model referred to as "It's your decision." At the last of 6 discussions, the students made suggestions for health-promoting changes in their school environment. A health committee was established with students and staff for the purpose of initiating changes based on the proposals. Methods. A content analysis was used to analyse the proposals and the protocols developed by the health committee. Results. The analysis showed 6 categories of the students' proposals: social climate, influence on schoolwork, structure and orderliness, security, physical environment and food for well-being. Their priorities corresponded to the students' categories, but had an additional category regarding health education. Conclusions. Principles that guide promoting good health in schools can be put into action among students as young as those in Grades 1 through 6. Future challenges include how to convey experiences and knowledge to other schools and how to evaluate if inequalities in health because of gender, class and ethnicity can be reduced through the focus on empowerment and participation.
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5.
  • Landstedt, Evelina, et al. (författare)
  • Understanding adolescent mental health: the influence of social processes, doing gender and gendered power relations
  • 2009
  • Ingår i: Sociology of Health and Illness. - : Wiley-Blackwell. - 0141-9889 .- 1467-9566. ; 31:7, s. 962-978
  • Tidskriftsartikel (refereegranskat)abstract
    • Despite a well-documented gender pattern in adolescent mental health, research investigating possible explanatory factors from a gender-theoretical approach is scarce. This paper reports a grounded theory study based on 29 focus groups. The aim was to explore 16- to 19-year-old students' perceptions of what is significant for mental health, and to apply a gender analysis to the findings in order to advance understanding of the gender pattern in adolescent mental health. Significant factors were identified in three social processes categories, including both positive and negative aspects: (1) social interactions, (2) performance and (3) responsibility. Girls more often experienced negative aspects of these processes, placing them at greater risk for mental health problems. Boys' more positive mental health appeared to be associated with their low degree of responsibility-taking and beneficial positions relative to girls. Negotiating cultural norms of femininity and masculinity seemed to be more strenuous for girls, which could place them at a disadvantage with regard to mental health. Social factors and processes (particularly responsibility), gendered power relations and constructions of masculinities and femininities should be acknowledged as important for adolescent mental health.  
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6.
  • Brännström, Lotta, 1973- (författare)
  • "Alltså det finns ju ingen respekt!” : Tjejers perspektiv på (o)trygghet och genusrelaterat våld i vardagen– en photovoicestudie
  • 2021
  • Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Genusrelaterat våld, och då specifikt killar och mäns våld mot tjejer och kvinnor är ett allvarligt globalt folkhälsoproblem, en kränkning av mänskligarättigheter och ett hot mot ett demokratiskt samhälle. De flesta studierna gällande genusrelaterat våld är genomförda i städer eller stadsnära områden och vi saknar tillräcklig kunskap om våld mot tjejer och unga kvinnor på landsbygd. Därför är det övergripande syftet med licentiatavhandlingen att öka kunskapen om genusrelaterat våld mot tjejer på landsbygd genom den participatoriska metoden photovoice.Licentiatavhandlingen består av en kappa och två publicerade delstudier [I‐II] som syftar till att skapa en djupare förståelse för genusrelaterat våld mot tjejer på landsbygd i Sverige, utifrån tjejers egna perspektiv. I studie [II] utökades syftet till att också diskutera metodens potential att nå nyckelpersoner inom policyfältet och leda till social förändring, utöver dess förmåga att informera och engagera. Det är genomgående kvalitativa studier. Det empiriska materialet består av insamlat data genom photovoice samt workshops och gruppintervjuer [I‐II]. Materialet består även av intervjuer med beslutsfattare (tjänstepersoner och politiker) och material från en inspelad podcast [II]. Insamlat data analyserades med hjälp av induktiv och deduktiv tematisk analys [I], en beskrivande aktionsorienterad analys samt innehållsanalys [II].Analysen i studie [I] utmynnade i två primära teman: det första temat konstant rädsla har två sub‐teman som förklarar en rädsla som är integrerad i tjejernas vardag, och som förminskar deras handlingsutrymmen. Det andra temat fokuserar på de strategier som tjejerna använder för att hantera denna konstanta rädsla, och detta bryts sedan ner i två sub‐teman som visar hur genusnormer till stor del påverkar beteende och förväntningar. Även resultatet i studie [II] visar att tjejernas känsla av kontroll var begränsad och att olika situationer i vardagslivet präglades av känslor av minskat handlingsutrymme och agens. Studien visar också att photovoice är en lämplig metod för att visuellt förmedla deltagarnas perspektiv samt att engagera och informera beslutsfattare, men att enbart metoden i sig inte kan garantera social förändring.Normativa föreställningar om genus påverkar i hög grad både språk och beteende bland ungdomar, och trots att Sverige ofta omtalas och framställs som ett jämställt samhälle finns det flera indikationer på det motsatta. Tjejers handlingsutrymme är betydligt mindre jämfört med killars, och tjejer marginaliseras i en mängd situationer och sociala interaktioner. Deltagarna i studien såg också ett tydligt samband mellan genusrelaterat våld och allvarliga hälsokonsekvenser, och studien hjälper oss förstå hur och på vilket sätt tonårstjejer i Sverige påverkas negativt av genusrelaterat våld. Den alarmerande höga förekomsten av genusrelaterat våld bland unga visar betydelsen av att adressera problemet redan från tidig ålder.
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10.
  • Dahlqvist, Heléne, 1974-, et al. (författare)
  • Co-occurrence of online and offline bullying and sexual harassment among youth in Sweden : Implications for studies on victimization and health - a short communication
  • 2022
  • Ingår i: International Journal of Circumpolar Health. - : Informa UK Limited. - 1239-9736 .- 2242-3982. ; 81:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Studies of co-occurrence of online and offline victimisation of bullying and sexual harassment and its associations to mental health outcomes among youth are scarce. To inform future study designs, the aim of this brief communication was to map co-occurrence of online and offline bullying and sexual harassment victimisation among adolescents. Data were collected in 2011 in nine schools in Northern Sweden, n = 1193 (boys = 566; girls = 627). Absolute and relative frequencies were calculated to find combinations of victimisation: one, two, three, or four forms. Reflecting a picture of the early days of online victimisation, in total fifty seven percent (57%) of adolescents were victimised. Single occurrence victimisation was 21.2% (offline sexual harassment was most common irrespective of gender), showing that most youths were victimised in a co-occurrence of two or more forms. Seven percent (7%) were victimised by all four forms of victimisation. Offline sexual harassment victimisation was present in the most common co-occurrences. Directions for future studies of victimisation and its associations to mental health outcomes are discussed.
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