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| 2. |
- Albin, Anna-Karin, et al.
(author)
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Does growth hormone treatment influence pubertal development in short children?
- 2011
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In: Hormone Research in Paediatrics. - : S. Karger AG. - 1663-2826 .- 1663-2818. ; 76:4, s. 262-72
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Journal article (peer-reviewed)abstract
- AIM: To study the influence of growth hormone (GH) treatment on the initiation and progression of puberty in short children. METHODS: This prospective, randomized, controlled study included 124 short children (33 girls) who received GH treatment (Genotropin(R); Pfizer Inc.) from a mean age of 11 years until near adult height [intent-to-treat (ITT) population]. Children were randomized into three groups: controls (n = 33), GH 33 mug/kg/day (n = 34) or GH 67 mug/kg/day (n = 57). Prepubertal children at study start constituted the per-protocol (PP) population (n = 101). Auxological measurements were made and puberty was staged every 3 months. Serum sex-steroid concentrations were assessed every 6 months. RESULTS: No significant differences were found between the groups, of both PP and ITT populations, in time elapsed from start of treatment until either onset of puberty, age at start of puberty or age at final pubertal maturation in either sex. In the ITT population, pubertal duration was significantly longer in GH-treated girls, and maximum mean testicular volume was significantly greater in GH-treated boys than controls, but there were no differences in testosterone levels between the groups. CONCLUSION: GH treatment did not influence age at onset of puberty and did not accelerate pubertal development. In boys, GH treatment appeared to increase testicular volume.
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| 3. |
- Albin, Björn, et al.
(author)
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Comparison of Stroke Mortality in Finnish-Born Migrants Living in Sweden 1970-1999 and in Swedish-Born Individuals
- 2014
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In: Journal of Immigrant and Minority Health. - : Springer Science and Business Media LLC. - 1557-1912 .- 1557-1920. ; 16:1, s. 18-23
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Journal article (peer-reviewed)abstract
- A limited number of studies have been found on stroke mortality in migrants showing higher mortality for some groups. Influence of time of residence has been studied by one research group. An earlier study showed a significantly higher number of deaths in Diseases of the circulatory system in Finnish migrants compared with native Swedes. To test the hypothesis of a higher mortality in and a decrease in mortality over time in stroke among Finnish migrants in Sweden. The study was based on National Population data, the study population included 321,407 Swedish and 307,174 foreign born persons living in Sweden 1987-1999. Mean age was lower at time for death for Finnish migrants than native Swedes, men 5.1 years difference and women 2.3 years. The difference decreased over time. The risk of death by stroke was higher for migrants with short time of residence than with long time (<= 10 years, OR 1.61-1.36 vs >= 11 year, OR 1.18). Migrants with short time of residence died 9.8-5.3 years earlier than native Swedes. The hypothesis was confirmed and an indication of adjustment to life in the new country was found. International studies show similar results for other migrant groups but further studies are needed to verify if the same pattern can be found in other migrants groups in Sweden and to generalise the findings.
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| 4. |
- Albin, Björn, 1951-, et al.
(author)
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County Differences in Mortality among Foreign-Born Compared to Native Swedes 1970-1999
- 2012
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In: Nursing Research and Practice. - New York, NY, USA : Hindawi Publishing Corporation. - 2090-1429 .- 2090-1437. ; 2012, s. Article ID 136581-
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Journal article (peer-reviewed)abstract
- Background. Regional variations in mortality and morbidity have been shown in Europe and USA. Longitudinal studies have found increased mortality, dissimilarities in mortality pattern, and differences in utilization of healthcare between foreign- and native-born Swedes. No study has been found comparing mortality among foreign-born and native-born Swedes in relation to catchment areas/counties. Methods. The aim was to describe and compare mortality among foreign-born persons and native Swedes during 1970–1999 in 24 counties in Sweden. Data from the Statistics Sweden and the National Board of Health and Welfare was used, and the database consisted of 723,948 persons, 361,974 foreign-born living in Sweden in 1970 and aged 16 years and above and 361,974 matched Swedish controls. Results. Latest county of residence independently explained higher mortality among foreign-born persons in all but four counties; OR varied from 1.01 to 1.29. Counties with a more rural structure showed the highest differences between foreign-born persons and native controls. Foreign-born persons had a lower mean age (1.0–4.3 years) at time of death. Conclusion. County of residence influences mortality; higher mortality is indicated among migrants than native Swedes in counties with a more rural structure. Further studies are needed to explore possible explanations.
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| 5. |
- Albin, Björn, et al.
(author)
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Health and consumption of health care and social service among old migrants in Sweden
- 2005
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In: Primary Health Care Research and Development. - : SAGE Publications. - 1463-4236 .- 1477-1128. ; 6:1, s. 37-45
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Journal article (peer-reviewed)abstract
- Due to migration, an increasing number of the elderly in Sweden will be foreign-born, ‘old migrants’. Old migrants will need help from society with health care and social service. Migration may influence people's health and thus also their consumption of health care and social service. The aim of the present study was to discuss migration and health with the focus on old migrants by a review of literature, and to describe the pattern of health care and social service consumption among old migrants living in Sweden, studying whether there were any differences compared with old people born in Sweden. The results showed that there is a lack of data describing old migrants' health. Available data indicate poorer self-rated health, more chronic illness and impaired mobility capacity. There are some Swedish studies describing morbidity and mortality among migrants in Sweden. These are consistent: migrants have more health problems in general and migrants from the Nordic countries have a higher mortality rate. There are no public statistics about old migrants' consumption of health care and social service in Sweden. Some studies show that old migrants consume less than native Swedes. Other studies indicate the same or higher consumption of health care, but lower consumption of social service among migrants. In conclusion, few studies concern health and consumption of health care and social care among old migrants; the results are divergent and there could be several different explanations for dissimilarities, such as migrational background, cultural distance, time of residence, socioeconomic position and adaptation in the new society. Thus, further studies are needed.
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| 6. |
- Albin, Björn, 1951-, et al.
(author)
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Health Care Systems in Sweden and China : Legal and formal organisational aspects
- 2010
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In: Health Research Policy and Systems. - : BioMed Central (BMC). - 1478-4505. ; 8
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Journal article (peer-reviewed)abstract
- AIM: To describe and compare health care in Sweden and China with regard to legislation, organisation, and finance.METHODS: Literature review in Sweden and China to identify literature published from 1985 to 2008 using the same keywords. References in recent studies were scrutinized, national legislation and regulations and government reports were searched, and textbooks were searched manually.RESULTS: The health care systems in Sweden and China show dissimilarities in legislation, organisation, and finance. In Sweden there is one national law concerning health care while in China the law includes the "Hygienic Common Law" and the "Fundamental Health Law" which is under development. There is a tendency towards market-orientated solutions in both countries. Sweden has a well-developed primary health care system while the primary health care system in China is still under development and relies predominantly on hospital-based care concentrated in cities.CONCLUSION: Despite differences in health care systems, Sweden and China have similar basic assumptions, i.e. to combine managerial-organisational efficiency with the humanitarian-egalitarian goals of health care, and both strive to provide better care for all.
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| 7. |
- Albin, Björn
(author)
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Hälsa bland invandrare i Sverige i ett långtidsperspektiv
- 2006
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In: Flervetenskapliga perspektiv i migrationsforskning. - Växjö : Växjö University Press. - 9176365204 ; , s. 10-
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Book chapter (other academic/artistic)abstract
- Migration är idag en internationell process och en internationell fråga som påverkar nästan varje land på jorden. Internationella beräkningar uppskattar att antalet migranter har, under perioden 1970 till år 2000, stigit från 82 till 175 millioner. Sambandet mellan migration och hälsa har diskuterats i tidigare studier och att migration kan påverka hälsan både i negativ riktning eller i positiv riktning. Under 2002-2006 genomfördes fyra olika delstudier av med inriktning på hälsa och hälsoutveckling bland migranter i Sverige. Samtliga studier baserades på data från SCB och Socialstyrelsens Epidemiologiska centrum (EpC) och i databasen ingick samtliga utrikes födda personer, 16 år och äldre, som var bosatta i Sverige 1970.. Till varje utrikes född person fanns en matchad infödd svensk person, en kontrollperson. Databasen som användes för analyser kom att omfatta 723 948 personer där hälften var utrikes födda och hälften svenska kontrollpersoner. De fyra olika delstudierna beskrev och analyserade skillnaderna mellan utrikes födda och personer födda i Sverige vad gäller, dödlighet, sjukdomsmönster, konsumtion av vård och regionala skillnader i dödlighet. Resultaten, visade en högre dödlighet med regionala skillnader, annorlunda sjukdomsmönster och en tendens till lägre konsumtion av vård bland utrikes födda än bland svenskfödda personer under perioden 1970-1999. Det går inte att påvisa och förklara de återfunna skillnaderna i hälsa med ett fåtal enkla faktorer. Flera faktorer, så som ekonomisk situation, arbete, arbetsmiljö, arbetslöshet, sociala nätverk och situationen före migrationen kan ha påverkat de utrikes föddas sämre hälsoläge. Den fysiska och sociala miljön och eventuella ojämlikheter i sjukvårdsresurser och tillgång till vård spelar också en viktig roll. Migrationen har haft en negativ inverkan på de utrikes föddas hälsa och är en viktig faktor att ta hänsyn till vid studier av hälsa och hälsoutveckling bland befolkningen i ett land.
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| 8. |
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| 9. |
- Albin, Björn, 1951-, et al.
(author)
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Lower prevalence of hip fractures in foreign-born individuals than in Swedish-born individuals during the period 1987-1999
- 2010
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In: BMC Musculoskeletal Disorders. - London, UK : BioMed Central (BMC). - 1471-2474. ; 11, s. 203-
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Journal article (peer-reviewed)abstract
- Cultural background and environmental factors such as UV-radiation and lifestyle during childhood and adolescence may influence the risk of a hip fracture event later in life. Differences in prevalence might occur between the indigenous population and those who have migrated to a country.METHODS: The study was based on national population data. The study population consisted of 321,407 Swedish-born and 307,174 foreign-born persons living in Sweden during the period 1987-1999.RESULTS: Foreign-born persons had reduced risk of hip fracture, with odds ratios (ORs) of 0.47-0.77 for men and 0.42-0.88 for women respectively. Foreign-born women had the hip fracture event at a higher age on average, but a longer time spent in Sweden was associated with a small but significant increase in risk.CONCLUSIONS: There was a reduced risk of hip fracture in all foreign-born individuals, and that the hip fracture event generally happened at a higher age in foreign-born women. Migration must therefore be considered in relation to the prevalence and risk of hip fracture. Migration can therefore have a positive effect on one aspect of the health of a population, and can influence and lower the total cost of healthcare due to reduced risk and prevalence of hip fracture.
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| 10. |
- Albin, Björn, 1951-, et al.
(author)
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Mental Health in the left-behind Children in the Fujian Province of China
- 2013
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In: Journal of Public Mental Health. - : Emerald Group Publishing Limited. - 1746-5729. ; 12:1, s. 21-31
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Journal article (peer-reviewed)abstract
- Purpose - An increasing number of people are migrating within the borders of China. Some migrants have to leave their children behind, and 58,000,000 children are estimated to be living as left-behind children. Earlier studies have found severe mental problems in left-behind children, but different factors could influence their mental health. The aim of this study was to investigate the mental health of these left-behind children and to determine possible influencing factors.Design/methodology/approach - Data for this study were collected in one province of the P R of China with a validated instrument, the Strengths and Difficulties Questionnaire (SDQ) to investigate behavior in 13- to 15-year old children.Findings - No significant difference was found in total difficulty score and in any subscale score of SDQ when we compared left-behind children with children who were not left behind. A significant difference in emotional difficulty subscale score was found between girls who were left behind and girls who were not. Some socio-economic factors such as poor family economy and living with relatives, friends or grandparents, were identified as risk factors.Originality/value - When strategies for support of the mental health in left-behind children are developed, they will need to be individualized according to the gender, social and economic situation and focused on emotional and conduct problems.
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