| 1. |
- Nordensvärd, Johan, 1979-, et al.
(author)
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Policy Brief December 2022 : Food for Urban Lives and Locality (FULL)
- 2023
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Reports (other academic/artistic)abstract
- What can we learn from civil society responses to COVID-19 food supply?The COVID-19 pandemic has resulted in food shortages, lockdowns, and restrictions onmovement, which have completely reshaped the food system and the interaction betweenpeople and their food environment. The pandemic has highlighted that while states arestruggling to handle all the impacts of the pandemic, civil society organizations have taken onan important role in filling the gaps and mitigating the shocks from the pandemic. Actionstaken by civil society and the market have shown that the existing welfare structures createdby states are unable to handle the impact of a pandemic when it comes to critical tasks suchas food supply for vulnerable groups.
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| 2. |
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| 3. |
- Nordensvärd, Johan, 1979-, et al.
(author)
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Technological and social adaptation to COVID-19 : Food for Vulnerable Urban Groups in Six Global Cities
- 2023
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Reports (other academic/artistic)abstract
- This report outlines the results from the research project Food for Urban Life and Localities (FULL) funded by Formas (2020-02864). The research set out to learn how COVID-19 response strategies in six cities (Stockholm, London, Wuhan, Singapore, Sydney, and Seoul) have facilitated access to food for vulnerable groups and how new food supply solutions have emerged through social and technological innovations. This report presents the case of each city in turn and pauses on the role of community-based organisations, ad- hoc community initiatives and municipalities during the COVID-19 pandemic. The report provides a detailed discussion of local or community-level responses in cities that aim to provide access to food through social and/or technological innovations. The lessons learned are important for the Swedish context in the case of similar events that challenge local access to food. The research collected data through qualitative and quantitative methods, and also made use of the breadth of online data sources in response to COVID-19 restrictions on free movement and travelling. The overall finding is that in situations such as the COVID-19 pandemic, local access to food is extremely challenging and cannot be addressed by existing welfare or state arrangements only;civil society organisations and voluntary community organizations (VCOs) step in to fill the gap in public provision; and the stricter the lockdown, the more dependent on civil society response urban areas and communities were.
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| 4. |
- Nordensvärd, Johan, et al.
(author)
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Urban food security during COVID-19 : The limits of statutory welfare and the role of community action in Sweden and Korea
- 2022
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In: Urban Governance. - : Elsevier BV. - 2664-3286. ; 2:2, s. 328-335
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Journal article (peer-reviewed)abstract
- During COVID-19, the demand for food relief exploded as vulnerable people were suddenly more numerous and visible than ever, for which statutory welfare was not ready to cope with. We examine the role of voluntary and community organizations (VCOs) in food relief in Stockholm, Sweden and Seoul, Korea. Interpretive analysis of interview materials reveals how VCOs perceive their role vis-à-vis the state and take actions against urban food insecurity during the pandemic. The limits of statutory welfare in reaching out to vulnerable individuals reserve an indispensable role for community action in food relief even with the well-developed welfare state. Despite starkly different welfare state contexts, VCOs in both cases complement statutory welfare by swiftly identifying the risk of hunger and organizing community actions to meet the emergent needs. Given that Sweden and Korea represent the least likely cases to observe welfare provision by VCOs, the findings may have implications to general understanding of VCOs as indispensable welfare provider.
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| 5. |
- Sommar, Carl-Johan, 1989-, et al.
(author)
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Autonomy and paternalism – framing Swedish COVID-19 restriction policy
- 2024
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In: Critical Policy Studies. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 1946-0171 .- 1946-018X.
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Journal article (peer-reviewed)abstract
- Sweden became an outlier among the Nordic countries in handling the COVID-19 pandemic. While the Nordic countries have historically shared a social democratic welfare state regime, with strong cooperation and harmonization of social policies, their responses to the pandemic showcased fundamental differences to that of Sweden. In particular, Sweden’s prioritization of individual civil liberties over social rights diverged from the more coercive approaches of Finland and Norway, which placed greater emphasis on public health and social welfare. This study examines the media framing surrounding the contrasting Swedish approach and highlights the dichotomy between statist individualism/autonomy and welfare paternalism/interdependence that has been an inherent part of the Swedish welfare state framing. Employing interpretive policy analysis, the study explores the media narratives used by policy actors to frame their pandemic response in terms of individual autonomy and governmental paternalism. We identified two contrasting perspectives on governance regarding the COVID-19 policy strategy. One framing perspective backed the strategy, emphasizing the importance of safeguarding individual autonomy and minimizing central control. The other viewpoint demanded a lockdown and criticized the Swedish response as too lenient. This deviated from usual Swedish political alignments and created a polarized and lively debate around the core values of individual autonomy, agency, and central governmental paternalism.
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| 6. |
- Sommar, Carl-Johan, 1989-
(author)
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Inramningar av lömska problem : Fallstudier av lokala förvaltningars möte med hållbarhet i sjukvård och under pandemin
- 2023
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Doctoral thesis (other academic/artistic)abstract
- Everything should come together, and everything should permeate everything. Trends in governance and policy areas have come to encompass increasingly broader and more diverse issues. For example, sustainable development should guide all parts of government, but there is often little guidance on what this means in practice and how organizations should tackle the diverse issues and challenges of sustainability. Overall, much indicates that the challenges and problems faced by decision-makers in public administration have become increasingly difficult to manage. Some of these problems are particularly challenging and cannot be solved with a short term solution, by a single actor, or by an established method. These problems can only be managed and are referred to as "wicked problems" in the literature.The dissertation focuses on two wicked problems: sustainability and a pandemic. The analysis address how these wicked problems are handled by local public authorities in Sweden. Both problems have an unclear scope, a vague definition, and no definitive solution within reach. The overshadowing argument is that wicked problems need to be framed to be managed through policy mechanisms and implementation processes. The thesis argues that a frame determines and delimits the issue at hand, thus configuring what becomes manageable or not in practice.The dissertation is based on a selection of empirical case studies aimed at observing how governments translate the problems they face by handling both the need to become more sustainable and balancing the needs during a pandemic through changes and modifying the discourse. The study employs an interpretive and constructivist analysis of document studies and interviews with key stakeholders.The overarching conclusions indicate that framing is a central process necessary to move wicked problems forward on the political agenda and make them manageable. In this way, framing helps to delimit the problems; the framing becomes crucial for what becomes manageable and what is left out. Frames have different characteristics, which then influence how the problem is addressed. The conclusions suggest a continued need to make the wickedness of policy problems visible, to consider the larger and more complex aspects of certain political issues, and to strive to identify different mechanisms for managing them. We can see that framing is not just about coping with wicked issues but also about redefining the understanding of wicked problems to align more closely with an organization's limitations and possibilities. Framing offers the possibility to bridge, merge, or even transform our understanding of the wicked problem through the social reality of the organization.
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| 7. |
- Ahlroth Pind, Caroline, et al.
(author)
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Patient-reported signs of dampness at home may be a risk factor for chronic rhinosinusitis : A cross-sectional study
- 2017
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In: Clinical and Experimental Allergy. - Hoboken : Wiley. - 0954-7894 .- 1365-2222. ; 47:11, s. 1383-1389
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Journal article (peer-reviewed)abstract
- BACKGROUND: An association between dampness at home and respiratory conditions has been convincingly demonstrated in children. Fewer studies have been performed in adults, and data are lacking for chronic rhinosinusitis (CRS). With a prevalence of 10.9% in Europe, CRS imposes a significant burden on quality of life, as well as economy.OBJECTIVE: Our aim was to study CRS and other respiratory conditions in relation to dampness at home in a representative sample of adults.METHODS: The Swedish GA2 LEN questionnaire was answered by 26 577 adults (16-75 years) and included questions on respiratory symptoms, smoking, education and environmental exposure. CRS was defined according to the EP3 OS criteria. Dampness was defined as reporting water damage, floor dampness or visible moulds in the home during the last 12 months. The dampness score was ranked from 0 to 3, counting the number of signs of dampness reported.RESULTS: Dampness at home was reported by 11.3% and was independently related to respiratory conditions after adjustment for demographic and socio-economic factors and smoking: CRS odds ratio (OR) 1.71; allergic rhinitis OR 1.24; current asthma OR 1.21; wheeze OR 1.37; nocturnal dyspnoea OR 1.80; nocturnal coughing OR 1.34; and chronic bronchitis OR 1.64. The risk of CRS and most of the other respiratory conditions was further elevated in subjects reporting multiple signs of dampness.CONCLUSIONS AND CLINICAL RELEVANCE: This study demonstrated an independent association between dampness at home and CRS in adults. The high burden of this and the other respiratory conditions studied is a strong argument in favour of countering indoor dampness by improving building standards.
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| 8. |
- Al-Shamkhi, Nasrin, et al.
(author)
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Important non-disease-related determinants of exhaled nitric oxide levels in mild asthma – results from the Swedish GA2LEN study
- 2016
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In: Clinical and Experimental Allergy. - : Wiley. - 0954-7894 .- 1365-2222. ; 46:9, s. 1185-1193
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Journal article (peer-reviewed)abstract
- Background: Fractional exhaled nitric oxide (FeNO) has a potential clinical role in asthma management. Constitutive factors such as age, height and gender, as well as individual characteristics, such as IgE sensitization and smoking, affect the levels of FeNO in population-based studies. However, their effect on FeNO in subjects with asthma has been scarcely studied. Objective: To study the effects on FeNO of these commonly regarded determinants, as demonstrated in healthy subjects, as well as menarche age and parental smoking, in a population of asthmatics. Material and Methods: Fractional exhaled nitric oxide was measured in 557 subjects with asthma from the Swedish GA2LEN study. Allergic sensitization was assessed by skin prick tests to most common aeroallergens. Upper airway comorbidities, smoking habits, smoking exposure during childhood and hormonal status (for women) were questionnaire-assessed. Results: Male gender (P < 0.001), greater height (P < 0.001) and sensitization to both perennial allergens and pollen (P < 0.001) are related to higher FeNO levels. Current smoking (P < 0.001) and having both parents smoking during childhood, vs. having neither (P < 0.001) or only one parent smoking (P = 0.002), are related to lower FeNO. Women with menarche between 9 and 11 years of age had lower FeNO than those with menarche between 12 and 14 years of age (P = 0.03) or 15 and 17 years of age (P = 0.003). Conclusions and Clinical relevance: Interpreting FeNO levels in clinical practice is complex, and constitutional determinants, as well as smoking and IgE sensitisation, are of importance in asthmatic subjects and should be accounted for when interpreting FeNO levels. Furthermore, menarche age and parental smoking during childhood and their effects on lowering FeNO deserve further studies. © 2016 John Wiley & Sons Ltd
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| 9. |
- Alm, Stina, et al.
(author)
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Erythrocyte transfusions increased the risk of elevated serum ferritin in very low birth weight infants and were associated with altered longitudinal growth
- 2020
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In: Acta Paediatrica. - : John Wiley & Sons. - 0803-5253 .- 1651-2227. ; 109:7, s. 1354-1360
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Journal article (peer-reviewed)abstract
- Aim: There has been a lack of population‐based longitudinal data on serum ferritin in very low birth weight (VLBW) infants during hospitalisation. Our aim was to fill this gap in the knowledge and investigate risk factors for elevated serum ferritin and associations between erythrocyte transfusions and longitudinal growth.Methods: We retrospectively reviewed longitudinal data on 126 VLBW infants treated at Umeå University Hospital, Sweden, between 2010‐2013.Results: The infants’ mean gestational age and birth weight were 26.9 weeks and 899 grams. Most (91%) received erythrocyte transfusions and the majority had multiple erythrocyte transfusions. There was a significant correlation between serum ferritin and the volume of transfusions. Almost two‐thirds had at least one serum ferritin measurement of more than 350 µg/L, indicating iron overload. In those with complete anthropometric data (n=78) there was no significant effect of serum ferritin concentrations in relation to longitudinal growth, but there was a positive association between the erythrocyte transfusion dose and longitudinal growth in VLBW infants born before 25 weeks.Conclusion: This is the first population‐based study to investigate longitudinal data on serum ferritin in VLBW infants during hospitalisation. The unexpected positive finding in the subgroup born at less than 25 weeks needs further research with a larger cohort.
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| 10. |
- Andersen, Zorana J., et al.
(author)
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Long-term Exposure to Ambient Air Pollution and Incidence of Brain Tumor : the European Study of Cohorts for Air Pollution Effects (ESCAPE)
- 2018
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In: Neuro-Oncology. - : Oxford University Press. - 1522-8517 .- 1523-5866. ; 20:3, s. 420-432
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Journal article (peer-reviewed)abstract
- Background: Epidemiological evidence on the association between ambient air pollution and brain tumor risk is sparse and inconsistent.Methods: In 12 cohorts from 6 European countries, individual estimates of annual mean air pollution levels at the baseline residence were estimated by standardized land-use regression models developed within the ESCAPE and TRANSPHORM projects: particulate matter (PM) ≤2.5, ≤10, and 2.5–10 μm in diameter (PM2.5, PM10, and PMcoarse), PM2.5 absorbance, nitrogen oxides (NO2 and NOx) and elemental composition of PM. We estimated cohort-specific associations of air pollutant concentrations and traffic intensity with total, malignant, and nonmalignant brain tumor, in separate Cox regression models, adjusting for risk factors, and pooled cohort-specific estimates using random-effects meta-analyses.Results: Of 282194 subjects from 12 cohorts, 466 developed malignant brain tumors during 12 years of follow-up. Six of the cohorts also had data on nonmalignant brain tumor, where among 106786 subjects, 366 developed brain tumor: 176 nonmalignant and 190 malignant. We found a positive, statistically nonsignificant association between malignant brain tumor and PM2.5 absorbance (hazard ratio and 95% CI: 1.67; 0.89–3.14 per 10–5/m3), and weak positive or null associations with the other pollutants. Hazard ratio for PM2.5 absorbance (1.01; 0.38–2.71 per 10–5/m3) and all other pollutants were lower for nonmalignant than for malignant brain tumors.Conclusion: We found suggestive evidence of an association between long-term exposure to PM2.5 absorbance indicating traffic-related air pollution and malignant brain tumors, and no association with overall or nonmalignant brain tumors.
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