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Which factors are a...
Which factors are associated with COVID-19 infection incidence in care services for older people in Nordic countries? : A cross-sectional survey
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- Rauhala, A S (författare)
- Åbo Akademi University, Turku, Finland; Vaasa Central Hospital, Finland
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- Fagerström, L M (författare)
- Åbo Akademi University, Turku, Finland; University South-Eastern Norway, Norway
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- Lindholst, A C (författare)
- Aalborg University, Aalborg East, Denmark
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- Sinervo, T S (författare)
- Finnish Institute for Health and Welfare, Finland
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- Bertelsen, T M (författare)
- Aalborg University, Aalborg East, Denmark
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- Bliksvaer, T (författare)
- Nordland Research Institute, Bodo, Norway
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- Lunde, B V (författare)
- Nord University, Bodø, Norway
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- Solli, Rolf, 1953- (författare)
- Högskolan i Borås,Akademin för textil, teknik och ekonomi
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- Wolmesjö, Maria, 1961- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd
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- Hansen, M B (författare)
- Aalborg University, Aalborg East, Denmark
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(creator_code:org_t)
- 2022-05-12
- 2022
- Engelska.
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905.
- Relaterad länk:
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https://doi.org/10.1...
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https://hb.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Aims: To investigate the differences between Sweden, Denmark, Finland and Norway regarding residential/home care units' and frontline managers' background factors, the resources allocated and measures taken during the initial phases of the COVID-19 pandemic, and whether and how these differences were associated with COVID-19 among older people in residential/home units.Methods: Register- and survey-based data. Responses from managers in municipal and private residential/home units. Number of municipal COVID-19 cases from national registries. Multilevel logistic multivariate regression analysis with presence of COVID-19 among older people in residential/home units as the outcome variable.Results: The proportions of residential/home units with client COVID-19 cases, mid-March-April 2020 were Denmark 22.7%, Finland 9.0%, Norway 9.7% and Sweden 38.8%, most cases found in clusters. The proportions were similar among employees. Client likelihood of having COVID-19 was six-fold higher if the employees had COVID-19. Mean client cases per residential/home unit were Denmark 0.78, Finland 0.46, Norway 0.22 and Sweden 1.23. For the same municipal infection incidence class, Sweden's mean client infection levels were three-fold those of other countries. The regression analysis variables country, municipal COVID-19 incidence proportion, and care type were associated with client cases at p <= .001. Compared with Denmark, the odds ratios (ORs) for Sweden, Norway and Finland were 1.86, 0.41 and 0.35 respectively. The variable difficulties in preventive testing had an OR of 1.56, p <= .05.Conclusions: Municipal COVID-19 incidence, employee cases, and the lack of testing resources somewhat explained the confirmed COVID-19 cases among older people in residential/home units. A two- to five-fold unexplained inter-country difference in ORs in the multivariate analyses was notable. The level of protection of vulnerable older clients in municipal and private residential/home units differed between the included countries.
Ämnesord
- TEKNIK OCH TEKNOLOGIER -- Samhällsbyggnadsteknik -- Byggproduktion (hsv//swe)
- ENGINEERING AND TECHNOLOGY -- Civil Engineering -- Construction Management (hsv//eng)
- SAMHÄLLSVETENSKAP -- Sociologi -- Socialt arbete (hsv//swe)
- SOCIAL SCIENCES -- Sociology -- Social Work (hsv//eng)
- TEKNIK OCH TEKNOLOGIER -- Maskinteknik -- Annan maskinteknik (hsv//swe)
- ENGINEERING AND TECHNOLOGY -- Mechanical Engineering -- Other Mechanical Engineering (hsv//eng)
Nyckelord
- COVID-19
- COVID-19 testing
- cross-sectional studies
- Home Care Services
- infection control
- multilevel analysis
- nursing homes
- primary prevention
- pandemics
- Scandinavian and Nordic countries
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Rauhala, A S
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Fagerström, L M
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Lindholst, A C
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Sinervo, T S
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Bertelsen, T M
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Bliksvaer, T
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Lunde, B V
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Solli, Rolf, 195 ...
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Wolmesjö, Maria, ...
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Hansen, M B
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- Om ämnet
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- TEKNIK OCH TEKNOLOGIER
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TEKNIK OCH TEKNO ...
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och Samhällsbyggnads ...
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och Byggproduktion
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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och Sociologi
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och Socialt arbete
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- TEKNIK OCH TEKNOLOGIER
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TEKNIK OCH TEKNO ...
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och Maskinteknik
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och Annan maskintekn ...
- Artiklar i publikationen
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Scandinavian Jou ...
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Högskolan i Borås