uu.seUppsala University Publications
Change search
Link to record
Permanent link

Direct link
BETA
Alternative names
Publications (10 of 165) Show all publications
Wångdahl, J., Lytsy, P., Mårtensson, L. & Westerling, R. (2018). Poor health and refraining from seeking healthcare are associated with limited comprehensive health literacy among refugees: a Swedish cross-sectional study. International Journal of Public Health
Open this publication in new window or tab >>Poor health and refraining from seeking healthcare are associated with limited comprehensive health literacy among refugees: a Swedish cross-sectional study
2018 (English)In: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objectives: The objectives of the study were to explore the distributions of comprehensive health literacy (CHL), general health, psychological well-being and having refrained from seeking healthcare among refugees in Sweden. Further objectives were to examine associations between CHL and the above mentioned factors.

Methods: A cross-sectional study was conducted among 513 refugees speaking Arabic, Dari and Somali. Participants in the civic orientation course in Sweden responded to a questionnaire. CHL was measured using the HLS-EU-Q16 questionnaire. Uni- and multivariate logistic regression was used to investigate potential associations.

Results: The majority of the respondents had limited CHL, and about four of ten had reported poor health and/or having refrained from seeking healthcare. Limited CHL was associated with having reported poor health and having refrained from seeking healthcare. 

Conclusions: A considerable proportion of the refugees in Sweden have limited CHL, and report less than good health and impaired well-being, or that they have refrained from seeking healthcare. Further, CHL is associated with the above mentioned factors. Efforts are needed to promote refugees' CHL, optimal health seeking behavior, and health.

Keyword
health literacy, general health, psychological well-being, refrained from healthcare, refugees
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-333397 (URN)10.1007/s00038-017-1074-2 (DOI)
Note

The study was co-financed by the County Administrative Board in Stockholm.

Available from: 2017-11-13 Created: 2017-11-13 Last updated: 2018-03-02Bibliographically approved
Nordlöf, H., Wiitavaara, B., Högberg, H. & Westerling, R. (2017). A cross-sectional study of factors influencing occupational health and safety management practices in companies. Safety Science, 95, 92-103
Open this publication in new window or tab >>A cross-sectional study of factors influencing occupational health and safety management practices in companies
2017 (English)In: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 95, p. 92-103Article in journal (Refereed) Published
Abstract [en]

Companies need to ensure a functioning occupational health and safety management (OHSM) system to protect human health and safety during work, but generally there are differences in how successful they are in this endeavor. Earlier research has indicated that factors like company size, safety culture, and different measures of financial performance may be related to the quality of OHSM practices in companies. Therefore, the aim of this study was to investigate whether these factors are associated with OHSM practices in companies. A postal questionnaire was used to collect data from a sample of Swedish manufacturing companies, and complementary data regarding the companies were retrieved from a credit bureau database. The statistical analysis was performed with ordinal regression analysis using generalized estimating equations. Different predictor variables were modeled with OHSM practices as the outcome variable, in order to calculate p-values and to estimate odds ratios. Company size, safety culture, and creditworthiness were found to be associated with better, as well as worse, OHSM practices in companies (depending on directionality). Practical implications for industry and future research are discussed.

Keyword
Occupational health and safety (OHS), Safety culture, Manufacturing, Work environment, Financial performance, Generalized estimating equations (GEE)
National Category
Work Sciences Production Engineering, Human Work Science and Ergonomics
Identifiers
urn:nbn:se:uu:diva-264510 (URN)10.1016/j.ssci.2017.02.008 (DOI)000399852500009 ()
Available from: 2015-10-13 Created: 2015-10-13 Last updated: 2017-05-30Bibliographically approved
Grandahl, M., Larsson, M., Dalianis, T., Stenhammar, C., Tydén, T., Westerling, R. & Nevéus, T. (2017). Catch-up HPV vaccination status of adolescents in relation to socioeconomic factors, individual beliefs and sexual behaviour. PLoS ONE, 12(11), Article ID e0187193.
Open this publication in new window or tab >>Catch-up HPV vaccination status of adolescents in relation to socioeconomic factors, individual beliefs and sexual behaviour
Show others...
2017 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 12, no 11, article id e0187193Article in journal (Refereed) Published
Abstract [en]

In 2012, human papillomavirus (HPV) vaccination was introduced free of charge in the Swedish national school-based vaccination programme for 10-12-year-old girls, and as catch-up vaccination for young women. In Sweden, there is an ongoing discussion about including boys in the national vaccination programme. Few studies are undertaken about adolescents' knowledge, beliefs and HPV vaccination status in relation to socioeconomic status and sexual experience. Thus, the aim was to examine HPV catch-up vaccination status in adolescents in relation to 1) socioeconomic factors, 2) beliefs and knowledge about HPV prevention, and 3) sexual behaviour. The Health Belief Model was used as a theoretical framework. Upper secondary school students (n = 832) aged 16, randomly chosen from a larger sample, were invited to participate in conjunction with the general health interview with the school nurse. A total of 751/832 (90.3%), girls (n = 391, 52%) and boys (n = 360, 48%) completed the questionnaire. HPV vaccination was associated with ethnicity and the mothers' education level; i.e. girls with a non-European background and girls with a less educated mother were less likely to have received the vaccine (p<0.01 and p = 0.04 respectively). Vaccinated girls perceived HPV infection as more severe (p = 0.01), had more insight into women's susceptibility to the infection (p = 0.02), perceived more benefits of the vaccine as protection against cervical cancer (p<0.01) and had a higher intention to engage in HPV-preventive behaviour (p = 0.01). Furthermore, boys and girls were almost equally sexually experienced, although fewer girls had used condom during first intercourse with their latest partner (p = 0.03). Finally, HPV vaccinated girls were less likely to have unprotected sex (p<0.01). In summary, catch-up HPV vaccination among young girls was associated with a European background and high maternal education level, as well as more favourable beliefs towards HPV prevention and less sexual risk-taking. Further preventive measures should therefore be directed at the migrant population.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-333214 (URN)10.1371/journal.pone.0187193 (DOI)000414377900014 ()29099839 (PubMedID)
Projects
Prevention of Human Papillomavirus in a school-based setting
Funder
Swedish Cancer Society, 130744
Available from: 2017-11-08 Created: 2017-11-08 Last updated: 2018-02-20Bibliographically approved
Lejelind, E., Westerling, R., Fugl-Meyer, K. & Larsson, K. (2017). Condom use among Swedes while traveling internationally: A qualitative descriptive study. Nursing and Health Sciences, 19(2), 257-263
Open this publication in new window or tab >>Condom use among Swedes while traveling internationally: A qualitative descriptive study
2017 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 19, no 2, p. 257-263Article in journal (Refereed) Published
Abstract [en]

This study explores factors influencing condom use among Swedish women and men who visited a sexual health clinic after unprotected sex during international travel. Semi-structured interviews were conducted with 25 women and 25 men. The data were analyzed using conventional content analysis. The informants' narratives were categorized as strategies and barriers. Strategies found were: risk assessment, testing, and treatment for sexually transmitted infections. The barriers were characterized as technical and personal or emotional. The findings indicate that sexual behavior may be different while traveling internationally, and that a release of social constraints and increased alcohol consumption were risk factors for practicing unprotected sex. Some of the strategies may be appropriate for the prevention of sexually transmitted infections, but several strategies and most barriers were used to explain why unprotected sex was practiced. Thus, people need the opportunity to reconsider strategies and strengthen confidence in their ability to use condoms. An individual-based approach employed within routine health care may support the practice of safer sex and prevent further transmission of sexually transmitted infections.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-322286 (URN)10.1111/nhs.12341 (DOI)000405151600019 ()
Funder
Public Health Agency of Sweden
Available from: 2017-05-18 Created: 2017-05-18 Last updated: 2017-10-11Bibliographically approved
Wångdahl, J., Lytsy, P., Westerling, R. & Mårtensson, L. (2017). Experiences of the Health Examination for Asylum Seeker: Focus Group Discussions with Arabic and Somali Speaking Refugees in Sweden. In: : . Paper presented at U4 Cluster Conference Social Sciences, Economics and Law (SSEL), Uppsala, 29-30 May, 2017.
Open this publication in new window or tab >>Experiences of the Health Examination for Asylum Seeker: Focus Group Discussions with Arabic and Somali Speaking Refugees in Sweden
2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health Care Research
Identifiers
urn:nbn:se:uu:diva-342969 (URN)
Conference
U4 Cluster Conference Social Sciences, Economics and Law (SSEL), Uppsala, 29-30 May, 2017
Available from: 2018-02-23 Created: 2018-02-23 Last updated: 2018-02-23
Wångdahl, J., Lytsy, P., Westerling, R. & Mårtensson, L. (2017). Experiences of the Health Examination for Asylum Seeker: Focus Group Discussions with Arabic and Somali Speaking Refugees in Sweden. In: : . Paper presented at International Conference on Communication in Healthcare & Health Literacy Annual Research Conference (ICCH/HAARC) 2017.
Open this publication in new window or tab >>Experiences of the Health Examination for Asylum Seeker: Focus Group Discussions with Arabic and Somali Speaking Refugees in Sweden
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-333778 (URN)
Conference
International Conference on Communication in Healthcare & Health Literacy Annual Research Conference (ICCH/HAARC) 2017
Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2018-02-23
Wångdahl, J., Lytsy, P., Westerling, R. & Mårtensson, L. (2017). Experiences of the Health Examination for Asylum Seeker: Focus Group Discussions with Arabic and Somali Speaking Refugees in Sweden. In: : . Paper presented at U4 Cluster Conference Social Sciences, Economics and Law (SSEL), 29-30 May, 2017.
Open this publication in new window or tab >>Experiences of the Health Examination for Asylum Seeker: Focus Group Discussions with Arabic and Somali Speaking Refugees in Sweden
2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-333772 (URN)
Conference
U4 Cluster Conference Social Sciences, Economics and Law (SSEL), 29-30 May, 2017
Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2018-02-23
Wångdahl, J., Lytsy, P., Westerling, R. & Mårtensson, L. (2017). Experiences of the HealthExamination for Asylum Seeker: Focus Group Discussions with Arabic and Somali Speaking Refugees in Sweden. In: : . Paper presented at 10th European Public Health Conference - Stockholm 2017.
Open this publication in new window or tab >>Experiences of the HealthExamination for Asylum Seeker: Focus Group Discussions with Arabic and Somali Speaking Refugees in Sweden
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-333779 (URN)
Conference
10th European Public Health Conference - Stockholm 2017
Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2018-02-23
Lecerof, S. S., Stafstrom, M., Emmelin, M., Westerling, R. & Ostergen, P.-O. (2017). Findings from a prospective cohort study evaluating the effects of International Health Advisors' work on recently settled migrants' health. BMC Public Health, 17, Article ID 369.
Open this publication in new window or tab >>Findings from a prospective cohort study evaluating the effects of International Health Advisors' work on recently settled migrants' health
Show others...
2017 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, article id 369Article in journal (Refereed) Published
Abstract [en]

Background: Several interventions have been carried out to tackle health inequalities between migrant groups, especially refugees, and native-born European populations. These initiatives are often address language or cultural barriers. One of them is the International Health Advisors (IHA) in Sweden; a peer education intervention aimed at providing health information for recently settled migrants. It is known that social determinants, such as educational level and access to social capital, affect health. Social determinants may also affect how health information is received and transformed into practice. The aims of this study was to a) assess the impact of the IHA on recently settled migrants' self-reported health status, and received health information; b) determine the moderating role of educational level and social capital; and c) critically discuss the outcomes and suggest implications for health promotion practice. Methods: The study was designed as a prospective cohort study. A postal questionnaire translated to Arabic was sent to recently settled Iraqi migrants in eight counties in Sweden, in May 2008 and May 2010. Two of the counties were exposed to the intervention, and six were used as references. Results: The proportion of individuals who reported that they had received information on healthy diet and physical exercise was higher in the intervention group than in the non-intervention group (OR 2.31, 95% CI 1.02-5.22), after adjustments. Low social participation was negatively associated with deteriorated or unchanged health needs (OR 0.47, 95% CI 0.24-0.92). No other statistically significant differences in health outcomes could be observed between the groups. No signs of effect modification on this association by social capital or educational level could be found. Conclusions: Health information provided by the IHA increased self-reported level of knowledge on healthy diet and physical exercise. The interpretation of the observed negative association between low social participation and deteriorated or unchanged health needs is that participation was limited to one's own social group, and therefore had limited positive influence on health seeking behaviour. The lack of measurable improvements in health status could be explained by limitations in the study, in the theoretical assumptions underlying the intervention, and in the implementation of the intervention. Further research is needed to understand success factors in health promoting interventions among recently settled migrants better.

Keyword
migrants, health promotion, health communication, health information, social determinants of health, social capital
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-323453 (URN)10.1186/s12889-017-4273-0 (DOI)000400816000003 ()28454517 (PubMedID)
Funder
Region Skåne
Available from: 2017-07-04 Created: 2017-07-04 Last updated: 2017-11-29Bibliographically approved
Paulsson Do, U., Stenhammar, C., Edlund, B. & Westerling, R. (2017). Health communication with parents and teachers and unhealthy behaviours in 15- to 16-year-old Swedes. Health Psychology and Behavioral Medicine, 5(1), 229-257
Open this publication in new window or tab >>Health communication with parents and teachers and unhealthy behaviours in 15- to 16-year-old Swedes
2017 (English)In: Health Psychology and Behavioral Medicine, E-ISSN 2164-2850, Vol. 5, no 1, p. 229-257Article in journal (Refereed) Published
Abstract [en]

Background: Unhealthy behaviours during adolescence constitute a major risk for numerous diseases in adulthood.

Aim: To explore the associations between multiple unhealthy behaviours in adolescents and health behaviour information communicated by their parents and teachers, how much the adolescents cared about this information and whether adolescents went to schools with an annual health-themed week or not.

Methods: In this cross-sectional study, a self-reported questionnaire was delivered to pupils aged 15 and 16 (n = 492). The results were analysed using Poisson regression.

Results: The number of unhealthy behaviours was lower in adolescents whose parents encouraged them to adopt healthy behaviours. Adolescents at schools with an annual health-themed week reported more unhealthy behaviours than other adolescents. In addition, attendance at such schools did not compensate for a lack of health behaviour information communicated by parents. Caring about health behaviour information communicated by parents was associated with fewer unhealthy behaviours. In contrast, the opposite was found when adolescents cared about health information communicated by teachers.

Conclusion: It is important for parents to encourage their adolescent children to adopt healthy behaviours because this is particularly effective at lowering the number of unhealthy behaviours in adolescents. It also appears to be important for parents and teachers to develop credibility among adolescents regarding information communicated about health issues. The results also indicate the importance of involving parents in the school health work to influence them to encourage their adolescent children to adopt healthy behaviours.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-324318 (URN)10.1080/21642850.2017.1316666 (DOI)000424575500016 ()
Funder
Lars Hierta Memorial Foundation
Available from: 2017-06-14 Created: 2017-06-14 Last updated: 2018-04-08Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3734-6756

Search in DiVA

Show all publications