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Paulsson Do, Ulrica
Publications (6 of 6) Show all publications
Paulsson Do, U. (2018). Psychosocial Vulnerability Underlying Unhealthy Behaviours in Swedish Adolescents. (Doctoral dissertation). Uppsala: Acta Universitatis Upsaliensis
Open this publication in new window or tab >>Psychosocial Vulnerability Underlying Unhealthy Behaviours in Swedish Adolescents
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim was to examine the relationship between Swedish school adolescents´ health-related behaviours and psychosocial and socio-demographic factors, with the purpose of identifying vulnerability factors for unhealthy behaviours and exploring adolescents’ own experiences and thoughts about this.

Three studies were quantitative cross-sectional studies and used data from two different questionnaires. The fourth study was a qualitative study based on focus group interviews. The sample in study I consisted of 13–18-year-old adolescents (n= 10,590) and 15–16-year-old adolescents in studies II (n=492), III (n=492) and IV (n=36). The quantitative data were analysed using a number of different statistical methods. Foremost, structural equation modelling was used in studies I and II and Poisson regression analysis in study III. Study IV used qualitative content analysis by Graneheim and Lundman.

The results indicated that nearly 60 per cent of 15–16-year-old adolescents have at least two unhealthy behaviours. Interrelated psychosocial and socio-demographic factors constituted vulnerability for unhealthy behaviours in general in adolescents. Good psychosocial relationships were strongly related with high well-being, whereas poor social relationships and low well-being were associated with unhealthy behaviours in general. Low socio-economic group was associated with unhealthy behaviours in general but the strength of this association varied between the adolescent age groups. Encouragement from parents to adopt healthy behaviours was associated with less unhealthy behaviours. Having adolescents who cared about what their parents said regarding health-related behaviours was also associated with a lower number of unhealthy behaviours. The school and family were important social environments for adolescents´ health-related behaviours. Similarly, friends and social media were important social contexts. Fellowship, and close social relationships, in particular, was important to healthy behaviours. Fellowship with others was also stated to influence high well-being. The experience of feeling pressure was stated to be associated with low well-being and unhealthy behaviours in adolescents.

The thesis brings new knowledge to the field of psycho-social and socio-demographic factors associated with unhealthy behaviours in Swedish adolescents. Findings may be useful in supporting adolescents to reach positive health-related behaviours.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2018. p. 67
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1460
Keywords
Adolescents, Health-related behaviours, Social environments, Social relationships, Socio-economic status, Unhealthy behaviours, Vulnerability, Well-being
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-347828 (URN)978-91-513-0322-2 (ISBN)
Public defence
2018-05-28, Polhemssalen, Ångströmlaboratoriet, Lägerhyddsvägen 1, Uppsala, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2018-05-04 Created: 2018-04-08 Last updated: 2018-05-04
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
Paulsson Do, U., Edlund, B., Stenhammar, C. & Westerling, R. (2017). Psychosocial vulnerability underlying four common unhealthy behaviours in 15–16-year-old Swedish adolescents: a cross-sectional study. BMC Psychology, 5, Article ID 39.
Open this publication in new window or tab >>Psychosocial vulnerability underlying four common unhealthy behaviours in 15–16-year-old Swedish adolescents: a cross-sectional study
2017 (English)In: BMC Psychology, E-ISSN 2050-7283, Vol. 5, article id 39Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Factors that influence unhealthy behaviours in adolescents may have different impacts in different sociocultural settings. There is lack of research on the association between psychosocial vulnerability and unhealthy behaviours in adolescents, particularly outside the United States. The aim was to investigate both direct and indirect relationships between psychosocial conditions (subjective well-being, social relationships and self-esteem) and four health-related behaviours (smoking, alcohol consumption, meal frequency and physical activity) in Swedish adolescents aged 15-16 years. Socio-demographic variables (socio-economic status, gender and age) were also investigated.

METHODS: To study these associations, a hypothesised model was tested using structural equation modelling. In the hypothesised model, interrelated psychosocial conditions (low well-being, poor social relationships and low self-esteem) and socio-demographic factors (low self-perceived socio-economic status, being female and higher age) together represented a vulnerability underlying smoking, alcohol consumption, irregular meal frequency and low level of physical activity. In this cross-sectional study, self-report questionnaires were used to collect data from 492 adolescents.

RESULTS: Hypothesised pathways between psychosocial conditions, socio-demographic factors and the four unhealthy behaviours were confirmed. Low well-being was strongly associated with unhealthy behaviours, and poor social relationships showed a strong indirect association with the unhealthy behaviours. Low self-esteem, low self-perceived socio-economic status and female gender were also vulnerability factors for the unhealthy behaviours.

CONCLUSIONS: Vulnerability for four common unhealthy behaviours was found in Swedish adolescents. This study presents the interrelationships of psychosocial and socio-demographic factors and how they were related with unhealthy behaviours. The results bring new insight into how psychosocial factors are related to unhealthy behaviours in adolescents living in northern Europe.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-336735 (URN)10.1186/s40359-017-0209-9 (DOI)29246175 (PubMedID)
Available from: 2017-12-15 Created: 2017-12-15 Last updated: 2018-04-08Bibliographically approved
Paulsson Do, U., Edlund, B., Stenhammar, C. & Westerling, R. (2014). Vulnerability to unhealthy behaviours across different age groups in Swedish Adolescents: A cross-sectional study. Health Psychology and Behavioral Medicine, 2(1), 296-313
Open this publication in new window or tab >>Vulnerability to unhealthy behaviours across different age groups in Swedish Adolescents: A cross-sectional study
2014 (English)In: Health Psychology and Behavioral Medicine, ISSN 2164-2850, Vol. 2, no 1, p. 296-313Article in journal (Refereed) Published
Abstract [en]

Purpose:

There is lack of evidence on the effects of health-promoting programmes among adolescents. Health behaviour models and studies seldom compare the underlying factors of unhealthy behaviours between different adolescent age groups. The main objective of this study was to investigate factors including sociodemographic parameters that were associated with vulnerability to health-damaging behaviours and non-adoption of health-enhancing behaviours in different adolescent age groups.

Methods:

A survey was conducted among 10,590 pupils in the age groups of 13–14, 15–16 and 17–18 years. Structural equation modelling was performed to determine whether health-damaging behaviours (smoking and alcohol consumption) and non-adoption of health-enhancing behaviours (regular meal habits and physical activity) shared an underlying vulnerability. This method was also used to determine whether gender and socio-economic status were associated with an underlying vulnerability to unhealthy behaviours.

Results:

The findings gave rise to three models, which may reflect the underlying vulnerability to health-damaging behaviours and non-adoption of health-enhancing behaviours at different ages during adolescence. The four behaviours shared what was interpreted as an underlying vulnerability in the 15–16-year-old age group. In the youngest group, all behaviours except for non-participation in physical activity shared an underlying vulnerability. Similarly, alcohol consumption did not form part of the underlying vulnerability in the oldest group. Lower socio-economic status was associated with an underlying vulnerability in all the age groups; female gender was associated with vulnerability in the youngest adolescents and male gender among the oldest adolescents.

Conclusions:

These results suggest that intervention studies should investigate the benefits of health-promoting programmes designed to prevent health-damaging behaviours and promote health-enhancing behaviours in adolescents of different ages. Future studies should examine other factors that may contribute to the underlying vulnerability in different age groups.

National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Sciences
Identifiers
urn:nbn:se:uu:diva-226085 (URN)10.1080/21642850.2014.892429 (DOI)
Available from: 2014-06-11 Created: 2014-06-11 Last updated: 2018-04-09Bibliographically approved
Paulsson Do, U. (2011). Self-perceived economic situation and unhealthy behaviors in Swedish adolescents. In: Self-perceived economic situation and unhealthy behaviors in Swedish adolescents: . Paper presented at Nordiska Folkhälsokonferensen.
Open this publication in new window or tab >>Self-perceived economic situation and unhealthy behaviors in Swedish adolescents
2011 (Swedish)In: Self-perceived economic situation and unhealthy behaviors in Swedish adolescents, 2011Conference paper, Poster (with or without abstract) (Other academic)
Abstract [en]

Introduction Earlier studies have found that socioeconomic status is associated with unhealthy behaviours in adolescents. Adolescents own perception of their economic situation and its association with unhealthy behaviours needs further study.

Aim The aim was to find whether adolescents´ self-perceived economic situation was associated with unhealthy behaviors and how strong this possible association would be compared with regularly used socioeconomic indicators.

Methods A postal self-report questionnaire was used for pupils aged 15 and 16 (n =492). The questionnaire assessed economic circumstances (7 different variables) and unhealthy behaviors (meal habits, physical activity, smoking and alcohol consumption) in adolescents and was distributed to 10 geographically spread schools in Sweden. Polychoric correlation and structural equation modelling using LISREL 8.80 was applied for the statistical analysis.

Results Of the seven economic variables, self-perceived economic situation had the strongest association with the unhealthy behaviours included in the study.

Conclusion Adolescents´ own perception of their economic situation is an important factor when it comes to economic circumstances associated with unhealthy behaviours in 15-16 year olds.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-290400 (URN)
Conference
Nordiska Folkhälsokonferensen
Available from: 2016-04-29 Created: 2016-04-29 Last updated: 2016-04-29
Paulsson Do, U. (2010). Generell ohälsobeteendefaktor hos skolungdomar. In: Generell ohälsobeteendefaktor hos skolungdomar: . Paper presented at Institutionens forskningsdag.
Open this publication in new window or tab >>Generell ohälsobeteendefaktor hos skolungdomar
2010 (Swedish)In: Generell ohälsobeteendefaktor hos skolungdomar, 2010Conference paper, Poster (with or without abstract) (Other academic)
Abstract [sv]

Syfte: Huvudsyftet var att undersöka om det kan finnas en generell faktor som påverkar ohälsosamma beteenden gällande måltidsvanor, fysisk aktivitet, rökning och alkoholkonsumtion hos ungdomar samt om denna faktor i så fall påverkas av kön och socioekonomiska faktorer. 

Metod: 10590 elever i årskurs 7 och 9 i högstadiet och årskurs 2 på gymnasiet i Uppsala län besvarade en enkät som innehöll frågor om sociodemografi, socioekonomi och hälso-/ohälsobeteenden. Strukturella ekvationsanalyser gjordes med LisRel path analysis.

Resultat: Ohälsobeteendena hade ett tydligt samband med en generell ohälsobeteendefaktor hos ungdomar. Kön och socioekonomi visade sig ha ett samband med den generella ohälsobeteendefaktorn i årskurs 2 på gymnasiet.

Diskussion: Av studien framgår att det finns en generell faktor som påverkar ohälsobeteenden. Detta är något som tidigare studier har antytt. Vidare studier behövs för att identifiera delar av den generella ohälsofaktorn.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-290399 (URN)
Conference
Institutionens forskningsdag
Available from: 2016-04-29 Created: 2016-04-29 Last updated: 2016-04-29
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