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  • 201.
    Bjurman, Johanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Hälsolitteracitet i den svenska befolkningen - En kvantitativ studie i svenskspråkiga sociala medier2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    InledningHälsolitteracitet är en del av det hälsofrämjande perspektivet då begreppet kan kopplas tillmänniskors möjlighet att kunna förstå och veta hur de ska ta kontroll över sin egen situation,på så sätt är begreppet även starkt kopplat till empowerment och deltagande samt selfefficacy.Vid låg nivå av hälsolitteracitet, innebär det att ens förutsättningar i enhälsofrämjande kontext blir sämre än de med en högre nivå.SyfteSyftet med studien var att undersöka hur nivån av hälsolitteracitet såg ut i den svenskainternetanvändande befolkningen samt om det finns några samvarierande faktorer medhälsolitteracitet som kön, ålder, utbildningsnivå, socioekonomisk status, self-efficacy ochsjälvskattad hälsa.MetodStudien var av kvantitativ typ och utfördes genom en enkätundersökning på internet.ResultatI den svenska internetanvändande befolkningen är nivån av hälsolitteracitet hög. Desamvarierande faktorer med nivån av hälsolitteracitet var: ålder, utbildningsnivå,socioekonomisk status, self-efficacy och självskattad hälsa. Studien påvisar ingen signifikantkorrelation mellan kön och nivå av hälsolitteracitet.DiskussionDet finns ett signifikant samband mellan ålder och hälsolitteracitet. Det finns även ettsignifikant samband mellan utbildningsnivå och nivå av hälsolitteracitet, främst funktionellhälsolitteracitet. Antal rapporterade sjukdagar har ett samband med stark eller svag selfefficacy,vilket i sin tur har ett samband mellan nivå av hälsolitteracitet.

  • 202.
    Björkegren, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology.
    Atrofisk gastrit, malabsorption och B12-brist2007In: Rondellen, ISSN 1654-5974, Vol. 27Article in journal (Other academic)
  • 203.
    Björkegren, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology.
    The future of homocysteine: Paradigm shift in homocysteine research2007In: Rondellen, ISSN 1654-5974, Vol. 27Article, review/survey (Other academic)
  • 204. Björkenstam, Charlotte
    et al.
    Johansson, Lars Age
    Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.
    Nordström, Peter
    Thiblin, Ingemar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Forensic Medicine.
    Fugelstad, Anna
    Hallqvist, Johan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Ljung, Rickard
    Suicide or undetermined intent?: A register-based study of signs of misclassification2014In: Population Health Metrics, ISSN 1478-7954, E-ISSN 1478-7954, Vol. 12, article id 11Article in journal (Refereed)
    Abstract [en]

    Background: Several studies have concluded that some deaths classified as undetermined intent are in fact suicides, and it is common in suicide research in Europe to include these deaths. Our aim was to investigate if information on background variables would be helpful in assessing if deaths classified as undetermined intent should be included in the analyses of suicides. Methods: We performed a register study of 31,883 deaths classified as suicides and 9,196 deaths classified as undetermined intent in Sweden from 1987 to 2011. We compared suicide deaths with deaths classified as undetermined intent with regard to different background variables such as sex, age, country of birth, marital status, prior inpatient care for self-inflicted harm, alcohol and drug abuse, psychiatric inpatient care, and use of psychotropics. We also performed a multivariate analysis with logistic regression. Results: Our results showed differences in most studied background factors. Higher education was more common in suicides; hospitalization for self-inflicted harm was more common among female suicides as was prior psychiatric inpatient care. Deaths in foreign-born men were classified as undetermined intent in a higher degree and hospitalization for substance abuse was more common in undetermined intents of both sexes. Roughly 50% of both suicide and deaths classified as undetermined intent had a filled prescription of psychotropics during their last six months. Our multivariate analysis showed male deaths to more likely be classified as suicide than female: OR: 1.13 (1.07-1.18). The probability of a death being classified as suicide was also increased for individuals aged 15-24, being born in Sweden, individuals who were married, and for deaths after 1987-1992. Conclusion: By analyzing Sweden's unique high-validity population-based register data, we found several differences in background variables between deaths classified as suicide and deaths classified as undetermined intent. However, we were not able to clearly distinguish these two death manners. For future research we suggest, separate analyses of the two different manners of death.

  • 205. Björkenstam, Emma
    et al.
    Hallqvist, Johan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Dalman, Christina
    Ljung, Rickard
    Risk of new psychiatric episodes in the year following divorce in midlife: Cause or selection? A nationwide registerbased study of 703,960 individuals2013In: International Journal of Social Psychiatry, ISSN 0020-7640, E-ISSN 1741-2854, Vol. 59, no 8, p. 801-804Article in journal (Refereed)
    Abstract [en]

    Aims: To examine if divorce is associated with an increased risk of psychiatric disorder. Methods: A register-based cohort study of all married or divorced individuals aged 45-54 in Sweden in 2006. After exclusion of 129,669 individuals with a history of psychiatric care in 1987-2005, we followed 703,960 persons for psychiatric disorder during 2007, measured as psychiatric inpatient care, outpatient care and use of psychotropic medication. Marital trajectories were taken into consideration. Data were analysed using Poisson regression. Results: Divorced women and men had a higher risk for psychiatric inpatient care compared to married (ORwomen = 3.2, 95%CI = 1.6-6.3, ORmen = 3.3, 95%CI = 2.0-5.4). The longer the marriage, the lower the risk for psychiatric disorders. Lower educational level increased the risk for psychiatric inpatient care. Conclusions: In conclusion, our study supports both the selection hypothesis, linking healthy individuals to long and stable marriages, and the social causation hypothesis, linking the stress of recent divorce to increased psychiatric disorder for both women and men.

  • 206.
    Björklund, Geir
    et al.
    Council Nutr & Environm Med, Mo I Rana, Norway.
    Lindh, Ulf
    Uppsala University, Disciplinary Domain of Science and Technology, Biology, Biology Education Centre.
    Aaseth, Jan
    Innlandet Hosp Trust, Res Dept, Brumunddal, Norway;Inland Norway Univ Appl Sci, Elverum, Norway.
    Mutter, Joachim
    Environm Med, Constance, Germany;Paracelsus Clin Ronc, Castaneda, Switzerland.
    Chirumbolo, Salvatore
    Univ Verona, Dept Neurosci Biomed & Movement Sci, Verona, Italy.
    Mercury in dental amalgams: A great concern for clinical toxicology in developing countries?2019In: Journal of Trace Elements in Medicine and Biology, ISSN 0946-672X, E-ISSN 1878-3252, Vol. 51, p. 9-11Article in journal (Other academic)
  • 207.
    Björkman, Anders
    et al.
    Karolinska Inst, Dept Microbiol Tumor & Cell Biol, SE-17176 Stockholm, Sweden.
    Cook, Jackie
    Karolinska Inst, Dept Microbiol Tumor & Cell Biol, SE-17176 Stockholm, Sweden; London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, MRC Trop Epidemiol Grp, London, England.
    Sturrock, Hugh
    Univ Calif San Francisco, Global Hlth Grp, San Francisco, CA 94143 USA.
    Msellem, Mwinyi
    Minist Hlth, Zanzibar Malaria Eliminat Programme, Dar Es Salaam, Tanzania.
    Ali, Abdullah
    Minist Hlth, Zanzibar Malaria Eliminat Programme, Dar Es Salaam, Tanzania.
    Xu, Weiping
    Karolinska Inst, Dept Microbiol Tumor & Cell Biol, SE-17176 Stockholm, Sweden.
    Molteni, Fabrizio
    Swiss Trop & Publ Hlth Inst, Dar Es Salaam, Tanzania.
    Gosling, Roly
    Univ Calif San Francisco, Global Hlth Grp, San Francisco, CA 94143 USA.
    Drakeley, Chris
    London Sch Hyg & Trop Med, Dept Immunol & Infect, London, England.
    Mårtensson, Andreas
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Child Health and Nutrition.
    Spatial Distribution of Falciparum Malaria Infections in Zanzibar: Implications for Focal Drug Administration Strategies Targeting Asymptomatic Parasite Carriers2017In: Clinical Infectious Diseases, ISSN 1058-4838, E-ISSN 1537-6591, Vol. 64, no 9, p. 1236-1243Article in journal (Refereed)
    Abstract [en]

    Background: Optimal use of mass/targeted screen-and-treat or mass or focal drug administration as malaria elimination strategies remains unclear. We therefore studied spatial distribution of Plasmodium falciparum infections to compare simulated effects of these strategies on reducing the parasite reservoir in a pre-elimination setting.

    Methods: P. falciparum rapid diagnostic tests (RDTs) and molecular (polymerase chain reaction [PCR]) and serological (enzyme-linked immunosorbent assay) analyses were performed on finger-prick blood samples from a population-based survey in 3 adjacent communities.

    Results: Among 5278 persons screened, 13 (0.2%) were positive by RDT and 123 (2.3%) by PCR. PCR-positive individuals were scattered over the study area, but logistic regression analysis suggested a propensity of these infections to cluster around RDT-positive individuals. The odds ratios for being PCR positive was 7.4 (95% confidence interval, 2.8-19.9) for those living in the household of an RDT-positive individual and 1.64 (1.0-2.8; P = .06) for those living within <300 m, compared with >1000 m. Treating everyone within households of RDT-positive individuals (1% population) would target 13% of those who are PCR positive. Treating all living within a radius of <300 or <1000 m (14% or 58% population) would target 30% or 66% of infections, respectively. Among 4431 serologically screened individuals, 26% were seropositive. Treating everyone within seropositive households (63% population) would target 77% of PCR-positive individuals.

    Conclusions: Presumptive malaria treatment seemed justified within RDT-positive households and potentially worth considering within, for example, a radius of <300 m. Serology was not discriminative enough in identifying ongoing infections for improving focal interventions in this setting but may rather be useful to detect larger transmission foci.

  • 208.
    Björkman, Annica
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Univ Gavle, Fac Hlth & Occupat Studies, Gavle, Sweden.
    Salzmann-Erikson, Martin
    Univ Gavle, Fac Hlth & Occupat Studies, Gavle, Sweden.
    When all other doors are closed: Telenurses' experiences of encountering care seekers with mental illnesses2018In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 5, p. 1392-1400Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe the telephone nurses' experiences of encountering callers with mental illnesses. Telenursing services are solely staffed with telenurses, who with the support of a decision support system (CDSS) independently triage callers based on the severity of the main symptoms presented by the care seeker. The system focuses on somatic symptoms, while information regarding mental health and mental illnesses is limited. Information about telenurses' experiences of encountering care seekers with mental illnesses is scarce, despite the increase in mental illnesses in the population. The study used a descriptive design with a qualitative approach. Twenty telenurses were interviewed, and the data were then analysed using inductive qualitative content analysis. The results are elaborated in the following three categories: (i) Experiences of encountering care seekers with mental illnesses; (ii) Experiences of facing difficulties and challenges; and (iii) Experiences of facing dissatisfaction and threats. Encountering care seekers with mental illnesses is metaphorically addressed as when all other doors are closed'. Encountering care seekers with mental illnesses was perceived as time-consuming and did not adequately correspond to the resources given by the service. Even though telenurses strive to achieve agreement, there is a collision between human needs and organizational structures. The study pinpoints the lack of resources for and education about mental illnesses and the limitations of the decision system, which needs to be updated in order to provide all care seekers care on equal terms.

  • 209.
    Björkman, Ingeborg
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Berg, J.
    Röing, Marta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Erntell, M.
    Stålsby Lundborg, Cecilia
    Perceptions among Swedish hospital physicians on prescribing of antibiotics and antibiotic resistance2010In: Quality and Safety in Healthcare, ISSN 1475-3898, E-ISSN 1470-7934, Vol. 19, no 6, p. e8-Article in journal (Refereed)
    Abstract [en]

    Objective: To explore and describe perceptions of antibiotic prescribing among Swedish hospital physicians, with special reference to whether the perceptions included awareness of antibiotic resistance (AR). Design: A phenomenographic approach was used and data were collected in face-to-face interviews. Setting: Hospitals in seven different counties in central Sweden. Participants A strategic sample of 20 hospital physicians specialising in internal medicine, surgery or urology. Main outcome The variation of perceptions of antibiotic prescribing. Results: Five qualitative different perceptions were found. AR was considered in two of the perceptions. Reasons for not considering AR included a dominating focus on the care of the patient combined with lack of focus on restrictive antibiotic use, or uncertainty about how to manage infectious diseases or the pressure from the healthcare organisation. Parallels between the five perceptions and the stages in the transtheoretical model of health behaviour change were seen. Conclusions: In three of the perceptions, AR was not considered when antibiotics were prescribed. Physicians who primarily express these three perceptions do not seem to be prepared to change to restrictive prescribing. Our findings can be useful in designing activities that encourage AR prevention. Organisational changes are also needed.

  • 210.
    Björkman, Ingeborg
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Viberg, Nina
    Rydberg, Linda
    Stålsby Lundborg, Cecilia
    Health promotion at Swedish pharmacies: views of the staff2008In: Pharmacy Practice (Internet), ISSN 1886-3655, Vol. 6, no 4, p. 211-218Article in journal (Refereed)
    Abstract [en]

    The role of pharmacy has changed dramatically during the last decades, which has led to new demands on pharmacy personnel. Objective: This study aims at exploring the attitudes of Swedish pharmacy personnel on their role as public health promoters and to look at the opportunities and obstacles they identify in the efforts to widen the pharmacy remit to include a wider health approach. Method Eight focus group discussions were conducted with a strategic sample of pharmacy personnel working in two counties in Sweden. The discussions were transcribed verbatim and analysed by qualitative inductive analysis. Results Five themes were identified, “Pharmacy activities impact on public health”, “The employer, Apoteket AB”, “The new role welcomed”, “Obstacles in the new role”, and “Need of change and support”. Conclusion The concept of pharmacy personnel as public health promoters was not initially in the mindset of the participants. In the process of discussion, the impact of traditional pharmacy practice as well as new pharmacy based initiatives on public health gradually became more obvious to them. The findings show a pharmacy staff involved in a process of change. The participants have not yet landed in their new role as public health promoters and the study shows that practical as well as conceptual support is needed in order for pharmacy personnel to play a more important role in public health.

  • 211.
    Björkman, Johanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Låta maten tysta mun: Skillnader och samband i graden av mindful eating i förhållande till Body Mass Index och demografiska variabler2014Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background: An increased awareness around the meal and eating through mindful eating has in recent research proved to be an effective method for reducing a wide range of diseases and health problems and contribute to beneficial health effects. Despite this, few studies have been conducted in a Swedish context.

    Objective: To examine and describe the degree of mindful eating in a group individuals on social media in relation to Body Mass Index and demographic variables.

    Methods: Descriptive cross-sectional study with a quantitative approach. An previously developed instrument, Mindful Eating Questionnaire (MEQ), was translated and distributed as a web-based survey. Respondents were recruited during one week by a snowball sample on the social network Facebook. The criteria for inclusion was that the participants should master the Swedish language, be between 20-65 years and users of Facebook. The sample comprised a total of 264 respondents.

    Reslutat: Main results indicated that participants generally had a good degree of mindful eating, with a mean MEQ-score of 2.82. The highest score was on the subscale of emotional response (3.01) and the lowest point at the awareness (2.55). Differences and correlation between the mean mindful eating score and background variables occurred only with BMI. People with normal weight (BMI 18.5-24.9) were markedly more aware than the other. For the different subscales and the demographic variables several differences and correlations were identified. Mainly in relation to BMI, gender and age.

    Conclusion: The study showed that the degree of mindful eating mainly differed in relation to BMI, which is consistent with previous studies in other countries. This can be a important result partly to raise awareness about mindful eating and its health effects, partly because mindful eating can be an effective method of promoting good eating habits in a Swedish population.

  • 212.
    Björktomta, Siv-Britt
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
    Aarum Hansen, Heidi
    Departement for Health and Social Studies, Östfold University, Halden, Norway.
    Svalastog, Anna Lydia
    Departement for Health and Social Studies, Östfold University, Halden, Norway.
    Digital Society generates new challenges on child welfare service2017In: Croatian Medical Journal, ISSN 0353-9504, E-ISSN 1332-8166, ISSN 1332-8166, Vol. 58, no 1, p. 80-83-Article in journal (Refereed)
  • 213.
    Björnsdóttir, E.
    et al.
    Univ Iceland, Dept Med, Reykjavik, Iceland.
    Janson, Christer
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research.
    Lindberg, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research.
    Arnardóttir, E. S.
    Univ Iceland, Reykjavik, Iceland.
    Benediktsdottir, B.
    Univ Iceland, Reykjavik, Iceland.
    Garcia-Aymerich, J.
    Ctr Res Environm Epidemiol CREAL, Barcelona, Spain.
    Carsin, A. E.
    Ctr Res Environm Epidemiol CREAL, Barcelona, Spain.
    Real, F. Gómez
    Univ Gothenburg, Gothenburg, Sweden.
    Torén, K.
    Univ Gothenburg, Gothenburg, Sweden.
    Heinrich, J.
    Univ Hosp Munich, Munich, Germany.
    Nowak, D.
    Univ Hosp Munich, Munich, Germany.
    Sánchez-Ramos, J. L.
    Univ Huelva, Huelva, Spain.
    Demoly, P.
    Univ Hosp Montpellier, Montpellier, France.
    Arenas, S. D.
    Galdakao Usansolo Hosp, Biscay, Spain.
    Navarro, R. C.
    Hosp Gen Univ, Albacete, Spain.
    Schlünssen, V.
    Aarhus Univ, Aarhus, Denmark.
    Raherison, C.
    Bordeaux Populat Hlth Res Ctr, Bordeaux, France.
    Jarvis, D. L.
    Natl Heart & Lung Inst, London, England.
    Gislason, T.
    Univ Iceland, Reykjavik, Iceland.
    Respiratory symptoms are more common among short sleepers independent of obesity2017In: Sleep Medicine, ISSN 1389-9457, E-ISSN 1878-5506, Vol. 40, no Supplement 1, p. E37-E37Article in journal (Other academic)
  • 214. Blom, Helena
    et al.
    Högberg, Ulf
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology.
    Olofsson, Niclas
    Danielsson, Ingela
    Strong association between earlier abuse and revictimization in youth2014In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 14, p. 715-Article in journal (Refereed)
    Abstract [en]

    Background: Violence victimization among youth is recognized as a public health problem. The objective was to analyze the risk pattern of emotional, physical, and sexual abuse during the past 12 months by gender, sociodemographic factors, health risk behaviors, and exposure to abuse before the age of 15, among young men and women attending youth health centers in Sweden. Methods: A cross-sectional survey was conducted using a nationally representative sample of youth health centers. A total of 2,250 young women and 920 young men aged 15-23 completed a self-administered questionnaire. Odds ratios (OR) and adjusted odds ratios (AOR) with 95% CI were calculated. Results: A consistent and strong association was noted between exposure to all types of violence during the past year and victimization before the age of 15 for all types of violence for both women and men. The only exceptions were childhood sexual victimization and sexual violence during the past year for men. Younger age was associated with all violence exposure for the women and with emotional violence for the men. For the women, drug use was associated with all types of violence, while the association with hazardous alcohol use and not living with parents was restricted to physical and sexual violence exposure, present smoking was restricted to emotional and physical violence exposure, and partnership and living in urban areas were restricted to sexual violence. For men, not being partnered, hazardous alcohol consumption, and drug use meant increased risk for physical violence, while smoking and living in urban areas were associated with sexual violence. After adjustment, immigration had no association with violence exposure. Conclusions: Violence victimization in young men and women is often not a single experience. Findings underline the importance of early interventions among previously abused youth.

  • 215.
    Blomberg, Oscar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Skillnad i energiförbrukningen hos barn med övervikt eller fetma vid inskrivning på överviktsenhet jämfört med årskontroll: En jämförelse över tid2016Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Background

    Children with obesity have a lower level of physical activity than normal weight children. Low levels of physical activity at a young age suggests low levels of physical activity as an adult, which increases the risk of the metabolic syndrome. Increased physical activity increases AEE and can lead to increased FFM which helps to increase TEE which is important for long term weight loss.

    Aim

    The aim of this study was to examine difference in total energy expenditure, TEE, and activity-related energy expenditure, AEE, measured by accelerometer on children with obesity at enrolment, compared to at least a year later. Furthermore, the aim was to see if there was any difference within each gender in total and activity-related energy expenditure and if there was any correlation between these with the change in the body composition.

    Method

    Data from two examinations where 28 children completed measurements of BMR, body composition, and activity registration with accelerometer was collected. Comparative statistics between the examinations were carried out on the energy consumption variables TEE and AEE.

    Results

    TEE has decreased (p=<0.01) and AEE has decreased (p=<0.01) at the year follow up. The result for each gender showed for the boys that there was a difference between the examinations in both TEE (p=0.004) and AEE (p=0.009). While for girls there was a difference in TEE (p=0.005) but not in AEE (p=0.091). There was a correlation between TEE and FM (r=-0.47, p=0.014), and FFM (r=0.47, p=0.014) in percent.

    Conclusion

    The children in this study had lower TEE and lower AEE one year after they were enrolled at the obesity unit while they have become more obese. Considering the size of the study group this result should be interpreted with caution.

  • 216.
    Boden, Robert
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
    Molin, E.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
    Jernberg, T.
    Kieler, H.
    Lindahl, Bertil
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.
    Sundström, Johan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.
    Higher mortality after myocardial infarction in patients with severe mental illness: a nationwide cohort study2015In: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 277, no 6, p. 727-736Article in journal (Refereed)
    Abstract [en]

    ObjectivesThe aim of this study was to explore the impact of severe mental illness (SMI) on myocardial infarction survival and determine the influence of risk factor burden, myocardial infarction severity and different treatments. Design, setting and participantsThis population-based cohort study, conducted in Sweden during the period 1997-2010, included all patients with a first diagnosis of myocardial infarction in the Swedish nationwide myocardial infarction register SWEDEHEART (n=209592). Exposure was defined as a diagnosis of SMI (i.e. bipolar disorder or schizophrenia) in the national patient register prior to infarction. Bias-minimized logistic regression models were identified using directed acyclic graphs and included covariates age, gender, smoking, diabetes, previous cardiovascular disease, myocardial infarction characteristics and treatment. Main outcome measuresThe outcomes were 30-day and 1-year mortality, obtained through linkage with national population registers. ResultsPatients with bipolar disorder (n=442) and schizophrenia (n=541) were younger (mean age 68 and 63years, respectively) than those without SMI (n=208609; mean age 71years). The overall 30-day and 1-year mortality rates were 10% and 18%, respectively. Compared with patients without SMI, patients with SMI had higher 30-day [odds ratio (OR) 1.99, 95% confidence interval (CI) 1.55-2.56] and 1-year mortality (OR 2.11, 95% CI 1.74-2.56) in the fully adjusted model. The highest mortality was observed amongst patients with schizophrenia (30-day mortality: OR 2.58, 95% CI 1.88-3.54; 1-year mortality: OR 2.55, 95% CI 1.98-3.29). ConclusionSMI is associated with a markedly higher mortality after myocardial infarction, also after accounting for contributing factors. It is imperative to identify the reasons for this higher mortality.

  • 217.
    Bodin, Maja
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology.
    När män får barn: En kvantitativ studie av pappors uttagande av föräldraledighet och deltagande i skötseln av barn och hushåll2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Uppsatsens syfte var att studera uttagande av pappaledighet och vilka förväntningar blivande pappor hade på sin delaktighet i skötsel av barn och hushåll, samt huruvida dessa infriades. Målet var även att se om uttagande av pappaledighet och delaktighet i skötseln kunde relateras till sociodemografiska faktorer. Frågeformulär delades ut till blivande/nyblivna pappor i Västernorrlands län under år 2007. Männen fick besvara frågor vid fyra tillfällen; i tidig graviditet, sen graviditet, två månader efter barnets födelse samt ett år postpartum. Jämförelser mellan de olika svarstillfällena analyserades med hjälp av Friedmans test och chi2-test. Resultatet visar att pappornas förväntningar på jämlik fördelning var högre ställda än hur det sedan blev när barnet var fött. Pappor med högre utbildning var hemma längre än pappor med låg utbildning. Den psykiska och fysiska hälsan försämrades efter att barnet fötts. Uppsatsen bekräftar tidigare fynd om att pappaledighet ökar pappornas engagemang i barnets skötsel men i övrigt inte nämnvärt förändrar könsstereotypa roller i hemmet.

  • 218.
    Bodin, Maja
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology. Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research.
    Käll, Lisa
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research.
    Tydén, Tanja
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
    Stern, Jenny
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. Sophiahemmet Univ, Dept Hlth Promot, Stockholm, Sweden..
    Drevin, Jennifer
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Larsson, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Exploring men's pregnancy-planning behaviour and fertility knowledge: a survey among fathers in Sweden2017In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 122, no 2, p. 127-135Article in journal (Refereed)
    Abstract [en]

    Introduction: Research about pregnancy-planning behaviour mostly focuses on women, even though pregnancy planning usually also concerns men. The purpose of this study was to investigate how men plan for family, and to measure their fertility knowledge after having become fathers. Material and methods: Data were collected in 2014 as part of a Swedish longitudinal pregnancy-planning study. Men were recruited through their female partner one year after childbirth. Participants were asked to fill out a questionnaire about pregnancy planning, lifestyles, and fertility. Results: Of the 796 participants, 646 (81%) stated that the pregnancy had been very or fairly planned, and 17% (n=128) had made a lifestyle adjustment before pregnancy to improve health and fertility. The most common adjustments were to reduce/quit the consumption of alcohol, cigarettes, or snuff, and to exercise more. First-time fathers and those who had used assisted reproductive technology to become pregnant were more likely to have made an adjustment. Fertility knowledge varied greatly. Men with university education had better fertility knowledge than men without university education. Conclusion: Our findings indicate that there is variation in how men plan and prepare for pregnancy. Most men did not adjust their lifestyle to improve health and fertility, while some made several changes. Both pregnancy-planning behaviour and fertility knowledge seem to be related to level of education and mode of conception. To gain deeper understanding of behaviour and underlying factors, more research is needed.

  • 219.
    Bodin, Maja
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Obstetrics and Reproductive Health Research.
    Tydén, Tanja
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Obstetrics and Reproductive Health Research.
    Käll, Lisa
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Arts, Centre for Gender Research.
    Larsson, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Research group (Dept. of women´s and children´s health), Obstetrics and Reproductive Health Research.
    Can Reproductive Life Plan-based counselling increase men's fertility awareness?2018In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 123, no 4, p. 255-263Article in journal (Refereed)
    Abstract [en]

    Background: Many men have limited knowledge about reproductive health and fertility. The aim of the study was to evaluate if Reproductive Life Plan (RLP)-based counselling during a sexual health visit could increase men’s fertility awareness.

    Material and methods: The study was a randomized controlled trial including 201 men aged 18–50 who visited either of two participating sexual health clinics in Sweden for sexually transmitted infection testing during 2014–2016. All men received standard care, and men in the intervention group (IG) also received oral and written RLP-based information about lifestyle and fertility. Awareness about fertility and lifestyle-related factors were the main outcomes, measured through a questionnaire before the intervention and through a telephone survey after three months. Impressions from the counselling were also assessed at follow-up.

    Results: A majority (71%) of men wanted children in the future. General fertility awareness increased from a mean score of 4.6 to 5.5 out of 12 (P = 0.004) in the IG. The mean number of accurate lifestyle factors (that could affect fertility) mentioned increased from 3.6 to 4.4 (P < 0.001) in the IG. There were no improvements in the control group. Among the men in the IG, 76% had a positive experience of the counselling, and 77% had received new information.

    Conclusion: The intervention managed to increase different aspects of men’s fertility awareness. In the future, the format for preconception care for men needs further development. Including men in preconception health policy guidelines and identifying suitable actors for care provision would be important first steps.

  • 220.
    Bogale, Tesfahun Yonas
    et al.
    Wolaita Sodo Univ, Hlth Sci & Med Coll, Wolaita Sodo, Ethiopia.
    Tadesse Balla, Elazar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Child Health and Nutrition.
    Tadesse, Minyahil
    Wolaita Sodo Univ, Hlth Sci & Med Coll, Wolaita Sodo, Ethiopia.
    Asamoah, Benedict Oppong
    Lund Univ, Dept Clin Sci, Social Med & Global Hlth, Malmo, Sweden.
    Prevalence and associated factors for stunting among 6-12 years old school age children from rural community of Humbo district, Southern Ethiopia2018In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 18, article id 653Article in journal (Refereed)
    Abstract [en]

    Background: Stunting is one of the most serious and challenging public health problems in Ethiopia, which constitute a significant obstacle to achieving better child health outcomes. This study aimed to assess the prevalence and factors associated with stunting among 6-12 years old children in Humbo district, Southern Ethiopia. Methods: This was a cross-sectional study conducted among 633 children 6-12 years old living in Humbo district, Southern Ethiopia, from March to April, 2015. A multistage cluster sampling technique was used to select participants from households in eight Villages in the study area. Height was measured using standard methods and height for age Z-score was computed to assess stunting. EPI info version 3.5.4 was used for data entry, whereas Anthroplus software and SPSS version 20.0 were used for computation of height for age Z-scores and statistical analyses respectively. Simple and multiple logistic regression analyses were used to examine factors associated with stunting in the study sample, using 95% confidence limits (statistical significance set at p < 0.050). Results: Prevalence of stunting was 57%, about, 3.5% were severely stunted, 27.3% moderately stunted and 26.4% mildly stunted, and the mean (SD) was -1.1 (+/- 1.2). About 7 (1.1%) boys and 15 (2.4%) girls were severely stunted. Age groups 10-12 years had significantly higher rate of stunting than others. Age (AOR = 1.7, 95% CI = 1.1-2.6), big family size (AOR = 4.6, 95% CI = 2.2-9.5) and field disposal of wastes (AOR = 2.7, 95% CI = 1.2-5.8) were factors significantly associated with stunting. Conclusion: This study exposed high rate of stunting among school age children. Stunting remains a noticeable attribute of rural school age children. Findings suggest the need to implement evidence-based school-aged rural children nutrition policy and strategies as well as need for intervention to improve domestic waste management system in the rural community.

  • 221.
    Boggs, Dorothy
    et al.
    London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth Ctr, London, England;London Sch Hyg & Trop Med, Int Ctr Evidence Disabil, London, England.
    Milner, Kate M.
    London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth Ctr, London, England;Murdoch Childrens Res Inst, Melbourne, Vic, Australia.
    Chandna, Jaya
    Univ Liverpool, Inst Translat Med, Liverpool, Merseyside, England.
    Black, Maureen
    Univ Maryland, Sch Med, Baltimore, MD 21201 USA;RIT Int, Durham, NC USA.
    Cavallera, Vanessa
    WHO, Dept Mental Hlth & Subst Abuse, Geneva, Switzerland.
    Dua, Tarun
    WHO, Dept Mental Hlth & Subst Abuse, Geneva, Switzerland.
    Fink, Guenther
    Swiss Trop & Publ Hlth Inst, Basel, Switzerland;Univ Basel, Basel, Switzerland.
    KC, Ashish
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH).
    Grantham-McGregor, Sally
    UCL, Fac Populat Hlth Sci, Inst Child Hlth, London, England.
    Hamadani, Jena
    Int Ctr Diarrhoeal Dis Res, Maternal & Child Hlth Div, Dhaka, Bangladesh.
    Hughes, Rob
    Childrens Investment Fund Fdn, London, England;London Sch Hyg & Trop Med, Dept Populat Hlth, Maternal & Child Hlth Intervent Res Grp, London, England.
    Manji, Karim
    Muhimbili Univ Allied Hlth Sci, Dept Paediat & Child Hlth, Dar Es Salaam, Tanzania.
    Mccoy, Dana Charles
    Harvard Univ, Harvard Grad Sch Educ, Cambridge, MA 02138 USA.
    Tann, Cally
    London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth Ctr, London, England;Univ Coll Hosp NHS Trust, Neonatal Med, London, England.
    Lawn, Joy E.
    London Sch Hyg & Trop Med, Maternal Adolescent Reprod & Child Hlth Ctr, London, England.
    Rating early child development outcome measurement tools for routine health programme use2019In: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 104, p. S22-S33Article in journal (Refereed)
    Abstract [en]

    Background Identification of children at risk of developmental delay and/or impairment requires valid measurement of early child development (ECD). We systematically assess ECD measurement tools for accuracy and feasibility for use in routine services in low-income and middle-income countries (LMIC). Methods Building on World Bank and peer-reviewed literature reviews, we identified available ECD measurement tools for children aged 0-3 years used in >= 1 LMIC and matrixed these according to when (child age) and what (ECD domains) they measure at population or individual level. Tools measuring <2 years and covering >= 3 developmental domains, including cognition, were rated for accuracy and feasibility criteria using a rating approach derived from Grading of Recommendations, Assessment, Development and Evaluations. Results 61 tools were initially identified, 8% (n=5) population-level and 92% (n=6) individual-level screening or ability tests. Of these, 27 tools covering >= 3 domains beginning <2 years of age were selected for rating accuracy and feasibility. Recently developed population-level tools (n=2) rated highly overall, particularly in reliability, cultural adaptability, administration time and geographical uptake. Individual-level tool (n=25) ratings were variable, generally highest for reliability and lowest for accessibility, training, clinical relevance and geographical uptake. Conclusions and implications Although multiple measurement tools exist, few are designed for multidomain ECD measurement in young children, especially in LMIC. No available tools rated strongly across all accuracy and feasibility criteria with accessibility, training requirements, clinical relevance and geographical uptake being poor for most tools. Further research is recommended to explore this gap in fit-for-purpose tools to monitor ECD in routine LMIC health services.

  • 222.
    Bohlin, Anna
    et al.
    Umeå universitet, Allmänmedicin.
    Ahlgren, Christina
    Umeå universitet, Sjukgymnastik.
    Hammarström, Anne
    Umeå universitet, Allmänmedicin.
    Gustafsson, Per E.
    Umeå universitet, Allmänmedicin.
    Perceived gender inequality in the couple relationship and musculoskeletal pain in middle-aged women and men2013In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, no 8, p. 825-831Article in journal (Refereed)
    Abstract [en]

    Aims: Musculoskeletal pain is a major health problem, especially in women, and is partially determined by psychosocial factors. The aim of the present study was to investigate whether gender inequality in the couple relationship was related to musculoskeletal pain. Methods: Participants (n=721; 364 women and 357 men) were all individuals living in a couple relationship in the Northern Swedish Cohort, a 26-year Swedish cohort study. Self-administered questionnaire data at age 42 years comprised perceived gender inequality in the couple relationship and musculoskeletal pain (in three locations, summarised into one score and median-split), concurrent demographic factors, psychological distress, and previous musculoskeletal pain at age 30 years. Associations were examined using logistic regression. Results: Gender inequality was positively associated with symptoms of musculoskeletal pain in the total sample, remaining significant after addition of possible confounders and of previous musculoskeletal pain. Separate adjustment for concurrent psychological distress attenuated the association but not below significance. The association was present and of comparable strength in both women and men. Conclusions: Gender inequality in the couple relationship might contribute to the experience of musculoskeletal pain in both women and men. The results highlight the potential adverse bodily consequences of living in unequal relationships.

  • 223.
    Bojner Horwitz, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Artistic Therapies and Psychosomatics2012In: Psykosomatik i teori och praktik, Studentlitteratur AB, 2012Chapter in book (Refereed)
  • 224.
    Bojner Horwitz, Eva
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Dance/Movement Therapy in Fibromyalgia Patients: Aspects and Consequences of Verbal, Visual and Hormonal Analyses2004Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis presents hormonal, emotional, physical and visual status changes in female fibromyalgia (FMS) patients after treatment with the Creative Art therapy; dance/movement therapy, compared to controls. FMS is a syndrome of chronic pain involving musculoskeletal aches, stiffness and pain where perturbations in the stress-axis and high scores on somatic anxiety and muscular tension also have been found. The study comprises thirty-six female FMS patients divided in treatment- and control group. Serum concentrations of the hormones prolactin, dehydroepiandrosterone sulphate (DHEA-S), cortisol and neuropeptide Y (NPY) in plasma and cortisol in saliva were analysed. Different verbal self-rating scales concerning well-being, pain, personality and life events among other things have been used. Assessments of the condition of the FMS patients affected by video-viewing were evaluated together with interviews about the self-perception phenomenon of video viewing (a phenomenological hermeneutic method).

    The results of the study show that six months of dance/movement therapy appears sufficient to improve both psychological and physical function, as indicated by the visual analyses. The video interpretation technique (VIT) and self-figure drawings captured treatment effects that were not evident from verbal scales or reflected in hormone levels. The biological markers probably need a longer treatment period to activate the HPA axis and its inter-related hormones and peptides.

    The use of different assessment techniques most likely has affected the treatment outcome. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors discussed. The VIT may be useful for early identification of maladaptive movement patterns and as a mirror of facial and bodily expressions of emotions. In conclusion, this study indicates that both the dance/movement therapy and the VIT have had great influence on the FMS patient’s well-being, self-perception and perception of pain.

    List of papers
    1. Dance/movement therapy and changes in stress-related hormones: a study of fibromyalgia patients with video-interpretation
    Open this publication in new window or tab >>Dance/movement therapy and changes in stress-related hormones: a study of fibromyalgia patients with video-interpretation
    2003 (English)In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 30, no 5, p. 255-264Article in journal (Refereed) Published
    National Category
    Public Health, Global Health, Social Medicine and Epidemiology
    Identifiers
    urn:nbn:se:uu:diva-92309 (URN)10.1016/j.aip.2003.07.001 (DOI)
    Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2017-12-14Bibliographically approved
    2. Dance/movement therapy in fibromyalgia patients: Changes in self-figure drawings and their relation to verbal self-rating scales
    Open this publication in new window or tab >>Dance/movement therapy in fibromyalgia patients: Changes in self-figure drawings and their relation to verbal self-rating scales
    2006 (English)In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 33, no 1, p. 11-25Article in journal (Refereed) Published
    Abstract [en]

    This study evaluates if verbally oriented scales are as effective as the visual instruments of self-figure drawing and video interpretation in detecting treatment responses after 6 months of dance/movement therapy in fibromyalgia patients.

    The self-figure drawing and video interpretation technique captured treatment effects that were not seen on verbal scales. In the self-figure drawings, significant differences were seen in the variables “amount of body details” and “amount of paper use in percent” between the treatment group and controls after dance/movement therapy. The treatment group showed a significant increase in the “amount of body details” and “amount of paper use in percent” compared to controls. Specific parts of the verbally oriented ratings in CPRS, “bodily discomfort” and “compulsive act,” were positively correlated to “number of different colours.” The variable “pain and ache” in the CPRS indicated a negative correlation to the “amount of paper use in percent,” i.e. the more pain, the less paper used.

    The use of different assessment techniques may affect the treatment outcome and verbal instrumentation may not be the most appropriate in this patient group. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors that are discussed.

    Keywords
    Dance/movement therapy, Fibromyalgia, Self-figure drawing, Video interpretation
    National Category
    Public Health, Global Health, Social Medicine and Epidemiology
    Identifiers
    urn:nbn:se:uu:diva-92310 (URN)10.1016/j.aip.2005.05.004 (DOI)
    Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2017-12-14Bibliographically approved
    3. Fibromyalgia patients own experiences of video self-interpretation: a phenomenological hermeneutic study
    Open this publication in new window or tab >>Fibromyalgia patients own experiences of video self-interpretation: a phenomenological hermeneutic study
    2003 (English)In: Scand J of Caring Sciences, no 17, p. 257-264Article in journal (Refereed) Published
    National Category
    Public Health, Global Health, Social Medicine and Epidemiology
    Identifiers
    urn:nbn:se:uu:diva-92311 (URN)
    Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2015-11-26Bibliographically approved
    4. New technique for assessment of self-perception in fibromyalgia patients: a pilot study with video interpretation
    Open this publication in new window or tab >>New technique for assessment of self-perception in fibromyalgia patients: a pilot study with video interpretation
    2004 (English)In: The Arts in Psychotherapy, no 31, p. 153-164Article in journal (Refereed) Published
    National Category
    Public Health, Global Health, Social Medicine and Epidemiology
    Identifiers
    urn:nbn:se:uu:diva-92312 (URN)
    Available from: 2004-11-04 Created: 2004-11-04 Last updated: 2015-11-26Bibliographically approved
  • 225.
    Bojner Horwitz, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Dans som terapi och empatiträning2014In: Kulturhälsoboxen: Del 2 - Dansboken / [ed] Bojner Horwitz, Eva, Gothia Fortbildning AB , 2014Chapter in book (Other (popular science, discussion, etc.))
  • 226.
    Bojner Horwitz, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Ett samtal om teater och smärtlindring: Marie Göranzon intervjuas2014In: Kulturhälsoboxen: Del 3 - Teaterboken / [ed] Bojner Horwitz, Eva, Gothia Fortbildning , 2014Chapter in book (Other (popular science, discussion, etc.))
  • 227.
    Bojner Horwitz, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Kroppsbild som skattningsinstrument2014In: Kulturhälsoboxen: Del 4 - Film- och bildboken / [ed] Bojner Horwitz, Eva, Gothia Fortbildning AB , 2014Chapter in book (Other (popular science, discussion, etc.))
  • 228.
    Bojner Horwitz, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Kulturaktiviteter i ett historiskt perspektiv2014In: Kulturhälsoboxen: Del 1 - Kulturpaletten / [ed] Bojner Horwitz, Eva, Gothia Fortbildning AB , 2014Chapter in book (Other (popular science, discussion, etc.))
  • 229.
    Bojner Horwitz, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Kulturhälsoboxen: 6 böcker om kulturens plats i vården och egenvården2014Conference proceedings (editor) (Other (popular science, discussion, etc.))
  • 230.
    Bojner Horwitz, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Promoting inter-generational meetings between young people and senior citizens - using internet based music videos2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27Article in journal (Other academic)
  • 231.
    Bojner Horwitz, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Social Sustainable Development - focus on Cultural Health: empati, kultur och spegelneuron2013In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 2Article in journal (Refereed)
  • 232.
    Bojner Horwitz, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Hogstedt, CWistén, PTheorell, Töres
    Kultur och hälsa i folkhälsoperspektiv2015Conference proceedings (editor) (Other academic)
  • 233.
    Bojner Horwitz, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Kowalski, Jan
    Anderberg, Ulla Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Theater for, by and with fibromyalgia patients: evaluation of emotional expression using video interpretation2010In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 37, no 1, p. 13-19Article in journal (Refereed)
    Abstract [en]

    The healing function of theatre is reflected in all human cultures. Today, therapists and scientists work with psychodrama and drama therapy, often describing theatre as the art form closest to life itself.

    In a unique cooperation between professional actors and a dance movement therapist/pain researcher, patients with fibromyalgia have first been trained in body- and voice expression and thereafter acted out a drama onstage together with professional actors. A video interpretation technique was used to help patients interpret their own emotional expressions towards other actors and evaluate their perceived pain and self-rated health.

    The results of this experimental study show that the variation of emotional expression from video interpretation is dependent upon whether or not the patient acts with an actor. The intensity of emotional expression increases significantly when acting together with a professional actor. The results also show an increase in self-rated health and a decrease in pain after three months of using this theatre-based technique. A correlation between strong emotional expression and decreased pain was also observed. However, when patients did not actively participate in a theatre play, their self-estimated pain was not significantly decreased.

    In this study, the cross-fertilization of culture/expressive arts and health care is presented as a new resource for pain treatment. In particular there may be a link between intense emotional expressions when acting with professional actors and decreased perceptions of pain. The paper also discusses the potential therapeutic value of working with professional actors in the treatment of other pain patients. Hopefully, this “healing theatre” can contribute to developing collaboration between actors and creative art therapists and stimulate controlled studies of evidence-based science.

  • 234.
    Bojner Horwitz, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Kowalski, Jan
    Theorell, Töres
    Anderberg, Ulla Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Psychiatry, University hospital.
    Dance/movement therapy in fibromyalgia patients: Changes in self-figure drawings and their relation to verbal self-rating scales2006In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 33, no 1, p. 11-25Article in journal (Refereed)
    Abstract [en]

    This study evaluates if verbally oriented scales are as effective as the visual instruments of self-figure drawing and video interpretation in detecting treatment responses after 6 months of dance/movement therapy in fibromyalgia patients.

    The self-figure drawing and video interpretation technique captured treatment effects that were not seen on verbal scales. In the self-figure drawings, significant differences were seen in the variables “amount of body details” and “amount of paper use in percent” between the treatment group and controls after dance/movement therapy. The treatment group showed a significant increase in the “amount of body details” and “amount of paper use in percent” compared to controls. Specific parts of the verbally oriented ratings in CPRS, “bodily discomfort” and “compulsive act,” were positively correlated to “number of different colours.” The variable “pain and ache” in the CPRS indicated a negative correlation to the “amount of paper use in percent,” i.e. the more pain, the less paper used.

    The use of different assessment techniques may affect the treatment outcome and verbal instrumentation may not be the most appropriate in this patient group. Difficulties perceiving information through verbal/cognitive modalities as well as alexithymia are factors that are discussed.

  • 235.
    Bojner Horwitz, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Osika, Walter
    Karolinska institutet.
    Theorell, Töres
    Karolinska institutet.
    Hållbarhetstestning och implementering av kulturhälsoaktiviteter: forskarsamhällets roll2015In: Kultur och hälsa i folkhälsoperspektiv / [ed] Bojner Horwitz E, Hogstedt C, Wistén P, Theorell T, Tolvnitton Förlag , 2015Chapter in book (Refereed)
  • 236.
    Bojner Horwitz, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Stenfors, C
    Osika, W
    Managing writers block: movement as contemplative inquiry2013In: International Journal of Transpersonal Studies, ISSN 1321-0122, E-ISSN 1942-3241, Vol. 32, no 1, p. 16-26Article in journal (Refereed)
  • 237.
    Bojner Horwitz, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Psychiatry, University hospital.
    Theorell, Töres
    Anderberg, Ulla Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Psychiatry, University hospital. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Dance/movement therapy and changes in stress-related hormones: a study of fibromyalgia patients with video-interpretation2003In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 30, no 5, p. 255-264Article in journal (Refereed)
  • 238.
    Bojner Horwitz, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Theorell, Töres
    Anderberg, Ulla Maria
    Fibromyalgia patients own experiences of video self-interpretation: a phenomenological hermeneutic study2003In: Scand J of Caring Sciences, no 17, p. 257-264Article in journal (Refereed)
  • 239.
    Bojner Horwitz, Eva
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
    Theorell, Töres
    Anderberg, Ulla Maria
    New technique for assessment of self-perception in fibromyalgia patients: a pilot study with video interpretation2004In: The Arts in Psychotherapy, no 31, p. 153-164Article in journal (Refereed)
  • 240.
    Boll, Madeleine
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Research and Development, Gävleborg.
    Boström Lindberg, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm , Centre for Research and Development, Gävleborg.
    Physiotherapists’ understanding and approach to health promotion work in compulsory school: perceiving and supporting coherence2010In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 26, no 5, p. 318-326Article in journal (Refereed)
    Abstract [en]

    Gaining knowledge in the field of health promotion may help physiotherapists acquire a new understanding of the way movement promotes health, as related to environmental influences. The aim of the present study was to describe how physiotherapists working in a programme of health promotion in compulsory school understand and approach their work. Seven physiotherapists in primary care, working partly with health promotion in compulsory school, were interviewed. A descriptive design of qualitative content analysis was chosen to analyse interviews that had already been conducted in a local evaluation of the programme. This resulted in a main theme, described as Perceiving and Supporting Coherence. This understanding and approach were discussed in relation to challenges of a historically embedded constitution of physiotherapy when entering the area of health promotion in compulsory school.

  • 241.
    Bolund, Elisabeth
    et al.
    Uppsala University, Disciplinary Domain of Science and Technology, Biology, Department of Ecology and Genetics, Animal ecology.
    Lummaa, Virpi
    Univ Turku, Dept Biol, FIN-20014 Turku, Finland.;Univ Sheffield, Dept Anim & Plant Sci, Sheffield S10 2TN, S Yorkshire, England..
    Smith, Ken R.
    Univ Utah, Huntsman Canc Inst, Dept Family & Consumer Studies & Populat Sci, Salt Lake City, UT 84112 USA..
    Hanson, Heidi A.
    Univ Utah, Huntsman Canc Inst, Dept Family & Prevent Med & Populat Sci, Salt Lake City, UT 84112 USA..
    Maklakov, Alexei A.
    Uppsala University, Disciplinary Domain of Science and Technology, Biology, Department of Ecology and Genetics, Animal ecology.
    Reduced costs of reproduction in females mediate a shift from a male-biased to a female-biased lifespan in humans2016In: Scientific Reports, ISSN 2045-2322, E-ISSN 2045-2322, Vol. 6, article id 24672Article in journal (Refereed)
    Abstract [en]

    The causes underlying sex differences in lifespan are strongly debated. While females commonly outlive males in humans, this is generally less pronounced in societies before the demographic transition to low mortality and fertility rates. Life-history theory suggests that reduced reproduction should benefit female lifespan when females pay higher costs of reproduction than males. Using unique longitudinal demographic records on 140,600 reproducing individuals from the Utah Population Database, we demonstrate a shift from male-biased to female-biased adult lifespans in individuals born before versus during the demographic transition. Only women paid a cost of reproduction in terms of shortened post-reproductive lifespan at high parities. Therefore, as fertility decreased over time, female lifespan increased, while male lifespan remained largely stable, supporting the theory that differential costs of reproduction in the two sexes result in the shifting patterns of sex differences in lifespan across human populations. Further, our results have important implications for demographic forecasts in human populations and advance our understanding of lifespan evolution.

  • 242. Bond, C. A.
    et al.
    Raehl, C. L.
    Claesson, Cecilia B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    International pharmacy1995In: Pharmacotherapy, ISSN 0277-0008, E-ISSN 1875-9114, Vol. 15, no 5, p. 586-591Article in journal (Refereed)
  • 243.
    Borg, Olivia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology.
    Wille, Michelle
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology.
    Kjellander, P.
    Swedish Univ Agr Sci, Dept Ecol, Grimso Wildlife Res Stn, SLU, Riddarhyttan, Sweden..
    Bergvall, U. A.
    Swedish Univ Agr Sci, Dept Ecol, Grimso Wildlife Res Stn, SLU, Riddarhyttan, Sweden.;Stockholm Univ, Dept Zool, Stockholm, Sweden..
    Lindgren, P. -E
    Chirico, J.
    SVA, Natl Vet Inst, Uppsala, Sweden..
    Lundkvist, Åke
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences.
    Expansion of spatial and host range of Puumala virus in Sweden: an increasing threat for humans?2017In: Epidemiology and Infection, ISSN 0950-2688, E-ISSN 1469-4409, Vol. 145, no 8, p. 1642-1648Article in journal (Refereed)
    Abstract [en]

    Hantaviruses are globally distributed and cause severe human disease. Puumala hantavirus (PUUV) is the most common species in Northern Europe, and the only hantavirus confirmed to circulate in Sweden, restricted to the northern regions of the country. In this study, we aimed to further add to the natural ecology of PUUV in Sweden by investigating prevalence, and spatial and host species infection patterns. Specifically, we wanted to ascertain whether PUUV was present in the natural reservoir, the bank vole (Myodes glareolus) further south than Dalalven river, in south-central Sweden, and whether PUUV can be detected in other rodent species in addition to the natural reservoir. In total, 559 animals were collected at Grimso (59 degrees 43 ' N; 15 degrees 28 ' E), Sala (59 degrees 55 ' N; 16 degrees 36 ' E) and Bogesund (59 degrees 24 ' N; 18 degrees 14 ' E) in south-central Sweden between May 2013 and November 2014. PUUV ELISA-reactive antibodies were found both in 2013 (22/295) and in 2014 (18/264), and nine samples were confirmed as PUUV-specific by focus reduction neutralization test. Most of the PUUV-specific samples were from the natural host, the bank vole, but also from other rodent hosts, indicating viral spill-over. Finally, we showed that PUUV is present in more highly populated central Sweden.

  • 244.
    Borg, Sabina
    et al.
    Linkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden;Linkoping Univ, Dept Cardiol, Linkoping, Sweden;Linkoping Univ, Dept Med & Hlth Sci, Linkoping, Sweden.
    Oberg, Birgitta
    Linkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden.
    Leosdottir, Margret
    Lund Univ, Dept Clin Sci Malmo, Fac Med, Malmo, Sweden;Skane Univ Hosp, Dept Cardiol, Malmo, Sweden.
    Lindholm, Daniel
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Cardiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.
    Nilsson, Lennart
    Linkoping Univ, Div Cardiovasc Med, Dept Med & Hlth Sci, Linkoping, Sweden.
    Back, Maria
    Linkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden;Sahlgrens Univ Hosp, Dept Occupat Therapy & Physiotherapy, Gothenburg, Sweden.
    Factors associated with non-attendance at exercise-based cardiac rehabilitation2019In: BMC SPORTS SCIENCE MEDICINE AND REHABILITATION, E-ISSN 2052-1847, Vol. 11, article id 13Article in journal (Refereed)
    Abstract [en]

    Background

    Despite its well-established positive effects, exercise-based cardiac rehabilitation (exCR) is underused in patients following an acute myocardial infarction (AMI). The aim of the study was to identify factors associated with non-attendance at exCR in patients post-AMI in a large Swedish cohort.

    Methods

    A total of 31,297 patients who have suffered an AMI, mean age 62.4 ± 4 years, were included from the SWEDEHEART registry during the years 2010–2016. Comparisons between attenders and non-attenders at exCR were done at baseline for the following variables: age, sex, body mass index, occupational status, smoking, previous diseases, type of index cardiac event and intervention, and left ventricular function. Distance of residence from the hospital and type of hospital were added as structural variables in logistic regression analyses, with non-attendance at exCR at one-year follow-up as dependent, and with individual and structural variables as independent variables.

    Results

    In total, 16,214 (52%) of the patients did not attend exCR. The strongest predictor for non-attendance was distance to the exCR centre (OR 1.75 [95% CI: 1.64–1.86]). Other predictors for non-attendance included smoking, history of stroke, percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), AMI or diabetes, male sex, being retired vs. being employed, and being followed-up at a county hospital. Patients with ST-elevation myocardial infarction (STEMI) and those intervened with PCI or CABG were more likely to attend exCR.

    Conclusions

    A distance greater than 16 km was associated with increased probability of non-attendance at exCR, as were smoking, a higher burden of comorbidities, and male sex. A better understanding of individual and structural factors can support the development of future rehabilitation services.

  • 245.
    Borgestig, Maria
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. Linkoping Univ, Dept Social & Welf Studies, Linkoping, Sweden..
    Rytterstrom, Patrik
    Linkoping Univ, Dept Social & Welf Studies, Linkoping, Sweden..
    Hemmingsson, Helena
    Linkoping Univ, Dept Social & Welf Studies, Linkoping, Sweden..
    Gaze-based assistive technology used in daily life by children with severe physical impairments - parents' experiences2017In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 20, no 5, p. 301-308Article in journal (Refereed)
    Abstract [en]

    Objective: To describe and explore parents' experiences when their children with severe physical impairments receive gaze-based assistive technology (gaze-based assistive technology (AT)) for use in daily life. Methods: Semi-structured interviews were conducted twice, with one year in between, with parents of eight children with cerebral palsy that used gaze-based AT in their daily activities. To understand the parents' experiences, hermeneutical interpretations were used during data analysis. Results: The findings demonstrate that for parents, children's gaze-based AT usage meant that children demonstrated agency, provided them with opportunities to show personality and competencies, and gave children possibilities to develop. Overall, children's gaze-based AT provides hope for a better future for their children with severe physical impairments; a future in which the children can develop and gain influence in life. Conclusion: Gaze-based AT provides children with new opportunities to perform activities and take initiatives to communicate, giving parents hope about the children's future.

  • 246.
    Borgquist, L.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Winblad, UlrikaUppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.Haglund, B.Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.Smedby, BjörnUppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Primärvård - vision och verklighet1995Conference proceedings (editor) (Other academic)
  • 247.
    Borisova, Liubov
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
    ‘Being’ or ‘feeling’ healthy: determinants of objective and subjective health in broader Europe2016Conference paper (Other academic)
    Abstract [en]

    BACKGROUND

    The East-West health divide in Europe is well documented, in both objective and subjective health. Ever since the Cold War, the West European countries have fared better in terms of health than their Eastern neighbours. However, the question still remains whether this divide is determined simply by differing socio-economic conditions or whether determination of individual health is qualitatively different and cannot be generalised between East and West. Therefore, this chapter analyses the determinants of both objective and subjective health in Eastern and Western Europe.

    METHODS

    To better understand the differences of health determination in the East and West, multi-level analysis on the dataset of the European Social Survey (ESS) is performed. The data covers 30 countries and almost 300 thousand individuals over seven rounds, and provides proxies for the main socio-economic determinants and two measures of health: self-reported health and functional ability. Health determinants are measured at both the individual and country-levels, and are divided into economic, political, and social determinants, lifestyles and health care. The standard demographics – age, gender, education and marital status – are also controlled for.

    RESULTS

    The analysis reveals that determinants of objective and subjective health are not the same between East and West. Clear differences in determinants of health exist between West European and East European countries particularly in terms of objective health, measured through functional status. Furthermore, overall country context does not influence health as much in the East.

    CONCLUSIONS

    The results might signify that different processes occur in East and West Europe where health is concerned. All the findings once more reinforce the anomaly of the East European region, and recommend that researchers treat comparisons of different health indicators, as well as their determinants, between these two regions with a high degree of caution.

  • 248.
    Borisova, Liubov
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
    Objective and Subjective Determinants of Self-Rated Health in Central and Eastern Europe: A Multilevel Approach2019In: Central European Journal of Public Health, ISSN 1210-7778, E-ISSN 1803-1048, Vol. 27, no 2, p. 145-152Article in journal (Refereed)
    Abstract [en]

    Objectives: Determinants of health in Central and Eastern Europe (CEE) have been discussed primarily in relation to the transition of the 1990's and early 2000's, citing lifestyles as the main culprit. This paper tries to draw a bigger picture of the health determinants in CEE in the first decade of the 21st century. To do so, the two main analytical approaches to health are united in one setting. One of them is based on the definition of health as a personal commodity relying mostly on micro-level subjective data. The other views health as a public commodity analysing objective societal characteristics and health care interventions with often a macro-level perspective. The current study incorporates these different approaches (subjective and objective) in a multi-level setting in CEE. Methods: The analysis concentrates on health care, social, political, and economic factors as determinants of self-rated health. Multilevel analysis is carried out on a dataset of Life in Transition Survey (LiTS), conducted in 2006 and 2010, pooled cross-sectional data on 46,546 individuals in 27 CEE states. They are accompanied by macro-level data. Results: The findings demonstrate that a complex mix of determinants influences subjective health in CEE. There are clear differences in the way objective and subjective indicators influence self-rated health. While societal economic prosperity does not influence health, there are strong country-specific differences in the effect of individual prosperity on health. Conclusions: The study adds to the recent literature on health in CEE by introducing an encompassing systematic approach to analysing health, as no leading cause for self-rated health variation was found. This paper also contributes to research on the determinants of health by fusing objective and subjective determinants in a hierarchical setting. Both subjective and objective determinants matter for health.

  • 249.
    Borisova, Liubov
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
    Martinussen, Pål E.
    Department of Sociology and Political Science, Norwegian University of Science and Technology, Norway.
    Rydland, Håvard T.
    Department of Sociology and Political Science, Norwegian University of Science and Technology, Norway.
    Stornes, Per
    Department of Sociology and Political Science, Norwegian University of Science and Technology, Norway.
    Eikemo, Terje A.
    Department of Sociology and Political Science, Norwegian University of Science and Technology, Norway.
    Public evaluation of health services across 21 European countries: The role of culture2017In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 45, no 2, p. 132-139Article in journal (Refereed)
    Abstract [en]

    Aims: This work examined the role of cultural values in understanding people’s satisfaction with health services across Europe. Methods: We used multilevel linear regression analysis on the seventh round of the European Social Survey from 2014, including c. 40,000 respondents from 21 countries. Preliminary intraclass correlation analyses led us to believe that some explanations of variance in the dependent variable were to be found at the country level. In search of country level explanations, we attempted to account for the role of national culture in influencing citizens’ attitudes towards health systems. This was done by using Hofstede’s dimensions of power distance, individualism, masculinity and uncertainty avoidance, giving each country in the survey a mean aggregated score. Results: In our first model with individual level variables, being female, having low or medium education, experiencing financial strain, and reporting poor health and unmet medical needs were negatively associated with individual satisfaction with national healthcare systems, with the latter variable showing the strongest effect. After including Hofstede’s cultural dimensions in our multilevel model, we found that the power distance index variable had a negative effect on the dependent variable, significant at the 0.1 level. Conclusions: Citizens are likely to evaluate their national health system more negatively in national cultures associated with autocracy and hierarchy.

  • 250. Borry, Pascal
    et al.
    Bentzen, Heidi Beate
    Budin-Ljøsne, Isabelle
    Cornel, Martina C
    Howard, Heidi Carmen
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.
    Feeney, Oliver
    Jackson, Leigh
    Mascalzoni, Deborah
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.
    Mendes, Álvaro
    Peterlin, Borut
    Riso, Brigida
    Shabani, Mahsa
    Skirton, Heather
    Sterckx, Sigrid
    Vears, Danya
    Wjst, Matthias
    Felzmann, Heike
    The challenges of the expanded availability of genomic information: an agenda-setting paper.2018In: Journal of Community Genetics, ISSN 1868-310X, E-ISSN 1868-6001, Vol. 9, no 2, p. 103-116Article in journal (Refereed)
    Abstract [en]

    Rapid advances in microarray and sequencing technologies are making genotyping and genome sequencing more affordable and readily available. There is an expectation that genomic sequencing technologies improve personalized diagnosis and personalized drug therapy. Concurrently, provision of direct-to-consumer genetic testing by commercial providers has enabled individuals' direct access to their genomic data. The expanded availability of genomic data is perceived as influencing the relationship between the various parties involved including healthcare professionals, researchers, patients, individuals, families, industry, and government. This results in a need to revisit their roles and responsibilities. In a 1-day agenda-setting meeting organized by the COST Action IS1303 "Citizen's Health through public-private Initiatives: Public health, Market and Ethical perspectives," participants discussed the main challenges associated with the expanded availability of genomic information, with a specific focus on public-private partnerships, and provided an outline from which to discuss in detail the identified challenges. This paper summarizes the points raised at this meeting in five main parts and highlights the key cross-cutting themes. In light of the increasing availability of genomic information, it is expected that this paper will provide timely direction for future research and policy making in this area.

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