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  • 101.
    Olander, Ewy
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Sander, Annette
    INTERNATIONAL HEALTH COMMUNICATORS: Supporting Health and Integration2007Konferansepaper (Fagfellevurdert)
    Abstract [en]

    In an increasingly globalized world it is important to globalize in a narrow perspective “at home” in one’s own local health service. Since one year an International Health Communicator Project is running in the County Council of Blekinge, Sweden. The aim is to elaborate health promotion and disease prevention focusing immigrants with foreign languages and cultures to support integration in the Swedish society, improve health literacy and reduce health inequities among this population. In the project a group of immigrants from different countries learn to International Health Communicators and to work as health promoters with immigrants, both as a population and as individuals, in order to bridge a gap to health services, facilitate understanding and capability, and to promote health. To strengthen a health promotion approach the project has a participatory approach both for education and evaluation. Together the International Health Communicators, the project leaders and a researcher elaborate the education and training to International Health Communicators, and have monthly “developing and evaluation” meetings to support the learning process and the International Health Communication developing process. In this process the challenge is to develop a model for health communication that is flexible and useful for different immigrant groups and individuals, consistent with empowerment and integration building in the forth dimension of health promotion in the 21st century. A summative evaluation of the first project year with structure, process and impact evaluation will be reported in March.

  • 102.
    Olander, Ewy
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Sander, Annette
    Internationella hälsokommunikatörer 2006-2007, Utvärdering av projektet2008Rapport (Annet vitenskapelig)
    Abstract [en]

    Utvärderingsrapporten är en sammanställning av Internationella Hälsokommunkatörsprojektet i Landstinget Blekinge,samt det uppföljnings- och utvärderingsarbete som har pågått under projekttiden 2006-2007.

  • 103.
    Olander, Ewy
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Wallenberg, Lovisa
    Wandås, Inger
    Haglund, Bo
    Health Square – a new Setting for Health Communication2007Konferansepaper (Fagfellevurdert)
    Abstract [en]

    In Sweden a new setting called “Health Square“ has been elaborated by the National Pharmacy Chain in collaboration with above all local pharmacies, county councils and municipalities. A Health Square aims to be an open meeting place where people can get easy accessible health information and have individual consultations for health and lifestyle issues with health professionals as primary health care nurses and pharmacists in order to improve health literacy and empowerment. Existing knowledge in reports and local evaluations do not provide a comprehensive view of the health squares policies and activities. The aim of this study is to describe the setting Health Square as phenomenon and activity related to policies, in purpose to enhance understanding of the Health Square’s potential as a health communication setting. Data were collected from national and local documents such as policies, contracts, health plans and guidelines, a health square personnel survey, and a report with experiences of five years Health Square activities in Sweden. Walt and Gilsons policy analysis triangle was used as a tool for the data analysis. The analysis suggests that Health Square has a potential as a valuable setting for both population and individual health communication. There are strong intentions to a health promotion and empowerment building approach, which also increasingly permeate health communication, which must be important to reach the aims. The results could be useful for prospective analysis for further development of Health Square settings.

  • 104. Olsson Möller, Ulrika
    et al.
    Midlöv, Patrik
    Kristensson, Jimmie
    Ekdahl, Charlotte
    Berglund, Johan
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Jakobsson, Ulf
    Prevalence and predictors of falls and dizziness in people younger and older than 80 years of age-A longitudinal cohort study2013Inngår i: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 56, nr 1, s. 160-168Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The objectives were to investigate the prevalence and predictors for falls and dizziness among people younger and older than 80 years of age. The sample was drawn from the Swedish National study on Aging and Care (SNAC) and comprised 973 and 1273 subjects with data on the occurrence of falls and dizziness respectively at baseline. Follow-ups were made after 3- and 6-years. Data included socio-demographics, physical function, health complaints, cognition, quality of life and medications. The prevalence of falls was 16.5% in those under aged 80 and 31.7% in those 80+ years while dizziness was reported by 17.8% and 31.0% respectively. Predictors for falls in those under aged 80 were neuroleptics, dependency in personal activities of daily living (PADL), a history of falling, vision impairment and higher age, and in those 80+ years a history of falling, dependency in instrumental activities of daily living (IADL), fatigue and higher age. Factors predicting dizziness in those under aged 80 were a history of dizziness, feeling nervous and reduced grip strength and in those 80+ years a history of dizziness and of falling. Predictors for falls and dizziness differed according to age. Specific factors were identified in those under aged 80. In those 80+ years more general factors were identified implying the need for a comprehensive investigation to prevent falls. This longitudinal study also showed that falling and dizziness in many older people are persistent and therefore should be treated as chronic conditions. (c) 2012 Elsevier Ireland Ltd. All rights reserved.

  • 105. Ostergaard, Lars
    et al.
    Silfverdal, Sven-Arne
    Berglund, Johan
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Flodmark, Carl-Erik
    West, Christina
    Bianco, Veronique
    Baine, Yaela
    Miller, Jacqueline M.
    A tetravalent meningococcal serogroups A, C, W-135, and Y tetanus toxoid conjugate vaccine is immunogenic and well-tolerated when co-administered with Twinrix2012Inngår i: Vaccine, ISSN 0264-410X, E-ISSN 1873-2518, Vol. 30, nr 4, s. 774-783Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The co-administration of the tetravalent meningococcal conjugate vaccine, MenACWY-TT, with a licensed hepatitis A and B vaccine, HepA/B (Twinrix (R)), was compared to their separate administration in this open, randomised, controlled study. Healthy subjects 11-17 years of age (n = 611) were randomised (3:1:1) to receive both vaccines, MenACWY-TT alone or HepA/B alone. The co-administration of both vaccines was shown to be non-inferior to their individual administration. At seven months after the first vaccination, 99.4-100% of the subjects who received both vaccines co-administered showed seroprotection against all meningococcal serogroups and at least 99.1% of them were seropositive for hepatitis A and seroprotected against hepatitis B. This study suggests that MenACWY-TT vaccine could be co-administered with HepA/B without adversely impacting the immunogenicity, safety and reactogenicity of either of the vaccines.

  • 106. Pedersen, Court
    et al.
    Breindahl, Morten
    Aggarwal, Naresh
    Berglund, Johan
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Oroszlan, Gyoergy
    Silfverdal, Sven Arne
    Szuts, Peter
    O'Mahony, Michael
    David, Marie-Pierre
    Dobbelaere, Kurt
    Randomized Trial: Immunogenicity and Safety of Coadministered Human Papillomavirus-16/18 AS04-Adjuvanted Vaccine and Combined Hepatitis A and B Vaccine in Girls2012Inngår i: Journal of Adolescent Health, ISSN 1054-139X, E-ISSN 1879-1972, Vol. 50, nr 1, s. 38-46Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: This randomized, open, controlled, multicenter study (110886/NCT00578227) evaluated human papillomavirus (HPV)-16/18 AS04-adjuvanted vaccine (HPV-16/18 vaccine) coadministered with inactivated hepatitis A and B (HAB) vaccine. Coprimary objectives were to demonstrate noninferiority of hepatitis A, hepatitis B, and HPV-16/18 immune responses at month 7 when vaccines were coadministered, compared with the same vaccines administered alone. Methods: Healthy girls (9-15 years) were age-stratified (9, 10-12, and 13-15 years) and randomized to receive HPV (n = 270), HAB (n = 271), or HPV + HAB (n = 272). Vaccines were administered at months 0, 1, and 6. Immunogenicity was evaluated at months 0 and 7. Results: The hepatitis A immune response was noninferior for HPV + HAB, versus HAB, for seroconversion rates (100% in each group) and geometric mean antibody titers (GMTs) (95% CI) (4,504.2 [3,993.0-5,080.8] and 5,288.4 [4,713.3-5,933.7] mIU/mL, respectively). The hepatitis B immune response was noninferior for HPV + HAB, versus HAB, for anti-HBs seroprotection rates (98.3% and 100%); GMTs were 3,136.5 [2,436.0-4,038.4] and 5,646.5 [4,481.3-7,114.6] mIU/mL, respectively. The HPV-16/18 immune response was noninferior for HPV + HAB, versus HPV, for seroconversion rates (99.6% and 100% for both antigens) and GMTs (22,993.5 [20,093.4-26,312.0] and 26,981.9 [23,909.5-30,449.1] EL.U/mL for HPV-16; 8,671.2 [7,651.7-9,826.6] and 11,182.7 [9,924.8-12,600.1] EL.U/mL for HPV-18, respectively). No subject withdrew because of adverse events. No vaccine-related serious adverse events were reported. Immune responses and reactogenicity were similar in girls aged 9 years compared with the entire study population. Conclusions: Results support coadministration of HPV-16/18 vaccine with HAB vaccine in girls aged 9-15 years. The HPV-16/18 vaccine was immunogenic and generally well tolerated in 9-year-old girls.

  • 107.
    Pesämaa, Ossi
    et al.
    Blekinge Tekniska Högskola, Sektionen för management.
    Shoham, Aviv
    Wincent, Joakim
    Ruvio, Ayalla
    How a learning orientation affects drivers of innovativeness and performance in service delivery2013Inngår i: Journal of engineering and technology management, ISSN 0923-4748, E-ISSN 1879-1719, Vol. 30, nr 2, s. 169-187Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Relying on organizational innovativeness for long-term growth and profitability can be difficult, time consuming, and expensive. In the context of service delivery of 395 strategic business units (SBU) in Israel's healthcare industry, this paper examines the role of a learning-orientation as a moderator in an integrative model of organizational innovativeness. We find moderation of the impacts of risk-taking, creativity, competitor benchmarking orientation, and environmental opportunities on innovativeness. Moreover, we find the influence on performance pronounced for high learning-oriented SBUs. The paper shows that learning orientation should be considered for understanding effective innovativeness work for competitive service delivery.

  • 108. Rakus-Andersson, Elisabeth
    A Comparison of Fuzzy Decision Making Models Supporting the Optimal Therapy2000Inngår i: Fuzzy Systems in Medicine / [ed] Szczepaniak, Piotr S.; Lisboa, Paulo J. G.; Kacprzyk, Janusz, Heidelberg-New York: Physica-verlag – A Springer-verlag Company , 2000, s. 561-572Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    Fuzzy set theory offers numerous methods that prove helpful in solving medical problems. They have already been successfully used for instance to fix the optimal level of drug action in patients revealing no clinical symptoms after treatment. In many morbid processes, however, although indices of measurable symptoms improve after the course of medication, the symptoms themselves do not retreat entirely. The authors have already proposed different fuzzy techniques involved in the solution of the problem described above. This time the suggestion of comparing three fuzzy decision making models aim at facilitation of the optimal drug choice in the case of symptoms that prevail after treatment.

  • 109. Rakus-Andersson, Elisabeth
    A Diagnostic Process Extended in Time as a Fuzzy Model1999Inngår i: Computing Anticipatory Systems / [ed] Dubois, Daniel M., New York: American Institute of Physics, Woodbury, New York , 1999, s. 283-288Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    The paper refers to earlier results obtained by the authors and constitutes their essential complement and extension by introducing to a diagnostic model the assumption that the decision concerning the diagnosis is based on observations of symptoms carried out repeatedly, by stages, which may have effect in a change of these symptoms in increasing time. The model concerns the observations of symptoms at an individual patient at a time interval. The changes of the symptoms give some additional information, sometimes very important in the diagnostic process when the clinical picture of a patient in a certain interval of time differs from that one which has been received from the beginning of the disease. It may occur that the change in the intensity of a symptom decides an acceptance of another diagnosis after some time when the patient does not feel better. The aim is to fix an optimal diagnosis on the basis of clinical symptoms typical of several morbid units with respect to the changes of these symptoms in time. In order to solve such a posed problem the authors apply the method of fuzzy relation equations, which are modelled by means of logical laws and the rules of inference. Moreover, in the final decision concerning the choice of a proper diagnosis, a normalized Euclidean distance is introduced as a measure between a real decision and an ”ideal” decision. A simple example presents the practical action of the method to show its relevance to a possible user.

  • 110. Rakus-Andersson, Elisabeth
    A Fuzzy Decision Making Model Applied to the Choice of the Therapy in the Case of Symptoms not Disappearing after the Treatment1999Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Fuzzy set theory has used many auxiliary methods into the trials of solutions of some medical problems. One of the attempts was the evaluation of the optimal level of the drug action in the case when the clinical symptoms disappeared completely after the treatment. However, there can occur such a morbid process in which the symptoms prevail after the treatment. The medication improves too high or too low level of the quantitative symptom but it still indicates the presence of the illness. It is not so easy to choose the medicine, which acts best because it can happen that most of them influence the same symptoms, while they do not improve the others. A fuzzy decision making model tries to make easier to find such a drug which affects most of the symptoms in the highest degree. In the next attempt of solving the problem we propose the using of discrete membership functions in the model instead of the continuous ones. It should improve the thoroughness of the method and heighten the reliability of the accepted decision.

  • 111. Rakus-Andersson, Elisabeth
    A Fuzzy Group-Decision Making Model Applied to the Choice of the Optimal Medicine in the Case of Symptoms not Disappearing after the Treatment2000Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Fuzzy Set Theory has used many auxiliary methods in the trials of solutions of some medical problems. One of the attempts was the finding of the optimal level of drug action in the case when the clinical symptoms disappeared completely after the treatment (Gerstenkorn and Rakus, 1994; Rakus, 1991). However, there can occur such a morbid process in which the symptoms do not disappear after the treatment. The medication improves too high or too low level of the quantitative symptom but it still indicates the presence of the disease. It sometimes makes some problems to choose the medicine, which acts best because it can happen that most of them influence the same symptoms while they do not improve the others. A fuzzy decision making model tries to make easier to find such a drug which affects most of the symptoms in the highest degree. To solve this problem we propose an application of discrete values of the membership degrees in the model instead of the continuous ones that were tested in the paper of Rakus-Andersson and Gerstenkorn (1997). It should improve the thoroughness of the method and heighten the reliability of the accepted decision. It is also considered how to choose the best medicine in the circumstances when some decision-makers have different opinions about the priority of the tested drugs.

  • 112. Rakus-Andersson, Elisabeth
    An Application of Fuzzy Set Theory in a Diagnostic Process Extended in Time1998Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The paper refers to earlier results obtained by authors and constitutes their essential complement by introducing to a diagnostic model the assumption that a decision concerning the diagnosis is based on observations of symptoms in some stages at an individual patient. To fix the optimal diagnosis we introduce the normalized Euclidean distance between fuzzy sets representing the ideal decision and a possible real decision stated by studying clinical symptoms.

  • 113. Rakus-Andersson, Elisabeth
    Approximate Reasoning in Surgical Decisions2009Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Approximate reasoning is one of the most effective fuzzy systems. The compositional rule of inference founded on the logical law modus ponens is furnished with a true conclusion, provided that the premises of the rule are true as well. Even though there exist different approaches to an implication, being the crucial part of the rule, we modify the early implication proposed by Zadeh in our practical model concerning a medical application. The approximate reasoning system presented in this work considers evaluation of a risk in the situation when physicians weigh necessity of the operation on a patient. The patient’s clinical symptom levels, pathologically heightened, indicate the presence of a disease possible to recover by surgery. We wish to evaluate the extension of the operation danger by involving particularly designed fuzzy sets in the algorithm of approximate reasoning.

  • 114. Rakus-Andersson, Elisabeth
    Evaluation of Medicine Action Levels2007Inngår i: Studies in Fuzziness and Soft Computing, ISSN 1434-9922, E-ISSN 1860-0808, Vol. 212, s. 93-126Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In the previous chapters, we have discussed some ways of determining the most credible diagnosis in a patient who could be identified by his set of clinical symptoms. The same symptoms are usually found in several illnesses. Therefore, it is often difficult to recognize the value of each of their deterministic yet individual characteristics all at once. After improving the diagnostic model by adding complementary solutions we are at last aware of a diagnosis of the patient. The next step would be to prescribe him medication that will lead to a cure. It is seldom possible to give the patient only one remedy to remove completely all unfavourable symptoms. In order to broaden a list of medicines that complement each other, we usually want to evaluate levels of one medicine and its impact on all of the symptoms. Preferably, we want to estimate the lowest and the highest levels of effectiveness of the medicines tested, one by one, when considering their curative powers. © 2007 Springer.

  • 115. Rakus-Andersson, Elisabeth
    Fuzzy Modelling in Medical Diagnosis and Appreciation of Drug Action2004Bok (Annet vitenskapelig)
    Abstract [en]

    The book presents different algorithms of diagnosing on the base of clinical symptoms. Some modern techniques as computing with words and the use of non-conventional operations on fuzzy membership degrees and fuzzy numbers are proposed as a new approach to the diagnostic problem. A large part of the work is devoted to differentiating the level of the drug action in the case of symptoms, which either disappear or still prevail after the treatment.

  • 116.
    Rakus-Andersson, Elisabeth
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för matematik och naturvetenskap.
    Frey, Janusz
    Blekinge Cty Hosp, Dept Surg & Urol, S-37185 Karlskrona, Sweden..
    Rutkowska, Danuta
    Czestochowa Tech Univ, Inst Comp & Informat Sci, PL-42201 Czestochowa, Poland..
    The Fuzzified Quasi-Perceptron in Decision Making Concerning Treatments in Necrotizing Fasciitis2015Inngår i: ARTIFICIAL INTELLIGENCE AND SOFT COMPUTING, PT II (ICAISC 2015), Springer, 2015, s. 130-141Konferansepaper (Fagfellevurdert)
    Abstract [en]

    In the current paper we mathematically try to support the decision concerning the treatment with hyperbaric oxygen for patients, suffering from necrotizing fasciitis. To accomplish the task, we involve the fuzzified model of a quasi-perceptron, which is our modification of the classical artificial simple neuron. By means of the fuzzification of input signals and output decision levels, we wish to distinguish between decisions "treatment without recommended hyperbaric oxygen" versus "treatment with hyperbaric oxygen". The number of decision levels can be arbitrary in order to extend the decision scale.

  • 117. Rennemark, Mikael
    et al.
    Holst, Göran
    Fagerström, Cecilia
    Halling, Anders
    Factors related to frequent usage of the primary healthcare services in old age: findings from The Swedish National Study on Aging and Care2009Inngår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 17, nr 3, s. 304-311Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    People aged 60 or more are the most frequent users of healthcare services. In this age range, however, both frequent and infrequent users can be found. Frequent users have high rates of illnesses. Previous research has found that the frequency may be influenced also by psychological and social factors. The aim of this study was to investigate to what degree such factors add to the explanation of differences in number of visits to a physician. A crosssectional study was conducted with a random sample consisting of 1017 individuals, aged 60 to 78 years, from the Blekinge part of the Swedish National Study on Aging and Care database. The data were collected during 2001 to 2003. Hierarchical logistic regression analyses were used with frequent (three visits or more during a year) and infrequent use as a dichotomous dependent variable. The final statistical analyses included 643 individuals (63% of the sample). Independent variables were sense of coherence (SOC), internal locus of control, education level and social anchorage. Control variables were age, gender, functional ability and comorbidity. The results showed that comorbidity was most strongly related to frequent use [adjusted odds ratio (OR) = 8.17, 95% confidence interval (CI) 5.54–12.04]. In addition, SOC and internal locus of control had small, but significant effects on the odds of being a frequent user (adjusted OR = 1.03, 95% CI 1.00–1.06 and adjusted OR = 1.14, 95% CI 1.02–1.27, espectively). The lower the SOC and the internal locus of control were, the higher were the odds of frequent use. Education level and social anchorage were unrelated to frequency of use. The results indicate that frequent healthcare services users are more ill than infrequent users. Psychological factors influence the use only marginally, and social factors as well as age and gender are not by themselves reason for frequent healthcare services use.

  • 118.
    Rennemark, Mikael
    et al.
    Linnaeus Univ, SWE.
    Jogréus, Claes
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för matematik och naturvetenskap.
    Elmstahl, Solve
    Lund Univ, SWE.
    Weimer, Anna-Karin
    Karolinska Inst, SWE.
    Wimo, Anders
    Karolinska Inst, SWE.
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Relationships Between Frequency of Moderate Physical Activity and Longevity: An 11-Year Follow-up Study2018Inngår i: Gerontology and geriatric medicine, E-ISSN 2333-7214, Vol. 4, artikkel-id 2333721418786565Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: Moderate physical activity gains survival. There are, however, several variables that may affect this relationship. In this study, the relationship between moderate physical activity and longevity was investigated, taking into account age, gender, smoking habits, cohabitation status, body mass index, leg strength and balance, education level and cognitive function. Method: A sample of 8,456 individuals aged 60 to 96 years, representative of the Swedish population, was included. Participants were followed from 2004 to 2015. Cox regression analyses were used to investigate the predictive value of physical activity on longevity. Results: Participants still alive in the follow-up measure were more physically active on a moderate level. Being active 2 to 3 times a week or more was related to a 28% lower risk of not being alive at the follow-up measure. Discussion: The low frequency of physical activity, necessary for survival benefits should be considered in public health programs.

  • 119.
    Rennemark, Mikael
    et al.
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Lindwall, Magnus
    Halling, Anders
    Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Relationships between physical activity and perceived qualities of life in old age. Results of the SNAC study2009Inngår i: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 13, nr 1, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: The aim of the present study was to investigate the relationships of different types of quality of life to strenuous and light physical activity in old age. Methods: The Swedish SNAC-Blekinge baseline database, consisting of data on 585 men and 817 women 60-96 years of age, was utilized. The independent variables were light and strenuous physical activity. Four dependent variables concerned with various quality of life components were employed (well-being, engagement, emotional support and social anchorage). Age, gender, functional ability and co-morbidity were included as possible confounders. Non-parametric bivariate and multivariate statistical tests were performed. Results: Correlations suggested there to generally be a positive relationship between physical activity and quality of life. Multivariate logistic regression analyses controlling for possible confounders showed light physical activity to increase the odds of experiencing well-being, engagement and social anchorage, whereas strenuous physical activity increased the odds of experiencing engagement and emotional support. Thus, light physical activity and strenuous physical activity differed in their relation to quality of life generally. Conclusions: The results indicate that physical activity has a salutogenic effect by enhancing the quality of life, and it can be assumed to be connected to quality of life by generating pleasure and relaxation.

  • 120.
    Renvert, Stefan
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Persson, Rigmor E.
    Persson, Rutger G.
    Tooth loss and periodontitis in older individuals: results from the Swedish national study on aging and care.2013Inngår i: Journal of Periodontology, ISSN 0022-3492, E-ISSN 1943-3670, Vol. 84, nr 8, s. 1134-1144Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Due to the increasing number of older people, there is a need for studies focused on this population. The aims of the present study are to assess oral and systemic conditions in individuals aged 60 to 95 years with access to dental insurance. Methods: Probing depths (PDs), tooth loss, alveolar bone levels, and systemic health were studied among a representative cohort of older individuals. Results: A total of 1,147 individuals in young-old (aged 60 or 67 years), old (aged 72 or 78 years), and old-old (aged ≥81 years) age groups were enrolled, including 200 individuals who were edentulous, in this study. Annual dental care was received by 82% of dentate individuals. Systemic diseases were common (diabetes: 5.8%; cardiovascular diseases: 20.7%; obesity: 71.2%; elevated C-reactive protein [CRP]: 98.4%). Serum CRP values were unrelated to periodontal conditions. Rates of periodontitis, defined as ≥30% of sites with a distance from cemento-enamel junction to bone of ≥5 mm, were 11.2% in women in the young-old age group and 44.9% in men in the old-old age group. Individuals in older age groups had a higher likelihood of periodontitis defined by bone loss and cutoff levels of PD ≥5 mm (odds ratio: 1.8; 95% confidence interval: 1.2 to 2.5; P <0.01). A total of 7% of individuals in the old-old age group had ≥20 teeth and no periodontitis. Systemic diseases, dental use, or smoking were not explanatory, whereas age and sex were explanatory for periodontitis. Conclusions: The prevalence of periodontitis increased with age. Sex seems to be the dominant explanatory factor for periodontitis in older individuals. Despite frequent dental visits, overall oral health in the oldest age cohort was poor.

  • 121.
    Renvert, Stefan
    et al.
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Wallin-Bengtsson, Viveca
    Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    G Persson, Rutger
    Peridontitis in older Swedish individuals fails to predict mortality2015Inngår i: Clinical Oral Investigations, ISSN 1432-6981, E-ISSN 1436-3771, Vol. 19, nr 2, s. 193-200Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study aims to assess mortality risk and its association to health aspects in dentate individuals 60 years of age and older. Medical and periodontal data from 870 dentate individuals (age range 60-96) participating in the Swedish National Study on Aging and Care in Blekinge (SNAC-Blekinge) with survival statistics over 6 years were studied. During 6 years of follow-up, 42/474 of the individuals (8.9 %), who at baseline were between age 60 and 75, and 134/396 individuals of the individuals (33.9 %), who at baseline were ≥75 years, died. Surviving dentate individuals had more teeth (mean 19.3, S.D. ± 7.9) than those who died (mean 15.9, S.D. ± 7.3; mean diff 3,3; S.E. mean diff 0.7; 95 % CI 2.0, 4.6; p = 0.001). A self-reported history of high blood pressure (F = 15.0, p < 0.001), heart failure (F = 24.5, p < 0.001, observed power = 0.99), older age (F = 34.7, p < 0.001), male gender (F = 6.3, p < 0.01), serum HbA1c with 6.5 % as cutoff level (F = 9.3, p = 0.002) were factors associated with mortality. A medical diagnosis of heart disease, diabetes, any form of cancer, or periodontitis failed to predict mortality. A self-reported history of angina pectoris, chronic heart failure, elevated serum HbA1c, and few remaining teeth were associated with mortality risk. A professional diagnosis of cardiovascular disease, diabetes, cancer, or periodontitis was not predictive of mortality. Self-health reports are important to observe in the assessment of disease and survival in older individual.

  • 122. Richards, David A.
    et al.
    Borglin, Gunilla
    Implementation of psychological therapies for anxiety and depression in routine practice: Two year prospective cohort study2011Inngår i: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 133, nr 1-2, s. 51-60Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Worldwide, health systems are improving access to empirically supported psychological therapies for anxiety and depression. Evaluations of this effort are limited by the cross sectional nature of studies, short implementation periods, poor data completeness rates and lack of clinically significant and reliable change metrics. Objective: Assess the impact of implementing stepped care empirically supported psychological therapies by measuring the prospective outcomes of patients referred over a two year period to one Improving Access to Psychological Therapies service in the UK. Method: We collected demographic, therapeutic and outcome data on depression (PHQ-9) and anxiety (GAD-7) from 7859 consecutive patients for 24 months between 1st July 2006 and 31st August 2008, following up these patients for a further one year. Results: 4183 patients (53%) received two or more treatment sessions. Uncontrolled effect size for depression was 1.07 (95% CI: 0.88 to 1.29) and for anxiety was 1.04 (0.88 to 1.23). 55.4% of treated patients met reliable improvement or reliable and clinically significant change criteria for depression, 54.7% for anxiety. Patients received a mean of 5.5 sessions over 3.5 h, mainly low-intensity CBT and phone based case management. Attrition was high with 47% of referrals either not attending for an assessment or receiving an assessment only. Conclusions: Recovery rates for patients receiving stepped care empirically supported treatments for anxiety and depression in routine practice are 40 to 46%. Only half of all patients referred go on to receive treatment. Further work is needed to improve routine engagement of patients with anxiety and depression.

  • 123.
    Ringsberg, Karin
    et al.
    göteborgs universitet, SWE.
    Olander, Ewy
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Tillgren, Per
    Malardalens hogskola, SWE.
    Thualagant, Nicole
    Roskilde Universitetscenter, DEN.
    Trollvik, Anne
    Inland Norway University of Applied Sciences, NOR.
    Concerns and future challenges of health literacy in the Nordic countries: From the point of view of health promotion practitioners and researchers2018Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, nr 20_suppl, s. 107-117Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Health literacy is an essential social determinant for promoting and maintaining the health of a population. Aim: From a health promotion perspective, explore health literacy issues, concerns and future challenges among Nordic practitioners and researchers. Methods: Data were collected in a workshop at the 8th Nordic Health Promotion Conference, and in a literature review, with articles from five databases. The search included title and abstract with the search terms health literacy* and health literacy as a MeSH term and all the Nordic countries. Qualitative and quantitative analysis were used. Results: Twenty-five persons participated in the workshop. The discussions were summarized in six themes: concept of health literacy in national language; risk of victim blaming; measuring health literacy; content in school curricula on health literacy; new technologies for information and communication; communication and collaboration between different actors in support of health. Forty-three articles on health literacy were identified, mainly conducted within three fields: development, test and adaptation of instruments for measuring health literacy; measurement of health literacy among patients, or other defined target groups and on populations; and developing and evaluating methods/tools for the training of personnel groups or different target groups. Conclusions: There is a need for further studies providing a more in-depth understanding of the health literacy concept, knowledge on how to measure health literacy, ethical aspects, application in intersectoral collaboration as well as the adaptation to new technologies for information and communication in education supporting health literacy. As health literacy is an essential social health determinant, a concern and a future challenge must be, to make the health literacy concept familiar and visible in health promotion policies, research and practice such as health education. © 2018, © Author(s) 2018.

  • 124. Schenkman, Bo
    et al.
    Kjelldahl, Lars
    Color interaction – theory, examples and applications2011Inngår i: Encyclopedia of Eye Research / [ed] McGreeley, James L., Hauppauge: Nova Publishers , 2011Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    Color interaction is a perceptual effect that will influence how color combinations appear to an observer. Two main categories are color induction and color assimilation, the former when two colors become more different looking, and the latter when two colors become more similar looking. Typical examples are presentations of web pages on computer displays, cartographic pictures and maps, artistic displays such as paintings, and of environmental images, such as colors on houses. In this survey of concepts and research, the focus is on fundamental issues and definitions regarding these effects. The emphasis is on modern types of displays and relevant characteristics of different technologies are also given. Some historic perspectives are included. Different color appearance models and how they take color interaction into consideration are discussed, also including information on suitable possible color adjustments that the models may give. References are made to modern visual perceptual theories, and the place of these effects in a broader perceptual theory is considered. A number of illusions and pictures that illustrate interaction effects are included. As an example an experiment with perceived interactions between geometrical objects is described in short. Six observation colors and three interaction colors for each observed color were presented to ten observers, who performed a matching task. The result of this study is presented as color interaction diagrams in the CIELUV color space. The importance of color and color interaction in different applications is discussed together with a set of guidelines. The advantages and disadvantages that may result from using the guidelines are addressed. Some concluding remarks on possible future work in color interaction are given.

  • 125. Schenkman, Bo
    et al.
    Nilsson, Mats E.
    Human echolocation: The relative importance of pitch and loudness2008Konferansepaper (Fagfellevurdert)
    Abstract [en]

    A sound heard in the presence of a reflected object will be both louder and have a slightly different timbre (“repetition pitch”) than the same sound heard with no reflection. Thus, pitch and loudness are two sources of information that visually handicapped people may use for echolocation. In real life, the two sources of information are confounded, because perceived loudness and repetition pitch both diminishes with distance to the reflecting object. The purpose of the present experiment was to disentangle the influence of each of these sources on human echolocation. Experimental sounds were obtained from binaural recordings with an artificial head in an ordinary room. White noise (500 ms) was emitted from a loudspeaker on the chest of the artificial head. A reflecting aluminum sheet (0.5 m diameter) was located at 1, 2 and 3 m distance to the artificial head. By digital manipulation, the loudness information or the pitch information of the recorded sounds were eliminated, resulting in three kinds of sounds: (1) sounds containing both pitch and loudness information, (2) sounds with only pitch information, and (3) sounds with only loudness information. These three kinds of sounds were presented to 14 sighted students. The psychophysical method of 2-alternative-forced-choice with feedback was used, with 56 trials for each person at each condition. Each trial presented one sound recorded with, and one without, reflecting object. The task was to detect which of the two sounds that was recorded in the presence of the reflecting object. All participants could use echolocation for all three kinds of sounds at the distance of 1m, but performed close to chance with all sounds at 3 m. At the 2 m condition, sounds with only pitch information gave a higher performance compared to sounds with only loudness information, for which the performance was close to random. Thus, pitch alone may provide sufficient information for echolocation at these distances. Audiometric tests were conducted, with focus on the pure tone threshold average and the absolute difference between the ears. The results will have a bearing on the construction of orientation and mobility aids for the visually handicapped.

  • 126. Schröder-Bäck, Peter
    et al.
    Stjernberg, Louise
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Borg, Ann Marie
    Values and ethics amidst the economic crisis2013Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 23, nr 5Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The current protracted economic crisis is giving rise to the scarcity of public health resources across Europe. In response to budgetary pressures and the Eurozone public debt crisis, decision-makers resort to a short-term solution: the introduction of austerity measures in diverse policy fields. Health and social policy tend to be easy targets in this regard and budget cuts often include a reduction of healthcare expenditure or social welfare benefits. We suggest incorporating discussions from the field of ethics in policy making processes and in the academic debate on austerity. This includes recognising procedural justice as a social value. On the road to economic recovery, governments are compelled to resort to fiscal consolidation and austerity packages but decisions taken to save our European ships in crisis should be anchored in values such as (procedural) justice, equity and solidarity.

  • 127.
    Sjögren Forss, Katarina
    et al.
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Ekvall Hansson, Eva
    Stjernberg, Louise
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Outdoor recreational physical activity and parenthood in a gender perspective: a study from the south eastern part of Sweden2010Inngår i: European Journal of Public Health, 2010, Vol. 20Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The participation in physical activity (PA) can change during the life time. Parenthood has been found to be a life event that is associated with decreased PA, especially among women, but studies in the field are sparse. The aim of this study was to investigate performance in outdoor recreational PA, and factors influencing participation among parents and non-parents from a gender perspective. Methods This study included 432 individuals, 224 women and 208 men from Karlskrona municipality in the south eastern part of Sweden. Data collection was carried out during the years 2008-09. We measured the self-reported amount of outdoor recreational PA performed during the last year and analysed the dependency of the probability of performing this PA on 25 variables covering individual and socio-economic factors. Results A total of 76% of the women and 65% of the men had performed outdoor recreational PA during the last 12 months before one month prior to pregnancy. Men were affected by a greater number of factors than women. Performing PA indoors and dog or horse ownership emerged as the most important factors associated with the probability of performing outdoor recreational PA. Conclusions Those active in PA were active independent of indoor or outdoor activities, i.e. to be physical active seems to have a special connection to the personality and lifestyle. Becoming a parent is a life-changing event that affects participation in PA. By offering family-oriented PA choices that involve both parfents and children, midwives and health promoters can courage parents to be active and to support each other. The promotion of outdoor recreational PA, which also has restorative effects on well-being, needs to focus on activities which are attractive and affordable for the majority of both women and men.

  • 128.
    Sjögren Forss, Katarina
    et al.
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Ekvall Hansson, Eva
    Troein, Margareta
    Stjernberg, Louise
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Patterns of physical activity among women and men before and during pregnancy2014Inngår i: Public Health, ISSN 0033-3506, Vol. 128, nr 9, s. 814-816Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: Follow changing physical activity (PA) patterns among women and men during pregnancy compared to before pregnancy. Study design: Longitudinal study. Methods: The study involved 280 individuals, 145 women and 135 men (who were partners to the women), from the municipality of Karlskrona, Sweden. Data were collected during 2008–2009. We measured the self-reported amount of PA performed outdoors and indoors during the 12 months before pregnancy and throughout the entire pregnancy. Results: Among both women and men, we found changes in PA patterns during pregnancy compared to before pregnancy. Women and men were more physically active before pregnancy than during pregnancy. Similar patterns were found among women and men with regard to the type of activity, with both groups taking more exercise and pursuing aquatic sports, indoor PA and non-strenuous activities before pregnancy and more strolling/walking during pregnancy. Conclusions: Our findings contribute new knowledge about changes in men’s PA patterns from pre-pregnancy to pregnancy that is an unexplored field. Changes in the women’s activity patterns during pregnancy also affect the men. Women seem to adjust their activity patterns during the pregnancy. The changes in activity patterns among the men are more tentative but follow the pattern for the women, which could be explained by the couples sharing their everyday lives. Midwives should consider providing information to men about the importance of being physically active during pregnancy and informing them about their role in encouraging women to be physically active.

  • 129.
    Sjögren Forss, Katarina
    et al.
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Stjernberg, Louise
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Differences in physical activity patterns among women and men with and without children2012Inngår i: European Journal of Public Health, 2012, Vol. 22, nr Supl 22Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background Due to health effects from participating in physical activity (PA) it is from a public health perspective important to study how participation PA may change over a lifetime and how different life events impact on the participation. Although studies in the field are sparse, parenthood has been found to be a life event associated with decreased PA, especially among women. We studied physical activities performed among women and men with and without children. Methods This study includes data for from parents-to-be, 224 women and 208 men, from Karlskrona municipality, situated in the south eastern part of Sweden. Data collection was carried out during 2008–2009. When contacting the antenatal clinics in the municipality all expectant parents were asked by the midwife about participation in the study. Respondents completed a questionnaire about age, socioeconomic status, level of education, previous children, smoking and alcohol habits, Body Mass Index, self estimated health, and participation in different kinds of outdoor and indoor recreational PA. We measured the self-reported amount of outdoor recreational PA undertaken during the last year. Results Both women and men without children performed more outdoor and indoor PA compared to those who had children. Women walked significantly more (p = 0.017) than men irrespective of whether or not they had children. Women with children participated in significantly more gardening (p = 0.009) and winter sports (p = 0.013) than women without children, and women without children participated in significantly more PA indoors (p = 0.001) than women with children. Men with children participated in significantly more gardening (p = 0.001) than men without children, and men without children participated in significantly more PA indoors (p = 0.006). Conclusions Becoming a parent is a life event that affects participation in PA, both concerning duration and the kind of activities performed. To gain deeper understanding and more insight about reasons for these changed patterns of PA as well as the effects on the outcome of the parents health in a short- and long term would be important to follow prospectively.

  • 130. Sjögren, Katarina
    et al.
    Hansson, Eva Ekvall
    Stjernberg, Louise
    Parenthood and factors that influence outdoor recreational physical activity from a gender perspective2011Inngår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 11, nr 93Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: A physically active life promotes both physical and mental health, increasing well-being and quality of life. Physical activity (PA) performed outdoors has been found to be particularly good for promoting well-being. However, participation in PA can change during the course of a lifetime. Parenthood has been found to be a life event associated with decreased PA, especially among women, although studies in the field are sparse. The aim of this study was to investigate participation in outdoor recreational PA, and factors influencing participation among parents-to-be, with and without previous children, from a gender perspective. Methods: This study included baseline data from parents-to-be, 224 women and 208 men, from the municipality of Karlskrona in south-east Sweden. Data collection was carried out during 2008-2009. We measured the self-reported amount of outdoor recreational PA undertaken during the last year and analysed the probability of participating in this PA using 25 variables covering individual and socioeconomic factors. Results: Seventy-six per cent of the women and 65% of the men had participated in outdoor recreational PA, varying from several times per month to every day, over a 12-month period prior to one month before pregnancy. Participation in PA indoors and owning a dog or a horse emerged as the most important factors associated with the probability of participation in outdoor recreational PA. Men were affected by a greater number of factors than women, for example men who had a family situation that permitted outdoor recreational PA participated in activities to a greater extent than men without such a family situation. The physical aspect, i.e. improved physical condition, staying power and vigour, also played a significant role with regard to participation among men. Conclusions: Becoming a parent is a life-changing event that affects participation in PA. By offering family-oriented PA choices that involve both parents and children, midwives and health promoters can encourage parents to be active and to support each other. The promotion of outdoor recreational PA, which also has restorative effects on well-being, needs to focus on activities which are attractive and affordable for the majority of both women and men.

  • 131. Sjögren, Katarina
    et al.
    Stjernberg, Louise
    A gender perspective on factors that influence outdoor recreational physical activity among the elderly2010Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 10:34Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Physical activity (PA) is part of a healthy lifestyle and prevents many chronic health problems, in addition to promoting mental health. PA performed outdoors has been found particularly good for promoting one's well-being. The aim of this study was to investigate the extent to which outdoor recreational PA was carried out during 1 year, and the factors influencing such activities from a gender perspective among persons ≥ 60 years of age. Methods This study included 999 individuals 60-96 years of age living in the south eastern part of Sweden. Data collection was carried out during the years of 2001-2003. We measured the amount of regular light and/or intense outdoor recreational PA performed during the last year and determined the probability of performing PA as a function of 10 variables covering individual and socioeconomic factors. Results Our results suggest that being independent physically and healthy enough to manage one's personal hygiene and having access to areas for country walks were the most important factors associated with the probability of engaging in outdoor recreational PA for both men and women. Despite the level of performance being almost equal for the sexes as two-thirds of both had performed outdoor recreational PA during the preceding year more factors, i.e., living alone, being unable to cover an unexpected cost, fear of being violated, and fear of falling, were associated with the possibilities of engaging in outdoor recreational PA among women. Also increasing age seems to affect activities among women negatively to a higher extent than men. Conclusion Men and women seem to have different opportunities and needs with respect to performing PA. These considerations do not seem to be sufficiently taken into account today and improvements could be made concerning e.g., health-promoting activities suggested to the elderly by healthcare personnel and spatial planning within society. Promoting outdoor recreational PA that has restorative effects on well-being needs to focus on activities which are attractive and affordable for the majority of both men and women.

  • 132. Sjögren, Katarina
    et al.
    Stjernberg, Louise
    Factors influencing outdoor recreation physical activity among elderly in the south eastern part of Sweden2009Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background The elderly population in the world are increasing. Health promoting activities aiming at a long healthy life among the elderly is a central public health issue. Regular outdoor recreation physical activity is associated with physical and mental health benefits, also if starting late in life. We studied outdoor recreation physical activities and factors influencing such activities, among persons aged >60 years. Methods The study was performed within the longitudinal Swedish National Study on Aging and Care. Baseline data were collected between 2001 and 2003. Respondents completed a questionnaire about sex, age, outdoor physical activities during the last year, access to recreational areas, socioeconomic status, social network, anxiety of falling or being assaulted outdoors and capability to have a shower by themselves. A binary logistic regression was used to determine differences in variables constituting on factors enhancing the probability on performing outdoor recreation physical activities. Results In total, 999/1402 (71 %) respondents aged 60-96 years answered all the questions in the questionnaire. Of those, 659/999 (66 %) had performed outdoor recreation physical activities several times/week during the last year. The probability on performing activities was significantly higher among women when compared to men. The activities decreased significantly when becoming >80 years, especially among women. Also, being a woman with poor economy decreased the probability significantly compared to men in the same situation. Other factors which significantly increased the performance were; access to a recreational area, if respondents were not anxious of falling and if respondents were capable to have a shower by themselves. Conclusions To facilitate outdoor physical activities among elderly, extra support seems important for men <80 years and for both sexes when becoming >80 years. Also, those anxious of falling and women with a poor economy need support. Access to recreational areas is of importance.

  • 133. Stjernberg, Louise
    A newly detected TBE focus in the south-eastern part of Sweden: a follow-up study of TBEV seroprevalence, 1991 and 2002.2007Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background. In 2002, 2 cases of tick-borne encephalitis were diagnosed among inhabitants living in a tick endemic area on the island of Aspö in south-eastern Sweden. During the previous 25 years, only 2 additional cases had been diagnosed in that region of Sweden. To study presence and evolution of seroprevalence of antibodies to the tick-borne encephalitis virus we carried out a follow-up study, comparing inhabitants´ immunoglobulin G antibody levels against the virus in blood samples drawn in 1991 and 2002. Method. The island of Aspö is located in the south-eastern archipelago by the Baltic Sea in the county of Blekinge, Sweden. Due to the confirmed cases of tick-borne encephalitis, permanent and part-time residents were offered tick-borne encephalitis vaccination in the autumn of 2002. Blood samples were collected and analyzed by the two-step enzyme-linked immunosorbent assay to detect immunoglobulin G antibodies against tick-borne encephalitis virus. Also, questionnaires including questions about sex, age, earlier history of and previous vaccination against tick-borne encephalitis, residency on Aspö, history of observed tick-bites and earlier history of Lyme borreliosis and human granulocytic erhlichiosis, was filled in. All those individuals who had participated in a study on LB performed in 1991, and where available blood samples made it possible to compare tick-borne encephalitis immunoglobulin G seroprevalence, were included in the follow-up. Results. A significant increase in immunoglobulin G levels was seen during the follow-up with 24 (12.0%) of 200 blood samples being seropositive in 2002 versus 7 (3,5%) of 200 blood samples in 1991. However, only five participants converted from seronegative level during the 11 y follow-up and one of these participants had been vaccinated against tick-borne encephalitis during the observation period. In only four of all positive sera from 2002 and in no sera from 1991, were neutralizing antibodies against tick-borne encephalitis virus demonstrated. Compared with women, significantly more men were seropositive. In comparison with other age groups the greatest increase was seen in the age group 20 to 29 years. However, most seropostive levels were seen among those >50 years. Conclusion. Although we found seropositive blood samples in this area already in 1991, the existence of tick-borne encephalitis virus at that time is doubtful since no neutralizing antibodies against tick-borne encephalitis virus were demonstrated. During the 11 years follow-up an obvious increase of tick-borne encephalitis immunoglobulin G seropositive levels in humans was seen. Recommending preventing measures, including vaccination against tick-borne encephalitis is of importance for people regularly staying in this endemic area.

  • 134. Stjernberg, Louise
    Epidemiological aspects of tick borne diseases with focus on risk and prevention2004Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    The incidence and variety of diseases associated with ticks have increased world-wide and ticks are currently considered to be second only to mosquitoes as vectors of human infectious diseases in the world. In the northern hemisphere, Ixodes ricinus, the most common tick, transmits diseases caused by several infectious pathogens, including different types of bacteria, virus and protozoa. In Sweden, Lyme borreliosis, tick-borne encephalitis and erlichiosis are established, and more than 10.000 people are infected each year. This thesis focuses on aspects of risks associated with tick bites, the risk of contracting tick borne diseases including long-term outcome, and preventive measures and behaviour among people living in tick endemic areas. The first study describes the long-term outcome in patients treated with antibiotics due to neuroborreliosis. At the follow up, 75% of the patients had recovered completely and 25% (95% confidence interval; 17% - 33%) suffered from residual neurological symptoms such as facial palsy, concentration disorder, paresthesia and/or neuropathy. In order to avoid sequelae, early diagnosis and treatment are of great importance. The second study investigated the exposure and contraction of tick-bites with the risk of developing Lyme borreliosis from these tick-bites. Results showed that among people well aware of tick-borne diseases and who inspect their skin daily for ticks, the monthly rate of being tick bitten was 0.04 (95% confidence interval; 0.02-0.06) per 10 hours spent out of doors. Within six months, 3% had contracted Lyme borreliosis, i.e. the risk of developing this disease was 0.5% (95% confidence interval; 0.44-0.56) per tick-bite. The third (experimental) study was aimed at determining whether light-coloured or dark-coloured clothing had the least attractive effect on Ixodes ricinus. The overall found ticks between the both colours differed significantly, with 62% (95% confidence interval; 59% - 65%) of the ticks found on light-coloured clothing. Dark-coloured clothing seems to attract fewer ticks. The fourth study describes tick preventive measures, and their predictors, taken among highly exposed people. In total, 69% of the participants regularly took preventive measures, personally and/or in the environment. When analysing gender and preventive measure solely, women took more preventive measures compared to men. When analysing all risk variables together, spending less time in tick endemic area and being tick bitten the same tick season significantly increased the probability of taking any preventive measures. After being tick bitten, men increased their performance of preventive measures more than women.

  • 135. Stjernberg, Louise
    Future challenges and current innovations in applied health technology and public health2010Annet (Annet (populærvitenskap, debatt, mm))
    Abstract [en]

    One of the challenges in research and education is to be innovative in helping society to develop sustainable applied technology, i.e. applied health technology that keeps pace with the need in society, both nationally and internationally for technology development in health promotion and prevention as well as in healthcare and social services. The School of Health Science at Blekinge Institute of Technology (BTH) has the stated aim of moving in that direction as new areas of research and education are formulated. The School has defined Health and Technology and Sustainable Active Ageing as the two main focal areas for research and education. To emphasise the importance of bringing research and education into line with each another, a “Bachelor programme in Public Health Science aligned to Community Planning”, was established and started in 2009.

  • 136. Stjernberg, Louise
    The risk of acquiring tick-bites in south-eastern Sweden2002Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The aim of the survey was to study the risk of tick-bites when exposed during daily activities in a tick endemic region in the south-eastern part of Sweden, between May 2000-March 2001. All the participants were well aware of ticks and tick-borne diseases and every day from May until September inspected their skin and filled in a diary sheet, registering e.g. visited geographical places, time out-of-doors and observed tick-bites. In addition, questionnaires were filled in when entering and at the end of the study. They included questions, e.g. about earlier history of tick-bites or previous undergone tick-borne diseases and out-of-door activities during the studied period. Of the participants, 197/235 (84%) were bitten during the observation period of whom 47/235 (20%) were bitten at = 10 occasions. The incidence was 0.04 (95% CI 0.02-0.06) tick-bitten participants per 10 hours spent out-of-doors. Totally, the participants registered 1767 tick-bites, i.e. an incidence of 0.14 (95% CI 0.10-0.18) tick-bites per 10 hours spent out-of-doors. There were no significant differences of the distribution of tick-bitten participants between children and adults (p=0.19), nor when taking in consider gender (p=0.09). Within six months after the registration period, 8/235 (3%) had been treated for a physician diagnosed Lyme borreliosis (LB). To conclude, we found a risk of 4% to be tick-bitten per 10 hours spent out-of-doors in this region. Although the participants consciousness we found a population at high risk to be tick-bitten. The risk to acquire LB was 1/221 tick-bites. If the participants not have performed such a meticulously daily tick inspection the risk of developing LB would probably increased. However, our study further strengthens the opinion to not recommend routinely prophylactic treatment for observed tick-bites.

  • 137. Stjernberg, Louise
    et al.
    Berglund, Johan
    Detecting ticks on light versus dark clothing2005Inngår i: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 37, nr 5, s. 361-364Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    It is common belief that ticks are more visible and easier to detect on light clothing in comparison with dark clothing. We studied which of the clothing, light or dark, had the least attractive effect on Ixodes ricinus, thus minimizing exposure and thereby in theory help to prevent tick borne diseases in humans. Ten participants, exposed by walking in tick endemic areas, wore alternately light and dark clothing before every new exposure. Nymphal and adult ticks on the clothing were collected and counted. Totally, 886 nymphal ticks were collected. The overall mean in found ticks between the both groups differed significantly, with 20.8 more ticks per person on light clothing. All participants had more ticks on light clothing in all periods of exposure. Dark clothing seems to attract fewer ticks.

  • 138. Stjernberg, Louise
    et al.
    Berglund, Johan
    Garlic as a tick repellent2001Inngår i: Journal of the American Medical Association (JAMA), ISSN 0098-7484, E-ISSN 1538-3598, Vol. 285, nr 1, s. 41-42Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Comments and reply on; Stjernberg L, Berglund J. Garlic as an insect repellent

  • 139. Stjernberg, Louise
    et al.
    Berglund, Johan
    Garlic as an insect repellent2000Inngår i: Journal of the American Medical Association (JAMA), ISSN 0098-7484, E-ISSN 1538-3598, Vol. 284, nr 7, s. 831-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: To study if Swedish marine conscripts are a population of high risk to tick-bites and tick-borne diseases and if tick-bites could be prevented by consumption of garlic. Design: Prospective, randomised double blind intervention trial. Subjects: 100 individuals from south-eastern Sweden in military service during 1998. Interventions: The survey participants consumed 1200 mg Allium sativum/placebo for eight weeks, had a wash-out period then changed to placebo/Allium sativum consumption for another ten weeks. All participants had uniform clothes, the same diet, participated in similar activities, stayed equal time in tick-endemic nature etceteras. Main outcome measures: Tick-bites were registered in a diary-sheet after daily inspection of the skin. Results: Totally 286 tick-bites were registered by the participants. On average the participants registered 0.2 tick-bites per week during military service compared to 0.03 tick-bites during leave. Results shows significant reduction in tick-bites when consuming garlic compared to placebo (p<0.05). Furthermore, during placebo consumption, a greater number of the participants were bitten by ticks (incidence per 10 weeks = garlic, intention to treat 0.5, per protocol 0.6, placebo, intention to treat 0.5, per protocol 0.7). Swedish marine conscripts are at high risk of tick bites during military service. Preventive measures, including vaccinations against tick-transmitted diseases, should be considered. However, our results suggest that garlic may be considered as a tick repellent for individuals and populations at high risk for tick bite, rather than other agents that might have more adverse effects.

  • 140. Stjernberg, Louise
    et al.
    Berglund, Johan
    Risk of acquiring tick bites in south-eastern Sweden2002Inngår i: Scandinavian journal of infectious diseases , ISSN 0035-5548, Vol. 34, nr 11, s. 840-844Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The incidence and the temporal pattern of tick bites were studied in a population frequently out-of-doors in a tick endemic area in south-eastern Sweden between May 2000-March 2001. The participants, who were well aware of tick-borne diseases, inspected their skin daily from May until September and completed a diary sheet, registering visited geographical places, time out-of-doors, observed tick-bites, etc. The participants were also given questionnaires in both the initial and final stages of the study, asking questions about their earlier history of tick-bites, previous tick-borne diseases and out-of-door activities. The incidence was 0.04 (95% confidence interval 0.02-0.06) tick-bitten participants/10 h spent out-of-doors. In total, the participants registered 1767 tick bites, i.e. an incidence of 0.14 (95% CI 0.10-0.18) tick-bites/10 h spent out-of-doors. Within 6 months after the registration period, 8/235 (3%) had been treated for physician-diagnosed Lyme borreliosis. In conclusion, this study found a 4% risk to be tick-bitten per 10 h spent out-of-doors. The risk of contracting Lyme borreliosis was 1/221 tick bites (0.5%, 95% CI 0.44-0.56). Thus, our results indicate a low risk of acquiring Lyme borreliosis when using daily tick checks and we underline the opinion of not recommending routine prophylactic treatment for observed tick-bites.

  • 141. Stjernberg, Louise
    et al.
    Berglund, Johan
    Tick attachment and the colour of clothing2003Konferansepaper (Fagfellevurdert)
    Abstract [en]

    INTRODUCTION To prevent tick bites, personal precautions such as wearing light-coloured clothing, are generally recommended. It is believed that ticks are easier to detect on light-coloured clothing in comparison with dark-coloured clothing. Studies confirming this supposition have not been found and we do not know whether colour of clothing influences the tick´s choice of hosts. The aim of this study was to determine which colour of clothing had the least attractive effect on Ixodes ricinus and thus help to prevent tick borne diseases in humans. PROCEDURES The study was performed in the archipelago of the south-eastern Sweden. Ten participants, randomised into two standardised groups, were exposed by walking in squares measuring 25x25 meters. They were exposed 12 times, twice in each square; once with light-coloured and once with dark-coloured clothing. The nymphs and adult ticks on the clothing were collected and counted. FINDINGS Totally, 892 nymphal ticks were collected and of these 552 were found on light-coloured clothing and 340 on dark-coloured clothing. The total mean found number of ticks between the both groups differed significantly, with 21.2 more ticks per person on light-coloured clothing (p=0.003, 95% CI 9.37-33.03). CONCLUSIONS All participants had more ticks on light-coloured clothing in all periods of exposure. In view of these straight results, the recommendation to use light-coloured clothing as a personal precaution in tick endemic areas must be questioned. Dark-coloured clothing seems to attract fewer ticks.

  • 142. Stjernberg, Louise
    et al.
    Berglund, Johan
    Tick prevention in a population living in a highly endemic area2005Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: To describe environmental and personal tick preventive measures and their predictors, taken by a population living in a highly tick-endemic area. Methods: Due to the recent confirmation of human tick-borne encephalitis cases, vaccination against tick-borne encephalitis was offered to the population living in the endemic area through the use of leaflets and media campaigns. At the time for the initial dose, information and enrollment to this cohort study was carried out. Participants´ characteristics, frequency of tick-bites and preventive measures were included in questionnaires. Logistic analysis was used to determine behavioural differences in activities taken in order to prevent tick-bites. Results: In total, 70% of the permanent residents had themselves vaccinated before the next tick-season. Of the studied participants 356/517 (69%) regularly took preventive measures in their environment (i.e. affecting the surroundings and towards animals) and/or personally (i.e. avoidance of extensive tick-areas, use of naturopathic medicine, use of repellents, clothing/boots, body examination, bath/shower). Of those taking personally preventive measures, 46% limited their time spent out-of-doors in carrying out leisure activities. Women in particular, and those previously treated for a tick-borne disease took significantly more preventive measures. When analysing all variables together, spending less time in tick-endemic area and being tick-bitten the latest tick-season significantly increased the probability of taking preventive measures. After being tick-bitten, men were more inclined to start taking preventive measures than women. Conclusion: Awareness of the risks caused by living in a high endemic area to ticks influenced the participant’s daily life through preventive activities. Public health action should be considered thus encouraging out-of-door activities for the population, without anxiety for risks for contracting tick-borne disease after being tick-bitten.

  • 143. Stjernberg, Louise
    et al.
    Berglund, Johan
    Tick prevention in a population living in a highly endemic area2005Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 33, nr 6, s. 432-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims: To describe environmental and personal tick preventive measures and their predictors, taken by a population living in a highly tick-endemic area. Methods: Due to the recent confirmation of human tick-borne encephalitis cases, vaccination against tick borne encephalitis was offered to the population living in the endemic area through the use of leaflets and media campaigns. At the time for the initial dose, information and enrollment to this cohort study was carried out. Participants´ characteristics, frequency of tick-bites and preventive measures were included in questionnaires. Logistic analysis was used to determine behavioural differences in activities taken in order to prevent tick-bites. Conclusion: In total, 70% of the permanent residents had themselves vaccinated before the next tick-season. Of the studied participants 356/517 (69%) regularly took preventive measures in their environment and/or personally. Women in particular, and those previously treated for a tick-borne disease took significantly more preventive measures. When analysing all variables together, spending less time in tick-endemic area and being tick-bitten the latest tick-season significantly increased the probability of taking preventive measures. After being tick-bitten, men were more inclined to start taking preventive measures than women. Awareness of the risks caused by living in a high endemic area to ticks influenced the participant’s daily life through preventive activities. Public health action should be considered thus encouraging out-of-door activities for the population, without anxiety for risks for contracting tick-borne disease after being tick-bitten.

  • 144. Stjernberg, Louise
    et al.
    Berglund, Johan
    Tick-exposure during conscription in a high endemic area. A study of intervention.1999Konferansepaper (Fagfellevurdert)
    Abstract [en]

    INTRODUCTION AND PURPOSE Lyme borreliosis is in Sweden the most common vector-borne disease with approximately 10.000 individuals affected each year. Previous studies have suggested that conscripts compose a population of high risk to tick-bites and others have linked tick attachment to different body odour. In several countries the peasant population have observed that garlic keep the cattle free from ticks. The purpose of this study was to determine if Swedish conscripts are a population of high risk to tick-bites and thereby tick-borne diseases and to study if tick-bites can be prevented by garlic consumption. METHODS The survey participants, n=100 (50 in each group) consumed garlic / placebo for eight weeks, had a wash-out period, then changed to placebo / garlic consumption for another ten weeks. The study drug contained 1200 mg Allium sativum, administrated 600 mg twice daily. During the study period the conscripts performed a daily inspection of their skin and filled in a diary-sheet. Questionnaires including questions on e.g. smoking habits, other medication, adverse events and tick-borne disease manifestations were answered when; entering the study, before and after the wash-out period and at the end of the study. RESULTS The total amount of registered tick-bites during the study period was 286. On average the participants registered 0.2 bites per week during military service compared to 0.03 bites per week during leave. Two of the participants developed an erythema migrans. When consuming garlic, results show a significant reduction in tick-bites, included and excluded a participant who reported 86 tick-bites on one occasion, compared to consuming placebo. Also, the incidence was lower when taking account the reported number of bitten participants both in intention to treat and per protocol. CONCLUSIONS Swedish marine conscripts are a population of high risk to tick-bites during their military service and preventive measures including vaccinations against diseases transmitted by ticks should be considered. Garlic had a preventive effect against tick-bites, however significantly differences were not seen in intention to treat calculations and more studies are needed.

  • 145. Stjernberg, Louise
    et al.
    Berglund, Johan
    Halling, Anders
    Age and gender effect on the use of herbal medicine products and food supplements among the elderly2006Inngår i: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 24, nr 1, s. 50-55Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective. To describe the users of herbal medicine products and food supplements with respect to age and gender specifically among persons aged ≥60 years. Design. A descriptive study with baseline data from a longitudinal study of the elderly, stratified into different age cohorts (60-69, 70-79, 80-89 and ≥90 years). Setting. Blekinge county, situated in the southeastern Sweden. Subjects. Totally 1380 persons aged 60-96 years (median age 78 years). Main outcome measures. Current use of herbal medicine products and the use of food supplements. Results. Of the participants, 264/1380 (19.1%) used at least one herbal medicine product, 184/1380 (13.3%) used at least one food supplement and 382/1380 (27.7%) used herbal medicine products and/or food supplements. In all regression models, women had a higher probability to use herbal medicine and/or food supplements in comparison with men. Focusing on the use of herbal medicine products alone and in the combination of using herbal medicine and/or food supplement, a decreased use was seen with increasing age. However, 27.9% were still users of herbal medicine products and/or food supplements in the age group 80-89 years. In comparison, 14% were users in the age group ≥90 years. Age did not have an impact on the probability of taking food supplements. Conclusion. General practitioners need to consider the high use of herbal medicine product and food supplements among elderly when making decisions about treatment.

  • 146.
    Stjernberg, Louise
    et al.
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    Holmkvist, Karin
    Berglund, Johan
    Blekinge Tekniska Högskola, Sektionen för hälsa.
    A newly detected tick-borne encephalitis (TBE) focus in southeastern Sweden: a follow-up study of TBE virus (TBEV) seroprevalence2008Inngår i: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 40, nr 1, s. 4-10Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In 2002, two cases of tick-borne encephalitis (TBE) were diagnosed in inhabitants of a tick endemic area on the island of Aspö in southeastern Sweden. During the previous 25 y, only two other cases of TBE had been diagnosed in that region of Sweden. To investigate the presence and evolution of seroprevalence of antibodies to TBE virus (TBEV), we compared inhabitants´ anti-TBEV immunoglobulin G (IgG) levels in blood samples drawn in 1991 and 2002. A significant increase in IgG antibody levels was observed in 24/200 (12.0%) 2002 blood samples compared to 7/200 (3.5%) 1991 samples. However, neutralizing antibodies were detected in only 4 of the two-step enzyme-linked immunosorbent assay (ELISA) IgG positive sera against TBEV, corresponding to a TBEV neutralizing test (NT) prevalence of 2%. Significantly more men than women were seropositive for TBEV antibodies. Compared to other age groups, the greatest increase in TBEV antibody levels was observed in the 20-29 y age group. However, the majority of seropositive samples were from participants >50 y of age. Recommending preventative measures, including vaccination against TBE, to individuals who reside in or regularly visit TBEV endemic areas is suggested.

  • 147.
    Tell, Johanna
    et al.
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Olander, Ewy
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Anderberg, Peter
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Sanmartin Berglund, Johan
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för hälsa.
    Implementation of a web-based national child health-care programme in a local context: A complex facilitator role2018Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, nr 20_suppl, s. 80-86, artikkel-id suppl. 20Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. Methods: The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. Results: The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences. Conclusions: Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context. © 2018, © Author(s) 2018.

  • 148. Thern, Emelie
    et al.
    Sjögren Forss, Katarina
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Jogreus, Claes
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för matematik och naturvetenskap.
    Stjernberg, Louise
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Exercise and factors associated with active commuting2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: In order to increase the current levels of physical activity new strategies have been suggested where it is incorporated into daily routines, such as commuting to and from school/work. Active commuting i.e. cycling or walking to and from school/work is an excellent strategy to increase the overall activity levels. Even though the health benefits of active commuting are well documented, non-active modes of transportation (i.e. cars, bus, train) remain the main mode of transportation. The purpose of the present study is to examine the prevalence and what factors are influencing participation in active commuting in the municipality of Karlskrona, Sweden. Method: A cross-sectional study, including base-line data from parents-to- be was carried out, including 432 participants. Questionnaires were filled in and data collection was conducted during a year in 2008 and 2009. The results were calculated using multivariate logistic regression with odds ratios (OR) and 95% confidence interval (CI). Results: The main mode of commuting was motorised vehicle (63.0%), whilst active commuters were a minority (8.3%). The regression model demonstrated a negative association between being Swedish and AC; as such immigrants were more likely to be active commuters (CI 0.08-0.80). The variable mostly associated with AC was the type of residential area. Participants living in an urban area had 5.4 times higher odds of AC compared to participants living in a rural area (CI 1.51-18.54). Being surrounded by a green-space environment decreased the probability of engaging in AC compared to being surrounded by buildings the majority of time (CI 0.07-0.60). Another important variable was outdoor recreational PA, were engaging resulted in 3.9 times higher odds of AC compared to those not engaging in outdoor recreational PA (CI 1.31-11.71). Although the variable pet-ownership remained in the last step of the model non-significant, it explains some of the variance in the model (0.10-1.24). Conclusions: The number of people being active are modest and are instead using other modes of transportation. This study found several factors both facilitating and impeding active commuting, signifying the importance of applying a broad health promotional approach to active commuting.

  • 149. Thern, Emelie
    et al.
    Sjögren Forss, Katarina
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Jogreus, Claes
    Blekinge Tekniska Högskola, Fakulteten för teknikvetenskaper, Institutionen för matematik och naturvetenskap.
    Stjernberg, Louise
    Blekinge Tekniska Högskola, Fakulteten för hälsovetenskaper, Institutionen för hälsa.
    Factors associated with active commuting among parents-to-be in Karlskrona, Sweden2015Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, nr 1, s. 59-65Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The purpose of the present study is to examine the prevalence of active commuting and factors associated with participation in active commuting in the municipality of Karlskrona, Sweden. Active commuting is defined here as walking or cycling to and from school/work for at least 15 min one-way. Method: A cross-sectional study was carried out, which included baseline data from parents-to-be. Pregnant females and their partners were invited to participate in the study when they contacted either of the municipality’s two antenatal clinics. Data collection ran from March 2008 to February 2009. When completing the questionnaire, the participants were asked to reflect on their situation one month before the female became pregnant. The final sample consisted of 432 participants (response rate 51.9% for females and 85.0% for males). Results: The main mode of commuting was motor vehicle (63.0%), with active commuters forming a minority (8.3%). The main facilitating factor for active commuting was living in an urban as opposed to a rural area. Regular participation in outdoor recreational physical activity was significantly positively associated with active commuting. Being Swedish and being surrounded by a green space environment were significantly negatively associated with active commuting. Conclusions: This study found that the number of people who are active commuters is modest and other modes of transportation are preferred. Several facilitating and impeding factors associated with active commuting were also found, indicating the importance of applying a broad health-promoting approach to encouraging active commuting.

  • 150.
    Topaz, Maxim
    et al.
    Harvard Medical School, USA.
    Ronquillo, Charlene
    The University of British Columbia, CAN.
    Peltonen, Laura Maria
    Turun yliopisto, FIN.
    Pruinelli, Lisiane
    University of Minnesota Twin Cities, USA.
    Sarmiento, Raymond Francis
    National Institute for Occupational Safety and Health, USA.
    Badger, Martha
    University of Wisconsin Milwaukee, USA.
    Ali, Samira
    Grand Canyon University, USA.
    Lewis, Adrienne
    Independent Researcher, CAN.
    Georgsson, Mattias
    Blekinge Tekniska Högskola, Fakulteten för datavetenskaper, Institutionen för kreativa teknologier.
    Jeon, Eunjoo
    Seoul National University, KOR.
    Tayaben, Jude
    Benguet State University, PHL.
    Kuo, Chiuhsiang
    Tzu Chi University of Science and Technology, TWN.
    Islam, Tasneem
    Deakin University, AUS.
    Sommer, Janine
    Scopus - Author details - Sommer, Janine A. Instituto Universitario del Hospital Italiano de Buenos Aires, ARG.
    Jung, Hyunggu
    University of Washington, USA.
    Eler, Gabrielle
    Federal Institute of Paraná, BRA.
    Alhuwail, Dari
    University of Maryland, USA.
    Lee, Yingli
    National Yang-Ming University, TWN.
    Nurse Informaticians Report Low Satisfaction and Multi-level Concerns with Electronic Health Records: Results from an International Survey2016Inngår i: Advances in Printing and Media Technology, ISSN 0892-2284, E-ISSN 1942-597X, Vol. 2016, s. 2016-2025Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study presents a qualitative content analysis of nurses' satisfaction and issues with current electronic health record (EHR) systems, as reflected in one of the largest international surveys of nursing informatics. Study participants from 45 countries (n=469) ranked their satisfaction with the current state of nursing functionality in EHRs as relatively low. Two-thirds of the participants (n=283) provided disconcerting comments when explaining their low satisfaction rankings. More than one half of the comments identified issues at the system level (e.g., poor system usability; non-integrated systems and poor interoperability; lack of standards; and limited functionality/missing components), followed by user-task issues (e.g., failure of systems to meet nursing clinical needs; non nursing-specific systems) and environment issues (e.g., low prevalence of EHRs; lack of user training). The study results call for the attention of international stakeholders (educators, managers, policy makers) to improve the current issues with EHRs from a nursing perspective.

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