Scandinavian Journal of Public Health最新文献

{"title":"Association of school neighbourhood socioeconomic disadvantage and teaching staff's risk of violence at work.","authors":"Jenni Ervasti, Jaana Pentti, Ville Aalto, Maarit Kauppi, Marianna Virtanen, Mika Kivimäki, Jussi Vahtera","doi":"10.1177/14034948241252232","DOIUrl":"10.1177/14034948241252232","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to determine the association between neighbourhood socioeconomic disadvantage and teaching staff's risk of workplace violence and whether workplace psychosocial resources can act as effect modifiers.</p><p><strong>Methods: </strong>Primary school teaching staff in the six largest cities in Finland responded to a survey in 2018 and were linked to information on school neighbourhood disadvantage obtained from the national grid database (<i>n</i> = 3984).</p><p><strong>Results: </strong>After adjustment for confounders, staff working in schools located in the most disadvantaged neighbourhoods had a 1.2-fold (95% confidence interval 1.07-1.35) risk of encountering violence or threat of violence compared with staff working in the most advantaged neighbourhoods. The association was less marked in schools with strong support from colleagues (risk ratio 1.14, 95% confidence interval (95% CI) 0.98-1.32 for high support versus 1.23, 95% CI 1.07-1.43 for low/intermediate support), a strong culture of collaboration (1.08, 95% CI 0.93-1.26 versus 1.31, 95% CI 1.12-1.53), high leadership quality (1.12, 95% CI 0.96-1.31 versus 1.29, 95% CI 1.08-1.54), and high organizational justice (1.09, 95% CI 0.91-1.32 versus 1.29, 95% CI 1.09-1.52).</p><p><strong>Conclusions: </strong>\u0000 <b>The association between school neighbourhood and teaching staff's risk of violence was weaker in schools with high workplace psychosocial resources, suggesting that targeting these factors might help in minimizing violence at schools, but future intervention studies are needed to confirm or refute this hypothesis.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"429-436"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of musculoskeletal pain and associated factors among professional orchestra musicians in Norway.","authors":"Irem Eliassen, Hara Trouli, Frank Brundtland Steder","doi":"10.1177/14034948241248496","DOIUrl":"10.1177/14034948241248496","url":null,"abstract":"<p><strong>Background: </strong>Orchestra musicians have a high risk of experiencing musculoskeletal problems. These problems may lead to sleep and psychological disturbance.</p><p><strong>Objectives: </strong>This study investigated the occurrence of musculoskeletal pain (MSP) among orchestra musicians and the coherence between pain and predictors such as gender, age and instrument. Further, the impact of pain on sleep and mental health was analysed to assess pain as a predictor threatening musicians' wellbeing.</p><p><strong>Methods: </strong>Some 358 musicians in eight different professional orchestras in Norway completed a questionnaire. Questions about pain experienced within the last 30 days were based on a national survey. Standardised screening tools like the Hopkins Symptom Checklist-25 (HSCL-25) and Bergen Insomnia Scale (BIS) were used to assess psychological distress and sleeping problems. Kruskal-Wallis tests were used to analyse the differences in the pain-related variables: experienced pain severity (EPS), number of pain areas, and work being perceived as the source of pain based on age. Mann-Whitney U tests were conducted to evaluate the statistical significance between gender and the pain-related variables. Spearman's rank correlations were used to examine the relationship between EPS and BIS, HSCL-25 and pain area. Additionally, simple linear regression models were employed to determine whether EPS can predict higher scores on the HSCL-25 and BIS scales.</p><p><strong>Results: </strong>The prevalence of MSP experienced in the last 30 days among orchestra musicians in Norway was 85%. Musicians experienced frequent pain regardless of their gender, age or instrument group. Neck, shoulders and upper back represented the most reported pain areas. Further, it was observed that increased EPS was correlated with an increase in the number of pain areas and in work being perceived as the source of pain. EPS significantly predicted sleep- and psychological distress.</p><p><strong>Conclusions: </strong>Orchestra musicians have a high risk of encountering MSP. Furthermore, their psychological distress and sleeping problems seem to be related to experienced MSP. To deliver optimal health, these problems should be handled simultaneously.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"421-428"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screening for economic hardship at Child Health Care Centres: A qualitative study of stakeholders' perceptions and experiences of the Healthier Wealthier Families model in Sweden.","authors":"Nina Johansson, Georgina Warner, Nils Avogadri, Anna Sarkadi","doi":"10.1177/14034948241252227","DOIUrl":"10.1177/14034948241252227","url":null,"abstract":"<p><strong>Aims: </strong>The Healthier Wealthier Families model uses the child healthcare services as an access point to screen and connect parents experiencing economic hardship to municipal Budget and Debt Counselling services. This study aimed to explore the perceptions and experiences of the Healthier Wealthier Families model in a Swedish context.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with three stakeholder groups: eligible parents who declined (<i>n</i>=10) and received (<i>n</i>=9) financial counselling; nurses (<i>n</i>=7); and financial counsellors (<i>n</i>=5). The data were analysed using thematic analysis.</p><p><strong>Results: </strong>The analysis resulted in three main themes conveying the stigma of talking about finance, the connection between economic situation and family wellbeing, and the nuts and bolts of providing preventive financial counselling.</p><p><strong>Conclusions: </strong>\u0000 <b>A working model aiming to ameliorate child poverty in a societal service context needs to address the preconceptions and perceived mandate and role of the professionals, the prevalence of financial stigma in society, especially in relation to being a 'good' parent, and the current preoccupations and perceived financial needs and hopes of the families served.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"406-412"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Too little within-unit variation for fixed-effects analysis? - Authors' reply.","authors":"Torkild Hovde Lyngstad, Ruth Eva Jørgensen","doi":"10.1177/14034948241291130","DOIUrl":"10.1177/14034948241291130","url":null,"abstract":"","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"444-445"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Local economic inequality and mortality: Too little within-unit variation for fixed effects analysis?","authors":"Jon Ivar Elstad, Kristian Heggebø, Espen Dahl","doi":"10.1177/14034948241259914","DOIUrl":"10.1177/14034948241259914","url":null,"abstract":"<p><p>This debate article discusses the use of fixed effects models for causal analysis, with reference to an article recently published in <i>Scandinavian Journal of Public Health</i>.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"441-443"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Your heart is resting and pumping at the same time': Mental health impact of seeking asylum among sexual minority men.","authors":"Maria Gottvall, Rummage Isaac, Ronah Ainembabazi, Sumera Yasin, Anna Eldebo, Tommy Carlsson","doi":"10.1177/14034948241251553","DOIUrl":"10.1177/14034948241251553","url":null,"abstract":"<p><strong>Aims: </strong>To explore the experiences of seeking asylum and its impact on mental health among sexual minority forced migrant cisgender men living in Sweden.</p><p><strong>Methods: </strong>Exploratory qualitative study based on individual semi-structured interviews with 15 adult gay and bisexual cisgender men recruited via a combination of purposeful, convenience and snowball sampling. Data were analysed with systematic text condensation through a collaborative approach with three migrants with lived experience.</p><p><strong>Results: </strong>Seeking asylum had been an emotionally challenging journey for the participants in this study, involving several procedures that negatively impacted mental health. Being expected to disclose intimate information during asylum interviews had been a significant challenge, alongside needing to wait through long periods in uncertainty with little information about the progress of their asylum case. The behaviours and attitudes of professionals involved in the legal procedures had been a central aspect, as participants encountered interpreters and caseworkers who acted disrespectful and homophobic during asylum interviews. Participants mentioned that the behaviours of interpreters and the accuracy of the interpretation could influence the outcome of asylum claims and how comfortable they felt in sharing information. Thus, participants emphasized the importance of adequate and accurate interpreter services.</p><p><strong>Conclusions: </strong>\u0000 <b>Sexual minority men are faced with an unfamiliar and emotionally challenging position when seeking asylum and undergoing asylum interviews. The findings highlight the importance of adequate competence among professionals involved in asylum interviews, including interpreter utilization. Research is needed to determine effective methods to support these men throughout their asylum process.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"400-405"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability level and use of long-term care services in Norway: a nation-wide registry study.","authors":"Lisa Victoria Burrell, Øystein Døhl, Siri Rostoft, Nina Berggaard, Iryna Antonova, Inger Johanne Landsjøåsen Bakken","doi":"10.1177/14034948241251914","DOIUrl":"10.1177/14034948241251914","url":null,"abstract":"<p><strong>Aims: </strong>In Norway, disability level is an important criterion when deciding the type and level of long-term care services. Each care recipient can be scored on 20 different disability level measures. Our aims were to investigate completeness in disability level information in the Norwegian Registry of Primary Health Care (NRPHC), to group disability level measures into meaningful groups, and to study the relationship between grouped disability scores and the type of services received.</p><p><strong>Methods: </strong>We retrieved information on type of care and disability level from the NRPHC on individuals who received long-term care services in 2022. Type of care was divided into hierarchical and mutually exclusive groups, with long-term institutional care as the most complex service group. We used principal components analysis to summarise and visualise the information in the 20 different disability level measures, and to create grouped scores.</p><p><strong>Results: </strong>A total of 386,697 persons aged 0-104 years were registered as recipients of long-term care services in Norway on 31 December 2022. Information on disability measures were of high completeness (72.4 % of the population were registered with all 20 measures) but was lower for younger age groups in which the number of recipients was lower. Principal components analyses identified two groups of measures, which we termed physical and cognitive functioning. Physical and cognitive functioning were poorest for individuals receiving the most complex and extensive services.</p><p><strong>Conclusions: </strong>\u0000 <b>NRPHC disability data are reasonably complete, the 20 measures readily fall into two distinct categories, and seem to reflect real life differences in disability.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"413-420"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sweden's excess mortality in 2020-2022 and reporting in the media.","authors":"Martin Lindström","doi":"10.1177/14034948241239353","DOIUrl":"10.1177/14034948241239353","url":null,"abstract":"<p><strong>Aim: </strong>The aim was to scrutinize the report in March 2023 that Sweden's excess mortality was lowest in 2020-2022 compared with other European Union and Nordic countries, a report that received great national and international attention.</p><p><strong>Study design: </strong>Comparison of excess mortality in Sweden and Norway.</p><p><strong>Methods: </strong>Excess mortality for 2020-2022 was calculated for Sweden and Norway, the country with per-capita excess mortality closest to Sweden's, compared with the average mortality for 2017-2019 in the respective country, following the definitions by <i>Statistics Sweden</i> reported in a daily newspaper.</p><p><strong>Results: </strong>Excess mortality is a measure with low misclassification compared with other pandemic outcome measures. Following the definitions, total excess mortality for the years 2020-2022 was 11,897 individuals in Sweden and 6089 in Norway. However, the distributions of excess mortality across the 3 years strongly differed. In Sweden, 60% of excess mortality was observed in 2020, 8% in 2021 and 32% in 2022. In sharp contrast, 0% of excess mortality was observed in Norway in 2020, 20% in 2021 and 80% in 2022. If the relative distribution of excess mortality in Sweden had been the same as in Norway in 2020-2022, approximately 7000 individuals who died in 2020 would instead have died as excess mortality in 2022, saving approximately 14,000 person-years in Sweden.</p><p><strong>Conclusions: </strong>\u0000 <b>The report disregards residual confounding due to the broad definition of the period 2020-2022. Mass media should avoid one-sided reporting.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"437-440"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between mRNA COVID-19 vaccination and urticaria: a nationwide registry-based cohort study in Denmark.","authors":"Elena Dudukina, Elvira V Brâuner, CæcilieB Christiansen, Stine H Mogensen, Mona E Hervig, Stine Ulsø, Martin Z Larsen","doi":"10.1177/14034948251333901","DOIUrl":"https://doi.org/10.1177/14034948251333901","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the association between mRNA COVID-19 vaccination and the risk of urticaria.</p><p><strong>Study design: </strong>Nationwide observational cohort study.</p><p><strong>Setting: </strong>Healthcare registers in Denmark.</p><p><strong>Participants: </strong>The vaccinated cohort included Danish residents aged ⩾5 years who received at least one dose of Comirnaty (Pfizer-BioNTech, BNT) or Spikevax (Moderna, MOD) in December 2020 to July 2023; the pre-pandemic (2017-19) general population aged ⩾5 years formed the comparator cohort.</p><p><strong>Methods: </strong>Urticaria-free participants were followed from the vaccination date until the earliest of the incident chronic or other types of urticaria diagnosis, COVID-19 infection, end of the 90-day outcome risk window, death, emigration, or October 2023. The expected number of urticaria events was computed using indirect standardisation of the pre-pandemic urticaria incidence rates. Standardised incidence ratios (SIRs) with corresponding 95% confidence intervals (CIs) were calculated overall and across sex, age and vaccine sequence-specific strata.</p><p><strong>Results: </strong>We ascertained 4,700,301 vaccinated and 5,480,146 pre-pandemic comparators. Following all vaccine product sequences, SIRs (95% CI) were 0.83 (0.71-0.96) for chronic urticaria and 1.14 (95% CI 1.03-1.25) for other types of urticaria. Among MOD schedule adherers, the risk was three to fourfold increased for chronic (SIR 3.00, 95% CI 2.27-3.88) and other types of urticaria (SIR 3.65, 95% CI 3.06-4.31). Sensitivity analyses of dose specific effects confirmed a fourfold increased risk after MOD vaccine sequence but not BNT.</p><p><strong>Conclusions: </strong>Following the most recent mRNA vaccination dose, MOD vaccine schedule adherers had a higher than expected incidence of chronic and other types of urticaria. We found no association between BNT vaccination schedule and increased risk of urticaria.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251333901"},"PeriodicalIF":2.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Household dysfunction and child outcomes in the Nordic countries: A bibliometric analysis.","authors":"Rebecca L Radlick, Alice Milivinti, Håvard T Rydland, Ingrid R Lundeberg, Kristin G Askeland","doi":"10.1177/14034948251336851","DOIUrl":"https://doi.org/10.1177/14034948251336851","url":null,"abstract":"<p><strong>Aims: </strong>This article provides a bibliometric analysis of the literature on adverse childhood experiences (ACEs) related to household dysfunction (parents' substance abuse, physical or mental illness, death, criminality, and divorce/separation) in five Nordic countries. We identify: 1) main patterns and characteristics of the literature on household dysfunction ACEs and child outcomes; 2) highlight research gaps, topics and approaches for future inquiry on these ACEs.</p><p><strong>Methods: </strong>A systematic search for peer-reviewed articles published from 1998 to 2022 in English was conducted in seven databases. Information from the articles was extracted using a coding matrix that included variables related to country, specific household dysfunction ACE(s) occurring before 18 years, child outcome(s), method, data source(s) and whether resilience or protective factors were assessed. Bibliometric analyses were used to summarize the literature patterns.</p><p><strong>Results: </strong>A total of <i>N</i>=5003 publications were identified and <i>n</i>=342 publications were included in the analysis. <i>n</i>=112 publications studied two or more ACEs of interest. Divorce/separation was the most common individual ACE (<i>n</i>=97), whereas parental criminality was the least common (<i>n</i>=9). <i>n</i>=197 publications studied child mental health outcomes, whereas educational (<i>n</i>=41) and labour market (<i>n</i>=11) outcomes were less represented. Few (<i>n</i>=36) studies included protective factors.</p><p><strong>Conclusions: </strong>Our findings suggest a notable increase in research on household dysfunction adversities in the Nordic countries over the past two decades, focusing mainly on health-related outcomes. Future research should investigate less represented adversities, functional outcomes and protective factors. Interdisciplinary and new methodological approaches can provide fresh insights into this public health challenge.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251336851"},"PeriodicalIF":2.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}