{"title":"Health beyond borders: the future of health promotion.","authors":"Evelyne de Leeuw","doi":"10.1177/14034948241288272","DOIUrl":"10.1177/14034948241288272","url":null,"abstract":"<p><p>This article situates the field of health promotion in its current cutting-edge agendas around health and wellbeing; social and other determinants of health; complexity and its associated sciences; planetary health; and inclusion and diversity. However, it is also proposed that there are emergent dimensions that should be placed more deliberately on the agendas of health promotion research and practice. The piece offers three dimensions for noting health promotion futures: a cognitive, spatial and temporal one. The first is a non-anthropocentric appreciation of the complex interactions between geosphere, biosphere and anthroposphere that can be framed through a lens of governance and cosmology; the second one is established by humankind's journeys beyond the atmosphere into outer space; and the third one argues we - that is, the global health (promotion) community - need to account for temporal determinants of health, more consciously and conscientiously. The gazes seem beyond current agendas of health - but the article demonstrates how they are to become mission-critical aspects of contemporary and future worlds.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"7-15"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511668","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":"Exploring variations in subjective well-being among Norwegian retirees: A growth mixture modelling approach.","authors":"Lars Bauger","doi":"10.1177/14034948241291091","DOIUrl":"10.1177/14034948241291091","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to identify subgroups of Norwegian retirees with similar trajectories of subjective well-being (SWB) across the retirement transition and to explore how various factors influence these SWB trajectories.</p><p><strong>Methods: </strong>The study employed growth mixture modelling to analyze longitudinal data, exploring the trajectories of life satisfaction, positive affect and negative affect in retirement transition. It also examined the influence of factors such as demographic, living arrangement, pre-retirement work conditions, individual characteristics and available resources on these SWB trajectories.</p><p><strong>Results: </strong>Contrary to the hypothesised three distinct SWB trajectories in retirement, the results more strongly support a single group solution for life satisfaction and positive affect. For negative affect, a two-group solution, consisting of one group with stable low and another with stable high negative affect, was preferred. The study identified several predictors of SWB trajectories.</p><p><strong>Conclusions: </strong>\u0000 <b>The findings suggest that retirement is a neutral life event with stable SWB trajectories. However, several factors significantly influence whether retirees experience higher or lower SWB in retirement. The findings of this study provide updated insights into the heterogeneity of the retirement experience, as well as highlight important factors for retirement SWB.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"33-41"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592019","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}
Ragnhild M Ånestad, Emma C A NordbØ, Camilla IhlebÆk
{"title":"Social sustainability in local communities in Norway: which factors are associated with people's satisfaction with their local community as a place to live now and in the future?","authors":"Ragnhild M Ånestad, Emma C A NordbØ, Camilla IhlebÆk","doi":"10.1177/14034948241288758","DOIUrl":"10.1177/14034948241288758","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the associations between social sustainability factors and people's satisfaction with their local community as a place to live now and in the future.</p><p><strong>Methods: </strong>This study used data from the Norwegian County Public Health Survey conducted in Viken County, Norway, in 2021 (<i>N</i> = 97,323). The survey included questions concerning physical aspects (e.g. accessibility of services and facilities) and non-physical aspects (civic participation, social support, trust, safety, place attachment and well-being) of social sustainability in local communities. A new outcome variable was constructed to capture people's satisfaction with their local community as a place to live now and in the future. Hierarchical linear regression was applied to examine the relationships between physical and non-physical factors of social sustainability and this outcome.</p><p><strong>Results: </strong>All included factors were significantly associated with people's satisfaction with their local community as a place to live now and in the future, but the magnitude and direction of these associations varied. Place attachment (β = 0.53), safety (β = 0.15) and well-being (β = 0.11) were the strongest indicators of people's satisfaction with their local community. Non-physical factors accounted for 41% of the variance in people's satisfaction, while physical factors accounted for 14%.</p><p><strong>Conclusions: </strong>\u0000 <b>Both physical and non-physical factors are essential for developing socially sustainable communities. This knowledge could be valuable for academics and policymakers, helping them better understand the complex relationships between various aspects of social sustainability and informing the development of socially sustainable local communities.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"24-32"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819786","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}
Ingrid Larsson, Petra Svedberg, Jens M Nygren, Lena Petersson
{"title":"Healthcare leaders' perceptions of the contribution of artificial intelligence to person-centred care: An interview study.","authors":"Ingrid Larsson, Petra Svedberg, Jens M Nygren, Lena Petersson","doi":"10.1177/14034948241307112","DOIUrl":"10.1177/14034948241307112","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to explore healthcare leaders' perceptions of the contribution of artificial intelligence (AI) to person-centred care (PCC).</p><p><strong>Methods: </strong>The study had an explorative qualitative approach. Individual interviews were conducted from October 2020 to May 2021 with 26 healthcare leaders in a county council in Sweden. An abductive qualitative content analysis was conducted based on McCormack and McCance's framework of PCC. The four constructs (i.e. prerequisites, care environment, person-centred processes and expected outcomes) constituted the four categories for the deductive analysis. The inductive analysis generated 11 subcategories to the four constructs, representing how AI could contribute to PCC.</p><p><strong>Results: </strong>Healthcare leaders perceived that AI applications could contribute to the four PCC constructs through (a) supporting professional competence and establishing trust among healthcare professionals and patients (prerequisites); (b) including AI's ability to facilitate patient safety, enable proactive care, provide treatment recommendations and prioritise healthcare resources (the care environment); (c) including AI's ability to tailor information and promote the process of shared decision making and self-management (person-centred processes); and (d) including improving care quality and promoting health outcomes (expected outcomes).</p><p><strong>Conclusions: </strong>\u0000 <b>The healthcare leaders perceived that AI applications could contribute to PCC at different levels of healthcare, thereby enhancing the quality of care and patients' health.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"72-80"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558485","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":"Unmet need for and barriers to receiving health care and social welfare services in Finland.","authors":"Katja M Ilmarinen, Anna-Mari Aalto, Anu L Muuri","doi":"10.1177/14034948241299019","DOIUrl":"10.1177/14034948241299019","url":null,"abstract":"<p><strong>Aim: </strong>Need-based access to health care and social welfare services is an element of health promotion, and it endorses equity and the principles of universalism in society. To explore access to services, this study analyses unmet need for services, barriers that impede access and whether individual characteristics are associated with service access. The study period coincided with the COVID-19-pandemic and health and social services reform in Finland.</p><p><strong>Method: </strong>The prevalence of subjective unmet need was used as an indicator of service access. Inconvenient opening hours, a difficult journey to the service unit and high user fees were barriers to receiving services. A nationally representative FinSote survey 2018 and 2020 was used in the analyses. Data were examined with multivariate logistic regression models using SPSS.</p><p><strong>Results: </strong>A high prevalence of unmet need for health care and especially for social welfare services was observed. The prevalence of unmet need increased from 2018 to 2020, but in health care only, and access to social welfare services deteriorated. In particular, women, younger people, those who need income support and those with poor health or quality of life forgo care.</p><p><strong>Conclusions: </strong>\u0000 <b>A considerable share of the Finnish population do not receive essential services according to need and face barriers in accessing services. Individual characteristics are associated with perceived unmet need and access barriers despite the ethos of equal opportunities. COVID-19 measures are likely to have worsened the situation. Actions to improve access must urgently be implemented to achieve the policy goals of health promotion, equity in health and universalism.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"52-63"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814780","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":"Sustainability and the impact on health and wellbeing.","authors":"Eva-Carin Lindgren, Anne Liveng, Steffen Torp","doi":"10.1177/14034948251319382","DOIUrl":"10.1177/14034948251319382","url":null,"abstract":"","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"1-6"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607003","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}
Camilla Ihlebæk, Ragnhild Ånestad, Emma C A Nordbø
{"title":"Bridging discourses on health promotion and social sustainability towards healthy community development.","authors":"Camilla Ihlebæk, Ragnhild Ånestad, Emma C A Nordbø","doi":"10.1177/14034948241290282","DOIUrl":"10.1177/14034948241290282","url":null,"abstract":"<p><p>The aim of this paper is to argue for the need to bridge the discourses of health promotion and social sustainability as an important step toward healthy community development. By building on theories and empirical knowledge from both disciplines, we advocate for the field of health promotion to take a more assertive role within the social sustainability discourse because the theoretical and empirical knowledge from health promotion research is needed. Likewise, we argue that the strong emphasis on social justice and contextual community factors within the social sustainability discourse could contribute to developing the health promotion discourse. Furthermore, we suggest that place-based methods and analyses used in current health promotion research could serve as tools to better integrate knowledge on both physical and social dimensions, thereby enhancing inter-disciplinary collaboration to develop socially sustainable communities.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"16-23"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649517","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":"Resources and strategies young people use and need to promote mental health - a qualitative study from a salutogenic perspective.","authors":"Sofie Lundström, Hrafnhildur Gunnarsdottir, Ellinor Tengelin","doi":"10.1177/14034948241302392","DOIUrl":"10.1177/14034948241302392","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to explore young people's experiences of resources and strategies for promoting their mental health.</p><p><strong>Methods: </strong>Individual interviews with 33 people aged 16-25 years were conducted using a method inspired by cognitive interviewing, which combines think aloud techniques with probing questions. The interviews were based on the young people's reflections of the questions in the Swedish national public health survey. Data were analysed with reflexive thematic analysis.</p><p><strong>Results: </strong>The resources and strategies that the young people in this study described as important for promoting mental well-being are related to societal prerequisites needed to navigate life; to their immediate surroundings, including social interactions; and to the young people themselves. These resources and strategies are presented under the following three themes: prerequisites for navigating life, social interactions on one's own terms, and who I am and what I can do.</p><p><strong>Conclusions: </strong>Young people have a variety of resources and strategies of their own available for promoting mental well-being. However, they cannot promote mental health just on their own; access to social networks and the opportunity to share thoughts and feelings are central. Further, to promote mental health, young people need good social conditions, knowledge, and support from adults so that the existence they struggle to navigate feels comprehensible, manageable and meaningful.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"64-71"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824701","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":"Adolescents' screen-based media use and the relationship with moderate-to-vigorous physical activity, sports club participation and active commuting.","authors":"Ellen Haug","doi":"10.1177/14034948241293603","DOIUrl":"10.1177/14034948241293603","url":null,"abstract":"<p><strong>Aim: </strong>A worry regarding young people's physical activity engagement relates to a potentially competing development: the role of screen-based media (SBM) in their everyday lives. The present study aimed to assess time spent on different types of SBM, self-reported moderate-to-vigorous physical activity (MVPA) and physical activity in different domains and their interrelations.</p><p><strong>Methods: </strong>The study is based on data from 3737 participants aged 11, 13 and 15 years from Norway collected in 2021/2022 as part of the Health Behaviour in School-aged Children collaborative cross-national survey.</p><p><strong>Results: </strong>The findings revealed high amounts of total SBM time. There were age and gender differences in physical activity, especially with lower levels of active transport during leisure time among girls than among boys. A series of binary logistic regression analyses with adjustment for age, gender and socioeconomic status showed that high levels of total SBM time were negatively associated with involvement in club sports, active school transport, active travel to friends and leisure activities, and 60 min MVPA 5 days/week. Gaming and social media use were also negatively associated with most of the physical activity indicators. All SBM variables were negatively associated with involvement in club sports and 60 min MVPA 5 days/week.</p><p><strong>Conclusions: </strong>\u0000 <b>The study demonstrates negative associations between SBM time among adolescents and physical activity in various domains. Actions to facilitate youth physical activity in the digital age seem crucial. Additional studies with nuanced data on these behaviours and longitudinal research design allowing for examining their interrelations over time are needed.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"42-51"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824696","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":"Payment problems and suicide: life under financial strain.","authors":"Carla L Hughes, Åsmund Hermansen","doi":"10.1177/14034948241312375","DOIUrl":"https://doi.org/10.1177/14034948241312375","url":null,"abstract":"<p><strong>Aims: </strong>Suicide deaths are often linked to impulsivity during moments of crisis, such as financial difficulties, relationship breakdowns and poor health. For individuals experiencing financial problems, risk factors for suicide can commonly include circumstances surrounding payment problems, including unemployment, divorce, low education and low income mediated by debt.</p><p><strong>Methods: </strong>In this study, we investigate the impact of payment problems on suicide in Norway using a spline-based parametric survival analysis, with suicide as the outcome variable. With access to high quality Norwegian register data and unique information on payment problems, defined as deductions in wages or benefits, we investigated suicide amongst the entire adult Norwegian population over an 11-year period (2008-2018).</p><p><strong>Results: </strong>We found that the prevalence of payment problems among the Norwegian population between 2009 and 2018 was associated with a higher risk of suicide for both males and females. Despite the greater proportion of suicide occurring amongst males both globally and in Norway, we found that women experiencing financial hardship had a relatively higher suicide risk when adjusted for demographic variables than their male counterparts.</p><p><strong>Conclusions: </strong>\u0000 <b>These findings highlight the need for stronger protections for individuals struggling with financial difficulties and emphasise the importance of further research on the relationship between payment problems and suicide, with the aim of informing and enhancing national suicide prevention strategies.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948241312375"},"PeriodicalIF":2.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755522","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}