Scandinavian Journal of Public Health最新文献

{"title":"Framing vaccination as a collective responsibility increases intentions to vaccinate.","authors":"Sebastian B Bjørkheim, Tony Leino, Bjørn Sætrevik","doi":"10.1177/14034948261438058","DOIUrl":"10.1177/14034948261438058","url":null,"abstract":"<p><strong>Aims: </strong>The decision to vaccinate may be motivated by self-protection or community protection, and people may to varying degrees feel a personal responsibility or a collective obligation to vaccinate. In two preregistered survey experiments during the COVID-19 pandemic, we examined how a benefit framing (personal <i>vs</i>. collective) and a responsibility framing (personal <i>vs</i>. collective) influence vaccine intention.</p><p><strong>Methods: </strong>We used a 2×2 survey experiment design to manipulate vaccine promotion framing systematically. The experiments were conducted on large, overlapping representative samples of Norwegian adults. Separate survey experiments were performed before (<i>N</i>=5474) and after (<i>N</i>=1789) the COVID-19 vaccine rollout in Norway.</p><p><strong>Results: </strong>Both experiments showed that framing vaccination choice as a collective (<i>vs</i>. personal) responsibility increased vaccine intention. In the first experiment there was no effect of benefit framing, while in the second experiment emphasising personal (<i>vs</i>. collective) benefit increased vaccine intentions. There was no interaction between the factors in either experiment. We also observed a considerable increase in vaccine intention between the first and second experiment.</p><p><strong>Conclusions: </strong>\u0000 <b>These findings indicate that highlighting collective responsibility may boost vaccine uptake, whereas it is more difficult to conclude about emphasising personal versus collective benefits. Message framing may be worth considering when designing health communication strategies during infectious disease outbreaks.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"377-387"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724405","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":"A debatable representation of all-cause mortality in Norway in 2024.","authors":"Ann K Skrindo Knudsen, Ingeborg Forthun, Christian Madsen, Marianne Strøm, Liv C Vestrheim Thomsen, Jesper Dahl, Preben Aavitsland, Dagfinn Mørkrid Thøgersen, Hanne Løvdal Gulseth","doi":"10.1177/14034948251393442","DOIUrl":"10.1177/14034948251393442","url":null,"abstract":"","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"425-426"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913604","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":"COVID-19 vaccination coverage and the effect on regional disparities in morbidity and mortality among older people in Sweden, 2021-2023.","authors":"Anton Nilsson, Dominik Dietler, Carl Bonander, Malin Inghammar, Jonas Björk","doi":"10.1177/14034948261420643","DOIUrl":"10.1177/14034948261420643","url":null,"abstract":"<p><strong>Aims: </strong>The COVID-19 pandemic had substantial impacts on mortality and morbidity, even after the rollout of vaccinations. These impacts however, varied considerably across regions. We examined regional disparities in COVID-19 mortality and hospitalizations among older people in Sweden from January 2021 to August 2023 and assessed the role of vaccination coverage in shaping these disparities.</p><p><strong>Methods: </strong>Using full-population data on people in Sweden born in 1955 or earlier, we created a nested case-control study. Conditional logistic regressions with county fixed effects were estimated across three periods of vaccination rollout (Doses 1-2, 3-4, and 5-6). County fixed effects were compared across models with and without vaccination adjustment. Further, the benefits of vaccination coverage corresponding to the most successful regions were evaluated with potential impact fractions (PIFs).</p><p><strong>Results: </strong>Across counties, the final shares of vaccinated individuals ranged from 94% to 98% for Doses 1 and 2, 90% to 96% for Dose 3, 80% to 91% for Dose 4, 65% to 83% for Dose 5, and 13% to 47% for Dose 6. In models without vaccination adjustments, COVID-19 mortality ranged from -56% to +75% relative to an average county, and hospitalizations from -45% to +51%. Vaccination adjustment had little impact on the disparities. Overall PIFs were 8% to 11% for mortality and 7% to 8% for hospitalizations, with greater PIFs in urban counties.</p><p><strong>Conclusions: </strong>\u0000 <b>While higher vaccination coverage, especially in urban areas, could have prevented COVID-19 deaths and hospitalizations among older adults in Sweden, the vaccinations were not a major driver of regional disparities in these outcomes.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"388-396"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277430","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":"Older people's health literacy on COVID-related health behaviours during the pandemic - Results from the SWEOLD 2021 study in Sweden.","authors":"Naima Kayser Leeoza, Josefin Wångdahl, Carin Lennartsson, Janne Agerholm","doi":"10.1177/14034948251357704","DOIUrl":"10.1177/14034948251357704","url":null,"abstract":"<p><strong>Background: </strong>Health literacy refers to an individual's ability to access, understand, and use information to promote and maintain good health. The importance of a health-literate population has been highlighted during COVID-19 when health authorities pleaded with the public to be responsible and adhere to rules and recommendations. This study investigates the relationship between health literacy levels and older people's understanding of and adherence to COVID-19 recommendations.</p><p><strong>Methods: </strong>The data for this study were obtained from the 2021 Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD), which exclusively includes individuals aged ⩾77 years. Health literacy was assessed utilising the Communicative and Critical Health Literacy (C&CHL) scale. Using logistic regression, we evaluated the association between C&CHL and vaccination coverage, as well as the comprehension of and adherence to health recommendations and the avoidance of healthcare services due to apprehension related to COVID-19.</p><p><strong>Results: </strong>The findings showed that 90% of the study population understood the COVID-19 guidelines, and 63% adhered to them to a large extent. Further, 98% got vaccinated. Although limited C&CHL was statistically associated with a lower ability to understand information (odds ratio: 2.20), it was not related to following recommendations, being vaccinated, or refraining from health or dental care.</p><p><strong>Conclusions: </strong>\u0000 <b>Regardless of individual health literacy level, most older people understood and followed COVID-19 recommendations, and nearly everyone was vaccinated. The findings indicate that the information about Swedish COVID-19 recommendations and vaccination information was tailored to meet the needs of different health literacy levels.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"323-330"},"PeriodicalIF":1.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13176477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651057","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":"How deaths of despair shape life expectancy across sexes and regions in Sweden.","authors":"Ali Kiadaliri, Alexis E Cullen, Oleguer Plana-Ripoll, Mohammad Hajizadeh","doi":"10.1177/14034948261450785","DOIUrl":"https://doi.org/10.1177/14034948261450785","url":null,"abstract":"<p><strong>Aim: </strong>The sim of this study was to quantify contributions of mortality from drugs, alcohol and suicide (termed as 'deaths of despair' (DoD)) to changes in life expectancy at birth across sexes and regions in Sweden.</p><p><strong>Methods: </strong>We obtained annual data on underlying causes of deaths by age, sex and region from the National Cause of Death Register. We constructed abridged life tables for two periods: 2001-2005 and 2020-2024. A continuous-change model was used to quantify the age- and cause-specific contributions of DoD to the changes in life expectancy at birth between these periods.</p><p><strong>Results: </strong>Between two periods, life expectancy at birth increased by 2.5/3.5 years for females/males. All three DoD combined had negligible but opposite contributions to the changes in life expectancy at birth among females (-0.017 years) and males (+0.101 years). In both sexes, drugs- (alcohol)-related deaths contributed to decrease (increase) in life expectancy at birth. In both sexes, deaths from suicide in the age group 10-19 years (negative contributions), drugs in the age group 30-39 years (negative contributions) and alcohol in the age groups 40-59 years (positive contributions) and 70-89 years (negative contributions) had a greater absolute contribution to the changes in life expectancy at birth than the other two DoD causes. Across regions, the changes in life expectancy at birth attributable to DoD ranged from -0.219 to +0.159 years among females and from -0.235 to +0.267 years among males.</p><p><strong>Conclusions: </strong>\u0000 <b>There were large variations in the contributions of DoD to the change in life expectancy at birth by age, sex, cause and region in Sweden, highlighting the need for targeted national and regional interventions, especially for drug-related deaths.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261450785"},"PeriodicalIF":2.1,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057749","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":"Private and public primary healthcare provider listing according to self-reported illness burden after the free choice reform: a cross-sectional study in southern Sweden.","authors":"Christine Johansson, Mirnabi Pirouzifard, Martin Lindström","doi":"10.1177/14034948261444138","DOIUrl":"https://doi.org/10.1177/14034948261444138","url":null,"abstract":"<p><strong>Aims: </strong>To investigate differences between respondents' self-reported registration with public and private primary healthcare (PHC) providers according to self-reported illness burden in the early phase of the free choice reform.</p><p><strong>Methods: </strong>The Public Health Survey undertaken in Scania, southernmost Sweden, in 2012 was a population-based study of a stratified random sample of 18-80-year olds that elicited a 51.7% participation rate. The survey included data on PHC provider type, age, sex, marital status, socioeconomic status, country of birth, and self-reported illness burden measured as poor psychological health (via the 12-item General Health Questionnaire; GHQ12), poor self-rated health, and self-reported chronic illness. Poor psychological health (GHQ12), poor self-rated health, and self-reported chronic illness were analyzed together in logistic regression models with public versus private PHC provider as the dichotomous outcome.</p><p><strong>Results: </strong>In 2012, 55.2% reported being listed with a public PHC provider, 26.1% a private PHC provider, and 18.6% did not know what type their provider was. In the final multi-adjusted logistic regression model, the odds ratios of reporting private PHC provider were 1.01 (0.91-1.13) among respondents with poor psychological health, 0.98 (0.89-1.07) among respondents with poor self-rated health, and a non-significant 1.09 (1.00-1.20) among respondents with self-reported chronic illness.</p><p><strong>Conclusions: </strong>\u0000 <b>After adjusting for relevant confounders, no statistically significant differences were found between private and public PHC providers, according to self-reported illness burden in Scania in 2012.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261444138"},"PeriodicalIF":2.1,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984133","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":"Associations between physical activity and sleep quality across BMI categories: a cross-sectional population-based study.","authors":"Astrid Jensen Damgaard, Louise Nørskov Nielsen, Emma Bendix Larsen, Martin Mejlby Jensen, Pernille Pedersen, Jes Bak Sørensen","doi":"10.1177/14034948261447342","DOIUrl":"https://doi.org/10.1177/14034948261447342","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to investigate the association between physical inactivity and poor sleep quality across body mass index (BMI) categories, addressing the global rise in poor sleep quality and physical inactivity.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using self-reported data from the 'How are you? 2021' survey conducted in the Central Denmark Region (<i>n</i>=30,402). Logistic regression adjusted for sociodemographic factors and other covariates were employed to explore the association between physical inactivity and poor sleep quality, stratified by BMI categories.</p><p><strong>Results: </strong>Physical inactivity was associated with poor sleep quality (odds ratio (OR) 1.80; 95% confidence interval (CI) 1.62-1.99) across all BMI categories in the crude analysis. In the adjusted analysis, individuals who were physically inactive also had higher odds of poor sleep quality: OR 1.24 (95% CI 1.10; 1.39). In the stratified analyses, the OR was 1.20 (95% CI 0.98; 1.46) among individuals with a BMI less than 25 kg/m², 1.27 (95% CI 1.04; 1.55) among those with a BMI of 25-29.9 kg/m², and 1.16 (95% CI 0.94; 1.42) among those with a BMI of 30 kg/m² or greater.</p><p><strong>Conclusions: </strong>This study found an association between physical inactivity and poor sleep quality using self-reported data. While stratified analyses of the association between physical inactivity and poor sleep quality revealed lower associations among individuals with a BMI less than 25 kg/m² and over 30 kg/m², the overall pattern of the association remained. This study contributes to the understanding of the complex interplay between physical inactivity, sleep quality, and BMI. It underscores the need for public health initiatives that simultaneously address physical inactivity and sleep quality to enhance overall health outcomes.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261447342"},"PeriodicalIF":2.1,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984105","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":"Assessing implementation fidelity in a child maltreatment pilot trial: Lessons for evaluating complex interventions.","authors":"Joakim Finne, Maria Ekre, Kjersti S Wiggen, Ira Malmberg-Heimonen, Maiken Pontoppidan, Eirin Pedersen, Anne G Tøge","doi":"10.1177/14034948261436693","DOIUrl":"https://doi.org/10.1177/14034948261436693","url":null,"abstract":"<p><strong>Objective: </strong>This paper evaluates the implementation fidelity of Family Partner, a home-visiting intervention from the child welfare service that aims to reduce child maltreatment in families with complex support needs.</p><p><strong>Method: </strong>To assess implementation fidelity, we utilized self-reported routine data from practitioners delivering the intervention, comprising 1657 reports concerning 19 enrolled families. Furthermore, five in-depth qualitative interviews and two focus groups were conducted with practitioners. Descriptive analyses were conducted on quantitative data, and thematic analysis on the qualitative data.</p><p><strong>Result: </strong>The critical components for the implementation of the Family Partner intervention were generally met, with the exception of the requirement to conduct three home visits within the first 10 days of the intervention. Additionally, the quality and structure of the practitioner-reported routine data presented challenges in accurately assessing fidelity.</p><p><strong>Conclusions: </strong>\u0000 <b>Our study demonstrates the importance of developing robust measures for assessing implementation fidelity during the early stages of pilot testing before proceeding to a full-scale randomized controlled trial. Future research should include thoughtful and predefined fidelity measures to strengthen the evaluation of complex interventions.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261436693"},"PeriodicalIF":2.1,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949731","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":"Chronic pain-prevalence, characteristics, and burden: A population-based cross-sectional study.","authors":"Marie H Eliasen, Cathrine J Lau, Maria H Jacobsen, Marie Grønkjær, Faidra Papanikolaou, Kirstine S Benthien","doi":"10.1177/14034948261440646","DOIUrl":"https://doi.org/10.1177/14034948261440646","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain is a burden for both the individual and society. In the International Classification of Disease, 11th version, chronic pain is defined as persistent or recurrent pain for more than three months. The aim was to assess the prevalence of self-reported chronic pain approximating this definition in the general population of the Capital Region in Denmark, characterize those affected, and investigate the associated burden of chronic pain in terms of pain-, health- and emotion-related factors.</p><p><strong>Methods: </strong>Self-reported chronic pain was assessed in the Danish Capital Region Health Survey 2021, comprising 56,245 participants from the general population of the Capital Region of Denmark aged ⩾16 years (response rate 54.9%). Questions on chronic pain were developed using cognitive interviewing. Sociodemographic characteristics were assessed using national registries. Burden was defined as associations between chronic pain and morbidity (from registries) and factors related to pain, self-rated health, and emotions (self-reported data). Descriptive analyses and multivariate logistic regression models weighted for survey design and non-response were performed.</p><p><strong>Results: </strong>In total, 32% reported chronic pain. It was most common among women, persons with low education and the elderly population. Chronic pain was highly associated with high pain intensity, pain-related interference and distress, comorbid conditions, poor physical and mental health-related quality of life, high stress-level, and loneliness.</p><p><strong>Conclusions: </strong>\u0000 <b>Self-reported chronic pain was highly prevalent in the general adult population and was associated with a substantial burden in terms of pain-, health- and emotion-related factors, underscoring a significant public health challenge of chronic pain.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261440646"},"PeriodicalIF":2.1,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949804","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":"Scandinavian Journal of Public Health, Volume 54, Issue 3.","authors":"","doi":"10.1177/14034948261452120","DOIUrl":"https://doi.org/10.1177/14034948261452120","url":null,"abstract":"","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261452120"},"PeriodicalIF":2.1,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949831","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}