Scandinavian Journal of Public Health最新文献

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Excess all-cause mortality in Norway in 2024. 2024年挪威全因死亡率过高。
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-09-08 DOI: 10.1177/14034948251371830
Richard Aubrey White, Anders B Nygaard, Arne Søraas, Gunhild A Nyborg
{"title":"Excess all-cause mortality in Norway in 2024.","authors":"Richard Aubrey White, Anders B Nygaard, Arne Søraas, Gunhild A Nyborg","doi":"10.1177/14034948251371830","DOIUrl":"https://doi.org/10.1177/14034948251371830","url":null,"abstract":"<p><strong>Aims: </strong>The Norwegian Institute of Public Health calculated excess mortality for Norway in 2024 using a reference period that included 2023-a year with significant excess mortality-and concluded there was no excess mortality in 2024. This study estimates excess mortality in 2024 using only pre-pandemic years as the reference, providing a basis for identifying excess COVID-19 related mortality.</p><p><strong>Methods: </strong>We estimated excess mortality in 2024 using a negative binomial model trained on 2010-2019 data. Deaths were modelled by age (0, 1-19, 20-39, 40-64, 65-79, 80-89 and 90+ years) and sex, with population offsets. Expected mortality was projected using both a conservative approach where the prediction for 2023 was carried forward to 2024 and a non-conservative linear extrapolation to 2024.</p><p><strong>Results: </strong>The conservative approach estimated 2898 excess deaths (7.0%; 95% prediction interval (PI), 4.9-9.1%) in 2024. Significant excess mortality was observed in age groups 1-19 (45 deaths; 36.6% excess), 20-39 (107 deaths; 17.6% excess), 40-64 (439 deaths; 10.6% excess) and 65-79 (1631 deaths; 13.7% excess). Ages 1-39 and 40-64 accounted for approximately 5% and 15% of total excess mortality, respectively.</p><p><strong>Conclusions: </strong><b>Persistent excess mortality from 2022 to 2024 suggests a new elevated mortality baseline and a reduction or reversal of Norway's pre-pandemic mortality decline. Although multiple factors may contribute, given sustained excess mortality since 2022, our findings suggest that the unmitigated spread of SARS-CoV-2 in Norway since 2022 can be associated with increased mortality, particularly for those under 65</b>.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251371830"},"PeriodicalIF":2.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024673","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}
引用次数: 0
Study protocol for 5Ways@School - An implementation and effectiveness trial of a school-based wellbeing intervention in 16 schools in Norway. 5Ways@School研究方案-在挪威16所学校实施以学校为基础的福利干预的有效性试验。
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-09-08 DOI: 10.1177/14034948251370109
Kristian Green Krogshus, Espen Bjertness, Nikolai Olavi Czajkowski, Rubén Rodriguez-Cano, Ragnhild Bang Nes
{"title":"Study protocol for 5Ways@School - An implementation and effectiveness trial of a school-based wellbeing intervention in 16 schools in Norway.","authors":"Kristian Green Krogshus, Espen Bjertness, Nikolai Olavi Czajkowski, Rubén Rodriguez-Cano, Ragnhild Bang Nes","doi":"10.1177/14034948251370109","DOIUrl":"https://doi.org/10.1177/14034948251370109","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to assess the effectiveness and implementation of the 5Ways@School curriculum-based intervention in Norwegian schools. The intervention builds on the Five Ways to Wellbeing framework, and promotes five action domains: connect with others, be physically active, take notice, keep learning, and give. The study objectives include assessing the intervention's acceptability, appropriateness, feasibility, fidelity, and cost, as well as its impact on students' wellbeing and mental health.</p><p><strong>Methods: </strong>The study is a hybrid effectiveness-implementation trial using mixed methods. It is a longitudinal, two-armed, non-randomized, controlled study involving students in grades 5 to 10 (ages 10 to 16). The primary outcomes are the intervention's acceptability and feasibility, and its effectiveness on students' wellbeing. Data collection includes web-based questionnaires for students and teachers, and qualitative interviews with teachers. Quantitative data will be analysed using multilevel regression models and network intervention analysis, while qualitative data will be analysed using thematic analysis.</p><p><strong>Conclusions: </strong><b>The study aims to provide insights into the implementation and effectiveness of the wellbeing-promoting 5Ways@School intervention. The findings could inform the optimization of the 5Ways@School and other future school-based interventions, and thereby contribute to the wellbeing of children and young people. The study's strengths include its real-life school setting and mixed methods approach, while limitations include its non-randomized design.</b>Trial registration:ClinicalTrials.gov, ID NCT06144502.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251370109"},"PeriodicalIF":2.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016551","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}
引用次数: 0
An Apple-watch all day keeps your life astray-or does it? 整天带着苹果手表会让你的生活迷失方向——真的吗?
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-09-04 DOI: 10.1177/14034948251370466
Eivind Meland
{"title":"An Apple-watch all day keeps your life astray-or does it?","authors":"Eivind Meland","doi":"10.1177/14034948251370466","DOIUrl":"https://doi.org/10.1177/14034948251370466","url":null,"abstract":"<p><strong>Aims: </strong>This paper discusses whether self-monitoring technology for continuous self-evaluation may harm us as individuals and communities. The aspiration of obtaining absolute knowledge is spoken of in <i>Genesis</i>. The story of the fall is a basic and universal human myth that warns against the aspiration to acquire absolute knowledge. Is self-evaluation a recipe for being alienated from ourselves and from others or may it serve as motivation for needed change?</p><p><strong>Conclusions: </strong>\u0000 <b>Changes in western culture within and outside healthcare indicate that self-evaluation can be balanced and complemented by new common ground in medical ethics and psychotherapy. Promoting medical functionalism, as suggested by the United Nations World Social Report, is a step in this direction. Practices allowing open presence and mindfulness and reframing of the health concept can also pave the way for stronger solidity and robustness in individual people combined with communal engagement and responsibility.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251370466"},"PeriodicalIF":2.1,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994201","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}
引用次数: 0
Differences in professional help-seeking for mental health problems among migrants and non-migrants: Symptom severity, self-perceived mental health problem, and region of origin matter. 移民与非移民心理健康问题专业求助的差异:症状严重程度、自我认知心理健康问题和原籍地区问题
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-09-04 DOI: 10.1177/14034948251362562
Melanie L Straiton, Samantha M Harris
{"title":"Differences in professional help-seeking for mental health problems among migrants and non-migrants: Symptom severity, self-perceived mental health problem, and region of origin matter.","authors":"Melanie L Straiton, Samantha M Harris","doi":"10.1177/14034948251362562","DOIUrl":"https://doi.org/10.1177/14034948251362562","url":null,"abstract":"<p><strong>Aims: </strong>To examine differences in help-seeking for mental health problems among migrants and non-migrants in Norway and to consider the role of symptom severity, acknowledgement of a mental health problem and region of origin.</p><p><strong>Methods: </strong>We used data from a cross-sectional, online Norwegian Country Public Health Survey conducted in 2021. A total of 32,126 people, aged 18+ years, were included in the analyses, of which 8% were migrants. Around 60% of these were from countries within the European Economic Area, associated countries or the UK, USA, Canada, Australia and New Zealand (EEA+).</p><p><strong>Results: </strong>Migrants from non-EEA+ countries showed higher odds of having sought professional mental health help than non-migrants, but this difference attenuated when controlling for sociodemographic factors, psychological distress and self-reported depression. An interaction revealed that at higher, but not lower, levels of psychological distress, non-EEA+ migrants had significantly lower odds of having sought help. Moreover, a stratified analysis indicated that this applied only to those without self-reported depression.</p><p><strong>Conclusions: </strong>At high levels of psychological distress, people from non-EEA+ regions living in Norway may not be getting professional support for mental health problems to the same extent as EEA+ migrants and non-migrants. This may especially be the case for those who do not perceive their symptoms as a mental health problem. Consequently, improving the ability to recognise mental health problems may be a possible avenue for reducing the treatment gap for migrants with high symptom levels, though longitudinal studies would be required to confirm this.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251362562"},"PeriodicalIF":2.1,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994277","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}
引用次数: 0
Use of complementary and alternative medicine in Denmark among women with and without breast cancer: a cross-sectional study. 在丹麦,有和没有乳腺癌的妇女使用补充和替代医学:一项横断面研究。
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-08-20 DOI: 10.1177/14034948251363843
Elias Benameur, Anja Olsen, Susanne Rosthøj, Anne Tjønneland, Pernille E Bidstrup, Cecilie Kyrø
{"title":"Use of complementary and alternative medicine in Denmark among women with and without breast cancer: a cross-sectional study.","authors":"Elias Benameur, Anja Olsen, Susanne Rosthøj, Anne Tjønneland, Pernille E Bidstrup, Cecilie Kyrø","doi":"10.1177/14034948251363843","DOIUrl":"https://doi.org/10.1177/14034948251363843","url":null,"abstract":"<p><strong>Aims: </strong>The study aim was to describe the use of complementary and alternative medicine (CAM) among women with breast cancer and without breast cancer in Denmark. Furthermore, the aim was to investigate whether use was related to lifestyle factors, socioeconomic factors, comorbidities, and health-related quality of life (HRQoL).</p><p><strong>Methods: </strong>A cross-sectional design was applied, and data from 1452 women aged 63-82 years collected in 2010-2011 from the Danish Diet, Cancer, and Health cohort was used. Some 717 of the women had breast cancer and 735 were without breast cancer. Multivariable logistic regression was applied with CAM use as the outcome variable and lifestyle factors, socioeconomic factors, comorbidities, and HRQoL as explanatory variables. Adjustments were made for potential confounders.</p><p><strong>Results: </strong>CAM was used by 34.3% (95% CI [30.1, 37.7]) of the women without breast cancer and 38.6% (95% CI [35.1, 42.2]) of the women with breast cancer. The most frequently used CAMs were massage, acupuncture/acupressure, relaxation techniques, reflexology, medicinal tea, herbs and plant extracts, and most CAM users used a single modality. CAM users were more likely to be younger, divorced, and less likely to smoke. Breast cancer status, body mass index, alcohol use, and comorbidity status were not significantly associated with CAM use. CAM users had lower means across all HRQoL dimensions compared to non-users.</p><p><strong>Conclusions: </strong>\u0000 <b>CAM use is common among Danish women, with no significant difference found when comparing women with and without breast cancer. CAM users seemingly had lower HRQoL, and were more likely to be younger, divorced, and less likely to smoke.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251363843"},"PeriodicalIF":2.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976447","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}
引用次数: 0
Childhood socioeconomic position and later-life mortality, morbidity and self-rated health: a linked study from the Historical Population Register of Norway and the Tromsø Study 1950-2022. 儿童社会经济地位与晚年死亡率、发病率和自评健康:来自挪威历史人口登记和1950-2022年特罗姆瑟研究的相关研究
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-08-20 DOI: 10.1177/14034948251365024
Petja L Langholz, Hilde L Sommerseth, Doris T Kristoffersen, Laila A Hopstock
{"title":"Childhood socioeconomic position and later-life mortality, morbidity and self-rated health: a linked study from the Historical Population Register of Norway and the Tromsø Study 1950-2022.","authors":"Petja L Langholz, Hilde L Sommerseth, Doris T Kristoffersen, Laila A Hopstock","doi":"10.1177/14034948251365024","DOIUrl":"https://doi.org/10.1177/14034948251365024","url":null,"abstract":"<p><strong>Aims: </strong>Previous studies on childhood socioeconomic position (CSEP) and health have mostly focused on outcomes in early to mid-life or relied on recalled CSEP in adulthood. The objective of this study was to investigate the association of prospectively measured CSEP with a variety of health outcomes in mid to old age among residents in Northern Norway.</p><p><strong>Methods: </strong>This study linked health data from the population-based Tromsø Study to the Historical Population Register of Norway. Using Cox proportional hazards models, logistic and ordinal logistic regression, we investigated sex-specific associations between fathers' occupation in 1950 and all-cause mortality (<i>n</i>=7056), as well as chronic disease prevalence and self-rated health (<i>n</i>=4576) at age 50 years and older among Tromsø Study participants born in 1930-1955.</p><p><strong>Results: </strong>Self-rated health showed the strongest association with CSEP and a clear social gradient that was more pronounced among women. We found only minor differences in all-cause mortality and varying patterns for prevalence of chronic diseases by CSEP. High CSEP was associated with lower prevalence of chronic respiratory diseases for both women and men, and higher odds for cancer among women. Associations were attenuated when educational level was included in the models.</p><p><strong>Conclusions: </strong>\u0000 <b>Prospectively measured CSEP was associated with later-life health, although to a varying degree depending on the health indicator under study. This study highlights that, beyond binary disease endpoints, a broad indicator such as self-rated health can be an important tool to uncover health inequalities by CSEP in later life, as it summarises a multitude of possible dimensions of health and wellbeing throughout the life course.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251365024"},"PeriodicalIF":2.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976504","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}
引用次数: 0
Trends in health behaviour indicators between 1987 and 2023 among adults in the general population in Denmark. 1987年至2023年丹麦普通人口中成年人健康行为指标趋势。
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-08-16 DOI: 10.1177/14034948251365023
Heidi A R Jensen, Michael Davidsen, Marie H Eliasen, Anne Wingstrand, Peter L Kristensen, Jes B Sørensen, Anne I Christensen, Ola Ekholm
{"title":"Trends in health behaviour indicators between 1987 and 2023 among adults in the general population in Denmark.","authors":"Heidi A R Jensen, Michael Davidsen, Marie H Eliasen, Anne Wingstrand, Peter L Kristensen, Jes B Sørensen, Anne I Christensen, Ola Ekholm","doi":"10.1177/14034948251365023","DOIUrl":"https://doi.org/10.1177/14034948251365023","url":null,"abstract":"<p><strong>Aims: </strong>Health surveys constitute an essential component in comprehensive public health surveillance systems by providing information relevant for health care planning and policy development. This study aimed to describe trends in key indicators of health risk behaviours based on data from nine health survey waves conducted in Denmark between 1987 and 2023.</p><p><strong>Methods: </strong>Data were derived from the Danish Health and Morbidity Survey and the Danish National Health Survey conducted in the general population aged ⩾16 years. The number of respondents varied between 4,667 (1994) and 183,646 (2021). Data collection methods included both face-to-face interviews and self-administered (paper-and-pencil or web) questionnaires. Trends in the prevalence of the following health risk behaviours were examined: Daily smoking, a high weekly alcohol intake, unhealthy dietary pattern, leisure-time sedentary behaviour, obesity, and cannabis use in the past 12 months. Furthermore, the five-year change in odds ratio was calculated for each indicator.</p><p><strong>Results: </strong>A decreasing prevalence was observed for daily smoking (from 44% to 12%) and a high weekly alcohol intake (from 25% to 16%), while the prevalence of obesity (from 6% to 19%) and unhealthy dietary pattern (from 13% to 19%) increased. Leisure-time sedentary behaviour showed inconsistent patterns across different time periods, and cannabis use remained relatively stable (~7%). Overall, five-year trends confirmed these patterns.</p><p><strong>Conclusions: </strong>\u0000 <b>Based on health risk behaviour trends in Denmark during the past decades demonstrated in the present study, policymakers are encouraged to develop national prevention strategies targeting these behaviours to support favourable trends and reverse unfavourable trends.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251365023"},"PeriodicalIF":2.1,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859852","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}
引用次数: 0
Seasonal patterns of long sickness absence due to 411 diagnostic groups: a nationwide register-based study in Finland during 2020-2023. 411个诊断组导致的长期疾病缺勤的季节性模式:2020-2023年芬兰全国基于登记册的研究。
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-08-11 DOI: 10.1177/14034948251327545
Aapo Hiilamo, Tea Lallukka
{"title":"Seasonal patterns of long sickness absence due to 411 diagnostic groups: a nationwide register-based study in Finland during 2020-2023.","authors":"Aapo Hiilamo, Tea Lallukka","doi":"10.1177/14034948251327545","DOIUrl":"https://doi.org/10.1177/14034948251327545","url":null,"abstract":"<p><strong>Aim: </strong>Seasonal patterns in sickness absence (SA) are little studied but crucially important to understand in order to design preventative measures and allocate resources. We aimed to identify seasonal patterns in long-term SA, that is, absences longer than 10 working days, due to different diagnostic groups.</p><p><strong>Method: </strong>Long-term SA recipients on a monthly basis from 2020 through 2023 were analyzed (2,257,011 long-term SA recipients in total). Monthly relative deviations from the expected SA recipient numbers given no seasonality were calculated for each diagnostic group defined by digits of ICD-10 codes. The seasonal deviations in 411 different diagnoses were used as input in an unsupervised learning method, the K-means clustering algorithm, to identify specific diagnoses susceptible to seasonal variation.</p><p><strong>Results: </strong>The number of long-term SA recipients was lowest in the summer, and reached three peaks in February-March, October, and December. We identified three seasonal patterns by diagnostic group. A winter and autumn peaks cluster (6% of SA recipients) consisted of 42 diagnostic groups, such as sleep disorders. A spring high cluster (81%) included mainly mental and musculoskeletal diagnoses. An autumn high cluster (13%) consisted of a mixed set of 262 diagnostic groups, including stress-, injury-, and musculoskeletal disorder-related diagnoses. These clusters differed in terms of the age and gender of the recipients.</p><p><strong>Conclusions: </strong>\u0000 <b>There is substantial potential to reduce SA by addressing its seasonal determinants. The identified patterns could be used to design the optimal provision of preventative measures throughout the calendar year in health policies, occupational health care, and workplaces.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251327545"},"PeriodicalIF":2.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818045","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}
引用次数: 0
Sickness absence due to mental disorders among young adults: A register-based comparison of Finnish and Swedish speakers in Finland. 年轻人因精神障碍而缺勤:芬兰芬兰语和瑞典语使用者的基于登记的比较。
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-08-07 DOI: 10.1177/14034948251360679
Kaarina Reini, Kaija Appelqvist-Schmidlechner, Mika Gissler, Jan Saarela
{"title":"Sickness absence due to mental disorders among young adults: A register-based comparison of Finnish and Swedish speakers in Finland.","authors":"Kaarina Reini, Kaija Appelqvist-Schmidlechner, Mika Gissler, Jan Saarela","doi":"10.1177/14034948251360679","DOIUrl":"https://doi.org/10.1177/14034948251360679","url":null,"abstract":"<p><strong>Aims: </strong>Mental health problems of young adults are of increasing public health concern in the Nordic countries. The utilization of mental health services has been rising together with growing rates of sickness allowance due to mental health disorders. The aim of this study is to compare Finnish- and Swedish-speaking young adults in Finland and to examine their trends in sickness allowance receipt due to mental health problems in 2004-2018.</p><p><strong>Methods: </strong>We used register-based data and analysed people aged 20-34 years, distinguishing whether each person and the parents had Finnish or Swedish as their registered mother tongue. Cox regressions were used, in which the study outcome was first time receipt of sickness allowance due to mental disorders.</p><p><strong>Results: </strong>The hazard of sickness allowance receipt due to mental disorders increased for both Finnish and Swedish speakers during the study period. Swedish speakers started at a lower level, or about 0.8 that of Finnish speakers, but approached the level of Finnish speakers over the study period. Persons with bilingual background were largely found in between those with unilingual Finnish and unilingual Swedish background.</p><p><strong>Conclusions: </strong>\u0000 <b>Before the coronavirus pandemic, the use of sickness allowance due to mental health problems increased and became more similar for Finnish- and Swedish-speaking young adults.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251360679"},"PeriodicalIF":2.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795983","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}
引用次数: 0
Non-response bias in the Norwegian Counties Public Health Survey: Insights from linkage to register data. 挪威县公共卫生调查中的无反应偏倚:从联系到登记数据的见解。
IF 2.1 3区 医学
Scandinavian Journal of Public Health Pub Date : 2025-08-06 DOI: 10.1177/14034948251360674
Thomas S Nilsen, Marit Knapstad, Jens C Skogen, Leif E Aarø, Øystein Vedaa
{"title":"Non-response bias in the Norwegian Counties Public Health Survey: Insights from linkage to register data.","authors":"Thomas S Nilsen, Marit Knapstad, Jens C Skogen, Leif E Aarø, Øystein Vedaa","doi":"10.1177/14034948251360674","DOIUrl":"https://doi.org/10.1177/14034948251360674","url":null,"abstract":"<p><strong>Aims: </strong>The Norwegian Counties Public Health Surveys (NCPHS) aim to capture critical aspects of the population's health and well-being. However, selective non-response can introduce bias, potentially compromising survey representativeness. This study assesses non-response patterns in NCPHS using registry data on health-related benefits.</p><p><strong>Methods: </strong>NCPHS comprises cross-sectional web-based surveys assessing various health metrics in Norway's adult population. This study uses data from NCPHS conducted in Hordaland County (April 10 to May 17 2018). Health data, including sickness benefits, disability pension and work assessment allowance (WAA), were linked from national registries.</p><p><strong>Results: </strong>From 34,925 invited residents, the response rate was 45.3%, with higher rates among females (50.0%), older individuals (61.0% for ages 60-69 years) and those with higher education (55.9%). Sickness benefit was not associated with participation rates (adjusted risk ratio (RR) 0.96 I, 95% confidence interval (CI): 0.90-1.02). Disability pension, particularly for mental and behavioural disorders, was associated with lower response rates (adjusted RR 0.81, 95% CI: 0.72-0.92). WAA had no overall significant effect, but WWA due to psychological conditions was related to lower response propensity (adjusted RR 0.85, 95% CI: 0.73-0.99).</p><p><strong>Conclusions: </strong>\u0000 <b>These findings suggest that health-related non-response associated with these benefits has a limited impact on overall population estimates but may introduce bias in specific subgroups, depending on the research question. Though the degree selection into a survey creates bias depend on the research question, knowing that there is relatively little selection by factors such as sickness benefit, WAA and disability pension is important as 22-23% of the population aged 18-67 receive one of these benefits at any time.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251360674"},"PeriodicalIF":2.1,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795982","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}
引用次数: 0
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