Scandinavian Journal of Public Health最新文献

{"title":"Future trends in dementia incidence and mortality: projecting the burden of dementia on long-term care in Finland by 2040.","authors":"Maria Guzman-Castillo, Kaarina Korhonen, Michael Murphy, Pekka Martikainen","doi":"10.1177/14034948261471053","DOIUrl":"https://doi.org/10.1177/14034948261471053","url":null,"abstract":"<p><strong>Aims: </strong>We projected the future number of individuals with dementia and long-term care (LTC) residents in Finland by education level through 2040. We also examined the impact of different future scenarios regarding declining dementia and LTC trends, as well as the effect of past educational expansion on the future prevalence of dementia and LTC.</p><p><strong>Methods: </strong>A multistate model tracks the population aged 65 years and over through states characterised by the presence of dementia, LTC residence, or death. We calculated age, gender, education and year-specific transition probabilities from Finnish registry data under various scenarios.</p><p><strong>Results: </strong>Assuming constant transition probabilities, the number of individuals with dementia is projected to rise by 74% (from 123,800 to 215,900) between 2018 and 2040. The number of LTC residents is expected to increase by 58% (from 73,900 to 116,800). Driven mainly by shifts in population education distribution, the number of people with dementia is projected to decrease by 29% among those with basic education, while increasing by 215% and 260% among those with secondary and tertiary education, respectively. If both dementia incidence and mortality decrease as projected for overall mortality, the number of people with dementia and LTC residents would rise by 67% and 73%, respectively. If the declining trend in LTC use observed prior to 2018 persists, the number of LTC residents could decrease by 10% by 2040.</p><p><strong>Conclusions: </strong>Even under optimistic assumptions of declining dementia incidence and mortality, the burden of dementia on health and social care systems is projected to persist.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261471053"},"PeriodicalIF":1.7,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800830","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":"The Mother in Norway Study (MiNS): study protocol for a randomized controlled trial evaluating the effectiveness of the Nurse-Family Partnership home visiting programme.","authors":"Eirin Pedersen, Joakim Finne, Ira Malmberg-Heimonen, Kjersti Stabell Wiggen, Wendy Nilsen, Ane-Marthe Solheim Skar, Eivor Fredriksen, Eva Marie Flaathen, Milada Hagen, Torill Alise Rotevatn, Henning Øien, Maria Ekre, Nicole L A Catherine, Anne Grete Tøge","doi":"10.1177/14034948261474055","DOIUrl":"https://doi.org/10.1177/14034948261474055","url":null,"abstract":"<p><strong>Aims: </strong>Since 2015, the Norwegian government has prioritized early prevention of social inequities and child maltreatment. As part of this, it has commissioned an evaluation of the Nurse-Family Partnership programme (NFP) adapted for Norway. NFP is a manualized, intensive nurse home-visiting programme to support families experiencing disadvantage from early pregnancy until the child is 2 years old.</p><p><strong>Methods: </strong>The Mother in Norway Study (MiNS) is a parallel-group randomized controlled trial evaluating the effectiveness of the NFP programme versus standard care in improving maternal and child outcomes. A total of 700 participants is being recruited between 2023 and 2026 at least 12 weeks before their due date, screened for eligibility, and individually randomly assigned (1:1) to standard care alone or NFP plus standard care. Both groups may access usual community services. Primary outcomes are maternal-reported intimate partner violence and child maltreatment risk, assessed at baseline and 24 months postpartum using the Composite Abuse Scale - Revised Short Form (CASr-SF) and the Brief Child Abuse Potential Inventory (BCAPI), respectively. Secondary outcomes include maternal mental health, parenting, child socioemotional development, parent-child interaction, and health-related outcomes assessed through questionnaires and linked administrative data. Analyses will follow the intention to treat principle, with statisticians blinded to allocation. Cost-effectiveness analyses will estimate the cost per quality-adjusted life year (QALY) gained.</p><p><strong>Conclusions: </strong>\u0000 <b>This trial will generate evidence on the effectiveness and cost-effectiveness of the NFP in Norway, inform policymaking for early prevention of child health inequities, and establish a foundation for longer-term follow-up.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261474055"},"PeriodicalIF":1.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708366","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":"Advance directives in Finnish long-term care: Do sociodemographic characteristics and regional factors matter?","authors":"Pirita Forsius, Esa Jämsen, Harriet Finne-Soveri, Mari Aaltonen","doi":"10.1177/14034948251356016","DOIUrl":"10.1177/14034948251356016","url":null,"abstract":"<p><strong>Background: </strong>Advance directives (AD) help ensure quality end-of-life care by preventing inappropriate or unwanted treatments. This is particularly important for older people in long-term care (LTC).</p><p><strong>Aims: </strong>This study examines sociodemographic and regional factors associated with the presence of ADs among Finnish round-the-clock LTC residents.</p><p><strong>Methods: </strong>This retrospective register study included 6,090 Finnish round-the-clock LTC residents aged ⩾65 years who died of chronic progressive diseases in 2019 and had undergone a comprehensive evaluation of health status and care needs using a standardized, internationally accepted tool (interRAI instrument Minimum Data Set 2.0 for LTC).Regional differences and sociodemographic characteristics associated with the presence of a do-not-resuscitate order (DNR) or other ADs were analyzed using descriptive statistics, chi-squared tests, and multivariable logistic regression.</p><p><strong>Results: </strong>The most common advance directive was a DNR order (84.8%), while other ADs were less frequent (6.7-22.9%). Both DNR orders and other ADs were associated with female sex, Finnish as the native language, having a legal guardian, and dying of neurodegenerative diseases. The prevalence of DNR orders increased with age. ADs were more common in urban than rural municipalities, but there was substantial variation between municipalities (DNR: 70.9-95.0%, other ADs: 27.1-70.0%). Several associations of sociodemographic and regional factors with ADs remained significant after adjusting for functional ability and health stability.</p><p><strong>Conclusions: </strong>Sociodemographic characteristics and regional factors influence whether Finnish long-term care residents have advance directives, regardless of their health status. This may result in unequal care and service use despite similar clinical conditions.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"589-597"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627556","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":"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":"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>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.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"615-623"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356260/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"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":"624-631"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356261/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnoses given in specialist health care to Norwegian-born children with one immigrant parent. A register-based study.","authors":"Marte K R Kjøllesdal, Ylva Helland, Thor Indseth","doi":"10.1177/14034948251344527","DOIUrl":"10.1177/14034948251344527","url":null,"abstract":"<p><strong>Objective: </strong>To compare the risk of receiving diagnoses of somatic health problems in specialist health care among Norwegian-born children with one immigrant parent to children of Norwegian background.</p><p><strong>Methods: </strong>Data from Medical Birth Registry of Norway, Norwegian Patient Registry and Statistics Norway were linked. All children born in Norway to two Norwegian-born parents or to one Norwegian-born parent and one immigrant parent, aged 0-10 years between 2008 and 2018 were included. Diagnostic categories of infections, non-infectious medical conditions and non-infectious neurological conditions were included from 2008 onwards. Hazards of diagnoses by immigrant background were assessed by Cox regressions adjusted for sex and birth year, and additionally for parental education and household income.</p><p><strong>Results: </strong>Compared with children with Norwegian background, children with an immigrant mother had lower hazards of receiving a diagnosis of any somatic condition (hazard ratio 0.97, 95% confidence interval (CI) 0.95, 0.98), infections in total (hazard ratio 0.93, 95% CI 0.91, 0.95), total non-infectious medical conditions (hazard ratio 0.97, 95% CI 0.95, 0.98) and of any neurological condition (hazard ratio 0.89, 95% CI 0.86, 0.93). There were variations for individual diagnosis groups and by the immigrant parent being a mother or a father, and by parental region of origin. Adjustments for socioeconomic variables made negligible changes to estimates.</p><p><strong>Conclusions: </strong>Children of one immigrant parent do not have overall worse health than children with Norwegian background. Lower hazards of diagnoses of many conditions among those with an immigrant mother warrants further research into possible underutilization of services and barriers to use.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"572-580"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276452","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":"Positive impact of prolonged skin-to-skin contact on parental confidence and symptoms of depression among mothers and fathers of healthy newborns.","authors":"Hanne Kronborg","doi":"10.1177/14034948251342282","DOIUrl":"10.1177/14034948251342282","url":null,"abstract":"<p><strong>Aim: </strong>WHO recommends skin-to-skin contact for the first 2 h after birth. The study investigated how parental and infant skin-to-skin contact for the first 3 days postpartum influenced parental confidence and postpartum depression tendencies.</p><p><strong>Methods: </strong>Separate self-administered questionnaires were completed after birth, at 3 and 9 months by mothers and fathers to newborns in the western part of Denmark. A total of 2142 mothers (83%) and 1582 fathers (72%) provided complete information on skin-to-skin contact. The Karitane Parenting Confidence Scale (KPCS) and Major Depression Inventory (MDI) were used to measure outcome. Data were analyzed in mixed regression models, adjusted for age, parity, and educational level.</p><p><strong>Results: </strong>During the first 72 h, fathers spent 10.40 h (confidence interval (CI), 8.71-12.09) and mothers spent 17.86 h (CI, 16.29-19.43) of skin-to-skin contact with their newborn on average. The time positively influenced the level of confidence for both parents, and symptoms of depression in mothers. The regression coefficient, expressing change in the confidence/KPCS level per hour of skin-to-skin contact was 0.05 (CI, 0.02-0.07) for mothers and 0.07 (CI, 0.04-0.10) for fathers. Correspondingly, the impact on depression/MDI level was -0.04 (CI, -0.07 to -0.01) for mothers but non-significant for fathers. Over time, mothers expressed a higher KPCS level than fathers (<i>p</i> < 0.0001) but only higher depression tendencies at 2 weeks postpartum (<i>p</i>-value <0.001).</p><p><strong>Conclusions: </strong>Fathers and mothers should be encouraged to extend the early practice of skin-to-skin contact with their newborn, as it positively influences parental confidence and maternal symptoms of depression.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"581-588"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486705","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":"An Apple-watch all day keeps your life astray-or does it?","authors":"Eivind Meland","doi":"10.1177/14034948251370466","DOIUrl":"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":"568-571"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356258/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"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":"652-662"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","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}

{"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":"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":"632-640"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","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}