Scandinavian Journal of Public Health最新文献

{"title":"Perspectives on connecting climate change and health.","authors":"Kristin Aunan, Hans Orru, Henrik Sjödin","doi":"10.1177/14034948241269748","DOIUrl":"10.1177/14034948241269748","url":null,"abstract":"<p><p>Over the past century, the Earth's climate has undergone rapid and unprecedented changes, manifested in a noticeable increase in average global temperature. This has led to shifts in precipitation patterns, increased frequency of extreme weather events (e.g. hurricanes, heatwaves, droughts and floods), alterations in ecosystems, and rising sea levels, impacting both natural environments and human societies, health and wellbeing. Without deep and urgent emission cuts and effective adaptation, the toll of climate change on human health and wellbeing is likely to grow. Here, we address the complex relationship between climate change and health, and discuss ways forward for transdisciplinary research and collaboration that can motivate more ambitious mitigation policies and help develop solutions to adapt to the crisis.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"219-222"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057079","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":"The association between zero-crossing temperatures and accidents due to icy conditions.","authors":"Laura Maclachlan, Staffan Betnér, Tomas Lind, Antonis Georgelis, Mare Lõhmus","doi":"10.1177/14034948221148046","DOIUrl":"10.1177/14034948221148046","url":null,"abstract":"<p><strong>Aims: </strong>Rising temperatures lead to milder winters in Scandinavia. In certain regions, this could increase the number of winter days that fluctuate around 0°C (zero crossings). It has been frequently suggested that there is a higher risk of icy conditions during such days, which may lead to a predisposition to falls and road traffic accidents. Here, we examine the association between number of days with zero crossings and the number of hospitalisations and outpatient visits due to falls related to ice or snow or transport accidents.</p><p><strong>Methods: </strong>We used Poisson regression to examine the association between the number of days with zero crossings and the incidence of inpatient and outpatient visits related to falls due to ice and snow and to transport accidents during 2001-2017 in the Swedish cities of Stockholm, Malmö and Umeå.</p><p><strong>Results: </strong>We found a positive and significant association between the number of days of zero crossings and the number of in- and outpatient cases due to falls related to ice and snow. These associations were strongest in Umeå but less obvious in Stockholm and Malmö. In terms of injuries related to transport accidents, we saw a significant association between inpatient cases and number of zero crossings in Stockholm but not in Malmö or Umeå.</p><p><strong>Conclusions: </strong>\u0000 <b>An increased number of zero crossings may increase out- and inpatient visits related to falls due to ice and snow or transport accidents. This effect is more pronounced in the northern city of Umeå than in Malmö, a city in Sweden's southern-most region.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"156-161"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243318","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":"Revisiting the conceptualization of social sustainability from a health promotion perspective: a scoping review.","authors":"Ragnhild Martinsen Ånestad, Emma Charlott Andersson Nordbø, Camilla Ihlebæk","doi":"10.1177/14034948241277863","DOIUrl":"10.1177/14034948241277863","url":null,"abstract":"<p><strong>Aims: </strong>Both social sustainability and health promotion emphasize the development of local communities that satisfy human needs and enhance health and well-being. This scoping review aimed to identify frameworks, components, and operationalizations of social sustainability described in peer-reviewed articles and systematize the results from a health promotion perspective.</p><p><strong>Methods: </strong>Six databases were searched for relevant articles following the JBI methodology and PRISMA guidelines. Articles were included if they provided a unique framework for social sustainability, that is, a conceptual model outlining the essential components of this concept. Information concerning the components of social sustainability and their operationalizations was analyzed through a six-step narrative synthesis. The final step involved categorizing the operationalizations of social sustainability into distinct levels by employing a socio-ecological model as an analytical tool.</p><p><strong>Results: </strong>This review identified 22 articles presenting a social sustainability framework. The frameworks covered 11 components, of which social equity, safety, and neighborhood quality were the most frequent, while only five included health and well-being. The frameworks commonly provided practical interpretations of the concept with limited theoretical considerations. Furthermore, the identified operationalizations revealed a diverse understanding of social sustainability, encompassing all levels of the socio-ecological model applied.</p><p><strong>Conclusions: </strong>\u0000 <b>Health promotion research can offer theoretical and empirical insights that enhance the understanding of social sustainability, especially how societal, physical, and social determinants of health and well-being interact to create socially sustainable places. Likewise, the social sustainability literature may provide valuable knowledge underscoring the importance of contextual factors of health and well-being within the field of health promotion.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"172-183"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331062","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":"Perceived infection risk, infection exposure, and compliance to infection control measures among the first COVID-19 patients in Norway.","authors":"Bjørn Sætrevik, Rebecca J Cox, Dagrun W Linchausen, Sebastian B Bjørkheim","doi":"10.1177/14034948251315341","DOIUrl":"https://doi.org/10.1177/14034948251315341","url":null,"abstract":"<p><strong>Aims: </strong>The COVID-19 pandemic provided a unique opportunity to assess how infected patients viewed risk. We investigated whether cases infected early in the pandemic had assessed the risk to be lower, been more exposed and took fewer precautions to prevent infection.</p><p><strong>Methods: </strong>We asked first-wave Norwegian COVID-19 patients (<i>n</i> = 88) to recall how they had thought about risk of infection, exposure in potential infectious situations and their compliance to infection control measures early in the pandemic. Answers from this group were compared WITH emergency room patients with non-pulmonary complaints (<i>n</i> = 75) and with a nationally representative sample (<i>n</i> = 4083).</p><p><strong>Results: </strong>Both patient groups saw the risk as lower than did the representative sample. Contact with infected people was more frequent for the COVID-19 patients than for the other patients. More of the COVID-19 patients had travelled abroad immediately before the outbreak. COVID-19 patients complied less with the infection control measures than did the representative sample. The COVID-19 patients agreed less than the other patients with a statement that they had 'complied in general'.</p><p><strong>Conclusions: </strong>\u0000 <b>Risk-behaviour was overrepresented among the first COVID-19 patients. Potential memory artefacts should be considered when interpreting the results.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251315341"},"PeriodicalIF":2.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524953","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":"Navigating financial coverage of healthcare to undocumented migrants at two hospitals in Oslo: a qualitative study.","authors":"Kristine Fjelltorp-Veland, Heidi E Fjeld, Frode Eick","doi":"10.1177/14034948251318512","DOIUrl":"https://doi.org/10.1177/14034948251318512","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to investigate how hospitals navigate financial coverage of healthcare for undocumented migrants, given the present laws and regulations in Norway.</p><p><strong>Methods: </strong>This qualitative study used an explorative approach. We collected and studied hospital guidelines for registering and invoicing foreign patients, and interviewed hospital staff from two university hospitals, and undocumented migrants at one non-governmental clinic in Oslo. The first author collected 14 documents and conducted 14 semi-structured, in-depth interviews. The project team used a thematic-analysis-inspired approach to identify patterns of shared meaning in the guidelines and interviews.</p><p><strong>Results: </strong>We found that the hospital guidelines did not account for undocumented migrants. The staff had to navigate between the guidelines and practical implications of undocumented migrant patients not having a resident permit and thus lacking a Norwegian identity number, bank card, or address. We found discrepancies between different staff's expected roles in the registration of patients and in the assessment of patients' ability to pay. The guidelines presumed an active patient and required documentation, which undocumented migrants had difficulty meeting.</p><p><strong>Conclusions: </strong>The underlying assumption of patients being documented in routines led to a process of othering of undocumented patients and thereby reproducing their marginalised position in the health system, hence depriving them of the right to 'health care that is absolutely necessary and cannot wait'. We recommend that hospitals increase staff's knowledge and capacity to ensure undocumented migrants' right to healthcare.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251318512"},"PeriodicalIF":2.6,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434293","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":"Access to healthcare for people with intellectual disability: a scoping review.","authors":"Maryann Barrington, Karen R Fisher, Ben Harris-Roxas, Catherine Spooner, Julian N Trollor, Janelle Weise","doi":"10.1177/14034948251317243","DOIUrl":"https://doi.org/10.1177/14034948251317243","url":null,"abstract":"<p><strong>Aims: </strong>People with intellectual disability experience stark health inequalities, often because of poor access to mainstream healthcare. This scoping review aimed to identify factors that influence access to healthcare for people with intellectual disability using Levesque and colleagues' comprehensive framework of healthcare access.</p><p><strong>Method: </strong>This review followed Joanna Briggs Institute guidelines. Articles were identified and retrieved from CINAHL, PsycINFO, PubMed and EMBASE. Two reviewers completed abstract and full-text screening, addressing any conflicts at each stage. Data was extracted and coded deductively, according to the supply (healthcare provider) and demand (healthcare seeker) dimensions of Levesque and colleagues' framework.</p><p><strong>Results: </strong>Following search and screening, 66 references were included for review. Barriers to healthcare were more frequently identified in the literature compared to facilitators, with most information relating to supply-side dimensions. Barriers were related to inaccessible health information, low health literacy, stigma and discrimination by healthcare providers, and lack of organisational support, training and resourcing in both healthcare and support sectors. Facilitators often involved specialist workforces, strong interpersonal skills among healthcare providers, and advocacy from supporters. Importantly, findings indicated that both sociohistorical processes and support networks are necessary to understanding access experiences for people with intellectual disability.</p><p><strong>Conclusions: </strong>\u0000 <b>Greater efforts are required internationally to ensure the health rights of people with intellectual disability, to eliminate discrimination, and provide the support and resources necessary for all stakeholders to facilitate healthcare access. Models of healthcare access for people with intellectual disability should consider both the role of supporters and the sociohistorical context within which healthcare access occurs.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251317243"},"PeriodicalIF":2.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411267","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":"Social cohesion and COVID-19 mortality in different periods of the pandemic: variable efficacy of trust in civil services.","authors":"Ying-Chih Chuang, Rong-Xian Chen, Hsueh-Wen Hsu, Peng-Hua Lee","doi":"10.1177/14034948251314082","DOIUrl":"https://doi.org/10.1177/14034948251314082","url":null,"abstract":"<p><strong>Aims: </strong>Social cohesion has been reported to influence various health outcomes positively. However, inconsistent results were reported regarding the effects of social cohesion dimensions on the COVID-19 mortality rate (MR). Most studies have indicated that trust in civil services but not participating in social activities reduces COVID-19 mortality, possibly because of the highly contagious nature of this disease. In this study, we investigated how the effects of various dimensions of social cohesion on COVID-19 MR vary across different phases of the pandemic.</p><p><strong>Methods: </strong>This study used data from 86 countries participating in the 2017-2020 World Values Survey. The measures of social cohesion were identified by aggregating responses to the country level. COVID-19 MR was calculated-using data from the European Centre for Disease Prevention and Control-separately for three distinct periods during the pandemic: 13 January 2020-8 November 2020; 9 November 2020-5 September 2021; and 6 September 2021-20 June 2022. An exploratory factor analysis (EFA) was conducted to identify the dimensions of social cohesion, and negative binomial regression models were constructed to analyze data for each period.</p><p><strong>Results: </strong>The EFA results revealed three dimensions of social cohesion: social participation and inclusion, health service equality, and trust in civil services and democracy. COVID-19 MR was negatively associated with trust in civil services and democracy during the early two periods and with social participation and inclusion during the late period.</p><p><strong>Conclusions: </strong>\u0000 <b>Each social cohesion dimension uniquely contributed to reducing the COVID-19 MR in different pandemic periods.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251314082"},"PeriodicalIF":2.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392241","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":"Changes in physical activity among overweight and obese Norwegian children aged 6-12: A non-randomized cluster-controlled trial.","authors":"Eivind Meland, Eirik Abildsnes, Gro B Samdal, Stea Tonje Holte, Tommy Haugen, Sveinung Berntsen, David Jahanlu","doi":"10.1177/14034948251315350","DOIUrl":"https://doi.org/10.1177/14034948251315350","url":null,"abstract":"<p><strong>Aims: </strong>To explore whether a family-based intervention with playful activities among overweight and obese Norwegian children promoted moderate to vigorous and light physical activity compared with a waiting list control group, and to examine whether gross motor competence, isometric body mass index and motivational factors, as reported by the children and their parents, could explain changes observed during a six-month observation.</p><p><strong>Methods: </strong>A non-randomized cluster-controlled trial with 131 participants, 76 in the intervention group. Participants were aged 6-12 years, and 55 were boys. We performed linear regressions to compare the intervention and the control groups and adjusted linear models to examine predictors for outcomes with the groups merged into one cohort.</p><p><strong>Results: </strong>We could not demonstrate any intervention effect from the family-based activities. Moderate to vigorous physical activity levels were satisfactory at the start and were maintained during the observation period. None of the predictors could explain outcome status at six months, nor residual change of moderate to vigorous physical activity during the observation. We revealed that parental educational attainment, parental autonomous motivation and the participants' experience of social support impacted light physical activity negatively after six months. Parental education also impacted the residual change of light physical activity negatively during the observation.</p><p><strong>Conclusions: </strong>\u0000 <b>The present family-based intervention to improve physical activity among overweight and obese children was ineffective. Baseline activity levels were already satisfactory. Paradoxically, factors such as parental socioeconomic status, autonomous motivation and self-reported support from parents and peers may be associated with diminished physical activity in such contexts. These unexpected findings need to be validated in further studies.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251315350"},"PeriodicalIF":2.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392237","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":"Role of social support in culturally sensitive diabetes self-management education among an ethnic minority population in Denmark.","authors":"Sabina Wagner, Signe Smith Jervelund, Sara Rudbæk Larsen, Nana Folmann Hempler","doi":"10.1177/14034948241227127","DOIUrl":"10.1177/14034948241227127","url":null,"abstract":"<p><strong>Aims: </strong>CUSTOM is a culturally sensitive diabetes self-management education and support programme tailored to Urdu, Turkish and Arabic-speaking people in Denmark. The aim of this study was twofold: first, to examine the functional social support perceived by CUSTOM participants before and after the intervention; and, second, to explore how participants' structural social support affected the physical and mental health benefits of the intervention.</p><p><strong>Methods: </strong>The participants were people with type 2 diabetes whose primary language was Urdu, Arabic or Turkish (<i>n</i> = 73). Outcomes included A1C, body fat percentage, diabetes distress, well-being and functional social support. Changes were observed between baseline and six months after participation in a single-group pre-test/post-test design. The Cochran-Armitage trend test was used to assess pre-post differences in functional social support. The role of structural social support was assessed using moderation regression analysis.</p><p><strong>Results: </strong>Participants reported higher availability of functional social support after the programme (<i>p</i> < 0.05), although the change in loneliness was not significant. In addition, cohabitating with adult children increased the average body fat percentage reduction achieved following the programme, while living with a partner lowered the average body fat percentage reduction achieved. The intervention was particularly successful in improving diabetes distress among those with weak structural social support.</p><p><strong>Conclusions: </strong>Culturally sensitive diabetes self-management education and support can improve social support among people with an ethnic minority background. The structure of social relations may influence the benefit of culturally sensitive diabetes self-management education and support. Future programmes should include family members and other social relations more actively, drawing attention to both positive and negative aspects of social relations.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"82-89"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029345","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 social inequality in breastfeeding duration in Denmark 2002-2019.","authors":"Rikke R Carlsson, Lis Marie Pommerencke, Sofie W Pant, Sanne E Jørgensen, Katrine R Madsen, Camilla T Bonnesen, Lene Kierkegaard, Trine P Pedersen","doi":"10.1177/14034948241234133","DOIUrl":"10.1177/14034948241234133","url":null,"abstract":"<p><strong>Aims: </strong>The aim of the present study was to analyse trends in full breastfeeding for at least 4 months across socioeconomic position in Denmark over a 17-year-long period from 2002 to 2019 using parental education as the indicator of socioeconomic position.</p><p><strong>Methods: </strong>The study used data on full breastfeeding collected between 2002 and 2019 by community health nurses in the collaboration Child Health Database, <i>n</i>=143,075. Data were linked with five categories of parental education from population registers. Social inequality was calculated as both the relative (odds ratio) and absolute social inequality (slope index of inequality). A trend test was conducted to assess changes in social inequality over time.</p><p><strong>Results: </strong>A social gradient in full breastfeeding was found for the entire study period. The odds ratio for not being fully breastfed for at least 4 months ranged from 3.30 (95% confidence interval 2.83-3.84) to 5.09 (95% confidence interval 4.28-6.06) during the study period for infants of parents with the lowest level of education (primary school) compared with infants of parents with the highest level of education (5+ years of university education). The slope index of inequality was between -38.86 and -48.81 during the entire study period, <i>P</i>=0.80. This indicated that both the relative and absolute social inequality in full breastfeeding to at least 4 months of age was unchanged in the study period from 2002 to 2019.</p><p><strong>Conclusions: </strong>\u0000 <b>This study showed a persistent relative and absolute social inequality in full breastfeeding for at least 4 months from 2002 to 2019 in Denmark.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"98-106"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040759","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}