Scandinavian Journal of Public Health最新文献

{"title":"Screening for economic hardship at Child Health Care Centres: A qualitative study of stakeholders' perceptions and experiences of the Healthier Wealthier Families model in Sweden.","authors":"Nina Johansson, Georgina Warner, Nils Avogadri, Anna Sarkadi","doi":"10.1177/14034948241252227","DOIUrl":"10.1177/14034948241252227","url":null,"abstract":"<p><strong>Aims: </strong>The Healthier Wealthier Families model uses the child healthcare services as an access point to screen and connect parents experiencing economic hardship to municipal Budget and Debt Counselling services. This study aimed to explore the perceptions and experiences of the Healthier Wealthier Families model in a Swedish context.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with three stakeholder groups: eligible parents who declined (<i>n</i>=10) and received (<i>n</i>=9) financial counselling; nurses (<i>n</i>=7); and financial counsellors (<i>n</i>=5). The data were analysed using thematic analysis.</p><p><strong>Results: </strong>The analysis resulted in three main themes conveying the stigma of talking about finance, the connection between economic situation and family wellbeing, and the nuts and bolts of providing preventive financial counselling.</p><p><strong>Conclusions: </strong>\u0000 <b>A working model aiming to ameliorate child poverty in a societal service context needs to address the preconceptions and perceived mandate and role of the professionals, the prevalence of financial stigma in society, especially in relation to being a 'good' parent, and the current preoccupations and perceived financial needs and hopes of the families served.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"406-412"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176775","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":"Too little within-unit variation for fixed-effects analysis? - Authors' reply.","authors":"Torkild Hovde Lyngstad, Ruth Eva Jørgensen","doi":"10.1177/14034948241291130","DOIUrl":"10.1177/14034948241291130","url":null,"abstract":"","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"444-445"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511670","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":"Local economic inequality and mortality: Too little within-unit variation for fixed effects analysis?","authors":"Jon Ivar Elstad, Kristian Heggebø, Espen Dahl","doi":"10.1177/14034948241259914","DOIUrl":"10.1177/14034948241259914","url":null,"abstract":"<p><p>This debate article discusses the use of fixed effects models for causal analysis, with reference to an article recently published in <i>Scandinavian Journal of Public Health</i>.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"441-443"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898666","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":"Sweden's excess mortality in 2020-2022 and reporting in the media.","authors":"Martin Lindström","doi":"10.1177/14034948241239353","DOIUrl":"10.1177/14034948241239353","url":null,"abstract":"<p><strong>Aim: </strong>The aim was to scrutinize the report in March 2023 that Sweden's excess mortality was lowest in 2020-2022 compared with other European Union and Nordic countries, a report that received great national and international attention.</p><p><strong>Study design: </strong>Comparison of excess mortality in Sweden and Norway.</p><p><strong>Methods: </strong>Excess mortality for 2020-2022 was calculated for Sweden and Norway, the country with per-capita excess mortality closest to Sweden's, compared with the average mortality for 2017-2019 in the respective country, following the definitions by <i>Statistics Sweden</i> reported in a daily newspaper.</p><p><strong>Results: </strong>Excess mortality is a measure with low misclassification compared with other pandemic outcome measures. Following the definitions, total excess mortality for the years 2020-2022 was 11,897 individuals in Sweden and 6089 in Norway. However, the distributions of excess mortality across the 3 years strongly differed. In Sweden, 60% of excess mortality was observed in 2020, 8% in 2021 and 32% in 2022. In sharp contrast, 0% of excess mortality was observed in Norway in 2020, 20% in 2021 and 80% in 2022. If the relative distribution of excess mortality in Sweden had been the same as in Norway in 2020-2022, approximately 7000 individuals who died in 2020 would instead have died as excess mortality in 2022, saving approximately 14,000 person-years in Sweden.</p><p><strong>Conclusions: </strong>\u0000 <b>The report disregards residual confounding due to the broad definition of the period 2020-2022. Mass media should avoid one-sided reporting.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"437-440"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159323","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":"Disability level and use of long-term care services in Norway: a nation-wide registry study.","authors":"Lisa Victoria Burrell, Øystein Døhl, Siri Rostoft, Nina Berggaard, Iryna Antonova, Inger Johanne Landsjøåsen Bakken","doi":"10.1177/14034948241251914","DOIUrl":"10.1177/14034948241251914","url":null,"abstract":"<p><strong>Aims: </strong>In Norway, disability level is an important criterion when deciding the type and level of long-term care services. Each care recipient can be scored on 20 different disability level measures. Our aims were to investigate completeness in disability level information in the Norwegian Registry of Primary Health Care (NRPHC), to group disability level measures into meaningful groups, and to study the relationship between grouped disability scores and the type of services received.</p><p><strong>Methods: </strong>We retrieved information on type of care and disability level from the NRPHC on individuals who received long-term care services in 2022. Type of care was divided into hierarchical and mutually exclusive groups, with long-term institutional care as the most complex service group. We used principal components analysis to summarise and visualise the information in the 20 different disability level measures, and to create grouped scores.</p><p><strong>Results: </strong>A total of 386,697 persons aged 0-104 years were registered as recipients of long-term care services in Norway on 31 December 2022. Information on disability measures were of high completeness (72.4 % of the population were registered with all 20 measures) but was lower for younger age groups in which the number of recipients was lower. Principal components analyses identified two groups of measures, which we termed physical and cognitive functioning. Physical and cognitive functioning were poorest for individuals receiving the most complex and extensive services.</p><p><strong>Conclusions: </strong>\u0000 <b>NRPHC disability data are reasonably complete, the 20 measures readily fall into two distinct categories, and seem to reflect real life differences in disability.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"413-420"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249017","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":"'Your heart is resting and pumping at the same time': Mental health impact of seeking asylum among sexual minority men.","authors":"Maria Gottvall, Rummage Isaac, Ronah Ainembabazi, Sumera Yasin, Anna Eldebo, Tommy Carlsson","doi":"10.1177/14034948241251553","DOIUrl":"10.1177/14034948241251553","url":null,"abstract":"<p><strong>Aims: </strong>To explore the experiences of seeking asylum and its impact on mental health among sexual minority forced migrant cisgender men living in Sweden.</p><p><strong>Methods: </strong>Exploratory qualitative study based on individual semi-structured interviews with 15 adult gay and bisexual cisgender men recruited via a combination of purposeful, convenience and snowball sampling. Data were analysed with systematic text condensation through a collaborative approach with three migrants with lived experience.</p><p><strong>Results: </strong>Seeking asylum had been an emotionally challenging journey for the participants in this study, involving several procedures that negatively impacted mental health. Being expected to disclose intimate information during asylum interviews had been a significant challenge, alongside needing to wait through long periods in uncertainty with little information about the progress of their asylum case. The behaviours and attitudes of professionals involved in the legal procedures had been a central aspect, as participants encountered interpreters and caseworkers who acted disrespectful and homophobic during asylum interviews. Participants mentioned that the behaviours of interpreters and the accuracy of the interpretation could influence the outcome of asylum claims and how comfortable they felt in sharing information. Thus, participants emphasized the importance of adequate and accurate interpreter services.</p><p><strong>Conclusions: </strong>\u0000 <b>Sexual minority men are faced with an unfamiliar and emotionally challenging position when seeking asylum and undergoing asylum interviews. The findings highlight the importance of adequate competence among professionals involved in asylum interviews, including interpreter utilization. Research is needed to determine effective methods to support these men throughout their asylum process.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"400-405"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077197","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":"Household dysfunction and child outcomes in the Nordic countries: A bibliometric analysis.","authors":"Rebecca L Radlick, Alice Milivinti, Håvard T Rydland, Ingrid R Lundeberg, Kristin G Askeland","doi":"10.1177/14034948251336851","DOIUrl":"10.1177/14034948251336851","url":null,"abstract":"<p><strong>Aims: </strong>This article provides a bibliometric analysis of the literature on adverse childhood experiences (ACEs) related to household dysfunction (parents' substance abuse, physical or mental illness, death, criminality, and divorce/separation) in five Nordic countries. We identify: 1) main patterns and characteristics of the literature on household dysfunction ACEs and child outcomes; 2) highlight research gaps, topics and approaches for future inquiry on these ACEs.</p><p><strong>Methods: </strong>A systematic search for peer-reviewed articles published from 1998 to 2022 in English was conducted in seven databases. Information from the articles was extracted using a coding matrix that included variables related to country, specific household dysfunction ACE(s) occurring before 18 years, child outcome(s), method, data source(s) and whether resilience or protective factors were assessed. Bibliometric analyses were used to summarize the literature patterns.</p><p><strong>Results: </strong>A total of <i>N</i>=5003 publications were identified and <i>n</i>=342 publications were included in the analysis. <i>n</i>=112 publications studied two or more ACEs of interest. Divorce/separation was the most common individual ACE (<i>n</i>=97), whereas parental criminality was the least common (<i>n</i>=9). <i>n</i>=197 publications studied child mental health outcomes, whereas educational (<i>n</i>=41) and labour market (<i>n</i>=11) outcomes were less represented. Few (<i>n</i>=36) studies included protective factors.</p><p><strong>Conclusions: </strong>Our findings suggest a notable increase in research on household dysfunction adversities in the Nordic countries over the past two decades, focusing mainly on health-related outcomes. Future research should investigate less represented adversities, functional outcomes and protective factors. Interdisciplinary and new methodological approaches can provide fresh insights into this public health challenge.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251336851"},"PeriodicalIF":2.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144239","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 among long-term care recipients in Norway: a nation-wide registry study on prevalence and data completeness.","authors":"Inger Johanne Bakken, Thomas Nordbø Heyeraas, Øystein Døhl, Siri Rostoft, Inger Ariansen, Lisa Victoria Burrell","doi":"10.1177/14034948251339873","DOIUrl":"https://doi.org/10.1177/14034948251339873","url":null,"abstract":"<p><strong>Background and aims: </strong>The Norwegian Registry for Primary Health Care (NRPHC) is a mandatory register for all publicly funded primary healthcare services in Norway, including long-term care (LTC) services. The registry holds information on diagnoses for recipients of LTC services, but little is known regarding data quality and completeness.</p><p><strong>Methods: </strong>The study population consisted of all LTC recipients in Norway in 2023 (<i>N</i>=393,446). We investigated the proportion registered with any diagnosis in NRPHC LTC data. We compared diagnoses reported by LTC providers with diagnoses reported by general practitioners and by specialist health services. Additionally, we investigated the distribution of diagnoses by type of LTC provided. Diagnoses presumed common among recipients of LTC were investigated (diabetes, cardiovascular diseases, chronic obstructive lung diseases, cancer, mental disorders/substance use disorders, dementia, intellectual disability and hip fracture).</p><p><strong>Results: </strong>Diagnoses were reported by LTC providers for 51.4% of LTC recipients. Diagnoses were more often reported for users with more complex services (long-term institutional stay: 85.5%; assistive technology: 30.5%). Including data from general practitioners and specialist health services increased prevalence estimates compared with using NRPHC LTC data alone (dementia: 14.2% vs 8.2%; chronic obstructive lung diseases: 12.7% vs. 4.1%). Based on all available data, the prevalence of reported dementia among recipients of long-term institutional stay was 58.7%. The prevalence of reported substance use disorders among recipients of home-based services was 13.4%.</p><p><strong>Conclusions: </strong>\u0000 <b>Data on diagnoses reported by LTC providers to the NRPHC are insufficient and should be supplemented with data from other sources.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251339873"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112405","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":"Disability pension among androgenic-anabolic steroid users.","authors":"Ida M Heerfordt, Josefine Windfeld-Mathiasen, Kim Peder Dalhoff, Jon Trærup Andersen, Henrik Horwitz","doi":"10.1177/14034948251340489","DOIUrl":"https://doi.org/10.1177/14034948251340489","url":null,"abstract":"<p><strong>Aim: </strong>To examine the association between androgenic-anabolic steroid (AAS) use and the risk of being granted a permanent disability pension.</p><p><strong>Methods: </strong>This cohort study included 1189 Danish males, penalized under an antidoping programme for AAS use in fitness centres between 2006 and 2018. These individuals were paired with 59,450 control participants from the general population, matching them based on age, sex and inclusion date. The follow-up period extended until autumn 2022. The study measured the incidence of disability pension awards over the follow-up period. We adjusted for ethnic origin, educational level, Charlson comorbidity index, and psychiatric disorders at baseline, given their potential influence.</p><p><strong>Results: </strong>During follow-up, 57 AAS users and 1458 control participants were granted disability pension. Thus, AAS users showed a nearly twofold higher risk of becoming disabled compared with controls (unadjusted hazard ratio 1.95, 95% confidence interval 1.50-2.54). After adjustments, the risk of disability remained statistically significant (adjusted hazard ratio 1.57, 95% confidence interval 1.18-2.08).</p><p><strong>Conclusions: </strong>\u0000 <b>AAS use is significantly associated with an increased risk of disability pension award, meaning that these individuals are deemed to have lost their working ability permanently.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251340489"},"PeriodicalIF":2.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112409","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":"How to approach sustainability in general practice: a workshop experience with a qualitative analysis amongst general practitioners in Denmark.","authors":"Sigrid Moesgaard Larsen, Nanna Holt Jessen, Bolette Friederichsen, John Brandt Brodersen, Ásthildur Árnadóttir","doi":"10.1177/14034948251333003","DOIUrl":"https://doi.org/10.1177/14034948251333003","url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare systems are experiencing complex interconnected problems, such as rising health inequalities, climate change threats to human and planetary health, environmental and patient harm through defensive medical care, overdiagnosis, overuse, and overtreatment, population ageing, higher prevalence of multimorbidity, and professional shortage and burnout. This calls for sustainable solutions in healthcare. This article presents bottom-up suggestions from general practitioners (GPs) for sustainable solutions at the clinical level and identifies areas for support at the structural level framed within the concept of environmental, social and governance principles.</p><p><strong>Methods: </strong>At the annual meeting of the Danish College of General Practitioners, 55 GPs attended a workshop focussing on sustainability in general practice. The GPs were asked to actively contribute with their reflections on possible solutions to developing a more sustainable approach to the healthcare provided in general practice. Written responses were collected, analysed and categorised through an inductive analysis approach.</p><p><strong>Results: </strong>The workshop resulted in 101 ideas on how to foster sustainable change and identified areas of support. Half of the ideas (<i>n</i> = 51) were sustainable solutions at the clinical level, whereas the other half (<i>n</i> = 50) concerned suggestions at the structural level.</p><p><strong>Conclusions: </strong>\u0000 <b>The attendees articulated many suggestions for making Danish general practice more sustainable, both at the clinical level and at the structural level. Further research is needed to explore the potential of the presented ideas and gain higher cultural acceptance of prioritising sustainability in general practice.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948251333003"},"PeriodicalIF":2.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112506","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}