Scandinavian Journal of Public Health最新文献

{"title":"Associations between beer, wine, and spirits consumption and major mortality outcomes in 187,294 Norwegian men and women, with a focus on low-level wine intake.","authors":"Aage Tverdal, Randi Selmer, Dag S Thelle","doi":"10.1177/14034948261459749","DOIUrl":"https://doi.org/10.1177/14034948261459749","url":null,"abstract":"<p><strong>Aims: </strong>To examine how consumption of wine, beer, and spirits-both individually and in combination-is associated with mortality. We also assessed the relationship between overall alcohol intake and mortality from cardiovascular disease, ischemic heart disease, cancer, and alcohol-related diseases.</p><p><strong>Methods: </strong>A cohort of 187,294 men and women aged 16-99 years (10th percentile 36 years, 90th percentile 52 years), without cardiovascular disease or cancer, were followed for an average of 21 years, with 15,642 deaths. The participants completed a cardiovascular health survey and a questionnaire reporting their consumption of beer, wine, and spirits over the preceding 14 days. Mortality outcomes were assessed using absolute mortality rates, calculated with the direct method, and hazard ratios, adjusted for major cardiovascular risk factors, estimated with Cox proportional hazards models. Non-drinkers served as the reference group.</p><p><strong>Results: </strong>For all-cause death in men and women combined, the hazard ratio was 0.91 (95% confidence interval: 0.88-0.94) for 1-9 glasses/14 days of alcohol, 1.01 (0.96-1.07) for 10-19 glasses, and 1.44 (1.32-1.57) for 20+ glasses versus non-drinkers. Corresponding hazard ratios for ischemic heart disease death were 0.86 (0.77-0.97), 0.82 (0.68-0.98), and 1.09 (0.83-1.43), and for alcohol-related deaths 1.63 (1.07-2.49), 4.47 (2.85-7.02), and 13.0 (8.11-20.8). Low wine consumption alone, or combined with low beer or spirits consumption, was associated with hazard ratios of 0.84 (0.78-0.89) to 0.90 (0.84-0.97). Combinations without wine showed hazard ratios ranging from 1.00 (0.95-1.06) to1.06 (1.00-1.13).</p><p><strong>Conclusions: </strong><b>Low wine consumption was associated with lower mortality than no alcohol consumption, irrespective of low beer or spirits consumption</b>.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261459749"},"PeriodicalIF":1.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377680","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":"Free school lunch or packed lunch: The relationship between lunch type, meal quality and family affluence in Norwegian primary schools.","authors":"Cornelia Blytt, Bodil Bjørndal, Eli K Aadland, Iselin T Vildmyren, Hege Wergedahl, Merete H Helland","doi":"10.1177/14034948261459763","DOIUrl":"https://doi.org/10.1177/14034948261459763","url":null,"abstract":"<p><strong>Aims: </strong>The study investigated meal quality among Norwegian 9-10-year-old students receiving a universal free school lunch (free lunch), and students bringing packed lunches from home, grouped by Family Affluence Scale (FAS).</p><p><strong>Methods: </strong>Using a causal-comparative design and a convenience sample, meal photographs and a FAS-questionnaire were collected from 4th-grade students at two schools with free lunch (<i>n</i>=84) and three schools with packed lunch (<i>n</i>=113). High- or low-quality foods were determined based on national dietary guidelines, and differences in mean intake investigated using unpaired <i>t</i>-test, two-way analysis of variance and Tukey's post-hoc test.</p><p><strong>Results: </strong>Students with free lunch consumed more wholegrain bread (<i>p</i>=0.002) and dairy products (<i>p</i><0.001) compared with packed lunch. Students with packed lunch consumed more fruit, white bread and sugary snacks (all <i>p</i><0.001) compared with those with free lunch. There was a significant interaction between lunch type and FAS for intake of high-quality (<i>p</i>=0.006) and low-quality foods (<i>p</i><0.001). With free lunch, intake of high-quality foods was higher in high- and medium-FAS compared with low-FAS (<i>p</i>=0.01), while low-quality food intake did not differ. With packed lunch, high-quality food intake did not differ, but low-quality food intake was higher in medium- and low-FAS compared with high-FAS (<i>p</i><0.001).</p><p><strong>Conclusions: </strong><b>In a Norwegian context, a universal free school lunch can be used as a measure to reduce intake of low-quality foods among students with low-FAS, but findings indicate that food choices in free lunch remain influenced by family affluence. Further research should investigate pedagogical measures aimed at enhancing the effectiveness of school meal programmes</b>.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261459763"},"PeriodicalIF":1.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377724","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":"Mapping exposure to violence and abuse among young people: the Norwegian YouthViolence surveys.","authors":"Lars Roar Frøyland, Kari Stefansen, Mette Løvgren, Svein Mossige","doi":"10.1177/14034948261460127","DOIUrl":"https://doi.org/10.1177/14034948261460127","url":null,"abstract":"<p><strong>Aims: </strong>The <i>YouthViolence</i> surveys were conducted to retrospectively map young Norwegians' (age 16-19 years) exposure to violence and abuse, both within their families and in their peer relations. The aim was to provide high-quality data for victimisation research and policy development and for monitoring and evaluating prevention work. This study design article outlines the relevance of the <i>YouthViolence</i> study and its characteristics.</p><p><strong>Methods: </strong>Data were obtained from three repeated cross-sectional surveys conducted in 2007 (<i>N</i> = 7,103), 2015 (<i>N</i> = 4,530) and 2023 (<i>N</i> = 16,081) with national samples of Norwegian senior high school students. The first two surveys included students in their final year of senior high school, while the 2023 survey sampled students from all three senior high school levels. A subsample of the 2007 participants (<i>n</i> = 3,319) was followed longitudinally until 2021 (age 32-33 years) based on linked survey-administrative data.</p><p><strong>Results: </strong>The <i>YouthViolence</i> survey findings provide important knowledge on topics such as direct and indirect parental violence, physical and digital sexual violence, and polyvictimisation, as well as on procedures for mapping violence and abuse among youth and have led to the publication of over 25 scientific papers. The study also provides extensive knowledge inputs for governmental whitepapers and strategies on the prevention and handling of violence and abuse and to non-governmental organisations that offer victim support.</p><p><strong>Conclusions: </strong>\u0000 <b>The <i>YouthViolence</i> survey findings and their wide applicability in knowledge and policy development highlight the importance of continuously and systematically mapping young people's exposure to violence and abuse.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261460127"},"PeriodicalIF":1.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383008","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":"Danish validation of the Alcohol Use Disorder Identification Test (AUDIT).","authors":"Peter N Schøler, Kjeld Andersen, Maja Thiele, Ulrik Becker, Erik Christiansen, Anette S Nielsen","doi":"10.1177/14034948261457731","DOIUrl":"https://doi.org/10.1177/14034948261457731","url":null,"abstract":"<p><strong>Aim: </strong>To assess the diagnostic accuracy and optimal cut-off scores of the Alcohol Use Disorder Identification Test (AUDIT) and AUDIT-Consumption (AUDIT-C) in a Danish general population.</p><p><strong>Methods: </strong>Questionnaire-based cross-sectional study. Data collection from 26 September to 29 October 2024, via an anonymous online test of alcohol habits among adults aged 25+ years.</p><p><strong>Measures: </strong>Demographics, AUDIT, self-reported International Classification of Disease Tenth Revision (ICD-10) criteria for alcohol dependence, yes/no item on harmful alcohol use. We defined hazardous use as >10 standard drinks/week (national recommendations) and possible dependence as ⩾3 ICD-10 criteria. We evaluated area under the receiver operating characteristics curve (AUC), diagnostic properties and optimal cut-offs.</p><p><strong>Results: </strong>Total sample: 17,959 participants, mean age 66.32 (SD=12.72) years, 51% males. Nineteen per cent reported drinking hazardously, 7.5% answered yes to harmful use and 7.8% to dependence according to ICD-10. AUDIT showed good diagnostic discrimination for hazardous use (AUC=0.89) and dependence (AUC=0.96), but not for harmful use (AUC=0.61). Internationally recommended AUDIT cut-offs for hazardous use and dependence were supported, with lower thresholds in women and the older (65+ years). AUDIT-C: hazardous use (AUC=0.92), dependence (AUC=0.92), harmful use (AUC=0.58). Optimal AUDIT-C cut-offs: hazardous 6, dependence 6, with age- and sex-specific variations. Internal consistency was high for AUDIT (α = 0.83) and low for AUDIT-C (α = 0.61).</p><p><strong>Conclusions: </strong>\u0000 <b>Both instruments performed well for detecting hazardous use and possible dependence but not for harmful use. AUDIT-C might serve as an initial screening tool for hazardous drinking, followed by the full AUDIT for detailed assessment. Local circumstances should be considered when defining appropriate cut-offs for AUDIT and AUDIT-C.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261457731"},"PeriodicalIF":1.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382910","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":"Exploring diabetes distress among adults with type 1 diabetes: A nationwide cross-sectional study.","authors":"Tórhalla Vanja Klein Olsen, May-Britt Skoradal, Ingrid Willaing, Herborg Líggjasardóttir Johannesen, Maria S Petersen","doi":"10.1177/14034948261455442","DOIUrl":"https://doi.org/10.1177/14034948261455442","url":null,"abstract":"<p><strong>Aims: </strong>To explore the prevalence and associated variables of diabetes distress in the adult Faroese type 1 diabetes (T1D) population.</p><p><strong>Methods: </strong>This nationwide study involved the administration of an online questionnaire to adults diagnosed with T1D. A total of 119 participants (58% of the T1D population) completed the seven-item Type 1 Diabetes Distress Scale (T1-DDS-7) in an online survey conducted from June to August 2023. Logistic regression was used to examine the association between diabetes distress and potential associated variables.</p><p><strong>Results: </strong>A total of 39% of the participants scored 14 or more in the T1-DDS-7, indicating diabetes distress. Multivariate logistic regressions identified five variables that were associated with diabetes distress: younger age, recent diabetes onset, being a smoker, having a lower self-estimated health, and being unsatisfied with the received information from healthcare professionals prior to start of diabetes treatment.</p><p><strong>Conclusions: </strong>\u0000 <b>More than one-third of Faroese adults with T1D experienced diabetes distress. Hence, additional targeted support might be necessary for a substantial part of adults with T1D. These findings underscore the significance of the understanding from healthcare professionals of the psychosocial dimensions of diabetes and the need to address diabetes distress as a fundamental component of routine diabetes management.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261455442"},"PeriodicalIF":1.7,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370397","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":"Use of over-the-counter analgesics in Norwegian children - a national cross-sectional study.","authors":"Frøydis Enstad, Sølvi Helseth, Borghild Løyland, Kristin Haraldstad, Siv Olga Skarstein","doi":"10.1177/14034948251328492","DOIUrl":"10.1177/14034948251328492","url":null,"abstract":"<p><strong>Aims: </strong>We aimed to examine the proportion of recent use of over-the-counter (OTC) analgesics among Norwegian children aged 10 to 12, and explore the relationship between a wide array of factors, both within and outside the indications for use of the medication and recent use of OTC analgesics in this age group.</p><p><strong>Methods: </strong>Data were drawn from the nationwide, population-based Ungdata Junior study in Norway, encompassing children aged 10 to 12 (<i>N</i> = 102,919). We examined factors both within (recurrent pain in different parts of the body) and beyond (repeated bullying, depressive symptoms, screen time and organised activity frequency) medication indications by means of logistic regression. Covariates and background variables included sleep duration, frequency of sports activities, gender, age and socioeconomic status.</p><p><strong>Results: </strong>The results revealed a high prevalence of recent OTC analgesic use (23.7%). Associations were noted with factors both within and beyond the medication's indications for use. Specifically, adjusted for all variables, recurrent headache (OR = 2.93, 95% CI = 2.81-3.05) and pain (OR = 1.16, 95% CI = 1.11-1.21), depressive symptoms (OR = 1.19, 95% CI = 1.15-1.22) and repeated bullying (OR = 1.07, 95% CI = 1.02-1.14) were significantly linked with an increased risk of recent OTC analgesic use.</p><p><strong>Conclusions: </strong>\u0000 <b>Our findings suggest a potential misuse of OTC analgesics early in life and raise concerns about potential overuse and unhealthy coping strategies. Enhancing children's and parents' understanding of pain and stress management may improve health behaviours and mitigate potential adverse effects from OTC analgesic use.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"470-478"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711920","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":"Corrigendum.","authors":"","doi":"10.1177/14034948251346412","DOIUrl":"10.1177/14034948251346412","url":null,"abstract":"","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"559"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250552","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":"Mortality and causes of death among long-term care residents in Helsinki, Finland 2017-2021, a longitudinal cohort study.","authors":"Lara Kuokkanen-Estrada, Hanna-Maria Roitto, Ulla L Aalto, Satu K Jyväkorpi, Riitta K T Saarela, Hannu Kautiainen, Kaisu H Pitkälä","doi":"10.1177/14034948251331314","DOIUrl":"10.1177/14034948251331314","url":null,"abstract":"<p><strong>Aims: </strong>Knowledge about mortality and causes of death is needed to improve the quality of end-of-life care in long-term care (LTC). This study aimed to investigate mortality and causes of deaths in LTC. We explored how age, sex, and having dementia at baseline were associated with the standardized mortality ratio (SMR) and causes of death.</p><p><strong>Methods: </strong>Participants comprised residents (<i>N</i> = 2513) living in LTC facilities in Helsinki, Finland in March 2017. Background data on demographics, diagnoses, and medications were retrieved from medical charts. Causes of death were retrieved from the Finnish Cause of Death Register for deaths that were registered up to 31 December 2021.</p><p><strong>Results: </strong>Of the 2513 participants, 2033 died during follow-up. All-cause SMR was 3.31 (95% CI 3.17-3.46) compared with the same-aged general population in Finland. SMR for men was 4.33 (95% CI 3.98-4.70), for women was 3.05 (95% CI 2.90-3.20), and for residents younger than 70 years 13.80 (95% CI 11.17-17.05). SMR decreased linearly with age. There was no difference in SMR among those with and without dementia. For both sexes the most common cause of death was dementia (67.0%), followed by cardiovascular disease (CVD; 15.9%), neurological diseases (5.2%), and cancer (3.1%). The most common cause of death in residents with dementia was dementia (77.7%), whereas in residents without dementia it was CVD (36.0%).</p><p><strong>Conclusions: </strong>\u0000 <b>Male sex and younger age were associated with a higher SMR. Residents most frequently died of dementia. End-of-life care in LTC needs to be tailored to meet the needs of people with dementia.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"522-528"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038249","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":"Self-rated health in preadolescent children as a predictor for hospital contacts and redeemed prescriptions: the Danish National Birth Cohort 1996-2002.","authors":"Camilla Klinge Renneberg, Charlotte Ulrikka Rask, Martin Bernstorff, Dorte Rytter, Stefan Nygaard Hansen, Bodil Hammer Bech","doi":"10.1177/14034948251313590","DOIUrl":"10.1177/14034948251313590","url":null,"abstract":"<p><strong>Aim: </strong>The decline in self-rated health among young people raises concerns for future health outcomes. We examined whether self-rated health in preadolescence predicts hospital contacts and prescription redemption in later adolescence.</p><p><strong>Methods: </strong>This longitudinal study uses the Danish National Birth Cohort on children born 1996-2002. A questionnaire was distributed to 96,382 11-year-old preadolescents followed from 2010 to 2018. Number of hospital contacts and prescriptions were obtained from Danish registers. Incidence rate ratios (IRRs) were estimated, comparing preadolescents with poor ('Not So Good'/'Poor') and 'Good' self-rated health to those with 'Excellent' self-rated health.</p><p><strong>Results: </strong>Among the 47,365 (49.1%) 11-year-old participants, 5.3% reported poor self-rated health and 38.3% reported good health. Analyses revealed that children with good self-rated health had higher rates of somatic (IRR, 1.17 [1.14-1.21]) and psychiatric (IRR, 1.63 [1.47-1.81]) hospital contacts. Children with poor self-rated health showed even higher rates, with IRRs of 1.73 [1.62-1.85] for somatic and 3.54 [3.03-4.15] for psychiatric contacts. Additionally, those with good self-rated health had more somatic and psychiatric prescriptions (IRR, 1.25 [1.21-1.30] and 1.75 [1.55-1.97], respectively), whereas children with poor self-rated health had IRRs of 1.67 [1.56-1.80] for somatic and 4.03 [3.39-4.82] for psychiatric prescriptions.</p><p><strong>Conclusion: </strong>Preadolescents with both good and poor self-rated health show higher rates of hospital contacts and prescription redemption in adolescence, especially pronounced in children with poor self-rated health. This indicates that early-life health perceptions impact long-term wellbeing, particularly psychiatric health. This simple self-rated health measure provides valuable insights for healthcare professionals by aiding in identifying children in need of support and early intervention.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"461-469"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069173","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":"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":"550-558"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","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}