Scandinavian Journal of Public Health最新文献

{"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":"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":"538-542"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","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":"The intensity of informal caregiving and its implications for older caregivers: a national survey in Sweden.","authors":"Mariam Kirvalidze, Elizabeth Hanson, Lennart Magnusson, Lena Dahlberg, Anders Wimo, Lucas Morin, Amaia Calderón-Larrañaga","doi":"10.1177/14034948251335113","DOIUrl":"10.1177/14034948251335113","url":null,"abstract":"<p><strong>Background: </strong>Informal caregiving is a crucial-albeit often invisible-part of the support system that enables older people with chronic diseases, disability, or age-related conditions to live in the community. However, providing informal care can affect caregivers' lives.</p><p><strong>Aims: </strong>To explore 1) the level of care intensity among older caregivers, 2) the relationship between the intensity of caregiving and the negative experiences reported by caregivers, and 3) the variations in unmet support needs depending on the intensity of caregiving.</p><p><strong>Methods: </strong>Between May and September 2023, we conducted a national representative survey to map informal caregivers in Sweden. A total of 25,776 older adults aged ⩾65 years were sampled. Marginal probabilities were calculated to obtain results adjusted for age, sex, and level of education.</p><p><strong>Results: </strong>A total of 15,129 people aged ⩾65 years responded to the survey (58.7%), of which 2157 were informal caregivers (14.3%). During a typical week, 68.6% of caregivers provided 1-10 h of informal care, 14.6% provided 11-29 h, and 16.8% provided at least 30 h of care. Women (63.1%) and caregivers aged ⩾75 years (64.1%) were overrepresented in the group providing high-intensity informal care. A higher intensity of care was related to reporting more negative experiences and worse health, as well as to experiencing more unmet support needs.</p><p><strong>Conclusions: </strong>While most older informal caregivers reported low-intensity engagement and overall good satisfaction with their situation, a non-negligible fraction provides high-intensity help and has unmet needs that should be addressed by targeted interventions rather than one-size-fits-all policies.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"512-521"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047144","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 Danish National Health Survey 2023: study design and participant characteristics.","authors":"Andrea H Jezek, Ola Ekholm, Michael Davidsen, Christina B Petersen, Heidi Rosendahl, Sofie R Møller, Martin Eghøj, Lau C Thygesen, Anne I Christensen","doi":"10.1177/14034948241275032","DOIUrl":"10.1177/14034948241275032","url":null,"abstract":"<p><strong>Aim: </strong>To describe the design of the Danish National Health Survey (DNHS) 2023, participants' demographic characteristics and differences in demographic and selected health-related characteristics between respondents invited by web-mode and paper-mode.</p><p><strong>Methods: </strong>A sample of 25,000 residents in Denmark aged 16 years or above was invited to participate in the DNHS 2023 using a mixed-mode approach (web/paper mode). Web-mode invited were additionally invited to participate in an accelerometer study. The self-administered questionnaire included 83 questions about health, health behaviour and morbidity. Descriptive statistics were used to describe characteristics associated with response and invitation mode.</p><p><strong>Results: </strong>The response proportion was 40.8%. Non-response was more frequent among men, individuals of the youngest age groups, individuals with non-Western backgrounds, unmarried and individuals from densely populated areas. The response proportion was higher among web-mode invited (42.0%) than paper-mode invited (22.6%). Paper-mode invited respondents were more often women, aged 80 years or older, and widowed compared with web-mode invited respondents.</p><p><strong>Conclusions: </strong>\u0000 <b>The DNHS 2023 is a national health survey including adult residents in Denmark. Non-response was more pronounced among some subgroups; however, calibrated weights were calculated to minimise non-response bias. The survey is essential for public health surveillance and can be used in health planning and policy development. Furthermore, the data from the survey can be used for research on the population's health and health behaviour. For future waves of the DNHS, it should be considered whether resources should be used to invite people unsubscribed from digital-post due to the low response proportion.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"433-440"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394707","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":"Psychological distress in single fathers and mothers - a Swedish population-based study.","authors":"Maria Unenge Hallerbäck, Anu Molarius, Linn Karlsson, Karin Sonnby","doi":"10.1177/14034948251332507","DOIUrl":"10.1177/14034948251332507","url":null,"abstract":"<p><strong>Aims: </strong>The primary aim of the present study was to explore the prevalence of psychological distress among single fathers and single mothers in comparison to parents living together, and the factors contributing to the differences between single and partnered parents. A secondary aim was to investigate the perceived need for parental support in relation to severe psychological distress in these groups.</p><p><strong>Methods: </strong>A survey questionnaire was sent to a random population sample in Sweden in 2022 and 5750 parents aged 18-69 years participated. The outcome was severe psychological distress, measured by the Kessler-6 (scores ⩾13). Associations between single parenthood and severe psychological distress were analysed with multiple logistic regression, adjusting for age group, economic difficulties, social support, risk consumption of alcohol and need for parental support.</p><p><strong>Results: </strong>Severe psychological distress was more common among single fathers (age-adjusted odds ratio (OR): 2.2; 95% confidence interval (CI): 1.4-3.5) and mothers (age-adjusted OR: 2.4; 95% CI: 1.8-3.3) than among partnered fathers and mothers. The main explanatory factors for the difference were economic difficulties and lack of social support, accounting together for 75% of the excess of severe psychological distress in single fathers and 64% in single mothers. Risk consumption of alcohol among both single and partnered fathers was also associated with severe psychological distress. Being in need of more parental support, for example, from maternity/child health care or family centres was associated with severe psychological distress among all parents, regardless of partnership status and gender.</p><p><strong>Conclusions: </strong>\u0000 <b>Single parents had a higher prevalence of severe psychological distress than partnered parents, mainly explained by economic difficulties and the lack of social support. Both among single and partnered parents, the need for more parental support was associated with severe psychological distress.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"495-503"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003175","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":"Screen socialising and depressive symptoms among Norwegian adolescents and the impact of the COVID-19 pandemic.","authors":"Ida M Opdal, Tore Bonsaksen, Annette L Kleppang, Anne M Steigen, Tonje H Stea","doi":"10.1177/14034948261459775","DOIUrl":"https://doi.org/10.1177/14034948261459775","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to assess associations between online gaming with others, online socialising and depressive symptoms among adolescents, and whether these associations changed before, during and after the COVID-19 pandemic (2018, 2021 and 2023).</p><p><strong>Methods: </strong>Cross-sectional data among Norwegian adolescents aged 13-19 years in 2018, 2021 and 2023, comprising a total sample of 83,453 adolescents (Oslo: <i>n</i>=69,164; Møre og Romsdal: <i>n</i>=14,289), were used in the analyses. Multivariable binary logistic regression models, stratified by sex, were used to examine associations between online gaming with others, online socialising and depressive symptoms separately for each study year. The models were adjusted for school level, having trusted friends and perceived family economy.</p><p><strong>Results: </strong>Among girls, the results showed slightly higher odds of depressive symptoms during the pandemic than before the pandemic (odds ratio (OR)=1.1; 95% confidence interval (CI): 1.1-1.2). Frequent online gaming with others and online socialising were associated with increased odds of depressive symptoms among boys (OR=1.2; 95% CI 1.1-1.4 and OR=1.5; 95% CI 1.3-1.6) and girls (OR=1.8; 95% CI 1.6-2.0 and OR=1.7; 95% CI 1.5-1.8). Among girls, weekly online gaming with others was associated with higher odds of depressive symptoms in 2021 (OR=1.4; 95% CI 1.2-1.6). Among boys with no online socialising, frequent online gaming with others was associated with increased odds of depressive symptoms (OR=1.8; 95% CI 1.3-2.3).</p><p><strong>Conclusions: </strong>\u0000 <b>Frequent online gaming with others and online socialising were associated with higher levels of depressive symptoms among both boys and girls, with stronger associations observed among girls, particularly during the pandemic.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261459775"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370389","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":"Norwegian Register-Based Studies on Sports & Health (NorSport): Study protocol.","authors":"Fredrik Methi, Ingeborg H Elgersma, Runar B Solberg, Jonas M Kinge, Rannveig K Hart, Kjetil E Telle, Arnstein Mykletun, Karin Magnusson","doi":"10.1177/14034948261459233","DOIUrl":"https://doi.org/10.1177/14034948261459233","url":null,"abstract":"<p><strong>Aims: </strong>To describe a novel nationwide research project entitled \"Norwegian Register-Based Studies on Sports & Health (NorSport),\" focusing on the data available and the theoretical background guiding their use.</p><p><strong>Methods: </strong>NorSport links individual-level data from the Norwegian Sports Membership Database and Population Register for all Norwegians aged 10-70 years (in 2010-2024), combined with socioeconomic, healthcare, prescription, and community-level intervention data. To examine the bidirectional links between sports participation and physical and mental health, we will use prospective cohort designs, matched family designs, and community-level quasi-experiments. The data include exact dates for events related to sports participation, socioeconomic status, employment, prescriptions, and healthcare use for physical and mental conditions across individuals and families. Key biases are reduced by design-through full population inclusion, family-based controls for genetic and socioeconomic confounding, and use of objective records instead of self-report. Analyses will be guided by a biopsychosocial framework within sports and health research.</p><p><strong>Conclusions: </strong>\u0000 <b>With comprehensive national population data and a systematic approach to study design and bias reduction, NorSport enables more valid and actionable insights to guide public health policy and interventions in the field of sports participation and health.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"14034948261459233"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370438","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":"Co-use of smokeless nicotine products and marijuana among youth in Denmark: a cross-sectional population-based study.","authors":"Stine Arp, Lotus Sofie Bast, Susan Andersen, Lisbeth Lund, Nanna Schneekloth Jarlstrup","doi":"10.1177/14034948241289464","DOIUrl":"10.1177/14034948241289464","url":null,"abstract":"<p><strong>Aims: </strong>Previous research suggests a gateway effect between the use of nicotine products and other harmful drugs, such as marijuana. As the use of smokeless nicotine products among youth in Denmark has been increasing, we aimed to identify factors associated with marijuana use and examined the co-use of smokeless nicotine products and marijuana among Danish youth.</p><p><strong>Methods: </strong>We used data from a cross-sectional Danish nationwide questionnaire-based survey among 15- to 29-year-olds conducted in 2022. Overall, 6236 were included in the analyses. Multiple logistic regression analyses were carried out to assess associations between use of smokeless nicotine products and marijuana ever-use and frequent use (⩾10 times). A multiple multinomial logistic regression analysis tested whether the association varied across the frequency of marijuana use.</p><p><strong>Results: </strong>A total of 41.9% had ever used marijuana, of which 38.6% reported frequent use. Factors associated with marijuana use were current use of other nicotine products, being male, having medium- or long-cycle higher education without a current occupation, excessive binge drinking, and living in the Capital Region. Youth who used smokeless nicotine products had markedly higher odds of ever using marijuana (aOR: 4.13, 95%CI[3.3, 5.05]). Among respondents who had ever used marijuana, use of smokeless nicotine products was associated with frequent marijuana use (aOR: 1.73, 95%CI[1.39, 2.15]).</p><p><strong>Conclusions: </strong>\u0000 <b>This study found a significant co-use of smokeless nicotine products and marijuana in terms of both marijuana ever-use and frequent marijuana use. This highlights the potential additive consequences of the increasing use of smokeless nicotine products, which calls for preventive actions targeting youth.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"504-511"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041700","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":"Are changes in perceived physical workload and strenuousness of work among partial disability pensioners associated with full disability pension?","authors":"Mari-Anne Wallius, Anne Kouvonen, Jenni Ervasti, Taina Leinonen, Jaakko Airaksinen, Tea Lallukka","doi":"10.1177/14034948251326706","DOIUrl":"10.1177/14034948251326706","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to examine the changes in pensioners' perceived physical workload and the physical strenuousness of work before and after transition to partial disability pension (pDP), and whether these changes were associated with subsequent transition to full disability pension (fDP).</p><p><strong>Methods: </strong>We used survey data on physical workload and the physical strenuousness of work and covariates from the Helsinki Health Study, an occupational cohort measured in four phases: 2000-2002, 2007, 2012 and 2017. These data were prospectively linked to the Finnish Centre for Pensions' register data on pDP and fDP up to 2021 for those who had provided informed consent for such linkage (mean follow-up of 3 years). We included those who responded to the study surveys both before and after pDP (<i>n</i> = 235). Changes after transition to pDP in the physical strenuousness of work and in a constructed physical workload summary scale were analysed using log-binomial regression.</p><p><strong>Results: </strong>After transition to pDP, physical workload decreased among 20% of the participants, remained constantly low among 44% and constantly high among 36%. The changes in the physical strenuousness of work were similar. Thirty per cent (<i>n</i> = 70) of pDPs transitioned to fDP during the follow-up. The changes in physical workload or the physical strenuousness of work were not associated with transition to fDP.</p><p><strong>Conclusions: </strong>\u0000 <b>Despite the transition to pDP and thus part-time work, perceived physical workload and the physical strenuousness of work remained stable, and were not reflected in transition to fDP. More research on larger samples is warranted.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"479-487"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744327","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 sleep, mental health, and health behaviours: a Danish population-based cross-sectional study.","authors":"Astrid J Damgaard, Jes B Sørensen, Martin M Jensen, Pernille Pedersen","doi":"10.1177/14034948241262366","DOIUrl":"10.1177/14034948241262366","url":null,"abstract":"<p><strong>Aims: </strong>Sleep problems constitute a significant public health problem due to their high prevalence and impact on mental health and health behaviours, with major consequences for individuals and society. Therefore, the aim of this study was to investigate the association between sleep problems (duration and quality), mental health and health behaviours.</p><p><strong>Methods: </strong>Cross-sectional data was derived from the 2021 health survey 'How are you?' from the Central Denmark Region. The study population was a stratified random sample of 33,925 respondents aged 16 years or older. We used logistic regression models to analyse the associations between sleep problems and indicators of mental health and health behaviour. The models were adjusted for sex, age, educational attainment, labour market attachment, cohabitation, and indicators of mental health and health behaviour.</p><p><strong>Results: </strong>A prevalence of around 10% for both short- and long sleep duration and poor sleep quality was found. All were associated with poor mental health-related quality of life, depression, stress, perceived stressors and obesity. In addition, short sleep duration was associated with daily smoking, and long sleep duration was associated with physical inactivity and daily smoking.</p><p><strong>Conclusions: </strong>\u0000 <b>Our findings revealed a stronger association between sleep problems and mental health indicators in comparison to health behaviours. We found that sleep duration and sleep quality in broad terms were associated with similar variables within mental health and health behaviour. These findings underline the importance of adopting a comprehensive approach to addressing sleep problems in the context of health promotion, disease prevention, treatment and rehabilitation.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"441-450"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917905","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":"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":"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":"543-549"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323933/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}