Scandinavian Journal of Public Health最新文献

{"title":"Short-term association between air temperature and mortality in seven cities in Norway: A time series analysis.","authors":"Liliana Vázquez Fernández, Alfonso Diz-Lois Palomares, Ana M Vicedo Cabrera, Birgitte Freiesleben De Blasio, Francesco Di Ruscio, Torbjørn Wisløff, Shilpa Rao","doi":"10.1177/14034948241233359","DOIUrl":"10.1177/14034948241233359","url":null,"abstract":"<p><strong>Background: </strong>The association between ambient air temperature and mortality has not been assessed in Norway. This study aimed to quantify for seven Norwegian cities (Oslo, Bergen, Stavanger, Drammen, Fredrikstad, Trondheim and Tromsø) the non-accidental, cardiovascular and respiratory diseases mortality burden due to non-optimal ambient temperatures.</p><p><strong>Methods: </strong>We used a historical daily dataset (1996-2018) to perform city-specific analyses with a distributed lag non-linear model with 14 days of lag, and pooled results in a multivariate meta-regression. We calculated attributable deaths for heat and cold, defined as days with temperatures above and below the city-specific optimum temperature. We further divided temperatures into moderate and extreme using cut-offs at the 1st and 99th percentiles.</p><p><strong>Results: </strong>We observed that 5.3% (95% confidence interval (CI) 2.0-8.3) of the non-accidental related deaths, 11.8% (95% CI 6.4-16.4) of the cardiovascular and 5.9% (95% CI -4.0 to 14.3) of the respiratory were attributable to non-optimal temperatures. Notable variations were found between cities and subgroups stratified by sex and age. The mortality burden related to cold dominated in all three health outcomes (5.1%, 2.0-8.1, 11.4%, 6.0-15.4, and 5.1%, -5.5 to 13.8 respectively). Heat had a more pronounced effect on the burden of respiratory deaths (0.9%, 0.2-1.0). Extreme cold accounted for 0.2% of non-accidental deaths and 0.3% of cardiovascular and respiratory deaths, while extreme heat contributed to 0.2% of non-accidental and to 0.3% of respiratory deaths.</p><p><strong>Conclusions: </strong>\u0000 <b>Most of the burden could be attributed to the contribution of moderate cold. This evidence has significant implications for enhancing public-health policies to better address health consequences in the Norwegian setting.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"134-141"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029346","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":"Climate and malaria: modeling non-linear dynamics in the Nordic countries during the 18th and 19th centuries.","authors":"Tzu Tung Chen, Yoonhee Kim, Fredrik Charpentier Ljungqvist, Jerker Jarsjö, Jenny C Hesson, Hans W Linderholm","doi":"10.1177/14034948251320865","DOIUrl":"10.1177/14034948251320865","url":null,"abstract":"<p><strong>Aims: </strong>Until the late 19th century, <i>Plasmodium vivax</i> malaria was endemic in most of Europe including in the Nordic countries. In Denmark, Finland, and Sweden, the fluctuations in malaria cases and malaria-attributed deaths are known to have been associated with weather conditions, in particular with mean summer temperature variations. However, to what extent other environmental factors could have increased or decreased the risk of malaria has not previously been evaluated using historical records.</p><p><strong>Methods: </strong>In this study, we illustrate the non-linear association between different environmental variables (temperature, precipitation, and sea-level variations) and symptom-based malaria (case and death) data, using the quasi-Poisson distributed lag non-linear model. The robustness of the model results was examined through sensitivity analysis.</p><p><strong>Results: </strong>The modeling results showed that the risk associated with temperature increased by ∼25% in Denmark and by ∼67% in Sweden and Finland, with a mean summer temperature increase from 16°C to 18°C, was highest at 1-2 lagged years. Furthermore, average precipitation could have a noticeable effect on the malaria risk in Sweden and Finland, but this effect was not observed in Denmark. Environmental perturbations associated with extreme sea levels (>99.7th percentile or <0.1th percentile), including subsequent saltwater intrusion, could lead to increasing malaria risk in low-lying coastal areas.</p><p><strong>Conclusions: </strong>\u0000 <b>The historical evidence and modeling results suggest that specific weather conditions and extreme events have substantial impacts on malaria in temperate regions.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":"53 2","pages":"162-171"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626421","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":"Valuation and perception of the costs of climate change on health.","authors":"Zuzana Nordeng, Hedi K Kriit, Helen Poltimäe, Kristin Aunan, Miriam S Dahl, Marija Jevtic, Vlatka Matkovic, Gunnell Sandanger, Hans Orru","doi":"10.1177/14034948241247614","DOIUrl":"10.1177/14034948241247614","url":null,"abstract":"<p><strong>Background and aims: </strong>Climate change affects our societies and lives through our economies, our livelihoods, and our health. Economic losses of climate change are estimated at $23 trillion, largely through externalities due to premature mortality, healthcare expenditure, and health-related work losses. Even if there are established methods to quantify the health economic burden, there is limited information on how people perceive this information. The current study aimed to examine different health cost evaluation methods and observe perceptions of stakeholders in the climate change context.</p><p><strong>Method: </strong>The participatory research approach of the World Café with 41 participants was applied to explore four topics associated with valuing the costs of climate change. The data were analyzed following an inductive approach.</p><p><strong>Results: </strong>Despite the willingness-to-pay approach being widely applied, many experts see actual healthcare costs as a more explicit indicator of costs; however, this approach might underestimate actual costs. Participants experienced difficulties accepting and understanding cost estimates that indicated very high externalities as a percentage of gross domestic product. The cost-effectiveness of mitigation and adaptation measures was also challenged by a concern that while the costs of such measures are incurred now, the benefits do not come to fruition until later, for example, when building bike lanes or dams.</p><p><strong>Conclusions: </strong>Policies should favor environmentally friendly activities such as making cycling more convenient in cities with the health benefits presented in monetary terms, while limiting car driving. Moreover, the public might better understand the costs of climate change via tools that map how solutions influence different sectors and outlining the costs in evaluating the benefits for health and the environment.</p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"149-155"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318715","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":"Pedestrian wintertime slip and fall injuries-effectiveness of weather warning service in prevention.","authors":"Reija Ruuhela, Marjo Hippi, Sari Hartonen","doi":"10.1177/14034948241253673","DOIUrl":"10.1177/14034948241253673","url":null,"abstract":"<p><strong>Background and aim: </strong>In climates with wintry conditions, slip and fall injuries of pedestrians during wintertime can result in high healthcare and societal costs. The aim of this study was to evaluate the effectiveness of early warnings about slipperiness in preventing such injuries in Finland. Since 2004, the Finnish Meteorological Institute (FMI) has been providing a weather service for pedestrians, which has been developed continuously over time.</p><p><strong>Data and methods: </strong>Time series of pedestrian slip and fall injuries in commuting on foot in the 19 regions of Finland in 2005-2022 was obtained from the Finnish Workers' Compensation Center and analysed for trends. We also analysed daily warnings about slippery sidewalks from the FMI archives for the period 2011-2022. To identify steps in the service chain that require improvement, we conducted a weather service chain analysis (WSCA) based on a slip and fall accident storyline.</p><p><strong>Results: </strong>There was no significant trend in the number of slipping injuries during the study period. The exposure of the Finnish population to slippery conditions varies according to the climate of the region and characteristics of the winters. We found that the responses of the users of the warning information may be inadequate.</p><p><strong>Conclusions: </strong>\u0000 <b>Changes in the behaviour of individuals and more efficient winter maintenance of sidewalks are required. Furthermore, it is necessary to promote the role and safety of walking in the planning of traffic systems and urban planning. Further improvements to the pedestrian weather service are needed as well.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"142-148"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249023","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":"Impacts of temperature and solar radiation changes in northern Europe on key population health behaviors: a scoping review of reviews.","authors":"Heini Wennman, Timo Partonen","doi":"10.1177/14034948231216909","DOIUrl":"10.1177/14034948231216909","url":null,"abstract":"<p><strong>Aim: </strong>Climate change threatens health directly as well as indirectly through impacts on health-related behaviors. Physical activity, nutrition and sleep are key health-related behaviors for population health. We aimed at elucidating the impacts of climate change which emerge gradually on these three key health-related behaviors, particularly focusing on scenarios and projections relevant to people living in the northern Europe.</p><p><strong>Methods: </strong>We conducted a systematic literature search in three different databases in January 2023 to identify English language review articles summarizing the effects of climate change on either physical activity, nutrition, sleep, or their combination.</p><p><strong>Results: </strong>We identified 15 review articles on the topic. Data on climate change impacts on nutrition and sleep were sparse, and those on physical activity were heterogeneous. The climate in northern Europe will become warmer and sunnier in summer as well as warmer and darker in winter, which will probably increase the level of physical activity, but decrease the consumption of fruits and vegetables, as well as increase the occurrence of sleep disturbances in a population.</p><p><strong>Conclusions: </strong>\u0000 <b>The anticipated changes in physical activity, nutrition and sleep driven by climate change influence population health and call for grass-roots action plans for adaptation.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"184-194"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032808","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":"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":"Modeling impacts of traffic, air pollution, and weather conditions on cardiopulmonary disease mortality.","authors":"Cong Cao, Jan Morten Dyrstad, Colin P Green","doi":"10.1177/14034948241290852","DOIUrl":"10.1177/14034948241290852","url":null,"abstract":"<p><strong>Aims: </strong>Cardiopulmonary disease (CPD) is a leading cause of death worldwide. Increasing evidence shows that air pollution and exposure to weather conditions have important contributory roles. Understanding the interaction of these factors is difficult due to the complexity of the relationship between CPD, air pollution, and environmental factors.</p><p><strong>Methods: </strong>This paper uses regression models and machine learning approaches to explore these relationships, and investigate whether meteorological factors and air pollution have a synergistic effect on CPD. We use daily data from 2009-2018 from four cities representing the heterogenous climate conditions in Norway: the far north, the west coast, mid-Norway, and the south-east.</p><p><strong>Results: </strong>We demonstrate the importance of the interaction between weather and air pollution associated with higher CPD mortality, as is exposure to air pollution in the form of <math><mrow><mi>NOx</mi><mspace></mspace><mi>and</mi></mrow></math>particulate matter. This impact is seasonal. Traffic is also positively related to CPD mortality, which may be caused indirectly through increased pollution. We demonstrate that machine learning outperforms regression models in terms of the accuracy of predicting CPD mortality.</p><p><strong>Conclusions: </strong>\u0000 <b>The inclusion of rich lagged structures and interactions between environmental factors are both important but can lead to overfitting of traditional models; since these cities are not large cities by international standards, it is surprising that environmental factors have such obvious impacts on CPD mortality. CPD mortality shows a clear negative trend, implying an improvement in the public health situation.</b>\u0000 </p>","PeriodicalId":49568,"journal":{"name":"Scandinavian Journal of Public Health","volume":" ","pages":"119-124"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856492","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 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":"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}