hh.sePublikationer
Ändra sökning
Avgränsa sökresultatet
12 1 - 50 av 58
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Andersson, Lena M.
    et al.
    Unit of Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Moore, Chrystal Dea
    Skidmore College, NY, USA.
    Hensing, Gunnel
    Unit of Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Krantz, Gunilla
    Unit of Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Staland Nyman, Carin
    Unit of Social Medicine, Department of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    General Self-efficacy and Its Relationship to Self-reported Mental Illness and Barriers to Care: A General Population Study2014Ingår i: Community mental health journal, ISSN 0010-3853, E-ISSN 1573-2789, Vol. 50, nr 6, s. 721-728Artikel i tidskrift (Refereegranskat)
  • 2.
    Andersson, Lena
    et al.
    The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden & Nordic School of Public Health, Gothenburg, Sweden.
    Staland Nyman, Carin
    The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Krantz, Gunilla
    The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
    Associations between general self efficacy, barriers to care and self-reported mental illness—a population-based study2010Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 20, nr Suppl. 1, s. 69-69Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Mental illness is an increasing health problem globally. However, many individuals do not seek health care although evidence-based care is available. Research has shown that self efficacy is associated with various health outcomes and it is of importance to investigate if it also is associated mental illness. Early detection promotes recovery and decreases suicide risk.

    Aim

    The aim of this study is to investigate whether low levels of self efficacy is associated with a higher degree of mental illness and whether level of self-efficacy influence health seeking behaviour.

    Methods

    This is a cross-sectional study based on data from the Health Assets study, with data collected in 2008 in West Sweden. The study population is a randomly selected population sample of 4027 individuals, aged 18–65 years. Data collection was done by a postal questionnaire and the response rate was 50.4%. Bi-and multivariate analyses were employed to investigate associations and results were stratified on sex, age, civil status, education and social support.

    Results

    A total number of 1361 (36%) out of 3811 individuals answered ‘Yes’ on the question ‘Have you ever felt so mentally ill that you had (felt a need) to seek care’. A total of 33% of the women answering yes were found in the lowest quartile of the general self efficacy scale, 20% in the highest quartile. Corresponding figures for men were 30 and 23% respectively. The most common reason stated for not seeking health care was a belief that the mental health problem would disappear by itself. Others reasons mentioned were beliefs that health care would not help, they did not know were to go or they felt ashamed for showing others they suffered from mental illness.

    Conclusion

    Mental illness is a serious health problem and access to care needs to be improved. Health promotion should also include individual traits/characteristics such as self efficacy and health-seeking behaviour.

  • 3.
    Andersson, Lena
    et al.
    The Sahlgrenska Academy at Göteborg University, Department of Social Medicine, PO Box 453, SE-405 30 Göteborg, Sweden.
    Staland Nyman, Carin
    The Sahlgrenska Academy at Göteborg University, Department of Social Medicine, PO Box 453, SE-405 30 Göteborg, Sweden.
    Spak, Fredrik
    The Sahlgrenska Academy at Göteborg University, Department of Social Medicine, PO Box 453, SE-405 30 Göteborg, Sweden.
    Hensing, Gunnel
    The Sahlgrenska Academy at Göteborg University, Department of Social Medicine, PO Box 453, SE-405 30 Göteborg, Sweden.
    High incidence of disability pension with a psychiatric diagnosis in western Sweden. A population-based study from 1980 to 19982006Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, nr 4, s. 343-353Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Regional differences in Sweden in the prevalence of disability pension with a psychiatric diagnosis are unexplained, in spite of the significant impact on the population's health, rehabilitation systems, and the health care system. The purpose of this study was to describe the pattern of disability pensions with a psychiatric diagnosis and to analyze the impact of age and gender. We examined the incidencerates in one urban and one semi-rural region and compared these to national rates. The study sample was drawn from employed persons between 16-64 years of age who, because of their sickness insurance coverage, would be eligible to access disability pensions should it be necessary. Analysis of annual incidences and standardized morbidity ratios were made for 1980, 1985, 1990, 1995, and 1998. Data ondisability pension cases were collected from the National Social Insurance registers. In the urban region we found that the proportion of men and women clearly outnumbered the national average: approximately twice the number of persons between 16-64 years of age with apsychiatric diagnosis were receiving a disability pension. In the semi-rural region there were fewer men overall on disability pensionswith psychiatric disorders, but in 1980, 1985, and 1995 women clearly outnumbered men. Access to psychiatric care, unemployment, alcohol dependence, and previous sickness absence are suggested as possible factors that might affect the rates of disability pension in different geographical settings. © 2006 IOS Press. All rights reserved.

  • 4.
    Andersson, Lena
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Twum-Antwi, Akwasi
    Dalhousie University, Halifax, Canada.
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    van Rooyen, Dalena
    Nelson Mandela University, Port Elizabeth, South Africa.
    Prevalence and socioeconomic characteristics of alcohol disorders among men and women in the Eastern Cape Province, South Africa2018Ingår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 26, nr 1, s. e143-e153Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is growing concern about alcohol problems in low- and middle-income countries. More research is required, particularly among the younger generation. The aim of this study was to investigate the prevalence of alcohol disorders and associated socioeconomic characteristics among young men and women living in the Eastern Cape Province, South Africa. This was a cross-sectional population-based study of 977 participants (52% male and 48% female) aged 18–40, the majority of whom lived in low-income areas. Data collection was carried out in 2012 by trained fieldworkers. The Mini International Neuropsychiatric Interview (DSM-IV) was used to investigate the prevalence of alcohol dependence (increased tolerance to alcohol, failed attempt to cut down, risk of physical and mental effects) and alcohol abuse (harmful use, consistent intoxication, risk behaviour, physically hazardous, social problems). A high 12-month prevalence of alcohol dependence was found (26.5% in total; 39.0% among men and 19.1% among women) as well as of alcohol abuse (9% in total; 19.0% among men and 6.0% among women). Few socioeconomic differences emerged among the men, except older men (OR 1.94, CI 1.11–3.42) and those supported by social grants (OR 2.28, CI 1.06–4.93), who presented higher odd ratios for alcohol dependence than the reference groups. Among the women, more differences emerged: women who were widowed/single (OR 2.35, CI 1.20–4.62), had no education (OR 3.41, CI 1.04–11.21), had a low income (OR 3.26, CI 1.55–6.80) and had no social support from friends when ill presented higher odd ratios (OR 1.73, CI 1.07–2.80). In the adjusted model, marital status and low income remained statistically significant. With regard to alcohol abuse, fewer socioeconomic differences emerged. Interventions need to address the early onset of alcohol misuse in order to meet both current needs and long-standing mental and physical illness. © 2017 John Wiley & Sons Ltd

  • 5.
    Arvidsson, Jessica
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Widén, Stephen
    Örebro universitet, Örebro, Sverige.
    Tideman, Magnus
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Sysselsättning för unga med intellektuell funktionsnedsättning – betydelsen av föräldrars utbildningsnivå och geografiska härkomstIngår i: Socialvetenskaplig tidskrift, ISSN 1104-1420Artikel i tidskrift (Refereegranskat)
  • 6.
    Arvidsson, Jessica
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Staland Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Widén, Stephen
    Örebro universitet, Örebro, Sverige.
    Tideman, Magnus
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Efter(sär)gymnasial sysselsättning för unga vuxna med intellektuell funktionsnedsättning - betydelsen av föräldrars utbildningsnivå och födelseland.2016Ingår i: Socialvetenskaplig tidskrift, ISSN 1104-1420Artikel i tidskrift (Övrigt vetenskapligt)
  • 7.
    Arvidsson, Jessica
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Staland Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Widén, Stephen
    Örebro universitet, Örebro, Sverige.
    Tideman, Magnus
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Sysselsättning för unga vuxna med intellektuell funktionsnedsättning – boendegeografiska skillnader2016Ingår i: Tidsskrift for velferdsforskning, ISSN 0809-2052, E-ISSN 2464-3076, Vol. 19, nr 3, s. 241-260Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    I länder med starkt decentraliserat ansvar för välfärdstjänster kan skillnader mellan kommuner och regioner förväntas. I artikeln studeras om, och iså fall hur, efter(sär)gymnasial sysselsättning bland personer med intellektuell funktionsnedsättning varierar beroende på i vilken kommungrupp eller geografisk region de bor. Analyserna baseras på data från ett unikt register som inkluderar 12 269 avgångselever från gymnasiesärskolan i Sverige från åren 2001–2011.

    Resultaten visar att kommungrupp och region har en viss oberoende effekt på typ av efter(sär)gymnasial sysselsättning samt att andelen flyttningar överkommungränser som företas i studiepopulationen är få.

    Slutsatsen är att boendegeografiska variationer, som identifierats i andra delar av det svenska välfärdssystemet, också i viss utsträckning gäller efter(sär)gymnasial sysselsättning.

  • 8.
    Arvidsson, Jessica
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Staland-Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Widén, Stephen
    Institutionen för hälsovetenskap och medicin, Institutet för handikappvetenskap, Örebro universitet, Örebro, Sverige.
    Tideman, Magnus
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Intersectional perspectives on post-school occupation among young adults with intellectual disabilities in Sweden2016Ingår i: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 60, nr 7-8, s. 771-771Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: This study explores and analyses, from an intersectional perspective, the association between parents’ country of birth as well as their level of education and their children's type of occupation after graduating from Swedish upper secondary school for pupils with intellectual disabilities (ID).

    Method: This is a quantitative study based on three registers (HURPID, LSS, LISA). The analyses are based on logistic regression, interaction analysis and chi-square tests. The sample size was 12,269.

    Results: Children of less-educated parents tend to have paid employment and children of highly educated parents tend to participate in disability day programs. Parents’ country of birth and level of education affect the former pupils’ post-school occupation in different ways. The association between parents’ country of birth and former pupils’ occupation is modified by parents’ level of education.

    Conclusions: Knowledge and awareness of different background conditions among children graduating from upper secondary school for pupils with ID need to increase.

  • 9.
    Arvidsson, Jessica
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Widén, Stephen
    Örebro University, Örebro, Sweden.
    Staland Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Tideman, Magnus
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Post-School Destination—A Study of Women and Men With Intellectual Disability and the Gender-Segregated Swedish Labor Market2016Ingår i: Journal of Policy and Practice in Intellectual Disabilities, ISSN 1741-1122, E-ISSN 1741-1130, Vol. 13, nr 3, s. 217-226Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Knowledge about people with intellectual disability (ID) and their connections to the labor market is scarce. The aim of this study was to describe and analyze the entry into and representation in the Swedish labor market for people with ID, discussed with a special focus on the gender perspective. This study included 2,745 individuals (30% women and 70% men) who graduated from Swedish upper secondary schools for pupils with intellectual disability (USSID) in the 2000s, and who were defined as employees in 2011. Graduation data from 2001 to 2011 were analyzed in relation to employment data from 2011 and adjusted for gender, graduation year, and educational program. Results show that men who attended a national USSID program and graduated between 2001 and 2006 were the most likely group to have a job. The authors conclude that the gender differences in the Swedish labor market are more clearly pronounced among women and men with ID in relation to employment rate, wage levels, and professions than in the general population. Education, welfare-services, and interventions specifically targeted to meet the needs of people with ID have to develop in more gender-sensitive ways. © 2016 International Association for the Scientific Study of Intellectual and Developmental Disabilities and Wiley Periodicals, Inc.

  • 10.
    Canivet, Catarina
    et al.
    Division of Social Medicine and Global Health, Department of Clinical Sciences Malmö, Malmö University Hospital, Lund University, Malmö, Sweden.
    Choi, BongKyoo
    Center for Occupational and Environment Health, University of California, Irvine, USA.
    Karasek, Robert
    Department of Work Environment, University of Massachusetts, Lowell, USA.
    Moghaddassi, Mahnaz
    Division of Social Medicine and Global Health, Department of Clinical Sciences Malmö, Malmö University Hospital, Lund University, Malmö, Sweden.
    Staland Nyman, Carin
    Unit of Social Medicine, Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
    Östergren, Per-Olof
    Division of Social Medicine and Global Health, Department of Clinical Sciences Malmö, Malmö University Hospital, Lund University, Malmö, Sweden.
    Can high psychological job demands, low decision latitude, and high job strain predict disability pensions?: A 12-year follow-up of middle-aged Swedish workers2012Ingår i: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 86, nr 3, s. 307-319Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: The aim of this study was to investigate whether job strain, psychological demands, and decision latitude are independent determinants of disability pension rates over a 12-year follow-up period. Methods: We studied 3,181 men and 3,359 women, all middle-aged and working at least 30 h per week, recruited from the general population of Malmö, Sweden, in 1992. The participation rate was 41 %. Baseline data include sociodemographics, the Job Content Questionnaire, lifestyle, and health-related variables. Disability pension information was obtained through record linkage from the National Health Insurance Register. Results: Nearly 20 % of the women and 15 % of the men were granted a disability pension during the follow-up period. The highest quartile of psychological job demands and the lowest quartile of decision latitude were associated with disability pensions when controlling for age, socioeconomic position, and health risk behaviours. In the final model, with adjustment also for health indicators and stress from outside the workplace, the hazard ratios for high strain jobs (i.e. high psychological demands in combination with low decision latitude) were 1.5 in men (95 % CI, 1.04-2.0) and 1.7 in women (95 % CI, 1.3-2.2). Stratifying for health at baseline showed that high strain tended to affect healthy but not unhealthy men, while this pattern was reversed in women. Conclusions: High psychological demands, low decision latitude, and job strain were all confirmed as independent risk factors for subsequent disability pensions. In order to increase chances of individuals remaining in the work force, interventions against these adverse psychosocial factors appear worthwhile. © 2012 Springer-Verlag.

  • 11.
    Canivet, Catarina
    et al.
    Department of Social Medicine, Lund University, Lund, Sweden.
    Staland-Nyman, Carin
    Department of Public Health and Community Medicine, University of Gothenburg, Sweden.
    Lindeberg, Sara
    Department of Social Medicine, Lund University, Lund, Sweden.
    Karasek, Robert
    Department of Work Envirinment, University of Massachusetts, USA.
    Moghaddassi, Mahnaz
    Department of Social Medicine, Lund University, Lund, Sweden.
    Östergren, Per-Olof
    Department of Social Medicine, Lund University, Lund, Sweden.
    Insomnia Symptoms, Sleep Duration, and Disability Pensions: a Prospective Study of Swedish Workers2013Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558Artikel i tidskrift (Refereegranskat)
  • 12.
    Canivet, Catarina
    et al.
    Department of Social Medicine, Lund University, Lund, Sweden.
    Östergren, Per-Olof
    Department of Social Medicine, Lund University, Lund, Sweden.
    Staland Nyman, Carin
    Department of Public Health and Community Medicine, Gothenburg University, Gothenburg, Sweden.
    Lindeberg, Staffan I.
    Department of Social Medicine, Lund University, Lund, Sweden.
    Sleeping problems, sleep duration and the risk of disability pension: A prospective study of a Swedish general population2012Ingår i: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 19, nr Suppl. 1, s. S107-S107, artikel-id O264Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Several studies have found insomnia and long sleep duration to be independently associated with subsequent disability pension. However, the issue of a possible gender-based pattern in this context has received little attention. The aim of the present study was to assess the impact of different sleeping problems and sleep duration on the rate of disability pension during a 12-year follow-up period.

    The cohort was recruited by random invitations from the general population of Malmö, Sweden, aged 45–65 years in 1992; the participation rate was 41% (n=14,555). The participants in this study were the 2,254 men and 2,065 women who were healthy and working at least 30 hours per week at baseline. Baseline data included socio-demographic factors, lifestyle, body mass index, the Job Content Questionnaire, social support and participation, ‘stress outside work’, self-rated health and an instrument assessing sleep quality and duration. Information on disability pension was obtained through record linkage from the National Health Insurance Register.

    Disability pensions were granted to 9% of the men and 15% of the women during the follow-up period. Affirming moderate or very large problems with any of ‘initiating sleep’, ‘waking up during the night’, ‘waking up too early’, and ‘not feeling rested by sleep’ was defined as ‘problems with sleep’, and this was present in 33% of the women and 41% of the men. The age-adjusted hazard ratios for problems with sleep and subsequent disability pension were in men 1.8 (95% CI 1.4 to 2.4) and in women 1.6 (95% CI 1.3 to 2.0). In the full model, after adjustment for sleep duration and for potential confounders and/or mediators, these HRs decreased to 1.4 (95% CI 1.1 to 2.0) in men and 1.4 (95% CI 1.1 to 1.7) in women.

    Short sleep duration, i.e. ≤6 hours/night on weekdays, was associated with having problems with sleep, long sleep duration was not. Only two percent of the population slept ≥9 hours/night. In women, but not in men, long sleep duration was strongly associated with the subsequent granting of a disability pension; the HR was 2.8 (1.7 to 4.6). In conclusion, sleeping problems seem to be a significant risk-factor for disability pension in the middle-aged working population. There were also clear gender differences in the pattern regarding which type of sleeping problems that were most linked to disability pension.

  • 13.
    Eriksson, Lena
    et al.
    Department of Philosophy, Linguistics and Science of Theory, University of Gothenburg, Gothenburg, Sweden.
    Sager, Morten
    Department of Philosophy, Linguistics and Science of Theory, University of Gothenburg, Gothenburg, Sweden.
    Staland Nyman, Carin
    Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
    Hensing, Gunnel
    Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
    Expertise and post-normal science in the development of the Swedish sickness certification decision-support tool2012Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 2, nr Suppl. 2, s. 98-98Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    In Sweden, large variations were identified in sick-leave duration also in episodes with the same diagnoses. A decision support was developed to ensure more uniform assessment of sick leave. The present qualitative study aimed at examining the process of construction and development of the new decision support.

    Methods

    Qualitative analyses of data from interviews and documents were performed. Participants (n = 15) in in-depth interviews were medical and insurance experts from the Social Insurance Agency involved in the development of the decision-support. Interviews with the medical experts focused on how well their specific medical field of expertise fitted the format suggested for the decision support and how a ‘‘standard patient’’ looked like in their clinical everyday work. For both groups of interviewees, issues regarding assessment of work capacity were discussed. The documentary analysis was done reading investigations, memos, reports and minutes. Themes identified in the interviews were compared with the overall documentary analysis and constituted the basis for an epistemic analysis.

    Results

    The analyses showed that the decision-support was developed under a tight schedule and with strict templates for its format. The decision support was built around diagnostic categories and a majority of the experts that were used were specialized in medicine. A difficulty in the process was according to participants to produce standardised medical assessments of how a particular illness was expected to affect patients’ work capacity rather than how the illness affected the patient. The evidential basis for such assessments was scant. Findings show that conditions that were not somatic or could not be ‘measured objectively’ proved extra problematic, since much of the assessment in these situations hinges on physicians’ experience-based expertise combined with their understanding of the circumstances of individual patients.

    Conclusion

    The analysis indicates that ‘work capacity’ does not fall squarely within the remit of medical expertise, but is an example of ‘post-normal science’ that requires a broad range of experts from different fields both inside and outside of science coming together to pool their knowledge and build new expertise.

  • 14.
    Eriksson, Lena
    et al.
    Göteborgs universitet, Göteborg, Sverige.
    Sager, Morten
    Göteborgs universitet, Göteborg, Sverige.
    Staland-Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen. Sahlgrenska akademin vid Göteborgs universitet, Göteborg, Sverige.
    Hensing, Gunnel
    Göteborgs universitet, Göteborg, Sverige.
    Expertis, sjukskrivning och mötet mellan normal och post-normal vetenskap2014Ingår i: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 21, nr 2, s. 160-174Artikel i tidskrift (Refereegranskat)
  • 15.
    Eriksson, Lena
    et al.
    Göteborgs Universitet, Göteborg, Sverige.
    Sager, Morten
    Göteborgs Universitet, Göteborg, Sverige.
    Staland-Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Hensing, Gunnel
    Göteborgs Universitet, Göteborg, Sverige.
    Kunskap och bedömningar i sjukskrivning: En vetenskapsteoretisk studie av det försäkringsmedicinska beslutsstödet2014Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 91, nr 4, s. 323-331Artikel i tidskrift (Refereegranskat)
  • 16.
    Hedenrud, Tove
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Löve, Jesper
    University of Gothenburg, Gothenburg, Sweden.
    Staland Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen. University of Gothenburg, Gothenburg, Sweden.
    Hensing, Gunnel
    University of Gothenburg, Gothenburg, Sweden.
    Frequent headache and work ability: a population-based study in Sweden2014Ingår i: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 56, nr 5, s. 472-476Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The aim of this study was to analyze the association between frequent headache and self-reported mental and physical work ability in a general population sample in Sweden. Methods: The study was conducted in western Sweden in 2008. Frequent headache was analyzed in relation to mental and physical work ability. Covariates included demographics and socioeconomic variables, work-related variables, and a symptom index. Self-reported and register-based sickness absence data were also analyzed. Results: Sixteen per cent of those who answered the question about headache (n = 2590) had frequent headache (at least once a week). Regression analyses showed that frequent headache sufferers were twice more likely to have poor mental and physical work ability than those having infrequent headache. Conclusions: Frequent headache was associated with poor mental and physical work ability but not with sickness absence. Copyright © 2014 by American College of Occupational and Environmental.

  • 17.
    Hensing, Gunnel
    et al.
    Social Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Holmgren, Kristina
    Social Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Andersson, Lena
    Social Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Krantz, Gunilla
    Social Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Petersson, Eva-Lisa
    Social Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Staland Nyman, Carin
    Social Medicine, Institute of Medicine, The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    The impact of health problems in sickness absence might be underestimated in Sweden2010Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 20, nr Suppl. 1, s. 228-228Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Changes in the welfare systems including the sickness insurance scheme are ongoing in several countries, and better knowledge on the extent of health problems in sickness absence seems needed. The overall aim of this cross sectional study was to assess and compare self-rated health, common symptoms and mental well-being in two samples of incident sick-leave cases with the general population. The study was performed in Sweden, 2008, and three samples of individuals aged 19–64 years were selected. The final study populations consisted of 3310 consecutive new employer reported sick-leave cases, 498 consecutive new self-reported sick-leave cases and 4027 individuals from a random general population sample. A mailed questionnaire was distributed. Validated questions and instruments on health and demographic data was analysed in bivariate and multivariate analyses. Poor self-rated health, high levels of symptoms and low mental well-being was reported by a significantly higher proportion in the two sick-leave samples compared with the general population. In logistic regressions with the generalpopulation as reference we adjusted for age, income, occupational class and current sick-leave. The fully adjusted OR for poor self-rated health, high levels of symptoms and low mental well-being respectively were 1.54 (95% confidence intervals 1.24–1.91), 1.95 (1.54–2.48) and 1.41 (1.11–1.79) among the employer reported male sick-leave cases and 1.94 (1.34–2.82), 1.76 (1.14–2.70) and 2.11 (1.40–3.17) among self reported male sick-leave cases. Corresponding figures for women were 1.80 (1.56–2.08), 1.42 (1.22–1.66) and 1.21 (1.03–1.43) and 2.10 (1.60–2.75), 1.97 (1.1–2.57) and 1.78 (1.35–2.36). Differences in health problems between the groups remained significant in the fully adjusted model. We conclude that sick-listed individuals have a higher burden of illness also after control for current sick leave than the general population. Consequence analyses of more rigorous legislation and increased demands need to take this into account.

  • 18.
    Holmquist, Mats
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Delutvärderingsrapport 1 i projekt Salut, Halmstad2014Rapport (Övrigt vetenskapligt)
  • 19.
    Holmquist, Mats
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Delutvärderingsrapport 2 i projekt Salut Halland, Halmstad2015Rapport (Övrigt vetenskapligt)
  • 20.
    Holmquist, Mats
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Delutvärderingsrapport 3 i projekt Salut, Halmstad2015Rapport (Övrigt vetenskapligt)
  • 21.
    Holmquist, Mats
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Gabrielsson, Jonas
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Centrum för innovations-, entreprenörskaps- och lärandeforskning (CIEL).
    Samverkansinsatser inom Samordningsförbundet Halland: Slutrapport av följeforskningsuppdrag 2013-20172018Rapport (Övrigt vetenskapligt)
  • 22.
    Holmquist, Mats
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Delutvärderingsrapport 1 styrelsen i Samordningsförbundet Halland2016Rapport (Övrigt vetenskapligt)
  • 23.
    Karlsson, Jan
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Winroth, Jan
    Högskolan Väst, Trollhättan, Sweden.
    Bremander, Ann
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS).
    Haglund, Emma
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS).
    Holmquist, Mats
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lindgren, Eva-Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lydell, Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Staland Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Förändringsledarskap vid digital transformation inom vård och omsorg: En sammanfattande rapport från kompetensutvecklingsprojektet ”Trygg motivation och inspiration” i Kungsbacka kommun 20182018Rapport (Övrigt vetenskapligt)
  • 24.
    Larsson, Ingrid
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Carlsson, Ing-Marie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Children and young people’s participation in developing interventions in health and well-being: a scoping review2018Ingår i: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, nr 507Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Background: Greater interest is being shown in participatory approaches, especially in research on interventions that concern children and young people'shealth and well-being. Although participatory approaches have user involvement in common, they differ in terms of the explicit guidance on how to actually involve and engage children and young people in health research. The aim of this scoping review was to systematically map recent research involving children and young people in the development of interventions targeting issues of health and well-being. Methods: An interpretative scoping literature review based on: a scientific literature search in (health and social science) databases, reference lists, a manual search in key journals and contact with existing networks was conducted. A total of 4458 references were identified through the literature search, of which 41 studies published between 2000 and 2017 were included in the review. The target population was children and young people under 25 years old. Level of participation was categorized according to Shier's Pathways to Participation Model. Results: The review showed that participatory approaches were most often used in the development of interventions in school settings and in community and healthcare settings and on issues concerning support in lifestyle or in managing illness or disease. The level of participation varied from children and young people taking part just as active informants, through stages of greater participation both in quantitative and qualitative terms, to children and youngpeople becoming an active agent involved as a co-researcher where the research process was shaped by views of a higher level of mutuality. Most of the studies were categorised at a medium level and only three studies were judged to involve the children and young people at the highest level. Conclusions: This scoping review showed that work remains in enabling children and young people to influence the development of interventions targeting health and well-being. In relation to level of sustainability in the interventions, it is relevant that goals, strategies and processes are formulated by those who can gain from the interventions. Participatory approaches aiming for a higher level of participation where children and young people work together with the researchers in partnerships are thus warranted. © 2018 The Author(s).

  • 25.
    Lindholm, Annelie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Almquist-Tangen, Gerd
    Child Health Care Unit, Region Halland, Halmstad, Sweden.
    Alm, Bernt
    Bremander, Ann
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS).
    Dahlgren, Jovanna
    Roswall, Josefine
    Staland-Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Bergman, Stefan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Early life risk factors for an elevated waist-to-height ratio at 5 years of ageManuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Objective: To examine early life risk factors for an elevated waist-to-height ratio (WHtR) at 5 years of age. A second aim was to examine if the same risk factors also were associated with overweight or obesity at the same age.

    Methods: A population-based longitudinal birth cohort study of 1,540 children, from the southwestern part of Sweden, born between October 2007 and December 2008. The children were classified as having ≥ 1 or < 1 in WHtR standard deviation scores (SDS) at five years of age, according to Swedish reference values and as having overweight/obesity or normal weight/underweight according to the IOTF. 

    Results: At five years of age, 15% of the children had WHtRSDS ³ 1 and 11% had overweight or obesity. In multivariable analyses, RWG during 0-6 months (OR: 1.90, 95% CI: 1.23, 2.95), maternal pre- pregnancy BMI (1.06, 1.01,1.11) and paternal BMI (1.11, 1.01-1.21) were associated with a WHtRSDS ³ 1 at five years. RWG during 0-6 months (2.53, 1.53, 4,20), during 6-12 months (2.82, 1.37, 5.79) and maternal pre-pregnancy BMI (1.12, 1.06,1.17) was associated with overweight or obesity at 5 years of age.

    Conclusions: Risk factors operating early in life are associated with an elevated WHtR and overweight or obesity at 5 years of age. Preventive interventions should especially address early RWG and parental overweight.

  • 26.
    Lindholm, Annelie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Bergman, Stefan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Alm, Bernt
    Bremander, Ann
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS).
    Dahlgren, Jovanna
    Roswall, Josefine
    Staland-Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Almquist-Tangen, Gerd
    Child Health Care Unit, Region Halland, Halmstad, Sweden.
    Nutrition- and feeding practice-related risk factors for rapid weight gain during the first year of lifeManuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Background: Rapid weight gain (RWG) during infancy increases the risk of later adiposity and the association between early nutrition and RWG needs to be further studied.

    Objectives: The present study aimed to examine nutrition- and feeding practice-related risk factors for RWG during the first year. 

    Methods: A population-based longitudinal birth cohort study of 1,869 children, classified as having RWG or non-RWG during 0–6 and 6–12 months. RWG was defined as a change > 0.67 in weight standard deviation scores. Associations between nutrition- and feeding practice-related risk factors and RWG were investigated with logistic regression models.

    Results: In the population, 46% had RWG during 0-6 months and 8% during 6-12 months. In the fully adjusted models, bottle feeding at birth, 3-4 and 6 months and nighttime meals containing formula milk at 3-4 months were positively associated with RWG during 0-6 months (p<0.001). Breastfeeding at 3-4 and 6 months was negatively associated with RWG (p<0.01). During 6-12 months, only bottle feeding at 3-4 months was positively associated with RWG (p<0.05).

    Conclusions: RWG was more common during the first 6 months of life, and bottle feeding and formula milk given at night were risk factors for RWG during this period.

  • 27.
    Lindholm, Annelie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Roswall, Josefine
    Department of Pediatrics, The Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Alm, Bernt
    Department of Pediatrics, The Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Almquist-Tangen, Gerd
    Department of Pediatrics, The Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Bremander, Ann
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS).
    Dahlgren, Jovanna
    Department of Pediatrics, The Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Staland Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Bergman, Stefan
    Department of Public Health and Community Medicine, The Primary Health Care Unit at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Body mass index classification misses to identify children with an elevated waist-to-height ratio at 5 years of age2019Ingår i: Pediatric Research, ISSN 0031-3998, E-ISSN 1530-0447, Vol. 85, nr 1, s. 30-32Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:  Abdominal adiposity is an important risk factor in the metabolic syndrome. Since BMI does not reveal fat distribution, waist-to-height ratio (WHtR) has been suggested as a better measure of abdominal adiposity in children, but only a few studies cover the preschool population. The aim of the present study was to examine BMI and WHtR growth patterns and their association regarding their ability to identify children with an elevated WHtR at 5 years of age.

    Methods: A population-based longitudinal birth cohort study of 1540 children, followed from 0 to 5 years with nine measurement points. The children were classified as having WHtR standard deviation scores (WHtRSDS) <1 or ≥1 at 5 years. Student’s t-tests and Chi-squared tests were used in the analyses.

    Results: Association between BMISDS and WHtRSDS at 5 years showed that 55% of children with WHtRSDS ≥1 at 5 years had normal BMISDS (p < 0.001). Children with WHtRSDS ≥1 at 5 years had from an early age significantly higher mean BMISDS and WHtRSDS than children with values <1.

    Conclusions: BMI classification misses every second child with WHtRSDS ≥1 at 5 years, suggesting that WHtR adds value in identifying children with abdominal adiposity who may need further investigation regarding cardiometabolic risk factors.

    © 2018, International Pediatric Research Foundation, Inc.

  • 28.
    Lindholm, Annelie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Roswall, Josefine
    University of Gothenburg, Gothenburg, Sweden.
    Alm, Bernt
    University of Gothenburg, Gothenburg, Sweden.
    Tangen, Gerd Almquist
    University of Gothenburg, Gothenburg, Sweden.
    Bremander, Ann
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS).
    Dahlgren, Jovanna
    University of Gothenburg, Gothenburg, Sweden.
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Bergman, Stefan
    University of Gothenburg, Gothenburg, Sweden.
    Children with Normal Body Mass Index may have an Increased Waist to Height Ratio2017Ingår i: Hormone Research in Paediatrics, ISSN 1663-2818, E-ISSN 1663-2826, Vol. 88, s. 525-526Artikel i tidskrift (Övrigt vetenskapligt)
  • 29.
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Social Inequalities in Mental Health and Illness – the Significance of an Interconnecting, Multi-Factorial and Dynamic Approach2018Konferensbidrag (Refereegranskat)
  • 30.
    Nyman, Carin
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Work-life balance among doctoral students in health and life sciences2018Ingår i: Quality in Postgraduate Research Conference, 2018, s. 183-183Konferensbidrag (Refereegranskat)
    Abstract [en]

    Successful and timely accomplishment of a doctoral education is an important and increasingly addressed issue in PhD programs. Improvement of women’s and men’s education completion rates has been highlighted in an ongoing development of a gender mainstreaming plan in Swedish universities.

    During the last decade the organizational demands in academia have however been intensified. Increased expectations on scientific output in terms of publications in international high- ranked scientific journals together with stricter regulations and routines have imposed more work tasks to be handled with a reported stressful and demanding work situation among doctoral students as a result. The informal prevailing culture that meets the doctoral student in academia is also often characterized by long working hours involving expectations of unlimited work time. The research project, process and outcomes are anticipated to be put in first place.

    Moreover, the traditional concept of work assumes a separation between work and private life where work is expected to be ranked as the primary commitment. Previous research on work- life balance have showed that the situation in academic work places, i.e. often long work hours and comprehensive work demands in combination with high job commitment and high job autonomy, could have an adverse effect on the individual’s possibility to achieve a balanced work-life situation.

    The doctoral education period often collides with the family formation period, including raising children, which makes work- life balance issues even more worth addressing. The proportion of female doctoral students is high in PhD programs in health and life sciences in Sweden as in many other countries. Gender stratification has been reported in relation to responsibility for household and family issues which might influence the ability to achieve a more optimal work-life balance.

    Research has foremost been conducted with a pre-view that interference between work and family are gendered and that the two domains are experienced differently by women and men. The aim of this study is to investigate potential conflicts between work and private life that can arise from academic workload and affect work-life balance in female and male doctoral students. A secondary aim is to describe how an (im)balanced situation may influence doctoral students self-perceived well-being and coping strategies.

  • 31.
    Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Holmquist, Mats
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Delutvärderingsrapport 1 i Individsamverkansteam (IST) Halmstad2015Rapport (Övrigt vetenskapligt)
  • 32.
    Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Holmquist, Mats
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Delutvärderingsrapport 1: Projekt Individsamverkansteam (IST) Kungsbacka2014Rapport (Övrigt vetenskapligt)
  • 33.
    Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Holmquist, Mats
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Delutvärderingsrapport 2: Projekt Individsamverkansteam (IST) Kungsbacka2016Rapport (Övrigt vetenskapligt)
  • 34.
    Rohdén, Helena
    et al.
    Statsvetenskapliga institutionen, Göteborgs Universitet, Göteborg, Sverige.
    Staland Nyman, Carin
    Samhällsmedicin och Folkhälsa, Göteborgs Universitet, Göteborg, Sverige.
    Edström, Maria
    Nationella sekretariatet för genusforskning, Göteborgs Universitet, Göteborg, Sverige.
    Påverkar omsorgsansvar våra åsikter?2012Ingår i: I framtidens skugga / [ed] Lennart Weibull, Henrik Oscarsson & Annika Bergström, Göteborg: SOM-institutet , 2012, s. 107-123Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 35.
    Staland Nyman, Carin
    Socialmedicin, Göteborgs Universitet.
    Domestic workload and multiple roles - epidemiological findings on health and sickness absence in women2009Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 86, nr 6, s. 587-Artikel, recension (Övrigt vetenskapligt)
  • 36.
    Staland Nyman, Carin
    Institutionen för medicin, Göteborgs Universitet.
    Domestic workload and multiple roles: epidemiological findings on health and sickness absence in women2008Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Aim: The objective of this thesis was to analyse the importance of specific exposures in women’s lives to health and sickness absence; more precisely to study the association between domestic work, multiple roles and the experience of being sick-listed, and self-rated health, psychiatric disorders and sickness absence. Method: The thesis was based on two datasets. ‘Women’s health and living conditions’ (WHL) is a cross-sectional study on 1 417 employed women aged 17 to 64 years old. Data was collected with a questionnaire, and register and employee data on sickness absence. ‘Women and alcohol in Göteborg’ (WAG) is a prospective cohort study on 1 799 women in eight age cohorts born from 1925 to 1980. Data was collected with a screening questionnaire, interviews and register-based sickness absence. Several aspects of domestic work, multiple roles and experience of sickness absence were analysed in relation to self-rated health (SF-36), psychiatric disorders (DSM-III and IV) and sickness absence. The study on multiple roles emanated from the role strain and role enhancement hypotheses and roles were analysed as single roles and as combinations of roles. Changes in self-rated physical health were assessed in relation to experience of sickness absence over five year. Cross-sectional and longitudinal analyses were conducted using multivariate regressions analyses. Results: Domestic job strain and a lack of domestic work equity and marital satisfaction were associated with lower self-rated health particularly vitality and mental health. The former was not associated to sickness absence, but the latter was. Women with domestic workload due to children and adults with special needs had higher odds for medium-long sick-leave spells, while parental responsibility gave lower odds for any sick-leave spell. Occupation was related to lower odds for poor self-rated physical health and sickness absence, while the parental role was associated with higher odds for sickness absence. Compared with women who had all three roles women with occupation and partner role had lower odds for negative health outcomes. Support was found for the role strain hypothesis in the cross-sectional analyses of role combinations while neither of the hypotheses was supported in the five year follow up. A lower proportion of those who had experience of being sick-listed reported good health at both baseline and follow up. Women with psychiatric disorders had higher odds for a change from poor to good self-rated physical health over the five years if they had been sick-listed. Conclusion: Domestic workload was associated to health and sickness absence in women, but there were inconsistencies in the findings on children and being a parent and on multiple roles. From a public health perspective, deeper knowledge on the importance of women’s engagement domestic work and its different dimensions is important for promoting women’s health. A multidimensional assessment of domestic work is important and the content and complexity of domestic work and of different roles needs to be further explored in relation to health and sickness absence in women.

  • 37.
    Staland Nyman, Carin
    et al.
    Sahlgrens Acad, Dept Publ Hlth & Community Med, Sect Social Med, Gothenburg, Sweden.
    Alexanderson, K
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.
    Hensing, G
    Sahlgrens Acad, Dept Publ Hlth & Community Med, Sect Social Med, Gothenburg, Sweden .
    Is there an association between strain in domestic work and sickness absence: a study of employed women in Sweden2007Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 17, nr Suppl. 2, s. 232-232Artikel i tidskrift (Övrigt vetenskapligt)
  • 38.
    Staland Nyman, Carin
    et al.
    Social Medicine, Department of Public Health and Community Medicine, The Sahlgrenska Academy at Göteborg University, Sweden.
    Alexanderson, Kristina
    Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Hensing, Gunnel
    Social Medicine, Department of Public Health and Community Medicine, The Sahlgrenska Academy at Göteborg University, Sweden.
    Associations between strain in domestic work and self-rated health: A study of employed women in Sweden2008Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 36, nr 1, s. 21-27Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to analyse the association between strain in domestic work and self-rated health among employed women in Sweden, using two different methods of measuring strain in domestic work. Methods: Questionnaire data were collected on health and living conditions in paid and unpaid work for employed women (n=1,417), aged 17-64 years. "Domestic job strain" was an application of the demand-control model developed by Karasek and Theorell, and "Domestic work equity and marital satisfaction" was measured by questions on the division of and responsibility for domestic work and relationship with spouse/cohabiter. Self-rated health was measured using the SF-36 Health Survey. Associations were analysed by bivariate and multivariate linear regression analyses, and reported as standardized regression coefficients. Results: Higher strain in domestic work was associated with lower self-rated health, also after controlling for potential confounders and according to both strain measures. "Domestic work equity and marital satisfaction" showed for example negative associations with mental health β -0.211 (p<0.001), vitality β -0.195 (p<0.001), social function -0.132 (p<0.01) and physical role β -0.115 (p<0.01). The highest associations between "Domestic job strain" and SF-36 were found for vitality β -0.156 (p<0.001), mental health β -0.123 (p<0.001). Conclusions: Strain in domestic work, including perceived inequity in the relationship and lack of a satisfactory relationship with a spouse/cohabiter, was associated with lower self-rated health in this cross-sectional study. Future research needs to address the specific importance of strain in domestic work as a contributory factor to women's ill-health.

  • 39.
    Staland Nyman, Carin
    et al.
    The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Alexanderson, Kristina
    Karolinska Institutet, Stockholm, Sweden.
    Hensing, Gunnel
    The Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
    Sickness absence in women—what are the associations with domestic work?2008Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 18, nr Suppl. 1, s. 36-36Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Issue

    One explanation put forward for women’s higher sickness absence, is they often have the main responsibility for the domestic work. Studies on the association between health and ‘double burden’ and ‘interactions between paid and unpaid work’, respectively are common. Few have addressed the association with sickness absence and the specific impact of domestic work.

    Description of the problem

    Compared with paid work, measures on exposure to domestic work are scarce and less developed. In previous studies on association between domestic work and sickness absence, different measures, such as number and age of children at home, responsibility for household work, working hours in domestic work, and interference between paid and unpaid work have been used. Results are inconsistent and improved measures have been asked for. In a study on employed women in Sweden, a multidimensional perspective of domestic work was used in constructing different measures of domestic work. No associations were found between sickness absence and ‘domestic job strain’. ‘caring activities related to adults’, ‘caring activities related to children’ and ‘domestic life events or difficulties’ were associated with higher risk of sick-leave spells from 8 to 30 days. Lacking ‘domestic work equity and marital satisfaction’ was associated with a higher risk of a new sick-leave spell during the study period, while ‘parental responsibility’ was associated with lower risk of sick-leave.

    Lessons learned

    Domestic work combines life domains and work tasks with very different meaning and content. A multidimensional assessment of domestic work contributed to identify specific aspects of domestic work that might affect women’s sickness absence, and that might be possible to prevent. Future research needs to improve measures focusing both general and specific domestic work aspects as well as contextual factors so that the complexity of domestic work becomes better defined and operationalized.

  • 40.
    Staland Nyman, Carin
    et al.
    Department of Social Medicine, Sahlgrenska Academy at Göteborg University, Sweden.
    Alexandersson, K
    Department of Clinical Neuroscience at Karolinska Institutet, Stockholm, Sweden.
    Hensing, G
    Department of Social Medicine, Sahlgrenska Academy at Göteborg University, Sweden.
    Household work and self-rated health: a comparison of two different models in a study of gainfully employed women in Sweden2005Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 15, nr Suppl 1, s. 84-84Artikel i tidskrift (Refereegranskat)
  • 41.
    Staland Nyman, Carin
    et al.
    Socialmedicin, Göteborgs Universitet.
    Andersson, Lena
    Socialmedicin, Göteborgs Universitet.
    Spak, Fredrik
    Socialmedicin, Göteborgs Universitet.
    Hensing, Gunnel
    Socialmedicin, Göteborgs Universitet.
    Exploring consequences of sickness absence - a longitudinal study on changes in self-rated physical health2009Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 34, nr 3, s. 315-324Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Women experience sickness absence more often than men, but few studies have addressed the possibility that the sick-leave period itself could be regarded as an exposure with possible positive or negative consequences on health. The aim was to explore the association between experience of sickness absence and self-rated physical health. Interview data from population samples in 1990 and 1995 of women born in 1935, 1945, 1955 and 1965 (n=231) were used. 'Any sick-leave' and 'Long sick-leave' were used as exposure measures and analyzed in relation to change in self-rated physical health with multivariate logistic regression, adjusting for age and prior sickness absence. Separate analyses were performed for women with psychiatric disorders (DSM-III-R) and different level of domestic responsibility. The proportion reporting good health at baseline and follow up were lower when experienced sickness absence compared to those who had not. For women exposed to long sick-leave, the OR for remained poor health were 4.1 (95% CI 1.1-15.4), and for women with psychiatric disorders, the OR for a change from poor to good health was 9.9 (1.7-58.5). Women with high level of domestic responsibility and exposed to long sick-leave, had increased ORs for both a positive and negative change in health. This explorative study contributes to the sparse knowledge of consequences on health of sickness absence. © 2009 - IOS Press and the authors. All rights reserved.

  • 42.
    Staland Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). University of Gothenburg, Gothenburg, Sweden.
    Eriksson, Lena
    University of Gothenburg, Gothenburg, Sweden.
    Hensing, Gunnel
    University of Gothenburg, Gothenburg, Sweden.
    Jakobsson, Annika
    University of Gothenburg, Gothenburg, Sweden.
    Experiences of sickness certification guidelines - An interview study among physicians2013Konferensbidrag (Refereegranskat)
  • 43.
    Staland Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Hensing, Gunnel
    Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Gender differences in self-reported health - the significance of inequality in domestic work2019Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 29, nr Suppl. 4, artikel-id ckz187.201Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Gender difference in health is an important public health issue. Although biological factors contribute, social processes and living conditions create, maintain and exacerbate health differences between women and men. The aim of this study was to examine if lack of equality in domestic work contributes to the explanation of gender differences in self-reported mental well-being, common symptoms and persistent illness.

    Methods: Population based questionnaire data on co-habiting women and men in Sweden, aged 19-64 years (n = 2666), was used. Division of planning and performing domestic work, satisfaction with division of domestic work and equality in partner relationship, were analysed in relation to health outcomes using binary logistic regression analysis with adjustments for age, income, country of birth, occupational class, weekly hours in paid work and number of children.

    Results: Women, compared to men, showed higher odds (OR) for having low mental well-being, OR 1.35 (1.07-1.70), > 7 common symptoms, OR 1.98 (CI 1.59-2.46) and ≥ 1 persistent illness, OR 1.25 (CI 1.06-1.47). When equal partner relationship and planning and performing domestic work were included in the regression, the ORs for mental well-being and persistent illness slightly weakened and decreased to non-significance when satisfaction with division of domestic work were analysed, OR 1.14 (0.99-1.44) and OR 1.18 (0.99-1.39) respectively. Corresponding ORs for common symptoms were almost unchanged throughout the analysis.

    Conclusions: Satisfaction with division of domestic work contributed to explanation of gender differences in persistent illness and notably to differences in mental well-being.

    Key messages:

    • Inequality in domestic work could contribute to explanation of gender difference in health.

    • Satisfaction in division of domestic work is of specific relevance in gender difference in mental health.

    © Staland Nyman & Hensing 2019. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  • 44.
    Staland Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Holmquist, Mats
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Centrum för innovations-, entreprenörskaps- och lärandeforskning (CIEL).
    Delrapport 1 i projekt Individsamverkansteam (IST) Kungsbacka2014Rapport (Övrigt vetenskapligt)
  • 45.
    Staland Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Holmquist, Mats
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Trolle-Schultz Jensen, Jette
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen.
    Urbas, Anders
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för samhällsanalys (CESAM).
    Gaps in the Social Protection System?: A Study on Five Intervention Projects in Welfare Services in Sweden2016Ingår i: SWSD2016, 2016Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: Key actors in the Swedish social protection systems are the social welfare offices, the social insurance offices, the employment services and primary health care services. These actors provide different cash benefits and care services with the aim to protect individuals from poverty, and social exclusion and to reduce social and health inequality. During the last decades, welfare service institutions in Sweden have undergone a development towards stricter regulations; more specialized work organizations and more focus on cost effectiveness which in turn has influenced the provision of services. Earlier reports have identified that individuals with multifaceted social and health problems in need of support from multiple welfare institutions face an increased risk of falling between different support systems. Various projects have, therefore, been introduced in order to increase and deepen the collaboration between responsible institutions. In order to promote sustainable support system for individuals with multifaceted needs the overall objective of this study was to identify favorable forms of collaboration and methods used within the projects and which are possible to implement into the regular institutional settings. In addition potential hindering factors were studied. 

    Methods: The case study followed five municipality based intervention projects, during three years, focusing on individuals, aged 16-64, with multifaceted social and health problems. Interactive research design including interviews, workshops and seminars conducted with team- and steering group members and officials was used.  

    Results: The significance of improved information- and knowledge exchange between the institutions, tailored interventions aiming at a holistic view on the individual and a need for personal coordinators were emphasized. 

    Implications for Social Work and Social Development practiceServices running from the individuals´ needs, rather than from organizational structures within and between the institutions, have to be promoted. Measures offering a pre-institutional service with institutions in close collaboration could be of interest.

  • 46.
    Staland Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Löve, Jesper
    Sahlgrenska Akademin, Göteborgs Universitet, Göteborg, Sverige.
    Betydelse av ojämlika livsvillkor för hälsa, sjukskrivning och återgång i arbete2015Ingår i: Återgång i arbete: Processer, bedömningar, åtgärder / [ed] Kerstin Ekberg, Mona Eklund & Gunnel Hensing, Lund: Studentlitteratur AB, 2015, s. 203-218Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Skillnader i livsvillkor mellan olika socioekonomiska grupper och mellan kvinnor och män utgör en viktig kunskap då man vill förstå ojämlikhet i hälsa, sjukskrivning och återgång i arbete. Med utgångspunkt i en modell ursprungligen utvecklad av av Diderichsen och Hallqvist (1998) illustreras i detta kapitel hur formella och informella samhällsstrukturer bidrar till människors olika sociala positioner. Dessa positioner leder i sin tur till att människor i olika grad möter hälsofrämjande respektive hälsofarliga situationer och påverkar därigenom även förekomsten av sjukdom. Då även konsekvenserna av sjukdom påverkas av sociala positioner kan modellen också bidra till förståelse av ojämlikhet i sjukskrivning och återgång i arbete. Även inom klinisk verksamhet kan medvetenhet om och förståelse av de processer vi beskriver i kapitlet öka förståelsen för enskilda personers situation, men också bidra till kunskap om hur rehabiliteringsinsatser bör utformas för att de ska få en så god effekt som möjligt gör återgång i arbete. 

  • 47.
    Staland Nyman, Carin
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nilsén, Åke
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Perspectives on health and well-being in social sciences2016Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, artikel-id 31468Artikel i tidskrift (Refereegranskat)
  • 48.
    Staland Nyman, Carin
    et al.
    Unit of Social Medicine, Department of Public Health and Community Medicine, The Sahlgrenska Academy at University of Gothenburg, Sweden.
    Spak, Lena
    Unit of Social Medicine, Department of Public Health and Community Medicine, The Sahlgrenska Academy at University of Gothenburg, Sweden.
    Hensing, Gunnel
    Unit of Social Medicine, Department of Public Health and Community Medicine, The Sahlgrenska Academy at University of Gothenburg, Sweden.
    Are there any associations between single and/or multiple social roles and self-rated physical health, psychiatric disorder and long-term sickness absence in women?2012Ingår i: italian journal of public health, ISSN 1723-7815, Vol. 9, nr 1, s. 80-88Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The relationship between single and/or multiple social roles that women hold (occupational, partner, and parent) and health and sickness absence is an important public health issue. Few studies on the social roles held by women have been performed in the Swedish context of gender equality. The aim of this study was to analyse associations between occupational, partner and parent roles (and combinations of these roles) and their relation to self-rated physical health, psychiatric disorders and long-term sickness absence in a population based sample of women in Sweden. Methods: Women born in 1935, 1945, 1955, 1965, 1970 or 1975 (n=600) were interviewed at baseline and five years later. Cross-sectional data were analysed with multivariate logistic regression analysis adjusted for age, socio-economic position, alcohol dependence and abuse. Results: An occupational role was associated with lower odds for poor self-rated physical health, 0.28 (0.10-0.82), and sickness absence, 0.25 (0.10-0.86). A partner role was associated with lower odds for psychiatric disorder, 0.58 (0.35-0.98) while a parental role (children < 14 years) was associated with higher odds for sickness absence, 4.17 (1.86-9.38). The combination of holding an occupational and partner role was associated with lower odds for health outcomes compared with having three roles. Conclusion: Holding an occupational and partner role was related to lower odds for poor self-rated physical health, psychiatric disorder and long-term sickness absence, while having a parental role was adversely related to sickness absence. Results are important in the light of discussions on reconciliation of work and family, and are of interest in countries with high or increasing female labour force participation.

  • 49.
    Staland Nyman, Carin
    et al.
    Department of Public Health and Community Medicine, Institute of Medicine, Gothenburg, Sweden.
    Spak, Lena
    Department of Public Health and Community Medicine, Institute of Medicine, Gothenburg, Sweden.
    Hensing, Gunnel
    Department of Public Health and Community Medicine, Institute of Medicine, Gothenburg, Sweden.
    Multiple roles, health and sickness absence – A five year follow-up study on women in Sweden2011Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 21, nr Suppl. 1, s. 275-276Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Labour force participation among women in Sweden is high and many women are combining a professional role with a role as partner and parent. The effect of multiple social roles on women’s health is thus an important public health issue. Multiple social roles and health is also likely to be influenced by cultural and social contexts and welfare support. Two contrasting hypotheses have been put forward; ‘role strain’ i.e. increased demands and conflicts with stress as a result and ‘role enhancement’ i.e. increased access to benefits with positive influence on health. However, few prospective studies have been performed and the aim of this study was to analyse longitudinal associations between changes in number of social roles over a five year follow-up in relation to self-rated physical health, psychological wellbeing, psychiatric disorder and long-term sickness absence.

    Methods

    Data was derived from a population-based longitudinal cohort. Women with an occupational role (gainfully employed or students) born in 1935, 1945, 1955, 1965, 1970 and 1975 (N =532) were interviewed with a five year follow-up. Occupational, partner and parental roles were assessed. Self-rated information on physical health, psychological wellbeing and long term sickness absence was used, while information on psychiatric disorder was based on structured diagnostic questions at the interviews according to the Diagnostic and Statistical Manual of Mental Disorders DSM-III-R and DSM-IV. Analyses were performed by multivariate logistic regression.

    Results

    An increased number of social roles was associated with lower odds for poor psychological well-being, OR 0.43 (CI 0.26–0.72), and for psychiatric disorders, OR 0.67 (0.45–0.99) at follow-up when adjusted for age, socio-economic position, alcohol dependence and abuse and health at baseline. No significant associations were found in relation to poor physical self-rated health and long-term sickness absence and changes in social roles.

    Conclusions

    This study contributed to the knowledge on longitudinal associations between multiple roles and health. The result indicated that an increased number of social roles were positive in relation to women’s mental health and gave to some extent support for the role enhancement hypothesis.

  • 50.
    Staland Nyman, Carin
    et al.
    Samhällsmedicin och Folkhälsa, Göteborgs Universitet.
    Spak, Lena
    Samhällsmedicin och Folkhälsa, Göteborgs Universitet.
    Hensing, Gunnel
    Samhällsmedicin och Folkhälsa, Göteborgs Universitet.
    Multiple Social Roles, Health, and Sickness Absence-A Five-Year Follow-Up Study of Professional Women in Sweden2012Ingår i: Women & health, ISSN 0363-0242, E-ISSN 1541-0331, Vol. 52, nr 4, s. 336-351Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to analyze associations between changes in social roles and physical health, mental well-being, psychiatric disorder, and long-term sickness absence over a five-year period. The study was part of a general population-based multipurpose project. Professional women from six birth cohorts born in 1935, 1945, 1955, 1965, 1970, or 1975 (N = 532) were interviewed twice. Self-rated information on physical health, mental well-being, long-term sickness absence, and changes in social roles was used. Information on psychiatric disorders was based on Diagnostic and Statistical Manual of Mental Disorders-III-R and Diagnostic and Statistical Manual of Mental Disorders-IV diagnoses. Multivariate logistic regressions were adjusted for age, socio-economic position, alcohol dependence and abuse, and health at baseline. An increase in number of social roles was associated with lower odds for poor mental well-being, odds ratio (OR) 0.4 (confidence interval [CI] 0.2 to 0.8), while a decrease was associated with higher odds for poor mental well-being, OR 4.5 (CI 1.8 to 11.0), psychiatric disorder, OR 2.6 (1.0 to 6.8), and sickness absence, OR 4.4 (1.6 to 11.7). The results indicated that an increase in number of social roles might be protective against poor mental well-being, while a decrease in number of roles might be related to increased psychiatric disorders and long-term sickness absence. More studies on long-term health implications of gender-specific experiences are needed. © 2012 Taylor and Francis Group, LLC.

12 1 - 50 av 58
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf