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Backe, Stefan
Publications (10 of 13) Show all publications
Backe, S. (2014). Safety promotion and injury surveillance with special focus on young people´s club sports: Challenges and possibilities. (Doctoral dissertation). Karlstad: Karlstad University Press
Open this publication in new window or tab >>Safety promotion and injury surveillance with special focus on young people´s club sports: Challenges and possibilities
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Physical activity in youth has many benefits, but parallel to these benefits, sport related injuries pose considerable risks.  It is important to public health to address sport related injuries, particularly those affecting young people, who comprise the majority of participants in organised sport in Sweden. 

The first study in this research showed that inspections of local sport environments, where injuries often occur, did not occur uniformly. Two additional studies pointed out the need for better surveillance of injuries, and described the use of ambulance attendance reports as a possible improvement to current surveillance systems, with a possibility to improve safety for youth and other sport participants. Two other studies identify risk factors that were specific to football and climbing sports, which can be used to guide targeted safety interventions for the young participants of these sports. 

The studies, taken as a whole, provide new information about the factors associated with sport related injuries, particularly for young people, and point out the need for better sport injury surveillance, improved inspection strategies for fields maintained by organised sport clubs in local communities, and the need to address risk factors specific to different sport activities.

Place, publisher, year, edition, pages
Karlstad: Karlstad University Press, 2014. p. 83
Series
Karlstad University Studies, ISSN 1403-8099 ; 2014:61
Keywords
Climbing injury, Injury surveillance, Sport safety policies, Safety inspections, Self-reported health, Sport injury.
National Category
Medical and Health Sciences
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-34429 (URN)978-91-7063-601-1 (ISBN)
Public defence
2014-12-12, Fryxellsalen, 1B 306, Karlstads universitet, Karlstad, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2014-11-17 Created: 2014-10-16 Last updated: 2014-11-18Bibliographically approved
Backe, S., Janson, S. & Timpka, T. (2012). Governance and implementation of sports safety practices by municipal offices in Swedish communities. International Journal of Injury Control and Safety Promotion, 19(2), 163-169
Open this publication in new window or tab >>Governance and implementation of sports safety practices by municipal offices in Swedish communities
2012 (English)In: International Journal of Injury Control and Safety Promotion, ISSN 1745-7300, E-ISSN 1745-7319, Vol. 19, no 2, p. 163-169Article in journal (Refereed) Published
Place, publisher, year, edition, pages
London: Taylor & Francis, 2012
Keywords
sport safety, safety policies, case study research methods, safety inspections
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:kau:diva-33796 (URN)10.1080/17457300.2011.635212 (DOI)000304481300011 ()22126404 (PubMedID)
Available from: 2014-09-23 Created: 2014-09-23 Last updated: 2017-12-05Bibliographically approved
Dahlström, Ö., Backe, S., Ekberg, J., Janson, S. & Timpka, T. (2012). Is "football for all" safe for all?: Cross-Sectional Study of Disparities as Determinants of 1-Year Injury Prevalence in Youth Football Programs. PLoS ONE, 7(8), 1-7
Open this publication in new window or tab >>Is "football for all" safe for all?: Cross-Sectional Study of Disparities as Determinants of 1-Year Injury Prevalence in Youth Football Programs
Show others...
2012 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 7, no 8, p. 1-7Article in journal (Refereed) Published
Abstract [en]

Football (soccer) is endorsed as a health-promoting physical activity worldwide. When football programs are introduced as part of general health promotion programs, equal access and limitation of pre-participation disparities with regard to injury risk are important. The aim of this study was to explore if disparity with regard to parents' educational level, player body mass index (BMI), and self-reported health are determinants of football injury in community-based football programs, separately or in interaction with age or gender.

Methodology/Principal Findings

Four community football clubs with 1230 youth players agreed to participate in the cross-sectional study during the 2006 season. The study constructs (parents' educational level, player BMI, and self-reported health) were operationalized into questionnaire items. The 1-year prevalence of football injury was defined as the primary outcome measure. Data were collected via a postal survey and analyzed using a series of hierarchical statistical computations investigating associations with the primary outcome measure and interactions between the study variables. The survey was returned by 827 (67.2%) youth players. The 1-year injury prevalence increased with age. For youths with parents with higher formal education, boys reported more injuries and girls reported fewer injuries than expected; for youths with lower educated parents there was a tendency towards the opposite pattern. Youths reporting injuries had higher standardized BMI compared with youths not reporting injuries. Children not reporting full health were slightly overrepresented among those reporting injuries and underrepresented for those reporting no injury.

Conclusion

Pre-participation disparities in terms of parents' educational level, through interaction with gender, BMI, and self-reported general health are associated with increased injury risk in community-based youth football. When introduced as a general health promotion, football associations should adjust community-based youth programs to accommodate children and adolescents with increased pre-participation injury risk.

Place, publisher, year, edition, pages
Plosone.org, 2012
Keywords
soccer, safety, injury risk, self report general health, gender, BMI
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-33795 (URN)10.1371/journal.pone.0043795 (DOI)000308286300091 ()
Funder
Swedish National Centre for Research in Sports, 2007/82
Available from: 2014-09-23 Created: 2014-09-23 Last updated: 2017-12-05Bibliographically approved
Backe, S., Ericson, L., Timpka, T. & Janson, S. (2008). Injuries in rock climbing: An epidemiological study of the Swedish climber population. Paper presented at Studien kommer att presenteras vid 9th World Conference on Injury Prevention and Safety Promotion, March 15-18, Merida, Mexico 2008. Paper presented at Studien kommer att presenteras vid 9th World Conference on Injury Prevention and Safety Promotion, March 15-18, Merida, Mexico 2008.
Open this publication in new window or tab >>Injuries in rock climbing: An epidemiological study of the Swedish climber population
2008 (English)Conference paper, Published paper (Refereed)
Abstract [en]

Objective.

The popularity of rock climbing is increasing worldwide, both as a recreational physical activity and as a competitive sport. By its nature, rock climbing is associated with injury risks. We aimed to examine typical injury patterns in a representative sample from a total population of climbers.



Material and methods.

A mail survey was distributed to a random sample consisting of 10 % of the Swedish Climbing Association membership (597/6067 persons). Self-reported information about climbing history, safety practices, and retrospective accounts of injury events were obtained.



Results.

The annual incidence of overuse injuries was 280/1000 climber years. Inflammatory tissue damage to the fingers and wrists were most common injury types. Men and climbers practising bouldering or sport climbing reported more overuse injuries. The incidence of acute injuries was considerably lower (25/1000 climber years). Men were represented twice as often as women in this group. Twenty-four percent of climbers reporting overuse injuries also suffered an incident or acute injury that same year. The largest number of acute injuries occurred during traditional climbing. These injuries were commonly localised to the feet and ankles. The most frequent cause reported to explain the acute injuries was the human factor, i.e. mistakes or lapses.



Discussion and conclusions.

Overuse injuries are common among climbers, while acute injuries are less common but can lead to long absence from climbing. Both types of injuries can be reduced by focussed prevention programs. While overuse injuries can be reduced by a better balance between climbing activity and rest, systematic information about safety practices and participation in mandatory first aid and climbing rescue courses can reduce acute injuries and their consequences.

Keywords
Rock climbing, general climbing population, associated risk factors, climbing injury, safety practices
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-20397 (URN)
Conference
Studien kommer att presenteras vid 9th World Conference on Injury Prevention and Safety Promotion, March 15-18, Merida, Mexico 2008
Note

Distrubution: Oral presentation at 9th World Conference on Injury Prevention and Safety Promotion, March 15-18, Merida, Mexico 2008

Available from: 2013-01-21 Created: 2013-01-21 Last updated: 2013-01-21
Backe, S. & Andersson, R. (2008). Monitoring the "tip of the iceberg": Ambulance records as a source of injury surveillance. Scandinavian Journal of Public Health (36), 250-257
Open this publication in new window or tab >>Monitoring the "tip of the iceberg": Ambulance records as a source of injury surveillance
2008 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, no 36, p. 250-257Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of this study was to describe the epidemiology of moderate and severe injury morbidity in a defined population based on ambulance records, and to validate ambulance records as a potential source of surveillance.Methods: A geographical target area was defined; the county of Värmland, Sweden. All ambulance attendances and hospitalisations for unintentional and intentional injury in 2002 were selected, analysed and compared.Results: Ambulance data comprised 3964 injury cases (14.5/1000). Most injuries for which ambulance attention was sought occurred in road traffic areas (27 %), followed by residential areas (20 %), school and institutional areas (14 %) and sports areas (8 %). An ecological comparison between ambulance based data and hospitalisations showed that ambulance services captured approximately the same amount of injury cases (3235 ambulance reports compared to 3456 hospital discharges) with a similar profile.Conclusions: This study provides epidemiological support for ambulance services as a potential source of regular surveillance data on moderate and severe injuries. However, at a population level, our results indicate that ambulance data tend to overestimate some injury categories, and underestimate others, compared to hospital data. The significance of these differences for preventive work, as well as other practical aspects of the feasibility for regular injury surveillance will be analysed and discussed on the basis of general criteria for evaluation of surveillance systems in a forthcoming paper.

Place, publisher, year, edition, pages
Sage Publications, 2008
Keywords
Injury, Morbidity, Surveillance, Prevention, Ambulance medical records, Hospital discharge registers
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-21576 (URN)10.1177/1403494807086973 (DOI)
Available from: 2013-01-21 Created: 2013-01-21 Last updated: 2017-12-06Bibliographically approved
Backe, S., Ericson, L., Timpka, T. & Janson, S. (2008). Rock climbing injury rates and associated risk factors in a general climbing population. Paper presented at 2nd World Congress on Sports Injury prevention, June 26-28 2008, Tromsø, Norway. Scandinavian Journal of Medicine and Science in Sports (19), 850-856
Open this publication in new window or tab >>Rock climbing injury rates and associated risk factors in a general climbing population
2008 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, no 19, p. 850-856Article in journal (Refereed) Published
Place, publisher, year, edition, pages
John Wiley & Sons, 2008
Keywords
rock climbing, generla climbing populations, associated risk factors, injury, safety
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-23134 (URN)10.1111/j.1600-0838.2008.00851.x (DOI)
Conference
2nd World Congress on Sports Injury prevention, June 26-28 2008, Tromsø, Norway
Note

Distrubution: Abstracts will be published in the June issue of the British Journal of Sports Medicine

Available from: 2013-01-22 Created: 2013-01-22 Last updated: 2017-12-06Bibliographically approved
Johansson, A., Strömgren, M. & Backe, S. (2006). Hantering av risk- och säkerhetsfrågor i svenska kommuner: Resultatet från en enkätundersökning. Karlstad: Räddningsverket, NCO
Open this publication in new window or tab >>Hantering av risk- och säkerhetsfrågor i svenska kommuner: Resultatet från en enkätundersökning
2006 (Swedish)Report (Refereed)
Abstract [sv]

Flertalet olyckor inträffar i människors vardagsliv inom trafik, boende, fritidsverksamhet, offentliga miljöer, osv. Dessa miljöer utgör också arenor för en mängd andra risker (sjukdomar, brottslighet, miljöförstöring, m m). Det finns därför anledning att försöka skapa en samlad bild av hur svenska kommuner idag hanterar risker ur olika synvinklar: Vilka typer av risker hanteras? Vilka metoder och verktyg används? Hur samverkar man mellan olika sektorer/aktörer och visavi medborgarna? Dessa frågeställningar bildar bakgrund till den enkätundersökning som genomfördes våren 2005 och som här presenteras översiktligt.



Enkäten vände sig till ett strategiskt urval bland landets kommuner och sektorsområden. Totalt omfattades 1300 respondenter i 73 kommuner. Svarsfrekvensen varierade mellan kommuner och sektorsområden, men sammantaget har ett flertal svar inkommit från samtliga kommuner i urvalet vilket gör att resultaten ändå ger en bred belysning av kommunernas riskhantering.



Den bild som framträder av kommunernas risk- och säkerhetsarbete visar att säkerhets- och trygghetsfrågorna är en viktig del av respondenternas dagliga yrkesutövning. De typer av risker, skador, olyckor eller störningar som de främst hanterar är; Skadegörelse, Brand i offentliga lokaler och Olyckor med farliga ämnen (fasta anläggningar).



De metoder, verktyg eller underlag som respondenterna säger sig använda som stöd för att öka säkerheten i kommunen är framförallt: Riskinventeringar, Riskanalyser och Skyddsronder. De miljöer som respondenterna anger att deras förvaltning/funktion vanligen deltar i när det gäller inventering av risker är främst: Trafik och Skola och barnomsorg.



De aktörer som respondenterna framhåller som medverkande i säkerhets- och trygghetsarbetet är framförallt: Räddningstjänsten, Teknisk förvaltning, Miljö och hälsa, Kommunledningen, Fysisk planering, Polisen och Socialtjänsten.



Det framgår i studien att de undersökta förvaltningarna/funktionerna till stor del deltar i någon form av planering, förberedelse eller övning inför eventuella olyckor i sitt verksamhetsområde (ca 70 % av svaren) och de aktörer som oftast medverkar då uppges vara: Kommunal räddningstjänst, Krisgrupp och Polisen. Respondenterna anger också att deras förvaltning/funktion framförallt deltar i samhällsplaneringens arbete för att främja säkerhet och trygghet genom: remissbehandling, planeringsunderlag, expertutlåtande och samråd.



Ca 75 % av respondenterna säger att det finns ett kommunövergripande handlingsprogram eller planer som syftar till att främja säkerheten och tryggheten för medborgarna. Av dessa svarar 86 % att deras förvaltning/funktion har i någon form medverkat vid framtagandet av programmet eller planen eller lämnat synpunkter på den.



Respondenterna anger att för den egna förvaltningens/funktionens skadeförebyggande och säkerhetsfrämjande arbete är Samarbete/samverkan och Interna arbetsrutiner viktigast för det skadeförebyggande och säkerhetsfrämjande arbetet. Den samverkans- eller kontaktform som förefaller vara vanligast vid samverkan med andra förvaltningar/funktioner är framförallt personliga kontakter mellan tjänstemän (ca 65 % ansåg att det var mycket viktigt). Över hälften av respondenterna säger sig ha kontakt minst 1 gång månaden med annan kommunal förvaltning/funktion när det gäller säkerhets- och trygghetsrelaterade frågor.



Intressant när det gäller respondenternas syn på sin förvaltnings/funktions samarbete och samverkan när det gäller säkerhets- och trygghetsarbete är att: 92 % anser att de själva är bra på att samarbeta med andra kommunala förvaltningar, trots detta håller 23 % inte med om att de är bra på att dela med sig av sina kunskaper till andra kommunala förvaltningar. Vidare anser 73 % att de arbetar tvärsektoriellt, samtidigt som 23 % inte håller med om att de arbetar aktivt för att öka mångfalden av perspektiv. Intressant i sammanhanget är även att 90 % säger sig vara öppna och lyhörda för omvärldens idéer, synpunkter och kritik.



Hälften av respondenterna svarar att deras förvaltning/funktion använder någon form av statistik till hjälp för att identifiera riskfyllda miljöer eller riskutsatta personer. Noterbart är dock att mindre än 20 % av respondenterna på en annan fråga säger sig använda: Underlag från ambulanstjänst, Skaderegistrering vid vårdcentraler, RPS trygghetsundersökning och Skaderegistrering vid lokal akutmottagning. (Det bör dock påpekas att statistik från skaderegistrering inte är tillgänglig i alla undersökta kommuner).



De problemområden medborgarna bjudits in till diskussion om rör framförallt: Trafikfarliga miljöer, Skadegörelse och Drogmissbruk. Kontakten med medborgarna när det gäller risk, säkerhet och trygghetsfrågor anges främst ske via Intresseorganisationer och Ideella föreningar.



Fördjupade analyser av undersökningsresultaten kommer att publiceras separat.

Place, publisher, year, edition, pages
Karlstad: Räddningsverket, NCO, 2006
Keywords
Risk, Hälsa, Säkerhet, Trygghet, Skada, Olycka
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-19893 (URN)9172533102 (ISBN)
Note

Distrubution: Rapporten kan beställas via Räddningsverket, Nationellt centrum för lärande från olyckor. Beställningsnummer I99-136/06

Available from: 2013-01-21 Created: 2013-01-21 Last updated: 2013-01-21
Backe, S. (2004). Ambulance medical records: An investigation of the usefulness of ambulance log data as a source for injury surveillance.
Open this publication in new window or tab >>Ambulance medical records: An investigation of the usefulness of ambulance log data as a source for injury surveillance
2004 (English)Conference paper, Published paper (Other (popular science, discussion, etc.))
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-16849 (URN)
Available from: 2013-01-21 Created: 2013-01-21 Last updated: 2013-01-21
Backe, S. (2004). Ensuring sustainability of community based safety promotion programs: What can be learned from the literature?.
Open this publication in new window or tab >>Ensuring sustainability of community based safety promotion programs: What can be learned from the literature?
2004 (English)Conference paper, Published paper (Refereed)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-18910 (URN)
Available from: 2013-01-21 Created: 2013-01-21 Last updated: 2013-01-21
Backe, S. (2003). Systematiskt kommunbaserat säkerhetsarbete: Samlad kunskap om hinder och möjligheter för en uthållig programledning och skaderegistrering. Karlstad: Karlstads universitet
Open this publication in new window or tab >>Systematiskt kommunbaserat säkerhetsarbete: Samlad kunskap om hinder och möjligheter för en uthållig programledning och skaderegistrering
2003 (Swedish)Report (Other academic)
Abstract [sv]

Introduction.

In Nordic Countries, several community-based accident prevention studies according to a Safe Community Model, have been undertaken over the last 20 years with promising results (15-30% decreased injury rate).

The model has also been applied outside the Nordic countries without the same replication of good results. This raises questions about the principal components for success and sustainability, both about the process and the outcome in the long run, are. For example, What factors contribute to the ability of partnership to create community and system changes in the lung run?



Purpose. Based on systematically review of international scientific literature on collaborative partnership for community-based Health Promotion and Safety Promotion summaries, the factors that may have affected sustainability and maintenance of such local program will be discussed.



Method. A search of relevant literature relied on the electronic journal databases has been conducted. Key words were community participation or community mobilization in combination with public health or community networks and accident prevention/s or health promotion and evaluation studies or/and maintenance. An overview of the abstacts of just over 500 publications, published 1970 2002, was undertaken.



Results. Following this overview, strategic issues are discussed, including a summary of lessons learned. Examples of processes and activities from the literature about collaborative partnership for Community-based Safety Promotion at the local level will be presented according to 1. sustainability and maintenance of Health Promotion- or Safety Promotion program, 2. successful strategies for long-term sustainability of injury surveillance systems.



Conclusions. The overview concludes, the need for more research about public health process studies. There is also a need to integrate the evaluation of activities more closely into the process of program development.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2003
Series
13th International Conference on Safe Communities, Prague, 2004
Keywords
Community-based accident prevention, Safe Community, Health Promotion, Safety Promotion, Evaluation studies, Sustainability and Maintenance
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-24088 (URN)
Note

Distrubution: Via avdelningen för Folkhälsovetenskap,, Karlstads universitet

Available from: 2013-01-22 Created: 2013-01-22 Last updated: 2013-01-22
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