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Jonsson, Anders
Publications (10 of 15) Show all publications
Jonsson, A. & Jaldell, H. (2020). Identifying sociodemographic risk factors associated with residential fire-related fatalities: A matched case control study. Injury Prevention (2), 147-152
Open this publication in new window or tab >>Identifying sociodemographic risk factors associated with residential fire-related fatalities: A matched case control study
2020 (English)In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, no 2, p. 147-152Article in journal (Refereed) Published
Abstract [en]

Objectives: This study aimed to investigate the association between sociodemographic factors and residential fire fatalities in Sweden. A majority of fatal fires occur in housing. An understanding of risk factors and risk groups is a must for well-Founded decisions regarding targeted prevention efforts. There is a lack of consideration of the interrelation between sociodemographic factors and fire fatalities and there is a lack of high quality large-Scale studies. Methods: In this matched case-Control study, residential fire fatalities (cases, n=850) (age above 19 years old) were identified in the national register on fatal fires. Four controls per case were randomly matched by gender and age. ORs were calculated to assess the association between different sociodemographic factors with residential fire fatalities using conditional logistic regression. Results: Having low income, receiving social allowance and receiving health-Related early retirement pension were associated with an increased risk of dying in residential fires. The results also show clearly that adults dying in residential fires to a significantly lower extent were living together with a partner, were in work, were highly educated and lived in urban areas. However, contrary to previous research, living in rented apartments appeared not to influence the risk of death. Conclusions: In this study, we show that fatalities due to residential fires in Sweden are associated with some but not all of previously published sociodemographic risk factors. The results provide valuable information that can improve the guiding and targeting of fire mortality prevention strategies in Sweden.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2020
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Risk and Environmental Studies
Identifiers
urn:nbn:se:kau:diva-67026 (URN)10.1136/injuryprev-2018-043062 (DOI)000446617400044 ()
Note

Artikeln ingick som manuskript i Jonssons doktorsavhandling Dödsbränder i Sverige: En analys av datakvalitet, orsaker och riskmönster.

Available from: 2018-04-17 Created: 2018-04-17 Last updated: 2020-03-31Bibliographically approved
Nilson, F. & Jonsson, A. (2019). Elolyckor i Sverige. Karlstads universitet
Open this publication in new window or tab >>Elolyckor i Sverige
2019 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Karlstads universitet, 2019. p. 28
Series
Arbetsrapport
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-72054 (URN)
Available from: 2019-05-16 Created: 2019-05-16 Last updated: 2019-11-21Bibliographically approved
Jonsson, A. (2018). Dödsbränder i Sverige: En analys av datakvalitet, orsaker och riskmönster. (Doctoral dissertation). Karlstad: Karlstads universitet
Open this publication in new window or tab >>Dödsbränder i Sverige: En analys av datakvalitet, orsaker och riskmönster
2018 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Fire-related deaths in Sweden : An analysis of data quality, causes and risk patterns
Abstract [sv]

Risken att omkomma genom brand har mer än halverats under de senaste 60 åren i Sverige. Det är idag mycket ovanligt att små barn omkommer i brand men samma positiva utveckling kan inte ses för de äldre. En åldrande befolkning som i ökande omfattning förväntas bo kvar hemma innebär att denna grupp måste prioriteras i framtida brandskyddsarbete. Sambearbetning av data från tre nationella register visar att rutinmässigt framtagen statistik systematiskt underskattar den verkliga situationen. Män, äldre, ensamboende och ekonomiskt svaga är särskilt riskutsatta grupper att omkomma vid bostadsbränder och förekomst av alkohol bland offren är mycket vanligt. Den i särklass vanligaste brandorsaken är rökning. Trots att varje dödsbrand är unik kan det omfattande materialet beskrivas av relativt få och tydligt avgränsade typer av händelser som var och en måste mötas med relevanta preventiva insatser. Avhandlingen visar att dödsbränder i bostäder i huvudsak är ett socialt problem och att det kommer att krävas uthålliga och breda strategier, bestående både av sociala och tekniska åtgärder för att skydda de mest riskutsatta och sårbara människorna i samhället.

Abstract [en]

In Sweden, more than 100 people die in fires every year and there is a societal goal of decreasing the risk of fire-related deaths. A goal-orientated prevention approach needs to be credibly underpinned with an understanding of the extent of the problem, its causes and risk factors, aspects that have largely been missing in Sweden. Therefore, the purpose of this thesis was to analyze fatal fires and fatalities in Sweden from an epidemiological perspective. The historical trends show that the risk of dying due to fire has decreased by more than 50% over the last 60 years in Sweden, with the largest decline being seen amongst children. In Sweden today, the risk of young children dying in a fire is very low. However, the risk of dying in fires has not declined to the same extent among elderly. In light of the aging Swedish population, older people must therefore be a priority in future fire protection. To investigate fire fatalities, data from three different national registers were combined. By combining the three sources, it was clear that the present routine statistics systematically underestimate the true situation. In-depth analysis regarding residential fires show that men and elderly are particularly at risk, as well as people living alone, as well as those on low income, social security benefits and health-related early-retirement benefits. The most common cause of fire was smoking and the presence of alcohol among the victims was very common. When combined, the extensive material can be simplified and described by well-defined clusters that each can be meet with relevant preventive efforts. Crucially, however, it is clear that mortality in residential fires is essentially a social problem and improving the protection of the most vulnerable people in society needs to be ascertained through sustained and holistic strategies, consisting of both social and technical measures. To establish and facilitate this, a cross-sectoral approach within municipalities and central government is needed.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2018. p. 83
Series
Karlstad University Studies, ISSN 1403-8099 ; 2018:18
Keywords
Fire, Risk, Mortality, Epidemiology, Brand, Risk, Mortalitet, Epidemiologi
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Risk and Environmental Studies
Identifiers
urn:nbn:se:kau:diva-67023 (URN)978-91-7063-851-0 (ISBN)978-91-7063-946-3 (ISBN)
Public defence
2018-05-18, 21A342, Eva Erikssonsalen, 13:00 (Swedish)
Opponent
Supervisors
Note

Artikel 4 ingick som manuskript i avhandlingen, nu publicerad.

Available from: 2018-04-27 Created: 2018-04-17 Last updated: 2019-04-05Bibliographically approved
Jonsson, A., Nilson, F., Bonander, C. & Huss, F. (2018). Seriously injured due to residential fires in sweden. Paper presented at World Safety Conference 2018. Injury Prevention, 24, A16-A16, Article ID PA 07-5-25.
Open this publication in new window or tab >>Seriously injured due to residential fires in sweden
2018 (English)In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 24, p. A16-A16, article id PA 07-5-25Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Risk and Environmental Studies
Identifiers
urn:nbn:se:kau:diva-69464 (URN)10.1136/injuryprevention-2018-safety.44 (DOI)000446617400045 ()
Conference
World Safety Conference 2018
Available from: 2018-10-03 Created: 2018-10-03 Last updated: 2019-03-07Bibliographically approved
Jonsson, A., Lundqvist, M., Gell, T. & Andersson, R. (2017). Identifying schools at risk of fire-setting. Security Journal, 30(1), 153-161
Open this publication in new window or tab >>Identifying schools at risk of fire-setting
2017 (English)In: Security Journal, ISSN 0955-1662, E-ISSN 1743-4645, Vol. 30, no 1, p. 153-161Article in journal (Refereed) Published
Keywords
school fires; juvenile fire-setting; arson
National Category
Public Health, Global Health, Social Medicine and Epidemiology Other Social Sciences not elsewhere specified
Research subject
Risk and Environmental Studies
Identifiers
urn:nbn:se:kau:diva-30293 (URN)10.1057/sj.2014.40 (DOI)000394522800010 ()
Available from: 2013-11-27 Created: 2013-11-27 Last updated: 2017-10-19Bibliographically approved
Jonsson, A., Bonander, C., Nilson, F. & Huss, F. (2017). The state of the residential fire fatality problem in Sweden: Epidemiology, risk factors, and event typologies. Journal of Safety Research, 62, 89-100
Open this publication in new window or tab >>The state of the residential fire fatality problem in Sweden: Epidemiology, risk factors, and event typologies
2017 (English)In: Journal of Safety Research, ISSN 0022-4375, E-ISSN 1879-1247, Vol. 62, p. 89-100Article in journal (Refereed) Published
Abstract [en]

Introduction

Residential fires represent the largest category of fatal fires in Sweden. The purpose of this study was to describe the epidemiology of fatal residential fires in Sweden and to identify clusters of events.

Method

Data was collected from a database that combines information on fatal fires with data from forensic examinations and the Swedish Cause of Death-register. Mortality rates were calculated for different strata using population statistics and rescue service turnout reports. Cluster analysis was performed using multiple correspondence analysis with agglomerative hierarchical clustering.

Results

Male sex, old age, smoking, and alcohol were identified as risk factors, and the most common primary injury diagnosis was exposure to toxic gases. Compared to non-fatal fires, fatal residential fires more often originated in the bedroom, were more often caused by smoking, and were more likely to occur at night. Six clusters were identified. The first two clusters were both smoking-related, but were separated into (1) fatalities that often involved elderly people, usually female, whose clothes were ignited (17% of the sample), (2) middle-aged (45–64 years old), (often) intoxicated men, where the fire usually originated in furniture (30%). Other clusters that were identified in the analysis were related to (3) fires caused by technical fault, started in electrical installations in single houses (13%), (4) cooking appliances left on (8%), (5) events with unknown cause, room and object of origin (25%), and (6) deliberately set fires (7%).

Conclusions

Fatal residential fires were unevenly distributed in the Swedish population. To further reduce the incidence of fire mortality, specialized prevention efforts that focus on the different needs of each cluster are required.

Practical applications

Cooperation between various societal functions, e.g. rescue services, elderly care, psychiatric clinics and other social services, with an application of both human and technological interventions, should reduce residential fire mortality in Sweden.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Residential fire-related mortality, Fatal fires, Fire deaths, Record linkage, Cluster analysis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-62583 (URN)10.1016/j.jsr.2017.06.008 (DOI)000411543500010 ()
Available from: 2017-08-07 Created: 2017-08-07 Last updated: 2020-01-15Bibliographically approved
Jonsson, A., Bergqvist, A. & Andersson, R. (2016). Assessing the number of fire fatalities in a defined population. Injury Prevention, 22, A41-A41
Open this publication in new window or tab >>Assessing the number of fire fatalities in a defined population
2016 (English)In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 22, p. A41-A41Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2016
National Category
Public Health, Global Health, Social Medicine and Epidemiology Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:kau:diva-65083 (URN)10.1136/injuryprev-2016-042156.109 (DOI)000405066800110 ()
Available from: 2017-11-02 Created: 2017-11-02 Last updated: 2020-01-15Bibliographically approved
Svee, A., Jonsson, A., Sjöberg, F. & Huss, F. (2016). Burns in Sweden: temporal trends from 1987 to 2010.. Annals of Burns and Fire Disasters, 29(2), 85-89
Open this publication in new window or tab >>Burns in Sweden: temporal trends from 1987 to 2010.
2016 (English)In: Annals of Burns and Fire Disasters, ISSN 1121-1539, E-ISSN 1592-9558, Annals of burns and fire disasters, ISSN 1592-9558, Vol. 29, no 2, p. 85-89Article in journal (Refereed) Published
Abstract [en]

Our aim was to investigate the epidemiology of burned patients admitted to hospitals in Sweden, and to examine temporal trends during the last three decades. Our hypothesis was that there has been an appreciable decline in the number of patients admitted. Retrospective data about burned patients treated at Swedish hospitals 1987 - 2010 were obtained from the Swedish National Board of Health and Welfare. Patients with primary or secondary ICD diagnoses of burns were included, reviewed and statistically interpreted in terms of sex, age, incidence, mortality in hospital and duration of stay. A total of 30,478 patients were admitted to hospitals with burns. The absolute number of admissions declined by 42% (95% CI 39 to 44). There was a highly significant reduction of 45% (95% CI: 38 to 51) in the ageadjusted incidence (admissions/million population) over the years, and the reduction was significant for both sexes. Children aged 0-4 years (n=8308) were most likely to be admitted to hospital (27%). The median duration of stay shortened over time (p < 0.0001). There was an overall significant reduction in deaths at hospital/100 admissions over time (p <0.0001). We think that the improvements are the result of a combination of preventive measures, improved treatments and greater use of outpatient facilities. If we understand these trends and the relations between age-adjusted incidence and actual number of admissions, we can gain insight into what is needed for future provision of emergency health care.

Place, publisher, year, edition, pages
Italy: Mediterranean Council for Burns and Fire Disasters, 2016
Keywords
Sweden, burns, epidemiology
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:kau:diva-47845 (URN)28149226 (PubMedID)
Available from: 2017-02-06 Created: 2017-02-06 Last updated: 2019-05-20Bibliographically approved
Nilson, F., Bonander, C. & Jonsson, A. (2016). Differences in determinants amongst individuals reporting residential fires in sweden-: results from a cross-sectional study. Injury Prevention, 22, A40-A40
Open this publication in new window or tab >>Differences in determinants amongst individuals reporting residential fires in sweden-: results from a cross-sectional study
2016 (English)In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 22, p. A40-A40Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2016
National Category
Other Engineering and Technologies not elsewhere specified
Identifiers
urn:nbn:se:kau:diva-65086 (URN)10.1136/injuryprev-2016-042156.107 (DOI)000405066800108 ()
Available from: 2017-11-02 Created: 2017-11-02 Last updated: 2020-01-07Bibliographically approved
Jonsson, A. (2016). Dödsfall i Sverige till följd av brand: Omfattning och historiska trender. (Licentiate dissertation). Karlstad: Karlstads universitet
Open this publication in new window or tab >>Dödsfall i Sverige till följd av brand: Omfattning och historiska trender
2016 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Alternative title[en]
Fire-related Deaths in Sweden : Determining Current Levels and Historical Trends
Abstract [sv]

Ingen ska omkomma eller skadas svårt till följd av brand. Så lyder den nollvision som Myndigheten för Samhällsskydd och Beredskap har formulerat för brandskyddsområdet. Visionen ingår i en nationell strategi för att stärka brandskyddet för den enskilde och innehåller förutom vision tydliga mål. Ett målstyrt arbete måste vägledas av kunskap om problemets omfattning, orsaker och riskfaktorer. Likaså är det av stor vikt att ha kunskap om den historiska utvecklingen och rådande trend. Syftet med denna licentiatuppsats är att undersöka förekomst och historisk utveckling av brandrelaterade dödsfall Sverige. Data från tre olika nationella register har använts: Dödsbrandsdatabasen, Dödsorsaksregistret, och Registret över rättsmedicinska undersökningar. Vi har härigenom kunnat visa att den rutinmässigt framtagna statistiken från enskilda register systematiskt underskattar den verkliga situationen med 20-25%. Den historiska analysen visar att risken att omkomma genom brand har mer än halverats under de senaste 60 åren i Sverige. Den största minskningen gäller små barn och det är idag mycket ovanligt att små barn omkommer i brand. Risken har inte minskat i samma utsträckning bland äldre och en åldrande befolkning innebär att denna grupp måste prioriteras i framtida brandskyddsarbete.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2016. p. 42
Series
Karlstad University Studies, ISSN 1403-8099 ; 4
Keywords
brand, omkomna, länkade data, mortalitet, historisk trend
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Risk and Environmental Studies
Identifiers
urn:nbn:se:kau:diva-38971 (URN)978-91-7063-681-3 (ISBN)
Presentation
2016-02-12, 1B364, Frödingsalen, 09:00 (Swedish)
Opponent
Supervisors
Funder
Swedish Civil Contingencies Agency, 2014-5283
Available from: 2016-01-22 Created: 2016-01-07 Last updated: 2016-01-22Bibliographically approved
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