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  • 1.
    Bornehag, Carl-Gustaf
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hederos, C-A
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hedlin, G
    Six-year follow-up of an intervention to improve the management of preschool children with asthma2009In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 98, no 12, p. 1939-1944Article in journal (Refereed)
  • 2.
    Engh, Lisbet
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Janson, Staffan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Svensson, Birgitta
    Örebro universitet.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Eriksson, Ulla-Britt
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Swedish population-based study of pupils showed that foster children faced increased risks for ill health, negative lifestyles and school failure.2017In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 106, no 10, p. 1635-1641Article in journal (Refereed)
    Abstract [en]

    AIM: This population-based study explored whether foster children faced a higher risk of health problems than children of the same age who were not in foster care.

    METHODS: Data for 13 739 pupils aged 10, 13 and 16 years were obtained from the Pupil Health Database in the county of Värmland, Sweden, for the school years 2012/2013 and 2013/2014. These included data on school performance, health, lifestyle and social relationships, based on children's interviews with school nurses.

    RESULTS: Of all the pupils, 171 (1.2%) were in foster care. Children in foster care were generally unhealthier than other children. Both girls and boys were at higher risk of chronic health problems, daily smoking, use of drugs and school failure. When the girls in foster care were compared to other girls, we found that they faced a higher risk of psychological and psychosomatic symptoms. This difference was not found for boys. Foster children were also more likely to express a more negative view on life.

    CONCLUSION: We confirmed earlier studies that children in foster care tended to have inferior health and well-being than other children. These findings emphasise that health, risky behaviour and school performance should be considered together when assessing foster children.

  • 3.
    Janson, Staffan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Children left behind2014In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 103, no 6, p. 572-573Article in journal (Refereed)
  • 4.
    Jernbro, Carolina
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Svensson, Birgitta
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Tindberg, Y
    Uppsala universitet.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Multiple psychosomatic symptoms can indicate child physical abuse: results from a study of Swedish schoolchildren2012In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 101, no 3, p. 324-9Article in journal (Refereed)
    Abstract [en]

    AIM:

    To examine whether children with self-reported experiences of either physical abuse alone or combined with intimate partner violence report more psychosomatic symptoms than other children and to explore whether these possible associations are enhanced by school-related factors, chronic condition and demographic factors.

    METHODS:

    A national cross-sectional study of 2771 pupils in grades 4, 6 and 9 from 44 schools in Sweden was carried out in 2006 (91% response rate). Data were analysed with univariate tests (chi-square), multiple logistic regression analyses and stratified logistic regression analyses, expressed as crude odds ratio (OR) and adjusted odds ratio (AOR) with 95% confidence intervals.

    RESULTS:

    There was a strong association between reported physical abuse and multiple (three or more) psychosomatic symptoms among schoolchildren (AOR 2.12). Chronic condition was the only determinant that had an obvious enhancing effect on the association between physical abuse and psychosomatic symptoms in childhood.

    CONCLUSION:

    This study shows that multiple psychosomatic symptoms are associated with child physical abuse. Health professionals therefore need to pay special attention to schoolchildren who complain about the co-occurrence of psychosomatic symptoms and pattern of symptoms, which could not be easily explained by other causes.

  • 5.
    Jernbro, Carolina
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Tindberg, Ylva
    Uppsala universitet.
    Lucas, Steven
    Uppsala universitet.
    Janson, Staffan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Quality of life among Swedish school children who experienced multitype child maltreatment2015In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 3, p. 320-325Article in journal (Refereed)
    Abstract [en]

    AIM:The aim of this study was to examine the overlap between child maltreatment types and their association with quality of life among school children.

    METHODS:A national cross-sectional study of 3202 grade nine Swedish pupils of 15 years of age was carried out in 2011 with an 84% response rate. Data were analysed using Pearson chi-square and multiple linear regression analyses.

    RESULTS:Of the total sample, 650 children (20%) reported at least one type of maltreatment. There was a large degree of overlap between maltreatment types. In particular, neglect and witnessing intimate partner violence overlapped with most other types of maltreatment. There was a significant relationship between the degree of abuse and multitype maltreatment. Results showed a linear relationship between the number of types of maltreatment and quality of life (p < 0.001), indicating a dose-response relationship.

    CONCLUSION:The results emphasise the negative impact of child maltreatment on children's lives and highlight the importance of taking the broad spectrum of child maltreatment into account in both research and practice. A more comprehensive assessment of the width of maltreatment among professionals may help to identify the most seriously maltreated children and lead to an improved ability to target intervention and prevention at these children.

  • 6.
    Larsson, Malin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hägerhed-Engman, Linda
    SP Technical Research Institute of Sweden, Borås, Sweden.
    Sigsgaard, Torben
    Institute of Public Health, Aarhus University, Department of Environmental and Occupational Medicine, Denmark.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sundell, Jan
    1) Technical University of Denmark, International Centre for Indoor Environment and Energy, Denmark 2) University of Texas at Tyler, Texas, USA.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Incidence rates of asthma, rhinitis and eczema symptoms and influential factors in young children in Sweden2008In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, no 9, p. 1210-1215Article in journal (Refereed)
    Abstract [en]

    Aim: To estimate the incidence rates for asthma, rhinitis and eczema symptoms and to investigate the importance of different influential factors for the incidence of these symptoms. Methods: The Dampness in Building and Health study commenced in the year 2000 in Värmland, Sweden with a parental questionnaire based on an ISAAC protocol to all children in the age of 1–6 years. Five years later a follow-up questionnaire was sent to the children that were 1–3 years at baseline. In total, 4779 children (response rate = 73%) participated in both surveys and constitute the study population in this cohort study. Results: The 5-year incidence of doctor-diagnosed asthma was 4.9% (95% CI 4.3–5.3), rhinitis was 5.7% (5.0–6.4) and eczema was 13.4% (12.3–14.5). However, incidence rates strongly depend on the health status of the baseline population. Risk factors for incident asthma were male gender and short period of breast-feeding. Allergic symptoms in parents were also a strong risk factor for incident asthma, as well as for rhinitis and eczema. Conclusion: When comparing incident rates of asthma between different studies it is important to realize that different definitions of the healthy baseline population will give rise to different incident rates.

  • 7.
    Olsson, Ann
    et al.
    Primärvårdens FoU-enhet.
    Hasselgren, Mikael
    Hagquist, Curt
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Centre for Research on Child and Adolescent Mental Health.
    Janson, Staffan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    The association between medical conditions and gender, well-being, psychosomatic complaints as well as school adaptability2013In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, no 5, p. 550-555Article in journal (Refereed)
    Abstract [en]

    Aim:

    The aim was to assess the association between medical conditions and gender,

    well-being, psychosomatic complaints and school adaptability. The second aim was

    to determine whether self-reported medical conditions should be included in class-room

    questionnaires that deal with well-being and risk behaviour.

    Methods:

    A cross-sectional class-room questionnaire was given to all 15- to 16-year-olds

    within a Swedish county. The questionnaire included background factors, subjective health,

    well-being, psychosomatic complaints, self image, drug use and also several themes

    from the school context. In addition, there were 13 medical conditions/problems to tick

    (yes or no) and an open alternative for other problems/medical conditions.

    Results:

    3108 questionnaires (response rate 84%) were analysed. The majority of the girls

    and the boys reported no medical conditions; however, 49% of the girls and 39% of the

    boys reported at least one medical condition. The medical conditions were associated with

    gender, well-being, psychosomatic complaints and school adaptability. The association was

    stronger for girls than for boys.

    Conclusion:

    Medical conditions among these teenagers were associated with gender, wellbeing,

    psychosomatic complaints and school adaptability, particularly for girls. Our results

    suggest that medical conditions could preferably be included in regular classroom

    questionnaires.

  • 8.
    Shu, Huan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Wikstrom, Sverre
    Jonsson, Bo A. G.
    Lindh, Christian H.
    Svensson, Åke
    Nånberg, Eewa
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Prenatal phthalate exposure was associated with croup in Swedish infants2018In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 107, no 6, p. 1011-1019Article in journal (Refereed)
    Abstract [en]

    Aim: This study examined whether prenatal phthalate exposure was associated with lower or upper airway inflammation in infants. Methods: From 2007 to 2010, we used liquid chromatography-tandem mass spectrometry, adjusted for creatinine, to analyse 14 phthalate metabolites and one phthalate replacement in the urine of 1062 Swedish mothers at a median of 10 weeks of pregnancy. This was used to determine any associations between prenatal phthalate exposure and croup, wheezing or otitis in their offspring until 12 months of age, using logistic regression, adjusted for potential confounders. Results: There were significant associations between phthalate metabolites of butyl-benzyl phthalate (BBzP) and di-ethyl-hexyl phthalate (DEHP) concentrations in maternal prenatal urine and croup in 1062 infants during the first year of life, when adjusted for potential confounders. A dose-response relationship was found between prenatal phthalates exposure and maternal reported croup in the children, with a significant association in boys. There was no clear indication with regard to associations between prenatal phthalate exposure and wheezing or otitis media in the children during the first year of life. Conclusion: Our analysis suggests that exposure to BBzP and DEHP phthalates was associated with maternal reports of croup in infants up to 12 months of age

  • 9.
    Strukcinskiene, B
    et al.
    Faculty of Health Sciences, Klaipeda University, Lithuania.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Suicide mortality trends in young people aged 15 to 19 years in Lithuania2011In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 100, no 11, p. 476-480Article in journal (Refereed)
    Abstract [en]

    AIM:

    This paper considers the suicide mortality trends from 1990-2009 in young people aged 15 to 19 years in Lithuania.

    METHODS:

    Suicide and injury mortality data, plus mortality data from all causes, were used to compare the trend lines.

    RESULTS:

    Suicide mortality rate in young people aged 15-19 years and in all population showed a rising trend from 1990, and then a decreasing trend from 2002 year. This trend was significant exclusively in boys. When comparing suicide deaths as a percentage of injury deaths and of all deaths in the age group 15-19 years, rising trends for boys were evident, whilst in girls, there was no evidence of change.

  • 10.
    Svensson, Birgitta
    et al.
    Karlstad University, Faculty of Social and Life Sciences.
    Bornehag, Carl-Gustav
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Jansson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Chronic conditions in children increase the risk for physical abuse – but vary with socio-economic circumstances2011In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 100, p. 407-412Article in journal (Refereed)
    Abstract [en]

    Aim: To explore whether children (age 10, 12 and 15 years) with self-reported chronic conditions are at higher risk of physical abuse and⁄or exposure to intimate-partner violence than other children, while considering the importance of demographic factors.

    Methods: A national cross-sectional study of 2771 pupils in grades 4, 6 and 9 from 44 schools in Sweden (91% response rate). Conflict Tactic Scales were used to measure physical abuse and separate questions measured exposure to intimate-partner violence. A list of 13 diagnoses was used to estimate chronic conditions.

    Results: Children with chronic conditions had an increased risk for physical abuse (CPA) only (OR 1.67) as well as in combination with exposure to intimate-partner violence (IPV) (OR 2.54), but not to IPV only, compared to children without chronic conditions. Furthermore, when chronic conditions were combined with country of birth other than Sweden and living in low-income areas, the risk for CPA increased even more, indicating interactive effects.

    Conclusions: A wide range of chronic health conditions in children increased the risk for physical abuse. This indicates that certain factors unite this group of children, irrespective of the type of disability or degree of severity, but where a combination with socio-economic circumstances is of importance.

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