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  • 201.
    Ekman, Diana Stark
    et al.
    University West Sweden..
    Ekman, Robert
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Twenty-five years of bicycle helmet promotion for children in Skaraborg District, Sweden2012In: International Journal of Injury Control and Safety Promotion, ISSN 1745-7300, E-ISSN 1745-7319, Vol. 19, no 3, p. 213-217Article in journal (Refereed)
    Abstract [en]

    The purpose of this study is to describe some of the results of a long-term bicycle helmet campaign for children in Skaraborg District, Sweden. The hospital discharge data for bicycle-related injuries occurring in children under the age of 15 were reviewed, to assess changes in patterns for head and other body injuries. The study shows that head injuries to children as a result of bicycle injuries were reduced between 94 and 99% in the study areas. The tremendous gains in safety for children who ride bicycles in Skaraborg District were the result of not only national policy changes that occurred in the latter half of this study period but also the result of local collaborations based on the Safe Communities model, which were organised during the first part of the study period.

  • 202. Ellonen, Noora
    et al.
    Peltonen, Kirsi
    Poso, Tarja
    Janson, Staffan
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013).
    A multifaceted risk analysis of fathers' self-reported physical violence toward their children2017In: Aggressive Behavior, ISSN 0096-140X, E-ISSN 1098-2337, Vol. 43, no 4, p. 317-328Article in journal (Refereed)
    Abstract [en]

    Existing research has shown that child maltreatment is carried out by both mothers and fathers. There is also an extensive body of literature analyzing reasons for mothers' violent behavior. Among fathers, reasons are less well studied, resulting in the lack of a comprehensive picture of paternal child abuse. In this study, 20 child-, parent-, and family-related factors have been included in a combined analysis to assess which of these may pose a risk for fathers' severe violent behavior toward their children. The study is based on merged data from Finland and Sweden, in which an anonymous survey was answered by parents, based on representative samples of parents with 0-12-year-old children. The merged data set included 679 fathers and analyses were carried out using logistic regression models. Six percent of the fathers had committed severe violent acts, that is, slapped, hit, punched, kicked, bit, hit/tried to hit their child with an object or shook (under 2-year-old) their child at least once during the 12 months preceding the survey. Corporal punishment experienced by the fathers when they were children, or used by the father as a method of discipline, strongly increased the likelihood of severe violent acts. The findings emphasize the importance of preventing all forms of corporal punishment in seeking to minimize the occurrence of severe physical violence by fathers toward their children. Aggr. Behav. 43:317-328, 2017. (c) 2016 Wiley Periodicals, Inc.

  • 203.
    Elwér, Sofia
    et al.
    Umeå universitet, Institutionen för folkhälsa och klinisk medicin.
    Hammarström, Anne
    Umeå universitet, Socialmedicin.
    Strandh, Mattias
    Umeå universitet, Institutionen för socialt arbete.
    Gustafsson, Per
    Umeå universitet, Socialmedicin.
    Life course models of economic stress and poor mental health in mid-adulthood: Results from the prospective Northern Swedish Cohort2015In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, no 8, p. 833-840Article in journal (Refereed)
    Abstract [en]

    Aim: The aim was to analyse the association between economic stress during youth and adulthood, and poor mental health through life course models of (1) accumulation of risk and (2) sensitive period. Methods: The study was based on the Northern Sweden Cohort, a 26-year prospective cohort (N = 1010 in 2007; 94% of those participating in 1981 still alive) ranging from adolescence to middle age. Economic stress was measured at age 16, 21, 30 and 42 years. Two life course models of accumulation of risk and sensitive period were analysed using ordinal regression with internalized symptoms of mental health as outcome. Results: Exposure of economic stress at several life course periods was associated with higher odds of internalized mental health symptoms for both women and men, which supports the accumulated risk model. No support for a sensitive period was found for the whole sample. For men, however, adolescence appears to be a sensitive period during which the exposure to economic stress has negative mental health consequences later in life independently of economic stress at other ages. Conclusion: This study confirms that the duration of economic stress between adolescence and middle age is important for mental health. In addition, the results give some indication of a sensitive period of exposure to economic stress during adolescence for men, although more research is needed to confirm possible gender differences.

  • 204.
    Engh Kraft, Lisbet
    et al.
    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).
    The School Nurse's Ability to Detect and Support Abused Children: A Trust-Creating Process2015In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, no 5, p. 353-362Article in journal (Refereed)
    Abstract [en]

    Child abuse has negative health consequences. Early detection and preventive measures lead to avoidance of prolonged and more complex problems. School nurses have a child protection role and should pay attention to vulnerable children. Through health dialogues and other interactions with pupils, school nurses have the opportunity to detect child abuse. The aim of the study was to explore how school nurses detect child abuse and initiate support measures. Focus group interviews were conducted with 23 school nurses. The data were analyzed using a grounded theory approach. Results showed that the main concern of the school nurses was support and assistance to children who are abused which was preceded by a trust-creating and trust-strengthening process. Trust contains self-confidence and confidence in the system and trust can be strengthened or undermined. Building trustful relations is time consuming and is facilitated by networking, refined assessment instruments, and collaboration.

  • 205.
    Engh Kraft, Lisbet
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Rahm, GullBritt
    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).
    School Nurses Avoid Addressing Child Sexual Abuse2017In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 33, no 2, p. 133-142Article in journal (Refereed)
    Abstract [en]

    Child sexual abuse (CSA) is a global public health problem with major consequences for the individual child and society. An earlier Swedish study showed that the school nurses did not initially talk about nor mention CSA as one form of child abuse. For the child to receive adequate support, the disclosure is a precondition and is dependent on an available person prepared to listen. The aim of the study was to explore the ability of the school nurses to detect and support sexually abused children. It is a secondary analysis of focus group interviews with school nurses. Thematic analysis was performed. Results showed that the school nurses avoided addressing CSA due to arousal of strong emotions, ambivalence, and a complicated disclosure process. In order to detect CSA and support abused children, attentiveness of sexual abuse as a possible cause of physical and mental illhealth is crucial.

  • 206.
    Engh, Lisbet
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Skolsköterskans möjlighet att upptäcka och stödja barn som far illa eller riskerar att fara illa2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Since children are a vulnerable group, the society has a special responsibility to protect them. The school nurse sees all pupils at school at regular health visits and thereby gains knowledge of their health and living conditions. The overall aim of the thesis was to develop empirical knowledge and understanding of the ability of the school nurse to detect and support children who are maltreated or at risk to be maltreated. The thesis is based on four studies. Study I was based on focus group interviews with school nurses. Data was analysed in accordance with Grounded Theory. Study II was a secondary analysis of study I and performed with Thematic Analysis. Studies III and IV were based on population data which was analysed by univariate and multivariate logistic regressions. The results showed that the school nurse has ability to detect children who are maltreated or at risk to be maltreated. However, also obstacles for detection were found such as lack of trust, avoidance, strong feelings and insufficient documentation. The obstacles were partly due to organisational shortcomings and dearth of resources affecting also internal and external collaboration. The school nurse strived for building trustful relations to pupils, to parents and to professionals. If the school nurse failed to report suspected child maltreatment to the child protection services it was because of worries that the reporting did not benefit the child. The school nurse avoided addressing child sexual abuse because of its particular sensitiveness, which affected the possibility to detect the abuse. Pupils in foster care were at higher risk of health problems, a more risky lifestyle, a lower degree of school attachment and lower school performance compared to pupils not in foster care. The results emphasize the potential of the school nurse to detect and support maltreated children through regular contacts with pupils, their confidence in the school nurse and trustful relations with other professionals.

  • 207.
    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.

  • 208.
    Engh, Lisbet
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Jernbro, Carolina
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Lin, Ping-I
    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).
    Eriksson, Ulla-Britt
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Can school attachment modify the relation between foster care placement and school achievement?2018In: British Journal of School Nursing, ISSN 1752-2803, E-ISSN 2052-2827, Vol. 13, no 4, p. 175-185Article in journal (Refereed)
  • 209.
    Englund, Liselotte
    Karlstad University, Faculty of Health, Science and Technology (starting 2013).
    The bomb attack in Oslo and the shootings at Utøya, Norway, 2011: Experiences of communication and media management2014In: Via Spatiosa: Festschrift to Ragnar Andersson on his 67th birthday / [ed] S. Mooniruzzaman, F. Nilson & E. Svensson, Karlstad: Karlstad University Press, 2014, p. 55-67Chapter in book (Other academic)
    Abstract [en]

    Acts of terror often entail major challenges for healthcare services. Not just the medical support, but also the authorities’ crisis communication and media management is under pressure. The text summarizes experiences by the results of an observatory study on the bomb attack in Oslo and the shootings at Utøya, Norway, 2011. The report focuses on the communication and media management during the response phase of the bombings and shootings. The main focus is on how the medical and health care services managed during the first hours and the followings days after the events.The preconditions for the work presented (Englund et al, 2012, KAMEDO 97) are that the Swedish National Board of Health and Welfare was requested to provide support to the commission that was established in Norway to evaluate the Norwegian society's handling of the incidents of the 22 July,the"22 JulyCommission" (NOU 2012:14). The KAMEDO observer reports study the medical, psychological, organizational and social aspects of disasters.The theme of the book is within the field of Risk management, which is a comparatively new, and most definitely complex, research field, combining knowledge from several other disciplines such as medicine, engineering, economics and psychology, to name a few. Consequently, risk management is important in a variety of subjects and disciplines, clearly illustrated in this festschrift. Professor Ragnar Andersson has played an important roll in not only promoting the importance of risk management and injury prevention, but also developing a deeper understanding of the field through always actively choosing a broad, multi-disciplinary perspective. In other words, he has always chosen “Via Spatiosa”. Or in Swedish, “Den breda vägen”

  • 210.
    Engström, Lars-Gunnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Arbetslösa sjukskrivna: Utvärdering av samverkansprojekt mellan Försäkringskassan och Länsarbetsnämnden i Värmland2005Report (Other academic)
  • 211.
    Engström, Lars-Gunnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sickness Absence in Sweden: Its relation to Work, Health and Social Insurance Factors2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: The high levels of sickness absence and disability pensioning experienced during the 1990's and 2000's have become both socially as well as financially burdensome for society. Sickness absence implies a costly loss of production for society and large groups of individuals are risking to become marginalised on the labour market. Sickness absence is both a public health and an economic problem. Thus from both a human approach as well as from an economic perspective it is urgent to increase knowledge about what influences individual behaviour when it comes to sickness absence and return to work.

    Objectives: The overall aim of the thesis is to elucidate the decisive factors for explaining sickness absence. Three different aspects of sickness absence were considered, i.e. factors leading to sickness absence, factors preventing sickness absence and factors leading back to work ability and work when being sickness absent. This is done using a frame of reference involving broadly defined areas of work, health and social insurance related factors.

    Material and methods: Study I analyzes the outcome of unemployed sick-listed individuals. A total of 280 individuals from the county of Värmland were followed through register data between the years 2000 to 2001. Linear and logistic regression models were used to analyze the occurrence of short and long term economic incentives. Study II has a longitudinal design and explores determinants of return to work. Sick-listed individuals with a stress-related psychiatric diagnosis from the county of Värmland were analyzed over a period of three years (2000-2003) using logistic regression. The data comprised 911 individuals. Study III is a cross-sectional study using questionnaire data from the county of Värmland from year 2004. A total of 3123 persons either working or being self employed were analyzed on determinants of work presence through logistic regression. Study IV had a cross-sectional design and used questionnaire data from five counties in central Sweden. The data, from 2004, comprised 10536 individuals being employed, i.e. not self-employed, and with self reported physical and mental medical conditions. Logistic regression was mainly used in the analysis and the focus was on risk factors for long term sickness absence. Study V comprises cross-sectional data retrieved at three separate occasions between 1991 and 1994. It includes 8839 individuals from five counties in western Sweden with sickness absence spells over 60 days. The data was analysed through bi-variate probit regression with a focus on effects of vocational rehabilitation on return to work.

    Results: The results from study I were interpreted as that both short and long term economic incentives matter for the outcome of sickness absence through the interaction of different insurance systems. The principal findings from study II was that age, gender and factors implying less favourable health characteristics and thereby lower work capacity, reduce probabilities of returning to work after long term sickness absence. Considering study III determinants of work presence were found to vary between sexes and whether the determinants were counteracting long or short term sickness absence. Factors interpreted as job control counteracted short term absence. Sense of coherence was found to be an important determinant of work presence for women. In study IV long term sickness absence was found to be related to the level of ill-health. Moreover it was concluded that work environment factors as job strain, job satisfaction, physical work environment were important factors for explaining sickness absence in a population with impaired health. The results from study V indicated that vocational rehabilitation is a potentially effective instrument for improving the individual's work ability and chances of return to work. That no signs of prioritizing selection of rehabilitation participants to those likely to return to work with or without rehabilitation measures, i.e. "managerial creaming", were found was also considered as important results.

    Conclusions: This thesis shows that we need different models and approaches to improve knowledge about the various aspects of sickness absence as entry into absence, return to work or into disability retirement. It also has the implications that sickness absence behaviour can be influenced. Largely depending on what long term path is chosen for welfare policy at the political level it should be acknowledged that other means, improving working conditions and promoting rehabilitation rather than reducing benefit levels and narrowing the eligibility criteria for the insurance benefits are at hand.

  • 212.
    Engström, Lars-Gunnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Eriksen, Tor
    Can differences in benefit levels explain duration and outcome of sickness absence2002In: Disability and RehabilitationArticle in journal (Refereed)
  • 213.
    Engström, Lars-Gunnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Eriksson, Ulla-Britt
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Arbetsmiljö och ohälsa2009In: Värmlänningarnas liv & hälsa 2008, Karlstad: Karlstad University Press , 2009, p. 93-103Chapter in book (Other academic)
  • 214.
    Engström, Lars-Gunnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Eriksson, Ulla-Britt
    Sjukskrivning2005In: Värmlänningarnas liv och hälsa 2004, 2005Chapter in book (Other academic)
  • 215.
    Engström, Lars-Gunnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Eriksson, Ulla-Britt
    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.
    Illness and work as predictors of sickness absence in a population of individuals with impaired healthManuscript (preprint) (Other academic)
  • 216.
    Engström, Lars-Gunnar
    et al.
    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.
    Predictors of Work Presence: Sickness Absence in a salutogenic perspective2009In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 33, no 3, p. 287-295Article in journal (Refereed)
    Abstract [en]

    The objective of the study was to identify determinants of work presence, i.e. factors that counteract short and/or long term sickness absence. The analyses were based on logistic regression analyses on Swedish regional survey data. Individuals who had not reported sickness absence during the preceding year were compared to on one hand individuals with short term sickness absence (< 28 days) and on the other hand with long term sickness absence (> 28 days). We found predictors of work presence in personal background as well as in work related variables. A high level of sense of coherence was found to counteract short as well as long term sickness absence. Gender specific differences were observed. Although a set of predictors common for the short and long term perspective were found the predictors in general were found to differentiate substantially with respect to short or long term sickness absence. Implications for sickness absence prevention and health promotion could be drawn from the results. Primarily different aspects of control over working situation, work satisfaction and for women a high level of sense of coherence were believed to have these implications.

  • 217.
    Engström, Lars-Gunnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Stress related sickness absence and return to labour market in Sweden2007In: Disability and RehabilitationArticle in journal (Refereed)
  • 218.
    Engström, Lars-Gunnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Ovall, Hans
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Beroendecentrum Värmland:: en utvärdering av en länsgemensam resurs i missbruksvården2010Report (Other academic)
  • 219.
    Engström, Lars-Gunnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Ovall, Hans
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Implementering av BBiC i Värmland: Kartläggning av implementeringsarbetet av BBiC i 16 värmländska kommuner2010Report (Other academic)
  • 220.
    Engström, Lars-Gunnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Eriksson, Ulla-Britt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Influence of insecure social bonds at work and adverse life events: a comparison between longterm sickness absentees with mental diagnoses and a healthy population2011In: Social aspects of Illness, Disease and Sickness Absence / [ed] Halvor Nordby, Rolf Rønning and Gunnar Tellnes, Oslo: Unipub forlag, 2011Chapter in book (Refereed)
  • 221. Engström, L.G.
    et al.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Stress related sickness absence and return to labour market in Sweden2006In: Accepted by Disability and RehabilitationArticle in journal (Refereed)
  • 222.
    Enochsson, Ann-Britt
    et al.
    Karlstad University, Faculty of Arts and Education, Department of Education.
    Jernfält, Margareta
    Sundberg-Wincent, Marija
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Barns och ungdomars hälsa i norra Värmland1998Report (Other academic)
  • 223. Erhart, M
    et al.
    Hagquist, Curt
    Karlstad University, Faculty of Social and Life Sciences, Centre for Research on Child and Adolescent Mental Health.
    Auquier, P
    Rajmil, L
    Power, M
    Ravens-Sieber, U
    A comparison of Rasch item-fit and Cronbach's alpha item reduction analysis for the development of a Quality of Life Scale for children and adolescents2010In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 36, no 4, p. 473-484Article in journal (Refereed)
  • 224.
    Eriksson, Bengt G
    et al.
    Faculty of Health and Sports, Hedmark University College, Elverum, Norway.
    Hummelvoll, J. K
    Faculty of Health and Sports, Hedmark University College, Elverum, Norway.
    To live as mentally disabled in the risk society2012In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, no 7, p. 594-602Article in journal (Refereed)
    Abstract [en]

    The contemporary society is to some extent characterized by longitudinal changes, towards individualization, uncertainty, and risk. Numerous risks and dangers in modern society have been mastered, while others have emerged, often created by human actions. The individual's freedom of choice has increased, but also the responsibility for the choices made. In this society, the risk society, there is a greater need for formative and situation-related knowledge to manage risks. The aims of this paper are to discuss the concept of risk society in the light of everyday experiences made by people with mental disabilities, how challenges can be mastered and positive possibilities can be utilized. Data collection was made through a multistage focus group, and the data were analysed by qualitative content analysis. The results show that characteristics of the risk society are identified by people with mental disabilities. Change and uncertainty, obstacles created by societal institutions, lack of trust, and the need of adapted working conditions are frequently experienced, impersonal relations and feelings of loneliness as well. However, these conditions can be partly counteracted by belonging to an alternative fellowship, which might lead to quality of life-related personal improvements.

  • 225. Eriksson, U-B
    et al.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Long-term sickness absence due to burn out: A qualittative interview study of absentees experiences. Qualitative Health Research2008Article in journal (Refereed)
  • 226. Eriksson, U-B.
    et al.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, B.
    Long-term sickness absence due to burn out:: A qualitative interview study of absentees' experiences2007In: Accepted by Qualitative Health ResearchArticle in journal (Refereed)
  • 227.
    Eriksson, Ulla-Britt
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    "Man är ju inte mer än människa": Långtidssjukskrivning ur ett emotionellt, relationellt och strukturellt perspektiv2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The background to this thesis is the dramatic increase of the long-term sickness absence that took place in Sweden from the late 1990s. There was also a shift in the diagnostic pattern with rising mental diagnoses.

    The overall purpose was to describe and try to understand the process leading to long-term sickness absence from the perspective of the sickness absentees, in order to get a better knowledge base for preventive and rehabilitative actions.

    The thesis comprises four studies (I-IV). Research methods have been both qualitative and quantitative. In study I data from individual interviews with 32 persons on long-term sick leave due to burnout was analyzed using a grounded theory approach. In study II the study population comprised of 2064 employed sick-listed persons, a sub sample derived from the 2002 national Swedish survey on health, working conditions, life situation and sick-listing. It was analyzed if persons with burnout had higher probability of having experienced the steps in the burnout staircase compared to other diagnostic groups in accordance with the previously suggested hypothesis of "the burnout staircase". Study III comprised of 2521 employed persons, a sub sample derived from the same national survey as in study II. It was analyzed if psychosocial work environment and conflicts and losses in private life independently or in combination were more strongly associated to sickness absence with mental diagnoses as compared to a healthy population. In study IV individual interviews with 25 professional rehabilitation actors and 14 unemployed sick-listed persons were conducted. Data were analyzed according to grounded theory method.

    The process that led to sicknes absence can be described as an emotional deprivation process, illustrated as a flight of stairs (the burnout staircase) describing a sequence of steps toward sickness absence (I). In accordance with the tested hypothesis persons with burnout to a noticeable higher extent reported expereince of being in the different steps in the burnout staircase compared to sickness absentees with other diagnoses. The model seemed to be valid also for persons with other mental diagnoses (II). Reorganization and conflicts at work as well as adding adverse private life events were associated with increased risk for sickness absence with mental diagnosis (III). Three significant factors behind the weak co-operation between local social insurance and employment agencies were identified: indistinct regulation of co-operation, shifting political goals over time and conflicting goals between agencies (IV).

    In this thesis it has been suggested that the course of events preceding sickness absence might be understood as a process of emotional deprivation, where the individual is gradually emptied of the life-giving emotional energy revealed in joy, commitment, and empathy. This life-giving force finds its nourishment in safe and secure social relations with others and in a social structure that promotes this type of social relations. The profound changes in the Swedish labour market during the 1990s influenced not just the psychosocial work climate but also the rehabilitation efforts for unemployed sick-listed persons. When the political goal of reducing the unemployment level came to the forefront the indistinct regulation and the conflicting goals in addition were factors that impaired co-ordinated rehabilitation. In this process also the physicians were involved. A labour market problem was turned into a medical problem.

  • 228.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Ede, Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Sjukskrivning - sociala orsaker och innebörder: Rapport om sjukskrivning i Sverige2011Report (Other academic)
  • 229. Eriksson, Ulla-Britt
    et al.
    Engström, Lars-Gunnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Arbete och arbetsmiljö2005In: Värmlänningarnas liv och hälsa 2004, 2005Chapter in book (Other academic)
  • 230.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Engström, Lars-Gunnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    The impact of psycho-social work environment on sickness absence - Results from the Swedish Life & Health 2008 Study2011In: Social Aspects of Illness, Disease &; Sickness Absence / [ed] Halvor Nordby, Rolf Rönning & Gunnar Tellnes, Oslo: Unipub , 2011, p. 157-174Chapter in book (Refereed)
  • 231.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Engström, Lars-Gunnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Insecure social relations at work and long-term sickness absence due to burnout and other mental diagnoses2011In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 38, no 4, p. 319-327Article in journal (Refereed)
  • 232.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Engström, Lars-Gunnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Falling between two stools: how a weak co-operation between the social security and the unemployment agencies obstructs rehabilitation of unemployed sick-listed persons2008In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 30, no 8, p. 569-576Article in journal (Refereed)
  • 233.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Engström, Lars-Gunnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Influence of insecure social bonds at work and adverse life events: A comparison between long-term sickness absentees with mental diagnoses and a healthy populationManuscript (Other academic)
  • 234.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Engström, Lars-Gunnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Insecure social bonds at work, mental ill-health and sickness absenceManuscript (Other academic)
  • 235.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Engström, Lars-Gunnar
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Sickness absence and mental health2009Conference paper (Refereed)
  • 236. Eriksson, Ulla-Britt
    et al.
    Eriksson, Ulla-Britt
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Arbete och arbetsmiljö2005In: Värmlänningarnas liv och hälsa 2004 / [ed] Marina Kalander Blomqvist och Staffan Janson, 2005Chapter in book (Other academic)
  • 237.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Eriksson, Ulla-Britt
    Sjukskrivning2005In: Värmlänningarnas liv och hälsa 2004 / [ed] Marina Kalander Blomqvist och Staffan Janson, 2005Chapter in book (Other academic)
  • 238.
    Eriksson, Ulla-Britt
    et al.
    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.
    Hansson, Cecilia
    Schyllander, Jan
    Varför drunknar barn?: En retrospektiv studie över barn som drunknar i Sverige 1998-20072010Report (Other academic)
  • 239.
    Eriksson, Ulla-Britt
    et al.
    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.
    Schyllander, J
    Hansson, C
    Barn med ensamstående förälder riskgrupp för drunkning2010In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, no 24,25, p. 1618-1622Article in journal (Refereed)
  • 240.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Ede, Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Social bonds, emotional processes and mental ill-health2011In: Social Aspects of Illness, Disease &; Sickness Absence / [ed] Halvor Nordby, Rolf Rönning & Gunnar Tellnes, Oslo: Unipub , 2011, p. 131-156Chapter in book (Refereed)
  • 241.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Long-Term Sickness Absence Due to Burnout: Absentees' Experiences2008In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 18, no 5, p. 620-632Article in journal (Refereed)
  • 242.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Utbränd och emotionellt utmärglad - en närstudie om arbetsliv och sjukskrivning2003Book (Refereed)
  • 243.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Alexanderson, Kerstin
    The path to long-term sickness absence with Burnout Diagnoses from a lay person perspective2002Conference paper (Refereed)
  • 244.
    Eriksson, Ulla-Britt
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Starrin, Bengt
    Karlstad University, Faculty of Social and Life Sciences, Department of Social Studies.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Alexanderson, Kristina
    Burnout and emotional deprivation: A study of working life conditions and sickness absence2003Conference paper (Refereed)
  • 245.
    Esmael, Esmael Kader
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Mödrars erfarenhet av att främja barns hälsa i en irakisk kontext2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Iraq has in recent decades been with internal conflicts between ethnic groups. Despite the enormous wealth of natural resources, more than half of the population remains poor. War and corruption has led to lack of resources and worsening quality of the health sector leading to deteriorating health situation among the population. Womens role and experiences of health and health promotion is important in conflict affected countries to create health and well-being within the family. Objective: the objective of this study was to investigate the maternal experiece of promoting the health of children in an Iraqi context.

    Method:Aqualitative research methodology with semi-structured interviews was chosen.Six mothers from diffrent neighborhods in the city of kirkuk were interviewed. Data set was analyzed by using content analysis. Results: the results showed the theme of health promotion motherhood in a war-torn country with four categories.1-Health is life welfare.2-In powerlessness shadow.3-Knowledge and sisterhooa and4- anees for new health promoting community structures. Mothers were every day occupied with health promoting their children despite the obstacles to promote health. The results also showed that mothers valu sisterhood, education and security as access to healthier life. Mothers belife in change for a healthier future of children in iraq lies in the goverments ability to develop an infrastructure for health promotion with basic services,a functioning health care system and better hom environments.

  • 246.
    Feiril, Maria
    et al.
    Karlstad University.
    Dronsfield, Victoria
    Karlstad University.
    Samband mellan träningsmängd och andra hälsovanar: En jämförelse mellan mer eller mindre mängd träning i relation till specifika hälsovanor2013Student paper second term, 5 credits / 7,5 HE creditsStudent thesis
  • 247. Flodin, Karin
    eHälsolitteracitet och äldre: En kvalitativ studie om hur äldre söker, brukar, resonerar och tar beslut kring digital hälsoinformation på Internet2018Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
  • 248. Forsberg, Erik
    Den stora utflyttningen - studier av psykiatrins omvandling1994Licentiate thesis, monograph (Other academic)
  • 249. Forsberg, Erik
    Forskning og empowerment1997In: ERGO-terapeuten, 1997, nr 5, 8-11Article in journal (Other (popular science, discussion, etc.))
  • 250. Forsberg, Erik
    Ill Health and Social Conditions amongst Migrants and Refugees - the Case of Sweden1993In: Innovation in Social Sciences Research, 1993, 6, 1, 75-83Article in journal (Other academic)
2345678 201 - 250 of 1040
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