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  • 51. Andersson, Ragnar
    et al.
    Schyllander, J
    Skadornas omfattning ' en översikt2004In: Olyckor i siffror 2004. Räddningsverket, Karlstad, 2004 / [ed] Schyllander J, 2004Chapter in book (Other academic)
  • 52.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Schyllander, Jan
    The Immortals - Youth injury and related policies in Sweden2010Conference paper (Refereed)
  • 53.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Tennlind, Anders
    Schyllander, Jan
    Alkoholrelaterade skador bland unga i statistisk belysning2011In: Alkoholrelaterade skador bland barn och unga vuxna – en antologi / [ed] Nilson F., Andersson R, Karlstads universitet , 2011Chapter in book (Other academic)
  • 54.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Vågerö, D
    Burström, B
    Ericson, G
    Hallqvist, J
    Kristensson, M
    Magnusson, C
    Östergren, P-O
    Folkhälsorapport håller inte måttet2010In: Sydsvenskan, ISSN 1652-814XArticle in journal (Other (popular science, discussion, etc.))
  • 55.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Vågerö, D
    Burström, B
    Ericson, G
    Hallqvist, J
    Kristensson, M
    Magnusson, C
    Östergren, P-O
    Slutrepik: Bristfällig analys i hälsorapporten2010In: Sydsvenska Dagbladet, ISSN 1104-0068Article in journal (Other (popular science, discussion, etc.))
  • 56. Backe, S
    et al.
    Andersson, Ragnar
    Monitoring the tip of the iceberg Ambulance medical records as a source of surveillance2008In: Scand J Publ Health, 2008, 36; 250-257Article in journal (Refereed)
  • 57.
    Backe, Stefan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Monitoring the "tip of the iceberg": Ambulance records as a source of injury surveillance2008In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, no 36, p. 250-257Article in journal (Refereed)
    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.

  • 58.
    Bonander, Carl
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Nilson, Finn
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    The effect of stricter licensing on road traffic injury events involving 15 to 17-year-old moped drivers in Sweden: a time series intervention study2015In: Accident Analysis and Prevention, ISSN 0001-4575, E-ISSN 1879-2057, Vol. 83, p. 154-161Article in journal (Refereed)
    Abstract [en]

    This study aimed to evaluate and quantify the effect of the introduction of the AM driving license on non-fatal moped-related injuries in Sweden. With the introduction of the new license category in October 2009, prospective moped drivers are now required to pass a mandatory theory test following a practical and theoretical course. In addition, obtaining a license to operate a moped is now considerably more costly.

    METHODS:Time series intervention analysis on monthly aggregated injury data (1st Jan 2007-31st Dec 2013) was performed using generalized additive models for location, shape and scale (GAMLSS) to quantify the effect size on injury events involving teenage (15-17 years) moped drivers, while controlling for trend and seasonality. Exposure was adjusted for by using the number of registered mopeds in traffic as a proxy.

    RESULTS:The introduction of AM license was associated with a 41% reduction in the rate of injury events involving 15-year-old moped drivers (IRR 0.59 [95% CI: 0.48-0.72]), and a 39% and 36% decrease in those involving 16-year-old (IRR 0.61 [95% CI: 0.48-0.79]) and 17-year-old drivers (IRR 0.64 [95% CI: 0.46-0.90]), respectively. The effect in the 15-year-old stratum was decreased roughly by half after adjusting for exposure, but remained significant, and the corresponding estimates in the other age groups did not change noticeably.

    CONCLUSIONS:This study provides quasi-experimental evidence of an effect on non-fatal moped-related injuries as a result of stricter licensing rules. Only part of the effect could be explained by a reduction in the number of mopeds in traffic, indicating that other mechanisms must be studied to fully understand the cause of the reduction in injuries.

  • 59.
    Bonander, Carl
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Gustavsson, Johanna
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Evidensbaserade åtgärder för cyklisters säkerhet: kunskapsöversikt2013Report (Other academic)
    Abstract [sv]

    Att cykla förespråkas ofta av hälso-, miljö- och framkomlighetsskäl, men är samtidigt ett av de farligare transportmedlen utifrån ett skadeperspektiv. För att cyklismen ska kunna utvecklas hållbart krävs därmed även att fokus läggs på säkerhetsaspekten vid policybeslut som syftar till att öka cyklandet. Syftet med denna rapport är att återge en samlad bild av det vetenskapliga kunskapsläget när det gäller säkerhetsfrämjande åtgärder för cyklister.

    Cykelhjälmar är ett välbeforskat ämne inom detta område och evidensen pekar relativt entydigt att hjälmar ger ett bra skydd mot huvud- och hjärnskador. Vissa studier har även uppmätt en skyddande effekt mot ansiktsskador, men detta har på senare tid delvis ifrågasatts. En ytterligare aspekt som har belysts är om dagens mjukare cykelhjälmar ger ett lika bra skydd som hjälmar med hårdare skal, som var vanligare förr. Denna hypotes har hittills varken kunnat styrkas eller förkastas, bl a till följd av att man inte registrerar hjälmtyp inom sjukvården. Cykelhjälmslagstiftning är ett annat kontroversiellt ämne där det har hävdats att hjälmlagarna som infördes i Australien och Nya Zeeland på 1990-talet avskräckte människor från att cykla, med åtföljande negativ effekt på folkhälsan till flöjd av minskad motion. Ingen stark evidens för denna hypotes har hittats, och det verkar för övrigt som att cykelhjälmslagar har haft en reducerande effekt på antalet cykelrelaterade huvudskador i de länder som har lyckats implementera dem på ett sätt som faktiskt ökar hjälmanvändningen i populationen. Effekten förefaller dock kulturellt betingad, och skillnader i bötesavgift eller risken att bli bötfälld är troligtvis av stor betydelse. Utbildning och ekonomiska styrmedel kan fungera som alternativ till lagstiftning, men evidensen för att utbildning verkligen ökar hjälmanvändningen är svag. Gällande ekonomiska styrmedel pekar evidensen mot att gratis hjälmutdelning är det som fungerar bäst. Större satsningar på samhällsnivå verkar fungera bättre än hjälmprogram som inriktar sig på skolor.

    När det gäller åtgärder för trafikmiljön är evidensen inte helt entydig, men det verkar som att fysiskt separerade cykelbanor är att föredra framför cykelfält (ett fält för cyklister på vägen, avgränsas med en spärrlinje). Fysiskt separerade cykelbanor kan dock vara mer problematiska i väjningsreglerade korsningar, vilket kan bero på att bilister inte uppmärksammar cyklister på samma sätt som när ett cykelfält finns anlagt på sidan av vägbanan. Detta ökar behovet av säkra cykelöverfarter och när det gäller sådana förefaller förhöjda cykelöverfarter fungera bättre än färgmarkerade överfarter. Olycksrisken på kombinerade gång- och cykelvägar bör inte förväxlas med olycksrisken på cykelspecifika banor, och ytterligare forskning behövs för att avgöra effekten av kombinerade banor. Rondeller verkar vara problematiska för cyklister om det inte finns en fysiskt separerad cykelbana i anslutning till dem. Övriga åtgärder som har uppvisat en positiv effekt är belysning på landsbygdsvägar, refuger i bostadsområden och dynamiska hastighetsskyltar i skolzoner.

    Intressant nog ser det ut att finnas få studier som har försökt mäta effekten av synbarhetsökande medel (t.ex. reflexer) med tillförlitliga utvärderingsmått (skaderisk eller olycksrisk). Att montera varselljus på cykeln som går igång automatiskt och inte kan kontrolleras av cyklisten verkar dock minska risken för kollisionsolyckor under dagtid.

    Även allmän cykelsäkerhetsutbildning i skolar har undersökts. Av de få studier som använt tillförlitliga utvärderingsmått har ingen kunnat uppvisa en positiv effekt. Fler studier behövs för att bedöma effekten av sådana åtgärder innan utbildning kan rekommenderas med starkt vetenskapligt stöd.

  • 60.
    Bonander, Carl
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Gustavsson, Johanna
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Säker cykling: Vägledning för systematiskt cykelsäkerhetsarbete i lokalsamhället2014Report (Other academic)
    Abstract [sv]

    Cyklismen får en allt viktigare roll i det hållbara transportsystemet. Att cykla förespråkas av hälso-, miljö- och framkomlighetsskäl, men är samtidigt ett av de farligaste färdsätten utifrån ett personskadeperspektiv. Lokala strävanden mot ökat cyklande måste ta säkerhetsaspekten i beaktande om dessa satsningar ska bli lyckade. Enligt målet för trafiksäkerhet i regeringens proposition "Mål för framtida transporter" (prop.2008/09:93) ska antalet döda halveras och allvarligt skadade i trafiken minskas 25 procent fram till år 2020. För att kunna uppnå detta behövs satsningar både nationellt som lokalt. På nationell nivå finns möjlighet att arbeta med övergripande och generaliserbara trafiksäkerhetsproblem, medan det på lokal nivå finns unika möjligheter att identifiera och åtgärda olycksdrabbade platser.

    I SKL:s trafiksäkerhetshandbok "Trafiksäkra staden

    " (Sveriges Kommuner och Landsting 2013), presenteras ett systematiskt sätt att arbeta med trafikskadedata på kommunnivå. Utgångspunkten i handboken är att analysera den lokala skadebilden och sätta igång en systematisk process med verksamhetsövergripande samarbete och kontinuerlig förbättring. Den nu föreliggande vägledningen är tänkt att fungera som ett komplement till SKL:s metodhandbok, med fokus på identifiering och analys av särskilt skadedrabbade platser i lokalsamhället.

    Denna vägledning är tänkt att utgöra ett stöd för det lokala cykelsäkerhetsarbetet mot bakgrund av i lokala förutsättningar och problem. Utgångspunkten är att ta tillvara faktaunderlag som ofta finns tillgängliga lokalt, i kombination med annan lokal kunskap. Dessa underlag kan sedan nyttiggöras vid beslut om utformning av trafikmiljöer. Genom att systematiskt studera och sammanställa uppgifter om olyckor finns möjlighet att hitta typiska olycksmönster eller farliga platser inom en avgränsad befolkning eller geografiskt område. Denna kunskap kan sedan användas vid planering av nya trafikmiljöer, som underlag för löpande trafiksäkerhetsarbete i befintliga miljöer, samt vid utvärdering av satsningar syftande till ökad säkerhet.

  • 61.
    Bonander, Carl
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Jernbro, Carolina
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Funktionsnedsättningar som riskfaktor för olycksfall och andra skador.2014Report (Other academic)
  • 62.
    Bonander, Carl
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Nilson, Finn
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    The effect of the Swedish bicycle helmet law for children: An interrupted time series study2014In: Journal of Safety Research, ISSN 0022-4375, E-ISSN 1879-1247, Vol. 51, p. 15-22Article in journal (Refereed)
    Abstract [en]

    Previous population-based research has shown that bicycle helmet laws can reduce head injury rates among cyclists. According to deterrence theory, such laws are mainly effective if there is a high likelihood of being apprehended. In this study, we investigated the effect of the Swedish helmet law for children under the age of 15, a population that cannot be fined. Method  An interrupted time series design was used. Monthly inpatient data on injured cyclists from 1998–2012, stratified by age (0–14, 15 +), sex, and injury diagnosis, was obtained from the National Patient Register. The main outcome measure was the proportion of head injury admissions per month. Intervention effect estimates were obtained using generalized autoregressive moving average (GARMA) models. Pre-legislation trend and seasonality was adjusted for, and differences-in-differences estimation was obtained using adults as a non-equivalent control group. Results There was a statistically significant intervention effect among male children, where the proportion of head injuries dropped by 7.8 percentage points. There was no evidence of an intervention effect on the proportion of head injuries among female children. Conclusion According to hospital admission data, the bicycle helmet law appears to have had an effect only on male children.

  • 63.
    Grundel, Alexandra
    et al.
    Karlstad University, Faculty of Social and Life Sciences.
    Nilson, Finn
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Mobiltelefonens inverkan på bilföraren - en litteraturstudie2012Report (Other academic)
  • 64.
    Gustasson, Johanna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Grubb, Kristina
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    När är en fallskada en vårdskada?: en förstudie2013Report (Other academic)
  • 65.
    Gustasson, Johanna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Olsson, Lena
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Drunkning i Sverige 1997-2011: En sammanställning och granskning av uppgifter från dödsorsaksregistret2013Report (Other academic)
    Abstract [sv]

    En sammanställning och granskning av uppgifter från dödsorsaksregistret. Studien, som omfattar 3 860 drunkningsfall, är utförd av Centrum för personsäkerhet vid Karlstads Universitet.

  • 66.
    Gustavsson, Johanna
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Bonander, Carl
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Säker cykel: Faktabaserad prevention av cykelskador i samhället2014Report (Other academic)
    Abstract [sv]

    Sammanfattning

    Att cykla är hälsosamt och miljövänligt, men tyvärr också ganska farligt. Även om forskning tyder på att hälsovinsterna överstiger skaderiskerna, krävs åtgärder för att minska de cykelrelaterade skadorna i samhället.

    Genom att studera och sammanställa uppgifter om olyckor som hänt finns möjlighet att hitta utsatta grupper, typiska olycksmönster eller farliga platser inom en avgränsad befolkning eller geografiskt område. Denna statistikrapport använder sig av data som insamlats av hälso- och sjukvården och polisen i Värmland inom datasystemet STRADA (Swedish Traffic Accident Data Acquisition) kring cykelskadade i Karlstads kommun mellan 2007 och 2011. Mellan dessa år skadade sig 857 cyklister så pass allvarlig att de var tvungna att uppsöka akutmottagningen på Centralsjukhuset i Karlstad.

    Cykelskador inträffar oftare under sommarhalvåret, mellan klockan 14.00 och 21.00 samt på fredagar. Män är något mer representerade i hela skadebilden och åldrarna 10-14 och 40-65 år är överrepresenterade.

    Trots lagliga krav var det en stor andel av 10-14 åringarna som inte bar hjälm vid skadetillfället (flickor; 60 procent och pojkar; 45 procent).

    Geografiskt följer cykelolyckorna i Karlstads kommun befolkningstätheten i stora drag, men särskilda kluster kan identifieras på vissa platser och sträckor som därmed framstår som särskilt olycksdrabbade. Bland annat syns anhopningar av olyckshändelser kring ett antal broar och tunnlar och på dessa platser behöver djupare olycksanalyser genomföras. Rapporten ger också exempel på hur statistiken kan användas för att utvärdera gjorda trafiksäkerhetsförbättringar.

  • 67.
    Gustavsson, Johanna
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Bonander, Carl
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Nilson, Finn
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Investigating the fall-injury reducing effect of impact absorbing flooring among female nursing home residents: initial results2015In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 21, no 5, p. 320-32-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:Fall-related injuries affect the lives of elderly to a substantial degree. This quasi-experimental study investigates the fall-injury reducing effect of impact absorbing flooring among female nursing home residents.

    METHODS:The intervention site is a nursing home in Sweden where impact absorbing flooring was installed in parts of one of six wards (six out of 10 apartments (excluding bathrooms), the communal dining-room and parts of the corridor). The impact absorbing flooring is a 12 mm thick closed cell flexible polyurethane/polyurea composite tile (500×500 mm) with an exterior surface of polyurethane/polyurea. A generalised linear model (log-binomial) was used to calculate the RR of injury from falls on impact absorbing flooring compared to falls on regular flooring, adjusted for age, body mass index, visual and cognitive impairments.

    RESULTS:During the study period (1 October 2011 to 31 March 2014), 254 falls occurred on regular flooring and 77 falls on impact absorbing flooring. The injury/fall rate was 30.3% for falls on regular flooring and 16.9% for falls on impact absorbing flooring. Adjusted for covariates, the impact absorbing flooring significantly reduced the RR of injury in the event of a fall by 59% (RR 0.41 (95% Cl 0.20 to 0.80)).

    CONCLUSIONS:This is, to our knowledge, the first study evaluating the injury-reducing effect of impact absorbing flooring in a nursing home showing statistically significant effect. The results from this study are promising, indicating the considerable potential of impact absorbing flooring as a fall-related injury intervention among frail elderly.

  • 68.
    Gustavsson, Johanna
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Nilson, Finn
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Fall och fallskador hos äldre – en introduktion2011Report (Other academic)
  • 69.
    Gustavsson, Johanna
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Nilson, Finn
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Preventing fall injuries among elderly by shock absorbing flooring2012Conference paper (Refereed)
    Abstract [en]

    Background. Within nursing homes, the fall-related fracture incidence rate is between 5 and 10 %. For those living in nursing homes there are limited options for active fall injury prevention, due to physical impairments and diseases. Instead, passive fall injury prevention is a more realistic alternative. Shock absorbing flooring has been suggested as a potential passive safety measure for this group of individuals.

    Aims/Objectives/Purpose. To evaluate the fall injury reducing effect of shock absorbing flooring in a nursing home setting in Sunne, Sweden.

    Methods. The study is case controlled, with the shock absorbing flooring installed on one ward with a maximum of 12 residents and the other 5 wards are controls. The total number of residents including control wards is approximately 60. Baseline measurements are made with estimates of the risk of falling as well as the risk of fall-related injury.

    Results/Outcome. After one year, there has been 22 falls on the shock absorbing flooring, with no resulting injury compared to 130 falls and 4 fractures on the control wards. An unexpected finding is that the acoustic environment has improved considerably, creating a calmer environment for the elderly.

    Significance/Contribution to the field. To our knowledge, this is the first time a shock absorbing flooring has been tested and evaluated as a means of injury preventionin a nursing home. Although this is a pilot study, it contributes towards improved passive safety  for this frail group of elderly.

  • 70.
    Gustavsson, Johanna
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Nilson, Finn
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Stötabsorberande golv som fallskadepreventiv åtgärd – resultat efter ett år2012Report (Other academic)
    Abstract [sv]

    I april 2011 lades ett stötabsorberande golv, framtaget för att förhindra skador vid fall, in på ett särskilt boende i Sunne kommun. Sedan 1 oktober 2011 har data om fallhändelser samlats in för att följa upp effekter av golvet. Det som undersöks är konsekvenser av fall på olika golvunderlag samt om risken att ramla påverkas.

    Under den tid som studien pågått (12 mån) har 21 fall registrerats på det stötabsorberande golvet, ingen har skadats sig allvarligt och en har skadats lindrigt som en följd av dessa fall. På övriga golvytor med fler boende har 156 fall registrerats, varav fem lett till fraktur och 30 till lindrig skada. Resultaten hittills tyder på att golvet kan ha den eftersträvade effekten.

    Det stötabsorberande golvet bidrar också till en dämpad ljudnivå vilket personalen upplever som positivt.

  • 71. Hellner, BM
    et al.
    Rosenberg, Tommy
    Schyllander, Jan
    Albinsson, Björn
    Fahlström, Gunilla
    Lundin Olsson, Lillemor
    Umeå universitet.
    Jensen, Jane
    Umeå universitet.
    Frändin, K
    Karolinska institutet.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hjalmarson, Helene, V
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Salmi, L
    Systematiskt arbete för äldres säkerhet Om fall, trafikolyckor och bränder2007Report (Refereed)
  • 72. Hjern, A
    et al.
    Andersson, Ragnar
    Svensk studie av olyckor i hemmet: Barn i familjer med unga mödrar eller socialbidrag löper ökad risk att skadas2002In: Läkartidningen, 2002; 99: 628-36Article in journal (Refereed)
  • 73. Hjern, A
    et al.
    Andersson, Ragnar
    Svensk studie av olyckor i hemmet: Barn i familjer med unga mödrar eller socialbidrag löper ökad risk att skadas2002In: Läkartidningen, 2002; 99: 628-36Article in journal (Refereed)
  • 74. Hjern, A
    et al.
    Ringbäck-Weitoft, G
    Andersson, Ragnar
    Socio-demographic risk factors for home-type injuries in Swedish infants and toddlers2001In: Acta Paediatr 90: 61-68. 2001Article in journal (Refereed)
  • 75.
    Jaldell, Henrik
    et al.
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Karlstad Business School.
    Ryen, Linda
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Karlstad Business School.
    Sund, Björn
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Karlstad Business School.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Are national injury prevention and research efforts matching the distribution of injuries across sectors?2015In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 21, no e1, p. e113-e115Article in journal (Refereed)
    Abstract [en]

    In 2011, 88% of all unintentional injury fatalities occurred in home and leisure environments in Sweden, while transportation fatalities accounted for 10% and work/school injuries for 2%. The corresponding proportions among non-fatal injuries were 75, 12 and 13%, respectively. However, 83% of the national governmental expenditure on unintentional injury prevention in 2011 was allocated to transportation safety, 7% to home and leisure, and 10% to the work sector including schools. Likewise, around 85% of the governmental research budget aimed for unintentional injury research was allocated to the transportation sector, 9% to home and leisure environments, and 6% to the work and school sector. Our results reveal a striking lack of correspondence between problem profile and governmental countermeasures.

  • 76.
    Jaldell, Henrik
    et al.
    Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Economics and Statistics.
    Ryen, Linda
    Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Economics and Statistics.
    Sund, Björn
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Skadebild, förebyggande och forskning – en granskning av statens satsningar påolycksområdet2012Report (Other academic)
  • 77.
    Johansson, Anna C.H.
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Svedung, Inge
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Management of risks in societal planning: An analysis of scope and variety of health, safety and security issues in municipality plan documents2006In: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 44, no 8, p. 675-688Article in journal (Refereed)
    Abstract [en]

    The article is explorative and deals with the management of risk in conjunction with municipality planning of the physical environments in Sweden. The central research question was to investigate; “How are questions about risk issues treated in Swedish societal planning today?” Subject of investigation is a sample of municipal comprehensive master plan documents. The aim was to present a descriptive review of what risks regarding health, safety and security that are considered in a set of municipal comprehensive master plan documents prepared and adopted by Swedish municipalities. Additional aims are to describe how risks are dealt with (in what terms, extent and depth) and also to examine how risks are advocated to be handled in the future. Findings show that the plans include several visions, strategies and suggested improvements concerning risk-related issues, all aiming to create a healthier, safer and more secure municipality. However everyday risks in everyday surroundings attract less attention than disastrous risks with low probabilities and large consequences. Integration and management of risks is advocated to be further considered in more elaborated planning processes, but few plans specify how, when and with which participants. Few plans present a more philosophical discussion within their plans about different types of risks in society. Findings indicate further needs to examine and develop the planning process with regard to the management of risks from a broader variety of perspectives, and with special emphasis also on more “common threats”.

  • 78.
    Jonsson, Anders
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013).
    Bergqvist, Anders
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013).
    Assessing the number of fire fatalities in a defined population2015In: Journal of Safety Research, ISSN 0022-4375, E-ISSN 1879-1247, Vol. 55, p. 99-103Article in journal (Refereed)
    Abstract [en]

    Introduction: Fire-related fatalities and injuries have become a growing governmental concern in Sweden, and a national vision zero strategy has been adopted stating that nobody should get killed or seriously injured from fires. There is considerable uncertainty, however, regarding the numbers of both deaths and injuries due to fires. Different national sources present different numbers, even on deaths, which obstructs reliable surveillance of the problem over time. We assume the situation is similar in other countries. This study seeks to assess the true number of fire-related deaths in Sweden by combining sources, and to verify the coverage of each individual source. By doing so, we also wish to demonstrate the possibilities of improved surveillance practices. Method: Data from three national sources were collected and matched; a special database on fatal fires held by The Swedish Contingencies Agency (nationally responsible for fire prevention), a database on forensic medical examinations held by the National Board of Forensic Medicine, and the cause of death register held by the Swedish National Board of Health and Welfare. Results: The results disclose considerable underreporting in the single sources. The national database on fatal fires, serving as the principal source for policymaking on fireprevention matters, underestimates the true situation by 20 %. Its coverage of residential fires appears to be better than other fires. Conclusions: Systematic safety work and informed policy-making presuppose access to correct and reliable numbers. By combining several different sources, as suggested in this study, the national database on fatal fires is now considerably improved and includes regular matching with complementary sources.

  • 79.
    Jonsson, Anders
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Climate and Safety.
    Lundqvist, Marie
    Gell, Thomas
    MSB.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    Identifying schools at risk of fire-setting2017In: Security Journal, ISSN 0955-1662, E-ISSN 1743-4645, Vol. 30, no 1, p. 153-161Article in journal (Refereed)
  • 80.
    Jönsson, Morgan
    et al.
    Myndigheten för samhällskydd och beredskap.
    Persson, Erik
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Climate and Safety.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    "Har man kanelbullens dag så kan man väl ha en dag för individanpassat brandskydd också?": En kvalitativ kartläggning av individanpassat brandskyddsarbete i Skåne och Värmland2016Report (Other academic)
    Abstract [sv]

    Sammanfattning

    Inledning: Sverige strävar sedan 2010 mot en nollvision där ingen ska omkomma eller skadas allvarligt till följd av brand (MSB, 2009). Detta till trots omkommer varje år drygt 100 människor som ett resultat av just bränder, där framförallt äldre och personer med funktionsnedsättning är särskilt riskutsatta. För att främja arbetet mot nollvisionen publicerade MSB vägledningen Brandsäker bostad för alla, under 2013. Vägledningens tilltänkta syfte är att fungera som en metodhandbok för hur en individanpassad brandskyddsverksamhet kan bedrivas på kommunnivå. I vilken utsträckning som ett sådant arbete bedrivs samt vilket genomslagskraft vägledningen har fått är emellertid oklart. Avsikten med denna studie är därmed att undersöka just detta.  

    Metod: Studien har en kvalitativ ansats där sammanlagt tio semistrukturerade intervjuer har utförts i Skåne och Värmland. Därefter har data analyserats med hjälp av en manifest innehållsanalys.

    Resultat: Totalt har följande tre kategorier genererats: Den första kategorin, Individanpassat brandskydd är utmanande, konkretiserar problematiken kring individanpassat brandskydd och identifierar riskgrupper och huvudaktörer. Andra kategorin, Kommunerna antar utmaningen, presenterar hur de utvalda kommunerna arbetar med individanpassat brandskydd, och vilka aktörer som är verksamhetsutövare. Avslutningsvis beskriver Saker och ting kan förbättras hur MSBs roll i sammanhanget ser ut samt hur vägledningen har tagits emot på kommunnivå.

    Slutsats: Sammantaget visar resultatet att de granskade kommunerna arbetar med individanpassat brandskydd, om än i olika utsträckning. Det påtalas även att det uteslutande är vård- och omsorgsförvaltningen samt räddningstjänsten som är verksamhetsutövare på lokal nivå. Detta medför att identifieringsprocessen av riskindivider är begränsad till ovan nämnda förvaltningars verksamheter. Det nuvarande individanpassade brandskyddsarbetet är därmed initierat, men har ännu inte uppnått sin fulla potential. Ett antal övriga aktörer, däribland socialförvaltningen, har identifierats som nödvändiga för att verksamheten ska kunna utvecklas och bli mer effektiv, men de tycks inte inbegripas i den nuvarande arbetsprocessen.  

  • 81.
    Kristianssen, Ann-Catrin
    et al.
    Örebro universitet.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013).
    Belin, Matts-Ake
    KTH Stockholm.
    Nilsen, Per
    Linköpings universitet.
    Swedisch Vision Zero Policies For Safety: A Comparative Policy Content Analysis2018In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 24, p. A74-A74, article id PW 1702Article in journal (Refereed)
  • 82.
    Kristianssen, Ann-Catrin
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013). Örebro universitet.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013).
    Belin, Matts-Åke
    Trafikverket & Kungliga Tekniska Högskolan.
    Nilsen, Per
    Linköpings universitet.
    Swedish Vision Zero Policies for Safety: A Comparative Policy Content Analysis2018In: Safety Science, ISSN 0925-7535, E-ISSN 1879-1042, Vol. 103, p. 260-269Article in journal (Refereed)
  • 83.
    Lexomboon, Duangjai
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Carlson, Christina
    Varmland Publ Dent Hlth, Dept Prevent Dent, Karlstad, Sweden..
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences.
    von Bultzingslowen, Inger
    Varmland Publ Dent Hlth, Dept Prevent Dent, Karlstad, Sweden.;Univ Gothenburg, Dept Oral Microbiol & Immunol, Gothenburg, Sweden..
    Mensah, Tita
    Clin Paediat Dent, Karlstad, Sweden..
    Incidence and causes of dental trauma in children living in the county of Varmland, Sweden2016In: Dental Traumatology, ISSN 1600-4469, E-ISSN 1600-9657, Vol. 32, no 1, p. 58-64Article in journal (Refereed)
    Abstract [en]

    AimThe aims of this study were to determine the incidence of injuries to permanent incisors in 2011-2013 in children aged 8-10years living in the county of Varmland, Sweden, and to compare it with the incidence rates in 1989/1990 in the county of Vastmanland, as well as to determine the cause of dental trauma in relation to time and place. MethodThe study analysed the patient records from dental visits (2011-2013) of trauma to the permanent incisors in children aged 8-10years. The incidence rates were the incidence per 1000 children at risk. Standardized incidence rates were calculated for the comparison between different years. Information about month, location where the trauma occurred as well as cause of trauma was recorded. ResultsA total of 2.2% of 21721 children aged 8-10years had experienced at least one trauma. The incidence rate in Varmland increased from 18.9 in 2011 to 21.3 in 2012 to 28.5 in 2013. The standardized incidence rate in Varmland in 2011 and 2012 was not significantly different than in Vastmanland in 1989/1990 (P>0.05), but the standardized rates in 2013 were significantly higher than in 1989/90 (P<0.001). Dental trauma occurred most often outdoors, followed by sports arenas/sports fields, and more often at school than at home. Falling and slipping was the most common cause of trauma, followed by accidents during leisure activities, playing and sports. ConclusionThe incidence rate for dental trauma has not decreased in the past 20years, and there is an indication that parents and teachers should be more aware of the risks of dental trauma at leisure times and at school as well as during sports and exercise.

  • 84. Maurice, P
    et al.
    Lavoie, M
    Laflamme, L
    Svanström, L
    Romer, C
    Andersson, Ragnar
    Safety and Safety Promotion : Definitions for Operational Developments2001In: Injury Control and Safety Promotion 2001, Vol. 8, No. 4, pp. 237-240Article in journal (Refereed)
  • 85. Melinder, K
    et al.
    Andersson, Ragnar
    Stable vs. Dynamic Differences in Injury Mortality among the Nordic Countries - What do they say about Inherent National Risk Characteristics?2000In: Scandinavian Journal of Public Health 2000; 28: 16-22Article in journal (Refereed)
  • 86. Melinder, K
    et al.
    Andersson, Ragnar
    The impact of structural factors on the injury rate in different European countries2001In: European Journal of Public Health, Vol. 11, Issue 3, Sept. 2001: pp. 301-308Article in journal (Refereed)
  • 87. Melinder, K
    et al.
    Schyllander, J
    Andersson, Ragnar
    Social position2006In: Säkerhetens bestämningsfaktorer / [ed] Andersson R, Melinder K, Schyllander J, Räddningsverket (NCO) och Karlstads universitet , 2006Chapter in book (Other academic)
  • 88. Moniruzzaman, S
    et al.
    Andersson, Ragnar
    Ekonomisk utveckling som bestämningsfaktor för samhällets säkerhet2006In: Säkerhetens bestämningsfaktorer / [ed] Andersson R, Melinder K, Schyllander J, Räddningsverket (NCO) och Karlstads universitet , 2006Chapter in book (Other academic)
  • 89. Moniruzzaman, S
    et al.
    Andersson, Ragnar
    Relationship between economic development and risk of injuries in older adults and the elderly ' A global analysis of unintentional injury mortality in an epidemiologic transition perspective2005In: European Journal of Public Health, 2005 Oct;15(5):454-8Article in journal (Refereed)
  • 90. Moniruzzaman, S
    et al.
    Andersson, Ragnar
    Relationship between economic development and suicide mortality: a global cross-sectional analysis in an epidemiologic transition perspective2004In: Public Health (2004) 118, 246-348Article in journal (Refereed)
  • 91. Moniruzzaman, S
    et al.
    Schyllander, J
    Andersson, Ragnar
    Skadeutvecklingen I Sverige i internationell jämförelse2007In: In: Schyllander J (Ed.). Olyckor i siffror en rapport om olycksutvecklingen i Sverige, 2007 års utgåva. Räddningsverket (NCO), 2007, 2007Chapter in book (Other academic)
  • 92.
    Moniruzzaman, Syed
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Action 32014In: The Baltic Everyday Accidents, Disaster Prevention and Resilience Project: BaltPrevResilience, Task 1 – Action 2, 3 and 4, Karlstad: MSB Swedish civil contingencies agency , 2014, p. 57-90Chapter in book (Other academic)
  • 93. Moniruzzaman, Syed
    et al.
    Andersson, Ragnar
    Age- and sex-specific analysis of homicide mortality as a function of economic development: a cross-national comparison2005In: Scand Journal Public Health, 2005; 33: 464-471Article in journal (Refereed)
  • 94.
    Moniruzzaman, Syed
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Economic development as a determinant of injury mortality: a longitudinal approach2008In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 68, no 8, p. 1699-1708Article in journal (Refereed)
    Abstract [en]

    Cross-sectional studies have produced clear inverted U-shaped curves between injury mortality and economic development; yet, this does not mean that single countries will necessarily follow similar curves as they grow richer over time. This study was conducted to examine whether previous cross-sectional findings can be verified using a longitudinal approach. Data for both injury mortality and gross domestic product (GDP) per capita were obtained from an official health database for the member countries of the Organization for Economic Cooperation and Development (OECD) for the period of 1960–1999. Regression models were then used to examine the longitudinal relationship between these two variables. Substantial improvements in injury mortality were observed in all income categories in the selected countries. For higher and middle high-income countries, injury mortality rates (all causes) increased until 1972, peaking in 1972 and then declining. For industrialized countries with relatively low GDP, injury mortality rates increased until 1977 and then declined. Using cubic regression lines for injury mortality rates, for all income categories, injury mortality rates increased up to a GDP per capita of $3000–$4000, then decreased significantly. The rising trends of suicide and homicide rates were observed until countries attained a GDP per capita of around $13,000–$14,000 for all income categories. It is noteworthy that compared to the intentional injury categories, mortality due to road traffic accidents and injuries from falls declined earlier on in the economic development process. Longitudinal analysis among high-income countries confirms earlier cross-sectional findings; that is, most injury categories seem to follow inverted U-shaped trend lines, with declining trends after peaking at various stages of temporal and economical development. A comparison between time and economy suggests that differences in peaking time between countries for the same injury category is partly a reflection of temporal differences in economic development.

  • 95.
    Moniruzzaman, Syed
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Andersson, Ragnar
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Förgiftningar: en översikt - statistik och analys2014Report (Other academic)
  • 96.
    Nilson, Finn
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, RagnarKarlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Alkoholrelaterade skador och olyckor bland barn och ungdomar2011Collection (editor) (Other academic)
  • 97.
    Nilson, Finn
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Energiabsorberande golvs effekt på frakturprevalensen bland äldre personer2010Report (Other academic)
  • 98.
    Nilson, Finn
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Relationen mellan BMI och fallinducerade höftledsfrakturer bland äldre personer2010Report (Other academic)
  • 99.
    Nilson, Finn
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, RagnarKarlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety.
    Riskbedömning av kokande kranar2013Collection (editor) (Other academic)
  • 100.
    Nilson, Finn
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, Ragnar
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Dahlén, Sandra
    Sarkopeni som riskfaktor för fallskador bland äldre personer2010Report (Other academic)
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