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  • 51. Andersson, Ragnar
    et al.
    Andersson, R
    Cross-national injury mortality differntials by age and income level: on the possible role of age and ageing in explaining changing injury mortality patterns by economic development2008In: Public Health. 2008 Nov;122(11):1167-76Article in journal (Refereed)
  • 52. Andersson, Ragnar
    et al.
    Björkehed, J.
    Wiberg, A.
    Norlander, Torsten
    Karlstad University, Faculty of Economic Sciences, Communication and IT, Department of Psychology.
    Ta till vara kritiken2006In: Värmlands Folkblad (06-09-08)Article in journal (Other (popular science, discussion, etc.))
  • 53.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hjalmarson, H
    Att förklara kommunala skillnader i fallskador bland äldre - En kunskapssammanställning2009Report (Refereed)
  • 54.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hjalmarson, H
    Fallskador bland äldre-: En sammanfattning av en kunskapsöversikt om fallskador2009Report (Refereed)
  • 55.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hjalmarson, Helene
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Modeling inter-municipal differentials in falls and fall-related injuries2009Conference paper (Refereed)
  • 56.
    Andersson, Ragnar
    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.
    Stark-Ekman, Diana
    Schyllander, Jan
    Myndigheten för samhällsskydd och beredskap (MSB).
    Skadebild och säkerhetsarbete bland ungdomar och yngre vuxna2011Report (Other academic)
  • 57. Andersson, Ragnar
    et al.
    Melinder, K.
    Moniruzzaman, S.
    Schyllander, J.
    Bestämningsfaktorer2007In: In: Schyllander J (Ed.). Olyckor i siffror en rapport om olycksutvecklingen i Sverige, 2007 års utgåva. Räddningsverket (NCO), 2007, 2007Chapter in book (Other academic)
  • 58. Andersson, Ragnar
    et al.
    Melinder, K
    Schyllander, J
    Säkerhetens bestämningsfaktorer2006Book (Refereed)
  • 59.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Melinder, Karin
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Inledning2006In: Säkerhetens bestämningsfaktorer: inblickar i riskutvecklingens drivkrafter / [ed] Ragnar Andersson, Karin Melinder & Jan Schyllander, Räddningsverket (NCO) , 2006, p. 9-13Chapter in book (Other academic)
  • 60. Andersson, Ragnar
    et al.
    Moniruzzaman, S
    Internationella jämförelser2002In: Olyckor i siffror 2002 / [ed] Schyllander J, Räddningsverket, Karlstad , 2002Chapter in book (Other academic)
  • 61. Andersson, Ragnar
    et al.
    Moniruzzaman, S
    Olycksutveckling med internationella jämförelser2004In: Olyckor i siffror 2004. Räddningsverket, Karlstad, 2004 / [ed] Schyllander J, 2004Chapter in book (Other academic)
  • 62. Andersson, Ragnar
    et al.
    Moniruzzaman, S
    Reply to comments by O.B. Coles2005In: Public Health (2005) 119, 72-73Article in journal (Refereed)
  • 63. Andersson, Ragnar
    et al.
    Moniruzzaman, S
    Skador i ett internationellt perspektiv2005In: Ekman R, et al. (Eds.). Personskador i Sverige Fakta och trender för alla åldersgrupper på nationell, läns-, kommungrupps- och kommunnivå 1987-2002. Räddningsverket, 2005, 2005Chapter in book (Other academic)
  • 64. Andersson, Ragnar
    et al.
    Moniruzzaman, S
    Sadigh, S
    Äldreskador i ett internationellt perpspektiv2003In: Äldres skador i Sverige. Äldreskadeatlas med data och trender på nationell, läns-, kommungrupps- och kommunnivå. Räddningsverket 2003 / [ed] Ekman R, Schyllander J, Jonsson A, 2003Chapter in book (Other academic)
  • 65.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013).
    Nilsen, Per
    Linkoping Univ, Linkoping, Sweden..
    TOWARDS AN EVIDENCE-BASED ZERO VISION ON RESIDENTIAL FIRES2016In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 22, p. A302-A302Article in journal (Other academic)
  • 66. Andersson, Ragnar
    et al.
    Rahman, F
    Ali, Y
    Svanström, L
    Epidemiology of Injury: Results from computerised injury registration for injury surveillance in a district level hospital in Bangladesh - implication for prevention in low-income countries2001In: International Journal for Injury Control and Safety Promotion 2001, Vol 8, No. 1, pp. 29-36Article in journal (Refereed)
  • 67.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Rådbo, Helena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Suicid och suicidprevention inom järnvägstrafik2009In: Socialmedicinsk Tidskrift, ISSN 0037-833X, no 4, p. 332-341Article in journal (Refereed)
  • 68.
    Andersson, Ragnar
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Rådbo, Helena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Schönbacher Gillå, Manuela
    Skadehandlingar inom svenska järnvägsanläggningar: En förstudie baserad på inträffade händelser under perioden 2010-01-01 2010-06-302010Report (Other academic)
  • 69. 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)
  • 70.
    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)
  • 71.
    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)
  • 72.
    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.))
  • 73.
    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.))
  • 74. Andrich, D
    et al.
    Hagquist, Curt
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences. Karlstad University, Faculty of Social and Life Sciences, Centre for Research on Child and Adolescent Mental Health.
    Taking account of differential item functioning through principles of equating2001Report (Refereed)
  • 75. Andrich, David
    et al.
    Hagquist, Curt
    Karlstad University, Faculty of Social and Life Sciences, Centre for Research on Child and Adolescent Mental Health.
    Real and artificial differential item functioning2012In: Journal of educational and behavioral statistics, ISSN 1076-9986, E-ISSN 1935-1054, Vol. 37, no 3, p. 387-416Article in journal (Refereed)
  • 76.
    Andrich, David
    et al.
    The University of Western Australia, Perth, Australia.
    Hagquist, Curt
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Centre for Research on Child and Adolescent Mental Health.
    Real and Artificial Differential Item Functioning in Polytomous Items2015In: Educational and Psychological Measurement, ISSN 0013-1644, E-ISSN 1552-3888, Vol. 75, no 2, p. 185-207Article in journal (Refereed)
    Abstract [en]

    Differential item functioning (DIF) for an item between two groups is present if, for the same person location on a variable, persons from different groups have different expected values for their responses. Applying only to dichotomously scored items in the popular Mantel–Haenszel (MH) method for detecting DIF in which persons are classified by their total scores on an instrument, Andrich and Hagquist articulated the concept of artificial DIF and showed that as an artifact of the MH method, real DIF in one item favoring one group inevitably induces artificial DIF favoring the other group in all other items. Using the dichotomous Rasch model in which the total score for a person is a sufficient statistic, and therefore justifies classifying persons by their total scores, Andrich and Hagquist showed that to distinguish between real and artificial DIF in an item identified by the MH method, a sequential procedure for resolving items is implied. Using the polytomous Rasch model, this article generalizes the concept of artificial DIF to polytomous items, in which multiple item parameters play a role. The article shows that the same principle of resolving items sequentially as with dichotomous items applies also to distinguishing between real and artificial DIF with polytomous items. A real example and a small simulated example that parallels the real example are used illustratively.

  • 77.
    Andrén, Anders
    et al.
    Enheten för Folkhälsa och samhällsmedicin, Landstinget i Värmland.
    Kalander Blomqvist, Marina
    Karlstad University, Faculty of Social and Life Sciences, Avdelningen för hälsa och miljö.
    Psykisk ohälsa hos unga vuxna2009In: Värmlänningarnas liv & hälsa 2008, Karlstad: Karlstad University Press , 2009, p. 177-185Chapter in book (Other academic)
  • 78. Angelin, Mathias
    Idrotten som (o)hälsofrämjande arena?: -En intervjustudie om kroppskultur, jargongen och social struktur inom ishockey2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Promotion of physical activity is one of the eleven public health policy objectives in Sweden. Ice Hockey is one of Sweden’s biggest sports with over 90 000 practitioners. In the recent decade, the sport has been seen with a more critical approach. Although sports are a good place for joy and social education for children and adolescents, there is criticism of the jargon in the sport. It can be homophobic, degrading to women and a violence enhancer. Men’s violence against women costs society large sums in addition to the physical and mental suffering they face. Connections between sports, alcohol and violence has been seen in studies. Research indicates that the hegemonic masculinity that players are expected to live up to from coaches, audiences and team players has a significant factor in violent behavior outside the arena.

     

    Aim: Investigate body culture, jargon and social structure among male ice hockey players, as well as how this is perceived to affect their views on sexuality, aggressiveness and actions outside the arena.

     

    Method: Six male players from different divisions in Swedish hockey were interviewed. Qualitative content analysis was used as method.

     

    Result: The players saw their sports as an important part of their life where they could be themselves and form friendships for life. The jargon contributed beyond the positive sides to create a twisted view of violence, women and homosexuals as contrast to the usual view in today’s society. Objectification, violence and impingement are somewhat normalized in the sport.

     

    Conclusions and implications: Men’s violence against women cost society a lot of money and personal suffering. The social structure in hockey is deeply rooted and difficult to change. The social structure of ice hockey is deeply rooted and difficult to change. The jargon and the violent behavior that can be seen in sport can spread to other situations in life. Based on a public health science approach, efforts are needed to highlight and change the jargon.

  • 79.
    Angelova, Radostina
    et al.
    Bulgaria.
    Naydenov, Kiril
    Denmark.
    Hägerhed-Engman, Linda
    Swedish National Testing and Research Institute.
    Melikov, Arsen
    Danmark.
    Popov, Todor
    Bulgaria.
    Stankov, Peter
    Bulgaria.
    Bornehag, Carl Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    The response rate in postal epidemiological studies in the context of national cultural behaviour2012In: 10th International Conference on Healthy Buildings 2012, 2012, Vol. 2, p. 1429-1434Conference paper (Refereed)
    Abstract [en]

    The purpose of this study was to analyse the effect of national cultural differences on the response rate, obtained in questionnaire based epidemiological studies on allergy and asthma, performed in Sweden (DBH) and Bulgaria (ALLHOME). The two studies used one and the same methodology, but the obtained response rate was different: 78.8% in DBH and 34.5% in ALLHOME. The differences in the obtained response rate and the reasons for these differences were analyzed on the basis of the Hofstede’s cultural dimensions’ indexes, which clearly show the distinction in the national cultural behaviour of people in Sweden and Bulgaria. It was found that national culture could strongly influence the response behaviour of people in epidemiological studies and Hofstede’s indexes can be useful tool when designing and performing epidemiological studies, and in particular - questionnaire surveys.

  • 80. Arbuckle, T.
    et al.
    Hauser, R.
    Swan, S.
    Mao, C.
    Longnecker, M.
    Main, K.
    Whyatt, R.
    Mendola, P.
    Legrand, M.
    Rovet, J.
    Till, C.
    Wade, M.
    Jarrell, J.
    Matthews, S.
    Vliet, G.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Mieusset, R.
    Meeting report: Measuring endocrine-sensitive endpoints within the first year of life2008In: Environmental Health Perspective (in press)Article in journal (Refereed)
  • 81. Arne, M.
    et al.
    Boman, G.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Wilde-Larsson, Bodil
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Patientperspektiv vid KOL i tidigt skede: en kvalitativ studie2003Conference paper (Refereed)
  • 82. Arne, M.
    et al.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Wilde, B.
    COPD patients' perspectives at the time of diagnosis:: A qualitative study2007In: Primary Care Respiratory Journal, Vol. 16 (4)Article in journal (Refereed)
  • 83. Arne, Mats
    et al.
    Lundin, F
    Boman, G
    Janson, C
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Emtner, M
    Factors associated with good self rated health and quality of life in subjects with self reported COPD2011In: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 6, p. 511-9Article in journal (Refereed)
  • 84.
    Asker, Linnéa
    et al.
    Karlstad University, Division for Social Sciences.
    Persson, Maria
    Karlstad University, Division for Social Sciences.
    Larmrutiner och samverkan vid hot om suicid: -i Karlstadregionen2006Independent thesis Advanced level (degree of Magister), 10 points / 15 hpStudent thesis
  • 85.
    Assarsson, Rebecka
    et al.
    Umeå universitet.
    Petersen, Solveig
    Umeå universitet.
    Högberg, Björn
    Umeå universitet.
    Strandh, Mattias
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Centre for Research on Child and Adolescent Mental Health (from 2013). Umeå universitet.
    Johansson, Klara
    Umeå universitet.
    Gender inequality and adolescent suicide ideation across Africa, Asia, the South Pacific and Latin America: A cross-sectional study based on the Global School Health Survey (GSHS)2019In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, no sup3, p. 1-10, article id 1663619Article in journal (Refereed)
    Abstract [en]

    Background: Suicide ideation is a health issue affecting adolescents worldwide. There are significant variations in suicide ideation between countries and genders, which have not been fully explained. Research is especially lacking in countries outside Europe and North America. Gender equality has been shown to matter in other aspects of adolescent mental health, such as life satisfaction, but has not been researched in relation to suicide ideation at national level.

    Objective: To investigate how national gender inequality is related to self-reported suicide ideation among adolescents, and whether this association differs between boys and girls.

    Methods: This is a cross-national, cross-sectional study using individual survey data from the Global School-based Student Health Survey, a survey in Africa, Asia, Latin America and the South Pacific, developed and supported by among others the WHO and the CDC; connecting this to national data: the gender inequality index from the UNDP; controlling for GDP per capita and secondary school enrolment. The data was analysed using a multilevel logistic regression method and included 149,306 students from 37 countries.

    Results: Higher national gender inequality, as measured by the gender inequality index, was significantly associated with a higher likelihood of suicide ideation in both girls and boys (odds ratio: 1.38 p-value: 0.015), but for girls and both sexes this was only after adjusting for selection bias due to secondary school enrolment (as well as GDP/capita). Interaction models showed that this association was stronger in boys than in girls.

    Conclusions: National gender inequality seems to be associated with higher levels of suicide ideation among adolescents in mainly low- and middle-income countries, especially among boys.

  • 86.
    Augustsson, Hanna
    et al.
    Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Centre for Research on Child and Adolescent Mental Health.
    Hagquist, Curt
    Karlstad University, Faculty of Social and Life Sciences, Centre for Research on Child and Adolescent Mental Health.
    Kartläggning av studier om nordiska ungdomars psykiska hälsa2011Report (Other academic)
  • 87. 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)
  • 88.
    Backe, Stefan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Ambulance medical records: An investigation of the usefulness of ambulance log data as a source for injury surveillance2004Conference paper (Other (popular science, discussion, etc.))
  • 89.
    Backe, Stefan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Ensuring sustainability of community based safety promotion programs: What can be learned from the literature?2004Conference paper (Refereed)
  • 90.
    Backe, Stefan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Idrottsskador bland ungdomar i Nacka: En studie baserad på data insamlad genom epidemiologisk bevakning vid akutmottagning2000Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Sports injuries among young people. A study based on data gathered through epidemiologic surveillance at an accident and emergency unit

  • 91.
    Backe, Stefan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Systematiskt kommunbaserat säkerhetsarbete: Samlad kunskap om hinder och möjligheter för en uthållig programledning och skaderegistrering2003Report (Other academic)
    Abstract [sv]

    Introduction.

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

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



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



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



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



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

  • 92.
    Backe, Stefan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Ainetdin, Tuula
    Tillgren, Per
    Lokala data för folkhälsa: En studie i storstadssatsningens områden i Stockholms län2002In: Socialmedicin, ISSN 1403-6789Article in journal (Other academic)
    Abstract [sv]

    Syftet med denna rapport är att identifiera och samla in kunskap om lokala enkätstudier som genomförs i Botkyrka, Haninge, Huddinge, Stockholm och Södertälje och som kan ha relevans för att beskriva folkhälsa utifrån ett områdesperspektiv. Ett annat syfte är att belysa hur detta material kan användas för utvärdering av folkhälsomålet inom ramen för storstadssatsningen.Rapporten baseras på uppgifter från intervjuer med tjänstemän och enkätmaterial som insamlats i samband med besök i de berörda kommunerna. Kontakt har tagits med företrädare för flera förvaltningar som ansvarar bland annat för barnomsorg, skola, bostäder och fritidsfrågor.Inledningsvis redovisas i rapporten centrala begrepp som utsatta bostadsområden och segregation. Därefter beskrivs förklaringsmekanismer bakom segregations-processen och bestämningsfaktorer för hälsa. Även sambandet mellan hälsa och boende och indikatorer som potentiellt kan påverka folkhälsa, både positivt och negativt, beskrivs genom exempel på olika enkätstudier.Av studien framkommer att det i kommunerna i allmänhet genomförs två olika typer av enkätstudier, totalundersökningar och stickprovsundersökningar. Studierna vänder sig till olika målgrupper i kommunerna.Resultatet från denna studie visar att i samtliga kommuner som studerats, genomförs det idag (år 2002)ett flertal återkommande enkätstudier, varav en del har relevans för folkhälsoområdet utifrån ett områdespers-pektiv. Exempel på sådana är stockholmsenkäten om innemiljö och hälsa, bostadsbolagens boendeenkäter, polisens trygghetsenkäter, skolenkäter, drogvanestudier i skolorna samt medborgarenkäter kring lokalt föränd-ringsarbete inom ramen för storstadssatsningen.Av genomgången framkommer också att det inte finns identiska enkätstudier som genomförs i samtliga kommuner men det är möjligt att göra jämförelser mellan några av de kommuner som ingår i stortstads-satsningen. Det är också möjligt att följa utvecklingen över tid i de enskilda kommunerna. Exempel på sådana studier är drogvaneinventering som regelbundet genomförs i Haninge, Stockholms stad och Södertälje. I dessa fall är det Utrednings- och statistikkontoret (USK) som samlar in uppgifterna på uppdrag av de berörda kommunerna. Betydelsen av lokal data i folkhälsoarbete ligger främst i att resultatet kan återföras och diskuteras med den lokala befolkningen och de ansvariga för kommuners verksamheter och erforderliga åtgärder kan vidtagas. Bland annat har polisens trygghetsenkäter i kommunerna använts på detta sätt. Dock visar denna genomgång att omfattningen och kvalitén i studierna är olika och att bortfallet vaierar mellan 18 och 50 procent. Detta har betydelse för med vilken säkerhet resultatet kan tolkas och generaliseras till hela befolkningen i den berörda kommunen.Slutsats: Det skulle vara av stort värde att kunna tillvarata kunskap och samordna olika lokala enkäter som innehåller folkhälsofrågeställningar med de folkhälsoenkäter som genomförs av landsting och statliga myndigheter. För att underlätta en jämförelse mellan kommuner och kommundelar är det också värdefullt att få till stånd en samordning av de geografiska indelningar på områdesnivå som olika myndigheter har för sin statistikredovisning. Detta skulle innebära att kunskap bättre skulle kunna integreras i verksamhetsplaner och andra åtgärdsinriktade insatser på områdesnivå

  • 93.
    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.

  • 94.
    Backe, Stefan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Ericson, L
    Timpka, T
    Janson, S
    Injuries in rock climbing: An epidemiological study of the Swedish climber population2008Conference paper (Refereed)
    Abstract [en]

    Objective.

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



    Material and methods.

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



    Results.

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



    Discussion and conclusions.

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

  • 95.
    Backe, Stefan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Ericson, L.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Timpka, Toomas
    Linköping university.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Rock climbing injury rates and associated risk factors in a general climbing population2008In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, no 19, p. 850-856Article in journal (Refereed)
  • 96.
    Backe, Stefan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Fagerström, S
    Hallgren-Nilsson, J
    Certifiering av idrottsföreningar: En strategi för minskning av antalet idrottsskador2000In: Rapport, idrottsskadeprojektet, Nacka kommunArticle in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Inledning: Inom ramen för Nacka kommuns utnämning till En säker och trygg kommun år 2000, genomfördes

    Idrottsskadeprojektet "Certifiering av idrottsskador - en strategi för minskning av antalet idrottsskador".



    Syfte: Rapportens syfte är att utifrån evidensbaserad kunskap om idrottsskador belysa om en idrotts-

    säkerhetsmodell som innebär att skadeförebyggande arbetet ingår som en del idrottsklubbars dagliga verksamheten, kan vara en möjlig strategi för att nå ökad systematik och uthållighet i förebyggandet av idrottsskador. Ett annat syfte är att utifrån en sådan modell belysa vilka organisatoriska och metodologiska åtgärder som behövs för att åstadkomma en uthållighet och ett vidmakthållande av idrottssäkerhet?



    Metod: Rapporten baseras t ex på enkätmaterial som insamlats med berörda idrottsklubbar i Nacka kommun, och på data från epidemiologiska kartläggningar av idrottsskador i nämnda kommun. En fråga som särskilt lyftes fram i enkätundersökningen handlade om vilka

    säkerhetsrutiner som existerar inom idrottsklubbar med ungdomsverksamhet och vilken kunskap tränare, sjukvårdsansvariga, materialansvariga och de aktiva har när det gäller förebyggandet av skador?



    Resultat: Ett av de tydligaste resultaten var den höga andelen skador bland lag- och kontaktidrotter, speciellt fotboll, handboll och innebandy. Ett annat fynd från studierna var att idrottsklubbarna överlag dels saknade kunskap om olika idrottsskador, dels saknade strategier för förebyggande av sådana skador.



    Föreningarna uppgav också att de sällan eller aldrig får ta del av resultaten från den brandsyn, arenateknisk översyn eller kontroll av idrottsredskap som regelbundet genomförs av räddningstjänst eller andra kommunala förvaltningar. Att utveckla metoder för systematiskt förebyggande av olyckor/skador inom föreningsidrotten tillsammans med andra aktörer sågs däremot som positivt.

  • 97.
    Backe, Stefan
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Timpka, T
    Linkoping Universitet .
    Governance and implementation of sports safety practices by municipal offices in Swedish communities2012In: International Journal of Injury Control and Safety Promotion, ISSN 1745-7300, E-ISSN 1745-7319, Vol. 19, no 2, p. 163-169Article in journal (Refereed)
  • 98.
    Bask, Miia
    Karlstad University, Faculty of Social and Life Sciences, Centre for Research on Child and Adolescent Mental Health.
    Internalizing and Externalizing Problem Behavior among Swedish Youth: Explaining Multiple Disadvantages2011Conference paper (Refereed)
  • 99.
    Bauer, A. Z.
    et al.
    University of Massachusetts, 1 University Avenue, Lowell, MA, 01854, USA.
    Kriebel, D.
    University of Massachusetts, 1 University Avenue, Lowell, MA, 01854, USA.
    Herbert, M. R.
    Harvard Medical School, Charlestown USA.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Swan, S. H.
    Icahn School of Medicine at Mount Sinai, New York City, NY 10029, USA.
    Prenatal paracetamol exposure and child neurodevelopment: A review2018In: Hormones and Behavior, ISSN 0018-506X, E-ISSN 1095-6867Article in journal (Refereed)
    Abstract [en]

    Background: The non-prescription medication paracetamol (acetaminophen, APAP) is currently recommended as a safe pain and fever treatment during pregnancy. However, recent studies suggest a possible association between APAP use in pregnancy and offspring neurodevelopment. Objectives: To conduct a review of publications reporting associations between prenatal APAP use and offspring neurodevelopmental outcomes. Methods: Relevant sources were identified through a key word search of multiple databases (Medline, CINAHL, OVID and TOXNET) in September 2016. All English language observational studies of pregnancy APAP and three classes of neurodevelopmental outcomes (autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and intelligence quotient (IQ)) were included. One reviewer (AZB) independently screened all titles and abstracts, extracted and analyzed the data. Results: 64 studies were retrieved and 55 were ineligible. Nine prospective cohort studies fulfilled all inclusion criteria. Data pooling was not appropriate due to heterogeneity in outcomes. All included studies suggested an association between prenatal APAP exposure and the neurodevelopmental outcomes; ADHD, ASD, or lower IQ. Longer duration of APAP use was associated with increased risk. Associations were strongest for hyperactivity and attention-related outcomes. Little modification of associations by indication for use was reported. Conclusions: Together, these nine studies suggest an increased risk of adverse neurodevelopmental outcomes following prenatal APAP exposure. Further studies are urgently needed with; precise indication of use and exposure assessment of use both in utero and in early life. Given the current findings, pregnant women should be cautioned against indiscriminate use of APAP. These results have substantial public health implications.

  • 100.
    Beckman, Linda
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Centre for Research on Child and Adolescent Mental Health.
    Hagquist, Curt
    Karlstad University, Faculty of Social and Life Sciences, Centre for Research on Child and Adolescent Mental Health.
    Hur mår barn och ungdomar i Sverige?: Analys av den officiella bilden, mediebilden och bilden från forskningen2010Report (Other (popular science, discussion, etc.))
    Abstract [en]

    During the past two decades, ”Alarming reports” on young people’s mental health have frequently been published in newspapers.  . These questions have gained great attention in the public debate, both in media and on the political agenda. In the 2008 Public Health government bill, it is pointed out that children and adolescents is one of the most important target groups and that mental health is one of the most prioritized areas within public health politics.

     

    This report takes its beginning from an apparently general opinion, saying that children’s and young people’s mental health tends to deteriorate. In this report, the mediated picture of children’s and young people’s mental health over time is presented. Three operators in society are analyzed from their standpoints of children’s and adolescent’s mental health with respect to trends, socio demographic and regional differences, and also which sources are used in their argumentations. The three operators are the Government, authorities working with these questions, daily press and scientific research.

     

    The material for the media analysis is a systematic review of articles in newspapers during the period 1988-2008 via two electronic databases. The official standpoint has been described using government documents. The material from the research area consists of peer- reviewed published articles, epidemiological studies, and so called ”grey literature”.

     

    The result shows that the standpoint of the three different operators is remarkably consistent, but far from identical. The sources used are frequently quoted and tend to circulate among the operators. The result also shows that the groups experiencing the worst health are girls and young women. However, neither ethnicity nor regional differences are described. Also, the epidemiological data is very insufficient. As a whole, Swedish adolescent seem however experiencing a vital mental health, but stress and mental ill- health has become more frequent, especially among girls and young women. It is crucial to reflect over terms and expressions used in measurements which are being compared over a 20- year perspective. To which extent are they reflecting the same values and terms as two decades ago?

     

    Neither the media nor the official actors can be accused of fabricating constructions, since their reports are more or less based on published research reports. Inversely, the official standpoint and the picture from media can also be assumed to be mirroring the things not being published.

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