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  • 651.
    Wagnsson, Stefan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Patriksson, P
    Socialization through organized youth sports. A study of young peoples psychosocial development2010Conference paper (Refereed)
  • 652.
    Wagnsson, Stefan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Patriksson, P.
    Specialiseringsgrad inom barn- och ungdomsidrotten2006Conference paper (Other (popular science, discussion, etc.))
  • 653.
    Wagnsson, Stefan
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Patriksson, P.
    Vad lär sig barn och ungdomar i idrottsföreningar?2007Conference paper (Other (popular science, discussion, etc.))
  • 654. Wargocki, P.
    et al.
    Wyon, D.
    Lynge Jensen, K.
    Bornehag, Carl-Gustaf
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    The effect of electrostatic particle filtration and supply air filter condition in classrooms on the performance of schoolwork by children. ASHRAE IAQ Applications. HVAC&R Research (In press)2008In: ASHRAE IAQ Applications. HVAC&R Research 2008 (In press)Article in journal (Refereed)
  • 655.
    Wikström, Fredrik
    et al.
    Karlstad University, Faculty of Technology and Science, Department of Energy, Environmental and Building Technology.
    Karlsson, Mikael
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hållbar utveckling i skogslandskapet ' med energi i fokus2004Chapter in book (Other academic)
  • 656.
    Wikström, Fredrik
    et al.
    Karlstad University, Faculty of Technology and Science, Department of Energy, Environmental and Building Technology.
    Karlsson, Mikael
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hållbar utveckling i Värmland - Strategier för lokal och regional hållbar utveckling av energisystem i ett femtioårsperspektiv2002Report (Refereed)
  • 657. Williams, R. B. G.
    et al.
    Swantesson, Jan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences. Karlstad University, Faculty of Social and Life Sciences, Department of Geography and Tourism.
    Robinson, D. A.
    Measuring rates of downwearing and mapping microtopography:: The use of micro-erosion meters and laser scanners in rock weathering studies2000In: Zeitschrift für Geomorphologie N. F. Supplement Band 120. 51-66Article in journal (Refereed)
  • 658.
    Wolfe, Ingrid
    et al.
    European Centre on Health of Societies in Transition, London School of Hygiene & Tropical Medicine, London, UK.
    Thompson, Matthew
    European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, UK.
    Gill, Peter
    Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
    Tamburlini, Giorgio
    Centro per la Salute del Bambino, Trieste, Italy.
    Blair, Mitch
    Division of Paediatrics, Imperial College, London, UK.
    van den Bruel, Ann
    Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
    Ehrich, Jochen
    Medizinische Hochschule, Hannover, Hanover, Germany.
    Pettoello-Mantovani, Massimo
    School of Medicine, University of Foggia, Foggia, Italy.
    Janson, Staffan
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Karanikolos, Marina
    European Centre on Health of Societies in Transition, London School of Hygiene & Tropical Medicine, London, UK.
    McKee, Martin
    European Centre on Health of Societies in Transition, London School of Hygiene & Tropical Medicine, London, UK.
    Health services for children in western Europe2013In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 381, no 9873, p. 1224-1234Article in journal (Refereed)
    Abstract [en]

    Western European health systems are not keeping pace with changes in child health needs. Non-communicable diseases are increasingly common causes of childhood illness and death. Countries are responding to changing needs by adapting child health services in different ways and useful insights can be gained through comparison, especially because some have better outcomes, or have made more progress, than others. Although overall child health has improved throughout Europe, wide inequities remain. Health services and social and cultural determinants contribute to differences in health outcomes. Improvement of child health and reduction of suffering are achievable goals. Development of systems more responsive to evolving child health needs is likely to necessitate reconfiguring of health services as part of a whole-systems approach to improvement of health. Chronic care services and first-contact care systems are important aspects. The Swedish and Dutch experiences of development of integrated systems emphasise the importance of supportive policies backed by adequate funding. France, the UK, Italy, and Germany offer further insights into chronic care services in different health systems. First-contact care models and the outcomes they deliver are highly variable. Comparisons between systems are challenging. Important issues emerging include the organisation of first-contact models, professional training, arrangements for provision of out-of-hours services, and task-sharing between doctors and nurses. Flexible first-contact models in which child health professionals work closely together could offer a way to balance the need to provide expertise with ready access. Strategies to improve child health and health services in Europe necessitate a whole-systems approach in three interdependent systems—practice (chronic care models, first-contact care, competency standards for child health professionals), plans (child health indicator sets, reliable systems for capture and analysis of data, scale-up of child health research, anticipation of future child health needs), and policy (translation of high-level goals into actionable policies, open and transparent accountability structures, political commitment to delivery of improvements in child health and equity throughout Europe).

  • 659.
    Wänerstam, Magdalena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Statens haverikommissions rekommendationer: i samband med branden i Göteborg 19982012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med den här magisteruppsatsen var att undersöka myndigheters förhållningssätt till Statens haverikommissions (SHK) begrepp rekommendationer. Som avgränsning har rekommendationerna i Rapport RO 2001:02 O-07/98 Brand på Herkulesgatan i Göteborg, O län, den 29-30 oktober 1998 analyserats.

    Metoden som har använts för att uppnå syftet var konventionell innehållsanalys som är en form av textanalys. De texttyper som har analyserats var myndighetsdokument, artiklar, böcker, rapporter, mejl och personligt möte. Verbal information har transkriberats till textform.

    Slutsatserna blev att SHK:s utredningar från början till slut var lagstyrda så myndigheterna som deltog i undersökningen ansåg sig inte kunna ha ett subjektivt förhållningssätt till begreppet rekommendation utan de ville vara laglydiga och fullfölja sina respektive regeringsuppdrag. Det blev även tydligt att SHK är en viktig aktör när det gäller områdena samhällssäkerhet och olycksprevention då rekommendationerna kan användas för lag- och regelskapande som i sin tur kan leda till förbättrad samhällssäkerhet. SHK:s utredningar är även uppbyggda kring ett lärande perspektiv som innebär att man inte vill leta syndabockar utan lära sig av olyckan så att den inte inträffar igen. I myndigheternas svar på rekommendationerna var det tre teman som synliggjordes och dessa teman var ökad kunskap, synkronisering och samverkan. Exempel kunde vara ökad kunskap om samhällets risker, synkronisering av begrepp och terminologi på en olycksplats och samverkan aktörer emellan. Alla samhällsnivåer fanns även representerade i myndigheternas svar, allt från den enskilda individen till riksdag/regering.

  • 660.
    Östberg, Anna-Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Adolescents views of oral health education. A qualitative study2004Conference paper (Other (popular science, discussion, etc.))
  • 661.
    Östberg, Anna-Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Adolescents' views of oral health education: A qualitative study2005In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 65, no 2, p. 300-307Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to investigate adolescents perceptions and desires with respect to oral health education. Aseries of focus group sessions was conducted with adolescents in schools. The groups comprised an average of 6 individuals,with a total of 34 participants. The main themes of the discussions were the informants perceptions of the oral healtheducation in different settings and under varying circumstances. The discussions were transcribed verbatim and analyzedaccording to the basic principles of Grounded Theory. One of the most important issues appeared to be the dental personnelconsidering the individual as a subject and not as an object. The adolescents in the study were uncertain about their knowledgeof oral health. Often, the participants expressed a wish to be taught more at the dental visit. Information in schools was sparse.The support of parents was acknowledged but little discussed. The methods used in advertisements to describe dentalproducts were met with skepticism. These should not be imitated in oral health education as this might undermine thecredibility of the dental services. Girls were perceived to be more interested in health than boys were. Two core categorieslabeled credibility and confidence, which interacted continually, emerged from the data in the analysis. The resultsindicate that the credibility of the intermediary of the health messages is essential, as is their ability to create confidence. Thus,oral health education among adolescents is more likely to be successful when credibility and confidence are perceived

  • 662.
    Östberg, Anna-Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    En ojämlik möjlighet. Kartläggning av forsknings- och utvecklingsarbete inom folktandvården: Research and development (R&D) in the Public Dental Services in Sweden - an unequal opportunity2004In: TandläkartidningenArticle in journal (Refereed)
    Abstract [sv]

    Continuous research and development (R&D) is essential to ensure quality in dental care. A recent official report in Sweden suggests that the county councils should be obliged to arrange and support R&D activities in dental care. In this paper, a review of the R&D activities within the Public Dental Services (PDS) in the 21 Swedish counties is presented. Official PDS representatives in each county were contacted by telephone in February and March 2003 and asked questions on the following topics: the organisation of R&D activities, the fields prioritised in R&D, courses arranged in research methodology, research competence, economic matters, and personal comments.



    In half of the counties, R&D in the PDS was organised in collaboration with other health services. Few positions in the PDS were in R&D, and those that existed were only part-time posts. Public health matters, prevention, and clinical studies were fields that were commonly prioritised for R&D. Most of the studies published by PDS employees have been performed within specialised dental care.



    Competence and knowledge in how to conduct studies are essential for the quality of R&D. Courses in R&D methodology had been arranged in most counties. The number of employees who held a doctoral degree varied from zero (five counties) to over ten (four counties).

    Pecuniary resources available for R&D differed considerably (from around 55 EUR to a few hundreds EUR per employee in the different counties). Lower revenues from patient fees were regarded to be the major obstacle to establishing and carrying out R&D activities. How this matter was viewed and handled differed greatly between the counties. At the time of this investigation, a topic of interest in several of them was the future R&D organisation, according to the informants.



    It was concluded that the organisation and the preconditions for R&D in the PDS varied greatly between the Swedish counties.

  • 663.
    Östberg, Anna-Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Enkätstudie bland skolungdomar i Skaraborg1997Conference paper (Other (popular science, discussion, etc.))
  • 664.
    Östberg, Anna-Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hur upplever ungdomar sin munhälsa?2004In: Odontologi 2004, Munksgaard , 2004Chapter in book (Other academic)
  • 665.
    Östberg, Anna-Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Oral health education among adolescents2005Conference paper (Refereed)
    Abstract [en]

    ORAL HEALTH EDUCATION AMONG ADOLESCENTS

    Objectives:

    To investigate adolescents perceptions and desires with respect to oral health education.



    Methods:

    A qualitative approach was applied. A series of focus group sessions was conducted with adolescents at senior and upper secondary level schools. The groups comprised an average of 6 individuals (six groups). The main themes of the discussions were the informants perceptions of the oral health education in different settings and under varying circumstances. The discussions were transcribed verbatim and analyzed according to the constant comparative method.



    Results:

    One of the most important issues appeared to be the dental personnel considering the individual as a subject and not as an object. The adolescents in the study were uncertain about their knowledge of their oral health. Often, the participants expressed a wish to be taught more at the dental visit. Information in schools was sparse. The support of parents was acknowledged but little discussed. The methods used in advertisements to describe dental products were met with skepticism and these should not be imitated in oral health education as this might undermine the credibility of the dental services. Girls were perceived to be more interested in health than boys were. Two core categories labeled credibility and confidence, which interacted continually, emerged from the data in the analysis.



    Conclusion:

    The results indicate that the credibility of the intermediary of the health messages is essential, as is their ability to create confidence. Thus, oral health education among adolescents is more likely to be successful when credibility and confidence are perceived.

  • 666.
    Östberg, Anna-Lena
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Tandhälsa2007In: Äldre i Värmland: Om hälsa, levnadsvanor och livssituation 2006 / [ed] Marina Kalander Blomqvist och Staffan Jansson, Karlstad: Karlstad University Press, 2007, p. 37-41Chapter in book (Other academic)
  • 667.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Nyholm, M
    Gullberg, B
    Rastam, L
    Lindblad, U
    Tooth loss and obesity in a defined Swedish population2009In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 37, no 4, p. 427-433Article in journal (Refereed)
  • 668.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, P.
    Hakeberg, M.
    A Swedish version of the OIDP index2008Conference paper (Refereed)
  • 669.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, P
    Hakeberg, M
    Associations between oral healrh and oral health-related quality of life2009Conference paper (Refereed)
  • 670.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, P
    Hakeberg, M
    Cross-cultural adaptation and validation of the Oral Impacts on Daily Performances (OIDP) in Swedish2008In: Swed Dent J. 2008;32(4):187-95Article in journal (Refereed)
  • 671.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, P
    Hakeberg, M
    Oral impacts on daily performances: associations with self-reported health and medication2009Conference paper (Refereed)
  • 672.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Andersson, P
    Hakeberg, M
    Oral impacts on daily performances: associations with self-reported health and medication2009In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 67, no 6, p. 370-376Article in journal (Refereed)
  • 673.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Ericsson, Jessica S
    Wennström, Jan L
    Abrahamsson, Kajsa H
    Socio-economic and lifestyle factors in relation to priority of dental care in a Swedish adolescent population.2010In: Swedish Dental Journal, ISSN 0347-9994, Vol. 34, no 2Article in journal (Refereed)
    Abstract [en]

    The aim of this epidemiological survey was to describe and analyze oral health habits and life-style factors in relation to the priority of regular dental care in 19-year-old individuals with specific reference to gender, residential area and socio-economic grouping. The data were generated from a randomized sample of 758 (63%) individuals in three residential areas in Western Sweden (two rural, one urban) who answered a set of questionnaires prior to a dental examination. The analysis revealed that males had significantly less favourable oral health habits than females. Forty-one % of the males and 30% of the females did not plan regular dental visits after the age of 20 when they will be charged for the care (p = 0.002). There were no statistically significant differences in oral health habits and dental care priorities with regard to residential areas and socio-economic groups. In a multivariate model, three significant factors for the probability of "not planning for future regular dental visits" were identified: toothbrushing less than twice daily (OR 1.94; 95% CI 1.28-2.94), smoking (OR 1.68; 95% CI 1.10-2.56) and male gender (OR 1.54; 95% CI 1.05-2.24). The findings emphasize the need for promotion of favourable oral health habits and smoking prevention among adolescents. There is also a need for dental personnel to recognize differences with regard to oral health-related attitudes and behaviours between males and females.

  • 674.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Halling, A.
    Lindblad, U.
    A gender perspective of self-perceived oral health in adolescents. Associations with attitudes and behaviours2001Conference paper (Other (popular science, discussion, etc.))
  • 675.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Halling, A.
    Lindblad, U.
    A gender perspective of self-perceived oral health in adolescents. Associations with attitudes and behaviours2001In: Community Dental HealthArticle in journal (Refereed)
    Abstract [en]

    Objective To investigate the associations between dental attitudes and behaviours, and self-perceived oral health from a gender perspective in an adolescent population.

    Design A census survey. Self-reported questionnaires were answered anonymously in a standardised manner in classrooms. Studied attitudes included the importance of sound teeth and feelings towards visits to the dentist. Behaviours were represented by floss usage and sweets consumption.

    Setting All senior and upper secondary level schools in Skaraborg County, Sweden.

    Subjects 17,280 students, aged 13 18 years.

    Outcome measures Self-perceived oral health, represented by a single-item rating; satisfaction with the appearance of the teeth; self-assessed gum bleeding; and a perceived oral health (POH) index.

    Results Recognising sound teeth as important was a predominating attitude among the respondents (boys 94%, girls 97%) and was significantly associated with a good perceived oral health in all aspects. Individuals who experienced visits to dentist as unpleasant (boys 36%, girls 43%) were less likely to perceive good oral health as single-item rated (OR for boys 0.55[0.49,0.63] and for girls 0.40[0.34,0.47]). Regular use of floss did not prevent bleeding gums. Daily sweets consumption showed a significant and inverse association with self-perceived oral health as single-item rated (OR for boys 0.53[0.44,0.66], girls 0.49[0.40,0.60). Girls, more often than boys, perceived their oral health to be good, except in the perception of the appearance of their teeth.

    Conclusions It is concluded that the strong associations between attitudes and self-perceived oral health should be recognised in strategies for oral health promotion and that gender differences must be considered.

  • 676.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Halling, A
    Lindblad, U
    Gender differences in knowledge, attitude, behavior and perceived oral health among adolescents1999In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 57, no 4, p. 231-236Article in journal (Refereed)
    Abstract [en]

    A cross-sectional dental questionnaire census survey was conducted in classrooms of 17,280 students aged 13-18 years in Skaraborg County, Sweden. The overall response rate, based on school attendance on the test day, was 91% with no gender differences at the senior level and 86% (boys 87%, girls 85%) at the upper secondary level. The aim was to examine gender differences in knowledge, attitude, behavior, and perceived oral health. A retest study showed good agreement. Thirty-one percent of the girls and 21% of the boys flossed regularly. Eleven percent reported daily candy consumption, with no significant gender difference. Girls, however, more often than boys considered their own consumption to be too high. This gender difference in attitude was most pronounced among older daily consumers (odds ratio (OR)= 5.8[3.7-9.2]). Oral health was regarded as important by a majority of the students (95%). Girls considered sound teeth to be more important than did boys, both among the younger (OR=1.7[1.4-2.1) and the older (OR=2.4[1.9-3.1]) adolescents. Conclusion: Most adolescents had a positive dental attitude and perceived their own oral health to be good. Poorer knowledge and behaviors concerning oral health were demonstrated. Gender differences existed in most issues. Girls scored more favorably on behavioral measures, showed more interest in oral health, and perceived their own oral health to be good to a higher degree than did boys

  • 677.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Hall-Lord, Marie Louise
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Oral health-related quality of life in older Swedish people with pain problems2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, p. 510-516Article in journal (Refereed)
  • 678.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Jarkman, K.
    Lindblad, U.
    Halling, A.
    Adolescents Perceptions of Oral Health and Influencing Factors2001Conference paper (Refereed)
    Abstract [en]

    Introduction: Accounts on self-perceptions of oral health have hitherto been rare, although of great interest for strategies in health promotion.



    Purpose: The objective of this study was to increase the knowledge on adolescents perceptions of oral health and influencing factors.



    Methods: Semistructured interviews of 17 Swedish adolescents were performed. Criteria for strategic sampling were age (15, 18 years), gender (male, female), and dental health (healthy, unhealthy). Data were analysed according to the constant comparative method. Areas of focus were general oral health, personal oral health, life-style issues and dental care.



    Results: The awareness of oral health was mostly low among the informants. Two categories of oral health were identified, action and condition. Conditional aspects were most frequent in evaluations of personal oral health. Possibilities to influence oral health were considered limited. Perceptions of influences on oral health were related to personal and professional care, social support and impact, and external factors. Gender differences were indicated in health consciousness. Concern for oral health was denoted the core category of perceived influence.

  • 679.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Jarkman, K.
    Lindblad, U.
    Halling, A.
    Adolescents perceptions of oral health and influencing factors: A qualitative study2002In: Acta Odontolologica Scandinavica, ISSN 0001-6357, Vol. 60, no 3, p. 167-173Article in journal (Refereed)
    Abstract [en]

    Accounts of self-perceptions of oral health have hitherto been rare, although they are of great interest for strategies in health promotion. The objective of this study was to increase our knowledge of adolescents perceptions of oral health and influencing factors.Semi-structured interviews of 17 Swedish adolescents were performed. Criteria for strategic sampling were age (15, 18 years), gender (male, female), and dental health (healthy, unhealthy). Data were analyzed according to the constant comparative method. Areas of focus were general oral health, personal oral health, dental care, and life-style issues.Oral health awareness was generally low among the informants. Two categories of oral health were identified: action (the physical things we do to effect the condition of our mouths) and condition (the physical status of the mouth). Conditional aspects were most frequent in evaluations of personal oral health. The informants considered their possibilities to influence oral health limited. Perceptions of influences on oral health were related to personal and professional care, social support and impact, and external factors. Concern for oral health was derived as the core category in perceived influence on oral health. This study indicates that it is important to find factors that enhance adolescents awareness of their own resources and to seek mechanisms that govern internalization. There is a need to find strategies to convey such knowledge to the intermediaries: the dental personnel and the parents.

  • 680.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Lindblad, U
    Halling, A
    Self-perceived oral health in adolescents associated with family characteristics and parental employment status2003In: Community Dental HealthArticle in journal (Refereed)
    Abstract [en]

    Objective - To investigate self-perceived oral health and its associations with family characteristics and parental employment status in an adolescent population from a gender perspective.

    Design - A cross-sectional study using self-reported questionnaires answered anonymously in classrooms.

    Setting - All senior (13-15 years) and upper secondary (16-18 years) level schools in Skaraborg County, Sweden.

    Subjects - 17,035 students, participation rate 88.5%.

    Outcome measures - A single-item rating of self-perceived oral health; satisfaction with the appearance of the teeth; self-assessed gingival bleeding; a perceived oral health index.

    Results - Independent of family characteristics and parental employment status, girls, more often than boys, perceived their oral health to be good and had less self-assessed gingival bleeding but were less satisfied with the appearance of their teeth. Adolescents living with a single mother (senior level OR 0.71 [CI 0.59-0.84], upper secondary level OR 0.76 [CI 0.62-0.92]) or with neither parent were less likely to perceive their oral health as good when single-item rated and reported more gingival bleeding (living with a single mother: senior level OR 1.37 [CI 1.20-1.57], upper secondary level OR 1.51 [CI 1.28-1.77]) than those who lived with both parents, while adolescents who lived with a single father did not. Associations between parental employment status and self-perceived oral health were weak and inconsistent.

    Conclusions - Family characteristics were important for adolescents self-perceived oral health while parental employment status was not. Children living in single-parent households should be supported and recognised in strategies for oral health promotion and prevention. Gender differences should also be taken into consideration.

  • 681.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Nordblom, A
    Sundqvist, R
    Tandhälsa hos barn och ungdomar i Skaraborg1997In: Barn i Skaraborg, Skövde: Skaraborgsinstitutet , 1997Chapter in book (Other academic)
  • 682.
    Östberg, Anna-Lena
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Health and Environmental Sciences.
    Råstam, L
    Lindblad, U
    Tooth loss and obesity in a defined Swedish population2007Conference paper (Refereed)
    Abstract [en]

    Aim The aim of the present study was to explore the association between tooth loss and obesity in a defined adult Swedish population and to investigate whether psychosocial factors could explain a tentative association. Methods The study is based on a population survey 2001-2005 in two municipalities within the same mainly rural area in south-western Sweden, being part of a comprehensive epidemiological study on hypertension, type 2 diabetes, and obesity (The Skaraborg Project). A random sample of 30-74-year-olds (five year strata) was selected and 2,918 people participated (76%). Information on remaining number of teeth was collected by a self-administered questionnaire. Tooth loss was defined as <20 remaining teeth, as compared to 20. Obesity was defined as body mass index (BMI) 30 kgm-2. Associations were estimated using logistic regression and adjustments were made for demographic, clinical and life-style variables as well as co-morbidity. Results The mean BMI value was 26.9 kgm-2 in men and 26.8 kgm-2 in women. Obesity was still more frequent among women than among men (23.6% versus 17.7%, p<0.001). Including all ages, there was a statistically significant association between tooth loss and obesity among women (OR 1.98; CI 1.44-2.72), but not among men (1.40; 0.98-2.00). However, in participants below 60 years of age, this association was stronger and statistically significant in both genders, while it was lost in older participants. Conclusions In this study, tooth loss was associated with obesity in the younger adults with a stronger association in women than in men

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