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  • 1.
    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.

  • 2.
    Friman, Göran
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences.
    Wårdh, Inger
    Karolinska Institutet.
    Nilsson, Gunnar
    Karolinska Institutet.
    Hultin, Margareta
    Karolinska Institutet.
    Identifying patients in dental settings at risk of cardiovascular disease and diabetes2013In: Cardiovascular system, ISSN 2052-4358, Vol. 1, no 5Article in journal (Refereed)
    Abstract [en]

    Background: The purpose of our study was to identify patients in a dental setting at risk of already having or developing high blood pressure or high plasma glucose, investigate possible associations between these conditions and periodontal status and explore the correlation between screening results and follow-up assessments concerning the need for medical treatment and/or lifestyle changes performed by medical staff.

    Methods: A total of 170 dental patients were consecutively included at their regular yearly check-up visit. Data on age, weight, height, amount and use of tobacco and medication for cardiovascular disease and diabetes mellitus were collected, as well as data about systolic and diastolic blood pressure, in addition to pulse and plasma glucose. Clinical and radiographic examinations revealed data about periodontal status by probing periodontal pockets and measuring marginal alveolar bone loss by means of x-rays. Patients who exceeded normal diastolic blood pressure and plasma glucose values were referred for diagnosis and care.

    Results: Thirty-nine patients exhibiting high values were provided referrals and 24 or 14.1% of the 170 participants required additional care. The correlation between oral and medical health care concerning blood pressure recorded was 64.5% (p<0.001), while the correlation was 40.0% (p<0.001) concerning plasma glucose. Among middle aged men and elderly subjects, the data revealed/showed a significant correlation between marginal alveolar bone loss and high systolic blood pressure (p=0.001).

    Conclusions: The correlation between oral health care and medical health care registrations based on blood pressure and plasma glucose indicates that it may be appropriate for dental professionals to perform opportunistic medical screening and refer risk patients to the medical care system before complications occur. In order to identify medical risk patients in dental settings on the basis of high blood pressure, a suggestion may be to examine middle-aged men and elderly patients of both sexes who exhibit radiographic markers for marginal alveolar bone loss.

  • 3.
    Magnusson, Therese
    et al.
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Riddargård, Helena
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013).
    Att leva med Multipel Skleros: - En litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Multipel Skleros [MS] är en autoimmun nervsjukdom som påverkar kroppens alla funktioner, genom att nervernas ytskikt, myelin, skadas och bryts ner. Orsaken är okänd och sjukdomen anses vara kronisk, då det i nuläget inte finns något botemedel. Sjukdomen upplevs olika av alla och genom att belysa erfarenheter hos personer med MS, kan sjuksköterskan få en större förståelse för personers situationer och på så vis kunna anpassa vården efter olika behov.

    Syfte: Litteraturstudiens syfte var att belysa personers erfarenheter av Multipel Skleros.

    Metod: Litteraturstudien grundades på Polit och Becks (2017) niostegs flödesschema. Sökningar genomfördes i databaserna Cinahl och PubMed. Urval i tre steg och databearbetning genomfördes, vilket resulterade i 15 kvalitativa artiklar.

    Resultat: Fyra huvudkategorier identifierades: MS – en känslofylld resa, Stöd & relationer, Planera för att vara aktiv och Att bilda familj – från ett kvinnligt perspektiv.

    Slutsats: Personer med MS upplevde att vägen fram till diagnos var lång och fylld av många olika känslor. Personer med MS ansåg att sjukdomen innebar en ständig kamp att anpassa sig till det vardagliga livet, där stöd och sociala relationer var en stor och viktig del.

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