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  • 151.
    Korp, Peter
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Health on the Internet: implications for health promotion2006In: Health Education Research, ISSN 0268-1153, E-ISSN 1465-3648, Vol. 21, no 1, p. 78-86Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to discuss the implications of health on the Internet for health promotion, focusing in particular on the concept of empowerment. Empowering aspects of health on the Internet include the enabling of advanced information and knowledge retrieval, anonymity and convenience in accessing information, creation of social contacts and support independent of time and space, and challenging the expert-lay actor relationship. The disempowering aspects of health on the Internet are that it involves a shift towards the expert control and evaluation of sources of health information, that it widens the gap between 'information-rich' and 'information-poor' users, thus reproducing existing social divisions, and that the increase in medicalization and healthism results in increased anxiety and poorer health. The health promotive and empowering strategies presented in this article are directed at strengthening people's ability to evaluate different information sources in relation to their own interests and needs rather than in relation to scientific and/or professional standards.

  • 152.
    Korp, Peter
    University West, Department of Studies of Work, Economics and Health.
    Hälsopromotion: en sociologisk studie av hälsofrämjandets institutionalisering2003Report (Other academic)
  • 153.
    Korp, Peter
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    The symbolic power of 'healthy lifestyles'2008In: Health Sociology Review, ISSN 1446-1242, Vol. 17, no 1, p. 18-26Article in journal (Refereed)
  • 154.
    Kostmann, Ebba
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Nilsson, Lena A.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Children's Perspectives on Health.: What Makes Children Feel Good According to Themselves?2012In: International Journal of Education, ISSN 1948-5476, E-ISSN 1948-5476, Vol. 4, no 1, p. 1-11Article in journal (Refereed)
    Abstract [en]

    The object of this study is to examine children’s perspectives on health and what elements make them feel good. Health promoting contributions rarely emanate from children’s perspectives but most often from a child perspective, what adults consider children need in order to feel well. There are relatively few studies made from children’s viewpoints on health - children should be made more involved in the shaping of health interventions. The study was carried out at two nine-year compulsory schools in Western Sweden, 78 pupils aged 9 through 11years participated. To collect the material interviews was the principal source, and the result is mainly supported by an analysis of the contents from 52 interviews. What the children declared to be the most important element for health were relations. This circumstance was stated in 88 percent of the interviews, and it was in substance the relations to family and friends that were brought up. A condition to lift children’s perspectives is that they are taken seriously, that their part-taking leads to influence and a real utilization of their opinions. A conclusion from this study is that activities that handle health for children and young people should consider children’s perspectives: partly through focusing the work on promoting children’s social and familial relations, and partly to let the children participate more in the final shape of contents and working methods.

  • 155.
    Kovacevic, Anka
    et al.
    University West, Department of Social and Behavioural Studies.
    Thorén - Begger, Gerd
    University West, Department of Social and Behavioural Studies.
    Förberedelseklasser: Pedagogiska perspektiv på andraspråkinlärning2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Den ökade invandringen i Sverige har bland annat bidragit till ökade krav på skolans bemötande av nyanlända elever från olika länder som är i behov att lära sig det svenska språket.

    Med tanke på språkets betydelse för individen i ett främmande land är syftet med vår studie att undersöka andraspråkinlärning i förberedelseklasser, utifrån pedagogiska perspektiv.

    Frågeställningarna i undersökningen är; Hur upplever förberedelseklasslärare att invandrarelever lär sig det svenska språket? Vilka pedagogiska redskap används under språkinlärningsfasen och bedömer lärarna att eleverna får tillräckliga språkkunskaper för att möta skolans krav i övrig ämnesundervisning?

    Studien belyser mångfald i samhälle och skola, språkets betydelse, undervisningsmetoder samt modersmålets roll i andraspråksundervisningen, utifrån några lärares syn på dessa fenomen. Skiljer sig uppfattningen åt mellan pedagoger, angående detta?

    Studien bygger på kvalitativ metod med sju intervjuer och en observation samt en omfattande litteraturundersökning, vilket enligt vår mening visar att det finns ett ökat behov av mångkulturell förståelse i den svenska skolan.

    Resultatet av våra intervjuer är naturligtvis inte generaliserbar på grund av dess begränsade omfattning men den visar ändå enligt vår uppfattning att det efterfrågas förändrade förhållningssätt och undervisningsmetoder som inkluderar samtliga ämnesområden. Resultatet åskådliggör även att invandrarelever inte har tillräckliga språkkunskaper för att klara skolans kunskapskrav och att det finns ett utanförskap som kan ha sin grund i samhällets segregation, vilket vi anser har stärkts genom litteraturen.

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  • 156.
    Lagrosen, Stefan
    et al.
    Linnéuniversitetet.
    Lagrosen, Yvonne
    University West, Department of Engineering Science, Divison of Natural Sciences, Surveying and Mechanical Engineering.
    Work integrated learning for employee health in schools 2014In: International Journal of Quality and Service Sciences, ISSN 1756-669X, E-ISSN 1756-6703, Vol. 6, no 4, p. 387-398Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper is to examine relationships between quality management health dimensions, employee health, flow and work integrated learning in primary schools. Previous research has indicated relationships between quality management and health. In this study, the role that work integrated learning plays in the connection between quality and health is investigated.

    Design/methodology/approach – The study object has been a number of schools. A quantitative survey has been carried out. A random sample of 20 primary schools, of which 13 (65 per cent) agreed to participate, was selected. Questionnaires to their 301 employees were delivered and 229 (76 per cent)were returned. The reliability of the items were analysed with Cronbach’s alpha test. The statistical relationships between the items were studied with Pearson’s correlation test.

    Findings – The results show that the items are reliable. Moreover, statistical correlations between work integrated learning on the one hand and employee health, quality management health dimensions and flow on the other hand are found.

    Research limitations/implications – One limitation is that the research has only been carried out in schools and the possibilities of generalising the findings to other sectors are uncertain. Research implications are the relationships that have been identified between work integrated learning and the other factors.

    Practical implications – The knowledge that has resulted from the study should be useful for organisations in their attempts to improve the health status of the employees.

    Originality/value – The relationship between work integrated learning and employee health has not been studied in any other major study.

  • 157.
    Lagrosen, Stefan
    et al.
    Linneuniversitetet, Department of Marketing,School of Business and Economics,Kalmar.
    Lagrosen, Yvonne
    University West, Department of Engineering Science, Division of Process and Product Development.
    Lind, Linda
    University West, Department of Engineering Science.
    Health Leadership in the Wellness Industry2015In: Complete proceedings of the 3rd International Conference on Management Leadership and Governance ICMLG 2015 Auckland, New Zealand. / [ed] Coral Ingley & James Lockhart, Reading: Academic Conferences and Publishing International Limited , 2015, p. 167-174Conference paper (Other academic)
  • 158.
    Lagrosen, Stefan
    et al.
    Linnéuniversitetet.
    Lagrosen, Yvonne
    University West, Department of Engineering Science, Division of Mechanical Engineering and Natural Sciences.
    Lind, Linda
    Workplace health in the wellness sector: implications for HRM2014In: 29th EIASM Workshop on Strategic Human Resource Management, 24-25/4 2014, Ajaccio, France, 2014Conference paper (Other academic)
  • 159.
    Lagrosen, Yvonne
    et al.
    University West, Department of Engineering Science, Division of Process and Product Development.
    Lagrosen, Stefan
    Linnaeus University,Department of Marketing, School of Business and Economics, Kalmar, Sweden .
    Entrepreneurial Learning for Quality and Competitiveness: A Study in the Spa-Industry2015In: Proceedings of the European Conference on Innovation and Entrepreneurship, ECIE, ACAD CONFERENCES LTD, CURTIS FARM, KIDMORE END, NR READING, RG4 9AY, ENGLAND , 2015, p. 392-399Conference paper (Other academic)
    Abstract [en]

    The connection between well-functioning quality management and competitiveness has been established. Moreover, research has found that the success of quality management efforts is dependent on the values held by management and employees in the organisations. Consequently, there is a connection to organisational culture and organisational learning. Quality management is sometimes accused of only promoting incremental improvements while entrepreneurial learning is seen as a way of promoting truly innovative improvements in organisations. Combining entrepreneurial learning and quality management is, however, not obvious since they have aspects that may be contradictory. Nevertheless, organisational learning theories are often addressed in recent quality management literature and such attempts have often been found to be fruitful. Consequently, introducing entrepreneurial learning aspects in the quality management field might further its development. Exploring ways of combining these fields and perhaps finding a common ground should thus be valuable. The study reported in this paper has been carried out in the Swedish spa-industry. The purpose has been to explore if and how entrepreneurial learning can contribute to the management of quality in the companies. Case studies have been carried out at seven leading spa-hotels which have formed a learning network. Qualitative methods of data collection have been used including in-depth interviews, participant observation, seminars and a novel method called the quality café. The results are presented and a framework for entrepreneurial learning driven quality management is proposed.

  • 160.
    Lagrosen, Yvonne
    et al.
    University West, Department of Engineering Science, Division of Industrial Engineering and Management, Electrical- and Mechanical Engineering.
    Lagrosen, Stefan
    Linnaeus University, Department of Marketing, Vaxjo, Sweden.
    Workplace health in wellness: a study of Swedish spa-hotels2019In: International Journal of Quality and Service Sciences, ISSN 1756-669X, E-ISSN 1756-6703, Vol. 11, no 3, p. 395-408Article in journal (Refereed)
    Abstract [en]

    Purpose: In previous research, quality management practices have been found to be related to better health for employees. Dimensions of health-promoting quality leadership have been defined. The purpose of this study was to identify dimensions of workplace health in the wellness industry and relate them to the dimensions of health-promoting quality leadership. Design/methodology/approach: An empirical study involving seven leading spa-hotels in Sweden has been carried out. The first part of the study consisted of quality cafés carried out at each of the hotels. The quality café is a novel method, which has the World Café-method as its basis, combined with quality management techniques. Based on the findings from the quality cafés, an employee survey was developed. Findings: The findings from the study include a definition of five major health dimensions for the employees, namely, happiness, kinship, respect, physical health conditions and control. The dimensions were found to be statistically consistent and correlated with the self-reported health of the respondents. Research limitations/implications: The findings are related to health promotion theory and the dimensions of health-promoting quality leadership. A framework for health leadership in the wellness industry is proposed. The study was only carried out in one country. Practical implications: The framework and the findings should be useful for managers, particularly in the wellness sector, when designing their operations and health promotion activities. Originality/value: Workplace health in the wellness sector, which is growing worldwide, is very scarcely researched. © 2019, Emerald Publishing Limited.

  • 161.
    Lahtela, Emma
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Gillenäng, Karin
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Ger det fria arbetet frihet: En studie om balans mellan arbete och privatliv2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This qualitative study treats the construction and maintenance of balance between work and private life and how flexibility in the workplace is perceived. The study was conducted using semi-structured interviews and these have been conducted in five large companies around Gothenburg. The analysis and results are based on the phenomenographic method approach and the final results were four themes: Balance, Flexibility, Combining family and work and lifelong learning with related subcategories. The result shows that the construction and maintenance of balance between work and personal life is something that is tied to the indi-viduals and the current situation in life. Two of the most common strategies to maintain a dis-tinction proved to be planning as well as other activities, in order to move the focus away from the work. In the larger picture flexibility of work turned out to be something that all re-spondents are in favor of, and not perceived as something stressful

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  • 162.
    Lantz, H
    et al.
    Sahlgrenska University Hospital, Department of Medicine.
    Brattby, L.-E
    Uppsala University Hospital, Department of Medical Sciences, Clinical Physiology.
    Fors, H.
    Northern Älvsborg Hospital, Trollhättan,Department of Paediatrics.
    Sandhagen, B.
    Uppsala University Hospital, Department of Medical Sciences, Clinical Physiology.
    Sjöström, L.
    Sahlgrenska University Hospital, Department of Medicine.
    Samuelson, Gösta
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Body composition in a cohort of Swedish adolescents aged 15, 17 and 20.5 years2008In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, no 12, p. 1691-1697Article in journal (Refereed)
  • 163. Larsson, Y
    et al.
    Samuelson, Gösta
    Nytt vårdprogram för barn- och ungdomsdiabetes1988In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 85, no 4, p. 195-198Article in journal (Other academic)
  • 164. Larsson, Y
    et al.
    Samuelson, Gösta
    Tuvemo, T
    Åman, J
    Vårdprogram för barn- och ungdomsdiabetes1988In: XXII Nordiska Pediatriska kongressen, Reykjavik, 1988, 1988, no 4Conference paper (Other academic)
  • 165.
    Leijon, Matti
    et al.
    Lund University/Region Skåne, Center for Primary Health Care Research.
    Arvidsson, Daniel
    Lund University/Region Skåne, Center for Primary Health Care Research.
    Nilsen, Per
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine.
    Ekman, Diana Stark
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Carlfjord, Siw
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine.
    Andersson, Agneta
    Linköping University, County Council of Östergötland, R&D Department of Local Health Care.
    Johansson, Anne Lie
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine.
    Bendtsen, Preben
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine.
    Improvement of physical activity by a kiosk-based electronic screening and brief intervention in routine primary health care: Patient-initiated versus staff-referred2011In: Journal of Medical Internet Research, Vol. 13, no 4, p. e99-Article in journal (Refereed)
    Abstract [en]

    Background: Interactive behavior change technology (eg, computer programs, Internet websites, and mobile phones) may facilitate the implementation of lifestyle behavior interventions in routine primary health care. Effective, fully automated solutions not involving primary health care staff may offer low-cost support for behavior change. Objectives: We explored the effectiveness of an electronic screening and brief intervention (e-SBI) deployed through a stand-alone information kiosk for promoting physical activity among sedentary patients in routine primary health care. We further tested whether its effectiveness differed between patients performing the e-SBI on their own initiative and those referred to it by primary health care staff. Methods: The e-SBI screens for the physical activity level, motivation to change, attitudes toward performing the test, and physical characteristics and provides tailored feedback supporting behavior change. A total of 7863 patients performed the e-SBI from 2007 through 2009 in routine primary health care in Östergötland County, Sweden. Of these, 2509 were considered not sufficiently physically active, and 311 of these 2509 patients agreed to participate in an optional 3-month follow-up. These 311 patients were included in the analysis and were further divided into two groups based on whether the e-SBI was performed on the patient's own initiative (informed by posters in the waiting room) or if the patient was referred to it by staff. A physical activity score representing the number of days being physically active was compared between baseline e-SBI and the 3-month follow-up. Based on physical activity recommendations, a score of 5 was considered the cutoff for being sufficiently physically active. Results: In all, 137 of 311 patients (44%) were sufficiently physically active at the 3-month follow-up. The proportion becoming sufficiently physically active was 16/55 (29%), 40/101 (40%), and 81/155 (52%) for patients with a physical activity score at baseline of 0, 1 to 2, and 3 to 4, respectively. The patient-initiated group and staff-referred group had similar mean physical activity scores at baseline (2.1, 95% confidence interval [CI] 1.8-2.3, versus 2.3, 95% CI 2.1-2.5) and at follow-up, (4.1, 95% CI 3.4-4.7, vs 4.2, 95% CI 3.7-4.8). Conclusions: Among the sedentary patients in primary health care who participated in the follow-up, the e-SBI appeared effective at promoting short-term improvement of physical activity for about half of them. The results were similar when the e-SBI was patient-initiated or staff-referred. The e-SBI may be a low-cost complement to lifestyle behavior interventions in routine primary health care and could work as a stand-alone technique not requiring the involvment of primary health care staff. © Matti Leijon, Daniel Arvidsson, Per Nilsen, Diana Stark Ekman, Siw Carlfjord, Agneta Andersson, Anne Lie Johansson, Preben Bendtsen.

  • 166.
    Lester, Nigel
    et al.
    Washington Univ, Sch Med, Dept Psychiat, Ctr Well Being, St Louis, MO 63110 USA..
    Garcia, Danilo
    Washington University School of Medicine, Department of Psychiatry, Center for Well-Being, St. Louis, MO, United States.
    Lundström, Sebastian
    Univ Gothenburg, Ctr Eth Law & Mental Hlth CELAM, Inst Neurosci & Physiol, Gothenburg, Sweden.
    Brändström, Sven
    Univ Gothenburg, Ctr Eth Law & Mental Hlth CELAM, Inst Neurosci & Physiol, Gothenburg, Sweden.
    Råstam, Maria
    Lund Univ, Dept Clin Sci, Lund, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences. University of Gothenburg, Centre for Ethics, Law and Mental Health (CELAM), Institute for Neuroscience and Physiology, Sweden; Swedish Prison and Probation Service, Gothenburg, Sweden.
    Nilsson, Thomas
    Univ Gothenburg, Ctr Eth Law & Mental Hlth CELAM, Inst Neurosci & Physiol, Gothenburg, Sweden.
    Cloninger, C Robert
    Washington University School of Medicine in St. Louis, St Louis, USA.
    Anckarsäter, Henrik
    Univ Gothenburg, Ctr Eth Law & Mental Hlth CELAM, Inst Neurosci & Physiol, Gothenburg, Sweden.
    The genetic and environmental structure of the character sub-scales of the temperament and character inventory in adolescence.2016In: Annals of General Psychiatry, ISSN 1744-859X, E-ISSN 1744-859X, Vol. 15, article id 10Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The character higher order scales (self-directedness, cooperativeness, and self-transcendence) in the temperament and character inventory are important general measures of health and well-being [Mens Sana Monograph 11:16-24 (2013)]. Recent research has found suggestive evidence of common environmental influence on the development of these character traits during adolescence. The present article expands earlier research by focusing on the internal consistency and the etiology of traits measured by the lower order sub-scales of the character traits in adolescence.

    METHODS: The twin modeling analysis of 423 monozygotic pairs and 408 same sex dizygotic pairs estimated additive genetics (A), common environmental (C), and non-shared environmental (E) influences on twin resemblance. All twins were part of the on-going longitudinal Child and Adolescent Twin Study in Sweden (CATSS).

    RESULTS: The twin modeling analysis suggested a common environmental contribution for two out of five self-directedness sub-scales (0.14 and 0.23), for three out of five cooperativeness sub-scales (0.07-0.17), and for all three self-transcendence sub-scales (0.10-0.12).

    CONCLUSION: The genetic structure at the level of the character lower order sub-scales in adolescents shows that the proportion of the shared environmental component varies in the trait of self-directedness and in the trait of cooperativeness, while it is relatively stable across the components of self-transcendence. The presence of this unique shared environmental effect in adolescence has implications for understanding the relative importance of interventions and treatment strategies aimed at promoting overall maturation of character, mental health, and well-being during this period of the life span.

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  • 167.
    Lethagen, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Wasmouth, Karin
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Blandstad: En kvalitativ studie om stadens utformning och dess påverkan på folkhälsa2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health and urban planning are naturally linked together. Through time strategies have

    differed to promote health and well being of citizens. The built environment is

    through availability, safety and attractiveness, along with access to work and

    supportive social networks required as prior conditions to promote health. The

    concept of mixed-use can be seen as an ideal in urban planning of today. The study

    intends to shed light on today's urban ideals and urban development in relation to

    public health. For collection and process of data the qualitative method of Grounded

    theory is used as inspiration. The study is based on interviews of officials and

    politicians in the city of Gothenburg. The data is founded on their knowledge and

    experiences of mixed-use in relation to urban development in Gothenburg. In

    addition, the data of the study relates to a public health perspective, based on four of

    the public health objectives of the Swedish National Institute of Public Health a long

    with science and theories of public health. The result of the study indicate that the

    informants picture of the concept of mixed-use differ from vision and reality. From

    the result of the study it emerges that mixed-use that can preserve the social

    dimension have good possibilities to promote public health.

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  • 168.
    Lihv, Christine
    et al.
    University West, Department of Nursing, Health and Culture.
    Salomonsson, Emma
    University West, Department of Nursing, Health and Culture.
    Hälsofrämjande skola: elevers uppfattningar om delaktighet och inflytande i ett hälsofrämjande arbete2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Vi har valt att studera hur elever uppfattar delaktighet och inflytande i ett hälsofrämjande arbete. För att belysa detta tydligare har vi valt att arbeta utifrån två frågeställningar:

     På vilket sätt uppfattar elever att de är delaktiga i hälsofrämjande skola?

     Hur uppfattar elever deras inflytande i hälsofrämjande skola?

    Metod: Vår studie bygger på kvalitativa intervjuer i form av fokusgrupper. Vi anser att metoden är den mest brukbara för oss då vi är ute efter elevers uppfattningar. Vi har sammanlagt haft sex stycken fokusgruppsintervjuer med sju deltagare i varje grupp. Eleverna som deltog var från årskurs 7 och 9.

    Vi har inspirerats av en fenomenografisk ansats vid analys av vårt empiriska material som går ut på att dela in materialet i kategorier.

    Resultat: Vi anser att vi har lyckats få en bild av hur den undersökta elevgruppen uppfattar delaktighet och inflytande. De kategorier som genom analys successivt trätt fram är följande:

     Direktinflytande på individnivå – Uppfattningarna i denna kategori rör inflytande som rör en elev eller några i dennes närhet.

     Aktiv delaktighet som förutsättning för elevinflytande – Denna kategori innefattar uppfattningar om olika sätt att påverka med förutsättning att eleverna är delaktiga på ett aktivt sätt.

     Hierarki som begränsning för elevinflytande – I denna kategori ryms uppfattningar om hur den hierarkiska ordningen som råder på skolan begränsar elevinflytande.

     Elevers uppfattning om delaktighet i mindre skala – Uppfattningar i denna kategori rör delaktighet i den form då elever exempelvis samarbetar och löser problem med förutsättning att alla är delaktiga.

     Insatser för att främja delaktighet och inflytande i skolan – Denna kategori innefattar de insatser som vi tolkat främjar delaktighet och inflytande i skolan.

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  • 169. Lindström, Bengt
    et al.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Contextualising the Salutogenesis and Antonovsky in Public Health Development2006In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 21, no 3, p. 238-244Article in journal (Refereed)
    Abstract [en]

    More than 20 years have passed since the American-Israeli medical sociologist Aaron Antonovsky introduced his salutogenic theory ‘sense of coherence’ as a global orientation to view the world, claiming that the way people view their life has a positive influence on their health. Sense of coherence explains why people in stressful situations stay well and even are able to improve their health. The origin of salutogenesis derives from the interviews of Israeli women with experiences from the concentration camps of the Second World War who in spite of this stayed healthy. Sixty years after the Holocaust this paper aim to shed light on the salutogenic theory in the context of public health and health promotion. In addition, other approaches with salutogenic elements for the explanation of health are considered. A potential direction for public health of the early 21st century is proposed. The historical paradox is to honour the victims of the Holocaust and see the birth of post-modern public health and the salutogenic framework through the experience of its survivors in the ashes of Modernity.

  • 170. Lindström, Bengt
    et al.
    Eriksson, Monica
    University West, Department of Health Sciences.
    Grundlagen der Salutogenese: Von der Anatomie der Gesundheit zur Architektur des Lebens - Salutugene Wege der Gesundheitsförderung2019In: Salutogenese kennen und verstehen: Konzept, Stellenwert, Forschung und praktische Anwendung / [ed] Meier Magistretti, Claudia, Bern: Hogrefe , 2019, p. 25-107Chapter in book (Refereed)
    Abstract [de]

    Salutogenese ist die Wissenschaft von den Bedingungen, die Gesundheit ermöglichen, aufrechterhalten und wiederherstellen. Im Unterschied zur Pathogenese, die sich mit Ursachen von Krankheit beschäftigt, fokussiert Salutogenese die Ursachen von Gesundheit. Als Teilgebiet der Gesundheitswissenschaften gründet Salutogenese auf einer empirisch validierten Theorie von Aaron Antonovsky und verfügt über eine mittlerweile 40-jährige weltweite Forschungstradition. Mit der globalen Arbeitsgruppe zur Salutogenese innerhalb der internationalen Gesellschaft für Gesundheitsförderung (IUHPE) hat sich das Wissensgebiet zu einem Schwerpunkt in Public Health entwickelt.In diesem Werk wird die Komplexität des vorhandenen Wissens zur Salutogenese in kurzen, gut illustrierten Kapiteln dargestellt, die für verschiedene Anspruchsgruppen anschlussfähig sind und einen kompakten Überblick zu den relevanten Themen Gesundheitspolitik, Lebensqualität, Gesundheitserziehung oder psychische Gesundheit geben. Eine kurze Einführung zu den Thesen des Begründers der Salutgenese, Aaron Antonovsky, sowie ein abschließendes Kapitel zum aktuellen deutsche Forschungsstand runden das Werk ab.

  • 171.
    Lindström, Bengt
    et al.
    Folkhälsan Research Center, Helsinki, Finland.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Guía del autoestopista salutogénico: camino salutogénico hacia la promoción de la salud2011Book (Other academic)
  • 172.
    Lindström, Bengt
    et al.
    NTNU, Trondheims universitet.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Haikerens guide til salutogenese: Helsefremmende arbeid i et salutogent perspektiv2015 (ed. 1)Book (Other academic)
  • 173.
    Lindström, Bengt
    et al.
    Trondheims universitet.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture.
    La salutogenèse: petit guide pour promouvoir la santé2012Book (Other academic)
    Abstract [fr]

    Au milieu des années 1970, un chercheur dans le domaine du stress, Aaron Antonovsky, a eu une intuition révolutionnaire dans l’univers des sciences de la santé : et si l’on tentait de comprendre ce qui génère la santé, la « salutogenèse », plutôt que de se concentrer essentiellement sur ce qui produit la maladie, la « pathogenèse », comme on le faisait depuis des siècles ? Ce livre permet, pour la première fois en langue française, de comprendre les possibilités et les limites de la salutogenèse, non seulement en tant que théorie, mais aussi en tant qu'orientation générale pour aborder les enjeux de santé du xxie siècle. À ce titre, il intéressa au premier chef les chercheurs et les praticiens des diverses disciplines du domaine de la santé et des services sociaux.

  • 174.
    Lindström, Bengt
    et al.
    Nordic School of Public Health, Göteborg, Sverige.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture.
    Professor Aaron Antonovsky (1923-1994) - the father of the Salutogenesis2005In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 59, no 6, p. 511-Article in journal (Other academic)
  • 175. Lindström, Bengt
    et al.
    Eriksson, Monica
    Folkhälsans forskningscentrum, Helsingfors, Finland.
    Salutogeneesin teoria nostaa hyvän elämän voimavarat esiin2008In: Suomen Lääkärilehti, ISSN 0039-5560, no 6, p. 517-519Article in journal (Refereed)
  • 176.
    Lindström, Bengt
    et al.
    Folkhälsan Research Center.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    The Hitchhiker's Guide to Salutogenesis: Salutogenic pathways to health promotion2010Book (Other academic)
  • 177.
    Lindström, Bengt
    et al.
    Folkhälsan Research Centre, Helsinki, Finland.
    Eriksson, Monica
    Folkhälsans forskningscentrum, Helsingfors, Finland.
    The salutogenic approach to the making of HiAP/Healthy Public Policy: illustrated by a case study2009In: Global Health Promotion, ISSN 1757-9759, E-ISSN 1757-9767, Vol. 16, no 1, p. 17-28Article in journal (Refereed)
    Abstract [en]

    Twenty years have passed since the central document of health promotion, the Ottawa Charter, was constituted. Health was seen as the process enabling individuals and communities to increase control over their determinants of health, thereby improving their health and enabling an active and productive life, that is, a good quality of life. One main strategy was the making of a healthy public policy. At the same time Aaron Antonovsky developed the salutogenic theory and its core concepts the sense of coherence and the generalized resistance resources. This paper integrates Antonovsky's salutogenic theory and a salutogenicmodel of quality of life into the core principles of theOttawa Charter and exemplifies how to make healthy public policy the salutogenic way. A process-oriented coherent health promotion research model integrating an ecological, a salutogenic and a resilient approach is shown. The objective of this theoretical model is to bring together the whole spectrum of risk factors, protective factors and promotion factors in one model. Further, individual, group and society level are considered. Themodel suggested aims to contribute to the creation of sense of coherence. This is exemplified in practice in a case study of a Nation, that is, on a national level. The case study of the "Nation" is partly masked. The principles behind these processes are explained in detail while the case study of the "Nation" only includes parts of the process explaining some core issues. The overall aim of this paper is to stimulate health promotion activities along the lines presented and invite the readers to comment and continue the discussion.

  • 178. Lindström, Bengt
    et al.
    Mittelmark, M.
    University of Bergen.
    Sagy, S.
    Ben Gurion University of the Negev.
    Espnes, G.
    NTNU.
    Cattan, M.
    Northumbria University.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture.
    Vaandrager, L.
    Wageningen University.
    Bruun Jensen, B.
    STENO HP Center.
    Bauer, G.
    Zurich University.
    Ziglio, E.
    WHO Europe.
    Laverack, G.
    WHO-INT.
    The effectiveness of the salutogenic approach to health promotion according to the Ottawa Charter principles and action areas.2011In: International Conference on Assets for Health and Wellbeing across the Life Course, 2011Conference paper (Refereed)
    Abstract [en]

    Since health promotion was launched in 1986 through the Ottawa Charter it has suffered from the lack of a good theoretical foundation. However, it has now been demonstrated that the original salutogenic theory (The Sense of Coherence Theory of Antonovsky) matches the principles of the Ottawa Charter (OC). The evidence of a global systematic review on SOC proves that people and systems that have developed a strong SOC have a positive health outcome regarding the OC action areas. In 2007 IUHPE established a Global Working Group on Salutogenesis (GWG-SAL). In December 2010 10 research centers formed a core group for the GWG-SAL. These centers represent different profiles related to salutogenesis such as pollicy development, reorientation of health services, settings approaches such as workplace health, community action, health behaviours and learning for health, NCD interventions, development of research methods and indicators, contemporary evidence base and systematic reviews, the life-course approach, mental health, quality of life, population health and specific target groups such as youth and elderly... The proposed subkeynote/workshop or symposium proposes to coherently address these aspects where representatives of the Core Group speak to the core aspects of the above issues and discuss further research and interventions regarding the salutogenic approach to health and health promotion.

  • 179.
    Löve, J
    et al.
    University of Gothenburg, Department of Public Health and Community Medicine, Gothenburg, Sweden.
    Mehlig, K
    University of Gothenburg, Department of Public Health and Community Medicine, Gothenburg, Sweden.
    Källström, Å
    Örebro University, School of Law, Psychology and Social Work, Örebro,Sweden.
    Hensing, G
    University of Gothenburg, Department of Public Health and Community Medicine, Gothenburg, Sweden.
    Gunnarsdottir, Hrafnhildur
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Department of Public Health and Community Medicine, Gothenburg, Sweden.
    Parents' socioeconomic position, psychological problems, and emotional neglect in childhood2019In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 29, no Supplement 4, p. 365-366, article id ckz187.182Article in journal (Refereed)
    Abstract [en]

    Despite high prevalence and severe consequences for health and wellbeing, emotional neglect (EN) in childhood is a neglected topic in epidemiological research. To enable prevention of neglect knowledge is important about conditions related to EN such as parental individual characteristics and social/economic situation. Aim to investigate the relationship between parental socioeconomic position (SEP), psychological problems, and EN in childhood.The sample comprised Swedish women, N = 976, mean age 22. EN was assessed by five indicators: maternal/paternal rejection, maternal/paternal lack of time, and occurrence of domestic violence. The associations between parental SEP/psychological problems and EN were examined by logistic regressions.The odds of experiencing domestic violence in childhood was higher among women with parents with low (OR 3.1 95% CI 1.1-8.5) or medium SEP (OR 3.4 95% CI 1.7-6.9). Women who reported maternal psychological problems had higher odds of maternal rejection (OR 6.8 95% CI 3.5-13.0), maternal lack of time (OR 2.4 95% CI 1.2-5.0) and paternal rejection (OR 1.9 95% CI 1.1-3.5). Women who reported paternal psychological problems had higher odds of perceiving their father as rejecting (OR 4.0 95% CI 2.1-7.7), not having enough time for them (OR 4.9 95% CI 2.3-10.6), and experiencing domestic violence (OR 4.9 95% CI 2.1-11.6).Lower SES was not related to EN in form of parental rejection or lack of time but to the occurrence of domestic violence. Parental psychological problems were related to all indicators of EN but differently among mothers and fathers. Public health initiatives aiming at supporting parents should also embrace parental psychological wellbeing.Emotional neglect was clearly related to parental psychological problems but not parental socioeconomic status.Gendered structures need to be considered in studies of emotional neglect.

  • 180.
    Magnusson, Ann-Sofie
    et al.
    Göteborgs universitet.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Barnkonventionen på samhällsagendan?: En studie om förekomst av konventionen i svensk tryckt press och på webb.2019In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 96, no 4, p. 585-593Article in journal (Refereed)
    Abstract [sv]

    Sverige ratificerade FN:s konvention om barns rättigheter, barnkonventionen, 1990. Juni 2018 beslutade riksdagen att göra barnkonventionen till svensk lag. Barnkonventionen har således varit en del av svenska samhället under trettio år. Huruvida människor känner till detta kan hänga samman med i vilken utsträckning svenska medier uppmärksammat barnkonventionen och dess eventuella status som svensk lag. En utgångspunkt är mediers roll i samhället. Det handlar om att ge information, granska makt, visa på olika uppfattningar och skapa underlag för debatt och beslut. I studien undersöks om barnkonventionen omnämns i svenska medier, ifall det nämns med koppling till lag och ifall det sker förändringar över tid.

  • 181.
    Majlöv, Monica
    et al.
    University West, Department of Nursing, Health and Culture.
    Blom, Petra
    University West, Department of Nursing, Health and Culture.
    ”Att möjliggöra för att gåvidare i livet”: Upplevelsen av känsla av sammanhang bland tibetanska flyktingar i Dharamsala, Indien2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Tidigare forskning visar att känsla av sammanhang har betydelse för hur människor i stressfulla situationer kan upprätthålla hälsa och klara av stress. Studien har genomförts bland tibetanska flyktingar i Dharamsala, Indien, ett urval av människor som drabbats svårt av traumatiska händelser.

    Syfte:

    Syftet med studien är att beskriva och tolka innebörden i tibetanska flyktingars upplevelser av känsla av sammanhang.

    Metod:

    Fenomenologisk hermeneutisk metod

    Resultat:

    Innebörden av upplevelsen av känsla av sammanhang var att möjliggöra för att gå vidare i livet. Känslan av sammanhang var en resurs som gjorde det möjligt för flyktingarna att gå vidare i livet dvs. skapa nya sammanhang och rekonstruera sina liv. De gjorde det på ett flexibelt sätt med hjälp av livsstrategier. Socialt stöd, religionen, kulturen och traditionerna var alla resurser som var viktiga att ha med sig för att kunna bygga upp känsla av sammanhang och kunna gå vidare i livet.

    Konklusion:

    Denna nya kunskap kan relateras till den centrala målsättningen i Ottawa dokumentet (WHO, 1986) för hälsofrämjande arbete, att möjliggöra, dvs att skapa förutsättningar för människor att upprätthålla hälsa och få kontroll över livet. Flyktingarna fick möjlighet att ta kontroll över livet genom sin känsla av sammanhang. Forskning visar att

    hälsofrämjande arbete i viss mån saknar teoretisk grund och att den salutogena teorin här kunde vara ett viktigt komplement till övriga teoribildningar inom hälsopromotion.

     

  • 182. Maltau, J
    et al.
    Samuelson, Gösta
    Stakeberg, H
    Svedberg, S
    Ostergaard, E
    [Ammonia poisoning--experiences from an ice rink accident].1979In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 76, no 9, p. 723-4Article in journal (Refereed)
  • 183.
    Masic, Lejla
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Taherianfard, Raha
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Det är bra att det går framåt men det går för fort: en fenomenografisk studie kring seniorers perspektiv på IT, användning och lärande2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 184. Michaelsen, K F
    et al.
    Johansen, J S
    Samuelson, Gösta
    Price, P A
    Christiansen, C
    Serum bone gamma-carboxyglutamic acid protein in a longitudinal study of infants: lower values in formula-fed infants.1992In: Pediatric Research, ISSN 0031-3998, E-ISSN 1530-0447, Vol. 31, no 4 Pt 1, p. 401-5Article in journal (Refereed)
    Abstract [en]

    Bone gamma-carboxyglutamic acid protein [BGP (osteocalcin)] is a protein synthesized by osteoblasts and incorporated in the bone matrix. Serum BGP is a sensitive marker of bone formation, and it parallels the growth velocity curve during childhood and adolescence. Serum BGP was measured at the age of 2, 6, and 9 mo in a cohort study of nutrition and growth in 91 healthy infants. At 2 mo, the mean BGP value (+/- SD) was 275 +/- 87 ng/mL in infants exclusively breast-fed, and 80 +/- 44 ng/mL in formula-fed infants. At 6 mo, the values were 142 +/- 58 ng/mL and 55 +/- 30 ng/mL, and at 9 mo 75 +/- 39 ng/mL and 45 +/- 19 ng/mL in partially breast-fed and formula-fed infants, respectively. The differences were significant (p less than 0.001) at all three ages. At 2 and 9 mo, breast-milk intake was measured by test-weighing. Serum BGP was positively correlated to breast milk intake (mL/kg body wt) at 2 mo (r = 0.59, p less than 0.001) and 9 mo (r = 0.41, p = 0.06). When breast-feeding was stopped, the high BGP concentrations were not sustained. There were no significant differences in linear growth velocity between breast-fed and formula-fed infants and no correlation between BGP values and linear growth velocity. We speculate that either a factor in human milk or the level of minerals in human milk causes the high BGP values. Moreover, if the higher values are associated with increased osteoblast activity, then the remodeling or the mineralization of bone might be different in infants not being breast-fed.

  • 185. Michaelsen, K F
    et al.
    Johansen, J S
    Samuelson, Gösta
    Price, P A
    Christiansen, C
    Skakkebaek, N
    Serum bone Gla Protein (BGP, Osteocalcin) in Infants: Values Positively Correlated with Human Milk Intake.1992In: Mechanisms Regulating Lactation and Infant Nutrient Utilization / [ed] Picciano, Mary Frances, Wiley-Liss , 1992, Vol. 31, no 4 Pt 1, p. 419-423Chapter in book (Other academic)
    Abstract [en]

    Bone gamma-carboxyglutamic acid protein [BGP (osteocalcin)] is a protein synthesized by osteoblasts and incorporated in the bone matrix. Serum BGP is a sensitive marker of bone formation, and it parallels the growth velocity curve during childhood and adolescence. Serum BGP was measured at the age of 2, 6, and 9 mo in a cohort study of nutrition and growth in 91 healthy infants. At 2 mo, the mean BGP value (+/- SD) was 275 +/- 87 ng/mL in infants exclusively breast-fed, and 80 +/- 44 ng/mL in formula-fed infants. At 6 mo, the values were 142 +/- 58 ng/mL and 55 +/- 30 ng/mL, and at 9 mo 75 +/- 39 ng/mL and 45 +/- 19 ng/mL in partially breast-fed and formula-fed infants, respectively. The differences were significant (p less than 0.001) at all three ages. At 2 and 9 mo, breast-milk intake was measured by test-weighing. Serum BGP was positively correlated to breast milk intake (mL/kg body wt) at 2 mo (r = 0.59, p less than 0.001) and 9 mo (r = 0.41, p = 0.06). When breast-feeding was stopped, the high BGP concentrations were not sustained. There were no significant differences in linear growth velocity between breast-fed and formula-fed infants and no correlation between BGP values and linear growth velocity. We speculate that either a factor in human milk or the level of minerals in human milk causes the high BGP values. Moreover, if the higher values are associated with increased osteoblast activity, then the remodeling or the mineralization of bone might be different in infants not being breast-fed.

  • 186. Michaelsen, K F
    et al.
    Larsen, P S
    Thomsen, B L
    Samuelson, Gösta
    The Copenhagen Cohort Study on Infant Nutrition and Growth: breast-milk intake, human milk macronutrient content, and influencing factors.1994In: American Journal of Clinical Nutrition, ISSN 0002-9165, E-ISSN 1938-3207, Vol. 59, no 3, p. 600-11Article in journal (Refereed)
    Abstract [en]

    In 91 healthy term infants breast-milk intake was measured at 2, 4, and 9 mo by test weighing and human milk macronutrient content by infrared analysis every 2-4 wk. In infants exclusively breast-fed, mean milk intake was 781 and 855 mL/24 h at 2 and 4 mo, respectively, and correlated positively with the current weight of the infant and negatively with the amount of formula supplement given at the maternity ward. Median daily energy intake was considerably below current recommendations (423 and 381 kJ/kg body wt at 2 and 4 mo, respectively). Protein concentration in the milk was approximately 8% higher in primipara. Median daily protein intake was 1.3 and 1.0 g/kg body wt at 2 and 4 mo, respectively. Median fat concentration was 39.2 g/L and was positively associated with pregnancy weight gain. This supports the hypothesis that maternal fat stores laid down during pregnancy are easier to mobilize during lactation than are other fat stores and, if low, may limit milk fat when exhausted.

  • 187. Michaelsen, K F
    et al.
    Larsen, P S
    Thomsen, B L
    Samuelson, Gösta
    The Copenhagen cohort study on infant nutrition and growth: duration of breast feeding and influencing factors.1994In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 83, no 6, p. 565-71Article in journal (Refereed)
    Abstract [en]

    Duration of breast feeding was studied in 249 randomly chosen, healthy, term infants of Danish origin of which 80.7% participated. Breast feeding was initiated by 99.5% of the mothers. At 3, 6 and 9 months, 71%, 52% and 33%, respectively, were still breast feeding. Only 1 infant (0.5%) was exclusively breast fed beyond 7 months of age. In a Cox multiple regression analysis of factors influencing duration of breast feeding, we found a positive association with maternal education (p < 0.001) and age (p = 0.02) and a negative association with the amount of formula given at the maternity ward (p < 0.001). Six months after delivery, 79% of the mothers with higher school education (> or = 12 years) were still breast feeding, compared to 29% with a low school education (< or = 9 years). There is still a need for an increased effort to support mothers in breast feeding, focusing particularly on younger mothers with short school education. Formula supplements during the first days of life, given to 73% of the infants, were associated with a shorter duration of breast feeding and should be discouraged.

  • 188. Michaelsen, K F
    et al.
    Samuelson, Gösta
    Graham, T W
    Lönnerdal, B
    Zinc intake, zinc status and growth in a longitudinal study of healthy Danish infants.1994In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 83, no 11, p. 1115-21Article in journal (Refereed)
    Abstract [en]

    Mild, growth-limiting zinc deficiency might be prevalent in otherwise healthy infants according to recent studies. We examined zinc intake and status in 91 healthy term infants from birth to 12 months, as part of the Copenhagen Cohort Study on Infant Nutrition and Growth. Zinc intake was recorded monthly and the amount of zinc absorbed was estimated. These estimates were below recently published FAO/WHO/IAEA values for basal requirements in 68%, 62% and 14% of the infants at 2, 4 and 9 months of age, respectively. Serum zinc decreased significantly (p < 0.01) from 10.6 mumol/l at 6 months to 8.4 mumol/l at 9 months of age (normal range 10-18 mumol/l). Erythrocyte metallothionein values, a tentative indicator of long-term zinc status, decreased significantly from 2 to 6 months (p < 0.001) and from 6 to 9 months (p < 0.01). Serum zinc at 9 months was positively associated with growth velocity during the period from 6 to 9 months (weight: p = 0.05; knee-heel length: p = 0.002). The results provide descriptive data on zinc intake and zinc status in healthy Danish infants. Although some of our data suggest suboptimal zinc status during late infancy, evidence for this can only be obtained through a randomized intervention study.

  • 189. Michaelsen, KF
    et al.
    Johansen, JS
    Samuelson, Gösta
    Skakkebaek, NE
    Serum Bone Gla-Protein (Bgp) At The Age Of 2 Months Is Much Higher In Breast-Fed Infants Than In Formula-Fed Infants1988In: Pediatric Research, ISSN 0031-3998, E-ISSN 1530-0447, Vol. 24, no 4, p. 522-522Article in journal (Refereed)
  • 190.
    Mittelmark, Maurice
    et al.
    HEMIL Senter, NO.
    Aspnes, Geir A
    Health Promotion and Resouces, NTNU, NO.
    Bruun Jensen, Bjarne
    STENO HP Research Center, DK.
    Cattan, Mima
    Folkhalsan,FI.
    Eriksson, Monika
    University West, Department of Nursing, Health and Culture.
    Lindström, Bengt
    Folkhälsan, FI.
    Salutogenesis as a system approach to health promotion2011In: Health promotion at the system level: How does the nordic welfare model cope with today's challenges?, 2011Conference paper (Refereed)
    Abstract [en]

    An ongoing systematic analysis of the global evidence on the overall impact and effectiveness of a salutogenic approach to health promotion proves that people and systems that develop the ability to implement a salutogenic approch strenghening the Sense of Coherence, will create systems where people not only live longer but perceive they are in good health, enjoy a better quality of life and mental wellbeing. In addition, they can withstand stress better than the average and are inclined to more constructive health behaviours. Even if they become acutely ill or develop a chronic disease such as an NCD they will manage better than the average. Overall the approach responds positively as a system to the acation areas and policies of the Ottawa Charter.

    Reference: The Hitchhikers Guide to Salutogenesis, Folkhälsan Research Report 2, 2010 The IUHPE Global Working Group on Salutogenesis formed a core group of 10 research centers in December 2010. Here the Nordic Representatives covering 4 Nordic Countries will speak to the issue healthy public policy implications, mental health and quality of life, health behaviours, chronic disease (NCDs), healthy learning and empowerment, community action. Further describing how the contemporary evidence is collected, documented and analyzed.

    Authors: Prof. Maurice Mittelmark, HEMIL Senter, NO, Prof. Geir A. Espnes, NTNU, NO, Prof. Bjarne Bruune Jensen, STENO Center, DK, Prof. Mima Cattan, Folkhälsan, FI, Dr Monica Eriksson, University West, Sweden, Prof. Bengt Lindström, Folkhälsan, FI.

  • 191.
    Mittelmark, Maurice B.
    et al.
    University of Bergen, Department of Health Promotion and Development, Bergen, Norway.
    Sagy, ShifraBen-Gurion University of the Negev, Martin Springer Center for Conflict Studies, Department of Education, Beersheba, Israel.Eriksson, MonicaUniversity West, Department of Health Sciences.Bauer, Georg F.University of Zürich, Division of Public, Organizational Health, Epidemiology, Biostatistics and Prevention Institute, Zürich, Switzerland.Pelikan, Jürgen M.WHO-CC Health Promotion in Hospitals and Health Care, Ludwig Boltzmann Institute Health Promotion Research, Vienna, Austria.Lindström, BengtNorwegian University of Science and Technology, NTNU Center for Health Promotion and Resources, Trondheim, Norway.Espnes, Geir A.Norwegian University of Science and Technology, NTNU Center for Health Promotion and Resources, Trondheim, Norway.
    The Handbook of Salutogenesis2016Collection (editor) (Other academic)
    Abstract [en]

    This in-depth survey of salutogenesis shows the breadth and strengths of this innovative perspective on health promotion, health care, and wellness. Background and historical chapters trace the development of the salutogenic model of health, and flesh out the central concepts, most notably generalized resistance resources and the sense of coherence, that differentiate it from pathogenesis. From there, experts describe a range of real-world applications within and outside health contexts, from positive psychology to geriatrics, from small towns to corrections facilities, and from school and workplace to professional training. Perspectives from scholars publishing in languages other than English show the global relevance of the field.

    Among the topics in the Handbook:·        

    • Emerging ideas relevant to the salutogenic model of health
    • Specific resistance resources in the salutogenic model of health
    •  The sense of coherence and its measurement
    • The application of salutogenesis in communities and neighborhoods
    • The application of salutogenesis to health development in youth with chronic conditions
    • The application of salutogenesis in mental health care settings

    The Handbook of Salutogenesis summarizes an increasingly salient field for graduate and professional students of public health, nursing, psychology, and medicine, and for their instructors. It will also appeal to health-related academicians and professionals who wish to have a thorough grounding in the topic.

  • 192.
    Mittelmark, Maurice B
    et al.
    University of Bergen, Department of Health Promotion and Development, Bergen, Norway.
    Sagy, Shifra
    Ben-Gurion University of the Negev, Martin Springer Center for Conflict Studies, Department of Education, Beersheba, Israe.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Bauer, Georg F.
    University of Zürich, Division of Public, Organizational Health, Epidemiology, Biostatistics and Prevention Institute,Zürich, Switzerland.
    Pelikan, Jürgen M.
    WHO-CC Health Promotion in Hospitals and Health Care, Ludwig Boltzmann Institute Health Promotion Research, Vienna, Austria.
    Lindström, Bengt
    Norwegian University of Science and Technology, NTNU Center for Health Promotion and Resources, Trondheim, Norway.
    Espnes, Geir Arild
    Norwegian University of Science and Technology, NTNU Center for Health Promotion and Resources, Trondheim, Norway.
    Preface2016In: The Handbook of Salutogenesis / [ed] [ed] Mittelmark, M. B., Sagy, Shifra, Eriksson, Monica, Bauer, Georg F., Pelikan, Jürgen M., Lindström, Bengt, Espnes, Geir Arild, New York: Springer-Verlag New York, 2016, p. vii-Chapter in book (Other academic)
  • 193.
    Mjösund, Nina Helen
    et al.
    Division of Mental Health and Addiction, Department of Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Norheim, Irene
    Division of Mental Health and Addiction, Department of Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Keyes, Corey L.
    Emory University, Department of Sociology, 1555 Dickey Drive, Tarbutton Hall, Atlanta, GA, USA.
    Espnes, Geir Arild
    orwegian University of Science and Technology, Center for Health Promotion Research, N Trondheim, Norway.
    Forbech Vinje, Hege
    Buskerud and Vestfold University College, Department of Health Promotion, Faculty of Health Sciences, Kongsberg, Norway.
    Mental Health as perceived by Persons with Mental Disorders: An Interpretative Phenomenological Analysis Study2015In: International Journal of Mental Health Promotion, ISSN 1462-3730, E-ISSN 2049-8543, Vol. 17, no 4, p. 215-233Article in journal (Refereed)
    Abstract [en]

    In this interpretative phenomenological analysis study, we explored how persons with mental disorders perceive mental health. Adapting a salutogenic theoretical framework, 12 former inpatients were interviewed. The analysis revealed experiences of mental health as a movement, like walking up and down a staircase. Perceived mental health is expressed both verbally in an everyday language and through body language. Mental health is an aspect of being that is always present and which is nourished by four domains of life: the emotional; physical; social and spiritual domains. Mental health is experienced in everyday life as a sense of energy, and as more or less wellbeing. Exploring persons' meanings of mental health from a subjective perspective can extend the knowledge base that can be used in mental health promotion strategies.

  • 194.
    Mjøsund, Nina Helen
    et al.
    Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Espnes, Geir Arild
    Norwegian University of Science and Technology, NTNU Center for Health Promotion Research, Department of Public Health and Nursing, Trondheim, Norway.
    Forbech Vinje, Hege
    University College of Southeast Norway, Department of Health, Social and Welfare Studies, Faculty of Health and Social Sciences, Kongsberg, Norway..
    Reorienting Norwegian mental healthcare services: Listen to patients' learning appetite2019In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 34, no 3, p. 541-551Article in journal (Refereed)
    Abstract [en]

    Reorientation of healthcare services towards more efficient health promotion interventions is an urgent matter. Despite policies and guidelines being in place, it is the least developed key action area of the Ottawa charter. User involvement, or the voice of the patient, is missing from the knowledge base of health promotion in the mental healthcare services. The aim of this study was to add experiential knowledge from former patients. We explored the lived experience of 12 former inpatients at a mental healthcare hospital. We describe what they perceive as mental health promoting efforts. A salutogenic theoretical framework and the methodology of interpretative phenomenological analysis were used. The analysis revealed an appetite for learning in order to develop an in depth understanding of their former experiences. This was motivated by a desire to master daily life despite living with an illness and to increase health and well-being. The participants perceived the learning processes within the healthcare setting as mental health promoting. This craving for a better life is compatible with health promotion. It may turn out to be an opportunity to complement the curative activity of healthcare services with health promotion educational activities.

  • 195.
    Mjøsund, Nina Helen
    et al.
    Vestre Viken Hospital Trust,Department of Mental Health Research and Development,, Drammen, Norway.
    Eriksson, Monica
    University West, Department of Health Sciences.
    Espnes, Geir Arild
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway..
    Haaland-Øverby, Mette
    Vestre Viken Hospital Trust,Department of Mental Health Research and Development,, Drammen, Norway.
    Jensen, Sven Liang
    Vestre Viken Hospital Trust,Department of Mental Health Research and Development,, Drammen, Norway.
    Norheim, Irene
    Vestre Viken Hospital Trust,Department of Mental Health Research and Development,, Drammen, Norway.
    Kjus, Solveig
    Vestre Viken Hospital Trust,Department of Mental Health Research and Development,, Drammen, Norway.
    Portaasen, Inger-Lill
    Vestre Viken Hospital Trust,Department of Mental Health Research and Development,, Drammen, Norway.
    Forbech Vinje, Hege
    University College of Southeast Norway, Department of Health Promotion, Faculty of Health Sciences, Kongsberg, Norway..
    Service user involvement enhanced the research quality in a study using interpretative phenomenological analysis: the power of multiple perspectives2017In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 1, p. 265-278Article in journal (Refereed)
    Abstract [en]

    AIM:The aim of this study was to examine how service user involvement can contribute to the development of interpretative phenomenological analysis methodology and enhance research quality.BACKGROUND:Interpretative phenomenological analysis is a qualitative methodology used in nursing research internationally to understand human experiences that are essential to the participants. Service user involvement is requested in nursing research.

    DESIGN:We share experiences from 4 years of collaboration (2012-2015) on a mental health promotion project, which involved an advisory team.

    METHODS:Five research advisors either with a diagnosis or related to a person with severe mental illness constituted the team. They collaborated with the research fellow throughout the entire research process and have co-authored this article. We examined the joint process of analysing the empirical data from interviews. Our analytical discussions were audiotaped, transcribed and subsequently interpreted following the guidelines for good qualitative analysis in interpretative phenomenological analysis studies.

    RESULTS:The advisory team became 'the researcher's helping hand'. Multiple perspectives influenced the qualitative analysis, which gave more insightful interpretations of nuances, complexity, richness or ambiguity in the interviewed participants' accounts. The outcome of the service user involvement was increased breadth and depth in findings.

    CONCLUSION:Service user involvement improved the research quality in a nursing research project on mental health promotion. The interpretative element of interpretative phenomenological analysis was enhanced by the emergence of multiple perspectives in the qualitative analysis of the empirical data. We argue that service user involvement and interpretative phenomenological analysis methodology can mutually reinforce each other and strengthen qualitative methodology.

  • 196.
    Mjøsund, Nina Helen
    et al.
    Vestre Viken Hospital Trust, Drammen, Norge.
    Espnes, Geir Arild
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Vinje, Hege Forbech
    Perceived mental health: a basis for assessing comprehensive health needs2015In: Person-oriented health promotion in a rapidly changing world: Co-production – continuity – new media & technologies : Abstractbook, Oslo, Norway: International Network of Health Promoting Hospitals and Health Services , 2015, p. 35-36Conference paper (Refereed)
  • 197.
    Mjøsund, Nina Helen
    et al.
    Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Vinje Forbech, Hege
    University of South-Eastern Norway, Department of Health, Social and WelfareStudies, Faculty of Health and SocialSciences, Norway, Kongsberg, Norway.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Haaland-Øverby, Mete
    Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Jensen, Sven Liang
    Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Kjus, Solveig
    Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Norheim, Irene
    Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Portaasen, Inga-Lill
    Department of Mental Health Research and Development, Vestre Viken Hospital Trust, Drammen, Norway.
    Espnes, Geir Arild
    Norwegian University of Science and Technology, NTNU Center for Health PromotionResearch, Trondheim, Norway.
    Salutogenic service user involvement in nursing research: A case study2018In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 74, p. 2145-2156Article in journal (Refereed)
    Abstract [en]

    Aim The aim was to explore the process of involving mental healthcare service users in a mental health promotion research project as research advisors and to articulate features of the collaboration which encouraged and empowered the advisors to make significant contributions to the research process and outcome.Background There is an increasing interest in evaluating aspects of service user involvement in nursing research. Few descriptions exist of features that enable meaningful service user involvement. We draw on experiences from conducting research which used the methodology interpretative phenomenological analysis to explore how persons with mental disorders perceived mental health. Apart from the participants in the project, five research advisors with service user experience were involved in the entire research process.Design We applied a case study design to explore the ongoing processes of service user involvement. Methods Documents and texts produced while conducting the project (2012-2016), as well as transcripts from multistage focus group discussions with the research advisors, were analysed.Results The level of involvement was dynamic and varied throughout the different stages of the research process. Six features: leadership, meeting structure, role clarification, being members of a team, a focus on possibilities and being seen and treated as holistic individuals, were guiding principles for a salutogenic service user involvement. These features strengthened the advisors' perception of themselves as valuable and competent contributors. Conclusion Significant contributions from research advisors were promoted by facilitating the process of involvement. A supporting structure and atmosphere were consistent with a salutogenic service user involvement.

  • 198.
    Moons, Philip
    et al.
    University of Cape Town, Cape Town, South Africa .
    Luyckx, Koen
    KU Leuven, 3000 Leuven, Belgium.
    Kovacs, Adrienne H.
    Oregon Health and Science University, Portland, United States.
    Holbein, Christina E.
    Children's Hospital of Philadelphia, Philadelphia, United States .
    Thomet, Corina
    UniversitätsSpital Bern, Bern, Switzerland.
    Budts, Werner
    KU Leuven– University Hospital Leuven, 3000 Leuven, Belgium.
    Enomoto, Junko
    Chiba Cardiovascular Center, Chiba, Japan.
    Sluman, Maayke A.
    Universiteit van Amsterdam, Amsterdam, Netherlands.
    Yang, Hsiao-Ling
    National Taiwan University College of Medicine, Taipei, Taiwan.
    Jackson, Jamie L.
    Children's Hospital Columbus, Columbus, United States .
    Khairy, Paul
    Institut de Cardiologie de Montreal, Montreal, Canada.
    Cook, Stephen. C.
    Helen DeVos Children's Hospital, Grand Rapids, United States.
    Chidambarathanu, Shanthi
    Frontier Lifeline Hospital Dr. K. M. Cherian Heart Foundation, Chennai, India.
    Alday, Luis Eduardo
    Hospital de Niños, Cordoba, Argentina.
    Eriksen, Katrine
    Rikshospitalet-Radiumhospitalet HF, Oslo, Norway.
    Dellborg, Mikael
    Sahlgrenska Universitetssjukhuset, Gothenburg, Sweden .
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, Bengt Erik
    Umeå Universitet, Umea, Sweden .
    Mackie, Andrew S.
    University of Alberta, Edmonton, Canada.
    Menahem, Samuel A.
    Monash University, Melbourne, Australia.
    Caruana, Maryanne
    Mater Dei Hospital, Malta, Malta.
    Veldtman, Gruschen R.
    Cincinnati Childrens Hospital Medical Center, Cincinnati, United States.
    Soufi, Alexandra
    Hopital Louis Pradel, Lyon, France .
    Fernandes, Susan M.
    Lucille Packard Children's Hospital, Palo Alto, United States.
    White, Kamila S.
    Washington University in St. Louis, St. Louis, United States.
    Callus, Edward
    Università degli Studi di Milano, Milan, Italy .
    Kutty, Shelby
    Johns Hopkins University, Baltimore, United States.
    Apers, Silke
    KU Leuven, 3000 Leuven, Belgium.
    Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease2019In: Canadian Journal of Cardiology, ISSN 0828-282X, E-ISSN 1916-7075, Vol. 35, no 12, p. 1842-1850Article in journal (Refereed)
    Abstract [en]

    Background: The prevalence and effects of cigarette smoking and cannabis use in persons with congenital heart disease (CHD) are poorly understood. We (1) described the prevalence of cigarette smoking, cannabis consumption, and co-use in adults with CHD; (2) investigated intercountry differences; (3) tested the relative effects on physical functioning, mental health, and quality of life (QOL); and (4) quantified the differential effect of cigarette smoking, cannabis use, or co-use on those outcomes. Methods: APPROACH-IS was a cross-sectional study, including 4028 adults with CHD from 15 countries. Patients completed questionnaires to measure physical functioning, mental health, and QOL. Smoking status and cannabis use were assessed by means of the Health Behaviour Scale—Congenital Heart Disease. Linear models with doubly robust estimations were computed after groups were balanced with the use of propensity weighting. Results: Overall, 14% of men and 11% of women smoked cigarettes only; 8% of men and 4% of women consumed cannabis only; and 4% of men and 1% of women used both substances. Large intercountry variations were observed, with Switzerland having the highest prevalence for smoking cigarettes (24% of men, 19% of women) and Canada the highest for cannabis use (19% of men, 4% of women). Cigarette smoking had a small negative effect on patient-reported outcomes, and the effect of cannabis was negligible. The effect of co-use was more prominent, with a moderate negative effect on mental health. Conclusions: We found significant intercountry variability in cigarette and cannabis use in adults with CHD. Co-use has the most detrimental effects on patient-reported outcomes. © 2019 Canadian Cardiovascular Society

  • 199.
    Moons, Philip
    et al.
    KU Leuven - University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium; Centre for Person-Centred Care (GPCC), Gothenburg, Sweden; University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Luyckx, Koen
    KU Leuven - University of Leuven, School Psychology and Child and Adolescent Development,Leuven, Belgium; University of the Free State, Unit for Professional Training and Service in the Behavioural Sciences, Bloemfontein, South Africa.
    Kovacs, Adrienne H
    University Health Network, University of Toronto, Peter Munk Cardiac Centre, Toronto, Canada; Oregon Health & Science University, Knight Cardiovascular Institute, Portland, OR, USA.
    Holbein, Christina E.
    Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, United States.
    Thomet, Corina
    University of Bern, Center for Congenital Heart Disease, Department of Cardiology, Inselspital, Bern University Hospital, Bern, Switzerland;KU Leuven, Department of Public Health and Primary Care, Leuven, Belgium.
    Budts, Werner
    Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium; KU Leuven - University of Leuven, KU Leuven Department of Cardiovascular Sciences, Leuven, Belgium..
    Enomoto, Junko
    Department of Adult Congenital Heart Disease,Cardiovascular Center, Chiba, Chiba, Japan.
    Sluman, Maayke A
    Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Cardiology, Jeroen Bosch Hospital, ’s Hertogenbosch, The Netherlands.
    Yang, Hsiao-Ling
    National Taiwan University, School of Nursing, College of Medicine, Taipei, Taiwan.
    Jackson, Jamie L
    Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, USA.
    Khairy, Paul
    Université de Montréal, Adult Congenital Heart Center, Montreal Heart Institute, Montreal, Canada.
    Cook, Stephen C
    Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
    Chidambarathanu, Shanthi
    Pediatric Cardiology, Frontier Lifeline Hospital (Dr. K. M. Cherian Heart Foundation), Chennai, India.
    Alday, Luis
    Division of Cardiology, Hospital de Niños, Córdoba, Argentina.
    Eriksen, Katrine
    Department of Cardiology, Oslo University Hospital - Rikshospitalet, Oslo, Norway.
    Dellborg, Mikael
    Adult Congenital Heart Unit, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden; Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Sweden; University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden;Department of Paediatrics, Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Mackie, Andrew S
    University of Alberta, Division of Cardiology, Stollery Children's Hospital, Edmonton, Canada.
    Menahem, Samuel
    Monash University, Monash Heart, Monash Medical Centre, Melbourne, Australia.
    Caruana, Maryanne
    Department of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Malta.
    Veldtman, Gruschen
    Adult Congenital Heart Disease Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
    Soufi, Alexandra
    Department of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France.
    Fernandes, Susan M
    Adult Congenital Heart Program at Stanford, Lucile Packard Children’s Hospital and Stanford Health Care, USA.
    White, Kamila S
    Washington University, Adult Congenital Heart Disease Center, USA: University of Missouri, Barnes Jewish Heart and Vascular Center,USA.
    Callus, Edward
    Università degli Studi di Milano, Clinical Psychology Service, IRCCS Policlinico San Donato, Milan, Italy; Department of Biomedical Sciences for Health, Milan, Italy.
    Kutty, Shelby
    University of Nebraska Medical Center, Adult Congenital Heart Disease Center, Children's Hospital and Medical Center, Omaha, NE, USA.
    Apers, Silke
    KU Leuven - University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium.
    Prevalence and Effects of Cigarette Smoking, Cannabis Consumption, and Co-use in Adults From 15 Countries With Congenital Heart Disease2019In: Canadian Journal of Cardiology, ISSN 0828-282X, E-ISSN 1916-7075, Vol. 35, no 12, p. 1842-1850, article id S0828-282X(19)31150-XArticle in journal (Refereed)
    Abstract [en]

    BACKGROUND: The prevalence and effects of cigarette smoking and cannabis use in persons with congenital heart disease (CHD) are poorly understood. We (1) described the prevalence of cigarette smoking, cannabis consumption, and co-use in adults with CHD; (2) investigated intercountry differences; (3) tested the relative effects on physical functioning, mental health, and quality of life (QOL); and (4) quantified the differential effect of cigarette smoking, cannabis use, or co-use on those outcomes.

    METHODS: APPROACH-IS was a cross-sectional study, including 4028 adults with CHD from 15 countries. Patients completed questionnaires to measure physical functioning, mental health, and QOL. Smoking status and cannabis use were assessed by means of the Health Behaviour Scale-Congenital Heart Disease. Linear models with doubly robust estimations were computed after groups were balanced with the use of propensity weighting.

    RESULTS: Overall, 14% of men and 11% of women smoked cigarettes only; 8% of men and 4% of women consumed cannabis only; and 4% of men and 1% of women used both substances. Large intercountry variations were observed, with Switzerland having the highest prevalence for smoking cigarettes (24% of men, 19% of women) and Canada the highest for cannabis use (19% of men, 4% of women). Cigarette smoking had a small negative effect on patient-reported outcomes, and the effect of cannabis was negligible. The effect of co-use was more prominent, with a moderate negative effect on mental health.

    CONCLUSIONS: We found significant intercountry variability in cigarette and cannabis use in adults with CHD. Co-use has the most detrimental effects on patient-reported outcomes.

  • 200.
    Nehls, Eddy
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Alkohol: en aktör att räkna med2009In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 86, no 2, p. 192-200Article in journal (Refereed)
    Abstract [sv]

    Artikelns mål är att visa hur kulturvetenskapliga teorier och metoder kan användas för att öppna upp för nya förståelser för vad alkohol kan sägas vara. Alkohol är en central beståndsdel i den västerländska samtidskulturen, med utvecklad förmåga att sprida sig i det sammanhang som allt och alla delar. I artikeln lanseras två begrepp, event och aktör och med hjälp av dem visas exempel på hur en fördjupad förståelse för problemet skulle kunna utarbetas, vilket behövs för att kunna utforma en långsiktigt hållbar och ur hälsosynpunkt bättre alkoholpolitik.

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