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  • 51. Bárány, Ebba
    et al.
    Bergdahl, Ingvar A
    Bratteby, Lars-Eric
    Lundh, Thomas
    Samuelson, Gösta
    Schütz, Andrejs
    Skerfving, Staffan
    Oskarsson, Agneta
    Trace elements in blood and serum of Swedish adolescents: relation to gender, age, residential area, and socioeconomic status.2002In: Environmental Research, ISSN 0013-9351, E-ISSN 1096-0953, Vol. 89, no 1, p. 72-84Article in journal (Refereed)
    Abstract [en]

    The influence of gender, age, residential area, and socioeconomic status on the blood and serum levels of 13 trace elements was studied in boys and girls living in two Swedish cities with different socioeconomic and environmental characters. The same groups of adolescents were sampled twice, at ages 15 (n=372) and 17 (n=294) years. All the investigated factors were shown to be of importance. Age was important for most elements; e.g., copper levels in both blood and serum increased in girls, and selenium increased in serum from both genders. Lead decreased approximately 10% in blood from the first to the second sampling, and cadmium increased in blood, however not in nonsmokers. The age factor may also reflect temporal changes in environmental exposure, especially for nonessential elements. Girls had higher levels of cobalt and copper, while lead in blood was higher in boys. Smoking girls had higher copper levels than nonsmoking girls. Residential area influenced all elements. The teenagers with university-educated mothers had higher levels of cadmium in blood than those with only primary school-educated mothers.

  • 52. Bárány, Ebba
    et al.
    Bergdahl, Ingvar A
    Bratteby, Lars-Eric
    Lundh, Thomas
    Samuelson, Gösta
    Skerfving, Staffan
    Oskarsson, Agneta
    Mercury and selenium in whole blood and serum in relation to fish consumption and amalgam fillings in adolescents.2003In: Journal of Trace Elements in Medicine and Biology, ISSN 0946-672X, E-ISSN 1878-3252, Vol. 17, no 3, p. 165-70Article in journal (Refereed)
    Abstract [en]

    Mercury and selenium in whole blood and serum of 245 17-year old Swedish adolescents were analysed. The relationships between these elements' concentrations and the consumption of fish as well as the number of dental amalgam fillings were studied. The geometric means (GM) of the mercury concentrations were 1.1 microg/L in blood and 0.43 microg/L in serum. The mean selenium concentration in blood was 110 microg/L and the GM of the serum selenium concentration 110 microg/L. Fish species with dietary restrictions due to elevated mercury Levels (i.e. pike, perch, pikeperch, burbot, eel and halibut) were consumed on average 0.7 times/month and fish species without such restrictions 4.1 times/month. Despite this comparatively low fish consumption, the adolescents' blood mercury concentrations were positively correlated with fish consumption. Of the adolescents, 39% had amalgam fillings (mean 2 +/- 1.5). Serum mercury was influenced by the number of amalgam fillings, by fish consumption, blood and serum levels of selenium and the residential area. Blood and serum selenium concentrations were not influenced by fish consumption, but were positively associated with the serum mercury concentration.

  • 53.
    Bäckström, Ingela
    et al.
    Mittuniversitetet.
    Eriksson, Lina
    Mittuniversitetet.
    Lagrosen, Yvonne
    University West, Department of Engineering Science, Division of Process and Product Development.
    A health-related quality management qpproach to evaluating health promotion activities2011In: Proceedings QMOD Conference on Qualityand Service Sciences 2011, 2011, p. 188-197Conference paper (Refereed)
  • 54.
    Bäckström, Ingela
    et al.
    Mittuniversitetet.
    Lagrosen, Yvonne
    University West, Department of Engineering Science, Division of Process and Product Development.
    Are successful organizations working accordingly to what co-workers require for being healthy?2011In: 14th QMOD conference on Quality and Service Sciences ICQSS 2011: Cottbus, Germany, August 29 - 31 2010, 2011, p. 1-14 pdfConference paper (Refereed)
    Abstract [en]

    The purpose of this paper was to compare methodologies from successful organisations with underlying dimensions of the value 'Leadership Commitment' and the value 'Participation of Everybody. The purpose was also to identify similarities and differences between these methodologies and the underlying dimensions.

    Methodology

    The analysis emerged from the results of several recently conducted case studies: descriptions of methodologies used by successful organizations and underlying dimensions elaborated from the value ‘Leadership Commitment’ and from the value ‘Participation of Everybody’. The identified methodologies were then analyzed in relation to the description of the underlying dimensions required by the co-workers with the intention of comparing them and identifying similarities and differences.

    Findings

    The results show that the underlying dimensions required by the co-workers to remain healthy are also present as methodologies in the successful organizations except the underlying dimension ‘Continuity’. The dimensions correspond with the methodologies which confirm that working with them is very important for managers when striving to encourage healthy co-workers and to create efficient organizations. The analysis also shows that the successful organizations are using methodologies not present in the underlying dimensions. These methodologies include mutual respect, customer focus, continuous improvements, a holistic view and awareness recruitment.

    Research Limitation

    The result is based on two case studies conducted in Swedish organizations.

    Value of paper

    The results can be of value for managers striving to improve the health of co-workers and create more efficient organizations.

     

  • 55.
    Bäckström, Ingela
    et al.
    Mittuniversitetet.
    Lagrosen, Yvonne
    University West, Department of Engineering Science, Division of Process and Product Development.
    Eriksson, Lina
    Mittuniversitetet.
    Change of the Quality Management culture through health-promotion activities?2014In: Total Quality Management and Business Excellence, ISSN 1478-3363, E-ISSN 1478-3371, Vol. 25, no 11-12, p. 1236-1246Article in journal (Refereed)
    Abstract [en]

    There is great demand for workplace health-promotion programmes that improve co-worker health and provide a return on investment, which is due to the continuous escalation of care costs and the prioritisation of co-worker health by businesses. Early research found that organisations that have achieved good co-worker health with low sickness absence through their conscious and well-structured work were also working according to Quality Management. Health-promotion interventions are possible in every organisation, but before starting a health-promotion programme it is necessary to analyse the organisation and especially its culture. The purpose of this paper is to measure in what way health-promoting activities influence the Quality Management culture, particularly the health-related values 'Leadership commitment' and 'Participation of everybody'. A comparison between the Quality Management culture before starting a health-promotion project and the results a year later is presented. The results show that health-promotion activities do not affect the Quality Management culture, at least not from a year perspective. On the other hand, the results show that health-promotion activities can affect co-workers' perception of their health. © 2014 © 2014 Taylor & Francis.

  • 56.
    Chang, Lei
    et al.
    University of Macau, Department of Psychology, China.
    Lu, Hui Jing
    The Hong Kong Polytechnic University, Hong Kong, People's Republic of China.
    Lansford, Jennifer E.
    Duke University, Center for Child and Family Policy, Durham, NC, USA.
    Bornstein, Marc H.
    Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA; Institute for Fiscal Studies, London, UK.
    Steinberg, Laurence
    Temple University, Philadelphia, PA, USA ; King Abdulaziz University.
    Chen, Bin-Bin
    Fudan University Department of Psychology, Shanghai, China..
    Skinner, Ann T.
    Duke University, Center for Child and Family Policy, Durham, NC, USA.
    Dodge, Kenneth A.
    Duke University, Center for Child and Family Policy, Durham, NC, USA.
    Deater-Deckard, Kirby
    University of Massachusetts Amherst, Department of Psychological and Brain Sciences, Amherst, MA, USA.
    Bacchini, Dario
    University of Naples Federico II, Department of Humanistic Studies, Napoli, Italy..
    Pastorelli, Concetta
    Università di Roma La Sapienza, Department of Psychology, Rome, Italy.
    Alampay, Liane Peña
    Ateneo de Manila University, Quezon City, Philippines.
    Tapanya, Sombat
    Chiang Mai University, Chiang Mai, Thailand.
    Sorbring, Emma
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Oburu, Paul
    Maseno University, Department of Educational Psychology, Maseno, Kenya.
    Al-Hassan, Suha M.
    Hashemite University, Department of Special Education, Zarqa, Jordan; Counseling, Special Education, and Neuroscience Division, Emirates College for Advanced Education, Abu Dhabi, UAE.
    Di Giunta, Laura
    Rome University La Sapienza, Faculty of Psychology , Rome, Italy .
    Malone, Patrick S.
    Duke University, Center for Child and Family Policy, Durham, NC, USA.
    Uribe Tirado, Liliana Maria
    Universidad San Buenaventura, Department of Psychology, Bogota,Colombia.
    Yotanyamaneewong, Saengduean
    Chiang Mai University, Chiang Mai, Thailand.
    External environment and internal state in relation to life-history behavioural profiles of adolescents in nine countries2019In: Proceedings of the Royal Society of London. Biological Sciences, ISSN 0962-8452, E-ISSN 1471-2954, Vol. 286, no 1917, article id 20192097Article in journal (Refereed)
    Abstract [en]

    The external environment has traditionally been considered as the primary driver of animal life history (LH). Recent research suggests that animals' internal state is also involved, especially in forming LH behavioural phenotypes. The present study investigated how these two factors interact in formulating LH in humans. Based on a longitudinal sample of 1223 adolescents in nine countries, the results show that harsh and unpredictable environments and adverse internal states in childhood are each uniquely associated with fast LH behavioural profiles consisting of aggression, impulsivity, and risk-taking in adolescence. The external environment and internal state each strengthened the LH association of the other, but overall the external environment was more predictive of LH than was the internal state. These findings suggest that individuals rely on a multitude and consistency of sensory information in more decisively calibrating LH and behavioural strategies.

  • 57.
    Crondahl, Kristine
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Eklund Karlsson, Leena
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Perceptions on health, well-being and quality of life of Balkan Roma adolescents in West Sweden2012In: Romani Studies, ISSN 1528-0748, Vol. 22, no 2, p. 153-173Article in journal (Refereed)
    Abstract [en]

    We examine the perceptions of Roma adolescents on health, well-being and quality of life (QoL) and how the Roma managed their own life situation within these areas. The data, which consists of interviews, was analysed through content analysis. The most common understanding of health and well-being was to feel good, secure and happy. A wide social network of family and friends was seen as an additional element. The respondents perceived their own health and well-being to be good. A feeling of freedom, the ability to make decisions independently and the possibilities for education and employment were the most important elements of QoL. Quality of life was perceived to have something to do with values and beliefs in the future. Social support from family and friends were the most frequently used coping strategies. The perceptions of the Roma adolescents on health, well-being and QoL turned out to be quite similar to the perceptions of the non-Roma adolescents.

  • 58.
    Dahlqvist, Julia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Stalefors, Josefin
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Child health care nurses' strategies in meeting with parents who are hesitant to child vaccinations2014In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 2, no 4, p. 47-59Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe how nurses in child health centres deal with parents who are hesitant to child vaccinations. Method: A study with a qualitative approach that was based on 12 semi-structured interviews. The informants were nurses working in child health centres in the Västra Götaland region. The interviews were analysed using qualitative content analysis. Results: The results identified six strategies for dealing with vaccine-hesitant parents: 1) using the family’s resources and knowledge to create a trusting relationship; 2) meetings with the same nurse; 3) open dialogue and active listening; 4) regular meetings between nurse and paediatrician; 5) nurse training on new vaccines and vaccination programme; and 6) nurse training on parents’ use of publicly available information. Conclusion: Nurses should get to know the vaccine-hesitant parents, by listening to them and understanding their point of view. Thereby, nurses establish a good relationship, inspire trust and actively involve the parents in the decision-making concerning the vaccination of their child. Nurses should not make vaccine-hesitant parents feel guilty about not wanting to vaccinate their child.

  • 59.
    Dahlqvist, Lena
    et al.
    University West, Department of Nursing, Health and Culture.
    Freiholtz, Annika
    University West, Department of Nursing, Health and Culture.
    Salutogenes - grunden för skolsköterskans hälsopromotiva arbete inom området barn med fetma: 2011Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]
    Abstract Background: The World Health Organization has expressed a great concern about the increasing prevalence of childhood obesity. Region Västra Götaland (VGR) has developed a web based program to support school nurses in their work to promote health among children with obesity. Previous research on childhood obesity emphasizes the importance of support from nurses and how their work is organized. Aim: The aim of the study is, firstly, to explore school nurses experiences with health promotion work among obese children. Secondly, to investigate whether school nurses use the salutogenic theory of health. Method: A qualitative study design was adopted. Data in form of semi structured interviews was collected from seven school nurses in the VGR. A directed content analysis was used for the analysis of the data. Results: The results are presented in three categories from the Tannahill health promotion model; health education, prevention and health protection. A new category emerged from the interviews and to be significant for the nurses´ work; organization. The last category was the salutogenic theory. The possibility to work in a health promotion manner became hard because of inadequate resources. However, we found that health education, prevention and health protection were areas of daily attention. The school nurses´ work was based on the salutogenic theory. Conclusion: School nurses were aware of the importance of health promotion. Overall, there was a feeling of diffuse guidelines for working in a health promotion manner (with childhood obesity), although a web-based tool was available. We recommend the use of a new model for daily practice capturing the key elements of health promotion.
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  • 60.
    Daoud, Nihaya
    et al.
    Ben-Gurion University of the Negev.
    Braun-Lewensohn, Orna
    Ben-Gurion University of Negev.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Sagy, Shifra
    Ben-Gurion University of Negev.
    Sense of coherence and depressive symptoms among low-income Bedouin women in the Negev Israel2014In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 23, no 6, p. 307-311Article in journal (Refereed)
    Abstract [en]

    Background: Higher sense of coherence (SOC) has been associated with lower depression in Western societies; however, it is not clear whether this association manifests similarly in non-Western cultural contexts.Aims: To examine the associations between different levels of SOC and depressive symptoms (DS) among indigenous-minority Arab Bedouin women in Israel and explore possible explanatory variables for this association.Methods: We conducted face-to-face interviews with 464 women (aged 18–49 years). DS was measured based on the Center for Epidemiologic Studies Depression Scale. We used the SOC-13 questionnaire and conducted path analysis using Structural Equation Modeling to examine the contribution of two levels of SOC (low/high) to predict DS beyond psychological resources and socioeconomic position.Results: The mean score of SOC was 3.42, standard deviation (SD) = 1.15. While high SOC (mean = 4.38, SD = 0.66, range = 3.5–6.38) was positively and significantly associated with DS (r = 0.46), SOC was not associated (r = 0.02) with DS in the low SOC group (mean = 2.4, SD = 0.56, range = 1–3.42).Conclusions: Relationships between high versus low SOC and DS among Bedouin women differ from those found in Western societies. This raises questions about the use of SOC as a universal tool in different cultural contexts.

  • 61.
    Dauman, Nicolas
    et al.
    Département de psychologie, Université de Poiters, France.
    Erlandsson, Soly
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Learning from tinnitus patients' narratives: A case study in the psychodynamic approach2012In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, no 19540Article in journal (Refereed)
    Abstract [en]

    Tinnitus is assumed to be the perception of sound that results exclusively from activity within the nervous system without any external stimulation. Approximately 1-2% of the population regard their tinnitus as a serious threat towards their quality of life. The way the patients describe their suffering varies, sometimes also depending on the interest and insight of the clinician to whom they turn to for help. The lack of insightful narratives of someone who is severely annoyed by the presence of a constant tinnitus sound may lead to limited and biased models of tinnitus suffering. In the present case study the participating patient, a woman aged 70, shared her experience of being victimized by tinnitus with the clinician/ researcher during a number of psychotherapeutic sessions. The psychodynamic, narrative approach, made it possible for the client to articulate the unique and specific meaning that she experienced as being part of her suffering. In her words, tinnitus became a tolerable symptom that she managed to work through within psychotherapeutic alliance

  • 62.
    Delander, Ingela
    et al.
    University West, School of Business, Economics and IT.
    Andersson, Karl
    University West, School of Business, Economics and IT.
    Undersökning av förändrade förutsättningar för ledarskap samt fysiska, psykiska och sociala aspekter av hälsa under ökat distansarbete2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden, around a quarter of people of working age are employed by one of Sweden's 290 municipalities. During the last ten years, sick leave among these employees has increased by roughly 60%. Such a large part of the population and such a large increase in sick leave is the reason why we wrote this essay.

    The thesis focuses on seven municipalities' HR work in order to gain an understanding of how HR in these seven Swedish municipalities works with employees' health during pandemics and identify challenges linked to organizations' opportunities tomaintain health at a distance. 

    WHO defines health from the three perspectives mental, physical and social health. From the WHO's definition, we have gathered literature with the help of which we compare the municipalities' work with the current research. The theory pointed to both opportunities and challenges in all perspectives of the WHO's definition of health.

    The method used was semi-structured interviews conducted with respondents from seven different Swedish municipalities. The municipalities were chosen partly at random. Notes were taken directly, and the interviews were filmed for the purpose of a later review.

    The empirical data and the results consist of the respondents' answers that have been worked into themes according to WHO's perspectives. The empirical data and the results end with a clear summary of the respondents' total answers divided in order to be able to be analyzed against the theory.

    The analysis was developed by systematically comparing the theory with empirical data and results and thus being able to meet theory and practice. Differences, similarities, new possibilities, and unanswered difficulties emerged

    Several specific conclusions were drawn based on the analysis and the concluding chapter also contains a critical analysis of our own work and our thoughts on some interesting research areas for the future

  • 63.
    Ekelöf, Katarina
    et al.
    Department of Clinical Sciences Lund, Pediatrics/Neonatology, Lund University, Lund (SWE).
    Sæther, Elisabeth
    Department of Women, Children and Adolescents, Ålesund Hospital, Møre and Romsdal Hospital Trust, Ålesund, (NOR).
    Santesson, Anna
    Department of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund University, Lund (SWE).
    Wilander, Maria
    Department of Clinical Sciences Lund, Pediatrics/Neonatology, Lund University, Lund; Department of Pediatrics, Hospital of Halland, Halmstad, Halmstad (SWE).
    Patriksson, Katarina
    University West, Department of Health Sciences, Section for nursing - graduate level. Division of Pediatrics, NU-Hospital Group, Trollhättan (SWE).
    Hesselman, Susanne
    epartment of Women’s and Children’s Health, Uppsala University, Uppsala; Center for Clinical Research, Falun, (SWE).
    Thies-Lagergren, Li
    Department of Midwifery Research - Reproductive, Perinatal and Sexual Health, Lund University, Lund (SWE).
    Rabe, Heike
    Brighton and Sussex Medical School, University of Sussex, Brighton; Department of Neonatology, Sussex University Hospitals NHS Trust, Brighton (GBR).
    Andersson, Ola
    Department of Clinical Sciences Lund, Pediatrics/Neonatology, Lund University, Lund; Department of Neonatology, Skåne University Hospital, Malmö/Lund (SWE).
    A hybrid type I, multi-center randomized controlled trial to study the implementation of a method for Sustained cord circulation And VEntilation (the SAVE-method) of late preterm and term neonates: a study protocol2022In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 22, no 1, article id 593Article in journal (Refereed)
    Abstract [en]

    Background: An intact umbilical cord allows the physiological transfusion of blood from the placenta to the neonate, which reduces infant iron deficiency and is associated with improved development during early childhood. The implementation of delayed cord clamping practice varies depending on mode of delivery, as well as gestational age and neonatal compromise. Emerging evidence shows that infants requiring resuscitation would benefit if respiratory support were provided with the umbilical cord intact. Common barriers to providing intact cord resuscitation is the availability of neonatal resuscitation equipment close to the mother, organizational readiness for change as well as attitudes and beliefs about placental transfusion within the multidisciplinary team. Hence, clinical evaluations of cord clamping practice should include implementation outcomes in order to develop strategies for optimal cord management practice. Methods: The Sustained cord circulation And Ventilation (SAVE) study is a hybrid type I randomized controlled study combining the evaluation of clinical outcomes with implementation and health service outcomes. In phase I of the study, a method for providing in-bed intact cord resuscitation was developed, in phase II of the study the intervention was adapted to be used in multiple settings. In phase III of the study, a full-scale multicenter study will be initiated with concurrent evaluation of clinical, implementation and health service outcomes. Clinical data on neonatal outcomes will be recorded at the labor and neonatal units. Implementation outcomes will be collected from electronic surveys sent to parents as well as staff and managers within the birth and neonatal units. Descriptive and comparative statistics and regression modelling will be used for analysis. Quantitative data will be supplemented by qualitative methods using a thematic analysis with an inductive approach. Discussion: The SAVE study enables the safe development and evaluation of a method for intact cord resuscitation in a multicenter trial. The study identifies barriers and facilitators for intact cord resuscitation. The knowledge provided from the study will be of benefit for the development of cord clamping practice in different challenging clinical settings and provide evidence for development of clinical guidelines regarding optimal cord clamping. Trial registration: Clinicaltrials.gov, NCT04070560. Registered 28 August 2019.  

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  • 64.
    Eklund Karlsson, Leena
    et al.
    Unit for Health Promotion Research, Public Health Institute, University of Southern Denmark (DNK).
    Balkfors, Anna
    Malmö University (SWE).
    Gunnarsdottir, Hrafnhildur
    University West, Department of Health Sciences, Section for nursing - graduate level. Malmö University (SWE).
    Povlsen, Lene
    Unit for Health Promotion Research, Public Health Institute, University of Southern Denmark (DNK).
    Regber, Susann
    School of Health and Welfare, Halmstad University (SWE).
    Buch Mejsner, Sofie
    Unit for Health Promotion Research, Public Health Institute, University of Southern Denmark, (DNK).
    Ikonen, Anne Leena
    aculty of Education and Psychology, University of Jyväskylä, (FIN).
    Fosse, Elisabeth
    University of Bergen (NOR).
    Are universal measures sufficient in reducing child poverty in the Nordic countries?: An analysis of policies and political commitments2022In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 50, no 7, p. 892-902Article in journal (Refereed)
    Abstract [en]

    Background: The five Nordic countries (Denmark, Finland, Iceland, Norway and Sweden) have long traditions of social welfare policies that have eradicated poverty as part of their goals. The purpose of this study was to increase our understanding of why child poverty is still significant in the Nordic countries despite existing strategies. Methods: A qualitative analysis of Nordic government documents and reports between 2007 and 2019 was carried out to track changes in public health priorities and political measures and to determine the similarities and differences between the five countries. Results: In all countries, most of the measures were universal, such as benefits during pregnancy, paid parental leave before and after the child was born, paid parental leave related to children’s sickness, child allowances, day care, free health care for children and support for disabled children. National policies aimed to reduce social inequalities and child poverty exist in all five countries, but unaffordable housing, unequal disposable family income distribution and unequal income distribution at local municipality levels seem to be obstacles to reaching national policy goals. Conclusions: Despite comprehensive universal measures to eradicate child poverty, inequalities are significant and increasing in some of the Nordic countries. This might be due to a lack of proportional universalism, where universal measures are in place in all Nordic countries, but with a lack of scale and intensity proportional to the children and families at risk. The significance of eliminating social inequalities needs to be emphasised at the local level.  

  • 65.
    Eklund Karlsson, Leena
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Crondahl, Kristine
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology. University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Andersson, Åsa
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology. University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Sunnemark, Fredrik
    University West, School of Business, Economics and IT, Divison of Law, Economics, Statistics and Politics.
    The meaning of health, well-being, and quality of life perceived by Roma people in West Sweden2013In: Societies, E-ISSN 2075-4698, Vol. 3, no 2, p. 243-260Article in journal (Refereed)
    Abstract [en]

    Many Roma people in Sweden are on the margins of society and face problems of social exclusion, institutional discrimination, low education, unemployment, and poor health. The aim is to describe how a group of Roma people, in West Sweden, understand health, well-being, and quality of life within the Roma context, and how they cope with their life-situation. Data consisted of qualitative interviews. The data were analyzed qualitatively using a phenomenological hermeneutic approach. The respondents mainly understood the concept of Health as "being healthy" and "feeling good". Elements that were crucial part of the respondents' health perception were being employed, having an education, social support from family and friends, freedom and security, and the extent of involvement in society. The results indicate that the respondents perceive their health and life situation as good, despite of their marginalized situation and discrimination.

  • 66.
    Eklund Karlsson, Leena
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Salutogenesis and empowerment as prominent approaches for a sustainable health promotion: Some theoretical comparisons2011In: Health Technology Assessment Society (HTAi): 8th Annual Meeting, 2011, p. 294-Conference paper (Refereed)
    Abstract [en]

    Extensive evidence proposes Antonovsky’s salutogenic theory as a pathway to health promotion. The fundamental concept of salutogenesis is Sense of Coherence (SOC). Salutogenesis is defined as the process of movement towards the health-end of the health ease/dis-ease continuum. The aim of empowerment is to reduce inequity through a learning process and mobilize the uneducated for social action. Empowerment is defined as a process enabling the people to increase control over their health determinants. Empowerment still lacks a coherent theoretical basis. It is claimed that empowerment and SOC have much common and are sometimes overlapping. However, the relationship between these concepts has not been verified by research.

    Objectives: To compare the salutogenic theory with the empowerment concept and approach.

    Methods: Data consists of a worldwide systematic research synthesis (1992-2003) including 471 scientific publications and an on-going follow-up to 2010. The search was performed through PubMed, Libris, ISI, PsychInfo, Cinahl, Social Services Abstracts and Sociological Abstracts. The analysis was conducted by comparing selected indicators of both theories, such as approach, theoretical focus, definitions, orientation, key concepts, measurement instruments, outcomes and applicability.

    Findings: There are both similarities and differences between the concepts, which also somewhat overlap. Several unique and distinctive features for each concept were found. Salutogenesis is based on stress theories whereas empowerment has its roots in pedagogy and social psychology. Both concepts are process oriented. Empowerment can be seen as both means and an outcome whereas salutogenesis is a global life-orientation. Both concepts can be applied at the individual, group, health systems and societal levels. Both proved to be effective in promoting health. The two concepts differ when it comes to definitions and theoretical foundations.

    Conclusion: Both approaches are promising methods that can lead to improved health outcomes and are seen as viable public health strategies.

  • 67.
    Eklund Karlsson, Leena
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University of Southern Denmark, Denmark.
    Ringsberg, Karin
    Gothenburg University, Sweden.
    Crondahl, Kristine
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology. University of Southern Denmark, Denmark.
    Work-integrated learning and health literacy catalysts for Roma empowerment and social inclusion: A participatory action research2019In: Action Research, ISSN 1476-7503, E-ISSN 1741-2617, Vol. 17, no 4, p. 549-572Article in journal (Refereed)
    Abstract [en]

    Roma people all over the world have often been subject to prejudice, stigma, discrimination and oppression. Many Roma have little or no education, which in combination with other factors often leads to unemployment and marginalization. Based on a case study in Sweden, this paper proposes an approach that can be used in participatory projects aiming at improving the living situation of marginalized people. In such an approach, the Roma themselves would be the leaders in all activities concerning the group. The first aim of this paper is to describe how health literacy and work-integrated learning functioned as empowering tools for a Roma-led inclusion process within a participatory action research framework. The second aim is to discuss and reflect on the use of participatory action research in community work with Roma based on the experiences of the participatory action research participants. The findings indicate that work-integrated learning may be a worthwhile approach for increasing the individual empowerment and self-led social inclusion of vulnerable people. However, the obstacles of structural discriminatory nature hindered the project to reach its full potential in its intended emancipatory goals.

  • 68.
    Ekman, Diana Stark
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Ekman, Robert
    Karlstad University, Department of Health and Environmental Sciences.
    Twenty-five years of bicycle helmet promotion for children in Skaraborg District, Sweden.2012In: International Journal of Injury Control and Safety Promotion, ISSN 1745-7300, E-ISSN 1745-7319, Vol. 19, no 3, p. 213-217Article in journal (Refereed)
    Abstract [en]

    The purpose of this study is to describe some of the results of a long-term bicycle helmet campaign for children in Skaraborg District, Sweden. The hospital discharge data for bicycle-related injuries occurring in children under the age of 15 were reviewed, to assess changes in patterns for head and other body injuries. The study shows that head injuries to children as a result of bicycle injuries were reduced between 94 and 99% in the study areas. The tremendous gains in safety for children who ride bicycles in Skaraborg District were the result of not only national policy changes that occurred in the latter half of this study period but also the result of local collaborations based on the Safe Communities model, which were organised during the first part of the study period.

  • 69.
    Ekstrand, Per
    et al.
    Department of Health Sciences, The Swedish Red Cross University College, Huddinge (SWE).
    Tegnestedt, Charlotta
    Department of Health Sciences, The Swedish Red Cross University College, Huddinge (SWE).
    Schuster, Marja
    Department of Health Sciences, The Swedish Red Cross University College, Huddinge (SWE).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hägg-Martinell, Ann
    Department of Health Sciences, The Swedish Red Cross University College, Huddinge (SWE).
    Larsen, Joacim
    Academic Primary Health Care Centre, Stockholm County Council, Stockholm (SWE).
    The meaning of health among newly arrived immigrants: A qualitative study from stakeholders’ perspectives2022In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, no 1Article in journal (Refereed)
    Abstract [en]

    Good health is a prerequisite for individuals to function in everyday life. The same applies to newly arrived immigrants, where good health is crucial for successful establishment. The aim of this study was to describe stakeholders’ experiences of how newly arrived immigrants’ health affects their opportunities to establish themselves in society. The study had a qualitative design where open-ended questions were analysed following Braun and Clarke’s guidelines for conducting a qualitative thematic analysis. The results consist of three themes: Mental health problems, disabilities, and tormenting concerns about absent family members; A precarious life situation related to housing, education, and income; and Deficiencies in responding to health challenges in organisations and in society. Stakeholders face health problems among newly arrived immigrants that they do not have the right skills to deal with. We argue for the presence of nurses in organisations working with newly arrived immigrants, and that nurses’ competence is necessary to capture their needs.

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  • 70.
    Ekström, Matilda
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Christensson, Sally
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Glöm inte bort oss: En litteraturstudie om erfarenheter av stress hos föräldrar till barn med autismspektrumtillstånd2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stress is a public health problem which affects a large part of the population. Parents of children with autism spectrum disorder face several challenges where the experience of stress is a part of their everyday life. Stress is about the strains and demands that people experience in the interaction between lifestyle factors, were longstanding state of stress can cause risky health conditions. Aim: The aim of this study was to describe parents' experiences of what causes stress from living with children with autism spectrum disorder. Method: The chosen method for this study was a literature study. The articles for the study were retrieved from the database Cinahl. Eleven qualitative articles were selected for the study. The data was analyzed using a qualitative method analysis model were themes and subthemes were created based on similarities and differences. Results: The results resulted in three themes and six subthemes. (1) Challenges in parenthood (Subthemes: Increased parental responsibility and The child's need for routines and safety. (2) External impact (Subthemes: Lack of support from professionals and The environment views and lack of understanding. (3) Self-sacrifice (Subthemes: The child's impact on romantic relationships and Parents' neglected health. Conclusion: The results shows that various challenges in parenting, a lack of understanding from society and a self-sacrifice, contribute parents' stress. The themes affect one another in some way, were the health is affected by living with children with autism spectrum disorder. The results show that the professionals should see the comprehensive view which also include the parents and not just the child.

  • 71.
    Emegwa, Leah
    et al.
    The Swedish Red Cross University College SE-141 21 Huddinge (SWE).
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College SE-141 21 Huddinge (SWE).
    Wallin Lundell, Inger
    The Swedish Red Cross University College SE-141 21 Huddinge (SWE).
    Stålberg, Anna
    The Swedish Red Cross University College SE-141 21 Huddinge (SWE).
    Åling, Maria
    The Swedish Red Cross University College SE-141 21 Huddinge (SWE).
    Ahlenius, Gabriella
    The Swedish Red Cross University College SE-141 21 Huddinge (SWE).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level. The Swedish Red Cross University College SE-141 21 Huddinge (SWE).
    Våga fråga och agera!: Undervisnings- och lärandeaktiviteter om mäns våld mot kvinnor och våld i nära relationer i sjuksköterskeprogrammet vid Röda Korsets Högskola2021In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 98, no 4, p. 671-683Article in journal (Refereed)
    Abstract [sv]

    År 2017 infördes ett nytt nationellt examensmål ”visa kunskap om mäns våld mot kvinnor och våld i nära relationer” enligt SFS 2017: 857, i högskoleförordningen (SFS 1993:100) för vissa utbildningsprogram, där sjuksköterskeprogrammet är inkluderat. Syftet med denna artikel är att presentera hur det nationella examensmålet har implementerats i sjuksköterskeprogrammet vid Röda Korsets Högskola. Först ges en översikt avseende relevanta undervisnings- och lärandeaktiviteter och hur de organiseras genom programmets utbildningsplan. I de avslutande reflektionerna presenteras den didaktiska Våga fråga och agera! -modellen. Modellen är en sammanfattning av Röda Korsets Högskolas tillvägagångssätt, det vill säga en stegvis progression i utbildningen från fakta, statistik, normer och värderingar, till att studenterna lär sig hur de kan upptäckta tecken på våld i komplexa kliniska situationer samt vikten av att ha mod att agera. Avslutningsvis är det vår uppfattning att ett tydligt upplägg är viktigt för att uppnå intentionerna med det nationella examensmålet, nämligen: Våga fråga och agera!

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  • 72.
    Emilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Treatment adherence in Asthma and Attention Deficit Hyperactivity Disorder (ADHD), Personality traits, Beliefs about medication and Illness perception2017Doctoral thesis, comprehensive summary (Other academic)
  • 73. Engelhardt, H
    et al.
    Hedgren, M
    Amcoff, B
    Robinson, J
    Bratteby, LE
    Samuelson, Gösta
    En förberedande koststudie inför projektet: Ungdom mot år 20001994In: Vår föda, ISSN 0042-2657, Vol. 46, no 2, p. 78-87Article in journal (Other academic)
  • 74. Engelhardt, H
    et al.
    Hedgren, M
    Amcoff, B
    Robinson, J
    Bratteby, LE
    Samuelson, Gösta
    En förberedande koststudie inför projektet: Ungdom mot år 20001994In: Elevvård & Hälsa, ISSN 1102-3120, no 2, p. 19-24Article in journal (Other academic)
  • 75.
    Eriksson, Annelie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Wårlén, Annika
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att skydda barn mot passiv rökning: en svensk studie med fokus på barnhälsovårdssjuksköterskans hälsoarbete2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Tobacco smoking is incomparable the most unhealthy product legally available and is individual the largest cause to sickness, suffering and heath in the west world. Passive smoking can cause the same health problems as active smoking does. Children are more vulnerable to tobacco smoke because there high respiratory rate. Small children's immune system is in development, the tobacco smoke can affect this process and increases the risk for allergy. Passive smoking can also increase the risk for respiratory and ear infections and developing in a higher extent asthma. It is important part of the Child Health Care Nurse (CHCN) work to speak about passive smoking to parents. The purpose of this study was to illuminate the CHCN experience of health work focusing on passive smoking to parents who smokes. Method: In this interview study a qualitative content analysis with inductive approach was conducted. CHCN who worked in health care and family care centers in north/ northwest of Sweden, was asked to participate. Nine CHCN were interviewed. The interviews were performed with semi-structured questions. Results: The analysis present that CHCN give information about how passive smoking can affect small children. CHCNs give equivalent information concerning tobacco smoke deleterious effect to the smoking parent's irrespective of culture, ethnicity and socio-economic belonging. The CHCNs also described that it could be difficult to give information to the parent's and at the same time not cause feelings as guilt and shame. None of the CHCN offered a stop smoking conversation to the parents who wanted to quit smoking. Instead they mediated contact to a smoke-weaning nurse. Concussion: All the CHCNs gave information about passive smoking and it´s negative affect on children. The CHCN described that it could be difficult sometimes to give information and at the same time not aggrieve the parents.

  • 76.
    Eriksson, Erik
    et al.
    Division of Service Management and Logistics, Department of Technology Management and Economics, Centre for Healthcare Improvement, Chalmers University of Technology, Gothenburg (SWE); Department of Work Life and Social Welfare, University of Borås, Borås (SWE).
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lindahl, Göran
    Division of Building Design, Department of Architecture and Civil Engineering, Centre for Healthcare Architecture, Chalmers University of Technology, Gothenburg (SWE).
    Alexandersson, Patrik
    Division of Service Management and Logistics, Department of Technology Management and Economics, Centre for Healthcare Improvement, Chalmers University of Technology, Gothenburg (SWE).
    Eriksson, Johanna
    Division of Building Design, Department of Architecture and Civil Engineering, Centre for Healthcare Architecture, Chalmers University of Technology, Gothenburg (SWE).
    Public management in turbulent times: COVID-19 as an ecosystem disruptor2021In: Australian journal of public administration, ISSN 0313-6647, E-ISSN 1467-8500, Vol. 80, no 4, p. 732-747Article in journal (Refereed)
    Abstract [en]

    The decentralisation of Swedish healthcare closer to citizens has been slow. Drawing from empirical material of the reform prior and amidst the COVID-19 pandemic, this paper argues that the pandemic has disrupted the healthcare ecosystem. Consequently, citizen-centred collaborations have accelerated integration of resources (such as knowledge and skills) across organisational, hierarchical and professional borders. However, collaborations have been delimited to traditional healthcare providers, neglecting the resources of citizens and other actors to be used to improve service delivery. The pandemic has revealed strengths and weaknesses with the prevailing healthcare ecosystem that post-COVID-19 public management must address, both theoretically and practically. Theoretically, the paper contributes to the development of a public service logic, addressing both strengths and difficulties with the logic in turbulent times. Practically, the empirical descriptions contribute to improved understanding of public service delivery reform and how it is impacted during the pandemic. © 2021 The Authors. Australian Journal of Public Administration published by John Wiley & Sons Australia, Ltd on behalf of Institute of Public Administration Australia.

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  • 77.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture. University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    From healthy settings to sustainable healthy societies:: The salutogenic approach to planning and health promotion2011In: World Health Design, Vol. 4, no 2, p. 66-75Article in journal (Other academic)
    Abstract [en]

    -

  • 78.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Key Concepts in the Salutogenic Model of Health2022In: The Handbook of Salutogenesis / [ed] Maurice B. Mittelmark, Georg F. Bauer, Lenneke Vaandrager, Jürgen M. Pelikan, Shifra Sagy, Monica Eriksson, Bengt Lindström & Claudia Meier Magistretti, Cham: Springer, 2022, 2., p. 59-60Chapter in book (Other academic)
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  • 79.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Perspectives on salutogenesis of scholars writing in Swedish2016In: The Handbook of Salutogenesis / [ed] Mittelmark, M. B. et al., New York: Springer-Verlag New York, 2016, 1, p. 1-467Chapter in book (Other academic)
  • 80.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Research Supervision as a Mutual Learning Process: Introducing Salutogenesis into supervision using "The Collegial Model"2019In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 34, no 6, p. 1200-1206Article in journal (Refereed)
    Abstract [en]

    Research using salutogenic factors to promote health is extensive. Salutogenesis, and its coreconcept 'sense of coherence' (SOC), is a resource-oriented theory and framework, applicable indifferent contexts. Research combining health promotion and doctoral supervision in higher educationis scarce. This article places research supervision in a broader context of sustainable workinglife by focusing on stress management. It is about health promotion in an area of research supervision,a new approach not described earlier. Research on supervision in general is extensive,focusing on co-generative mentoring, counselling and coaching. A new salutogenic model, 'TheCollegial Model', is presented as an example of practical application. The aim of the present articleis to introduce and discuss how the salutogenic theory and model of health can be applied to researchsupervision of postgraduate students. Knowledge about how SOC impacts health andlearning has benefit from a systematic review on salutogenic research covering published papersfrom 1992 to 2003 and until today. 'The Collegial Model' examines fundamental characteristics ofsupervision related to ethics and sense of coherence: relations, communication, processes, reciprocity,reflection, learning, comprehensibility, manageability, meaningfulness and coherence.Principles for carrying out supervision 'the salutogenic way' are suggested. The conclusion is thatdoctoral supervision involves mutual learning processes between colleagues in the supervisoryteam. Supervision has to be theory driven, implying that supervisors could benefit from applyinga salutogenic way of thinking and working, particularly in development of guidelines for researchsupervision.

  • 81.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences. University West, Department of Health Sciences, Health and culture.
    Salutogenes: om hälsans ursprung - från forskning till praktisk tillämpning2015Collection (editor) (Other academic)
    Abstract [sv]

    Denna bok ger ett vetenskapligt perspektiv på salutogenes - det goda livets ursprung. Forskningsfältet salutogenes beskrivs här med utgångspunkt i människors strävan efter det goda livet, mitt i arbete med att ta hand om barn och familj och att göra en fullödig insats inom arbetslivet antingen man är ledare eller medarbetare. Principer för tillämpning i arbetslivet diskuteras också.Läs merForskningsfältet salutogenes beskrivs här med utgångspunkt i människors strävan efter det goda livet, mitt i arbete med att ta hand om barn och familj och att göra en fullödig insats inom arbetslivet antingen som ledare eller medarbetare. Principer för tillämpning i arbetslivet diskuteras också. Boken är skriven av forskare med god kännedom på området och bidrar med ny kunskap då salutogenes sätts i ett sammanhang. Författarna relaterar kunskapsområdet till hälsofrämjande och visar hur viktiga människors olika förmågor och resurser för hälsa och välbefinnande är för hälsofrämjande.Om författarnaMonica Eriksson är politices doktor och docent i socialpolitik med inriktning hälsofrämjande. Författarna är verksamma vid Högskolan Väst och Centrum för Salutogenes och arbetar dagligen med frågor kring hälsa i olika sammanhang.

  • 82.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Salutogenesis2014In: Encyclopedia of Quality of Life and Well-Being Research / [ed] Michalos, AC, Dordrecht, Netherlands: Springer Netherlands, 2014, p. 5623-5631Chapter in book (Refereed)
  • 83.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Sense of Coherence across the lifecourse: Findings from a systematic review 1992-20102011In: International Conference on Assets for Health and Wellbeing across the Life Course, 2011Conference paper (Refereed)
    Abstract [en]

    Thirty years ago Aaron Antonovsky introduced the salutogenic theory of health, claiming that a strong Sense of Coherence has an impact on health and wellbeing. The SOC is a global orientation to view life as comprehensible, manageable and meaningful. This presentation report findings from an extensive research synthesis on the SOC concept 1992-2010 based on about thousand peer reviewed papers, partly published and defended in a thesis (1992-2003) and partly from an ongoing synthesis (2004-2010). The presentation focuses on the relationship between SOC and age across the life course, on health and wellbeing, on different settings such as schools, working life, and on some related concepts (empowerment, resilience, connectedness). The findings from the systematic review show the SOC to be strongly related to perceived good health, especially mental health and wellbeing. The SOC has a main, moderating or mediating role in the explanation of health. The predicting capacity of the SOC for good health is encouraging. Opposite to Antonovsky the findings show that the SOC increases across the life course, the oldest people reported the strongest SOC. A strong SOC buffers against stress in working life and in schools. Other concepts closely related to the SOC are compared and discussed.

  • 84.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture.
    The Salutogenic Framework for Health Promotion and Disease Prevention2014In: The Handbook of Behavioral Medicine / [ed] Mostofsky, David I., Hoboken: Wiley-Blackwell, 2014, 1, p. 973-993Chapter in book (Other academic)
  • 85.
    Eriksson, Monica
    University West, Department of Health Sciences.
    The sense of coherence in the salutogenic model of health2016In: The Handbook of Salutogenesis / [ed] Mittelmark B. et al., Springer-Verlag New York, 2016, 1, p. 91-96Chapter in book (Other academic)
  • 86.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    The Sense of Coherence: The Concept and Its Relationship to Health2022In: The Handbook of Salutogenesis / [ed] Maurice B. Mittelmark, Georg F. Bauer, Lenneke Vaandrager, Jürgen M. Pelikan, Shifra Sagy, Monica Eriksson, Bengt Lindström & Claudia Meier Magistretti, Cham: Springer, 2022, ., p. 61-68Chapter in book (Other academic)
    Abstract [en]

    In this chapter, the theoretical framework of the salutogenic model of health is described, with special focus on the key concepts and reflection on the ontological and epistemological background of the health model, which so far is little explored and described. Essential in the salutogenic model of health is the understanding of health as a process in a continuum, the health ease/dis-ease continuum. This is described and explained in the chapter. Some evidence of the relationship between sense of coherence (SOC) and health is presented.

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  • 87.
    Eriksson, Monica
    University West, Department of Health Sciences.
    Unravelling the Mystery of Salutogenesis: The evidence base of the salutogenic research as measured by Antonovsky's Sense of Coherence Scale2007 (ed. 1)Book (Refereed)
  • 88.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Lindstrom, B
    University of Trondheim.
    Salutogenesis and Resilience: two sides of the same coin?2012In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321, Vol. 27, no Suppl1, p. 41-41Article in journal (Refereed)
    Abstract [en]

    Background: Conceptual clarification of salutogenesis (Antonovsky 1987) and resilience – what is common and different? Methods: A systematic research synthesis 1992–2010 based on about 1300 papers on Sense of Coherence. Findings: Similarities and differences emerge. Salutogenesis stems from stress research exploring why some people stay healthy despite major life events and adversities while resilience research refer to risk of negative health development. Both concepts emphasize resources: the salutogenic framework talks about Generalized Resistance Resources while resilience uses protective factors. The two concepts differ when it comes to the adjustment process where resilience concept always is connected with risk factors. Discussion: The new knowledge derived from the research synthesis on the SOC reveal promising results indicating the usefulness in health promotion research, expanding the knowledge from resilience research on risks to salutogenic research on resources. While salutogenesis has its focus on health promotion resilience is more connected to health protection.

  • 89.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. Folkhäsan Research Centre, Health Promotion Research Programme, Helsinki, Finland.
    Lindström, Bengt
    Folkhäsan Research Centre, Health Promotion Research Programme, Helsinki, Finland.
    A salutogenic interpretation of the Ottawa Charter2008In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 23, no 2, p. 190-199Article in journal (Refereed)
    Abstract [en]

    Twenty years have passed since the philosophy and principals were formulated in the Ottawa Charter for health promotion. A critical reflection of the content and success of the Ottawa Charter was published before the IUHPE World Conference in Vancover in June 2007. This paper contextualizes and discusses Salutogenesis and Antonovsky in the development of health promotion practice and research and, further, relates the salutogenic concept Sense of Coherence (SOC) to the Ottawa Charter. An overview of the development of health promotion and the salutogenic theory of health is presented. In addition, this is illustrated in a new way using the metaphors of ‘health in the river of life’ and ‘SOC in a life course perspective’. Health promotion, including the Ottawa charter, lacks a clear theoretical foundation. The results of a systematic review of salutogenic research are used to demonstrate how the salutogenic framework could support the philosophical and practical intentions of the OC. The salutogenic model contributes to the maintenance and development of health and quality of life (QoL), i.e. the process and outcome of the principles of the OC. The metaphor of the river and the life cycle are new ways of demonstrating the paradigm shift provided by the Salutogenesis and health promotion in relation to public health and medicine. The salutogenic theory is an important contribution to the theory base of health promotion research and practice.

  • 90.
    Eriksson, Monica
    et al.
    Folkhälsan Research Centre, Health Promotion Programme, Helsinki, Finland.
    Lindström, Bengt
    Folkhälsan Research Centre, Health Promotion Programme, Helsinki, Finland.
    Antonovsky's Sense of Coherence Scale and It's Relation with Quality of Life: A systematic review2007In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 61, no 11, p. 938-944Article in journal (Refereed)
    Abstract [en]

    The aim of this paper is to synthesise findings on the salutogenic concept, sense of coherence (SOC), and its correlation with quality of life (QoL). This study is descriptive and analytic, with a systematic integration of the contemporary knowledge base on the salutogenic research published in 1992–2003. This review includes 458 scientific publications and 13 doctoral theses on salutogenesis. In all, 32 papers had the main objective of investigating the relationship between SOC and QoL. This study is based on scientific publications in eight authorised databases, doctoral theses and available books. The SOC seems to have an impact on the QoL; the stronger the SOC, the better the QoL. Furthermore, longitudinal studies confirm the predictive validity of the SOC for a good QoL. The findings correspond to the core of the Ottawa Charter—that is, the process of enabling people to live a good life. Therefore, a certain possibility to modify and extend the health construct is becoming discernible, implicating a construct including salutogenesis and QoL. The SOC concept is a health resource, influencing QoL.

  • 91.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Lindström, Bengt
    Nordic School of Public Health.
    Antonovsky's sense of coherence scale and the relation with health: a systematic review2006In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 60, no 5, p. 376-381Article in journal (Refereed)
    Abstract [en]

    Study objective

    The aim of this paper is to synthesise empirical findings on the salutogenic concept sense of coherence (SOC) and examine its capacity to explain health and its dimensions.

    Design

    The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic research published 1992–2003. The review includes 458 scientific publications and 13 doctoral theses.

    Setting

    Worldwide, based on postgraduate scientific publications in eight authorised databases, doctoral theses, and available books.

    Main results

    SOC is strongly related to perceived health, especially mental health. The stronger the SOC the better the perceived health in general, at least for those with an initial high SOC. This relation is manifested in study populations regardless of age, sex, ethnicity, nationality, and study design. SOC seems to have a main, moderating or mediating role in the explanation of health. Furthermore, the SOC seems to be able to predict health. SOC is an important contributor for the development and maintenance of people's health but does not alone explain the overall health.

    Conclusion

    SOC seems to be a health promoting resource, which strengthens resilience and develops a positive subjective state of health. Salutogenesis is a valuable approach for health promotion and would be worth to implement in practice much more than to date.

    Keywords: Antonovsky, salutogenesis, sense of coherence, health promotion

    This paper continues to review, analyse, and synthesise the evidence base of research on the sense of coherence (SOC) concept in the light of 25 years of research undertaken by the authors.1,2,3,4 The main purpose is to provide a more comprehensive understanding of the SOC concept from research between 1992–2003. This is a relevant contribution to health promotion and public health research. It is necessary to get deeper knowledge about the interaction between SOC and socioeconomic characteristics like age, sex, social class, and how SOC might be related to physical and mental health. Are there any relations and does the SOC have an impact on health at all?

  • 92.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Lindström, Bengt
    Forskningscentrum i Helsingfors, Finland.
    En resa till hälsans centrum: det salutogena perspektivet på hälsa och välbefinnande2011In: Hälsa och välfärd i ett föränderligt samhälle: festskrift till Gunborg Jakobsson / [ed] Nygård, Mikael och Finnäs, Fjalar, Åbo: Åbo Akademis Förlag, 2011, p. 65-81Chapter in book (Other academic)
  • 93.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Lindström, Bengt
    Folkha¨lsan Research Centre, Helsingfors.
    From health education to healthy learning: Implementing salutogenesis in educational science 2011In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 39, no Suppl 6, p. 85-92Article in journal (Refereed)
    Abstract [en]

     

     Aim:

    The aim is to scrutinise the concept of health education (HE) and to broaden the concept of health literacy (HL) towardsa lifelong healthy learning concept. HL is a broader concept than HE. This paper dissects both the health and the education

    concepts, and puts them into the value system of health promotion (HP) of the Ottawa Charter (OC) using the core principles

    and values of HP, HL, and action competence (AC) in the light of the salutogenesis (SAL). Conceptually the salutogenic

    model focuses on the direction towards the healthy end of the health continuum. The salutogenic theory, based on resources

    and comprehensibility, manageability, and meaningfulness, can be integrated into a learning model. People are seen as active

    and participating subjects shaping their lives through their AC.

    Method:a combination of an analysis of the values andintentions of health promotion according to the OC combined with the existing evidence on the salutogenic approach to

    health, stemming from a systematic research synthesis 1992–2003 and an ongoing analysis 2004–2009 by the authors. In

    addition, the views from a discussion with the participants of a session in the NHPR Conference 2009 are integrated.

    Results:

    The similarities and differences between the salutogenesis, theOCand healthy learning were shown in a graph. Integrating the

    salutogenesis in educational sciences further expands the concepts of HE and HL into healthy learning.

    Conclusions: Theresults of the discussions will further develop and strengthen the concept of healthy learning. 

     

    Abstract

    Aim: The aim is to scrutinise the concept of health education (HE) and to broaden the concept of health literacy (HL) towards

    a lifelong healthy learning concept. HL is a broader concept than HE. This paper dissects both the health and the education concepts, and puts them into the value system of health promotion (HP) of the Ottawa Charter (OC) using the core principles and values of HP, HL, and action competence (AC) in the light of the salutogenesis (SAL). Conceptually the salutogenic model focuses on the direction towards the healthy end of the health continuum. The salutogenic theory, based on resources and comprehensibility, manageability, and meaningfulness, can be integrated into a learning model. People are seen as active and participating subjects shaping their lives through their AC. Method: a combination of an analysis of the values and intentions of health promotion according to the OC combined with the existing evidence on the salutogenic approach to health, stemming from a systematic research synthesis 1992–2003 and an ongoing analysis 2004–2009 by the authors. In addition, the views from a discussion with the participants of a session in the NHPR Conference 2009 are integrated. Results: The similarities and differences between the salutogenesis, theOCand healthy learning were shown in a graph. Integrating the salutogenesis in educational sciences further expands the concepts of HE and HL into healthy learning. Conclusions

    : The results of the discussions will further develop and strengthen the concept of healthy learning.

  • 94.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture.
    Lindström, Bengt
    Folkhälsan Research Centre, Helsinki.
    Life is more than survival: Exploring links between Antonovsky’s salutogenic theory and the concept of resilience2011In: Wayfinding through life's challenges: Coping and survival / [ed] Gow, Kathryn M., Celinski, Marek, New York: Nova Science Publishers, Inc., 2011, p. 31-46Chapter in book (Refereed)
  • 95.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Lindström, Bengt
    Salutogenesis2005In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 59, no 6, p. 440-442Article in journal (Refereed)
    Abstract [en]

    The editor of the journal has taken the initiative to develop glossaries on central concepts in health promotion. The aim of this paper is to explain and clarify the key concepts of the salutogenic theory sense of coherence coined by Aaron Antonovsky. The explanations and interpretations are the result of an analysis of the scientific evidence base of the first 25 years of salutogenic research, described and discussed in an ongoing project on a systematic review by the above authors. The contemporary evidence shows the salutogenic approach could have a more central position in public health and health promotion research and practice. Furthermore, it could contribute to the solution of some of the most urgent public health problems of our time such as the question of mental health promotion. Finally, it could create a solid theoretical framework for health promotion.

  • 96.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Lindström, Bengt
    Universitetet i Trondheim.
    The salutogenic framework for well-being: Implications for public policy2014In: Well-Being And Beyond: Broadening the Public and Policy Discourse / [ed] Hämäläinen, Timo & Michaelson, Juliet, Cheltenham: Edward Elgar Publishing, 2014, 1, p. 68-97Chapter in book (Other academic)
  • 97.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Lindström, Bengt
    Nordic School of Public Health.
    Validity of Antonovsky's sense of coherence scale: a systematic review2005In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 59, no 6, p. 460-466Article in journal (Refereed)
    Abstract [en]

    Study objective: The aim of this paper is to systematically review and analyse the validity and reliability of Antonovsky’s life orientation questionnaire/sense of coherence scale (SOC).

    Design: The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic research published 1992–2003. The review includes 458 scientific publications and 13 doctoral theses.

    Setting: Worldwide, based on postgraduate scientific publications in eight authorised databases, doctoral theses, and available books.

    Main results: The SOC questionnaire has been used in at least 33 languages in 32 countries with at least 15 different versions of the questionnaire. In 124 studies using SOC-29 the Cronbach’s α ranges from 0.70 to 0.95. The α values in 127 studies using SOC-13 range from 0.70 to 0.92, and in 60 studies using a modified SOC scale range from 0.35 to 0.91. Test-retest correlation show stability and range from 0.69 to 0.78 (1 year), 0.64 (3 years), 0.42 to 0.45 (4 years), 0.59 to 0.67 (5 years) to 0.54 (10 years). The means of SOC-29 range 100.50 (SD 28.50) to 164.50 (SD 17.10) points and SOC-13 from 35.39 (SD 0.10) to 77.60 (SD 13.80) points. After 10 years SOC seems to be comparatively stable, but not as stable as Antonovsky initially assumed. SOC tends to increase with age. The factorial structure of SOC seems rather to be multidimensional than unidimensional. SOC predicts a positive outcome in a long term perspective, although there are divergent findings reported. The SOC scale seems to be a reliable, valid, and cross culturally applicable instrument measuring how people manage stressful situations and stay well.

  • 98.
    Eriksson, Monica
    et al.
    Folkhälsan Research Centre, Health Promotion Research Programme, Helsinki, Finland.
    Lindström, Bengt
    Folkhälsan Research Centre, Health Promotion Research Programme, Helsinki, Finland.
    Lilja, John
    Department of Biochemistry and Pharmacy, Åbo Akademin, University, Turku, Finland.
    A sense of coherence and health. The Salutogenesis in a societal context: Åland - a special case?2007In: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 61, no 8, p. 684-688Article in journal (Refereed)
    Abstract [en]

    Background:

    Antonovsky's salutogenic concept of a sense of coherence (SOC) has proved most influential in the way that health is now perceived.

    Aim:

    To (1) describe the distribution of SOC among 40–70-year-old Ålanders; (2) examine the distribution of depression in Åland, Finland, and its relationship with SOC; and (3) discuss the findings within a salutogenic framework in a societal context.

    Design:

    A cross-sectional study design was adopted. Antonovsky's SOC Questionnaire (13 items) and the Beck Depression Inventory (13 items) were used. In addition, in a separate questionnaire, sociodemographic information about each participant was sought, together with a question specific to this study and designed to measure self-rated health.

    Setting:

    Åland, an autonomous island province of Finland.

    Results:

    The proportion of respondents reporting good health was high (64%). The overall mean (SD) SOC was 70.7 (11.7) points, whereas for farmers and fishermen it was 73.88 (8.8) and 74.33 (9.2) points, respectively. SOC was significantly and strongly related to the self-rated health score. The higher the SOC, the better was the health of the respondents. Furthermore, the study provided clear evidence of the potential of the SOC concept as a positive mental health indicator.

    Conclusion:

    The SOC seems to be a health-promoting resource that supports the development of a positive subjective state of health.

  • 99.
    Eriksson, Monica
    et al.
    University West, Department of Health Sciences.
    Mittelmark, Maurice B.
    University of Bergen, Norway.
    The sense of coherence and its measurement2016In: The Handbook of Salutogenesis / [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, 1, p. 97-106Chapter in book (Other academic)
  • 100.
    Eriksson, Monica
    et al.
    University West, Department of Nursing, Health and Culture.
    Sagy, Shifra
    Ben Gurion University of Negev, Dep. of the Sociology of Health, Center for Health Sciences.
    Lindström, Bengt
    Norwegian University of Science and Technology, Research Centre for Health Promotion and Resources.
    A salutogenic perspective on mental health across the life time: Cultural aspects on the Sense of Coherence2012In: Exploring Mental Health: theoretical and Empirical Discourses on Salutogenesis / [ed] Mayer, Claude-Hélène, Krause, Christina, Lengerich: Pabst Science Publishers, 2012, p. 142-160Chapter in book (Refereed)
    Abstract [en]

    The focus of this section is on mental health in a life course perspective and cultural aspects on the Sense of Coherence. According to Aaron Antonovsky the key concept, the Sense of Coherence (SOC),was considered as a universal construct measuring a global life orientation, away of viewing the life as comprehensible, manageable and meaningful. The conclusions drawn in this section is based on an extensive systematic research synthesis of papers on salutogenesis  covering the time span 1992-2003 and published in 2007, completed with an ongoing work of additional papers up to 2010. The cultural aspects of the SOC are reflectedby using ethnic minorities as examples of groups affected by acculturative stress? The distribution of the SOC questionnaire is described?  The results showed that a strong SOC is related to good perceived mental health and well-being independent of age. Further, the SOC questionnaire has to date beenused in different countries on various languages all over the World, not onlyin Western countries. The proposed universal property of the SOC is questioned. The SOC seems to be influenced by culture. Further research is needed to get adeeper understanding how the SOC operates in different cultural contexts.

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