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Norfjord van Zyl, M., Akhavan, S., Tillgren, P. & Asp, M. (2020). Non-participation in mammographic screening – experiences of women from a region in Sweden. BMC Public Health, 20(219)
Open this publication in new window or tab >>Non-participation in mammographic screening – experiences of women from a region in Sweden
2020 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 20, no 219Article in journal (Refereed) Published
Abstract [en]

Understanding women’s life conditions regarding their non-participation in different health-promoting and disease-preventing activities is important as it may draw attention to potential areas for improvement in the healthcare sector. Mammographic screening, a disease-preventing service, facilitates early detection of any potential malignancies and consequently prompts initiation of treatment. The reasons for non-participation in mammographic screening can be understood from different perspectives, such as socioeconomic and lifestyle-related determinants of health. This study aims to gain a deeper understanding of women’s experiences and perceptions about non-participation in mammographic screening in a Swedish region with a single mammographic facility.

Methods

Data from individual semi-structured interviews, conducted in 2018 with eleven women between the ages of 48 and 73, were analysed by a qualitative content analysis.

Results

The findings reveal three main categories: 1) doubts regarding mammographic screening and its organisation, 2) sense and sensibility in the decision to refrain from mammographic screening, and 3) dependency and options. These three categories indicate aspects, such as the individual’s life situation, accessibility to the offered service, and the flexibility of the healthcare system, that need to be considered to improve the organisation of mammographic screening.

Conclusion

Listening to the women’s voices regarding their experiences and perceptions about mammographic screening is important as individual characteristics and social circumstances interact with healthcare and affect the degree of participation.

National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-47047 (URN)10.1186/s12889-020-8306-8 (DOI)
Available from: 2020-02-17 Created: 2020-02-17 Last updated: 2020-02-25Bibliographically approved
Värnild, A., Tillgren, P. & Peter, L. (2020). What types of injuries did seriously injured pedestrians and cyclists receive in a Swedish urban region in the time period 2003–2017 when Vision Zero was implemented?. Public Health, 181, 59-64
Open this publication in new window or tab >>What types of injuries did seriously injured pedestrians and cyclists receive in a Swedish urban region in the time period 2003–2017 when Vision Zero was implemented?
2020 (English)In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 181, p. 59-64Article in journal (Refereed) Published
Abstract [en]

Objectives

The aim of the study is to examine what types of injuries that seriously injured pedestrians and cyclists received in urban road spaces from 2003 to 2017 in the Swedish region of Västmanland, when the road safety policy Vision Zero was implemented.

Study design

This is a cross-sectional data annually collected over a period of fifteen years.

Methods

Data from health care for 403 seriously injured pedestrians and cyclists were retrieved from the registry STRADA (Swedish Traffic Accident Data Acquisition) and cross-referenced with the National Road Database to see if any Vision Zero measures had previously been implemented at the crash location. The study includes injuries from both single and multiple crashes on roads, pavements, and tracks for walking and cycling (road space). Statistical analysis was performed by descriptive statistics, chi-square tests, and multiple logistic regression analyses.

Results

Pedestrians were seriously injured in lower extremities more than cyclists, whereas more cyclists were seriously injured in the head. During the period, pedestriansꞌ head injuries decreased significantly, but injuries in lower extremities increased significantly. In addition, for cyclists, there was a shift from decreased probability of head injuries to increased probability of injuries in lower extremities related to increased age. For pedestrians, pavements/tracks were associated with a decreased probability of a majority of injury outcomes but for cyclists only for severe injury outcomes.

Conclusions

From 2003 to 2017, there was a shift among seriously injured pedestrians, with head injuries decreasing and injuries in lower extremities increasing. This shift was probably related to an ageing population in the region, given that increased age among both pedestrians and cyclists was associated with a decreased probability of head injuries but increased probability of injuries in lower extremities. On Vision Zero roads, there was a decreased probability of pedestrians receiving serious injury to more than one bodily region. An increased number of older people combined with policies for more active mobility such as walking and cycling are a challenge for road authorities in urban areas.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-46787 (URN)10.1016/j.puhe.2019.11.019 (DOI)2-s2.0-85077913357 (Scopus ID)
Note

©2019 The Authors. Published by Elsevier Ltd on behalf of The Royal Society for Public Health. This is anopen access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Available from: 2020-01-23 Created: 2020-01-23 Last updated: 2020-01-31Bibliographically approved
Värnild, A., Peter, L. & Tillgren, P. (2019). Incidence of seriously injured road users in a Swedish region, 2003-2014, from the perspective of a national road safety policy. BMC Public Health, 19(1), Article ID 1576.
Open this publication in new window or tab >>Incidence of seriously injured road users in a Swedish region, 2003-2014, from the perspective of a national road safety policy
2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, no 1, article id 1576Article in journal (Refereed) Published
Abstract [en]

Background: Since 1997 Sweden has a policy for road safety called Vision Zero. Given that Vision Zero is mainly used to reduce fatalities among car occupants, the question has been raised by the research community whether a Vision Zero approach promotes health for all road traffic users. The objective is to measure target fulfilment of the national road safety policy for a Swedish region by examining incidence of serious injury during 2003-2014 in rural and urban road spaces with or without implemented measures. Methods: Data on seriously injured road users, defined as ISS > 8 (Injury Severity Score), were retrieved from STRADA (Swedish Traffic Accident Data Acquisition) together with data from NVDB (National Road Database). These data are used to describe where road users are seriously injured in relation to implemented national policy and using a conceptual model of a road space comprising roads, pavements and tracks for walking and cycling. Seriously injured road users in single and multiple crashes with and without vehicles are included. The development of the incidence is analysed for different road users and places in the road space. Results: Despite implemented road safety measures in the region, the incidence of seriously injured road users per 100,000 inhabitants in rural areas increased from 7.8 in 2003 to 9.3 in 2014 but doubled in urban areas from 8.0 in to 16.3 respectively. In areas not transformed by Vision Zero, only 36% were injured in rural areas while 64% were injured in urban areas. In contrast, in transformed areas 61% of injuries occurred in rural areas, whereas 39% occurred in urban areas. While the incidence decreased for car occupants on transformed national roads in rural areas, the incidence of serious injuries increased among unprotected road users in urban areas, in particular on pavements and tracks for cycling and walking than on the roads where Vision Zero had been implemented. Conclusion: The reduction in the incidence for car occupants in the region may not be adequate to contribute to fulfilling the national target. More needs to be done, especially in the urban areas, where more active mobility is desired. 

Place, publisher, year, edition, pages
BioMed Central Ltd., 2019
Keywords
Incidence, ISS, Policy, Road injury, Rural, STRADA, Urban, Vision Zero
National Category
Other Social Sciences
Identifiers
urn:nbn:se:mdh:diva-46308 (URN)10.1186/s12889-019-7937-0 (DOI)000501793800017 ()2-s2.0-85075790945 (Scopus ID)
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2020-01-02Bibliographically approved
Östlund, G., Söderbäck, M. & Tillgren, P. (2019). Review of coproduced research within health and welfare, focusing the cooperation in between Thailand and Sweden.. In: Global health: . Paper presented at International Conference on Advancement in Health Sciences Education and Professions: Synergy and Reform for Better Health (iHSEP2019). Bangkok, 11-13 nov.
Open this publication in new window or tab >>Review of coproduced research within health and welfare, focusing the cooperation in between Thailand and Sweden.
2019 (English)In: Global health, 2019Conference paper, Oral presentation with published abstract (Refereed)
National Category
Social Sciences Other Social Sciences
Identifiers
urn:nbn:se:mdh:diva-46043 (URN)
Conference
International Conference on Advancement in Health Sciences Education and Professions: Synergy and Reform for Better Health (iHSEP2019). Bangkok, 11-13 nov
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2019-12-17Bibliographically approved
Östlund, G., Söderbäck, M. & Tillgren, P. (2019). Review of coproduced reserach within health and welfare, focusing the cooperation in between Thailand and Sweden. In: Review of coproduced research within health and welfare, focusing the cooperation in between Tailand and Sweden.: . Paper presented at International Conference on Advancement in Health Sciences Education and Professions: Synergy and Reform for Better Health (iHSEP2019). Bangkok, 11-13 nov 2019..
Open this publication in new window or tab >>Review of coproduced reserach within health and welfare, focusing the cooperation in between Thailand and Sweden
2019 (English)In: Review of coproduced research within health and welfare, focusing the cooperation in between Tailand and Sweden., 2019Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences Social Sciences
Identifiers
urn:nbn:se:mdh:diva-46059 (URN)
Conference
International Conference on Advancement in Health Sciences Education and Professions: Synergy and Reform for Better Health (iHSEP2019). Bangkok, 11-13 nov 2019.
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-17Bibliographically approved
Ringsberg, K. C., Olander, E., Tillgren, P., Thualagant, N. & Trollvik, A. (2018). Concerns and future challenges of health literacy in the Nordic countries - From the point of view of health promotion practitioners and researchers. Scandinavian Journal of Public Health, 46(20_suppl), 107-117
Open this publication in new window or tab >>Concerns and future challenges of health literacy in the Nordic countries - From the point of view of health promotion practitioners and researchers
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2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 107-117Article in journal (Refereed) Published
Abstract [en]

Background: Health literacy is an essential social determinant for promoting and maintaining the health of a population. Aim: From a health promotion perspective, explore health literacy issues, concerns and future challenges among Nordic practitioners and researchers. Methods: Data were collected in a workshop at the 8th Nordic Health Promotion Conference, and in a literature review, with articles from five databases. The search included title and abstract with the search terms health literacy* and health literacy as a MeSH term and all the Nordic countries. Qualitative and quantitative analysis were used. Results: Twenty-five persons participated in the workshop. The discussions were summarized in six themes: concept of health literacy in national language; risk of victim blaming; measuring health literacy; content in school curricula on health literacy; new technologies for information and communication; communication and collaboration between different actors in support of health. Forty-three articles on health literacy were identified, mainly conducted within three fields: development, test and adaptation of instruments for measuring health literacy; measurement of health literacy among patients, or other defined target groups and on populations; and developing and evaluating methods/tools for the training of personnel groups or different target groups. Conclusions: There is a need for further studies providing a more in-depth understanding of the health literacy concept, knowledge on how to measure health literacy, ethical aspects, application in intersectoral collaboration as well as the adaptation to new technologies for information and communication in education supporting health literacy. As health literacy is an essential social health determinant, a concern and a future challenge must be, to make the health literacy concept familiar and visible in health promotion policies, research and practice such as health education. 

Place, publisher, year, edition, pages
SAGE Publications Ltd, 2018
National Category
Health Sciences
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:mdh:diva-38917 (URN)10.1177/1403494817743903 (DOI)000428758300016 ()29552970 (PubMedID)2-s2.0-85044107460 (Scopus ID)
Available from: 2018-04-05 Created: 2018-04-05 Last updated: 2019-11-15
Choowong, J., Tillgren, P. & Söderbäck, M. (2018). Directly observed therapy providers´practice when promoting tuberculosis treatment in a local Thai community. Journal of Public Health in Developing Countries, 4(1), 458-466
Open this publication in new window or tab >>Directly observed therapy providers´practice when promoting tuberculosis treatment in a local Thai community
2018 (English)In: Journal of Public Health in Developing Countries, ISSN 2059-5409, Vol. 4, no 1, p. 458-466Article in journal (Refereed) Published
National Category
Medical and Health Sciences Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-46121 (URN)
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-17Bibliographically approved
Norfjord van Zyl, M., Akhavan, S., Tillgren, P. & Asp, M. (2018). Experiences and perceptions about undergoing mammographic screening: a qualitative study involving women from a county in Sweden. International Journal of Qualitative Studies on Health and Well-being, 13(1), Article ID 1521256.
Open this publication in new window or tab >>Experiences and perceptions about undergoing mammographic screening: a qualitative study involving women from a county in Sweden
2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no 1, article id 1521256Article in journal (Refereed) Published
Abstract [en]

Purpose:An organized population-based mammographic screening programme aims for an early detection of potential breast abnormalities so that treatment can commence. Continuous participation and a high attendance rate are vital for an effective programme. It is important to understand the underlying reasons for participation in mammographic screening, should there be factors that are amendable within reason and could be adjusted. Therefore, the invited women are valuable sources of information. This study aimed at describing the experiences and perceptions about mammographic screening of women from three municipalities in a Swedish county.Method:Six semi-structured focus-group discussions, each with four to five participants, were held. Content analysis was then conducted.Results:The screening procedure, such as staff professionalism, was covered. Other people's opinions and the woman's own understanding affected the women's decisions on whether or not to undergo the procedure. Structural conditions, such as travel time and financial issues, were sources of concern. However, the offer to perform mammographic screening was perceived with gratitude.Conclusions:Structural conditions, risk and time perceptions, the screening procedure, attitudes towards undergoing it and appreciation of its benefit may influence the women's continuous willingness to be screened, which in turn may affect public and individual health.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD, 2018
Keywords
Experiences, focus groups, mammographic screening, participation, perceptions, public health, qualitative study
National Category
Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:mdh:diva-41008 (URN)10.1080/17482631.2018.1521256 (DOI)000444566400001 ()30215571 (PubMedID)2-s2.0-85053259288 (Scopus ID)
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2020-02-25
Boij, A., Nilsson, M., Odén, N. & Tillgren, P. (2018). Kunskapsbaserat tobaksförebyggande arbete i skolan: A Non Smoking Generations (NSG) flerkomponentsprogram. Socialmedicinsk Tidskrift, 95(4), 432-444
Open this publication in new window or tab >>Kunskapsbaserat tobaksförebyggande arbete i skolan: A Non Smoking Generations (NSG) flerkomponentsprogram
2018 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 95, no 4, p. 432-444Article in journal (Refereed) Published
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46065 (URN)
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-17Bibliographically approved
Haglund, B. J. & Tillgren, P. (2018). Milestones in Nordic Health Promotion Research. Scandinavian Journal of Public Health, 46(20_suppl), 7-19
Open this publication in new window or tab >>Milestones in Nordic Health Promotion Research
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 7-19Article in journal (Refereed) Published
Abstract [en]

Based on the storytelling tradition and analyses of conference material, this article provides an overview of the evolving Nordic Health Promotion Research Network (NHPRN) and its conferences over the last 20 years. The story goes from the planning of the first conference in Bergen, Norway, back in 1996 to the eighth conference in Jyväskylä, Finland, in 2016. There have been three phases of development. During the first phase, 1996–2007, the five first conferences were initiated and implemented by departments of public health in the Nordic countries. The World Health Organization (WHO) collaborative centres of Health Promotion in Bergen University and a group at Karolinska Institute, Department of Social Medicine, creating supportive environments for health in Stockholm played key roles in initiating and supporting NHPRN. During the second phase, 2007–2014, the network was strengthened and supported by the Nordic School of Public Health (NHV) in Gothenburg. The third phase started when NHV closed down in 2015 and networking activities were transferred to the European Office of WHO in Copenhagen. The Nordic Health Promotion Research Conference series has served several purposes and will continue to do so. They are important Nordic meeting places, stimulating Health Promotion research, as well as explicitly managing ongoing concerns in the international Health Promotion community. This is reflected in the shift of foci over time. The content of the conferences has been highly responsive to whatever challenges are particularly relevant at different points in time, while also contributing to developing Health Promotion as a discipline, given that every conference has built on the previous ones.

Keywords
Health Promotion, research, public health, history, Nordic countries
National Category
Medical and Health Sciences
Research subject
Public Health Sciences
Identifiers
urn:nbn:se:mdh:diva-41252 (URN)10.1177/1403494817744930 (DOI)000428758300002 ()29552959 (PubMedID)2-s2.0-85044153739 (Scopus ID)
Available from: 2018-10-31 Created: 2018-10-31 Last updated: 2019-06-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3787-1040

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