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  • 101.
    Värnild, Astrid
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Belin, Matts-Åke
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    VISION ZERO - ROAD TRAFFIC EFFECTS FOR SEVERELY INJURED IN A SWEDISH COUNTY2016In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 22, p. A273-A273Article in journal (Refereed)
  • 102.
    Värnild, Astrid
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Peter, Larm
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Stockholm, Sweden.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Incidence of seriously injured road users in a Swedish region, 2003-2014, from the perspective of a national road safety policy2019In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, no 1, article id 1576Article in journal (Refereed)
    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. 

  • 103. Värnild, Astrid
    et al.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Eilert-Petersson, Elsvig
    Regional uppföljning av det nationella trafiksäkerhetsmålet: Exemplet Västmanlands län 1989 – 20092012In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 89, no 6, p. 513-524Article in journal (Other academic)
    Abstract [sv]

    Artikeln belyser hur det nationella målet för trafiksäkerhet går att följa upp på länsnivå via befintlig statistik från polis och sjukvård. Data från 1989/1990 respektive 2008/2009 jämförs.

    För perioden 1997 – 2009 har det inte funnits något nationellt definierat trafiksäkerhets­mål för allvarligt skadade. Enligt polisens statistik är antalet svårt skadade vägtrafikanter i Västmanlands län oförändrat under perioden. Antalet allvarligt skadade i sjukvårdsstatistiken definierat som ISS > 8 är oförändrat.

    Antalet skadade personer registrerade av sjukvården har minskat under perioden beroende på att antalet skadade gångtrafikanter och cyklister har blivit färre. På grund av omorganisation inom sjukvården kan minskningen inte kvantifieras. Ett lägre antal frakturer styrker att det varit en minskning. Antalet skadade bilister har blivit fler, men de skadas lindrigare än 1989/1990.

    Kombinerade skaderegistreringssystem försvårar uppföljning på regional nivå.

  • 104.
    Värnild, Astrid
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Peter, Larm
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Factors related to the increasing number of seriously injured cyclists and pedestrians in a Swedish urban region 2003–17In: Journal of Public Health, ISSN 1741-3842, E-ISSN 1741-3850Article in journal (Refereed)
    Abstract [en]

    Background

    The number of seriously injured unprotected road users has increased during implementation of a road safety policy Vision Zero. The aim of the study is to identify factors associated with the increase in serious injuries among cyclists and pedestrians (even single pedestrian accidents) that occurred in an urban road space in a Swedish region 2003–17. The urban road space includes roads, pavements and tracks for walking and cycling.

    Methods

    Data were retrieved from STRADA (Swedish Traffic Accident Data Acquisition) and NVDB (National Road Database). Descriptive statistics and logistic regression with odds ratios for sex, age and part of road space were assessed.

    Results

    The number of seriously injured cyclists and pedestrians more than doubled from 2003 to 2017, with the greatest increase for pedestrians. Older age increased the probability of serious injury since 2012 for the group ≥ 80 years and since 2015 for the group 65–79 years. No significant effect of sex. Most injuries occur in areas not transformed by Vision Zero.

    Conclusions

    An increasing number of elderly persons in the generation born in the 1940s and increased life expectancy are important factors. There is a need to increase road safety measures that also promote active mobility.

  • 105.
    Värnild, Astrid
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Peter, Larm
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Karolinska Institutet, Sweden.
    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?2020In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 181, p. 59-64Article in journal (Refereed)
    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.

  • 106.
    Wallin, Emmie
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Jansson, Elisabeth
    Mälardalen University, Department of Caring and Public Health Sciences.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Sustainable Development and Public Health – Could it be combined?2007Conference paper (Refereed)
    Abstract [en]

    Background: The WHO policy framework - Health for all in the 21st century – in the European region provides Health Promotion and thereby Public Health practitioners with an agenda that includes and highlights equity (health as a resource for all humans regardless of background), environmental aspects (influences peoples health and possibilities of being healthy) and economic aspects (the ability and possibility of making healthy choices). These dimensions are also the pillars of sustainable development. Besides these similarities the two concepts seems to cohere on several key points in their fundamental visions and strategies; long-term view, interdisciplinary collaboration, holistic approach including system thinking, democracy and participation etc. Although, are the concepts really coherent in their definitions and explanations of these visions and strategies?

    The objective is to study similarities and differences between the concepts of health promotion and sustainable development in Swedish national documents for public health and sustainable development between 1992 and 2006.

    Method: A systematic review of a strategically sample of governmental public health and sustainable development documents including a manifest content analysis to get an understanding of how health promotion and sustainable development as concepts are described.

    Expected results: Preliminary results indicate that the concepts have different approaches to a few of the similar key points, especially participation and democracy. The final results will help to clarify the relationship between the concepts of health promotion and sustainable development and will be presented at the conference.

  • 107.
    Wallin, Emmie
    et al.
    Högskolan Väst, Sweden.
    Nordin, Maria
    Mälardalen University, School of Health, Care and Social Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Transference of local health promotion responsibilities? – A study on Municipal governing of health actions in local sports clubs.2009Conference paper (Refereed)
  • 108. Wallin, Emmie
    et al.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Municipalities use of guidelines for economic support to govern health actions in social sports clubs – a study on the prevention of substance use through public policy actions year 2003 and 20072009Conference paper (Refereed)
  • 109.
    Wallin, Emmie
    et al.
    Karolinska Institutet, Dept. Public Health Sciences.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    The role of Program Theory in Health Promotion Evaluation: two Swedish cases2008Conference paper (Other academic)
  • 110. Wallin, Emmie
    et al.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Vad händer om man schemalägger friskvård på arbetstid?: Utvärdering av projektet schemalagd friskvård på arbetstid vid lasarettet i Enköping2009Report (Other academic)
  • 111.
    Zetterquist, Susanne
    et al.
    Folkhälsovetenskap, Social Medicine.
    Jansson, Elisabeth
    Mälardalen University, School of Health, Care and Social Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare.
    Karlsson Westman, Ove
    Mälardalen University, School of Health, Care and Social Welfare.
    Utvärdering av implementeringsprocessen för ”Ung & Sund i Sigtuna kommun” och folkhälsoprojektet i ”Ett gott liv för alla i Upplands Väsby kommun" en delutvärdering av Stockholms läns landstings Handlingsprogram övervikt och fetma 2004.2008Report (Other academic)
  • 112.
    Åkerlind, Ingemar
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Tillgren, Per
    Mälardalen University, Department of Caring and Public Health Sciences.
    Kjellström, T
    Track 7: Health, environment and sustainable development.2007Conference paper (Other academic)
    Abstract [en]

    There is a growing recognition that health, environment and sustainable development have a crusial significance for the future of the mankind. The problems differ between the industrialized and the developing countries but the globalization process implies an increasing interchange. In some countries, lack of basic services and poverty still constitute the main problems. In other countries, the large-scale, rapid industrialization and urbanization cause new types of hazards. In the industrialized countries, the advances in science, technology, infrastructure and education have resulted in increasing life opportunities for the great majority during the past century. Accordingly, at the same time as the development process may result in considerable gains to people, they also involve new kinds of threats to people’s health and widening health gaps between and within countries.

    Environmental factors are a major contributor to ill health all around the world and especially in the poorest regions. Traditional public health risks such as defective food and water, contamination of the environment and inferior sanitation are still prevalent. Moreover, new environment problems have emerged, some of which appear to threaten the entire ecosystem. An improved understanding of the complex relationships between developmental processes, environmental capacity and health is a crucial challenge.

    The determinants of health should be regarded as part of an integrated whole in a broader developmental perspective. The settings, in which health is created, such as the work environment, should be considered. The impact on health of the environmental and social consequences of the globalization process (increasing inequalities within and between countries, new patterns of consumption and communication, commercialization, global environmental change, and urbanization) ought to be studied. In conlusion, the economic development, protection of the environment and promotion of public health must be addressed together in an integrated way in practice as well as in research. Sustainability, social justice, equity and human development represent important key concepts in both areas.

    In the industrialized countries, the health hazards related to the living conditions and physical environment have been circumscribed by research, welfare reforms, regulations and legislations. However, new kinds of health problems seem to emerge concurrently with the ongoing change of the labour market. The globalization process involve that the traditional manufacturing industry are transferred to low-wage countries. The new jobs (information processing and service work) seem to be characterised by more work overload and job insecurity resulting in more stress symptoms. The prevalence of mental health problems are increasing while the traditional musculo-skeletal disorders remain at a constant high level. This development indicates that the traditional effort concerning occupational safety and health with the focus on individuals and the physical working environment is not sufficient to meet the new spectrum of ill health. It needs to be complemented by a wider public health perspective that integrates the level of the individual with the group, the company or organisation and the society.

  • 113.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderbäck, Maja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Review of coproduced research within health and welfare, focusing the cooperation in between Thailand and Sweden.2019In: Global health, 2019Conference paper (Refereed)
  • 114.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Söderbäck, Maja
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Review of coproduced reserach within health and welfare, focusing the cooperation in between Thailand and Sweden2019In: Review of coproduced research within health and welfare, focusing the cooperation in between Tailand and Sweden., 2019Conference paper (Refereed)
  • 115.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The Nordic reserach field of co-creation/co-production within Welfare and Health: a systematic review2018Conference paper (Refereed)
  • 116.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    What can we learn from the Nordic research field Co-production within Welfare and Health?: - a scoping study.2018Conference paper (Refereed)
  • 117.
    Östlund, Gunnel
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Tillgren, Per
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    What can we learn from the Nordic reserach field of Co-production within Welfare and Health?: - a sytematic review2018In: What can we learn from the Nordic research field of Co-production within Welfare and Health?: - a scoping study, 2018Conference paper (Refereed)
123 101 - 117 of 117
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