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Adolescents' perceptions of oral health and influencing factors: a qualitative study.

https://arctichealth.org/en/permalink/ahliterature52248
Source
Acta Odontol Scand. 2002 Jun;60(3):167-73
Publication Type
Article
Date
Jun-2002
Author
Anna-Lena Ostberg
Kristina Jarkman
Ulf Lindblad
Arne Halling
Author Affiliation
Public Dental Services and Skaraborg Institute, Skövde, Sweden. anna-lena.ostberg@vgregion.se
Source
Acta Odontol Scand. 2002 Jun;60(3):167-73
Date
Jun-2002
Language
English
Publication Type
Article
Keywords
Adolescent
Adolescent Behavior
Attitude to Health
Comparative Study
DMF Index
Dental Care
Female
Health Behavior
Health Education, Dental
Health Knowledge, Attitudes, Practice
Humans
Internal-External Control
Interpersonal Relations
Interviews
Life Style
Male
Motivation
Oral Health
Oral Hygiene
Research Support, Non-U.S. Gov't
Self Concept
Social Change
Social Support
Sweden
Abstract
Accounts of self-perceptions of oral health have hitherto been rare, although they are of great interest for strategies in health promotion. The objective of this study was to increase our knowledge of adolescents' perceptions of oral health and influencing factors. Semi-structured interviews of 17 Swedish adolescents were performed. Criteria for strategic sampling were age (15, 18 years), gender (male, female), and dental health (healthy, unhealthy). Data were analyzed according to the constant comparative method. Areas of focus were general oral health, personal oral health, dental care, and life-style issues. Oral health awareness was generally low among the informants. Two categories of oral health were identified: action (the physical things we do to effect the condition of our mouths) and condition (the physical status of the mouth). Conditional aspects were most frequent in evaluations of personal oral health. The informants considered their possibilities to influence oral health limited. Perceptions of influences on oral health were related to personal and professional care, social support and impact, and external factors. 'Concern for oral health' was derived as the core category in perceived influence on oral health. The study indicates that it is important to find factors that enhance adolescents' awareness of their own resources and to seek mechanisms that govern internalization. There is a need to find strategies to convey such knowledge to the intermediaries: dental personnel and parents.
PubMed ID
12166911 View in PubMed
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Antibodies against Phosphorylcholine among New Guineans Compared to Swedes: An Aspect of the Hygiene/Missing Old Friends Hypothesis.

https://arctichealth.org/en/permalink/ahliterature280967
Source
Immunol Invest. 2017 Jan;46(1):59-69
Publication Type
Article
Date
Jan-2017
Author
Johan Frostegård
WenJing Tao
Lennart Råstam
Ulf Lindblad
Staffan Lindeberg
Source
Immunol Invest. 2017 Jan;46(1):59-69
Date
Jan-2017
Language
English
Publication Type
Article
Keywords
Adult
Antibodies - blood
Atherosclerosis - immunology
Autoimmune Diseases - immunology
Cohort Studies
Female
Humans
Hygiene Hypothesis
Male
Middle Aged
New Guinea
Phosphorylcholine - immunology
Risk
Sweden
Young Adult
Abstract
We here study antibodies against phosphorylcholine (anti-PC) which we reported to be inversely associated with atherosclerosis, cardiovascular disease (CVD), and autoimmune conditions. In previous studies, we determined that this inverse association is more pronounced at low levels with high risk and at high levels, with decreased risk. We compare individuals from Kitava, New Guinea (with low risk of these conditions), with Swedish controls.
We studied a group of 178 individuals from Kitava (age 20-86), and compared those above age 40 (n = 108) with a group of age- and sex-matched individuals from a population based cohort in Sweden (n = 108). Traditional risk factors for CVD and fatty acids were determined. IgM, IgG, and IgA anti-PC were tested by enzyme-linked immunosorbent assay (ELISA).
All anti-PC measures were significantly lower among Swedish controls as compared to Kitavans (p
PubMed ID
27611006 View in PubMed
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Antihypertensive drug treatment in a Swedish community: Skaraborg Hypertension and Diabetes Project.

https://arctichealth.org/en/permalink/ahliterature47547
Source
Pharmacoepidemiol Drug Saf. 2002 Jan-Feb;11(1):45-54
Publication Type
Article
Author
Erik Bøg-Hansen
Ulf Lindblad
Jonas Ranstam
Arne Melander
Lennart Råstam
Author Affiliation
Department of Community Medicine, Malmö University Hospital, Malmö, Sweden. fou-enheten.skara@swipnet.se
Source
Pharmacoepidemiol Drug Saf. 2002 Jan-Feb;11(1):45-54
Language
English
Publication Type
Article
Keywords
Adrenergic beta-Antagonists - therapeutic use
Age Distribution
Aged
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Antihypertensive Agents - therapeutic use
Calcium Channel Blockers - therapeutic use
Comparative Study
Diabetes Mellitus - drug therapy
Diuretics - therapeutic use
Drug Utilization Review
Female
Humans
Hypertension - drug therapy
Male
National Health Programs - statistics & numerical data
Research Support, Non-U.S. Gov't
Sex Distribution
Sweden
Abstract
PURPOSE: To describe and compare the pattern of antihypertensive drug prescriptions during different time periods. METHODS: Antihypertensive prescriptions were registered in all patients who underwent an annual follow-up during 1998 (n = 984), 1992-1993 (n = 924), and 1981 (n = 689), at the hypertension outpatient clinic in primary health care, Skara, Sweden. RESULTS: From 1981 to 1998 the total prescriptions of thiazides declined from 61 to 10% (p
PubMed ID
11998551 View in PubMed
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The association between self-rated health and impaired glucose tolerance in Swedish adults: a cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature114358
Source
Scand J Prim Health Care. 2013 Jun;31(2):111-8
Publication Type
Article
Date
Jun-2013
Author
Susanne Andersson
Inger Ekman
Febe Friberg
Bledar Daka
Ulf Lindblad
Charlotte A Larsson
Author Affiliation
Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Source
Scand J Prim Health Care. 2013 Jun;31(2):111-8
Date
Jun-2013
Language
English
Publication Type
Article
Keywords
Adult
Aged
Cohort Studies
Cross-Sectional Studies
Diagnostic Self Evaluation
Female
Glucose Intolerance - epidemiology
Health status
Humans
Male
Middle Aged
Prevalence
Regression Analysis
Risk factors
Sex Factors
Sweden - epidemiology
Abstract
To investigate gender differences in the association between self-rated health (SRH) and impaired glucose tolerance (IGT) in subjects unaware of their glucose tolerance.
A cross-sectional population-based study.
The two municipalities of Vara and Skövde in south-western Sweden.
A total of 2502 participants (1301 women and 1201 men), aged 30-75, were randomly selected from the population.
IGT was regarded as the outcome measure and SRH as the main risk factor.
The prevalence of IGT was significantly higher in women (11.9%) than in men (10.1%), (p = 0.029), as was the prevalence of low SRH (women: 35.4%; men: 22.1%, p = 0.006). Both men and women with low SRH had a poorer risk factor profile than those with high SRH, and a statistically significant crude association between SRH and IGT was found in both men (OR = 2.8, 95% CI 1.8-4.4) and women (OR = 1.5, 95% CI 1.0-2.2, p = 0.033). However, after controlling for several lifestyle factors and biomedical variables, the association was attenuated and remained statistically significant solely in men (OR = 2.3, 95% CI 1.2-4.3).
The gender-specific associations found between SRH and IGT suggest that SRH may be a better indicator of IGT in men than in women. Future studies should evaluate the utility of SRH in comparison with objective health measures as a potential aid to health practitioners when deciding whether to screen for IGT and T2DM.
Notes
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PubMed ID
23621319 View in PubMed
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The association between self-reported lack of sleep, low vitality and impaired glucose tolerance: a Swedish cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature256577
Source
BMC Public Health. 2013;13:700
Publication Type
Article
Date
2013
Author
Susanne Andersson
Inger Ekman
Febe Friberg
Erik Bøg-Hansen
Ulf Lindblad
Author Affiliation
Institute of Health and Care Sciences, The Sahlgrenska Academy of the University of Gothenburg, Gothenburg, Sweden.
Source
BMC Public Health. 2013;13:700
Date
2013
Language
English
Publication Type
Article
Keywords
Adult
Aged
Body mass index
Comorbidity
Cross-Sectional Studies
Fatigue - epidemiology - psychology
Female
Glucose Intolerance - epidemiology
Glucose Tolerance Test
Health Status Indicators
Humans
Male
Middle Aged
Questionnaires
Regression Analysis
Self Report
Sex Factors
Sleep Disorders - epidemiology - psychology
Sweden - epidemiology
Abstract
The increased incidence of impaired glucose tolerance (IGT), are serious public health issues, and several studies link sleeping disorders with increased risk of developing type 2 diabetes, impaired glucose tolerance and insulin resistance (IR). This study explore how self-reported lack of sleep and low vitality, are associated with IGT in a representative Swedish population.
A cross-sectional survey conducted in two municipalities in South-western Sweden. Participants aged 30-75 were randomly selected from the population in strata by sex and age. Altogether, 2,816 participants were surveyed with a participation rates at 76%. Participants with normal glucose tolerance (n=2,314), and those with IGT (n=213) were retained for analyses. The participants answered a questionnaire before the oral glucose tolerance test (OGTT). Associations for questions concerning sleeping disorders, vitality and IGT were analysed using logistic regression and were expressed as odds ratios (OR) with 95% CI.
In men a statistically significant age-adjusted association was found between self-reported lack of sleep and IGT: OR 2.4 (95% CI: 1.1-5.4). It did not weaken after further adjustment for body mass index (BMI), smoking, education, and leisure time physical activity 2.3 (1.0-5.5, p=0.044). No such associations were found in females. Corresponding age-adjusted associations between low vitality and IGT in both men 2.8 (1.3-5.8), and women 2.0 (1.2-3.4) were successively lost with increasing adjustment.
Insufficient sleep seems independently associated with IGT in men, while low vitality was not independently associated with IGT neither in men nor women, when multiple confounders are considered. IGT should be considered in patients presenting these symptoms, and underlying mechanisms further explored.
Notes
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PubMed ID
23902570 View in PubMed
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Association between short total sleep time and hypertension: the Skara Sleep Cohort.

https://arctichealth.org/en/permalink/ahliterature118531
Source
J Hypertens. 2013 Feb;31(2):345-51
Publication Type
Article
Date
Feb-2013
Author
Ding Zou
Derek N Eder
Davoud Eskandari
Ludger Grote
Kristina Bengtsson Boström
Ulf Lindblad
Jan Hedner
Author Affiliation
Center for Sleep and Wake Disorders, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden. zou.ding@lungall.gu.se
Source
J Hypertens. 2013 Feb;31(2):345-51
Date
Feb-2013
Language
English
Publication Type
Article
Keywords
Aged
Cohort Studies
Humans
Hypertension - etiology - physiopathology
Male
Middle Aged
Polysomnography
Sleep
Sleep Apnea, Obstructive - complications
Sweden
Time Factors
Abstract
Apnea hypopnea index (AHI) is used to study the association between obstructive sleep apnea (OSA) and hypertension, but the independent contributions of total sleep time (TST) and apnea/hypopnea event count to hypertension have not been previously investigated. We studied the relationship between polysomnographically assessed TST and hypertension in a sex-balanced community-dwelling cohort of hypertensive patients and normotensive controls (Skara Sleep Cohort).
Participants (n = 344, men 173, age 61.2 ± 6.5 years, BMI 28.6 ± 4.8 kg/m, mean ± SD) underwent ambulatory home polysomnography. Hypertension was defined according to contemporary Swedish national guidelines. A multivariate logistic regression model was used to predict hypertension status from TST and apnea/hypopnea count (total events/night) adjusting for sex, age and BMI.
OSA was highly prevalent in this population (AHI 26 ± 4 events/h). Hypertensive patients had shorter TST than normotensive patients (353 ± 81 vs. 389 ± 65 min, P
PubMed ID
23196899 View in PubMed
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Associations between unemployment and cardiovascular risk factors varies with the unemployment rate: the Cardiovascular Risk Factor Study in Southern Sweden (CRISS).

https://arctichealth.org/en/permalink/ahliterature67241
Source
Scand J Public Health. 2003;31(4):305-11
Publication Type
Article
Date
2003
Author
Karin M Henriksson
Ulf Lindblad
Bo Agren
Peter Nilsson-Ehle
Lennart Råstam
Author Affiliation
Department of Community Medicine, (Malmö) Lund University, Sweden.
Source
Scand J Public Health. 2003;31(4):305-11
Date
2003
Language
English
Publication Type
Article
Keywords
Adult
Blood pressure
Body mass index
Cardiovascular Diseases - epidemiology - prevention & control
Cholesterol - blood
Cross-Sectional Studies
Education
Employment - statistics & numerical data
Humans
Leisure Activities
Linear Models
Male
Prospective Studies
Research Support, Non-U.S. Gov't
Risk factors
Smoking - epidemiology
Sweden - epidemiology
Unemployment - statistics & numerical data
Abstract
AIMS: To investigate associations between CVD risk factors and socio-economic status (SES) in middle-age men during a period of economic changes. METHODS: Crossectional surveys at age 37, 40 and 43 in a birth cohort of men in Helsingborg, Sweden. All male residents born 1953-4 (n = 1460) were invited; participation rates were 68% (n = 991) at baseline. Of these enrolled, 78% (n = 770) were re-examined after three years and 71% (n = 702) again after six years follow-up. Main outcome measures were body mass index (BMI), S-cholesterol, HDL-cholesterol, systolic and diastolic blood pressure (SBP, DBP), smoking and leisure time physical activity (LTPA), education, employment, ethnicity. RESULTS: Baseline unemployment rate was low, n = 23 (2.4%), but three and six years later it had increased to 61 (8.2%) and 51 (7.5%) respectively. At baseline, BMI and S-cholesterol were significantly higher in unemployed than in employed men (deltaBMI 1.6 kg/m2, CI: 0.2; 2.9, delta S-cholesterol 0.6 mmol/L, CI: 0.1; 1.0), and in men with short versus long education (delta BMI 0.9 kg/m2, CI: 0.4; 1.4, delta S-cholesterol 0.2 mmol/L, CI: 0.03: 0.4), independent of other SES factors. Over the study period crossectional associations with employment status disappeared for BMI, but remained between short education and BMI. Short education was also associated with a significant increase in BMI (delta = 0.4 kg/m2, CI: 0.1; 0.7) during 6-year follow-up. CONCLUSIONS: This study shows that associations between unemployment and CVD risk factors were lost when unemployment rates increased. When the attributable risk of unemployment associated with CVD risk factors is estimated, it is vital to consider the general unemployment rates in society.
PubMed ID
15099037 View in PubMed
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[Better drug management can improve public health--a study of possible drug interactions by scrutinizing prescriptions dispensing by pharmacies].

https://arctichealth.org/en/permalink/ahliterature190547
Source
Lakartidningen. 2002 Feb 28;99(9):922-5
Publication Type
Article
Date
Feb-28-2002

Body composition, ethnicity and alcohol consumption as determinants for the development of blood pressure in a birth cohort of young middle-aged men.

https://arctichealth.org/en/permalink/ahliterature9599
Source
Eur J Epidemiol. 2003;18(10):955-63
Publication Type
Article
Date
2003
Author
Karin Maria Henriksson
Ulf Lindblad
Bo Gullberg
Bo Agren
Peter Nilsson-Ehle
Lennart Råstam
Author Affiliation
Department of Community Medicine, Lund University, Malmö University Hospital, Sweden. karin.henriksson@psychepi.lu.se
Source
Eur J Epidemiol. 2003;18(10):955-63
Date
2003
Language
English
Publication Type
Article
Keywords
Adult
Alcohol Drinking - epidemiology - ethnology
Anthropometry
Blood Pressure - physiology
Body Composition - physiology
Cardiovascular Diseases - epidemiology - ethnology - physiopathology
Cholesterol - blood
Cohort Studies
Humans
Hypertension - epidemiology - ethnology - physiopathology
Leisure Activities
Male
Middle Aged
Questionnaires
Research Support, Non-U.S. Gov't
Risk factors
Sweden - epidemiology
Abstract
AIM: To investigate the development of blood pressure (BP) determinants over a period of 6 years in a birth cohort of middle-aged Swedish men. METHODS: Men born 1953 and 1954 living in Helsingborg, Southern Sweden, were surveyed at 37, 40 and 43 years of age. Baseline participation rate was 68% (n = 991). S-Cholesterol, HDL-Cholesterol, systolic and diastolic blood pressure (SBP and DBP) and anthropomorphic measurements were collected and a questionnaire covering ethnicity, smoking, leisure time physical activity (LTPA) and alcohol consumption was completed. RESULTS: At these surveys, SBP means were: 131, 132, 135 mm Hg and DBP were 83, 83 and 85 mm Hg respectively. Body mass index (BMI), waist hip ratio (WHR), S-Cholesterol and alcohol consumption consistently showed cross-sectional positive associations with SBP and DBP. One mmol/L higher S-Cholesterol at baseline predicted an increase in SBP by 1.16 mm Hg (confidence interval, CI: 0.25; 2.07) over 6 years. At age 40, there was a 4.4 mm Hg (p
PubMed ID
14598926 View in PubMed
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Circulating concentrations of endothelin-1 predict coronary heart disease in women but not in men: a longitudinal observational study in the Vara-Skövde Cohort.

https://arctichealth.org/en/permalink/ahliterature274414
Source
BMC Cardiovasc Disord. 2015;15:146
Publication Type
Article
Date
2015
Author
Bledar Daka
Josefin Olausson
Charlotte A Larsson
Margareta I Hellgren
Lennart Råstam
Per-Anders Jansson
Ulf Lindblad
Source
BMC Cardiovasc Disord. 2015;15:146
Date
2015
Language
English
Publication Type
Article
Keywords
Adult
Aged
Biomarkers - blood
Coronary Disease - blood - diagnosis - epidemiology
Endothelin-1 - blood
Female
Humans
Incidence
Kaplan-Meier Estimate
Longitudinal Studies
Male
Middle Aged
Multivariate Analysis
Predictive value of tests
Prognosis
Proportional Hazards Models
Prospective Studies
Risk assessment
Risk factors
Sex Factors
Sweden - epidemiology
Up-Regulation
Abstract
The vasoconstricting peptide endothelin-1 has been proposed to be a marker of cardiovascular disease. Our aim was to investigate whether circulating endothelin-1 levels predict coronary heart disease (CHD) in Sweden.
In 2002-2005, 2816 adult participants (30-74 years) were randomly selected from two municipalities in south-western Sweden. Cardiovascular risk factors and endothelin-1 levels were assessed at baseline, and incident CHD was followed-up in all participants through 2011. After exclusion of 50 participants due to known CHD at baseline and 21 participants because of unsuccessful analysis of endothelin-1, 2745 participants were included in the study. In total, 72 CHD events (52 in men and 20 in women) were registered during the follow-up time.
We showed that baseline circulating endothelin-1 levels were higher in women with incident CHD than in women without CHD (3.2?pg/ml, SE: 0.36 vs 2.4?pg/ml, SE: 0.03, p?=?0.003) whereas this difference was not observed in men (2.3?pg/ml, SE: 0.16 vs 2.3?pg/ml, SE: 0.04, p?=?0.828). An age-adjusted Cox proportional regression analysis showed an enhanced risk of CHD with increasing baseline endothelin-1 levels in women (hazard ratio (HR)?=?1.51, 95?% CI?=?1.1-2.1, p?=?0.015) but not in men (HR?=?0.98, 95?% CI?=?0.8-1.2, p?=?0.854). Furthermore, the predictive value of endothelin-1 for incident CHD in women was still significant after adjustments for age, HOMA-IR, apolipoprotein (apo)B/apoA1 and smoking (HR?=?1.53, CI?=?1.1-1.2, p?=?0.024).
Circulating endothelin-1 levels may predict CHD in women.
Notes
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PubMed ID
26573599 View in PubMed
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47 records – page 1 of 5.