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20 years of health promotion research in the Nordic countries: Health, wellbeing and physical activity.

https://arctichealth.org/en/permalink/ahliterature301447
Source
Scandinavian Journal of Public Health, 2018; 46(Suppl 20): 3–6
Publication Type
Article
Date
2018
Network (NHPRN) has organised the Nordic Health Promotion Research Conferences (NHPRC). The most recent NHPRC in 2016 was a celebration of its twenty years anniversary, whereby the 8th NHPRC theme was named accordingly ‘20 years of Health Promotion Research in the Nordic countries: health, wellbeing
  1 document  
Author
Sami Kokko
Anne Liveng
Steffen Torp
Source
Scandinavian Journal of Public Health, 2018; 46(Suppl 20): 3–6
Date
2018
Language
English
Publication Type
Article
File Size
73179
Keywords
Nordic countries
Health promotion
Documents
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Addressing individual behaviours and living conditions: Four Nordic public health policies

https://arctichealth.org/en/permalink/ahliterature101197
Source
Scandinavian Journal of Public Health. 2011 Mar;39(6 suppl):6-10
Publication Type
Article
Date
Mar-2011
Author
Vallgårda, S
Author Affiliation
Unit of Health Services Research, Institute of Public Health, University of Copenhagen, Øster Farimagsgade, Copenhagen, Denmark
Source
Scandinavian Journal of Public Health. 2011 Mar;39(6 suppl):6-10
Date
Mar-2011
Language
English
Geographic Location
Denmark
Finland
Norway
Sweden
Publication Type
Article
Keywords
Behavior
Health Policy
Health promotion
Liberalism
Nordic countries
Public Health
Responsibility
Social Conditions
Social democracy
Abstract
AIMS: To identify characteristics of the public health policies of four Nordic countries concerning how they present the causes of ill health, the best ways to deal with these causes, and where to place responsibility; additionally, to investigate whether there is a common Nordic policy. METHODS: Analyses of recent public health programs in Denmark, Finland, Norway, and Sweden. RESULTS: Focus is on either, or both, individual behavior and living conditions as causes of ill health; the remedies are classical liberal as well as social democratic policies. None of the programs is consistent with either ideological strand; each has its peculiar combination of interpretations and policies. The Danish program is the most liberal focusing on behaviors and individual's choices; the Norwegian program is the most social democratic or social liberal focusing mostly on the social and physical environment and the politicians' responsibility to improve the population's health. The Swedish and the Finnish programs lie between those of Denmark and Norway. The Finnish and Norwegian governments stress their responsibility for the health of the population. CONCLUSIONS: No common Nordic political approach to public health exists. All programs contain contradictory policies and ideological statements with differences regarding the emphasis on individual behavior versus choice and living conditions and political responsibility. The policies are not entirely predictable from the political stance of the government; national differences seem to play a role.
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Adherence to a Healthy Nordic Diet and Risk of Stroke: A Danish Cohort Study.

https://arctichealth.org/en/permalink/ahliterature282576
Source
Stroke. 2017 Feb;48(2):259-264
Publication Type
Article
Date
Feb-2017
Author
Camilla Plambeck Hansen
Kim Overvad
Cecilie Kyrø
Anja Olsen
Anne Tjønneland
Søren Paaske Johnsen
Marianne Uhre Jakobsen
Christina Catherine Dahm
Source
Stroke. 2017 Feb;48(2):259-264
Date
Feb-2017
Language
English
Publication Type
Article
Keywords
Animals
Cohort Studies
Denmark - epidemiology
Diet, Mediterranean
Female
Fishes
Fruit
Health Promotion - methods
Healthy Diet - methods
Humans
Male
Middle Aged
Registries
Risk factors
Scandinavian and Nordic Countries - epidemiology
Stroke - diet therapy - epidemiology - prevention & control
Vegetables
Whole Grains
Abstract
Specific dietary patterns, including the Mediterranean diet, have been associated with stroke prevention. Our aim was to investigate whether adherence to a healthy Nordic diet, including fish, apples and pears, cabbages, root vegetables, rye bread, and oatmeal, was associated with risk of stroke.
Incident cases of stroke among 55?338 men and women from the Danish Diet, Cancer and Health cohort were identified from the Danish National Patient Register and verified by review of records. Cases of ischemic stroke were further subclassified based on etiology according to the TOAST classification system (Trial of Org 10172 in Acute Stroke Treatment). Information on diet was collected at baseline (1993-1997) using a semiquantitative food-frequency questionnaire. Cox proportional hazards models were used to estimate hazards ratios of total stroke and subtypes of ischemic and hemorrhagic stroke.
During a median follow-up of 13.5 years, 2283 cases of incident stroke were verified, including 1879 ischemic strokes. Adherence to a healthy Nordic diet, as reflected by a higher Healthy Nordic Food Index score, was associated with a lower risk of stroke. The hazards ratio comparing an index score of 4 to 6 (high adherence) with an index score of 0 to 1 (low adherence) was 0.86 (95% confidence interval 0.76-0.98) for total stroke. Inverse associations were observed for ischemic stroke, including large-artery atherosclerosis. No trend was observed for hemorrhagic stroke; however, a statistically insignificant trend was observed for intracerebral hemorrhage.
Our findings suggest that a healthy Nordic diet may be recommended for the prevention of stroke.
PubMed ID
28049735 View in PubMed
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Admixture and gene flow from Russia in the recovering Northern European brown bear (Ursus arctos).

https://arctichealth.org/en/permalink/ahliterature259339
Source
PLoS One. 2014;9(5):e97558
Publication Type
Article
Date
2014
Author
Alexander Kopatz
Hans Geir Eiken
Jouni Aspi
Ilpo Kojola
Camilla Tobiassen
Konstantin F Tirronen
Pjotr I Danilov
Snorre B Hagen
Source
PLoS One. 2014;9(5):e97558
Date
2014
Language
English
Publication Type
Article
Keywords
Animals
Finland
Gene Flow - genetics
Genetic Variation
Microsatellite Repeats
Norway
Russia
Scandinavian and Nordic Countries
Sweden
Ursidae - genetics
Abstract
Large carnivores were persecuted to near extinction during the last centuries, but have now recovered in some countries. It has been proposed earlier that the recovery of the Northern European brown bear is supported by migration from Russia. We tested this hypothesis by obtaining for the first time continuous sampling of the whole Finnish bear population, which is located centrally between the Russian and Scandinavian bear populations. The Finnish population is assumed to experience high gene flow from Russian Karelia. If so, no or a low degree of genetic differentiation between Finnish and Russian bears could be expected. We have genotyped bears extensively from all over Finland using 12 validated microsatellite markers and compared their genetic composition to bears from Russian Karelia, Sweden, and Norway. Our fine masked investigation identified two overlapping genetic clusters structured by isolation-by-distance in Finland (pairwise FST = 0.025). One cluster included Russian bears, and migration analyses showed a high number of migrants from Russia into Finland, providing evidence of eastern gene flow as an important driver during recovery. In comparison, both clusters excluded bears from Sweden and Norway, and we found no migrants from Finland in either country, indicating that eastern gene flow was probably not important for the population recovery in Scandinavia. Our analyses on different spatial scales suggest a continuous bear population in Finland and Russian Karelia, separated from Scandinavia.
Notes
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PubMed ID
24839968 View in PubMed
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The Adult Life After Childhood Cancer in Scandinavia (ALiCCS) Study: Design and Characteristics.

https://arctichealth.org/en/permalink/ahliterature302820
Source
Pediatr Blood Cancer. 2015 Dec;62(12):2204-10. doi: 10.1002/pbc.25661. Epub 2015 Jul 20.
Publication Type
Article
Date
2015
Author
Asdahl PH
Winther JF
Bonnesen TG
De Fine Licht S
Gudmundsdottir T
Anderson H
Madanat-Harjuoja L
Tryggvadottir L
Småstuen MC
Holmqvist AS
Hasle H
Olsen JH
ALiCCS Study Group
Source
Pediatr Blood Cancer. 2015 Dec;62(12):2204-10. doi: 10.1002/pbc.25661. Epub 2015 Jul 20.
Date
2015
Language
English
Geographic Location
Denmark
Finland
Iceland
Norway
Sweden
Publication Type
Article
Keywords
Adolescent
Adult
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Male
Neoplasms
Mortality
Therapy
Registries
Scandinavian and Nordic Countries
Epidemiology
Survivors
Abstract
BACKGROUND: During the last five decades, survival of childhood cancer has increased from 25% to 80%. At the same time, however, it has become evident that survivors experience a broad range of therapy-related late adverse health effects. The aim of the Adult Life after Childhood Cancer in Scandinavia (ALiCCS) study is to investigate long-term health consequences of past and current therapies in order to improve follow-up care of survivors and to reduce treatment-related morbidity of future patients.
PROCEDURE: Childhood cancer survivors were identified through the five Nordic cancer registries and a comparison cohort was established through random selection of cancer-free individuals from the civil registration systems. A unique personal identification number was used to link between different health registries. Abstraction of treatment information for a subset of survivors allows investigation of the association between the various components of cancer therapy and late occurring comorbidity.
RESULTS: The childhood cancer survivor cohort comprises 33,160 1-year survivors and the comparison cohort comprises 212,892 cancer free individuals from the general population. In the childhood cancer survivor cohort, all types of childhood cancer are represented including leukemia (21%), lymphoma (14%), central nervous system tumors (24%), sarcomas (5%), retinoblastoma (3%), and neuroblastoma (4%). Among the survivors, 22% have been followed beyond the age of 40 years.
CONCLUSION: The ALiCCS study constitutes a new large resource for research on late effects of childhood cancers that include all types of childhood malignancies and has followed a large proportion of the survivors well into late adulthood.
PubMed ID
26193842 View in PubMed
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Amphibian recovery after a decrease in acidic precipitation.

https://arctichealth.org/en/permalink/ahliterature295731
Source
Ambio. 2018 Apr; 47(3):355-367
Publication Type
Journal Article
Date
Apr-2018
Author
Dag Dolmen
Anders Gravbrøt Finstad
Jon Kristian Skei
Author Affiliation
Norwegian University of Science and Technology, NTNU University Museum, 7491, Trondheim, Norway. dag.dolmen@ntnu.no.
Source
Ambio. 2018 Apr; 47(3):355-367
Date
Apr-2018
Language
English
Publication Type
Journal Article
Keywords
Amphibians
Animals
Hydrogen-Ion Concentration
Norway
Population Dynamics
Rain
Scandinavian and Nordic Countries
Abstract
We here report the first sign of amphibian recovery after a strong decline due to acidic precipitation over many decades and peaking around 1980-90. In 2010, the pH level of ponds and small lakes in two heavily acidified areas in southwestern Scandinavia (Aust-Agder and Østfold in Norway) had risen significantly at an (arithmetic) average of 0.14 since 1988-89. Parallel with the general rise in pH, amphibians (Rana temporaria, R. arvalis, Bufo bufo, Lissotriton vulgaris, and Triturus cristatus) had become significantly more common: the frequency of amphibian localities rose from 33% to 49% (n = 115), and the average number of amphibian species per locality had risen from 0.51 to 0.88. In two other (reference) areas, one with better buffering capacity (Telemark, n = 21) and the other with much less input of acidic precipitation (Nord-Trøndelag, n = 106), there were no significant changes in pH or amphibians.
Notes
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PubMed ID
29164539 View in PubMed
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Analysis of stimulant drugs in the wastewater of five Nordic capitals.

https://arctichealth.org/en/permalink/ahliterature295878
Source
Sci Total Environ. 2018 Jun 15; 627:1039-1047
Publication Type
Journal Article
Date
Jun-15-2018
Author
Arndís Sue Ching Löve
Jose Antonio Baz-Lomba
Malcolm J Reid
Aino Kankaanpää
Teemu Gunnar
Maria Dam
Kristín Ólafsdóttir
Kevin V Thomas
Author Affiliation
University of Iceland, Department of Pharmacology and Toxicology, Hofsvallagata 53, 107 Reykjavik, Iceland. Electronic address: asl2@hi.is.
Source
Sci Total Environ. 2018 Jun 15; 627:1039-1047
Date
Jun-15-2018
Language
English
Publication Type
Journal Article
Keywords
Cities
Denmark
Environmental monitoring
Europe
Scandinavian and Nordic Countries
Street Drugs - analysis
Substance Abuse Detection
Substance-Related Disorders - epidemiology
Waste Water - chemistry
Water Pollutants, Chemical - analysis
Abstract
Wastewater-based epidemiology is an efficient way to assess illicit drug use, complementing currently used methods retrieved from different data sources. The aim of this study is to compare stimulant drug use in five Nordic capital cities that include for the first time wastewater samples from Torshavn in the Faroe Islands. Currently there are no published reports that compare stimulant drug use in these Nordic capitals. All wastewater samples were analyzed using solid phase extraction and ultra-high performance liquid chromatography coupled to tandem mass spectrometry. The results were compared with data published by the European Monitoring Centre for Drugs and Drug Addiction based on illicit drugs in wastewater from over 50 European cities. Confirming previous reports, the results showed high amphetamine loads compared with other European countries. Very little apparent abuse of stimulant drugs was detected in Torshavn. Methamphetamine loads were the highest from Helsinki of the Nordic countries, indicating substantial fluctuations in the availability of the drug compared with previous studies. Methamphetamine loads from Oslo confirmed that the use continues to be high. Estimated cocaine use was found to be in the lower range compared with other cities in the southern and western part of Europe. Ecstasy and cocaine showed clear variations between weekdays and weekends, indicating recreational use. This study further demonstrates geographical trends in the stimulant drug market in five Nordic capitals, which enables a better comparison with other areas of the continent.
PubMed ID
29426122 View in PubMed
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Assessing the role of GPs in Nordic health care systems.

https://arctichealth.org/en/permalink/ahliterature290285
Source
Leadersh Health Serv (Bradf Engl). 2016 May 03; 29(2):122-35
Publication Type
Journal Article
Date
May-03-2016
Author
Randolph K Quaye
Author Affiliation
World Studies Department, Ohio Wesleyan University , Delaware, Ohio, USA.
Source
Leadersh Health Serv (Bradf Engl). 2016 May 03; 29(2):122-35
Date
May-03-2016
Language
English
Publication Type
Journal Article
Keywords
Delivery of Health Care
Denmark
Finland
General practitioners
Humans
Norway
Physician's Role
Scandinavian and Nordic Countries
Sweden
Abstract
Purpose This paper examines the changing role of general practitioners (GPs) in Nordic countries of Sweden, Norway and Denmark. It aims to explore the "gate keeping" role of GPs in the face of current changes in the health care delivery systems in these countries. Design/methodology/approach Data were collected from existing literature, interviews with GPs, hospital specialists and representatives of Danish regions and Norwegian Medical Association. Findings The paper contends that in all these changes, the position of the GPs in the medical division of labor has been strengthened, and patients now have increased and broadened access to choice. Research limitations/implications Health care cost and high cancer mortality rates have forced Nordic countries of Sweden, Norway and Denmark to rethink their health care systems. Several attempts have been made to reduce health care cost through market reform and by strenghtening the position of GPs. The evidence suggests that in Norway and Denmark, right incentives are in place to achieve this goal. Sweden is not far behind. The paper has limitations of a small sample size and an exclusive focus on GPs. Practical implications Anecdotal evidence suggests that physicians are becoming extremely unhappy. Understanding the changing status of primary care physicians will yield valuable information for assessing the effectiveness of Nordic health care delivery systems. Social implications This study has wider implications of how GPs see their role as potential gatekeepers in the Nordic health care systems. The role of GPs is changing as a result of recent health care reforms. Originality/value This paper contends that in Norway and Denmark, right incentives are in place to strengthen the position of GPs.
PubMed ID
27198702 View in PubMed
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Avoidable cancers in the Nordic countries-The impact of alcohol consumption.

https://arctichealth.org/en/permalink/ahliterature302454
Source
Eur J Cancer. 2018 Nov;103:299-307. doi: 10.1016/j.ejca.2018.03.027. Epub 2018 May 5.
Publication Type
Article
Date
2018
Author
Andersson TM
Engholm G
Pukkala E
Stenbeck M
Tryggvadottir L
Storm H
Weiderpass E
Source
Eur J Cancer. 2018 Nov;103:299-307. doi: 10.1016/j.ejca.2018.03.027. Epub 2018 May 5.
Date
2018
Language
English
Geographic Location
Denmark
Finland
Iceland
Norway
Sweden
Publication Type
Article
Keywords
Alcohol Drinking
Adverse effects
Female
Humans
Male
Neoplasms
Epidemiology
Risk factors
Scandinavian and Nordic Countries
Abstract
BACKGROUND: Alcohol consumption is an important and preventable cause of cancer. The aim of this study was to quantify the proportion of the cancer burden in the Nordic countries linked to alcohol and estimate the potential for cancer prevention by changes in alcohol consumption.
METHODS: Using the Prevent macro-simulation model, the number of cancer cases in the Nordic countries over a 30-year period (2016-2045) was modelled for six sites, under different scenarios of changing alcohol consumption, and compared to the projected number of cases if constant alcohol consumption prevailed. The studied sites were colorectal, post-menopausal breast, oral cavity and pharynx, liver, larynx as well as oesophageal squamous cell carcinoma. The alcohol consumption was based on the categories of non-drinkers/occasional drinkers, light drinkers (12.5 and = 50 g/day) and heavy drinkers (>50 g/day).
RESULTS: About 83,000 cancer cases could be avoided in the Nordic countries in a 30-year period if alcohol consumption was entirely eliminated, which is 5.5% of the expected number of cases for the six alcohol-related cancer types. With a 50% reduction in the proportion with moderate alcohol consumption by year 2025, 21,500 cancer cases could be avoided. The number of avoidable cases was highest for post-menopausal breast and colorectal cancer, but the percentage was highest for oesophageal squamous cell carcinoma.
CONCLUSION: The results from this study can be used to understand the potential impact and significance of primary prevention programmes targeted towards reducing the alcohol consumption in the Nordic countries.
PubMed ID
29739641 View in PubMed
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Avoidable cancers in the Nordic countries-the potential impact of increased physical activity on postmenopausal breast, colon and endometrial cancer.

https://arctichealth.org/en/permalink/ahliterature302455
Source
Eur J Cancer. 2019 Mar;110:42-48. doi: 10.1016/j.ejca.2019.01.008. Epub 2019 Feb 7.
Publication Type
Article
Date
2019
Author
Andersson TM1
Engholm G
Lund AQ
Lourenço S
Matthiessen J
Pukkala E
Stenbeck M
Tryggvadottir L
Weiderpass E
Storm H
Source
Eur J Cancer. 2019 Mar;110:42-48. doi: 10.1016/j.ejca.2019.01.008. Epub 2019 Feb 7.
Date
2019
Language
English
Geographic Location
Denmark
Finland
Iceland
Norway
Sweden
Publication Type
Article
Keywords
Breast cancer
Cancer
Colon cancer
Endometrial cancer
Moderate and vigorous physical activity
Nordic countries
Population attributable fraction
Potential impact fraction
Prevent macrosimulation model
Prevention
Abstract
BACKGROUND: Physical activity has been shown to reduce the risk of colon, endometrial and postmenopausal breast cancer. The aim of this study was to quantify the proportion of the cancer burden in the Nordic countries linked to insufficient levels of leisure time physical activity and estimate the potential for cancer prevention for these three sites by increasing physical activity levels.
METHODS: Using the Prevent macrosimulation model, the number of cancer cases in the Nordic countries over a 30-year period (2016-2045) was modelled, under different scenarios of increasing physical activity levels in the population, and compared with the projected number of cases if constant physical activity prevailed. Physical activity (moderate and vigorous) was categorised according to metabolic equivalents (MET) hours in groups with sufficient physical activity (15+ MET-hours/week), low deficit (9 to
PubMed ID
30739839 View in PubMed
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96 records – page 1 of 10.