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Bazzi, M., Afram, S. S., Ndipen, I. M., Kåreholt, I. & Bjällmark, A. (2024). Factors affecting radiographers' use of dose-reduction measures. Journal of Radiological Protection, 44(1), Article ID 011506.
Open this publication in new window or tab >>Factors affecting radiographers' use of dose-reduction measures
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2024 (English)In: Journal of Radiological Protection, ISSN 0952-4746, E-ISSN 1361-6498, Vol. 44, no 1, article id 011506Article in journal (Refereed) Published
Abstract [en]

This study investigates radiographers' views on implementing dose-reduction measures, with a focus on verifying patient identity and pregnancy status, practising gonad shielding in men and using compression. An electronic questionnaire was distributed to radiographers working in general radiography and/or computed tomography. The questionnaire was based on factors from a framework for analysing risk and safety in clinical medicine. Ordered logistic regressions were used to analyse associations among factors and use of dose-reduction measures. In total, 466 questionnaires were distributed and 170 radiographers (36%) completed them. Clear instructions and routines, support from colleagues, knowledge and experience, a strong safety culture, managerial support and access to proper equipment influence the likelihood of using dose-reduction measures. The strongest associations were found between support from colleagues and verifying pregnancy status (OR = 5.65, P = 0.026), safety culture and use of gonad shielding (OR = 2.36, P = 0.042), and having enough time and use of compression (OR = 2.11, P = 0.003). A strong safety culture and a supportive work environment appears to be essential for the use of dose-reduction measures, and education, training and stress management can improve utilisation of dose-reduction measures.

Place, publisher, year, edition, pages
Institute of Physics (IOP), 2024
Keywords
gonad shield, compression, radiation protection, ALARA, shielding, patient safety
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
urn:nbn:se:hj:diva-63533 (URN)10.1088/1361-6498/ad1fde (DOI)001152115800001 ()38232402 (PubMedID)2-s2.0-85183955573 (Scopus ID)
Available from: 2024-02-12 Created: 2024-02-12 Last updated: 2024-02-14Bibliographically approved
Hoang, M. T., Kåreholt, I., Lindgren, E., von Koch, L., Xu, H., Tan, E. C., . . . Garcia-Ptacek, S. (2024). Immigration and access to dementia diagnostics and treatment: A nationwide study in Sweden. SSM - Population Health, 25, Article ID 101573.
Open this publication in new window or tab >>Immigration and access to dementia diagnostics and treatment: A nationwide study in Sweden
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2024 (English)In: SSM - Population Health, ISSN 2352-8273, Vol. 25, article id 101573Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Dementia, Diagnosis, Difference, Drug, Ethnic, Inequality, Treatment, angiotensin receptor antagonist, antidepressant agent, anxiolytic agent, beta adrenergic receptor blocking agent, calcium channel blocking agent, cholinesterase inhibitor, dipeptidyl carboxypeptidase inhibitor, diuretic agent, hydroxymethylglutaryl coenzyme A reductase inhibitor, hypnotic agent, memantine, neuroleptic agent, adult, aged, Article, clinical feature, cohort analysis, comparative study, controlled study, ethnicity, female, health care access, health disparity, human, immigration, major clinical study, male, middle aged, observational study, prescription, sensitivity analysis, Sweden, very elderly
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-63226 (URN)10.1016/j.ssmph.2023.101573 (DOI)001142416200001 ()38162224 (PubMedID)2-s2.0-85179469304 (Scopus ID)HOA;;925172 (Local ID)HOA;;925172 (Archive number)HOA;;925172 (OAI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017–01646Stiftelsen Sigurd och Elsa Goljes minneSwedish Society for Medical Research (SSMF)
Available from: 2024-01-09 Created: 2024-01-09 Last updated: 2024-02-07Bibliographically approved
Finkel, D., Nilsen, C., Sindi, S. & Kåreholt, I. (2024). Impact of childhood and adult socioeconomic position on change in functional aging. Health Psychology
Open this publication in new window or tab >>Impact of childhood and adult socioeconomic position on change in functional aging
2024 (English)In: Health Psychology, ISSN 0278-6133, E-ISSN 1930-7810Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVES: To examine life-course models by investigating the roles of childhood and adult socioeconomic position (SEP) in longitudinal changes in a functional aging index.

METHOD: Up to eight waves of testing, covering 25 years, were available from the Swedish Adoption/Twin Study of Aging: N = 654, intake age = 50-82. A two-slope latent growth curve model was applied to the data, and the impact of including childhood and adult SEP as covariates of the intercept (at age 70) and slopes (before and after age 70) was tested.

RESULTS: Both childhood and adult SEP contributed to the best-fitting model. Childhood SEP was significantly associated with intercept and Slope 1 (before age 70) of the latent growth curve model (p < .05). Association of adult SEP with Slope 2 (after age 70) trended toward significance (p < .10). There was a significant interaction effect of childhood and adult SEP on the intercept (p < .05). As a result, intercept at age 70 was highest and change after age 70 was fastest for those whose SEP decreased from childhood to adulthood.

CONCLUSIONS: Both childhood and adult SEP impact change in functional abilities with age, supporting both critical period and social mobility models. The social environment is modifiable by policies at local, national, and international levels, and these policies need to recognize that early social disadvantage can have long-lasting health impacts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Place, publisher, year, edition, pages
American Psychological Association (APA), 2024
National Category
Public Health, Global Health, Social Medicine and Epidemiology Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-63386 (URN)10.1037/hea0001356 (DOI)001137077200001 ()38190203 (PubMedID);intsam;928824 (Local ID);intsam;928824 (Archive number);intsam;928824 (OAI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 97:0147:1B, 2009-0795Swedish Research Council, 825-2007-7460, 825-2009-6141Axel and Margaret Ax:son Johnson FoundationVårdal FoundationRiksbankens Jubileumsfond
Available from: 2024-01-17 Created: 2024-01-17 Last updated: 2024-01-17
Holleman, J., Kåreholt, I., Aspö, M., Hagman, G., Udeh-Momoh, C. T., Kivipelto, M., . . . Sindi, S. (2024). Life-course stress, cognition, and diurnal cortisol in memory clinic patients without dementia. Archives of gerontology and geriatrics (Print), 119, Article ID 105316.
Open this publication in new window or tab >>Life-course stress, cognition, and diurnal cortisol in memory clinic patients without dementia
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2024 (English)In: Archives of gerontology and geriatrics (Print), ISSN 0167-4943, E-ISSN 1872-6976, Vol. 119, article id 105316Article in journal (Refereed) Published
Abstract [en]

AIMS: To examine associations of life-course stress with cognition and diurnal cortisol patterns in older adulthood, as well as potential mediation effects of diurnal cortisol patterns and perceived stress on the association between life-course stress and cognition.

METHODS: 127 participants without dementia were selected from a cohort of Swedish memory clinic patients. Cross-sectional associations between scores on two chronic stress questionnaires (perceived stress, stressful life events (SLEs)), five cognitive domains (overall cognition, memory, working memory, processing speed, perceptual reasoning), and two measures of diurnal cortisol patterns (total daily output, diurnal cortisol slope), as well as potential mediation effects of diurnal cortisol patterns and perceived stress on associations between life-course stress and cognition, were assessed using linear regressions.

RESULTS: Greater lifetime exposure to SLEs was associated with worse memory, working memory, and processing speed performance, but not with diurnal cortisol patterns. A greater number of SLEs in late childhood was associated with worse working memory and processing speed, while a greater number of SLEs in non-recent adulthood were associated with better overall cognition and perceptual reasoning. Greater perceived stress was associated with a flattened diurnal cortisol slope, but not with cognition. No evidence for interplay between self-reported and physiological stress markers was found in relation to cognition, although there appeared to be a significant positive indirect association between economic/legal SLEs and the diurnal cortisol slope via perceived stress.

CONCLUSIONS: The associations between SLEs and cognition depend on the period during which SLEs occur, but seem independent of late-life cortisol dysregulation.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Cognition, Cortisol, Stress, Stressful life events, hypothalamus-pituitary-adrenal axis
National Category
Neurosciences Geriatrics
Identifiers
urn:nbn:se:hj:diva-63194 (URN)10.1016/j.archger.2023.105316 (DOI)001146622000001 ()38134708 (PubMedID)2-s2.0-85180285233 (Scopus ID)
Funder
AlzheimerfondenKnut and Alice Wallenberg FoundationKonung Gustaf V:s och Drottning Victorias FrimurarestiftelseRegion StockholmStiftelsen Stockholms SjukhemForte, Swedish Research Council for Health, Working Life and WelfareEU, European Research CouncilSwedish Research CouncilRiksbankens Jubileumsfond
Available from: 2024-01-04 Created: 2024-01-04 Last updated: 2024-02-07Bibliographically approved
Norgren, J., Sindi, S., Matton, A., Kivipelto, M. & Kåreholt, I. (2023). APOE-genotype and Insulin Modulate Estimated Effect of Dietary Macronutrients on Cognitive Performance: Panel Analyses in Non-Diabetic Older Adults at Risk for Dementia. Journal of Nutrition, 153(12), 3506-3520
Open this publication in new window or tab >>APOE-genotype and Insulin Modulate Estimated Effect of Dietary Macronutrients on Cognitive Performance: Panel Analyses in Non-Diabetic Older Adults at Risk for Dementia
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2023 (English)In: Journal of Nutrition, ISSN 0022-3166, E-ISSN 1541-6100, Vol. 153, no 12, p. 3506-3520Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The APOE-gene (ε-2/3/4, combined as six different genotypes: ε-22/23/24/33/34/44) and insulin status modulate dementia risk and play a role in the metabolism of macronutrients.

OBJECTIVE: Our aim was to examine APOE-genotype and fasting insulin as effect-modifiers of the slopes between dietary macronutrients and cognitive performance among older adults at risk for dementia.

METHOD: Panel analyses-with diet and cognition measured at baseline and follow-up at year 1 and 2-were performed in a sub-sample from the FINGER trial (n=676, 60-77 years, 46% females, all non-diabetics). The associations between macronutrients (3-day food records, z-scores) and global cognition (modified Neuropsychological Test Battery, z-score) were analyzed in mixed regression models adjusted for confounders selected a priori. After a gradient was implied by the point estimates in categorical APOE-analyses, we investigated a continuous APOE variable [APOE-gradient, coded -1 (for ε-23), -0.5 (ε-24), 0 (ε-33), 1 (ε-34), 2 (ε-44)] as an effect-modifier.

RESULTS: At increasing levels of the APOE-gradient a relatively more favorable slope between diet and cognition was observed for a lower carbohydrate/fat-ratio (β=-0.040, 95% CI -0.074, -0.006, P=0.020 for interaction diet x APOE-gradient), and higher protein (β=0.075, CI 0.042, 0.109, P=9.4x10-6). Insulin concentration (log-linear) modulated the association between CFr and cognition by a quadratic interaction (β=-0.016, P=0.039). Coherent findings for exploratory predictors (fiber, fat-subtypes, composite score, metabolic biomarkers) were compatible with published hypotheses of differential dietary adaptation by APOE, with cognition among ε-33 being relatively independent of dietary parameters-implying "metabolic flexibility". Antagonistic slopes to cognition for ε-23 (positive) versus ε-34 and ε-44 (negative) were found for a Higher-carbohydrates-fiber-Lower-fat-protein composite score, even as within-subjects effects.

CONCLUSIONS: APOE-based precision nutrition appears conceptually promising but replications in wider samples are warranted, as well as support from trials. Both relative hyper- and hypo-insulinemia might modulate the effect of diet on cognition.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Alzheimer, apolipoprotein E, gene-nutrient interaction, insulin resistance, target trial
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:hj:diva-62659 (URN)10.1016/j.tjnut.2023.09.016 (DOI)001135161400001 ()37778510 (PubMedID)2-s2.0-85176272918 (Scopus ID)HOA;;909127 (Local ID)HOA;;909127 (Archive number)HOA;;909127 (OAI)
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareSwedish Research CouncilKnut and Alice Wallenberg FoundationAlzheimerfondenThe Swedish Brain Foundation
Available from: 2023-10-12 Created: 2023-10-12 Last updated: 2024-01-19Bibliographically approved
Mo, M., Xu, H., Hoang, M. T., Jurado, P. G., Mostafaei, S., Kåreholt, I., . . . Garcia-Ptacek, S. (2023). External Causes of Death From Death Certificates in Patients With Dementia. Journal of the American Medical Directors Association, 24(9), 1381-1388
Open this publication in new window or tab >>External Causes of Death From Death Certificates in Patients With Dementia
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2023 (English)In: Journal of the American Medical Directors Association, ISSN 1525-8610, E-ISSN 1538-9375, Vol. 24, no 9, p. 1381-1388Article in journal (Refereed) Published
Abstract [en]

Objectives: We aim to analyze the risk of death from specific external causes, including falls, complications of medical and surgical care, unintentional injuries, and suicide, in dementia patients.

Design: Swedish nationwide cohort study integrating 6 registers from May 1, 2007, through December 31, 2018, including the Swedish Registry for Cognitive/Dementia Disorders (SveDem).

Setting and Participants: Population-based study. Patients diagnosed with dementia from 2007 to 2018 and up to 4 controls matched on year of birth (±3 years), sex, and region of residence.

Methods: The exposures of this study were diagnosis of dementia and dementia subtypes. Number of deaths and causes of mortality were obtained from death certificates compiled into the Cause of Death Register. Hazard ratios (HRs) and 95% CIs were estimated using Cox and flexible models, adjusted for sociodemographics, medical and psychiatric disorders.

Results: The study population included 235,085 patients with dementia [96,760 men (41.2%); mean age 81.5 (SD 8.5) years] and 771,019 control participants [341,994 men (44.4%); mean age 79.9 (SD 8.6) years], over 3,721,687 person-years. Compared with control participants, patients with dementia presented increased risk for unintentional injuries (HR 3.30, 95% CI 3.19-3.40) and falls (HR 2.67, 95% CI 2.54-2.80) during old age (≥75 y), and suicide (HR 1.56, 95% CI 1.02-2.39) in middle age (<65 y). Suicide risk was 5.04 times higher (HR 6.04, 95% CI 4.22-8.66) in patients with both dementia and 2 or more psychiatric disorders relative to controls (incidence rate per person-years, 1.6 vs 0.3). For dementia subtypes, frontotemporal dementia had the highest risks of unintentional injuries (HR 4.28, 95% CI 2.80-6.52) and falls (HR 3.83, 95% CI 1.98-7.41), whereas subjects with mixed dementia were less likely to die from suicide (HR 0.11, 95% CI 0.03-0.46) and complications of medical and surgical care (HR 0.53, 95% CI 0.40-0.70) compared to controls.

Conclusions and Implications: Suicide risk screening and psychiatric disorders management in early-onset dementia and early interventions for unintentional injuries and falls prevention in older dementia patients should be provided. 

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
dementia, External causes of death, falls, frontotemporal dementia, psychiatric disorder, suicide
National Category
Geriatrics
Identifiers
urn:nbn:se:hj:diva-62185 (URN)10.1016/j.jamda.2023.05.027 (DOI)001073523800001 ()37421971 (PubMedID)2-s2.0-85164425824 (Scopus ID)HOA;;897401 (Local ID)HOA;;897401 (Archive number)HOA;;897401 (OAI)
Funder
Swedish Research Council, 2020-02014, 2022-01425, 2022-01428
Available from: 2023-08-17 Created: 2023-08-17 Last updated: 2023-10-27Bibliographically approved
Nilsen, C., Agerholm, J., Kelfve, S., Wastesson, J. W., Kåreholt, I., Nabe-Nielsen, K. & Meinow, B. (2023). History of working conditions and the risk of old-age dependency: a nationwide Swedish register-based study. Scandinavian Journal of Public Health
Open this publication in new window or tab >>History of working conditions and the risk of old-age dependency: a nationwide Swedish register-based study
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2023 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aims: There is substantial evidence that previous working conditions influence post-retirement health, yet little is known about previous working conditions' association with old-age dependency. We examined job strain, hazardous and physical demands across working life, in relation to the risk of entering old-age dependency of care.

Methods: Individually linked nationwide Swedish registers were used to identify people aged 70+ who were not receiving long-term care (residential care or homecare) at baseline (January 2014). Register information on job titles between the years 1970 and 2010 was linked with a job exposure matrix of working conditions. Random effects growth curve models were used to calculate intra-individual trajectories of working conditions. Cox regression models with age as the timescale (adjusted for living situation, educational attainment, country of birth, and sex) were conducted to estimate hazard ratios for entering old-age dependency during the 24 months of follow-up (n = 931,819).

Results: Having initial adverse working conditions followed by an accumulation throughout working life encompassed the highest risk of entering old-age dependency across the categories (job strain: HR 1.23, 95% CI 1.19-1.27; physical demands: HR 1.36, 95% CI 1.31-1.40, and hazardous work: HR 1.35, 95% CI 1.30-1.40). Initially high physical demands or hazardous work followed by a stable trajectory, or initially low-level physical demand or hazardous work followed by an accumulation throughout working life also encompassed a higher risk of dependency.

Conclusions: A history of adverse working conditions increased the risk of old-age dependency. Reducing the accumulation of adverse working conditions across the working life may contribute to postponing old-age dependency.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
Older age, later life, dependency, long-term care, physical working conditions, psychosocial working conditions, work-related stress, longitudinal, Sweden
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hj:diva-62244 (URN)10.1177/14034948231188999 (DOI)001042373400001 ()37537973 (PubMedID)2-s2.0-85166902323 (Scopus ID)HOA;intsam;898013 (Local ID)HOA;intsam;898013 (Archive number)HOA;intsam;898013 (OAI)
Funder
Swedish Research Council, 2016-00197Forte, Swedish Research Council for Health, Working Life and Welfare, 2019-01141, 2016-01072Riksbankens Jubileumsfond, P21-0173
Available from: 2023-08-22 Created: 2023-08-22 Last updated: 2023-08-28
Norrgard, A., Tham, P., Strömberg, A. & Kåreholt, I. (2023). How Do Child Welfare Social Workers Assess the Leadership of Their First-line Managers? A 15-Year Perspective. British Journal of Social Work
Open this publication in new window or tab >>How Do Child Welfare Social Workers Assess the Leadership of Their First-line Managers? A 15-Year Perspective
2023 (English)In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

The study aimed to investigate how child welfare social workers assessed the leadership of their first-line managers over a period of fifteen years and to examine whether the assessments have changed over time. More specifically, the analysis focused on the extent to which social workers perceive the leadership of their first-line managers to be empowering, supportive and fair. Data were collected in the years 2003 (n = 293), 2014 (n = 300) and 2018 (n = 309) using the same questionnaire, mainly based on QPS Nordic, which was distributed to social workers working with investigations of children and youth. The results show that the social workers assessed all measured aspects of their first-line managers' leadership as better in 2014 compared to 2003 and significantly better in 2018 compared to 2003. In light of previous studies showing that child welfare managers experience less optimal conditions for their leadership, the results are surprising. How is it possible that the first-line managers, despite their own descriptions of a more difficult leadership situation, are seen as more supportive, empowering and fair in their leadership from the social workers' perspective? Possible explanations for the social workers' better assessments over the years, such as specialisation, are discussed. This article investigates how child welfare social workers have assessed the leadership of their first-line managers over a period of fifteen years. Questionnaires were collected in the same geographical areas in 2003, 2014 and 2018. The results show that child welfare social workers assessed the leadership of their first-line managers as increasingly empowering, supportive and fair over the years. In light of previous studies showing that child welfare managers experience less optimal conditions for their leadership, the results are surprising. How is it possible that the first-line managers, despite their own descriptions of a more difficult leadership situation, are seen as more supportive, empowering and fair in their leadership from the social workers' perspective? Potential explanations as to why assessments have improved are discussed.

Place, publisher, year, edition, pages
Oxford University Press, 2023
Keywords
child welfare, first-line manager, follow-up study, leadership, questionnaire, social worker
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-63220 (URN)10.1093/bjsw/bcad255 (DOI)001124880400001 ()HOA;;924948 (Local ID)HOA;;924948 (Archive number)HOA;;924948 (OAI)
Funder
AFA Insurance, 170025
Available from: 2024-01-08 Created: 2024-01-08 Last updated: 2024-01-09
Gabrielsson-Järhult, F., Mahmud, Y., Fristedt, S., Kjellström, S. & Kåreholt, I. (2023). Hur klickar vi med vården? En vetenskaplig studie av digitala och fysiska vårdkontakter utifrån användarmönster och patienters erfarenheter av primärvård. Jönköping: Jönköping University, School of Health and Welfare
Open this publication in new window or tab >>Hur klickar vi med vården? En vetenskaplig studie av digitala och fysiska vårdkontakter utifrån användarmönster och patienters erfarenheter av primärvård
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2023 (Swedish)Report (Refereed)
Abstract [sv]

Patienter och professionella vårdaktörer är i en gemensam förändrings- och lärandeprocess, där vården parallellt med medborgarna och samhället lär sig hantera digitalisering. Under senare år, bl.a. pådrivet av covid-pandemin, har digitaliseringen och införande av nya arbetssätt gått så fort att utvärdering och forskning inte hunnit med i samma takt. Syftet med rapporten ”Hur klickar vi med vården?” är att bidra med aktuell kunskap om patienters användarmönster och erfarenheter av digitala och fysiska kontakter med primärvården. Resultaten är tänkt att användas som faktaunderlag och stöd för vårdens utvecklingsarbete.

Sveriges Kommuner och Regioner (SKR) tog hösten 2022 initiativet till forskningsprojektet ”Hur klickar vi med vården?”. Uppdraget genomfördes under 2023 av en oberoende forskargrupp på Hälsohögskolan vid Jönköping University. Resultaten är presenterade i två delstudier baserade på registerdata från primärvården och intervjuer med patienter. All registrerad data från den regionala primärvården i Region Jönköpings län och Region Sörmland under perioden januari 2020 – december 2022 har ingått i undersökningen. Data från Region Jönköpings län omfattar ca 352.000 personer vilka sammanlagt hade haft kontakt med primärvården ca 4,2 miljoner gånger, motsvarande för Region Sörmland var ca 245.000 personer som hade haft ca 3,2 miljoner kontakter. I dessa data ingår kontakter med privata helt digitala vårdgivare och för Region Jönköpings län data från 1177 Sjukvårdsrådgivning. I rapporten ingår även 35 kvalitativa intervjuer med ett nationellt urval av patienter. Resultatet av den kvalitativa studien är presenterat som sex teman som beskriver patienters erfarenheter av kontakt med vården.

Place, publisher, year, edition, pages
Jönköping: Jönköping University, School of Health and Welfare, 2023. p. 140
Series
Working Papers. School of Health and Welfare ; 03
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hj:diva-62765 (URN)
Available from: 2023-10-24 Created: 2023-10-24 Last updated: 2024-01-09Bibliographically approved
Augustsson, E., Von Saenger, I., Agahi, N., Kåreholt, I. & Ericsson, M. (2023). Impact of the COVID-19 pandemic on Swedish adults aged 77 years and older: Age differences in lifestyle changes. Scandinavian Journal of Public Health, 51(5), 764-768
Open this publication in new window or tab >>Impact of the COVID-19 pandemic on Swedish adults aged 77 years and older: Age differences in lifestyle changes
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2023 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 51, no 5, p. 764-768Article in journal (Refereed) Published
Abstract [en]

Aims: This study aimed to describe the impact of the COVID-19 pandemic on lifestyle and social activities among older adults in Sweden, with a special focus on differences between the ‘younger old’ (aged 77–84) and ‘older old’ (aged 85–109).

Methods: This study is based on a nationally representative sample of older adults (aged ⩾77 years) in Sweden (SWEOLD). Data were collected between May 2021 and April 2022, when many recommendations were removed but the virus was still classified as a public health disease. We studied occurrences and differences between the two age groups in several lifestyle factors and social activities.

Results: The younger old displayed larger changes in lifestyles because of the pandemic than the older old. Most changes were found in social interactions with family.

Conclusions: Our results highlight the large heterogeneity within the Swedish population aged ⩾77 years, and that the younger old experienced a bigger lifestyle change than the older old. Previous activity levels might be important to consider in order to understand how regulations may affect the older population. Finally, our findings indicate large age differences in Internet use, which require attention to prevent digital exclusion of an already vulnerable group.

Place, publisher, year, edition, pages
Sage Publications, 2023
Keywords
age, COVID-19 pandemic, Internet use, Lifestyle factors, older adults, social contacts, Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-60395 (URN)10.1177/14034948231172249 (DOI)000983353500001 ()37151122 (PubMedID)2-s2.0-85158831813 (Scopus ID)HOA;;880978 (Local ID)HOA;;880978 (Archive number)HOA;;880978 (OAI)
Available from: 2023-05-22 Created: 2023-05-22 Last updated: 2023-09-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8617-0355

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