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  • 1.
    Abrahamsson, Agneta
    et al.
    Jönköping University, School of Health and Welfare. University College of Kristianstad,Kristianstad.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine.
    Gerdner, Arne
    Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation.
    Sense of coherence of reindeer herders and other Samis in comparison to other Swedish citizens2013In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 72, p. -20633Article in journal (Refereed)
    Abstract [en]

    Background. Samis are indigenous people in north Europe. In the territory called Sa´pmi (Lapland), reindeer herding is the traditional base for the Sami economy. The relation between living conditions and positive health of the Swedish Samis has been sparsely studied. As health is closely linked to sense of coherence (SOC), an understanding of the background factors to SOC may contribute knowledge that might be useful in promoting living conditions and health.

    Methods. The study examines relations between the level of SOC and background factors from surveys in a Sami population (n=613) in comparison to a non-Sami population (n=525) in Sweden, and in comparison between 2 subsamples of Samis, that is, herders and non-herders.

    Results. There are more similarities than differences between the Sami and non-Sami populations. However, dividing the Sami population, reindeer herders had significantly lower SOC, and in specific the subcomponent manageability, that is, less ability to use available resources to meet different demands in life, compared to non-herders.

    Conclusions. In addition to age and health, predictors of SOC are related to the life form of reindeer husbandry and the belonging to the herding community

  • 2.
    Ahlstrand, Inger
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Larsson, Ingrid
    School of Health and Welfare, Halmstad University, Halmstad, Sweden.
    Larsson, Margaretha
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Ekman, Aimée
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hedén, Lena
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    Laakso, Katja
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Nunstedt, Håkan
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Oxelmark, Lena
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Pennbrant, Sandra
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Sundler, Annelie J.
    Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    Hallgren, Jenny
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Health-promoting factors among students in higher education within health care and social work: a cross-sectional analysis of baseline data in a multicentre longitudinal study2022In: BMC Public Health, E-ISSN 1471-2458, Vol. 22, no 1, article id 1314Article in journal (Refereed)
    Abstract [en]

    Background: Educational environments are considered important in strengthening students’ health status and knowledge, which are associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach – namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work.

    Methods: This cross-sectional study is based on a survey distributed among all students in seven healthcare and social work programmes at six universities in southern Sweden. The survey was carried out in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors together with three validated instruments measuring health-promoting factors and processes: the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ).

    Results: Of 2283 students, 851 (37.3%) completed the survey, of whom 742 (87.1%) were women; 722 (84.8%) were enrolled on healthcare programmes, and 129 (15.2%) were enrolled on social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were, respectively, 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07). Well-being and several healthy lifestyles were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC.

    Conclusions: Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to knowledge about the health promotive characteristics of students in the healthcare and social work fields, which is of importance for planning universities with a salutogenic approach.

  • 3.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Odontology and Oral Health Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Univ Hosp Linkoping, Dept Clin Neurophysiol, Linkoping, Sweden..
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jonkoping Univ, Sch Hlth & Welf, ADULT, Jonkoping, Sweden..
    Neher, Margit
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Karlstad Univ, Dept Hlth Sci, Karlstad, Sweden..
    Oral health-related situations among patients with experience of continuous positive airway pressure treatment: a critical incident analysis of experiences and actions2022In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 31, no Suppl 1, article id P085Article in journal (Refereed)
  • 4.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Odontology and Oral Health Science. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital Linköping, Linköping, Sweden.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Neher, Margit
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    “The terrible dryness woke me up, I had some trouble breathing”- critical situations related to oral health as described by CPAP-treated persons with obstructive sleep apnea2022In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 31, no 6, article id e13670Article in journal (Refereed)
    Abstract [en]

    Continuous positive airway pressure is a common and effective treatment for obstructive sleep apnea, but adherence remains an issue. Both obstructive sleep apnea and oral diseases are associated with cardiovascular diseases, and as oral dryness contributes to treatment abandonment, oral health is of importance for this patient group. The aim was therefore to explore how persons with continuous positive airway pressure-treated obstructive sleep apnea experience situations associated with their oral health, and which actions they take to manage these. An explorative and descriptive design was adopted using the critical incident technique. Based on a purposeful selection, 18 adults with long-term experience of continuous positive airway pressure-treatment were interviewed using a semi-structured interview guide. Both negative and positive situations were described. Negative situations consisted of challenges with breathing, including mouth-breathing, choking sensations, problems with night-time and daytime oral dryness, changes in the saliva composition, and deteriorating oral health. Positive situations included experiences of reduced mouth-breathing and oral dryness. The situations were often successfully managed by mimicking daytime movements, changing sleeping position, adjusting the CPAP-device and mask, increasing oral hygiene efforts, drinking water, using a humidifier or chinstrap, or contacting their oral healthcare clinic. Long-term experience of persons with continuous positive airway pressure-treated obstructive sleep apnea regard situations and actions from everyday life. Successful management can contribute to long-term adherence and decrease negative effects on oral health. More interdisciplinary collaborations could enable identification and adequate recommendations for persons who experience negative situations during their continuous positive airway pressure treatment.

  • 5.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Kvarnvik, Christine
    Folktandvården Region Jönköpings län.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Avdelningen för Klinisk Neurofysiologi, Linköpings Universitetssjukhus, Linköping.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Inspektionen för Socialförsäkringen, Göteborg.
    Nygårdh, Annette
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Stensson, Malin
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ. Biomedical Platform.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Oral hälsa och obstruktiv sömnapné- protokoll för en longitudinell studie2019Conference paper (Refereed)
  • 6.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Kvarnvik, Christine
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Nygårdh, Annette
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Stensson, Malin
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. CHILD. Jönköping University, School of Health and Welfare, HHJ. Biomedical Platform.
    Norderyd, Ola
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics.
    Ulander, Martin
    Sunnergren, Ola
    Jansson, Henrik
    Sayardoust, Shariel
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    “No one seems to know”: Studieprotokoll för utvärdering av ett teoretiskt ramverk för oral hälsa avseende reliabilitet och validitet i en obstruktiv sömnapné population2019Conference paper (Other academic)
  • 7.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Kvarnvik, Christine
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. The Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden; Department of Endodontics, Periodontology and Prosthetics, Public Dental Health, Jönköping County Council, Jönköping, Sweden.
    Norderyd, Ola
    The Institute for Postgraduate Dental Education, Region Jönköping County, Jönköping, Sweden; Department of Endodontics, Periodontology and Prosthetics, Public Dental Health, Jönköping County Council, Jönköping, Sweden; Faculty of Odontology, Malmö University, Malmö, Sweden.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital Linköping, Linköping, Sweden.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Department of Clinical Diagnostics. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Clinical and self-reported measurements to be included in the core elements of the World Dental Federation's theoretical framework of oral health2021In: International Dental Journal, ISSN 0020-6539, E-ISSN 1875-595X, Vol. 71, no 1, p. 53-62Article in journal (Refereed)
    Abstract [en]

    Introduction

    Oral health is part of general health, and oral diseases share risk factors with several non-communicable diseases. The World Dental Federation (FDI) has published a theoretical framework illustrating the complex interactions between the core elements of oral health (CEOHs): driving determinants, moderating factors, and general health and well-being. However, the framework does not specify which self-reported or clinical measurements to be included in the CEOHs.

    Objectives

    To explore oral health measurements relevant for a general adult population to be included in the CEOHs in the FDI's theoretical framework of oral health.

    Materials and methods

    A psychometric study was performed, using cross-sectional data from Sweden (= 630, 54% women, mean age 49.7 years). The data set initially consisted of 186 self-reported and clinical measurements. To identify suitable measurements, the selection was discussed in different settings, including both experts and patients. Principal component analyses (PCAs) were performed to explore, reduce and evaluate measurements to be included in the three CEOHs. Internal consistency was estimated by Cronbach's Alpha.

    Results

    The validation process yielded 13 measurements (four clinical, nine self-reported) in concordance with the CEOHs. PCAs confirmed robust validity regarding the construction, predicting 60.85% of variance, representing psychosocial function (number of measurements = 5), disease and condition status (number of measurements = 4), and physiological function (number of measurements = 4). Cronbach's Alpha indicated good to sufficient internal consistency for each component in the constructs (a = 0.88, 0.68, 0.61, respectively).

    Conclusion

    In a Swedish general adult population, 13 self-reported and clinical measurements can be relevant to include to operationalise CEOHs in the FDI's theoretical framework.

  • 8.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Odontology and Oral Health Science. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Neher, Margit
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital Linköping, Linköping, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Views about oral health determinants as described by persons with continuous positive airway pressure-treated obstructive sleep apnea: A qualitative studyManuscript (preprint) (Other academic)
  • 9.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Department of Odontology and Oral Health Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Neher, Margit
    Jönköping University, School of Health and Welfare, HHJ, Department of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Department of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Clinical Neurophysiology, University Hospital Linköping, Linköping, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Department of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Views on oral health determinants as described by persons with continuous positive airway pressure-treated obstructive sleep apnoea: a qualitative study2023In: BMC Oral Health, ISSN 1472-6831, E-ISSN 1472-6831, Vol. 23, no 1, article id 407Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Oral diseases have been associated with cardiovascular diseases, and persons with continuous positive airway pressure [CPAP]-treated obstructive sleep apnoea [OSA] have an increased risk for negative consequences for both oral and general health. CPAP treatment is often life-long and adherence to treatment is essential. Xerostomia is a common side-effect which can lead to treatment abandonment. Oral health is a changeable part of our general health and well-being and exploring the views of oral health determinants from persons with experience of CPAP-treatment is important to prevent adverse oral health outcomes. The purpose of this study was to explore what persons with experience of CPAP-treated OSA view as determinants for their oral health.

    METHODS: Eighteen persons with long-term experience of CPAP-treated OSA were purposively selected. Data were collected by semi-structured individual interviews. A code book based on the World Dental Federation's [FDI] theoretical framework for oral health was developed and used to analyse the data using directed content analysis. The domains in the framework's component driving determinants were used as pre-determined categories. Using the description of driving determinants as a guide, meaning units were extracted from the interview transcripts through an inductive approach. Then, by employing a deductive approach the code book was used to categorise the meaning units into the pre-determined categories.

    FINDINGS: The views on oral health determinants described by the informants were compatible with the five domains in the component driving determinants in the FDI's theoretical framework. Ageing, heredity, and salivation (biological and genetic factors), influences from family and the wider society (social environment), location and re-localisation (physical environment), oral hygiene habits, motivation, willingness to change, professional support (health behaviours), and availability, control, finances, and trust (access to care) were viewed as important oral health determinants by the informants.

    CONCLUSION: The study points to a variety of individual oral health-related experiences that oral healthcare professionals could consider when designing interventions to reduce xerostomia and prevent adverse oral health outcomes for persons undergoing long-term CPAP-treatment.

  • 10.
    Ahonen, Hanna
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Pakpour, Amir H.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science.
    Norderyd, Ola
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Applying World Dental Federation Theoretical Framework for Oral Health in a General Population2022In: International Dental Journal, ISSN 0020-6539, E-ISSN 1875-595X, Vol. 72, no 4, p. 536-544Article in journal (Refereed)
    Abstract [en]

    Introduction: The World Dental Federation (FDI) has recently proposed a new definition and theoretical framework of oral health. The theoretical framework includes 4 main components and describes the relationships amongst them. In 2020, an international work group proposed the minimum Adult Oral Health Standard Set (AOHSS) of variables to measure oral health, which was mapped onto the FDI's theoretical framework. By using an empirical data set, the proposed variables in the AOHSS and the potential interactions amongst the components of the FDI's theoretical framework can be tested. The purpose of this research was to investigate structural relations of the components of the FDI's theoretical framework of oral health based on data from a general adult population.

    Methods: Data from a previously conducted Swedish cross-sectional study focusing on oral health were utilised (N = 630; women, 55.2%; mean age, 49.7 years [SD, 19.2]). Variable selection was guided by the AOHSS. Structural equation modeling was used to analyse relationships amongst the components of the FDI's theoretical model (core elements of oral health, driving determinants, moderating factors, and overall health and well-being).

    Results: The Oral Health Impact Profile (OHIP)-14, xerostomia, and aesthetic satisfaction had statistically significant direct effects on overall health and well-being (p < .05). Driving determinants and moderating factors had statistically significant direct effects on all core elements of oral health (p < .05) except aesthetic satisfaction (p = .616). The predictors explained 24.1% of the variance of the latent variable overall health and well-being. Based on several indices, the proposed model showed acceptable model fit.

    Conclusions: The FDI's theoretical framework can be used to describe different components of oral health and the relationship amongst them in an adult general population. Further research based on the FDI's theoretical framework in other populations and settings is needed to explore complex interactions and possible relationships that form oral health and to investigate other or additional important social determinants.

  • 11.
    Alm Mårtensson, Anna
    et al.
    Länsstyrelsen i Jönköping.
    Boström, Anita
    Institutionen för hälsovetenskaper, Karlstads universitet.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lundgren, Charlie
    Länsstyrelsen Västerbotten.
    Ludvigsson, Mikael
    Linköpings universitet.
    Simmons, Johanna
    Medicinska och geriatriska akutkliniken, Universitetssjukhuset i Linköping.
    Att möta våldsutsatta äldre personer2022In: Äldre personers utsatthet för våld i nära relationer: Interprofessionella perspektiv / [ed] L. Östlund, Lund: Studentlitteratur AB, 2022, p. 183-220Chapter in book (Other academic)
  • 12.
    Alm Mårtensson, Anna
    et al.
    Länsstyrelsen i Jönköping.
    Boström, Anita
    Institutionen för hälsovetenskaper, Karlstads universitet.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lundgren, Charlie
    Länsstyrelsen Västerbotten.
    Östlund, Lena
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ansvarsområden för olika samhällsfunktioner2022In: Äldre personers utsatthet för våld i nära relationer: Interprofessionella perspektiv / [ed] L. Östlund, Lund: Studentlitteratur AB, 2022, p. 91-112Chapter in book (Other academic)
  • 13.
    Berggren, Kristina
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ, Department of Natural Science and Biomedicine.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Department of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Firestone, A.
    ivision of Orthodontics, Ohio State University, Columbus, OH, United States.
    Wright, B.
    Division of Dental Hygiene, Ohio State University, Columbus, OH, United States.
    Josefsson, E.
    Odontologiska Institutionen, Department of Orthodontics, Jönköping, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Department of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Oral health problems linked to obstructive sleep apnea are not always recognized within dental care—As described by dental professionals2022In: Clinical and Experimental Dental Research, E-ISSN 2057-4347, Vol. 8, no 1, p. 84-95Article in journal (Refereed)
    Abstract [en]

    Objectives: Obstructive sleep apnea (OSA) has an impact on an individual's quality of life and general health, and can also affect their oral health. The patient's experiences, together with intraoral signs and symptoms could indicate the presence of OSA. Knowledge that the patient has, or is at high risk for having OSA can help the dental healthcare provider maintain the oral health and general health for these patients. The purpose was to explore dentists and dental hygienists' experiences when encountering adult patients with potential, untreated and treated OSA.

    Methods: A qualitative inductive approach was used. Experienced dentists and dental hygienists working within Swedish Public Dental Service were strategically selected. Semi-structured face-to-face interviews were performed followed by qualitative content analysis.

    Results: Interviews from 13 participants, seven dental hygienist and six dentists, led to three areas describing varied experience: Importance of the patient encounter and identifying intraoral signs both of which describe experiences related to the importance of the initial unstructured conversation and focused clinical assessments, and strategies for nurturing care which point to interest about care, treatment, and collaborations with medical health care providers.

    Conclusions: Dental professionals are not able to consistently recognize patients who have, or are at high risk for OSA. During the patient encounter, is it important to determine if a patient is at risk for, or has oral signs of OSA.

  • 14.
    Boström, Anita
    et al.
    Institutionen för hälsovetenskaper, Karlstads universitet.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ludvigsson, Mikael
    Linköpings universitet.
    Saveman, Britt-Inger
    Institutionen för omvårdnad, Umeå universitet.
    Simmons, Johanna
    Medicinska och geriatriska akutkliniken, Universitetssjukhuset i Linköping.
    Siverskog, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Åkerlund, Nina
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Förekomsten av våld i nära relationer bland äldre personer2022In: Äldre personers utsatthet för våld i nära relationer: Interprofessionella perspektiv / [ed] L. Östlund, Lund: Studentlitteratur AB, 2022, p. 31-64Chapter in book (Other academic)
  • 15.
    Carlén, Kristina
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. CHILD.
    Suominen, S.
    School of Health Sciences, University of Skövde, Skövde, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Saarinen, M. M.
    Department of General Practice, University of Turku and Turku University Hospital, Turku, Finland.
    Aromaa, M.
    University of Turku, Department of Public Health, Turku, Finland.
    Rautava, P.
    University of Turku, Department of Public Health, Turku, Finland.
    Sillanpää, M.
    Department of General Practice, University of Turku and Turku University Hospital, Turku, Finland.
    Sense of coherence predicts adolescent mental health2020In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 274, p. 1206-1210Article in journal (Refereed)
    Abstract [en]

    Background: Strong sense of coherence (SOC) has been shown to predict good mental health among adults whereas its predictive value in adolescence is unclear. This life-course oriented prospective study explores whether SOC predicts mental health in a three-year follow-up. Methods: The data is part of the ongoing ‘Finnish Family Competence Study’ launched in 1986 in southwestern Finland (baseline n = 1287). The outcome variable was adolescent's mental health at 18 years of age, measured on the Development and Well-Being Assessment (DAWBA) scale. The main predictor was Antonovsky's SOC score (1987) measured at the age of 15. A total of 498 adolescents were included in the present analyses. Poisson regression was used by univariate and multivariable models using the parents’ age and socioeconomic status and adolescents’ gender as covariates. Results: Multivariable analysis showed that a one-unit increase in SOC decreased the relative risk of a DAWBA-based diagnosis by 4 % (RR [95% CI] 0.96 [0.94–0.98], p < 0.001). Limitations: Typical of very long follow-up, as in our study of nearly two decades, a substantial proportion of the original population-based cohort was lost to follow-up weakening the representability of our cohort. Conclusions: Sense of coherence is a useful and clinically sensitive tool to predict mental health in adolescence. The easily administered, coping-oriented SOC questionnaire is an appropriate instrument in screening for adolescents who would benefit from supportive measures to strengthen their mental well-being.

  • 16.
    Finkel, Deborah
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Johansson, Linda
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Oral health predicts quality of life in data from Swedish National Quality Registries2019Conference paper (Refereed)
  • 17.
    Johansson, Isabelle
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Jansson, Henrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Ageing - living conditions and health.
    Oral health status of older adults in Sweden receiving elder care: Findings from nursing assessments2016In: Nursing Research, ISSN 0029-6562, E-ISSN 1538-9847, Vol. 65, no 3, p. 215-223Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Frail elderly people often have poor oral hygiene, contributing to oral health problems that can detract significantly from quality of life.

    OBJECTIVE: The aim of this study was to describe oral health status of frail elderly individuals using the Revised Oral Assessment Guide-Jönköping (ROAG-J), a mouth assessment instrument that can be used in daily nursing care.

    METHODS: Data were obtained from the Swedish Senior Alert quality registry in one Swedish municipality. ROAG-J assessments on admission to elder care and one subsequent occasion were used. ROAG-J measurements documented oral health in nine areas: voice, lips, oral mucosa, tongue, gums, teeth, saliva, swallowing, and presence of any prostheses or implants. Assessments were made by nursing staff during the course of daily nursing care.

    RESULTS: Individuals 65 years of age or older and receiving elder care services (N = 667) were involved; 1,904 assessments made between November 2011 and March 2014 were used for the analysis. On the basis of both assessments, less than one third of participants had oral health problems. No significant difference in any of the oral health variables was found between first and subsequent assessments. At first assessment, men and women differed in tongue health (p < .01); at the subsequent assessment, gender differences in voice (p < .05), mucous membranes (p < .003), tongue (p < .01), and saliva (p < .006) were observed.

    DISCUSSION: Most participants had good oral health. Assessments made by nursing staff using the ROAG-J demonstrate that this tool can be used in daily nursing care, where different, important oral conditions may be encountered. However, knowledge about oral health conditions and the ROAG-J instrument is important to ensure high validity. The ROAG-J enables nursing staff to detect problems in the mouth and to guide decisions related to oral health interventions.

  • 18.
    Johansson, Isabelle
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Torgé, Cristina Joy
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Jansson, Henrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Effekt på munhälsa av samarbete mellan tandhygienist och personal i äldreomsorg2017Conference paper (Other academic)
    Download full text (pdf)
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  • 19.
    Johansson, Isabelle
    et al.
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Torgé, Cristina Joy
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Is an oral health coaching programme a way to sustain oral health for elderly people in nursing homes: A feasibility study2020In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, p. 107-115Article in journal (Refereed)
    Abstract [en]

    Objectives

    This study examines the feasibility of an oral health coaching programme involving practical support on individual level to staff in a nursing home in Sweden, aiming to improve oral health care‐related beliefs of nursing staff and the oral health of residents.

    Methods

    This intervention study consisted of three wards from one nursing home, and both staff (n = 48) and residents (n = 58) were invited. In the control ward, 9 staff and 16 residents participated; in test ward 1, 10 staff and 13 residents participated; and at test ward 2, 14 staff and 17 residents participated. An oral health coaching programme was performed 4 h/wk for 3 months. The staff completed the nursing Dental Coping Beliefs Scale at baseline and after 9 months. Oral health of the residents was assessed using the Revised Oral Assessment Guide and mucosal‐plaque score at baseline and after 3, 6 and 9 months.

    Results

    At baseline, 33 staff participated and 22 at 9 months follow‐up. For the residents, the figures were 48 and 32, respectively. After the intervention, the nursing DCBS revealed changes related to usage of fluoride, oral health support, gum disease and approximal cleaning. The most frequently reported oral health problems among the residents pertained to teeth and gums. The residents’ relatively high level of oral health was stable during the study period.

    Conclusions

    Despite limitations in the programme, an oral health coaching programme can support nursing staff in maintaining a high level of oral health in residents. The programme was shown feasible, although design improvements are needed.

  • 20.
    Johansson, Linda
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Finkel, Deborah
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Psychology, Indiana University Southeast, New Albany, IN, USA.
    Lannering, Christina
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Region Jönköping County, Futurum, Ryhov, Jönköping, Sweden.
    Dahl Aslan, Anna K.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Andersson-Gäre, Boel
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Region Jönköping County, Futurum, Ryhov, Jönköping, Sweden.
    Hallgren, Jenny
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). School of Health Sciences, University of Skövde, Skövde, Sweden.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Using aggregated data from Swedish national quality registries as tools to describe health conditions of older adults with complex needs2021In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 33, p. 1297-1306Article in journal (Refereed)
    Abstract [en]

    Background: Combining National Quality Registries (NQRs) with existing National Health Registries (NHRs) might make it possible to get a wider picture of older adults health situation. The aim was to examine the feasibility of aggregating data across different NQRs and existing NHRs to explore the possibility to investigate trajectories and patterns of disease and care, specifically for the most ill older adults.

    Method: A Swedish twin population (N = 44,816) was linked to nine NQRs and four NHRs. A descriptive mixed-method study was performed. A manifest content analysis identified which health parameters were collected from each NQR. Factor analysis identified patterns in representation across NQRs. Two case studies illustrated individual trajectories of care by using NQRs and NHRs.

    Results: About 36% of the population was registered in one or more NQRs. NQRs included 1849 variables that were sorted into 13 categories with extensive overlap across the NQRs. Health and function variables were identified, but few social or cognitive variables. Even though most individuals demonstrated unique patterns of multi-morbidities, factor analysis identified three clusters of representation in the NQRs with sufficient sample sizes for future investigations. The two cases illustrated the possibility of following patterns of disease and trajectories of care.

    Conclusions: NQRs seem to be a significant source for collecting data about a population that may be underrepresented in most research on aging because of their age and poor health. However, NQRs are primarily disease related, and further development of the registries to maximize coverage and utility is needed. 

  • 21.
    Johansson, Linda
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Siverskog, Anna
    Jönköping University, School of Health and Welfare, HHJ, Dept. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Äldre personer och våldsutsatthet2022In: Äldre personers utsatthet för våld i nära relationer: Interprofessionella perspektiv / [ed] L. Östlund, Lund: Studentlitteratur AB, 2022, p. 17-30Chapter in book (Other academic)
  • 22.
    Lindmark, Lindmark
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Jacobsson, Brittmarie
    Jönköping University, School of Health Science, HHJ. Oral health.
    Larsson, Anna-Britta
    Tandhygienistprogrammet, Högskolan Dalarna.
    Müller, Görel
    Tandhygienistprogrammet, Högskolan Dalarna.
    Andersson, Pia
    Tandhgienistprogrammet, Högskolan Kristianstad.
    Mårtensson, Carina
    Tandhgienistprogrammet, Högskolan Kristianstad.
    Olsson, Margaretha
    Tandhygienistprogrammet, Karlstad universitet.
    Rolandsson, Margot
    Tandhygienistprogrammet, Karlstad universitet.
    Sundberg, Nina
    Tandhygienistprogrammet, Karlstad universitet.
    Klinisk slutexamination i tandhygienistprogrammet vid fyra lärosäten2009Report (Other (popular science, discussion, etc.))
    Abstract [en]

    The registered dental hygienist has a key role in promotion and prevention within Swedish dental care. Working as a dental hygienist requires an ability to work independently and make well-grounded decisions in order to give good and sure care. The aim of the project was to develop, test and evaluate a model for clinical final examinations based on the requirements for working as a registered dental hygienist. The project resulted in a model consisting of a theoretical and a clinical examination. The theoretical part consists of a fictitious patient case while the clinical part comprises a realistic patient situation in which the student takes charge of a patient and gives treatment. The strength of the new model lies in the fact that all students at different universities and colleges have to take clinical examinations according to the same assessment criteria, which ensures good and comparable quality.

  • 23.
    Lindmark, Ulrika
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Känsla av sammanhang, den orala hälsan, tandvårdsbeteende och attityder till tandvård2007In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 27, no 5, p. 5-Article, review/survey (Other academic)
  • 24.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Munhälsa hos äldre2020In: Äldre och åldrande: grundbok i gerontologi / [ed] Marie Ernsth Bravell & Lena Östlund, Malmö: Gleerups Utbildning AB, 2020, 3, p. 111-124Chapter in book (Other academic)
  • 25.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Munhälsan kan förbättras med promotiva strategier2019In: Hälsopromotion i teori och praktik: olika arenor och målgrupper / [ed] Åsa Bringsén & Petra Nilsson Lindström, Liber, 2019, p. 178-194Chapter in book (Other (popular science, discussion, etc.))
  • 26.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Oral health.
    Mycket stress bland tandläkare2016In: Tandläkartidningen, ISSN 0039-6982, no 4, p. 46-48Article in journal (Other academic)
  • 27.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Resursrikedom och balans i livet ger god munhälsa hos 19-åringar2013Conference paper (Other academic)
    Abstract [sv]

    Syftet var att undersöka hälsoorienterade resurser bland 19-åringar och hur dessa interagerar med orala hälsorelaterade attityder och beteenden.Deltagare, 19-åringar som bor i Jönköping, var strategiskt utvalda i samband med den årliga undersökningen på Folktandvården. En strukturerad enkät besvarades innehållande bakgrundsfaktorer och Antonovskys livsfrågeformulär som mäter "känsla av sammanhang" (KASAM), följt av en tematiserad djupintervju. Den kvalitativa analysmetoden var Grounded Theory. Nio informanter (fyra kvinnor) har hittills tagits med i studien.Den preliminära analysen visar en kärnkategori, "Resursrikedom och balans i livet", som tycks vara avgörande för hälsosamma val som påverkar orala hälsorelaterade attityder och beteenden. Denna kärnkategori bygger på fem inbördes relaterade teman som beskriver olika dimensioner av hälsorelaterade resurser. Trygghet och stöd från familj och vänner, interna resurser såsom självtillit men också olika strategier för att hantera vardagen lyftes fram som centrala resurser. Värderingar och förväntningar, egen erfarenhet och behov, men också tankar om framtida orala hälsotillstånd, var viktiga för motivation till hälsosamma val. Dessutom ansågs tillgången till samhällets resurser såsom stormarknader, möjlighet till självhushåll, en hälsosam kost,  men också hälsobudskap från media, skola och tandvård samt den psykosociala miljön som påverkande faktorer för hälsosamma val.Slutsats: Samspelet mellan olika externa och interna resurser beskrevs som avgörande för hälsosamma val och oral hälsa. Fokus på individens resurser kan vara en framgångsfaktor i förebyggande och munhälsofrämjande åtgärder.

  • 28.
    Lindmark, Ulrika
    Jönköping University, School of Health Science, HHJ. Oral health.
    Sense of coherence (SOC) and oral health status among Swedish adults: a cross sectional population study2009In: Forskningskonferens i munhälsa 2009, Falun, 2009Conference paper (Other academic)
    Abstract [en]

    Objectives The Sense of coherence (SOC) questionnaire estimate an individual’s degree of an inside strength leading to a health promoting behaviour. The aim was to investigate sense of coherence in relation to oral health status.

    Method A stratified random sample of 910 individuals from Jönköping, Sweden, aged 20,30,40,50,60,70 and 80 years old, was used. The investigation contained the Swedish short version of  the SOC questionnaire with 13-items and a self-reported questionnaire about demographic information, oral health related behaviour and attitudes to oral health. In addition a clinical and radiographical examination was performed.

    Results A total of 525 individuals participated in the study, 261 men and 264 women. Socioeconomic factors such as age, marital status, income and education had a statistical significant association to SOC.  Bivariate analyse showed that higher mean SOC scores had a statistically significant relationships with more decayed filled surfaces (DFS) and filled surfaces (FS), less caries severity, less teeth with calculus and a better periodontal health. Logistic regression analysis showed that Individuals with high SOC score were predictive of high DFS and FS but low gingivitis scores. After controlling for age, high SOC scores showed a protective effect for gingivitis and plaque.

    Conclusions Socioeconomic factors had an association with SOC. Statistical associations were found between SOC scores and oral health status with regard to several  important oral clinical variables and high SOC scores may indicate a protective determinant for gingivitis and plaque.

  • 29.
    Lindmark, Ulrika
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    What is an Oral Health Risk Assessment Tool, and can it be useful within nursing care? ROAG-J in the Swedish Quality Register Senior Alert2019Conference paper (Refereed)
  • 30.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Abrahamsson, Kajsa H.
    Göteborgs Universitet.
    Oral health-related resources - a salutogenic perspective on Swedish 19-year-olds2015In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 13, no 1, p. 56-64Article in journal (Refereed)
    Abstract [en]

    The aim was to explore health-oriented resources among 19-year-olds and, specifically, how these resources interact with oral health-related attitudes and behaviour. To represent individuals with various psychosocial environments and socioeconomic areas, the participants were selected from different geographical locations of the Public Dental Service clinics in the county of Jönköping, Sweden. A structured questionnaire was distributed, including the instrument ‘sense of coherence’, for description of the study group, followed by a semi-structured thematized interview. The qualitative method used for sampling and analyses was grounded theory. Data sampling and analysis were performed in parallel procedures and ended up in a sample of ten informants (five women). In the analysis of interview data, a core category was identified, ‘Resources of Wealth and Balance in Life – a Foundation for Healthy Choices’, describing the central meaning of the informants’ perceptions of resources with an essential beneficial impact on oral health. The core category was built on five themes, which in turn had various subthemes, describing different dimensions of resources interacting with beneficial oral health-related attitudes and behaviour: ‘Security-building Resources and Support’, ‘Driving force and Motivation’,Maturity and Insight’,Health Awareness’ and ‘Environmental influences.’ The results elucidate personal and environmental health-oriented resources with influence on oral health-related attitudes and behaviours of young individuals. Such beneficial recourses should be recognized by dental personnel to promote oral health.

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  • 31.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ahlstrand, Inger
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Ekman, Aimée
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Berg, L.
    Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Hedén, L.
    Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Borås, Sweden.
    Källstrand, J.
    School of Health and Welfare, Halmstad University, Halmstad, Sweden.
    Larsson, M.
    School of Health and Education, University of Skövde, Skövde, Sweden.
    Nunstedt, H.
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Oxelmark, L.
    Institute of Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Pennbrant, S.
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Sundler, A.
    Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Borås, Sweden.
    Larsson, I.
    School of Health and Welfare, Halmstad University, Halmstad, Sweden.
    Health-promoting factors in higher education for a sustainable working life – protocol for a multicenter longitudinal study2020In: BMC Public Health, E-ISSN 1471-2458, Vol. 20, no 1, p. 1-8, article id 233Article in journal (Refereed)
    Abstract [en]

    The World Health Organization has highlighted the importance of health promotion for health service providers in order to ensure sustainable working life for individuals involved in providing health services. Such sustainability begins when students are preparing to manage their own future health and welfare in working life. It has been suggested that universities, employees and trainee health professionals should adopt or follow a salutogenic approach that not only complements the providing of information on known health risks but also favors health promotion strategies. This paper describes the study design and data collection methods in a planned study aiming to explore health-promoting factors for a sustainable working life among students in higher education within healthcare and social work.

  • 32.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Bülow, Pia H.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ. ADULT. Department of Social Work, University of the Free State, Bloemfontein, South Africa.
    Mårtensson, Jan
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Rönning, Helén
    Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Ahlstrand, Inger
    Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation.
    Broström, Anders
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Fransson, Eleonor I.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Fridlund, Bengt
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Gunnarsson, Nina
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Social Work. Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Henricson, Maria
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Kjellström, Sofia
    Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Sandgren, Anna
    Center for Collaborative Palliative care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    The use of the concept of transition in different disciplines within health and social welfare: An integrative literature review2019In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 664-675Article, review/survey (Refereed)
    Abstract [en]

    Aims

    To continuing the quest of the concept of transition in nursing research and to explore how the concept of transition is used in occupational therapy, oral health and social work as well as in interdisciplinary studies in health and welfare, between 2003–2013.

    Design

    An integrative literature review.

    Methods

    PubMed, CINAHL, PsycINFO, DOSS, SocIndex, Social Science Citation Index and AMED databases from 2003–2013 were used. Identification of 350 articles including the concept of transition in relation to disciplines included. Assessment of articles are in accordance to Meleis' typologies of transition by experts in each discipline. Chosen key factors were entered into Statistical Package for the Social Sciences (SPSS).

    Results

    Meleis' four typologies were found in all studied disciplines, except development in oral health. The health‐illness type was the most commonly explored, whereas in social work and in occupation therapy, situational transitions dominated.

  • 33.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Department of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Do, Thi Thu Hien
    Hanoi Medical University, Vietnam.
    Do, Quang Trung
    Hanoi Medical University, Vietnam.
    Bengtsson, Ann
    Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Sweden.
    Effectiveness of oral hygiene after supervised tooth-brushing education in six-year-old children at a primary school in Vietnam2012In: Journal of Behavioral Health, E-ISSN 2146-8346, Vol. 1, no 4, p. 279-285Article in journal (Refereed)
    Abstract [en]

    Background: The prevalence of dental caries is very high among Vietnamese children why methods and techniques for good oral hygiene behaviours therefore is very important in caries prevention.

    Aim: To assess oral hygiene before and after supervised tooth-brushing education in six-yearold children.

    Design: A pilot study with a pre-post-test design was used. Forty children, six years of age, at a primary school in Hanoi, participated in the study. The modified Bass tooth-brushing method were taught. Oral hygiene, i.e. dental plaque, was assessed on each tooth surface before the tooth-brushing education and after one week.

    Results: There was a distinct and significant improvement in tooth-brushing skills among sixyear- old children of both genders after the tooth-brushing education. The rate of dental plaque was reduced by 40% after the education. An improvement in cleaning could be seen on all four tooth surfaces (buccal, lingual, mesial and distal).

    Conclusion: School-based education in tooth-brushing technique are very effective for improving oral hygiene among six year olds.

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  • 34.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth-Bravell, Marie
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johansson, Linda
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Finkel, Deborah
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Oral health is essential for quality of life in older adults: A Swedish National Quality Register Study2021In: Gerodontology, ISSN 0734-0664, E-ISSN 1741-2358, Vol. 38, no 2, p. 191-198Article in journal (Refereed)
    Abstract [en]

    Objective: To examine the relationship between QoL and oral health from two Swedish national quality registries (NQRs).

    Background: Oral health plays an important part in general health, which might also affect QoL. No studies have examined the relationships between QoL and oral health in late adulthood based on aggregated data from Swedish NQRs.

    Material and methods: Four NQRs incorporated the EQ-5D, which assesses 5 aspects of QoL: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Items from the Revised Oral Assessment Guide, obtained from the NQR Senior Alert, were used to identify older adults at risk for oral health issues.

    Results: A total of 510 individuals had data on all relevant variables. Analyses indicated significantly higher QoL for individuals without risk of oral health problems (M = −0.15 (SD = 1.01)), compared to those with risk (M = −0.75 (SD = 1.52)). Logistic regression analysis showed that lower QoL (OR = 0.69 (0.49, 0.97)), mental status (OR = 0.37 (0.19, 0.71)), lower self-rated health (OR = 0.59 (0.42, 0.85)) and higher age (OR = 1.07 (1.01, 1.13)) were significantly related to risk of oral health problems. Higher BMI (OR = 1.13 (0.99, 1.30)), living alone (OR = 2.37 (0.93, 6.06)) and more years of education (OR = 1.15 (1.01, 1.31)) were associated with higher risk of oral health problems.

    Conclusions: Oral health is a significant component of quality of life in late adulthood. NQRs are of value for healthy ageing research in populations that may be underrepresented in research studies.

  • 35.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    H Abrahamsson, Kajsa
    Odontologiska fakulteten, Sahlgrenska Akademin, Göteborgs Universitet.
    Resources of Wealth and Balance in life – Essential for Oral health among Swedish 19-year olds2013In: International Journal of Dental Hygiene: Abstracts for the International Symposium on Dental Hygiene, Cape Town, South Africa, August 14–17, 2013 / [ed] Öhrn, Kerstin, 2013, Vol. 11, p. 163-164Conference paper (Other academic)
    Abstract [en]

    Objectives: The aim was to explore health oriented resources among 19-year olds and in specific how these health oriented recourses interacts with oral health related attitudes and behaviors.Methods: Participants, 19-year olds living in Jönköping, were strategically selected in connection with the annual examination at the Public Dental Service. A structured questionnaire included background factors and Antonovsky´s 13-items Life-orientation questionnaire measuring ‘Sense of coherence’ (SOC), followed by a thematized in-depth interview. The qualitative method chosen was Grounded Theory (GT). In accordance with GT, datasampling and analyses is performed in a parallel procedure that continues until new data do not bring anything vital into the analysis model. Nine informants (four women) have so far been included in the study.

    Preliminary results: The preliminary analysis model suggests a core category labeled ‘Resources of Wealth and Balance in Life’ which seemed to be essential for healthy choices influencing oral health related attitudes and behaviors. This core category is built on five interrelated themes describing different dimensions of health related recourses. Security and support from family and friends, internal resources such as self-efficacy but also different strategies to coop with everyday life were highlighted as central resources.  Values and expectation within life context, your own experience and needs but also thoughts about future oral health conditions, were important for motivation towards healthy choices. Moreover, availability to community resources such as supermarkets, opportunity for self-cooking and a healthy diet, but also health messages from media, school and dental care as well as the psychosocial environment were described as influencing factors for healthy choices.  Conclusions: The interplay between different external and internal resources were described as essential for healthy choices and oral health. Focusing on such beneficial resources could be a success factor in prevention and oral health promotion strategies. 

  • 36.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Is Sense of coherence (SOC) a determinant to oral health status in adults?: a cross sectional population study2009In: Oral hälsa och livskvalitet - bidrar tandvården?: 22-23 april 2009 Malmö, 2009Conference paper (Refereed)
    Abstract [en]

    Objectives The Sense of coherence (SOC) questionnaire estimate an individual’s degree of an inside strength leading to a health promoting behaviour. The aim was to investigate sense of coherence in relation to oral health status. Method A stratified random sample of 910 individuals from Jönköping, Sweden, aged 20,30,40,50,60,70 and 80 years old, was used. The investigation contained the Swedish short version of  the SOC questionnaire with 13-items and a self-reported questionnaire about demographic information, oral health related behaviour and attitudes to oral health. In addition a clinical and radiographical examination was performed. Results A total of 525 individuals participated in the study, 261 men and 264 women. Socioeconomic factors such as age, marital status, income and education had a statistical significant association to SOC.  Bivariate analyse showed that higher mean SOC scores had a statistically significant relationships with more decayed filled surfaces (DFS) and filled surfaces (FS), less caries severity, less teeth with calculus and a better periodontal health. Logistic regression analysis showed that Individuals with high SOC score were predictive of high DFS (OR=3.3, CI 1.14-9.36) and FS  (OR=2.1, CI 0.98-4.31) but low gingivitis scores (OR=0.54, CI 0.30-0.95). After controlling for age, high SOC scores showed a protective effect for gingivitis (OR=0.52,  CI 0.29-0.94) and plaque (OR=0.61, CI 0.36-1.04). Conclusions Socioeconomic factors had an association with SOC. Statistical associations were found between SOC scores and oral health status with regard to several  important oral clinical variables and high SOC scores may indicate a protective determinant for gingivitis and plaque.

  • 37.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hakeberg, Magnus
    Avdelning för Beteende och Samhällsodontologi, Institutionen för Odontologi, Sahlgrenska Akademin, Göteborgs Universitet.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Kan känsla av sammanhang ha betydelse för beteende, kunskap och attityder relaterat till oral hälsa?2010In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 30, no 2, p. 55-Article in journal (Other academic)
    Abstract [sv]

    Abstrakt – Syfte: Att studera sambandet mellan känsla av sammanhang (KASAM), oralt hälsorelaterat beteende, kunskap om och attityd till oral hälsa i en vuxen svensk befolkning. Metod: En tvärsnittsstudie där ett stratifierat urval av 910 individer, i åldrarna 20, 30, 40, 50, 60, 70 och 80 år erbjöds att delta i studien. I undersökningen användes den svenska kortversionen (13 frågor) av Antonovsky’s livsfrågeformulär som mäter känslan av sammanhang samt ett frågeformulär gällande oralt hälsorelaterat beteende, kunskap om samt attityder till oral hälsa. Dessutom ingick frågor gällande sociodemografiska faktorer. Totalt var det 589 individer som samtyckte att delta i studien. Resultat: Totalt var det 525 individer, 261 men och 264 kvinnor, som besvarade alla 13 frågorna i SOC frågeformuläret, vilket utgjorde det slutliga materialet vid analyserna. Bivariata analyser visade på samband mellan högre KASAM medel poäng och beteende såsom färre söta drycker och färre antal mellanmål/ dag, jämfört med individer med lägre KASAM medel poäng. Individer med högre KASAM hade också en mer positive attityd såsom påståenden om att vara nöjd med tandvården, betydelsen av att ha egna tänder när man blir äldre, nöjd med egna tänder, anser sig ha bra tänder samt ingen känsla av obehag att uppsöka tandvården. Individer med högre KASAM poäng hade även ett signifikant samband med kunskap om karies. Dessa samband, förutom variabeln söta drycker, kvarstod efter kontrollering för alla sociodemografiska faktorerna (kön, ålder, civilstånd, inkomst, utbildning och yrkesnivå). Stark KASAM och god kunskap om karies var statistiskt signifikant, efter kontrollering för ålder och kön. Sammanfattning: KASAM hade ett statistiskt signifikant samband med oralt hälsoorelaterat beteende, attityder till oral hälsa samt kunskap om karies. I arbetet med oralt hälsofrämjande arbete, skulle KASAM kunna vara ett verktyg för att främja en större förståelse för individers beteende, attityder till och kunskap om oral hälsa och  möjliggöra för tandvårdspersonal att använda denna kunskap i kommunikation med individer och grupper.

  • 38.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Känslan av sammanhang (KASAM) och oralt status bland vuxna: en epidemiologisk tvärsnittsstudie2009In: Tandhygienisttidningen, ISSN 1102-6146, Vol. 29, no 2, p. 61-61Article, review/survey (Other academic)
    Abstract [sv]

    Känslan av sammanhang (KASAM) är ett frågeformulär som skattar förmågan till ett hälsofrämjande beteende. Syftet var att analysera sambandet mellan KASAM, sociodemografiska faktorer samt oralt status. Material och Metod: Populationen bestod av ett stratifierat slumpmässigt urval bestående av 910 individer från Jönköping, i åldrarna 20, 30, 40, 50, 60, 70 och 80 år. Instrument som användes var den korta versionen av KASAM (13 frågor) samt ett frågeformulär innehållande sociodemografiska frågor. En klinisk och röntgenologisk undersökning genomfördes i anslutning till utlämnandet av enkäterna. Resultat: Totalt deltog 525 individer, 261 men och 264 kvinnor. Sociodemografiska faktorer som ålder, civilstånd, inkomst och utbildning hade en statistisk signifikant association med KASAM. Bivariat analys visade att individer med högre KASAM medelvärde hade statistiskt signifikant fler karierade och fyllda ytor (DFS) och fyllda ytor (FS), färre karierade ytor, färre tänder med tandsten och bättre parodontal hälsa. Efter kontrollering för bakgrundsfaktorer såsom kön, civilstånd, inkomst, utbildning och yrkesnivå, visade det sig att individer med hög KASAM poäng hade en större risk för högre DFS och FS men mindre risk för gingivit. Efter justering för ålder, visades hög KASAM poäng ha en förklarande betydelse för gingivit och plack. Konklusion: Sociodemografiska faktorer hade ett samband med KASAM. Dessutom visade analyserna samband mellan KASAM och fler viktiga orala variabler. Ytterligare studier rekommenderas avseende sambanden mellan KASAM och oral hälsa, där bl a oralt hälsobeteende och attityder till tandvård studeras.

  • 39.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Hakeberg, Magnus
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Sense of coherence and its relationship with oral health-related behaviour and knowledge of and attitudes towards oral health2011In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528, Vol. 39, no 6, p. 542-553Article in journal (Refereed)
    Abstract [en]

    Objective:  To investigate the relationship between sense of coherence (SOC), oral health–related behaviour, knowledge of and attitudes towards oral health in an adult Swedish population.

    Methods:  A cross-sectional design with a stratified random sample of 910 individuals aged 20, 30, 40, 50, 60, 70 and 80 years were invited to the study, from Jönköping, Sweden. The investigation used the Swedish short version of the SOC questionnaire comprising 13 items and self-reported questions about oral health habits and knowledge of and attitudes towards oral health. In addition, a self-report questionnaire to elicit demographic information was included.

    Results:  A total of 525 individuals, 261 men and 264 women, answered all the 13-item SOC questions, which constituted the final number of the participants. After adjustment for all the sociodemographic factors included in the analysis, individuals with a stronger SOC had twice as high a chance of having healthier behaviour, including a lower frequency of snacks and drinks between meals, as well as a more positive attitude, such as the importance of having one’s own teeth as one gets older, satisfaction with their own teeth, perceiving their teeth as good and no feeling of dental fear, compared with individuals with a poorer SOC. Moreover, SOC and a good knowledge of caries were significantly associated after adjustment for age and gender.

    Conclusions:  SOC was significantly associated with several oral health–related behaviours, attitudes towards oral health and knowledge of dental caries. When working with oral health promotion, SOC could be a way for promoting a better understanding of the behaviour and attitudes of individuals and for enabling dental personals to use that knowledge for the guidance of the individual.

  • 40.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Hakeberg, Magnus
    2Department of Behavioral and Community Dentistry, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg.
    Hugoson, Anders
    Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Sense of coherence and oral health status in an adult Swedish population2010In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 69, p. 12-20Article in journal (Refereed)
    Abstract [en]

    Objective. To investigate sense of coherence in relation to oral health status in an adult Swedish population in order to better understand the determinants of positive oral health-promoting behavior and differences in oral health.

    Material and methods. A stratified random sample of 910 individuals from Jönköping, Sweden aged 20, 30, 40, 50, 60, 70 and 80 years was obtained. The investigation used the Swedish short version of the Sense of Coherence (SOC) questionnaire comprising 13 items and a self-report questionnaire to elicit demographic information. In addition, a clinical and radiographic oral examination was performed.

    Results. A total of 525 individuals, 261 men and 264 women, consented to participate in the study. Bivariate analysis revealed that higher mean SOC scores were statistically significantly associated with more decayed and filled surfaces (DFS) and filled surfaces (FS), fewer decayed surfaces (DS), fewer teeth with calculus and periodontal health. Multivariate analysis showed that higher SOC scores represented a predictor of fewer occurrences of a periodontal probing pocket depth of ‡4 mm and a lower risk of plaque in different regression models.

    Conclusions. Higher SOC scores may be a protective determinant of plaque and periodontal disease, indicating an association between SOC and oral health.

  • 41.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hakeberg, Magnus
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Sense of coherence (SOC), a determinant to oral health status among adults?: a cross sectional population study2008In: International Research Seminar on Salutogenesis and at the 1st Research Meeting of the IUHPE Thematic Working Group on Salutogenesis, 2008Conference paper (Other academic)
    Abstract [en]

    Aim To investigate sense of coherence in relation to oral health status. Method A stratified random sample of 910 individuals from Jönköping, Sweden, aged 20,30,40,50,60,70 and 80 years old, was used. The investigation contained the Swedish 13-items version of  the SOC questionnaire and a self-reported questionnaire about demographic information. In addition an oral clinical and radiographical examination was performed. Results A total of 525 individuals participated in the study, 261 men and 264 women. Socioeconomic factors such as age, marital status, income and education had a statistical significant association to SOC. Bivariate analyse showed that higher mean SOC scores had a statistically significant relationships with more decayed filled surfaces (DFS) and filled surfaces (FS), less caries severity, less teeth with calculus and a better periodontal health. Logistic regression analysis showed that Individuals with high SOC score were predictive of high DFS and FS  but low gingivitis scores. After controlling for age, high SOC scores showed a protective effect for gingivitis and dental plaque. Conclusions Socioeconomic factors had an association with SOC. Statistical associations were found between SOC scores and oral health status with regard to several important oral clinical variables and high SOC scores may indicate a protective determinant for gingivitis and plaque.

  • 42.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hakeberg, Magnus
    Avdelning för beteende och samhällsodontologi, Institutet för odontologi, Sahlgrenska akademin, Göteborgs universitet.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Sense of Coherence (SOC) and Oral Health among Swedish Adults – A Population Study2010Conference paper (Refereed)
    Abstract [en]

    Objectives: Research are suggested studying the complex causal processes to understand and explain people’s behaviour and actions in their living context, which both can be promoting or unfavourable for oral health. A way to measure health related behaviour is with sense of coherence (SOC), which estimate a person’s degree of an inside strength and attitude to the world around, and by that maintaining health. A person with high level of SOC have been seen to have an adaptive health behaviour. The aim was to investigate a person’s ability to maintaining health, in terms of Sense of coherence in relation to oral health. Method: A stratified random sample of 910 individuals from Jönkping, Sweden, aged 20,30,40,50,60,70 and 80 years old, was used. The investigation contained the Swedish short version of The orientation to life questionnaire (SOC) with 13-items and a self-reported questionnaire about demographic information, oral health related behaviour and attitudes to oral health. These questionnaires were distributed in addition to the clinical and radiographical examination. Results: A total of 525 individuals participated in the study, 261 men and 264 women. Mean SOC scores increased with age, and the youngest group (20-year-olds) had a significantly lower SOC score compared to the other age groups. Bivariate results showed that individuals with higher SOC scores had statistically significant relationships with oral clinical status such as more decayed filled surfaces (DFS), less caries severity, less teeth with calculus and a higher degree of periodontal health. SOC was also significantly associated with gingivitis and dental plaque, after controlling for socioeconomic and demographic factors. Conclusions: Younger individuals had lower SOC scores compared to elderly individuals. Some statistical associations were found between SOC scores and oral health with regard to several important oral clinical variables and higher SOC scores may indicate a protective determinant for gingivitis and plaque.

     

  • 43.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    Känsla av sammanhang och oral hälsaIn: Sveriges Tandhygienistförening - Nationell konferens, GöteborgConference paper (Refereed)
    Abstract [sv]

    Syfte: Det finns få studier som analyserat den komplexa interaktionen mellan biologiska, sociala och miljömässiga faktorer och dess inverkan på oral hälsa. Det finns därför behov av att öka kunskapen om dessa samband avseende individers hälso- respektive ohälsobeteende i relation till oral hälsa. Ett sätt att mäta individens hälsobeteende är med ’Känslan av sammanhang’ (KASAM), vilket skattar en persons förhållningssätt till sin omvärld, och därmed förmåga till upprätthållande av hälsa . Övergripande målsättning med forskningsprojektet är att hos vuxna individer studera och analysera personers förmåga till upprätthållande av hälsa, i termer av KASAM, i relation till oral hälsa, kost, attityder till tandvård och prevention. Material och Metod: Ett slumpmässigt urval med 589 individer från Jönköpings kommun i åldrarna 20-80 år deltog i studien. I samband med en odontologisk klinisk och röntgenologisk undersökning besvarade deltagarna frågeformulär om tandvårdsvanor, tandhälsa och Antonovsky`s frågeformulär (13 frågor). Statistiska analyser görs med hjälp av SPSS, 14.0. Resultat: Analys av KASAM och dess fördelning i en normalpopulation visar att 20-åringar har en statistiskt signifikant lägre KASAM jämfört med övriga åldersgrupper. KASAM tenderar att stiga med åldern. Äldre män har ett statistiskt signifikant högre KASAM jämfört med jämnåriga kvinnor. Preliminära resultat av KASAM och oral hälsa visar på signifikanta skillnader mellan individer med hög och låg KASAM relaterat till karies- och fyllningsfrekvens. Slutsatser: Distributionen av KASAM fördelar sig olika för olika åldrar och kön. Det föreligger ett samband mellan KASAM och oral hälsa.

  • 44.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health Science, HHJ. Oral health.
    "Sense of coherence" and oral health in an adult population: an epidemiological study2007In: 7th conference on advances in health care science research, 2007Conference paper (Other (popular science, discussion, etc.))
    Abstract [en]

    Objective: The aim was to investigate the individual distribution regarding ‘Sense of coherence’ (SOC) and oral health in an adult population. Method: A random sample of 589 individuals from Jönköping, Sweden, aged 20,30,40,50,60,70 and 80 years old, was used. Clinical and radiographical examinations were performed and a questionnaire measuring attitudes, knowledge of oral health and SOC (13-items) was included. Total SOC score and the three components; comprehensibility, manageability and meaningfulness which SOC is built upon was analyzed. Results: A total of 526 individuals participated in the study, 263 men and 263 women. The individual SOC score showed an increase with age, and the youngest group (20 years) had a significantly lower SOC score compared to the other age groups. Elderly men had a statistical significantly higher SOC compared to the elderly women (60 and 70 age groups). Analysing the three components, comprehensibility had statistical significantly higher mean SOC score, compared to manageability and meaningfulness. When dividing the participants into two subgroups, one with low (<66 points) and one with high (> 76 points) SOC score respectively, 55% among 20 years old had low SOC score compared to 18% for 80 years olds. The result described different personalities, depending on high and low SOC scores in comprehensibility, manageability and meaningfulness, according to Antonovsky´s model about the dynamic relations between the three components in SOC. Preliminary results showed that individuals with high SOC had statistical significant more number of decayed and filled surfaces (DFS) compared to individuals with low SOC. Conclusion: The distribution of SOC score differed regarding age and gender. Younger individuals had lower SOC scores compared to elderly individuals. A clear association was found between SOC scores and oral health measured by number of DFS.

  • 45.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ. Oral health.
    The distribution of 'sense of coherence' and oral health among Swedish adults: an epidemiological study2008In: Scientific conference On the occation of the 45th Foundation Anniversary cermony, DaNang, Vietnam, 2008Conference paper (Refereed)
    Abstract [en]

    Objective: Antonovsky´s concept ‘Sense of coherence’ (SOC) has shown to be related with health, and a person with high level of SOC has an adaptive health behavior. The aim was to investigate the individual distribution regarding ‘Sense of coherence’ and oral health in an adult population. Method: A random sample of 589 individuals from Jönköping, Sweden, aged 20,30,40,50,60,70 and 80 years old, was used. Clinical and radio graphical examinations were performed and a questionnaire measuring attitudes, knowledge of oral health and SOC (13-items) was included. Total SOC score and the three components; comprehensibility, manageability and meaningfulness which SOC is built upon was analyzed. Results: A total of 526 individuals participated in the study, 263 men and 263 women. The individual SOC showed an increase with age, and the youngest group (20-year-olds) had a significantly lower SOC compared to the other age groups. Elderly men had a significantly higher SOC compared to women in the same age (60 and 70 age groups). Analysing the three components, comprehensibility has significantly lower mean, compared to manageability and meaningfulness for the 20-year-olds. When divided SOC score in low (<66 points) and high (>76 points) SOC score, 55% among 20-years-old had low SOC score compared to 18% for 80-years-old. Preliminary results showed that individuals with high SOC score had significant more number of decayed and filled surfaces (DFS) compared to individuals with low SOC. Conclusion: The distribution of SOC score differed regarding age and gender. Younger people had a lower SOC score compared to elderly age groups. A clear association was found between SOC scores and oral health measured by number of DFS.

  • 46.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. HHJ. Oral health.
    Hugoson, Anders
    Jönköping University, School of Health Science, HHJ, Dep. of Natural Science and Biomedicine. HHJ. Oral health.
    Stenström, Ulf
    Socialhögskolan, Växjö Universitet.
    Wärnberg Gerdin, Elisabeth
    Centrum för folkhälsovetenskap, Linköping.
    Oral hälsa och individens känsla av sammanhang, en epidemiologisk studie2005In: Odontologisk riksstämma, 2005Conference paper (Other (popular scientific, debate etc.))
  • 47.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ADULT.
    Jansson, Henrik
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Oral health. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Periodontology, Centre of Oral Health Sciences, Malmö University, Malmö, Sweden.
    Lannering, Christina
    Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Region Jönköping County, Futurum, Ryhov, Jönköping, Sweden.
    Johansson, Linda
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology.
    Oral health matters for the nutritional status of older persons: A population-based study2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 5-6, p. 1143-1152Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore the association between oral health and nutritional status in the context of daily care for older people.

    BACKGROUND: Oral problems often increase with age and affect a person's ability to chew and swallow. They might also influence the ability to maintain a satisfactory nutritional status. Oral health awareness is therefore of great importance in nursing care for older people.

    DESIGN: A retrospective cross-sectional study.

    METHODS: Data from the Swedish quality register, Senior Alert, were used, including structured assessments of both oral and nutritional status using the Revised Oral Assessment Guide-Jönköping and the Mini Nutritional Assessment. In total, 1,156 persons (mean age: 82.8 ± 7.9) had both oral and nutritional assessments registered by the nursing staff in daily care.

    RESULTS: Approximately 29% of participants had moderate oral health problems. Another 12% had severe problems. Over 60% of the persons were considered at risk of malnutrition or were malnourished. There was a weak correlation between poor nutritional status and poor oral health, and approximately one-third of the persons who were at risk or malnourished had simultaneous oral problems. A multivariate logistic regression revealed that when problems involving voice and swallowing were present, there was also a greater possibility of being assessed as at risk of malnourishment or being malnourished.

    CONCLUSION: There is a relationship between oral health problems and nutritional status, indicating the importance of evaluating oral health status in older persons with nutritional problems.

    RELEVANCE TO CLINICAL PRACTICE: Nursing staff involved in care for older people should be aware of the importance of including regular oral health check-ups in their work. There is also a need for nursing staff members and oral health professionals to exchange knowledge.

  • 48.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Norderyd, O.
    Malmberg, Bo
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    What is oral health-related quality of life and is it related to loneliness in older persons?2019Conference paper (Refereed)
  • 49.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine. Jönköping University, School of Health and Welfare, HHJ. Centre for Oral Health.
    Skott, Pia
    Stenberg, Inger
    Wårdh, Inger
    Gerodonti: äldretandvård i teori och praktik2019Book (Other (popular science, discussion, etc.))
  • 50.
    Lindmark, Ulrika
    et al.
    Jönköping University, School of Health and Welfare, HHJ, Dep. of Natural Science and Biomedicine.
    Stegmayr, Birgitta
    Nilsson, Berit
    Lindahl, Bernt
    Johansson, Ingegerd
    Food selection associated with sense of coherence in adults.2005In: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 4, article id 4Article in journal (Refereed)
    Abstract [en]

    Background

    We have previously shown that irregular lifestyle of young Japanese female students are significantly related to their desire to be thinner. In the present study, we examined the nutritional knowledge and food habits of Chinese university students and compared them with those of other Asian populations.

    Methods

    A self-reported questionnaire was administered to 540 students, ranging in age from 19-24 years. Medical students from Beijing University (135 men and 150 women) in Northern China and Kunming Medical College in southern China (95 men and 160 women) participated in this study. The parametric variables were analyzed using the Student's t-test. Chi-square analyses were conducted for non-parametric variables

    Results

    Our results showed that 80.5% of students had a normal BMI and 16.6 % of students were underweight with the prevalence of BMI>30 obesity being very low in this study sample. Young Chinese female students had a greater desire to be thinner (62.0%) than males (47.4%). Habits involving regular eating patterns and vegetable intake were reported and represent practices that ought to be encouraged.

    Conclusions

    The university and college arenas represent the final opportunity for the health and nutritional education of a large number of students from the educator's perspective. Our findings suggest the need for strategies designed to improve competence in the area of nutrition.

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