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  • 1701.
    Zupanic, E.
    et al.
    Karolinska Institutet, Department of Neurobiology- Care Sciences and Society, Center for Alzheimer Research, Huddinge, Sweden.
    Garcia-Ptacek, S.
    Karolinska Institutet, Department of Neurobiology- Care Sciences and Society, Center for Alzheimer Research, Huddinge, Sweden.
    Kåreholt, Ingemar
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Religa, D.
    Karolinska Institutet, Department of Neurobiology- Care Sciences and Society, Center for Alzheimer Research, Huddinge, Sweden.
    Kramberger, M.
    University Medical Centre, Ljubljana, Department of Neurology, Ljubljana, Slovenia.
    Norrving, B.
    Lund University, Skåne University Hospital, Department of Clinical Sciences Lund, Lund, Sweden.
    Eriksdotter, M.
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Huddinge, Sweden.
    von Euler, M.
    Karolinska Institut, Medicine Solna and Clinical Science and Education, Södersjukhuset, Stockholm, Sweden.
    Differences between men and women with ischemic stroke with and without pre-stroke dementia2018Konferensbidrag (Refereegranskat)
  • 1702.
    Zupanic, E.
    et al.
    Karolinska Institutet, Department of Neurobiology- Care Sciences and Society, Center for Alzheimer Research, Huddinge, Sweden.
    Garcia-Ptacek, S.
    Karolinska Institutet, Department of Neurobiology- Care Sciences and Society, Center for Alzheimer Research, Huddinge, Sweden.
    Kåreholt, Ingemar
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Religa, D.
    Karolinska Institutet, Department of Neurobiology- Care Sciences and Society, Center for Alzheimer Research, Huddinge, Sweden.
    Kramberger, M.
    University Medical Centre, Ljubljana, Department of Neurology, Ljubljana, Slovenia.
    Norrving, B.
    Lund University, Skåne University Hospital, Department of Clinical Sciences Lund, Lund, Sweden.
    Eriksdotter, M.
    Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Center for Alzheimer Research, Huddinge, Sweden.
    von Euler, M.
    Karolinska Institut, Medicine Solna and Clinical Science and Education, Södersjukhuset, Stockholm, Sweden.
    Differences between men and women with ischemic stroke with and without pre-stroke dementia2018Ingår i: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881, Vol. 3, nr 1 (suppl.), s. 57-57Artikel i tidskrift (Refereegranskat)
  • 1703. Zupanic, Eva
    et al.
    Kramberger, Milica G.
    Von Euler, Mia
    Norrving, Bo
    Winblad, Bengt
    Secnik, Juraj
    Fastbom, Johan
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI).
    Eriksdotter, Maria
    Garcia-Ptacek, Sara
    Secondary Stroke Prevention After Ischemic Stroke in Patients with Alzheimer's Disease and Other Dementia Disorders2020Ingår i: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 73, nr 3, s. 1013-1021Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Recurrent ischemic stroke (IS) increases the risk of cognitive decline. To lower the risk of recurrent IS, secondary prevention is essential. Objective: Our aim was to compare post-discharge secondary IS prevention and its maintenance up to 3 years after first IS in patients with and without Alzheimer's disease and other dementia disorders. Methods: Prospective open-cohort study 2007-2014 from the Swedish national dementia registry (SveDem) and the Swedish national stroke registry (Riksstroke). Patients with dementia who experienced an IS (n = 1410; 332 [23.5%] with Alzheimer's disease) were compared with matched non-dementia IS patients (n = 7150). We analyzed antiplatelet, anticoagulant, blood pressure lowering, and statin treatment as planned medication initiation at discharge and actual dispensation of medications at first, second, and third year post-stroke. Results: At discharge, planned initiation of medication was higher in patients with dementia compared to non-dementia patients for antiplatelets (OR with 95% CI for fully adjusted models 1.23 [1.02-1.48]) and lower for blood pressure lowering medication (BPLM; 0.57 [0.49-0.67]), statins (0.57 [0.50-0.66]), and anticoagulants (in patients with atrial fibrillation - AF; 0.41 [0.32-0.53]). When analysis for antiplatelets was stratified according to the presence of AF, ORs for receiving antiplatelets remained significant only in the presence of AF (in the presence of AF 1.56 [1.21-2.01], in patients without AF 0.99 [0.75-1.33]). Similar trends were observed in 1st, 2nd, and 3rd year post-stroke. Conclusions: Dementia was a predictor of lower statin and BPLM use. Patients with dementia and AF were more likely to be prescribed antiplatelets and less likely to receive anticoagulants.

  • 1704. Zwoinska, Martyna K.
    et al.
    Kolm, Niclas
    Stockholms universitet, Naturvetenskapliga fakulteten, Zoologiska institutionen.
    Maklakov, Alexei A.
    Sex differences in cognitive ageing: Testing predictions derived from life-history theory in a dioecious nematode2013Ingår i: Experimental Gerontology, ISSN 0531-5565, E-ISSN 1873-6815, Vol. 48, nr 12, s. 1469-1472Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Life-history theory maintains that organisms allocate limited resources to different traits to maximize fitness. Learning ability and memory are costly and known to trade-off with longevity in invertebrates. However, since the relationship between longevity and fitness often differs between the sexes, it is likely that sexes will differentially resolve the trade-off between learning and longevity. We used an established associative learning paradigm in the dioecious nematode Caenorhabditis remanei, which is sexually dimorphic for lifespan, to study age-related learning ability in males and females. In particular, we tested the hypothesis that females (the shorter-lived sex) show higher learning ability than males early in life but senesce faster. Indeed, young females outperformed young males in learning a novel association between an odour (butanone) and food (bacteria). However, while learning ability and offspring production declined rapidly with age in females, males maintained high levels of these traits until mid-age. These results not only demonstrate sexual dimorphismin age-related learning ability but also suggest that it conforms to predictions derived from the life-history theory.

  • 1705.
    Åberg, Cecilia
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Jönköping University, HHJ. ARN-J (Aging Research Network - Jönköping).
    Striving for meaning in a diminishing world: Older persons’ experiences of reflective STRENGTH-giving dialogues including a digital tool2022Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The Reflective STRENGTH-Giving Dialogue (STRENGTH) method was developed, grounded in a lifeworld perspective, with a focus on identifying and meeting older persons’ needs for the promotion of health and well-being. In this thesis, STRENGTH, including the digital tool SelfSTRENGTH, was tested in the context of community-dwelling older persons living with long-term health problems.

    The overall aim was to describe how life with long-term health problems is experienced and influenced by the Reflective STRENGTH-Giving Dialogue intervention, including the SelfSTRENGTH app, by community-dwelling older persons.

    The research was conducted based on a reflective lifeworld approach, through qualitative and quantitative method studies. Three of the studies had a qualitative, descriptive, and inductive design based on individual interviews and reflection notes with the older persons in the intervention group (Papers I–III). Analysis was conducted using phenomenology (Papers I–II), and phenomenography (Paper III). One study had a quasi-experimental pretest-posttest no-treatment control group design (Paper IV), and was analyzed using nonparametric paired statistics. Altogether, 60 older persons in the fourth age participated in the studies.

    The finding showed, according to self-reports, that STRENGTH immediately and significantly reduced the impact of health problems on daily life, and increased well-being after each single dialogue. The content and outcome of the dialogues are affected by intersubjectivity, which is influenced by the healthcare professional (HCP) and the older person’s ability, as well as the relationship between them. STRENGTH dialogues that have an existential dimension are described as a starting point to provide a “push” toward joy and meaning. When the understanding of an older person’s holistic situation, including the past, present, and future, is tactfully and sensitively challenged with reflection and an emphasis on possibilities, the dialogues support joy and meaning in life. Dialogues of this nature have been lacking, as older persons may choose not to have that conversation with their family or HCPs, and HCPs may not attend to the older person’s existential needs and concerns. It is important when living in the feeling of a diminishing world for older persons to be involved in decisions that concern their lives and care, and to engage in life projects that improve well-being. This is made possible through the dialogues and use of the SelfSTRENGTH app. However, use of the app is hindered by resistance to digital technology and the occurrence of health problems.

    To foster healthy ageing, HCPs need increased knowledge and favorable conditions for caring conversations and provision of digital support that older persons with long-term health problems need for participation in a digital society.

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  • 1706.
    Åberg, Cecilia
    Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Striving for meaning in a diminishing world: Older persons’ experiences of reflective STRENGTH-giving dialogues including a digital tool2022Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The Reflective STRENGTH-Giving Dialogue (STRENGTH) method was developed, grounded in a lifeworld perspective, with a focus on identifying and meeting older persons’ needs for the promotion of health and well-being. In this thesis, STRENGTH, including the digital tool SelfSTRENGTH, was tested in the context of community-dwelling older persons living with long-term health problems.

    The overall aim was to describe how life with long-term health problems is experienced and influenced by the Reflective STRENGTH-Giving Dialogue intervention, including the SelfSTRENGTH app, by community-dwelling older persons.

    The research was conducted based on a reflective lifeworld approach, through qualitative and quantitative method studies. Three of the studies had a qualitative, descriptive, and inductive design based on individual interviews and reflection notes with the older persons in the intervention group (Papers I–III). Analysis was conducted using phenomenology (Papers I–II), and phenomenography (Paper III). One study had a quasi-experimental pretest-posttest no-treatment control group design (Paper IV), and was analyzed using nonparametric paired statistics. Altogether, 60 older persons in the fourth age participated in the studies.

    The finding showed, according to self-reports, that STRENGTH immediately and significantly reduced the impact of health problems on daily life, and increased well-being after each single dialogue. The content and outcome of the dialogues are affected by intersubjectivity, which is influenced by the healthcare professional (HCP) and the older person’s ability, as well as the relationship between them. STRENGTH dialogues that have an existential dimension are described as a starting point to provide a “push” toward joy and meaning. When the understanding of an older person’s holistic situation, including the past, present, and future, is tactfully and sensitively challenged with reflection and an emphasis on possibilities, the dialogues support joy and meaning in life. Dialogues of this nature have been lacking, as older persons may choose not to have that conversation with their family or HCPs, and HCPs may not attend to the older person’s existential needs and concerns. It is important when living in the feeling of a diminishing world for older persons to be involved in decisions that concern their lives and care, and to engage in life projects that improve well-being. This is made possible through the dialogues and use of the SelfSTRENGTH app. However, use of the app is hindered by resistance to digital technology and the occurrence of health problems.

    To foster healthy ageing, HCPs need increased knowledge and favorable conditions for caring conversations and provision of digital support that older persons with long-term health problems need for participation in a digital society.

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  • 1707.
    Åberg, Cecilia
    et al.
    Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Berglund, Mia
    School of Health Sciences, University of Skövde, Skövde, Sweden.
    Hallgren, Jenny
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). School of Health Sciences, University of Skövde, Skövde, Sweden.
    Gillsjö, Catharina
    School of Health Sciences, University of Skövde, Skövde, Sweden.
    Older persons’ experiences of Reflective STRENGTH-Giving Dialogues – ‘It's a push to move forward’2021Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 35, nr 3, s. 779-787Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Rationale: Experiences of the innovative method Reflective STRENGTH-Giving Dialogue (STRENGTH), which is grounded in a lifeworld perspective and developed to improve quality of care, is described in this study. Innovative thinking in developing health and social care, which may include digital solutions, is required to ensure a meaningful and dignified life in old age.

    Aim: The aim of this study was to describe experiences of the intervention Reflective STRENGTH-Giving Dialogue from the perspective of older persons living with long-term health problems.

    Method: Individual qualitative interviews were conducted with 27 older persons who participated in the intervention. The older persons wrote notes from each dialogue in booklets, and the booklets became part of the study data, analysed with a Reflective Lifeworld Research approach.

    Results: STRENGTH is experienced as an opportunity to reflect upon life and identify small and large life projects. Dialogues that lead to change in thoughts and actions influence the older persons' well-being, sense of balance, joy and meaning in life. There is an experience of STRENGTH as a starting point and a push to move forward in an effort to experience joy and meaning in life when living with long-term health problems.

    Conclusions: STRENGTH has the potential to contribute to quality improvement in person-centred care and enhance meaning in life for older persons living with long-term health problems. However, the use of a digital tool in this particular context poses challenges that must be considered.

  • 1708.
    Åberg, Cecilia
    et al.
    Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). School of Health Sciences, University of Skövde, Skövde, Sweden.
    Gillsjö, C.
    School of Health Sciences, University of Skövde, Skövde, Sweden.
    Hallgren, Jenny
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). School of Health Sciences, University of Skövde, Skövde, Sweden.
    Berglund, M.
    School of Health Sciences, University of Skövde, Skövde, Sweden.
    “It is like living in a diminishing world”: older persons’ experiences of living with long-term health problems–prior to the STRENGTH intervention2020Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, nr 1, artikel-id 1747251Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Ageing is often associated with multiple long-term health problems influencing older persons’ well-being in daily living. It is not unusual that the point of interest in research is often on the management of the actual health problem instead of being holistic and person-centred. Purpose: To describe the phenomenon of living with long-term health problems that influence daily living, from the older persons’ perspective. Methods: Qualitative individual interviews were conducted with 34 older persons living with long-term health problems. The data were analysed using a Reflected Lifeworld Research (RLR) approach, grounded in phenomenology. Results: Life with long-term health problems entails living in a diminishing world. It entails living in uncertainty, not being able to trust one’s own ability. The freedom to make decisions of your own is deprived by relatives and health-care providers. Living with long-term health problems entails being dependent on support in daily life and a strive to maintain meaningfulness in daily living. Conclusions: The results address a need for extended individual and holistic guidance and support in living with long-term health problems to increase the older person’s sense of well-being and meaning in life.

  • 1709.
    Åberg, Cecilia
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping), Sweden.
    Gillsjö, Catharina
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. College of Nursing, University of Rhode Island, Kingston, RI, USA.
    Berglund, Mia
    Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Högskolan i Skövde, Institutionen för hälsovetenskaper.
    Hallgren, Jenny
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Jönköping University, School of Health and Welfare, Sweden.
    Experiences of a digital health innovation for older persons living with long-term health problems: The SelfSTRENGTH applicationIngår i: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472Artikel i tidskrift (Övrigt vetenskapligt)
  • 1710.
    Åberg, Cecilia
    et al.
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping), Sweden.
    Gillsjö, Catharina
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. College of Nursing, University of Rhode Island, Kingston, RI, USA.
    Hallgren, Jenny
    Högskolan i Skövde, Institutionen för hälsovetenskaper. Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Jönköping University, School of Health and Welfare, Sweden.
    Berglund, Mia
    Högskolan i Skövde, Forskningsmiljön hälsa, hållbarhet och digitalisering. Högskolan i Skövde, Institutionen för hälsovetenskaper.
    Health Outcomes Following the Health-Promoting “Reflective STRENGTH-Giving Dialogue” Intervention Among Community-Dwelling Older AdultsIngår i: Nursing Open, E-ISSN 2054-1058Artikel i tidskrift (Övrigt vetenskapligt)
  • 1711.
    Åberg-Holm, Charlotte Margareta
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Bemästring och livserfarenheter hos 100-åriga finlandssvenskar: - en studie av livsberättelser2017Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Studiens syfte är att ur ett livsloppsperspektiv belysa vilka bemästringsstrategier finlandssvenskar i åldern 100-103 år har använt från barndomen till ålderdomen. Fokus läggs främst på bemästring av svårigheter, men studien tar även fasta på hur man som 100-åring ser på livet idag och på framtiden.

    För studien intervjuades tre kvinnor och två män i Finland. En kvalitativ innehållsanalys användes för att tolka intervjumaterialet.

    Studiens resultat visar att de intervjuade som barn i Finland i början av 1900-talet fick bemästra genom att acceptera och vara i ödets händer. I vuxenlivet tog de däremot kontroll över sina liv och vägde ofta fördelar mot nackdelar. Idag som 100-åringar vill de behålla kontrollen trots behov av hjälp, men ser också tillbaka på och accepterar livet som helhet. Vissa strategier syns även över längre perioder i livet. Behovet av socialt stöd är en viktig aspekt, men även individens inställning till livet har stor roll.

    Resultatet visar hur viktigt det är att låta till och med 100-åringar behålla sin självbestämmanderätt för att själva kunna bemästra svårigheter.

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  • 1712.
    Ågren, Helena
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköpings kommun.
    Självbestämmande och inflytande i vardagen: Äldre personers uppfattningar om självbestämmande och inflytande relaterat till rambeslut i hemtjänsten2016Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet var att undersöka äldre personers uppfattningar om självbestämmande och inflytande relaterat till rambeslut i hemtjänsten. Att respektera individens rätt till självbestämmande och inflytande är grundläggande värden och förhållningssätt i svensk äldreomsorg. Rambeslut i hemtjänsten är ett salutogent arbetssätt som syftar till att i högre utsträckning stärka individens möjlighet till självbestämmande och att utöva inflytande över insatsernas utformning avseende hur och när de ska utföras. Uppsatsen tar sin utgångspunkt i den salutogena teorin.

     

    Studien genomfördes med kvalitativ metod. Åtta äldre personer deltog i semistrukturerade intervjuer. Intervjuerna bandades och transkriberades ordagrant och analyserades med kvalitativ innehållsanalys. Deltagarna ingick i ett pilotprojekt där rambeslut skulle utvecklas för att därefter införas för alla hemtjänstkunder i den aktuella kommunen.

     

    Analysen resulterade i tre kategorier som beskriver äldres uppfattningar om självbestämmande och inflytande relaterat till rambeslut i hemtjänsten. Kategorierna inkluderade 1) de äldres vaga uppfattningar om innebörden av begreppen, 2) vad de äldre tycker är viktigt att ha inflytande över och 3) att de äldre uppfattar sig ha inflytande i stunden men inte i planeringen. De äldre uttryckte bland annat att det är viktigt att ha inflytande över när man ska få sin hemtjänst, hur städningen utförs och att det finns flexibilitet utifrån dagsform. En slutsats som kan dras utifrån detta är att det som de äldre tycker är viktigt att ha självbestämmande och inflytande över stämmer väl överens med intentionerna för införandet av rambeslut. En annan slutsats är att de äldre uppfattar att de har självbestämmande och inflytande i stunden, i den faktiska vardagen, men inte i själva planeringen av insatserna. En tredje slutsats är att samtliga tre salutogena faktorer, begriplighet, hanterbarhet och meningsfullhet, är essentiella för att rambeslutets intentioner om ökat självbestämmande och inflytande ska uppnås.

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  • 1713.
    Åhlin, Julia K.
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen, Stressforskningsinstitutet.
    Halonen, Jaana
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen, Stressforskningsinstitutet. Finnish Institute for Health and Welfare, Finland.
    Madsen, Ida E. H.
    Rugulies, Reiner
    Sørensen, Jeppe K.
    Magnusson Hanson, Linda L.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Psykologiska institutionen, Stressforskningsinstitutet.
    Interrelationships between job demands, low back pain and depression: A four-way decomposition analysis of direct and indirect effects of job demands through mediation and/or interaction2021Ingår i: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 282, s. 219-226Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Psychosocial work stressors may lead to low back pain (LBP) through depressive symptoms or to depression through LBP. Depressive symptoms or LBP may also modify these associations.

    Methods: We examined prospective interrelationships between job demands, LBP and depsive symptoms. We used comparable data from three consecutive biennial surveys in 2010-2016, from the Swedish Longitudinal Occupational Survey of Health (SLOSH) and the Work Environment and Health in Denmark (WEHD) cohorts, broadly representative of the working populations in Sweden and Denmark. We conducted multivariate counterfactual based mediation analyses allowing for four-way decomposition of the total effect of job demands, on incident LBP (N=2813, 2701) and incident major depression (N=3707, 5496). The four components estimated direct and indirect effects through mediation and/or interaction.

    Results: We observed no association between job demands and incident LBP four years later, but job demands was associated with later major depression (relative risks=1.88, 95% confidence interval=1.45-2.31 in SLOSH and 1.64, 1.18-2.11 in WEHD, adjusted for age, sex, panel (SLOSH data), education, cohabitation, physically strenuous work and chronic diseases. About 37% of the association was attributed to interaction between job demands and LBP in SLOSH. No interaction was found in WEHD. LBP partly mediated the relationship, by 14% in SLOSH and 2%, while statistically insignificant in WEHD.

    Limitations: Possible limitations include lack of comparable data on disabling low back pain, different scales for depressive symptoms, misclassification and residual confounding. Conclusions: This suggests mainly a direct effect of job demands on major depression, or through other pathways than LBP.

  • 1714.
    Åhnby, Ulla
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Äldres livsvillkor och omsorg. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Henning, Cecilia
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Forskningsplattformen socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. Äldres livsvillkor och omsorg. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete.
    Future Workshop for Empowerment in Eldercare: Examples from Sweden2009Ingår i: Perspectives on Empowerment, Social Cohesion and Democracy / [ed] Cecilia Henning & Karin Renblad, Jönköping: School of Health Sciences, Jönköping University , 2009, s. 161-184Kapitel i bok, del av antologi (Övrigt vetenskapligt)
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  • 1715. Åkerborg, Örjan
    et al.
    Lang, Andrea
    Wimo, Anders
    Sköldunger, Anders
    Fratiglioni, Laura
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI).
    Gaudig, Maren
    Rosenlund, Mats
    Cost of Dementia and Its Correlation With Dependence2016Ingår i: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 28, nr 8, s. 1448-1464Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To estimate the cost of dementia care and its relation to dependence. Method: Disease severity and health care resource utilization was retrieved from the Swedish National Study on Aging and Care. Informal care was assessed with the Resource Utilization in Dementia instrument. A path model investigates the relationship between annual cost of care and dependence, cognitive ability, functioning, neuropsychiatric symptoms, and comorbidities. Results: Average annual cost among patients diagnosed with dementia was Euro43,259, primarily incurred by accommodation. Resource use, that is, institutional care, community care, and accommodation, and corresponding costs increased significantly by increasing dependency. Path analysis showed that cognitive ability, functioning, and neuropsychiatric symptoms were significantly correlated with dependence, which in turn had a strong impact on annual cost. Discussion: This study confirms that cost of dementia care increases with dependence and that the impact of other disease indicators is mainly mediated by dependence.

  • 1716.
    Åkerstedt, Torbjörn
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet. Karolinska Institute, Sweden.
    Discacciati, Andrea
    Miley-Åkerstedt, Anna
    Westerlund, Hugo
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet.
    Aging and the Change in Fatigue and Sleep - A Longitudinal Study Across 8 Years in Three Age Groups2018Ingår i: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 9, artikel-id 234Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Fatigue is prevalent in the population and usually linked to sleep problems, and both are related to age. However, previous studies have been cross-sectional. The purpose of the present study was to investigate the trajectories of sleep and fatigue across 8 years of aging in a large group (N > 8.000) of individuals. A second purpose was to investigate whether fatigue trajectories would differ between age groups, and whether different trajectories of fatigue would be reflected in a corresponding difference in trajectories for sleep variables. Results from mixed model analyses showed that fatigue decreased across 8 years in all age groups, while sleep problems increased, non-restorative sleep decreased, weekend sleep duration decreased, and weekday sleep duration showed different patterns depending on age. Furthermore, the larger the decrease in fatigue, the larger was the increase in sleep duration across years, the lower was the increase of sleep problems, and the larger was the decrease of non-restorative sleep. The results suggest that aging has positive effects on fatigue and sleep and that these changes are linked.

  • 1717.
    Åkerstedt, Torbjörn
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Stressforskningsinstitutet. Karolinska Institutet, Sweden.
    Ghilotti, Francesca
    Grotta, Alessandra
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om ojämlikhet i hälsa (CHESS). Karolinska Institutet, Sweden.
    Zhao, Hongwei
    Adami, Hans-Olov
    Trolle-Lagerros, Ylva
    Bellocco, Rino
    Sleep duration and mortality - Does weekend sleep matter?2019Ingår i: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, Vol. 28, nr 1, artikel-id e12712Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Previous studies have found a U-shaped relationship between mortality and (weekday) sleep duration. We here address the association of both weekday and weekend sleep duration with overall mortality. A cohort of 43,880 subjects was followed for 13 years through record-linkages. Cox proportional hazards regression models with attained age as time-scale were fitted to estimate multivariable-adjusted hazard ratios and 95% confidence intervals for mortality; stratified analyses on age (<65 years, >= 65 years) were conducted. Among individuals <65 years old, short sleep (<= 5 hr) during weekends at baseline was associated with a 52% higher mortality rate (hazard ratios 1.52; 95% confidence intervals 1.15-2.02) compared with the reference group (7 hr), while no association was observed for long (>= 9 hr) weekend sleep. When, instead, different combinations of weekday and weekend sleep durations were analysed, we observed a detrimental association with consistently sleeping <= 5 hr (hazard ratios 1.65; 95% confidence intervals 1.22-2.23) or >= 8 hr (hazard ratios 1.25; 95% confidence intervals 1.05-1.50), compared with consistently sleeping 6-7 hr per day (reference). The mortality rate among participants with short sleep during weekdays, but long sleep during weekends, did not differ from the rate of the reference group. Among individuals >= 65 years old, no association between weekend sleep or weekday/weekend sleep durations and mortality was observed. In conclusion, short, but not long, weekend sleep was associated with an increased mortality in subjects <65 years. In the same age group, short sleep (or long sleep) on both weekdays and weekend showed increased mortality. Possibly, long weekend sleep may compensate for short weekday sleep.

  • 1718.
    Åström Malm, Ida
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. ADULT. Jönköping University, Hälsohögskolan, HHJ. Biomedicinsk plattform.
    Alehagen, U.
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Blomstrand, Peter
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. Biomedicinsk plattform. Department of Clinical Physiology, County Hospital Ryhov, Jönköping, Sweden.
    Dahlström, U.
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    De Basso, Rachel
    Jönköping University, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Jönköping University, Hälsohögskolan, HHJ. Biomedicinsk plattform.
    Higher blood pressure in elderly hypertensive females, with increased arterial stiffness and blood pressure in females with the Fibrillin-1 2/3 genotype2020Ingår i: BMC Cardiovascular Disorders, ISSN 1471-2261, E-ISSN 1471-2261, Vol. 20, nr 1, artikel-id 180Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Elderly patients have a relatively high cardiovascular risk due to increased arterial stiffness, elevated blood pressure and decreased amounts of elastin in the arteries. The composition of the media layer in the arterial wall, comprising elastin, collagen, smooth muscle cells, proteoglycans, fibronectin and fibrillin-1, influences its mechanical properties. Mutations in the fibrillin-1 gene leads to increased aortic stiffness, elevated pulse pressure and aortic root dilatation. This study investigates whether there is a sex difference among hypertensive elderly patients regarding blood pressure, arterial stiffness and fibrillin-1 genotypes. Methods: A total of 315 hypertensive subjects (systolic blood pressure > 140 mmHg) were included in this study (155 men and 160 women aged 71-88 years). Aortic pulse wave velocity and augmentation index were determined using SphygmoCor, and brachial blood pressure was measured using an oscillometric technique. Fibrillin-1 was genotyped by polymerase chain reaction and with a capillary electrophoresis system. Results: Females showed a significantly higher peripheral mean arterial pressure (females; 107.20 mmHg, males 101.6 mmHg, p = 0.008), central mean arterial pressure (females; 107.2 mmHg, males 101.6 mmHg p = 0.008), central systolic blood pressure (females; 148.1 mmHg, males 139.2 mmHg, p < 0.001) and central pulse pressure (females; 68.9 mmHg, males 61.6 mmHg, p = 0.035) than males. Females with the Fibrillin-1 2/3 genotype showed a significantly higher augmentation index (FBN1 2/3; 39.9%, FBN1 2/2 35.0%, FBN1 2/4 35.8, p = 0.029) and systolic blood pressure (FBN1 2/3; 174.6 mmHg, FBN1 2/2168.9 mmHg, FBN1 2/4169.9 mmHg, p = 0.025) than females with the 2/2 and 2/4 genotypes. Conclusion: The findings of this study may indicate that hypertensive elderly females, especially elderly females with Fibrillin-1 2/3, have increased systolic blood pressure and arterial stiffness. 

  • 1719.
    Öberg, Peter
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och psykologi, Socialt arbete.
    Bildtgård, Torbjörn
    Social Work, Stockholm University.
    The impact of new intimate relationships in later life on life satisfaction2013Ingår i: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 53, nr Suppl. 1, s. 61-61Artikel i tidskrift (Övrigt vetenskapligt)
  • 1720.
    Öberg, Sandra
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för omvårdnad.
    Odzakovic, Elzana
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för omvårdnad. Jönköping University, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare.
    Sov bättre med digital terapi2024Ingår i: Äldre i centrum, ISSN 1653-3585, nr 1, s. 48-51Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    Ingress: Äldre personer som är långvarigt sjuka har ofta svårt att sova, vilket kan påverka deras hälsa negativt. Med digital kognitiv beteendeterapi kan de få hjälp, kunskap och möjlighet till egenvårdsbehandling som kan få dem att må bättre.

  • 1721.
    Öberg, Sandra
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för omvårdnad.
    Sandlund, C.
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
    Westerlind, B.
    Department of Geriatrics, County Hospital Ryhov, Jönköping, Sweden.
    Finkel, Deborah
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. Studies on Integrated Health and Welfare (SIHW). Center for Economic and Social Research, University of Southern CA, Los Angeles, CA, United States.
    Johansson, Lennarth
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi.
    The existing state of knowledge about sleep health in community-dwelling older persons: a scoping review2024Ingår i: Annals of Medicine, ISSN 0785-3890, E-ISSN 1365-2060, Vol. 56, nr 1, artikel-id 2353377Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Objectives: It is widely known that sleep disorders are a common problem among older persons. Few reviews have described current knowledge about the holistic concept of sleep health of community-dwelling older people. Aim: This study aimed to describe the current state of knowledge and identify research gaps concerning sleep health among community-dwelling older persons. Method: We conducted a scoping review. Searches were conducted in three databases (Medline, CINAHL, and PsycINFO) to identify scientific articles including outcomes with all five sleep health dimensions (sleep duration, sleep continuity, timing, wakefulness/daytime sleepiness, and sleep quality) among community-dwelling older persons aged ≥65 years. Eight articles were included from a total of 1826 hits, with sample sizes between 1413 and 6485. Results: The sleep health outcomes of community-dwelling older adults differed between the sexes. Older persons with at least two or more poor sleep health dimensions might have increased risk for depression, higher healthcare costs and mortality, while self-reported better sleep health might be associated with lower odds of frailty. Conclusion: Future research is needed to confirm the findings by investigating the multidimensional concept of sleep health in a general older population. The identified knowledge gaps are how persons ≥80 years’ experience their sleep health, and how sleep medicine is prescribed to treat sleep problems in persons ≥80 years in different care contexts.

  • 1722.
    Öhlin, Jerry
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Geriatrik.
    Gustafson, Yngve
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Geriatrik.
    Littbrand, Håkan
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Geriatrik.
    Olofsson, Birgitta
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Toots, Annika
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Avdelningen för fysioterapi.
    Low or declining gait speed is associated with risk of developing dementia over 5 years among people aged 85 years and over2021Ingår i: Journal of Aging and Physical Activity, ISSN 1063-8652, E-ISSN 1543-267X, Vol. 29, nr 4, s. 678-685Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Improving dementia screening procedures beyond simple assessment of current cognitive performance is timely given the ongoing phenomenon of population aging. A slow or declining gait speed (GS) is a potential early indicator of cognitive decline scarcely investigated in very old people. Here, we investigated the 5-year associations of baseline GS, change in GS, and cognitive function with subsequent dementia development in people aged 85 years and older (n = 296) without dementia at baseline. Declining and a slow baseline GS were associated with higher odds of dementia development after adjusting for confounders (e.g., age, sex, and dependency in activities of daily living) and missing GS values at follow-up. The GS decline was associated with cognitive decline in participants who developed dementia. The results support the potential of GS tests to predict future cognitive decline among community- and nursing home-dwelling very old people.

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  • 1723.
    Österholm, Johannes
    et al.
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    Andreassen, Maria
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    Gustavsson, Martha
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    Larsson Ranada, Åsa
    Linköpings universitet, Institutionen för hälsa, medicin och vård, Avdelningen för prevention, rehabilitering och nära vård. Linköpings universitet, Medicinska fakulteten.
    Older people’s experiences of visiting social day centres: The importance of doing and being for health and well-being2023Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 30, nr 1, s. 76-85Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Social day centres can support active and healthy ageing amongst older people. However, little is known regarding the importance of social day centres. Aims/Objectives The aim of this study was to explore how older people visiting social day centres perceive the day centres social influence on their health and well-being. Material and methods Twenty older persons attending social day centres on a regular basis were interviewed regarding activities at the day centre and their importance for active and healthy ageing. The data were analysed using qualitative content analysis. Results The social day centres were described as arenas to provide a structure (and something to do) in the visitors everyday life. By attending a day centre, the participants created a social context with other visitors. Staff acted as facilitators for visitors, helping them to interact with other visitors and to experience the feeling of being needed by others. Conclusions The findings suggest that social day centres are important arenas for creating a sense of context and belongingness amongst older people. Significance This study provides knowledge on how doing and being contribute to healthy and active ageing.

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  • 1724.
    Österholm, Johannes H
    et al.
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande.
    Hydén, Lars-Christer
    Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, NISAL - Nationella institutet för forskning om äldre och åldrande.
    Citizenship as practice: Handling communication problems in encounters between persons with dementia and social workers2016Ingår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 15, nr 6, s. 1457-1473Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The overall aim of the study was to investigate if and how persons with dementia were able to take part in negotiations for formal support, as cases of citizenship as practice. The transcripts used for analysis were from 11 assessment meetings conducted in Sweden, in which the formal applicant was a person with dementia. The findings suggest that the actual participation of persons with dementia in assessment meetings varies. Communication problems were found in the meetings to different degrees and were dealt with differently and with various consequences. For those persons with dementia contributing at the same levels as the other participants, there was an attempt at mutual understanding. For those making fewer contributions, the other interlocutors took over the initiative and thus affected the practice of citizenship by persons with dementia in a negative way. The practice of citizenship is situation based and varies depending on all participants. When the person with dementia is able to participate in the conversation, social workers can facilitate for them to overcome communication problems by giving them more time and signaling acceptance. If the person with dementia has great problems in participating, the other participants can find different strategies to at least involve her or him in the conversation

  • 1725.
    Östlund, Lena
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Vård på lika villkor?2020Ingår i: Äldre och åldrande: grundbok i gerontologi / [ed] Marie Ernsth Bravell & Lena Östlund, Malmö: Gleerups Utbildning AB, 2020, 3, s. 75-94Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 1726.
    Östlund, Lena
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Äldre personers utsatthet för våld i nära relationer: Interprofessionella perspektiv2022Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [sv]

    Frågor om våld i nära relationer är numera vanligt förekommande i media, politiska debatter, offentliga utredningar och lagändringar. Men trots detta uppmärksammas sällan äldre personers utsatthet för våld. Anledningarna kan vara flera, men tanken på att äldre kan utsättas för våld i en nära relation är för många avlägsen.

    Äldre personers utsatthet för våld i nära relationer vill synliggöra att olika typer av våld förekommer mot och bland äldre personer. Men det allra viktigaste är att ge kunskap om hur omgivningen kan uppmärksamma detta och förhindra våld, samt ge hjälp och stöd. Boken belyser det ansvar som olika myndigheter, såsom socialtjänst, hälso- och sjukvård samt tandvård, har. Ett kapitel beskriver rättsprocessen vid en anmälan och ett annat belyser vilka svårigheter en äldre person kan ha när det gäller att söka hjälp och att bryta upp från en relation. Flera kapitel innehåller konkreta råd för hur exempelvis personal kan ge hjälp och stöd.

    Äldre personers utsatthet för våld i nära relationer är i första hand skriven för högskoleutbildningar inom socialt arbete, vård, omsorg och medicin. Boken kan också vara till nytta för alla som vill öka sin kunskap om äldre personers utsatthet för våld i nära relationer.

  • 1727.
    Östlund, Lena
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth-Bravell, Marie
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johansson, Linda
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Working in a gray area: Healthcare staff experiences of receiving consent when caring for persons with dementia2023Ingår i: Dementia, ISSN 1471-3012, E-ISSN 1741-2684, Vol. 22, nr 1, s. 144-160Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Every person has the right to autonomy, and to be involved in decisions about their care. When persons with dementia have difficulties in expressing what they want, their autonomy is challenged. Staff should strive to involve the person in care decisions, to obtain consent and to avoid the use of coercion and restraints. However, care without consent exists and coercion and restraints are being used. In order to improve care, further knowledge is warranted.

    AIMS: The purpose of this study was to explore staff's experiences of obtaining consent when caring for persons with dementia.

    METHODS: In total 14 focus group interviews were conducted with staff with experience of dementia care who work in either home care or residential care in Sweden. An inductive qualitative content analysis was used to analyze the collected data.

    RESULTS: Three categories were generated describing staff experiences of consent in dementia care: the person as the decision-maker, the staff as the decision-makers, and the viability of the consent. Overall, staff found it difficult to know if they really had consent from the individual. Even if the person verbally gave consent, it was challenging to know if the person really understood what they had consented to. Common to all three categories was the significance of the relationship between the person with dementia and staff: getting to know the person, recognizing the person's response in terms of their facial expressions and body language as well as being able to explain and justify specific actions to the person.

    CONCLUSION: Staff need better conditions in dementia care, including training and time to reflect on how to obtain consent. A person-centered approach can be one way to develop care and ensure that persons with dementia are allowed autonomy and to share in making decisions.

  • 1728.
    Östlund, Lena
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Johansson, Linda
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Ernsth-Bravell, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Wellbeing of persons with dementia without restraints and coercion2019Konferensbidrag (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    Poster
  • 1729.
    Östlund, Lena
    et al.
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. Studies on Integrated Health and Welfare (SIHW).
    Sandberg, Jonas
    Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden.
    Skillmark, Mikael
    Jönköping University, Hälsohögskolan, HHJ, Avdelningen för socialt arbete. Jönköping University, Hälsohögskolan, HHJ. Studies on Integrated Health and Welfare (SIHW).
    Ernsth-Bravell, Marie
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. Studies on Integrated Health and Welfare (SIHW).
    Johansson, Linda
    Jönköping University, Hälsohögskolan, HHJ, Institutet för gerontologi. Jönköping University, Hälsohögskolan, HHJ. Studies on Integrated Health and Welfare (SIHW).
    A Swedish study about how staff reason and act when they suspect domestic abuse perpetrated by relatives of persons with dementia2024Ingår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 27, nr 2, s. 387-400Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    Svensk titel: En svensk studie om hur personal resonerar och agerar när demisstänker våld i nära relationer som begås av anhöriga tillpersoner med demenssjukdom.

    Äldre personer med demenssjukdom har flera riskfaktorer för att utsättas för våld i nära relationer, till exempel att vara beroende av andra för att klara det dagliga livet. Syftet med studien var att undersöka hur personal agerar och resonerar vid misstanke om våld i nära relationer som begås av anhöriga till personer med demenssjukdom. Åtta semistrukturerade gruppintervjuer genomfördes med personal (n = 39) som arbetar med personer med demenssjukdom som bor i ordinärt boenden. En tematisk analys genererade två teman; karta saknas för att ge guidning och vara utlämnad till en inre kompass för att finna riktning, vilket tyder på att personalen upplevde en brist på rutiner och riktlinjer att utgå ifrån vid misstanke om våld i nära relation. Detta resulterade i att personalen vidtog åtgärder utifrån sina egna normer, värderingar och erfarenheter vid misstanke om våld i nära relationer. Att inte veta hur man ska agera riskerar att leda till att personalen inte gör något eller har svårighter att hitta effektiva insatser, vilket kan leda till skuldkänslor och etisk stress. Resultatet belyser behovet av att ge personalen verktyg för hur de ska agera vid misstanke om våld i nära relationer, såsom samarbete med andra, kollegor och andra verksamheter där olika alternativ för insatser kan växa fram.

  • 1730. Öylü, Gülin
    et al.
    Motel-Klingebiel, Andreas
    Kelfve, Susanne
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI). Linköping University, Sweden.
    Age Differences in Unemployment Risk and Reemployment Outcomes in Late Working Life in Sweden2024Ingår i: Journal of Aging & Social Policy, ISSN 0895-9420, E-ISSN 1545-0821Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Participation of older workers in the labor market depends, among other things, on older workers employment chances. This study examines age differences regarding risk of unemployment and reemployment outcomes in late working life in Sweden. Using Swedish registry data, we analyzed the probability of unemployment as well as work-related activity following unemployment (wage- or self-employment; exit; downward mobility) of all people born between 1954 and 1968 (aged 49–63) and registered in Sweden between the years 2012 and 2018. Results show that although risk of unemployment does not differ significantly across age groups, younger age groups are more likely to be reemployed as wage-employed while older age groups are more likely to be reemployed as self-employed or exit working life. After an unemployment period, older employees are more likely to have a lower wage than during their previous employment or become part-time unemployed. We conclude that different age groups have unequal chances in late working life in terms of reemployment, risk of exit, and risk of downward mobility following unemployment. Policies for extending working life and promoting inequality should include measures for increasing employability of older workers such as anti-discriminatory laws and dealing with skills mismatch.

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