Institutt for samfunnsmedisin: Recent submissions
Now showing items 1-20 of 1968
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How have changes in accessibility and public funding influenced contraceptive use among Norwegian adolescents? A cohort study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-06-27)Introduction: The Norwegian Government introduced in 2002 a reimbursement scheme for hormonal contraceptives to adolescents at the same time as public health nurses and midwives received authorization to prescribe hormonal contraceptives. This study examines the impact of increased accessibility and public funding on hormonal contraceptive use among adolescents.<p> <p>Material and Methods: ... -
‘The MRI-scan says it is completely normal’: Reassurance attempts in clinical encounters among patients with chronic musculoskeletal pain
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-10-20)In clinical guidelines for patients with chronic musculoskeletal pain, reassurance is a key element. The purpose of reassuring patients is to change their views on their illness and, thereby, their actions. However, when symptoms persist without pathological findings, reassurance can be difficult to achieve. Drawing on observations of nineteen naturally occurring hospital consultations with chronic ... -
HIV Testing and Treatment among HIV-Positive Men who have Sex with Men (MSM) Living in Russia: Data from Two Waves of the European MSM Internet Survey
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-09-02)We examined changes in HIV testing and medical care among men who have sex with men (MSM) in Russia. Data come from the 2010 and 2017 waves of the European MSM Internet Survey. From 2010 to 2017 there was an increase in the proportion who had ever received an HIV test (+11.2%), had tested for HIV in the last year (+2.1%), had ever taken antiretroviral therapy (ART) (+31.9), were currently taking ... -
'What i thought was the dream job was a little different than i had expected': A qualitative study exploring the turnover of IPS employment specialists
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-07-09)BACKGROUND: Individual Placement and Support (IPS) is an evidence-based vocational rehabilitation program that helps people with severe mental problems to obtain and maintain paid jobs. Turnover of IPS employment specialists is a scarcely studied subject that can undermine the effectiveness and implementation of the intervention.<p> <p>OBJECTIVE: This study aimed to explore and describe the ... -
Physiotherapists' Treatment Strategies and Delineation of Areas of Responsibility for People With Musculoskeletal Conditions and Comorbidities in Private Physiotherapy Practice: A Qualitative Study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-09-29)Background - Patients with multiple chronic conditions, for example, musculoskeletal conditions and comorbidities, often receive inadequate and sometimes even contradictory care. Physiotherapists are well qualified to manage patients with musculoskeletal conditions and comorbidities due to their education and experience with rehabilitation; however, it is unknown which challenges they face when ... -
Trends over 50 years with liberal abortion laws in the Nordic countries
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-07-10)Background - During the 1970s the Nordic countries liberalized their abortion laws.<p> <p>Objective - We assessed epidemiological trends for induced abortion on all Nordic countries, considered legal similarities and diversities, effects of new medical innovations and changes in practical and legal provisions during the subsequent years.<p> <p>Methods - New legislation strengthened surveillance ... -
Associations between body height and cardiovascular risk factors in women and men: a population-based longitudinal study based on The Tromsø Study 1979–2016
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-10-17)Objectives Investigate associations between body height and cardiovascular disease risk factors at several time points in women and men across educational levels in Norway.<p> <p>Design Population-based longitudinal study. <p>Setting The Tromsø Study, a population-based study with six surveys conducted between 1979 and 2016 in the municipality of Tromsø, Norway. <p>Primary and Secondary ... -
Nurses’ experience of nasogastric tube feeding under restraint for Anorexia Nervosa in a psychiatric hospital
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-10-10)Background Anorexia nervosa is a complex mental disorder that has severe physical and psychological consequences, often requiring hospitalisation, and in the most severe cases, patients receive coercive treatment. Among the various nursing tasks associated with encountering these patients, the administration of nasogastric tube feeding under restraint stands out. It is crucial to recognise and ... -
A review of the WHO strategy on traditional, complementary, and integrative medicine from the perspective of academic consortia for integrative medicine and health
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-06-11)Despite important progress in modern medicine, widely regarded as an indispensable foundation of healthcare in all highly advanced nations and regions, not all patients respond well to available treatments in biomedicine alone. Additionally, there are concerns about side effects of many medications and interventions, the unsustainable cost of healthcare and the low resolution of chronic non-communicable ... -
Acupuncture for fatigue in breast cancer survivors: a study protocol for a pragmatic, mixed method, randomised controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-07-30)Introduction - Fatigue is a common symptom observed in post-cancer treatment, yet its underlying mechanisms remain poorly understood. Acupuncture has been employed to alleviate cancer-related fatigue (CRF); however, its effectiveness in addressing associated comorbidities that may influence fatigue is also poorly understood. This study represents the first investigation to use acupuncture as an ... -
Cumulative exposure to estrogen may increase the risk of migraine in women
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-01-12)Background - Migraine is a common disorder, particularly affecting women during their reproductive years. This female preponderance has been linked to exposure to female sex hormones.<p> <p>Methods - We used self-reported data from women born in 1943–1965 enrolled in the Norwegian Women and Cancer Study to examine the differences between women with migraine and women without migraine in a prospective ... -
The association between serum 25-hydroxyvitamin D levels and psoriasis in a large population-based cohort: a cross-sectional analysis of The Tromsø Study 2015–16
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-11-28)Background Case–control studies indicate an association between lower serum 25-hydroxyvitamin D [25(OH)D] levels and psoriasis. Data from larger population-based cohorts including mild cases are sparse. Objectives To investigate the association between 25(OH)D and psoriasis in a large population-based cohort, and assess possible effect modification by overweight.<p> <p>Methods Data from the Tromsø ... -
A heavy-tailed model for analyzing miRNA-seq raw read counts
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-05-29)This article addresses the limitations of existing statistical models in analyzing and interpreting highly skewed miRNA-seq raw read count data that can range from zero to millions. A heavy-tailed model using discrete stable distributions is proposed as a novel approach to better capture the heterogeneity and extreme values commonly observed in miRNA-seq data. Additionally, the parameters of the ... -
Evaluation of sex inequity in lung-cancer-specific survival
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-05-15)Background: Whether sex is an independent prognostic factor in lung cancer survival is the subject of ongoing debate. Both large national registries and single hospital studies have shown conflicting findings. In this study, we explore the impact of sex on lung-cancer-specific survival in an unselected population that is well-characterized with respect to stage and other covariates. Material and ... -
Engagement with mental health and health behavior change interventions: An integrative review of key concepts
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-03-12)Low intervention engagement is common in mental health and health behavior change interventions, but research on engagement is scattered, and heterogeneity in the definition and measurement of engagement is large. To aid future engagement research, we conducted an integrative review in which we 1) discuss definitions of engagement, 2) highlight four complementary models of engagement, and 3) ... -
Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-08-06)The anthropometric index that best predicts cardiometabolic risk remains inconclusive. This study therefore assessed the prevalence of obesity using six indices and compared their associations with obesity-related cardiometabolic disorders. We determined obesity prevalence according to body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio (WHtR), body fat percentage and fat ... -
Holdninger til fysisk aktivitet hos personer i Norge med primær totalprotese i kne eller hofte: En nasjonal spørreundersøkelse
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-08-20)Bakgrunn: I Europa øker andelen proteseoperasjoner. Samtidig går det fysiske aktivitetsnivået i befolkningen ned. Andelen med overvekt og fedme øker. Et transeuropeisk prosjekt for å promotere fysisk aktivitet hos pasienter etter proteseoperasjon ble derfor gjennomført. Denne artikkelen baseres på en delstudie som har kartlagt faktorer som bidrar å forklare holdninger til fysisk aktivitet hos pasienter ... -
penalizedclr: an R package for penalized conditional logistic regression for integration of multiple omics layers
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-06-27)Background The matched case–control design, up until recently mostly pertinent to epidemiological studies, is becoming customary in biomedical applications as well. For instance, in omics studies, it is quite common to compare cancer and healthy tissue from the same patient. Furthermore, researchers today routinely collect data from various and variable sources that they wish to relate to the ... -
C-reactive protein point-of-care testing in primary care—broader implementation needed to combat antimicrobial resistance
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-07-19)This study presents the perspective of an international group of experts, providing an overview of existing models and policies and guidance to facilitate a proper and sustainable implementation of C-reactive protein point-of-care testing (CRP POCT) to support antibiotic prescribing decisions for respiratory tract infections (RTIs) with the aim to tackle antimicrobial resistance (AMR). AMR threatens ... -
The costs of chronic pain - Long‐term estimates
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-01-12)Background: Chronic pain is a condition with severe impact on many aspects of life, including work, functional ability and quality of life, thereby reducing physical, mental and social well-being. Despite the high prevalence and burden of chronic pain, it has received disproportionally little attention in research and public policy and the societal costs of chronic pain remain largely unknown. ...