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Stenmark, H., Bergström, E., Hägglöf, B., Öhman, A. & Petersen, S. (2016). Mental problems and their socio-demographic determinants in young schoolchildren in Sweden, a country with high gender and income equality. Scandinavian Journal of Public Health, 44(1), 18-26.
Open this publication in new window or tab >>Mental problems and their socio-demographic determinants in young schoolchildren in Sweden, a country with high gender and income equality
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2016 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 44, no 1, 18-26 p.Article in journal (Refereed) Published
Abstract [en]

AIMS: Mental problems and their potential socio-demographic determinants were investigated in young schoolchildren in Sweden, a high-income country in the top of income- and gender-equality rankings.

METHODS: Cross-sectional study of 1465 schoolchildren in grades 3 and 6. Mental health was measured by the Child Behavior Checklist and the Youth Self Report (Total problems and 14 specific problem areas). Potential socio-demographic determinants were sex, parental education and occupation, family structure, and immigrant status.

RESULTS: Mental problems were present in 14% of the sixth graders and in 7% of the third graders. In grade 3, the mean total problem score was lower in girls than in boys, but the prevalence of problems at a subclinical/clinical level did not differ by sex. Furthermore, in nine to 13 of the 14 specific problem areas, problems were equally distributed by sex, parental education, parental occupation, immigrant status, and family structure. In grade 6, both the total mean score and the overall odds of subclinical/clinical problems were similar in girls and boys. Likewise, in all the specific problem areas, problems were evenly distributed by parental education and occupation, and only independently associated with immigrant status and family structure in one problem area. In five specific problem areas, boys had higher odds of problems than girls.

CONCLUSIONS: This study shows that also in a relatively wealthy and equal country such as Sweden, mental problems are a significant child public health issue. The association between socio-demographic background and mental problems seems to be rather weak, but differ dependent on the type of mental problem in focus.

Keyword
adolescent, anxiety, aggression, attention deficit disorder with hyperactivity, child, conduct disorder, depression, mental disorders, prevalence, socio-demographic factors
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-110310 (URN)10.1177/1403494815603544 (DOI)000369969000005 ()26392422 (PubMedID)
Available from: 2015-10-20 Created: 2015-10-20 Last updated: 2017-12-01Bibliographically approved
Waenerlund, A.-K., Stenmark, H., Bergström, E., Hägglöf, B., Öhman, A. & Petersen, S. (2016). School experiences may be important determinants of mental health problems in middle childhood: a Swedish longitudinal population-based study. Acta Paediatrica, 105(4), 407-415.
Open this publication in new window or tab >>School experiences may be important determinants of mental health problems in middle childhood: a Swedish longitudinal population-based study
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2016 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 4, 407-415 p.Article in journal (Refereed) Published
Abstract [en]

AimLittle is known about the association between school experiences and mental health in young schoolchildren. This study explored the cross-sectional and prospective associations between children's school experiences and mental health in middle childhood. MethodsWe gathered comprehensive population-based data on the school experiences and mental health of 592 schoolchildren attending grades three and six in Sweden (ages approximately nine and 12 years). The KIDSCREEN questionnaire was used to measure school experiences in both age groups while the Child Behavior Checklist and the Strengths and Difficulties Questionnaire measured mental health in grades three and six, respectively. ResultsChildren with problematic school experiences in grade three had an approximately two times higher odds for concurrent total, internalised, externalised, attention-hyperactivity and social problems. They also had a 1.5-2.5 higher odds for these mental health problems three years later. Likewise, there was an association between problematic school experiences in grade three and lower levels of prosocial behaviour three years later. These associations were shown in both boys and girls, but were particularly pronounced in girls. ConclusionThis study indicated that school experiences in young schoolchildren may be important determinants of concurrent and later mental health problems.

Place, publisher, year, edition, pages
John Wiley & Sons, 2016
Keyword
Child, Longitudinal studies, Mental health, Psychosocial factors, Schools
National Category
Psychiatry Public Health, Global Health, Social Medicine and Epidemiology Pediatrics
Identifiers
urn:nbn:se:umu:diva-119061 (URN)10.1111/apa.13326 (DOI)000371892200022 ()26742093 (PubMedID)
Available from: 2016-04-22 Created: 2016-04-11 Last updated: 2017-11-30Bibliographically approved
Omma, L. & Petersen, S. (2015). Health-related quality of life in indigenous Sami schoolchildren in Sweden. Acta Paediatrica, 104, 75-83.
Open this publication in new window or tab >>Health-related quality of life in indigenous Sami schoolchildren in Sweden
2015 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, 75-83 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate health-related quality of life (HRQOL) in indigenous Sami schoolchildren in Sweden and its associations with sex, age, enculturation and ethnicity-related negative treatment.

METHODS: The study population was comprised of all children in grades 6-12 (ages 12-18 years) who attended specific Sami school programmes in Sweden. HRQOL was measured by the Kidscreen-52 self-report form, which was filled in at school (n = 121).

RESULTS: The indigenous Sami children in Sweden experienced lower HRQOL than Swedish children in general, with regard to their school situation, financial resources, parents' relations, physical well-being and social support from peers. In Sami children, functioning and well-being generally decreased by older age group and girls reported lower physical well-being, more negative feelings and more negative self-perception than boys. Finally, more than half of the Sami children had experienced ethnicity-related negative treatment, and these children reported a robustly lower functioning and well-being compared with those without this experience.

CONCLUSION: In some aspects of HRQOL, indigenous Sami schoolchildren with an explicit ethnic identity experienced less favourable functioning and well-being than Swedish children in general, which is worrisome. A high degree of ethnicity-related negative treatment may partly explain this lower HRQOL in Sami children.

Keyword
adolescent, discrimination, indigenous, Sami, well-being
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-97346 (URN)10.1111/apa.12786 (DOI)000346987300023 ()25169118 (PubMedID)
Available from: 2014-12-16 Created: 2014-12-16 Last updated: 2017-12-05Bibliographically approved
Petersen, S. & Lindahl, B. (2014). Allmänt hälsotillstånd och hälsorelaterad livskvalitet. In: Modig L, Forsell K (Ed.), Miljöhälsorapport Norr 2013: barns hälsa och miljö i Norrland (pp. 13-18). Umeå: Umeå universitet.
Open this publication in new window or tab >>Allmänt hälsotillstånd och hälsorelaterad livskvalitet
2014 (Swedish)In: Miljöhälsorapport Norr 2013: barns hälsa och miljö i Norrland / [ed] Modig L, Forsell K, Umeå: Umeå universitet , 2014, 13-18 p.Chapter in book (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2014
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:umu:diva-90924 (URN)978-91-7601-071-6 (ISBN)
Available from: 2014-07-03 Created: 2014-07-03 Last updated: 2015-04-29Bibliographically approved
Myléus, A., Petersen, S., Carlsson, A., Hammarroth, S., Högberg, L. & Ivarsson, A. (2014). Health-related quality of life is not impaired in children with undetected as well as diagnosed celiac disease: a large population based cross-sectional study. BMC Public Health, 14, 425.
Open this publication in new window or tab >>Health-related quality of life is not impaired in children with undetected as well as diagnosed celiac disease: a large population based cross-sectional study
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2014 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 14, 425- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Knowledge regarding the health-related quality of life (HRQoL) of children with celiac disease remains limited and inconclusive. We investigated the HRQoL of three groups of 12-year-olds with: i) undetected celiac disease ii) clinically diagnosed celiac disease, and iii) without celiac disease.

METHODS: A school-based cross-sectional multicenter screening study invited 18 325 children, whereof 68% consented to participate. Participants provided a blood sample, which was later analyzed for anti-tissue-tranglutaminase antibodies, and alongside filled in a questionnaire. When anti-tissue-tranglutaminase antibodies were elevated, a small intestinal biopsy verified the screening-detected celiac disease diagnosis. Self-reported HRQoL was measured using Kidscreen, a generic 52 items instrument with proven reliability and validity. Scores were linearly transformed into a 0-100 scale with higher values indicating better HRQoL. Mean values with standard deviations (mean +/- SD) were compared, and uni- and multivariate logistic regression models tested the odds of a low HRQoL among children with undetected or diagnosed celiac disease, respectively.

RESULTS: Children with undetected celiac disease (n = 238) reported similar HRQoL as children without celiac disease (n = 12 037) (83.0 +/- 11.0 vs. 82.5 +/- 11.3, P = 0.51), and also similar HRQoL (82.2 +/- 12.2, P = 0.28) to that of children with diagnosed celiac disease (n = 90), of whom 92% were adherent to treatment. Having undetected celiac disease did not increase the odds of low overall HRQoL, independent of sex, area of residence, study year and occurrence of gastrointestinal symptoms (adjusted odds ratio 0.77, 95% CI 0.54-1.10). Comparable results were seen for diagnosed celiac disease cases (adjusted odds ratio 1.11, 95% CI 0.67-1.85) CONCLUSION: Children with undetected celiac disease reported comparable HRQoL as their peers with diagnosed celiac disease, and those without celiac disease, when reporting prior to receiving the diagnosis through screening. Thus, children with celiac disease, both untreated and diagnosed, perceive their HRQoL as unimpaired by their disease.

Place, publisher, year, edition, pages
BioMed Central, 2014
Keyword
Celiac disease, Children, Health related quality of life, Kidscreen, Screening
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-89443 (URN)10.1186/1471-2458-14-425 (DOI)000335697500001 ()24884747 (PubMedID)
Available from: 2014-06-03 Created: 2014-06-03 Last updated: 2017-12-05Bibliographically approved
Petersen, S., Swinburn, B., Mavoa, H., Fotu, K., Tupoulahi-Fusimalohi, C., Faeamani, G. & Moodie, M. (2014). Low health-related quality of life in school-aged children in Tonga, a lower-middle income country in the South Pacific. Global Health Action, 7(1), 24896.
Open this publication in new window or tab >>Low health-related quality of life in school-aged children in Tonga, a lower-middle income country in the South Pacific
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2014 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 7, no 1, 24896- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Ensuring a good life for all parts of the population, including children, is high on the public health agenda in most countries around the world. Information about children's perception of their health-related quality of life (HRQoL) and its socio-demographic distribution is, however, limited and almost exclusively reliant on data from Western higher income countries.

OBJECTIVES: To investigate HRQoL in schoolchildren in Tonga, a lower income South Pacific Island country, and to compare this to HRQoL of children in other countries, including Tongan children living in New Zealand, a high-income country in the same region.

DESIGN: A cross-sectional study from Tonga addressing all secondary schoolchildren (11-18 years old) on the outer island of Vava'u and in three districts of the main island of Tongatapu (2,164 participants). A comparison group drawn from the literature comprised children in 18 higher income and one lower income country (Fiji). A specific New Zealand comparison group involved all children of Tongan descendent at six South Auckland secondary schools (830 participants). HRQoL was assessed by the self-report Pediatric Quality of Life Inventory 4.0.

RESULTS: HRQoL in Tonga was overall similar in girls and boys, but somewhat lower in children below 15 years of age. The children in Tonga experienced lower HRQoL than the children in all of the 19 comparison countries, with a large difference between children in Tonga and the higher income countries (Cohen's d 1.0) and a small difference between Tonga and the lower income country Fiji (Cohen's d 0.3). The children in Tonga also experienced lower HRQoL than Tongan children living in New Zealand (Cohen's d 0.6).

CONCLUSION: The results reveal worrisome low HRQoL in children in Tonga and point towards a potential general pattern of low HRQoL in children living in lower income countries, or, alternatively, in the South Pacific Island countries.

Place, publisher, year, edition, pages
CoAction Publishing, 2014
Keyword
Epidemiology, adolescent health, child health, community health, low-income population, mental health, quality of life
National Category
Psychiatry Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-92495 (URN)10.3402/gha.v7.24896 (DOI)000341145400001 ()25150029 (PubMedID)
Available from: 2014-08-27 Created: 2014-08-27 Last updated: 2017-12-05Bibliographically approved
Nicholls, L., Lewis, A. J., Petersen, S., Swinburn, B., Moodie, M. & Millar, L. (2014). Parental encouragement of healthy behaviors: adolescent weight status and health-related quality of life. BMC Public Health, 14(1), 369.
Open this publication in new window or tab >>Parental encouragement of healthy behaviors: adolescent weight status and health-related quality of life
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2014 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 14, no 1, 369- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Obesity is a major health concern for adolescents, with one in four being overweight or obese in Australia. The purpose of this study was to examine the moderation effect of parental encouragement of healthy behaviors on the relationship between adolescent weight status and Health-Related Quality of Life (HRQoL).

METHODS: Baseline data were collected from 3,040 adolescents participating in the It's Your Move project, conducted in the Barwon South-West region of Victoria, in 2005. The Paediatric Quality of Life Inventory was used to measure HRQoL, and parental encouragement was derived from purposely designed self-report items. Weight status was calculated according to World Health Organization growth standards from measured weight and height. Linear regression analyses modeled direct relationships and interaction terms. Analyses were adjusted for age, sex, physical activity level, nutrition and school attended.

RESULTS: Higher levels of parental encouragement, as compared to low encouragement, were positively associated with higher global HRQoL scores, particularly in the physical functioning domain. To a lesser degree, high parental encouragement was also associated with higher scores on the psychosocial domain. Obese weight status showed a significant association with lower HRQoL on all scales. Parental encouragement significantly moderated the inverse relationship between overweight status and physical wellbeing.

CONCLUSIONS: Findings suggest that parental encouragement of healthy behavior is associated with increased HRQoL scores for adolescents. Whilst more research is needed to validate the significant interaction effect, main effects suggest that parental encouragement of healthy behavior is an important factor in adolescent wellbeing and should be considered when developing prevention and clinical interventions for obesity.

Keyword
adolescence, obesity, wellbeing, quality of life, parent-child relations, social support
National Category
Pediatrics
Identifiers
urn:nbn:se:umu:diva-88154 (URN)10.1186/1471-2458-14-369 (DOI)000335477900001 ()24735656 (PubMedID)
Available from: 2014-04-23 Created: 2014-04-23 Last updated: 2017-12-05Bibliographically approved
Petersen, S., Moodie, M., Mavoa, H., Waqa, G., Goundar, R. & Swinburn, B. (2014). Relationship between overweight and health-related quality of life in secondary school children in Fiji: results from a cross-sectional population-based study. International Journal of Obesity, 38(4), 539-546.
Open this publication in new window or tab >>Relationship between overweight and health-related quality of life in secondary school children in Fiji: results from a cross-sectional population-based study
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2014 (English)In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 38, no 4, 539-546 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate the relationship between excess weight (overweight and obesity) and health-related quality of life (HRQoL) in a sample of secondary school children in Fiji, by gender, age and ethnicity.

Methods: The study comprised 8947 children from forms 3-6 (age 12-18 years) in 18 secondary schools on Viti Levu, the main island of Fiji. Body mass index (BMI) was calculated from measured height and weight, and weight status was classified according to the International Obesity Task Force recommendations. HRQoL was measured by the self-report version of the Pediatric Quality of Life Inventory 4.0.

Results: HRQoL was similar in children with obesity and normal weight. Generally, this was replicated when analyzed separately by gender and ethnicity, but age stratification revealed disparities. In 12-14-year-old children, obesity was associated with better HRQoL, owing to better social and school functioning and well-being, and in 15-18-year olds with poorer HRQoL, owing to worse physical, emotional and social functioning and well-being (Cohen's d 0.2-0.3). Children with a BMI in the overweight range also reported a slightly lower HRQoL than children with a BMI in the normal weight range, but although statistically significant, the size of this difference was trivial (Cohen's d <0.2).

Discussion: The results suggest that, overall there is no meaningful negative association between excess weight and HRQoL in secondary school children in Fiji. This is in contradiction to the negative relationship between excess weight and HRQoL shown in studies from other countries and cultures. The assumption that a large body size is associated with a lower quality of life cannot be held universally. Although a generally low HRQoL among children in Fiji may be masking or overriding the potential effect of excess weight on HRQoL, socio-economic and/or socio-cultural factors, may help to explain these relationships.

Place, publisher, year, edition, pages
Nature Publishing Group, 2014
Keyword
adolescent, functioning and well-being, health-related quality of life, pacific, PedsQL
National Category
Pediatrics Psychiatry Public Health, Global Health, Social Medicine and Epidemiology Endocrinology and Diabetes Nutrition and Dietetics
Identifiers
urn:nbn:se:umu:diva-85740 (URN)10.1038/ijo.2013.212 (DOI)000334344300009 ()24232500 (PubMedID)
Available from: 2014-02-10 Created: 2014-02-10 Last updated: 2017-12-06Bibliographically approved
Hayward, J., Millar, L., Petersen, S., Swinburn, B. & Lewis, A. J. (2014). When ignorance is bliss: weight perception, body mass index and quality of life in adolescents. International Journal of Obesity, 38(10), 1328-1334.
Open this publication in new window or tab >>When ignorance is bliss: weight perception, body mass index and quality of life in adolescents
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2014 (English)In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 38, no 10, 1328-1334 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND/OBJECTIVES: Body weight is negatively associated with adolescent Health-Related Quality of Life (HRQoL). Despite this well-established relationship, some adolescents with obesity do not display the expected HRQoL decreases. This study hypothesised weight perception as a moderator of the association between weight status and adolescent HRQoL.

SUBJECTS/METHODS: Subjects were secondary school students from an obesity prevention project in the Barwon South-West region of Victoria, Australia, entitled It's Your Move (N = 3040). Measures included standardised body mass index (BMI-z; World Health Organization growth standards), weight perception and HRQoL, measured by the Paediatric Quality of Life Inventory. Linear regression and average marginal effect analyses were conducted on cross-sectional baseline data to determine the significance of any interaction between weight perception and measured weight status in shaping adolescent HRQoL.

RESULTS: The BMI-z/perceived weight status interaction was significantly associated with adolescent HRQoL outcomes. Adolescents with BMI z-scores in the overweight/obesity range who perceived themselves as overweight had lower HRQoL than those who perceived themselves as 'about right.' Conversely, adolescents with BMI scores in the lower end of the normal range or in the thinness range who perceived themselves as underweight had lower HRQoL than those with 'about right' perceptions.

CONCLUSIONS: This was the first study to report third-variable impacts of a body-perception variable on the relationship between adolescent weight status and HRQoL. Adolescents' weight perceptions significantly moderated the relationship between overweight/obesity and reduced HRQoL. Adolescents who were outside the normal weight range and misperceived their objectively measured weight status enjoyed a higher HRQoL than adolescents whose weight perception was concordant with their actual weight status. These findings suggest that practitioners may need to exercise caution when educating adolescents about their weight status, as such 'reality checks' may negatively impact on adolescent HRQoL. It is suggested that more research be conducted to examine this potential effect.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-90923 (URN)10.1038/ijo.2014.78 (DOI)24824556 (PubMedID)
Available from: 2014-07-03 Created: 2014-07-03 Last updated: 2017-12-05Bibliographically approved
Petersen, S. (2012). Aktuella hälsoproblem bland skolbarn i Sverige (1:1ed.). In: Siv Morberg (Ed.), Skolsköterskans hälsofrämjande arbete: (pp. 95-117). Lund: Studentlitteratur.
Open this publication in new window or tab >>Aktuella hälsoproblem bland skolbarn i Sverige
2012 (Swedish)In: Skolsköterskans hälsofrämjande arbete / [ed] Siv Morberg, Lund: Studentlitteratur, 2012, 1:1, 95-117 p.Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2012 Edition: 1:1
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:umu:diva-73658 (URN)978-91-44-05597-8 (ISBN)
Available from: 2013-06-26 Created: 2013-06-26 Last updated: 2015-04-29Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0001-6720-2430

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