umu.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 12) Show all publications
Nygren, K. & Hagquist, C. (2019). Self-reported school demands and psychosomatic problems among adolescents: changes in the association between 1988 and 2011?. Scandinavian Journal of Public Health, 47, 174-181
Open this publication in new window or tab >>Self-reported school demands and psychosomatic problems among adolescents: changes in the association between 1988 and 2011?
2019 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 47, p. 174-181Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of the present study was to examine changes over time in the relationship between self-reported school demands and psychosomatic problems, also considering the impact of student influence and teacher support.

Methods: Data from a cross-sectional study (Young in Värmland) including eight data collections (1988–2011) among Swedish students aged 15–16 were used (n = 20,115). Analyses with multinomial logistic regression and descriptive statistics were applied.

Results: Between 1988 and 2011, the proportions of students with a higher degree of psychosomatic problems increased, as did the proportion of students experiencing school demands that were too high. Finer-level analyses based on stratification of student groups did not show any associations at the aggregated level between increases of school demands and psychosomatic problems. Similarly, individual level analyses showed that the strength of the association between school demands and psychosomatic problems was not affected by year of investigation.

Conclusions: Changes in school demands over time could not explain the increasing trend in psychosomatic problems among adolescents. Since the relationship between school demands and psychosomatic problems is strong across time, there is, however, a continued need for school-based interventions. More studies are required to gain further understanding of adolescent mental health from a trend perspective.

Place, publisher, year, edition, pages
London: Sage Publications, 2019
Keywords
Adolescent, psychosomatic problems, school demands, student influence, teacher support
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-139909 (URN)10.1177/1403494817725687 (DOI)000462758700012 ()28820022 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-1736
Available from: 2017-09-26 Created: 2017-09-26 Last updated: 2019-04-12Bibliographically approved
Nygren, K., Walsh, J., Ellingsen, I. T. & Christie, A. (2019). What about the fathers? The presence and absence of the father in social work practice in England, Ireland, Norway, and Sweden: A comparative study. Child & Family Social Work, 24(1), 148-155
Open this publication in new window or tab >>What about the fathers? The presence and absence of the father in social work practice in England, Ireland, Norway, and Sweden: A comparative study
2019 (English)In: Child & Family Social Work, ISSN 1356-7500, E-ISSN 1365-2206, Vol. 24, no 1, p. 148-155Article in journal (Refereed) Published
Abstract [en]

Within northern Europe, gendered roles and responsibilities within the family have been challenged through an emergence of different family forms, increasing cultural diversity, and through progressive developments in welfare policies. To varying degrees, welfare policies in different EU countries support a dual-earner model and encourage men to be more active as fathers by reinforcing statutory rights and responsibilities. In child welfare practice, there has traditionally been a strong emphasis on women as mothers being primary carers for the children, while fathers are less active or absence carers. This paper explores, in four national welfare contexts, how child welfare social workers include fathers in practice decisions. Data was collected using focus group interviews with social workers from England, Ireland, Norway and Sweden. Similarities and differences emerge in relation to services and the focus of social work assessments. However, overall, the research suggests that despite gains in policy and legislation that promote gender equality, fathers remain largely absent in child welfare practice decisions about the parenting of their children. From the research, we raise questions for social work practice and the development of welfare policies. 

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
family policy, welfare regime, child welfare, fathers, comparative research
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-152344 (URN)10.1111/cfs.12592 (DOI)
Available from: 2018-10-03 Created: 2018-10-03 Last updated: 2019-02-08Bibliographically approved
Nygren, K., Naujaniené, R. & Nygren, L. (2018). The Notion of Family in Lithuanian and Swedish Social Legislation. Social Policy and Society, 17(4), 651-663
Open this publication in new window or tab >>The Notion of Family in Lithuanian and Swedish Social Legislation
2018 (English)In: Social Policy and Society, ISSN 1474-7464, E-ISSN 1475-3073, Vol. 17, no 4, p. 651-663Article in journal (Refereed) Published
Abstract [en]

This study examines the conceptualisation of family in key social legislative documents guiding social workers in two European countries, whose welfare systems have previously been labelled as re-familialised (Lithuania) or de-familialised (Sweden). The focus is on the concept of family as delineated on three legislative levels: the constitutional level, the general family policy level, and the child welfare policy level. ‘Family’ is explicit in Lithuanian law, and the regulation of family formation and responsibility is imperative, while this is much less so in Swedish law. The analysis reveals how general welfare systems (regime-types) are linked to legislative frameworks, which, in turn, provide fundamentally different conditions for social work in different contexts.

Place, publisher, year, edition, pages
Cambridge University Press, 2018
Keywords
Family policy, social legislation, welfare regime, comparative research, social work
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-151325 (URN)10.1017/S1474746418000192 (DOI)000443420300010 ()
Available from: 2018-08-31 Created: 2018-08-31 Last updated: 2019-02-27Bibliographically approved
Nygren, K., Hammarstrom, A. & Rolandsson, O. (2017). Binge drinking and total alcohol consumption from 16 to 43 years of age are associated with elevated fasting plasma glucose in women: results from the northern Swedish cohort study. BMC Public Health, 17, Article ID 509.
Open this publication in new window or tab >>Binge drinking and total alcohol consumption from 16 to 43 years of age are associated with elevated fasting plasma glucose in women: results from the northern Swedish cohort study
2017 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, article id 509Article in journal (Refereed) Published
Abstract [en]

Background: Studies have indicated that moderate alcohol consumption is associated with lower incidence of diabetes in women. However, not only the amount but also the drinking pattern could be of importance when assessing the longitudinal relation between alcohol and glucose. Also, there is a lack of studies on alcohol use beginning in adolescence on adult glucose levels. The aim was to examine the association between total alcohol consumption and binge drinking between ages 16 and 43 and fasting plasma glucose at age 43. Methods: Data were retrieved from a 27-year prospective cohort study, the Northern Swedish Cohort. In 1981, all 9th grade students (n = 1083) within a municipality in Sweden were invited to participate. There were re-assessments at ages 18, 21, 30 and 43. This particular study sample consisted of 897 participants (82.8%). Fasting plasma glucose (mmol/L) was measured at a health examination at age 43. Total alcohol consumption (in grams) and binge drinking were calculated from alcohol consumption data obtained from questionnaires. Results: Descriptive analyses showed that men had higher levels of fasting plasma glucose as compared to women. Men also reported higher levels of alcohol consumption and binge drinking behavior. Linear regressions showed that total alcohol consumption in combination with binge drinking between ages 16 and 43 was associated with elevated fasting plasma glucose at age 43 in women (beta = 0.14, p = 0.003) but not in men after adjustment for BMI, hypertension and smoking at age 43. Conclusions: Our findings indicate that reducing binge drinking and alcohol consumption among young and middle-aged women with the highest consumption might be metabolically favorable for their future glucose metabolism.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD, 2017
Keywords
Glucose metabolism, Alcohol, Gender, Cohort study
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-137039 (URN)10.1186/s12889-017-4437-y (DOI)000403025300001 ()
Available from: 2017-06-28 Created: 2017-06-28 Last updated: 2018-06-09Bibliographically approved
Hammarström, A., Westerlund, H., Kirves, K., Nygren, K., Virtanen, P. & Hägglöf, B. (2016). Addressing challenges of validity and internal consistency of mental health measures in a 27- year longitudinal cohort study–the Northern Swedish Cohort study. BMC Medical Research Methodology, 16, Article ID 4.
Open this publication in new window or tab >>Addressing challenges of validity and internal consistency of mental health measures in a 27- year longitudinal cohort study–the Northern Swedish Cohort study
Show others...
2016 (English)In: BMC Medical Research Methodology, ISSN 1471-2288, E-ISSN 1471-2288, Vol. 16, article id 4Article in journal (Refereed) Published
Abstract [en]

Background:There are inherent methodological challenges in the measurement of mental health problems in longitudinal research. There is constant development in definitions, taxonomies and demands concerning the properties of mental health measurements. The aim of this paper was to construct composite measures of mental health problems (according to today’s standard) from single questionnaire items devised in the early 1980s, and to evaluate their internal consistency and factorial invariance across the life course using the Northern Swedish Cohort.Methods:All pupils in the last year of compulsory school in Luleå in 1981 (n= 1083) form a prospective cohort study where the participants have been followed with questionnaires from the age of 16 (in 1981) until the age of43 (in 2008). We created and tested the following composite measures from self-reports at each follow-up:depressive symptoms, anxiety symptoms, functional somatic symptoms, modified GHQ and positive health. Validity and internal consistency were tested by confirmatory factor analysis, including tests of factorial invariance over time.Results:As an overall assessment, the results showed that the composite measures (based on more than 30-year-old single item questions) are likely to have acceptable factorial invariance as well as internal consistency over time.Conclusions:Testing the properties of the mental health measures used in older studies according to the standards of today is of great importance in longitudinal research. Our study demonstrates that composite measures of mental health problems can be constructed from single items which are more than 30 years old and that these measures seem to have the same factorial structure and internal consistency across a significant part of the life course. Thus, it can be possible to overcome some specific inherent methodological challenges in using historical data in longitudinal research.

Keywords
Mental health measures, Internal consistency, Validity, Longitudinal, Cohort study, Adolescence, Middle adulthood, Life course
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-114885 (URN)10.1186/s12874-015-0099-6 (DOI)000367720600001 ()26743433 (PubMedID)
Available from: 2016-04-28 Created: 2016-01-29 Last updated: 2018-06-07Bibliographically approved
Nygren, K., Gong, W. & Hammarström, A. (2015). Is hypertension in adult age related to unemployment at a young age?: Results from the Northern Swedish Cohort. Scandinavian Journal of Public Health, 43(1), 52-58
Open this publication in new window or tab >>Is hypertension in adult age related to unemployment at a young age?: Results from the Northern Swedish Cohort
2015 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, no 1, p. 52-58Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to analyse the relationship between early unemployment (ages 16-21 years) and adult hypertension after controlling for earlier hypertension, unemployment in adult life, risk factors for hypertension and confounders. Methods: A cohort of 927 (86.6% of the original cohort) 9th grade school-leavers was followed from 1981 until 2008. Data were collected through questionnaires, health examinations, and national registers. Univariate and multivariate logistic regression were used as primary statistical methods. Results: At ages 21 and 43, hypertension was significantly more prevalent among men than women (p < .001). Unemployment between the ages of 16 and 21 was related to hypertension at age 43 among women but not men. The odds ratio (OR) was persistently high (OR 3.16 [95% confidence interval 1.45-6.89]) after controlling for late unemployment, hypertension at age 16, risk factors for hypertension and confounders. There was no significant relationship between exposure to early unemployment and hypertension at age 21 for women or men. Conclusions: From a public health perspective, youth unemployment is a societal problem in need of more attention and intervention in order to prevent long-term adverse health outcomes.

Keywords
Unemployment, blood pressure, adolescence, hypertension, cohort studies
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-120322 (URN)10.1177/1403494814560845 (DOI)000347444800008 ()25431459 (PubMedID)
Available from: 2016-05-16 Created: 2016-05-16 Last updated: 2018-06-07Bibliographically approved
Nygren, K., Bergström, E., Janlert, U. & Nygren, L. (2014). Adolescent self-reported health in relation to school factors: a multilevel analysis. Journal of School Nursing, 30(2), 114-122
Open this publication in new window or tab >>Adolescent self-reported health in relation to school factors: a multilevel analysis
2014 (English)In: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 30, no 2, p. 114-122Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to examine school-related determinants of self-reported health among adolescents. Questionnaire survey data comprising 4,972 students, Grades 7 through 9, from 20 schools in northern Sweden were used. Also, complimentary data about each school were collected from the Swedish National Agency for Education. Using multilevel logistic regression analyses, results showed that most variation in self-reported health was explained by individual-level differences. Truancy, bullying, and poor relations with teachers significantly increased the odds ratio of reporting poor general health, for boys and for girls. Most variables at the school level, for example, school size and student-teacher ratio, did not render significant associations with students' self-reported health. In conclusion, this study indicates that health promotion at school, including school health services, may benefit from focusing primarily on individual-level determinants of health, that is, students' relations to peers and teachers, without ignoring that bullying and weak student-teacher relationships also may induce school-level interventions.

Place, publisher, year, edition, pages
Sage Publications, 2014
Keywords
adolescent health, compulsory school, logistic regression, multilevel modeling
National Category
General Practice
Identifiers
urn:nbn:se:umu:diva-71408 (URN)10.1177/1059840513489709 (DOI)000332846700005 ()23674554 (PubMedID)2-s2.0-84896262537 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2007-0595
Available from: 2013-05-28 Created: 2013-05-28 Last updated: 2018-06-08Bibliographically approved
Winefield, H., Hammarström, A., Nygren, K. & Hägglöf, B. (2013). Internalized symptoms in adolescence as predictors of mental health in adulthood in the Northern Swedish cohort. Health, 5(7), 1164-1171
Open this publication in new window or tab >>Internalized symptoms in adolescence as predictors of mental health in adulthood in the Northern Swedish cohort
2013 (English)In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 5, no 7, p. 1164-1171Article in journal (Refereed) Published
Abstract [en]

Although mental health symptoms in children and adolescents are shown to predict young adult mental health outcomes, long-term prospective studies of childhood cohorts are few. The aim of the present study was to analyze the prospective importance of internalized mental health symptoms in adolescence for internalized symptoms in adulthood. Methods: A communitybased prospective longitudinal cohort provided information by questionnaire about psychological status at age 16 and 43 (n = 1010, representing 94.3% of those still alive). Socio-demographic variables which were indicative of possible childhood adversity (parental class, absence, illness, unemployment, relationship, crowding, number of moves) were treated as confounders and controlled for in ordinal regression. Results: For both women and men, internalizing mental health symptoms reported at 16 significantly predicted the same outcome at 43 years, after controlling for previous adverse environmental conditions (OR = 1.2 for women, 1.3 for men). Conclusion: In this representative cohort studied over 27 years with excellent retention rates, the occurrence of self-reported worry, panic and sadness in mid-adolescence significantly increased the likelihood of similar states in middle adulthood.

Keywords
Mental Health, Internalizing Symptoms, Adolescence, Middle Adulthood
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-132008 (URN)10.4236/health.2013.57157 (DOI)
Available from: 2017-03-01 Created: 2017-03-01 Last updated: 2018-06-09Bibliographically approved
Nygren, K., Janlert, U. & Lennart, N. (2013). What happens with local survey findings?: a study of how adolescent school surveys are disseminated and utilized in Swedish schools. Scandinavian Journal of Educational Research, 57(5), 526-543
Open this publication in new window or tab >>What happens with local survey findings?: a study of how adolescent school surveys are disseminated and utilized in Swedish schools
2013 (English)In: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170, Vol. 57, no 5, p. 526-543Article in journal (Refereed) Published
Abstract [en]

This paper aimed at examining the barriers to and facilitators of disseminating and utilizing the results of a local Swedish school survey. Interviews with 21 school district managers/principals were performed. Results showed that dissemination and utilization of local survey data appeared as two interrelated processes. With those processes, various barriers and facilitators were mentioned. The barriers and facilitators were not merely the opposites of each other; instead they qualitatively differed from each other depending on what phase in the process the manager/principal referred to. The results also showed that the dissemination phase was both a prerequisite for and interwoven with the utilization phase, e.g. dissemination efforts were important for how the survey results were utilized.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2013
Keywords
adolescent health, research utilization, school survey, school managers
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-54179 (URN)10.1080/00313831.2012.696209 (DOI)000323633500005 ()
Available from: 2012-04-18 Created: 2012-04-18 Last updated: 2018-06-08Bibliographically approved
Nygren, K. (2012). Adolescent self-reported health in the Umeå region: Associations with behavioral, parental and school factors. (Doctoral dissertation). Umeå: Umeå universitet
Open this publication in new window or tab >>Adolescent self-reported health in the Umeå region: Associations with behavioral, parental and school factors
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Självrapporterad hälsa hos ungdomar i Umeåregionen, och dess samband med normrelaterat beteende samt med föräldra- och skolfaktorer
Abstract [en]

This thesis consists of a quantitative and a qualitative study. The quantitative study (articles I-III) aimed to examine how self-reported health in adolescence is associated with behavioral, parental, and school factors. Through a survey directed at all adolescents in grades 7-9, data were collected in 2005 in a region in northern Sweden (n=5060). Statistical methods were used to analyze the survey data: chi2tests, multivariate logistic regressions and multilevel logistic regressions. Results showed that even though most adolescents reported good health, there were also rather large proportions of adolescents who reported headaches, stomach aches and feelings of stress. Girls reported poor health to a higher extent than boys, a difference that was larger in grade 9 than in grade 7. The results also showed that being norm compliant was associated with good self-reported health. Furthermore, perceiving relations and communication with parents as poor was associated with poor self-reported health; however, this relationship could not explain gender differences in self-reported health. Continuing on, analyses showed that there exist greater variations in self-reported health between students (within a school) than between different schools. On an individual level, poor relations to teachers, bullying and truancy were associated with poor general health. The qualitative study  (article IV) sought to examine barriers to and facilitators of utilization of local school survey results within a school setting. In 2011, 21 school district managers and principals within a Swedish municipality were interviewed. Analyses were performed using a qualitative content analysis. The results from the qualitative study showed that the dissemination and utilization of school survey results appeared as two interrelated phases in one process. Barriers and facilitators differed qualitatively depending on the phase, dissemination or utilization.

In conclusion, professionals as well as researchers need to consider the complexity of adolescent health and its social determinants. Adolescent health is a concern for multiple sectors in society, which highlights the need for further development of collaborations between professionals in relevant fields, such as health care, school and social services.

Abstract [sv]

Den här avhandlingen består av en kvantitativ och en kvalitativ studie. Syftet med den kvantitativa studien (artikel I-III) var att undersöka sambandet mellan ungdomars självrapporterade hälsa och deras normrelaterade beteende samt föräldra- och skolfaktorer. Data samlades in under 2005, genom en enkät som riktade sig till alla ungdomar i årskurs 7-9 i en region i norra Sverige (n=5060). De statistiska metoder som användes i den kvantitativa studien var bland annat chi2- test, logistisk regression samt flernivåanalys. Resultaten visade att även om de flesta ungdomar rapporterade en god allmän hälsa, så var det också en relativt stor andel som rapporterade huvudvärk, magont samt upplevelser av stress. Flickor rapporterade sämre hälsa än pojkar, en skillnad som var större i åk 9 jämfört med åk 7. Resultaten visade också att normföljsamhet hade ett signifikant samband med god självrapporterad hälsa. De ungdomar som upplevde relationen och kommunikationen med sina föräldrar som dålig, rapporterade också dålig hälsa i högre utsträckning än övriga. Sambandet mellan självrapporterad hälsa och föräldrarelationer kunde inte förklara skillnaderna i ohälsa mellan pojkar och flickor. Vidare, analyser visade att det fanns större variationer i självrapporterad hälsa mellan ungdomar (inom en skola) än mellan olika skolor. Dåliga relationer med lärare, skolk, samt att bli utsatt för mobbning hade ett signifikant samband med dålig självrapporterad hälsa, på en individuell nivå.

Syftet med den kvalitativa studien (artikel IV) var att undersöka vilka faktorer inom skolan som möjliggör och som utgör barriärer för användningen av enkätresultaten från en lokal skolenkät. 2011 genomfördes 21 intervjuer med skolområdeschefer och rektorer inom en kommun i Sverige. Analyser av intervjumaterialet genomfördes med hjälp av kvalitativ innehållsanalys. Resultaten från denna studie visade att spridningen och användningen av resultaten från skolenkäten kan beskrivas som två relaterade faser i en process. De faktorer som underlättade samt utgjorde barriärer för spridningen och användningen av enkätresultaten var kvalitativt olika varandra beroende på vilken fas i processen respondenterna hänvisade till.

Dessa resultat illustrerar den mångfacetterade komplexitet som inryms i ungdomars hälsa och dess sociala determinanter, en komplexitet som både forskare och professionella behöver ta hänsyn till. Ungdomars hälsa angår ett flertal samhällssektorer, vilket visar på betydelsen av en fortsatt utveckling av samverkan mellan professionella inom exempelvis hälso- och sjukvården, skolan och socialtjänsten.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2012
Series
Studier i socialt arbete vid Umeå universitet : avhandlings- och skriftserie, ISSN 0283-300X ; 71
Keywords
adolescence, school survey, self-reported health, somatic complaints, stress, norm compliance, parent-adolescent relations, compulsory school, school managers, research utilization, ungdomar, skolenkät, självrapporterad hälsa, somatiska besvär, stress, normföljsamhet, föräldrarelationer, skola, skolområdeschefer, forskningsanvändning
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-54177 (URN)978-91-7459-377-8 (ISBN)
Public defence
2012-05-11, Samhällsvetarhuset, Hörsal C, Umeå universitet, Umeå, 10:15
Opponent
Supervisors
Available from: 2012-04-20 Created: 2012-04-18 Last updated: 2018-06-08Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5339-0872

Search in DiVA

Show all publications