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Lindkvist, Marie
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Publications (10 of 84) Show all publications
Westergren, A., Edin, K., Lindkvist, M. & Christianson, M. (2020). Exploring the medicalisation of childbirth through women's preferences for and use of pain relief. Women and Birth
Open this publication in new window or tab >>Exploring the medicalisation of childbirth through women's preferences for and use of pain relief
2020 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Sweden, along with other countries, is facing rising intrapartum intervention rates.

AIM: To explore the medicalisation of childbirth through women's preferences for and use of pain relief, and to investigate whether the presence of a birth plan had any impact on use of pain relief, rate of intervention, and satisfaction with the birth experience.

METHODS: The study was cross-sectional, and included 129 women with birth plans and 110 without, all of whom gave birth in one hospital in Sweden between March and June 2016. Data from birth plans and medical records was analysed through descriptive statistics and logistic regression.

FINDINGS: Parity rather than birth plan was a greater determinant for use of pain relief, frequency of interventions, and level of satisfaction; primiparas used more pain relief, had more interventions, and were less satisfied with their birth experiences than multiparas. Epidural analgesia was associated with a two to threefold increase in interventions, but 79.5% of all women had some form of intervention during birth, regardless of having an epidural or not. Women were generally highly satisfied with their birth experiences, women without epidural analgesia and interventions slightly more so.

CONCLUSION: Contrary to their initial plans, especially primiparas used more pharmacological pain relief than intended, and nearly all (94.6%) had some form of intervention during labour and birth. More interventions were associated with lower levels of satisfaction. The high rate of intervention in a healthy population of birthing women is disquieting and requires further attention.

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
Birth plans, Cross-Sectional study, Epidural analgesia, Intrapartum interventions, Medicalisation
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-169189 (URN)10.1016/j.wombi.2020.02.009 (DOI)32094035 (PubMedID)
Available from: 2020-03-25 Created: 2020-03-25 Last updated: 2020-03-26
Lämås, K., Bölenius, K., Sandman, P.-O., Bergland, Å., Lindkvist, M. & Edvardsson, D. (2020). Thriving among older people living at home with home care services-A cross-sectional study. Journal of Advanced Nursing, 76(4), 999-1008
Open this publication in new window or tab >>Thriving among older people living at home with home care services-A cross-sectional study
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2020 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, no 4, p. 999-1008Article in journal (Refereed) Published
Abstract [en]

AIM: To explore the level of thriving and associated factors among older adults living at home with support from home care services.

DESIGN: An exploratory, cross-sectional survey design.

METHOD: A sample of 136 participants (mean 82 years) responded to a survey about thriving, health, psychosocial and care-related factors in 2016. Descriptive analysis and multiple logistic regression analysis with a stepwise backwards elimination procedure were performed.

RESULT: The results showed that the level of thriving was relatively high among adults living at home with support from home care services, with dimensions concerning engaging in activities and peer relations and keeping in touch with people and places being rated the lowest. Regression analysis showed that participating in social relations and experiencing self-determination in activities in and around the house were associated with thriving.

CONCLUSION: Facilitating social relations and creating opportunities for self-determination seem necessary to support thriving among older adults living at home with support from home care services.

IMPACT: The findings in this study add important knowledge about place-related well-being when living at home with home care services.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
aged, health, home care service, nursing, older adults, thriving, well-being
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-168382 (URN)10.1111/jan.14307 (DOI)000512802700001 ()31994235 (PubMedID)
Available from: 2020-02-21 Created: 2020-02-21 Last updated: 2020-03-26Bibliographically approved
Corneliusson, L., Sköldunger, A., Sjögren, K., Lövheim, H., Lindkvist, M., Wimo, A., . . . Edvardsson, D. (2020). Well‐being and Thriving in Sheltered Housing versus Ageing in Place: Results from the U‐Age Sheltered Housing Study. Journal of Advanced Nursing, 73(3), 856-866
Open this publication in new window or tab >>Well‐being and Thriving in Sheltered Housing versus Ageing in Place: Results from the U‐Age Sheltered Housing Study
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2020 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, no 3, p. 856-866Article in journal (Refereed) Published
Abstract [en]

Aims: To explore to what extent type of residence (sheltered housing or ageing in place) contributes to thriving and well-being in older adults, when controlling for age, sex, living alone, being a widow and adjusting for functional status, self-rated health, and depressive mood.

Design: A matched cohort study.Methods A self-report survey was sent out to a total population of residents in all sheltered housings in Sweden and a matched control group ageing in place (N = 3,805). The data collection took place between October 2016-January 2017.

Results: The interaction analyses related to thriving showed that with increasing level of depressive mood and decreasing levels of self-rated health and functional status, those residing in sheltered housing generally reported higher levels of thriving, as compared with those ageing in place. Well-being was not found to be significantly associated with type of accommodation.

Conclusion: There may be features in sheltered housing that are associated with resident thriving especially among individuals with impairments of function, health or mood, although further studies are required to identify these specific features.

Impact: This study informs staff and policymakers about thriving and well-being in sheltered housing accommodations. These findings may be used to further the development of sheltered housing accommodations.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
aged, cohort study, housing for the elderly, nursing, older people, quality of life, residence characteristics, social participation, thriving, well-being
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-166130 (URN)10.1111/jan.14285 (DOI)000512486200010 ()31814145 (PubMedID)
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2020-03-26Bibliographically approved
Wilson, I. M., Eurenius, E., Lindkvist, M., Edin, K. & Edvardsson, K. (2019). Is there an association between pregnant women's experience of violence and their partner's drinking?: A Swedish population-based study. Midwifery, 69, 84-91
Open this publication in new window or tab >>Is there an association between pregnant women's experience of violence and their partner's drinking?: A Swedish population-based study
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2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 69, p. 84-91Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Pregnancy is a time of heightened vulnerability for women, especially for experiencing violence in their close and intimate relationships. Alcohol misuse by a male intimate partner is a known contributor to increased risk and severity of intimate partner violence generally, however less is known about the relationship between partner drinking patterns and women's experience of violence in their relationship, and particularly in early pregnancy. This study aimed to explore these associations in a large, population-based sample of Swedish expectant parents.

DESIGN, SETTING AND PARTICIPANTS: Data for this cross-sectional study were drawn from 11 461 couples (22 922 participants) enrolled in Salut, a child health promotion programme in Västerbotten County Council, Sweden. Data were collected at women's antenatal care visits during the first trimester of pregnancy.

MEASUREMENTS: Questionnaires included male partners' self-reported drinking patterns using AUDIT (Alcohol Use Disorders Identification Test) and pregnant women's reports of violence. Descriptive and logistic regression analyses were undertaken to examine prevalence of reported violence and association with partner drinking patterns.

FINDINGS: There was a strong association between male partner alcohol misuse and the odds of pregnant women experiencing violence in general, experiencing violence since becoming pregnant, and fear for their own safety at the time of enrolment in ANC. The odds of having experienced being controlled or physically hurt in a relationship, or having ever experienced sexual violence, were higher with more serious alcohol misuse by the male partner. Most striking was that women whose partners reported hazardous drinking or alcohol dependence had nearly nine times higher odds of experiencing being physically hurt by a partner since becoming pregnant, compared to women whose partners reported non-harmful alcohol use (OR 8.50, CI 2.39-30.17, p = 0.001). Fearing for current safety was also strongly linked to more severe alcohol use by their current male partner (OR 7.65, CI 1.02-57.24, p = 0.048).

KEY CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: This study contributes population-level evidence that the risk for women of experiencing violence in general or in early pregnancy is exacerbated when a male partner drinks in harmful ways. Health professionals and those supporting pregnant women should pay attention to the role of risk factors such as partner alcohol use. Ensuring the health of pregnant women and safety in their relationships is important for maternal, foetal and infant health and family functioning.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Alcohol drinking, Cross-sectional study, Intimate partner violence, Pregnancy, Risk factors, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-153435 (URN)10.1016/j.midw.2018.10.019 (DOI)000454129800011 ()30415105 (PubMedID)2-s2.0-85056169104 (Scopus ID)
Available from: 2018-11-21 Created: 2018-11-21 Last updated: 2019-10-16Bibliographically approved
Bölenius, K., Lämås, K., Sandman, P.-O., Lindkvist, M. & Edvardsson, D. (2019). Perceptions of self-determination and quality of life among Swedish home care recipients - across-sectional study. BMC Geriatrics, 19, Article ID 142.
Open this publication in new window or tab >>Perceptions of self-determination and quality of life among Swedish home care recipients - across-sectional study
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2019 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, article id 142Article in journal (Refereed) Published
Abstract [en]

Background: It is acknowledged that preservation of self-determination is very important in order for older adults to experience good quality of life, but to what degree and in what areas people receiving help from home care service experience self-determination is unknown. Few studies have examined the perception of self-determination in relation to quality of life among older adults living at home with help from home care services. Thus, the aim of this study was to explore perceptions of self-determination among older adults living at home with the support of home care services, and to test whether older adults who perceive a higher degree of self-determination also feel they have a better quality of life.

Methods: This cross-sectional study was conducted in one municipality in northern Sweden. A total of 134 older adults (≥ 65 years) were included. Data were collected by means of a survey including questionnaires about background characteristics, self-determination, and health-related quality of life. Descriptive statistics regarding background characteristics for groups with high and low self-determination respectively were presented and the differences between the groups were analyzed using the Chi-square test and the Mann-Whitney U test.

Results: Our main finding shows that the majority of older adults with support from home care services experience self-determination in the dimensions use of time, and self-care. However, a wide variation was found in self-reported self-determination in all dimensions. Results also show that the group with higher self-reported self-determination also reported a greater degree of experienced quality of life in comparison with the group with lower self-reported self-determination.

Conclusions: In line with earlier research, our results found a positive relation between self-determination and quality of life. The results are relevant for the care of older adults and indicate a need of further research. The results presented in this paper could serve as a guide when planning for improved self-determination among older adults in home care service.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Aged care, Health, Home care services, Nursing care, Older adults, Older people, Self-determination, Quality of life
National Category
Geriatrics
Identifiers
urn:nbn:se:umu:diva-160298 (URN)10.1186/s12877-019-1145-8 (DOI)000468889900006 ()31126243 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2019-06-17 Created: 2019-06-17 Last updated: 2019-06-17Bibliographically approved
Hultin, M., Jonsson, K., Härgestam, M., Lindkvist, M. & Brulin, C. (2019). Reliability of instruments that measure situation awareness, team performance and task performance in a simulation setting with medical students. BMJ Open, 9(9), Article ID e029412.
Open this publication in new window or tab >>Reliability of instruments that measure situation awareness, team performance and task performance in a simulation setting with medical students
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2019 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 9, article id e029412Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: The assessment of situation awareness (SA), team performance and task performance in a simulation training session requires reliable and feasible measurement techniques. The objectives of this study were to test the Airways-Breathing-Circulation-Disability-Exposure (ABCDE) checklist and the Team Emergency Assessment Measure (TEAM) for inter-rater reliability, as well as the application of Situation Awareness Global Assessment Technique (SAGAT) for feasibility and internal consistency.

DESIGN: Methodological approach.

SETTING: Data collection during team training using full-scale simulation at a university clinical training centre. The video-recorded scenarios were rated independently by four raters.

PARTICIPANTS: 55 medical students aged 22-40 years in their fourth year of medical studies, during the clerkship in anaesthesiology and critical care medicine, formed 23 different teams. All students answered the SAGAT questionnaires, and of these students, 24 answered the follow-up postsimulation questionnaire (PSQ). TEAM and ABCDE were scored by four professionals.

MEASURES: The ABCDE and TEAM were tested for inter-rater reliability. The feasibility of SAGAT was tested using PSQ. SAGAT was tested for internal consistency both at an individual level (SAGAT) and a team level (Team Situation Awareness Global Assessment Technique (TSAGAT)).

RESULTS: The intraclass correlation was 0.54/0.83 (single/average measurements) for TEAM and 0.55/0.83 for ABCDE. According to the PSQ, the items in SAGAT were rated as relevant to the scenario by 96% of the participants. Cronbach's alpha for SAGAT/TSAGAT for the two scenarios was 0.80/0.83 vs 0.62/0.76, and normed χ² was 1.72 vs 1.62.

CONCLUSION: Task performance, team performance and SA could be purposefully measured, and the reliability of the measurements was good.

Keywords
patient care team, resuscitation, situation awareness, task performance and analysis, teamwork
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:umu:diva-163368 (URN)10.1136/bmjopen-2019-029412 (DOI)31515425 (PubMedID)
Available from: 2019-09-17 Created: 2019-09-17 Last updated: 2019-09-20Bibliographically approved
Vaezghasemi, M., Eurenius, E., Richter Sundberg, L., Ivarsson, A., Silfverdal, S.-A. & Lindkvist, M. (2019). Social-emotional problems among Swedish three-year-olds: an Item Response Theory Analysis. Paper presented at 12th European Public Health Conference, Building bridges for solidarity and public health, Marseille, France 20th–23rd November 2019. European Journal of Public Health, 29(Suppl 4), 367-368
Open this publication in new window or tab >>Social-emotional problems among Swedish three-year-olds: an Item Response Theory Analysis
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2019 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 29, no Suppl 4, p. 367-368Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: Young children’s social-emotional problems can have a long-term effect if not treated early. In order to deepen our knowledge about children’s social and emotional functioning, we utilized the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) among 3-year-olds in Sweden aiming: 1) to identify ASQ:SE items that are most commonly endorsed by children with high level of social-emotional problems; and 2) to assess whether certain ASQ:SE items differs between boys and girls at the same level of social-emotional problems.

Methods: During 2014-2017 data was collected from 7179 three-year-old children through Child Health Care in a northern county of Sweden within the Salut Child Health Promotion Programme. Item Characteristic Curve (ICC) and Differential Item Functioning (DIF) were used to identify the characteristics of children with high social-emotional problems and to determine whether an item exhibit uniform between boys and girls at the same level of social-emotional problems.

Results: Items regarding interest in sexual words, too little sleep, disinterest in things around, unhappiness and self-injury were more commonly endorsed by children with high levels of social-emotional problems. Additionally, on the same level of social-emotional problem girls were more likely to score high in items regarding difficulties to occupy herself, clinging behaviour and repetitive behaviour while boys were more likely to score high in items regarding difficulty to name friends, difficulty to express feelings and destruction of things on purpose.

Conclusions: This study has increased our knowledge about Swedish young children’s social emotional functioning already at the age of three by detecting which items are most closely connected to high level of social-emotional problems and differences between boys and girls. However, whether the results detected in this analysis are reflecting their parents’ expectations more than child behaviour requires further investigations.

Key messages

  • Children with high level of social-emotional problems were rated high on items regarding interest in sexual words, too little sleep, disinterest in things around, unhappiness and self-injury.

  • On equal levels of social-emotional problems, girls were more often reported with internalizing problematic behaviours and boys were more often reported with externalizing problematic behaviours.

Place, publisher, year, edition, pages
Oxford University Press, 2019
National Category
Pediatrics
Identifiers
urn:nbn:se:umu:diva-167593 (URN)10.1093/eurpub/ckz187.188 (DOI)000506895303086 ()
Conference
12th European Public Health Conference, Building bridges for solidarity and public health, Marseille, France 20th–23rd November 2019
Available from: 2020-03-02 Created: 2020-03-02 Last updated: 2020-03-02Bibliographically approved
Eurenius, E., Richter Sundberg, L., Vaezghasemi, M., Silfverdal, S.-A., Ivarsson, A. & Lindkvist, M. (2019). Social-emotional problems among three-year-olds differ based on the child's gender and custody arrangement. Acta Paediatrica, 108(6), 1087-1095
Open this publication in new window or tab >>Social-emotional problems among three-year-olds differ based on the child's gender and custody arrangement
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2019 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, no 6, p. 1087-1095Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study was to investigate mental health with respect to social-emotional problems among three-year-olds in relation to their gender, custody arrangements and place of residence.

METHODS: A cross-sectional population-based design was used, encompassing 7,179 three-year-olds in northern Sweden during the period 2014-2017 from the regional Salut Register. Descriptive and comparative analyses were performed based on parents' responses on the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE), supplemented with items on gender, custody arrangement and place of residence.

RESULTS: Parental-reported social-emotional problems were found in almost 10% of the children. Boys were reported to have more problems (12.3%) than girls (5.6%) (p<0.001). Parents were most concerned about children's eating habits and interactions at mealtimes. Parents not living together reported more problems among their children than those living together (p<0.001). When stratifying by custody arrangement, girls in rural areas living alternately with each parent had more problems compared to those in urban areas (p<0.008).

CONCLUSION: Gender and custody arrangements appear to be important factors for social-emotional problems among three-year-olds. Thus, such conditions should receive attention during preschool age, preferably by a systematic preventive strategy within Child Health Care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019
Keywords
ages and stages questionnaires, cross-sectional study, emotional and behavioural problems, mental health, preschool child
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-154007 (URN)10.1111/apa.14668 (DOI)000467867900018 ()30496622 (PubMedID)2-s2.0-85058852765 (Scopus ID)
Available from: 2018-12-11 Created: 2018-12-11 Last updated: 2019-06-19Bibliographically approved
Ivarsson, A., Eurenius, E., Lindkvist, M. & Richter Sundberg, L. (2019). Socioemotionell förmåga hos treåringar: Resultat från en befolkningsbaserad studie i Västerbottens län. Brookes Publishing Company
Open this publication in new window or tab >>Socioemotionell förmåga hos treåringar: Resultat från en befolkningsbaserad studie i Västerbottens län
2019 (Swedish)Report (Other academic)
Abstract [sv]

Det övergripande målet för svensk barnhälsovård är att främja barns hälsa, trygghet och utveckling samt ge stöd i föräldraskapet. Barn i Sverige är i hög grad fysiskt friska i internationell jämförelse, men det finns indikationer på att den psykiska ohälsan har ökat hos barn och ungdomar under de senaste decennierna. Kunskapen om förekomst av, och bakomliggande faktorer, till psykisk ohälsa hos förskolebarn är dock otillräcklig. Syftet med denna studie är därför att undersöka treåringars socioemotionella förmåga med avseende på könsskillnader och boende i stad eller på landsbygd i Västerbottens län.

Förskolebarns psykiska hälsa undersöks systematiskt

I denna studie har instrumentet Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) använts för att undersöka föräldrars rapporterade socioemotionella förmåga hos treåringar. ASQ:SE 36-månadersversion delas rutinmässigt ut till föräldrar inför treårsbesöket på barnavårdscentraler i Västerbottens län sedan 2013. ASQ:SE är ursprungligen utvecklat i USA och mäter barns socioemotionella förmåga inom sju domäner: självreglering, följsamhet, kommunikation, adaptiv förmåga, autonomi, affekt och social interaktion. Socioemotionell förmåga i treårsåldern är exempelvis förmåga till samspel med vuxna och jämnåriga samt förmåga att med stöd av förälder reglera egna känslor. Betydande avvikelser i den socioemotionella förmågan vid denna ålder kan tyda på att barnet har en sårbarhet som kan leda till fortsatta och ibland mer allvarliga socioemotionella problem.

Generellt god psykisk hälsa men fler problem bland pojkar

Svaren från majoriteten av föräldrarna indikerar god socioemotionell förmåga hos barnen, dock hade nästan en av tio treåringar föräldrarapporterade socioemotionella problem, med ASQ:SE-poäng över gränsvärdet 59. Problemen var dubbelt så vanliga bland pojkar (12 procent) som bland flickor (6 procent) (p <0,001). Det fanns inga signifikanta skillnader i socioemotionell förmåga mellan barn bosatta i städer i jämförelse med barn bosatta på landsbygden. Skillnaderna mellan könen var dock kvarstående oberoende av geografisk hemvist. Domänerna autonomi och följsamhet innehöll de frågor för vilka flest föräldrar rapporterade svårigheter, detta gällde för både pojkar och flickor.

Slutsats

Studien har ökat förståelsen för socioemotionell förmåga hos treåringar i Sverige. Den förstärker vikten av att identifiera problem i tidig ålder och att beakta könsskillnader. Redan i förskoleåldern bör socioemotionell förmåga uppmärksammas, helst genom en systematisk strategi inom barnhälsovården

Place, publisher, year, edition, pages
Brookes Publishing Company, 2019. p. 36
Series
Rapport från Folkhälsomyndigheten
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-159192 (URN)
Available from: 2019-05-21 Created: 2019-05-21 Last updated: 2019-06-10Bibliographically approved
Pulkki-Brännström, A.-M., Lindkvist, M., Eurenius, E., Häggström, J., Ivarsson, A., Sampaio, F. & Feldman, I. (2019). The equity impact of a universal child health promotion programme. Paper presented at 12th European Public Health Conference, Building bridges for solidarity and public health, Marseille, France 20th–23rd November 2019. European Journal of Public Health, 29(Suppl 4), 103-103
Open this publication in new window or tab >>The equity impact of a universal child health promotion programme
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2019 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 29, no Suppl 4, p. 103-103Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: We aimed to evaluate whether the Salut Programme, a universal child health promotion intervention, aimed to strengthen healthy lifestyles in northern Sweden, had any effect on income-related inequalities in positive birth outcomes for children and on healthcare use for children and their mothers.

Methods: Mother’s residence and child’s date of birth determined whether the child and the mother belonged to the control group (areas that received care-as-usual) or the intervention group (areas with the intervention implemented from 2005), during the pre-measure period (children born 2002-2004) and the post-measure period (children born 2006-2008). The sum of parents’ taxable income was used for socioeconomic ranking. We computed the standard concentration index for six binary indicators of positive birth outcomes, and for inpatient and day patient care for children and mothers during the two years after delivery. Using a difference-in-difference approach, we assessed whether the extent of inequality changed over time between areas.

Results: Income-related inequalities in child health status at birth and in child healthcare use were absent, except that full-term pregnancies were concentrated among the poor at pre-measure in the intervention group. However, mothers’ healthcare use was significantly pro-poor in the control group. The extent of inequality changed between pre- and post-measure periods for two outcomes: the pro-poor concentration of full-term pregnancies in the intervention group at pre-measure disappeared at post-measure; and an increase in pro-poor concentration of normal birth weight in the control group was not matched by a similar increase in the intervention group. Inequalities in healthcare use did not change significantly.

Conclusions: Birth outcomes and child healthcare use seemed to be equitably distributed. However, the results raise concerns whether the intervention may have reduced the pro-poor concentration of positive birth outcomes.

Key messages

  • There are concerns that participation in universal health promotion programmes differs by socioeconomic status, although few public health interventions have been evaluated from an equity perspective.

  • Birth outcomes and child healthcare use in Northern Sweden seemed to be equitably distributed across different socioeconomic groups.

Place, publisher, year, edition, pages
Oxford University Press, 2019
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-167601 (URN)10.1093/eurpub/ckz185.270 (DOI)000506895300238 ()
Conference
12th European Public Health Conference, Building bridges for solidarity and public health, Marseille, France 20th–23rd November 2019
Available from: 2020-03-02 Created: 2020-03-02 Last updated: 2020-03-02Bibliographically approved
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