Umeå University's logo

umu.sePublications
Change search
ExportLink to record
Permanent link

Direct link
BETA

Project

Project type/Form of grant
Title [sv]
STANCE-Programmet: Studier av socialtjänstens interventioner for alkohol- och narkotikaproblem och hälsoeffekter ? ett kollaborativt longitudinellt forskningsprogram
Title [en]
STANCE ? Program: Studying social services, treatment and other interventions for Alcohol and Narcotics and resulting health outcomes ? A Collaborative longitudinal research program
Abstract [sv]
STANCE-programmet är ett innovativt, tvärvetenskapligt, forskningsprogram som avser att utveckla kunskaper om: 1) skillnader i hälsoutfall för personer som är beroende av alkohol och narkotika; 2) vilka insatser (kombinationer och omfattning) som socialtjänsten ger till personer som missbrukar alkohol och narkotika; och 3) sambandet mellan de interventioner som tillhandahålls av socialtjänsten och hälsoutfallet för personer som missbrukar alkohol och narkotika. STANCE består av tre sammanhängande projekt: 1) En retrospektiv registerstudie som använder data från Addiction Severity Index (ASI), samt registerdata från Socialstyrelsen, Statens institutionsstyrelse, SCB och BRÅ för att undersöka om personer som bedömts med ASI (N> 40.000), med olika demografiska egenskaper (kön, ålder, etnicitet etc.) och olika behov/problem, har skilda hälsoutfall fyra år efter ASI-bedömning; 2) genom en fortsatt implementering av UBÅT (ett utvärderingsinstrument som utvecklats av forskare i vår grupp) kommer vi att identifiera samtliga åtgärder som socialtjänsten ger till personer som bedömts för substansmissbruk; 3) genom en prospektiv registerstudie (n> 3000) kommer vi att slå samman data från de 4 organisationer som nämns ovan med UBÅTs-data, för att undersöka om specifika kluster av insatser som ges via socialtjänsten är förknippade med förbättrade hälsoutfall. En målsättning är att göra UBÅT till ett användbart utvärderingsinstrument för kommuner/socialarbetare runt om i Sverige, som kan användas för att bedöma olika insatser och resultat för personer som missbrukar alkohol och narkotika. Forskningsprogrammet kan ta fram kunskaper som bland annat är användbara för beslutsfattare, socialarbetare, samt forskare som studerar samhällsinsatser mot missbruk av alkohol och droger. Programmets övergripande målsättning är att förbättra hälsa och välbefinnande i samhället genom att minska konsekvenserna av alkohol- och droganvändning.
Abstract [en]
The STANCE-Program is an innovative, interdisciplinary, research program to provide national level knowledge on: 1) differences in health outcomes for Individuals and Sub-groups Addicted to Alcohol and Narcotics (ISAAN); 2) the range and sets of social services interventions provided to ISAAN; and 3) the association between the range and sets of interventions provided by social services and health outcomes for ISAAN. STANCE consists of three interrelated projects. A retrospective registry study uses data from the Addiction Severity Index (ASI), registry data from the National Board of Health and Welfare, the National Board of Institutional Care, Statistics Sweden and the Swedish National Council for Crime Prevention to identify if individuals assessed with ASI (N>40,000) who reported different needs/problems, and who have different demographic characteristics have different health outcomes in the four years following assessment. Second, through an expanded implementation of U-BOAT, a national registry effort our research team has developed, we will identify all interventions provided through municipal social services to individuals assessed for a Substance Use Disorder (SUD). Third, through a prospective registry study (n > 3000) we will merge registry data from the 4 organizations mentioned above with U-BOAT data to identify if specific clusters of interventions received through the social services are associated with improved health outcomes. Finally, we will make U-BOAT a sustainable evaluation tool for municipalities/social workers around Sweden to assess the range of interventions and outcomes of interventions for ISAAN. Beneficiaries of STANCE include municipal social services, policy makers and researchers developing societal-level systems and institutional responses to addiction of alcohol and drugs and ISAAN receiving improved services. The overall purpose is to improve health and wellbeing of society by reducing health consequences of alcohol and drug use.
Publications (8 of 8) Show all publications
Scarpa, S., Lundgren, L., Modeste-James, A. & John-Langba, J. (2024). Immigrant background, incarceration history and recidivism among adults assessed for illicit substance use severity: findings from a Swedish registry study. International journal of drug policy, 128, Article ID 104432.
Open this publication in new window or tab >>Immigrant background, incarceration history and recidivism among adults assessed for illicit substance use severity: findings from a Swedish registry study
2024 (English)In: International journal of drug policy, ISSN 0955-3959, E-ISSN 1873-4758, Vol. 128, article id 104432Article in journal (Refereed) Published
Abstract [en]

Background: In Sweden, as in other countries, individuals with immigrant backgrounds are disproportionately represented within the incarcerated population. This study examined the association between immigrant background and future incarceration for individuals assessed for illicit substance use severity, while considering their prior incarceration history.

Methods: Using data from Swedish Addiction Severity Index (ASI) assessments linked to register data from Statistics Sweden, we employed Zero-Inflated Negative Binomial (ZINB) regression models to analyse differences in incarceration histories within five years before and after ASI assessments based on immigrant backgrounds. Additionally, Cox proportional-hazard models were used to assess the likelihood of post-assessment incarceration among these groups.

Results: Immigrant background was positively associated with pre- and post-assessment incarceration. First- and second-generation immigrants from the Global South had longer periods of incarceration in the five years before assessments compared to native Swedes. Post-assessment, first-generation immigrants showed longer periods of incarceration. Survival analyses supported these findings, indicating a higher risk of prolonged post-assessment incarceration among all immigrant groups, particularly first-generation immigrants from the Global South.

Conclusion: Among individuals assessed for illicit drug use within Swedish municipalities, those with immigrant backgrounds faced higher incarceration risks, even after controlling for substance use severity and prior incarceration. Tailored interventions and support systems are vital to prevent re-entry into the criminal justice system. Timely actions can break re-offending cycles, redirecting paths away from reoffending and towards legal reintegration, thereby reducing incarceration and recidivism rates.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Illegal substance use, Immigrant background, Incarceration, Recidivism, Sweden
National Category
Social Work Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Research subject
Sociology; Social Medicine; Psychiatry
Identifiers
urn:nbn:se:umu:diva-223813 (URN)10.1016/j.drugpo.2024.104432 (DOI)38669771 (PubMedID)2-s2.0-85191009114 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016–07213
Available from: 2024-04-26 Created: 2024-04-26 Last updated: 2024-05-13Bibliographically approved
Lindner, S. R., Scarpa, S., McCarty, D. & Lundgren, L. (2023). Addiction severity and re-employment in Sweden among adults with risky alcohol and drug use. Journal of Substance Use and Addiction Treatment
Open this publication in new window or tab >>Addiction severity and re-employment in Sweden among adults with risky alcohol and drug use
2023 (English)In: Journal of Substance Use and Addiction Treatment, ISSN 2949-8767Article in journal (Refereed) In press
Abstract [en]

Background: The Addiction Severity Index (ASI) assesses respondents' biopsychosocial problems in seven addiction-related domains (mental health, family and social relations, employment, alcohol use, drug use, physical health, and legal problems). This study examined the association between the seven ASI composite scores and re-employment in a sample of Swedish adults screened for risky alcohol and drug use who were without employment at assessment.

Methods: We conducted a retrospective cohort analysis of employment outcomes among 6502 unemployed adults living in Sweden who completed an ASI assessment for risky alcohol and drug use. The study linked ASI scores to annual tax register data. The primary outcome was employment, defined as having earnings above an administrative threshold. We used Cox proportional hazard models to estimate the association between time to re-employment and ASI composite scores, controlling for demographic characteristics.

Results: Approximately three in ten individuals in the sample regained employment within five years. ASI composite scores suggested widespread biopsychosocial problems. Re-employment was associated with lower ASI composite scores for mental health (estimate: 0.775, 95 % confidence interval: 0.629–0.956), employment (estimate: 0.669, confidence interval: 0.532–0.841), drug use (estimate: 0.628, confidence interval: 0.428–0.924), and health (estimate: 0.798, confidence interval: 0.699–0.912).

Conclusions: This study suggests that several ASI domains may provide information on the complex factors (i.e., mental health, health, drug use) associated with long-term unemployment for people with risky substance use.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Addiction severity index, Substance use disorders, Unemployment
National Category
Public Health, Global Health, Social Medicine and Epidemiology Social Work Substance Abuse
Research subject
Sociology; Public health
Identifiers
urn:nbn:se:umu:diva-215253 (URN)10.1016/j.josat.2023.209178 (DOI)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07213
Available from: 2023-10-12 Created: 2023-10-12 Last updated: 2023-10-19
Scarpa, S., Grahn, R. & Lundgren, L. (2023). Compulsory care of individuals with severe substance use disorders and alcohol- and drug-related mortality: a Swedish registry study. Frontiers in Psychiatry, 14, Article ID 1106509.
Open this publication in new window or tab >>Compulsory care of individuals with severe substance use disorders and alcohol- and drug-related mortality: a Swedish registry study
2023 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14, article id 1106509Article in journal (Refereed) Published
Abstract [en]

Aim: This study used 17 year of Swedish registry data (2003–2019) for 25,125 adults assessed for their severity of substance use to identify the baseline factors predicting the risk of being court-ordered into compulsory care and examine the association between admission to compulsory care and mortality risks due to alcohol- or drug-related causes.

Methods and materials: Addiction Severity Index (ASI) assessment data were linked to register data on demographic characteristics, compulsory care, and alcohol- and drug-related mortality. Cox regression models were used to identify baseline factors predictive of post-assessment admission to compulsory care in the 5 years post-substance use assessment. Discrete-time random-effect logistic regression models were used to examine the association between compulsory care duration and alcohol or drug-related mortality risks. Propensity score matching was used for validation.

Results: The first models identified that younger age, female gender, and ASI composite scores for drug use, mental health and employment were significantly associated with the risk of placement in compulsory care for drugs other than alcohol. Female gender and ASI composite scores for alcohol, drug use and employment were significantly associated with compulsory care treatment for alcohol use. The second models showed that older individuals and men were more likely to die due to alcohol-related causes, while younger individuals and men were more likely to die due to drug-related causes. Length of stay in compulsory care institutions significantly increased the likelihood of dying due to substance use-related causes. Propensity scores analyses confirmed the results.

Conclusion: In Sweden, a significant concern is the higher likelihood of women and young individuals to be court-ordered to compulsory care. Although compulsory care is often advocated as a life-saving intervention, our findings do not provide strong support for this claim. On the contrary, our findings show that admission to compulsory care is associated with a higher risk of substance use-related mortality. Factors such as compulsory care often not including any medical or psychological therapy, together with relapse and overdose after discharge, may be possible contributing factors to these findings.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2023
Keywords
compulsory care, addiction treatment, alcohol-related mortality, drugs other than alcohol-related mortality, Addiction Severity Index
National Category
Substance Abuse Social Work
Identifiers
urn:nbn:se:umu:diva-203400 (URN)10.3389/fpsyt.2023.1106509 (DOI)000919995700001 ()36741106 (PubMedID)2-s2.0-85147213135 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016–07213
Available from: 2023-01-18 Created: 2023-01-18 Last updated: 2024-01-17Bibliographically approved
Jemberie, W. B., Padyab, M., McCarty, D. & Lundgren, L. M. (2022). Hospital admission rate, cumulative hospitalized days, and time to admission among older persons with substance use and psychiatric conditions. Frontiers in Psychiatry, 13, Article ID 882542.
Open this publication in new window or tab >>Hospital admission rate, cumulative hospitalized days, and time to admission among older persons with substance use and psychiatric conditions
2022 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 13, article id 882542Article in journal (Refereed) Published
Abstract [en]

Background: Substance use among older persons occurs with medical and psychiatric comorbidities. This study examined the associations of substance use disorder (SUD), psychiatric, and dual diagnoses with 12-month cumulative hospitalized days, hospital admission rate and number of days to first hospitalization.

Methods: The cohort of 3,624 individuals (28.2% women) aged 50 years or older was assessed for substance use severity in 65 Swedish municipalities during March 2003–May 2017. Addiction Severity Index data were linked to hospital discharge records and crime statistics. The outcomes were (a) 12-month cumulative hospitalized days; (b) Hospital admission rate, and (c) days to first hospitalization. Generalized linear regression techniques investigated associations between outcomes and SUD, psychiatric and dual diagnoses at admission.

Results: During 2003–2017, 73.5% of the participants were hospitalized. Twelve-month hospitalized days were positively associated with SUD (Incidence rate ratio (IRR) = 1.41, 95%CI: 1.26–1.58), dual diagnosis (IRR = 2.03, 95%CI: 1.74–2.36), and psychiatric diagnoses (IRR = 2.51, 95%CI: 2.09–3.01). Hospital admission rate was positively associated with SUD (IRR = 4.67, 95%CI: 4.28–5.08), dual diagnosis (IRR = 1.83, 95%CI: 1.64–2.04), and psychiatric diagnoses (IRR = 1.73, 95%CI: 1.55–1.92). Days to first hospitalization were negatively associated with SUD (IRR = 0.52, 95%CI: 0.47–0.58), dual diagnosis (IRR = 0.57, 95%CI: 0.50–0.65), and psychiatric diagnoses (IRR = 0.83, 95%CI: 0.73–0.93). The marginal effects of SUD and/or mental disorders increased with age for all outcomes, except for days to first hospitalization.

Conclusion: Three of four older persons assessed for substance use severity were later hospitalized. Substance use disorders, dual diagnoses and other mental disorders were the primary reasons for hospitalization and were associated with longer stays, earlier hospitalization, and repeated admissions. Sensitizing service providers to old age substance use and sharing data across the care continuum could provide multiple points of contact to reduce the risk of hospitalizations among older persons with problematic substance use.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
Keywords
aged, repeated hospitalizations, length of stay (D007902), older adult, dual diagnosis, substance use disorder, mental health disorders, comorbidities
National Category
Psychiatry Social Work Geriatrics
Research subject
Social Medicine
Identifiers
urn:nbn:se:umu:diva-194017 (URN)10.3389/fpsyt.2022.882542 (DOI)000876149900001 ()35530023 (PubMedID)2-s2.0-85129652326 (Scopus ID)
Projects
STANCE
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07213The Royal Swedish Academy of SciencesThe Kempe Foundations
Available from: 2022-04-22 Created: 2022-04-22 Last updated: 2024-01-17Bibliographically approved
Jemberie, W. B., Padyab, M., McCarty, D. & Lundgren, L. M. (2022). Recurrent risk of hospitalization among older persons with problematic alcohol use: a multiple failure‐time analysis with a discontinuous risk model. Addiction, 117(9), 2415-2430
Open this publication in new window or tab >>Recurrent risk of hospitalization among older persons with problematic alcohol use: a multiple failure‐time analysis with a discontinuous risk model
2022 (English)In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 117, no 9, p. 2415-2430Article in journal (Refereed) Published
Abstract [en]

Background and Aims: Older persons with problematic alcohol use vary in psychosocial functioning, age of onset for problem drinking and use of other drugs. The study measured the differential risks of all-cause, alcohol, polydrug and psychiatric-related repeated hospitalizations among older persons with problematic alcohol use.

Design: A linked register-based cohort study with discontinuous multiple-failure (time-to-repeated-event) data. Hospitalization and mortality were considered as failure.

Setting: Sweden, March 2003-November 2017, using data from the Addiction Severity Index (ASI) register linked to National Inpatient Register and the Swedish Cause of Death Register.

Participants: 50 years and older (n= 1741; 28% women), with one or more alcohol problem days in the 30 days before an ASI assessment.

Measurements: Five mutually exclusive latent classes of problematic alcohol use, identified with eleven ASI items, were the independent variables: “Late Onset with Fewer Consequence (LO:FC; reference group)”; “Early Onset/Prevalent Multi-Dimensional problems (EO:MD)”; “Late Onset with co-occurring Anxiety and Depression (LO:AD)”; “Early Onset with co-occurring Psychiatric Problems (EO:PP)”; and “Early Onset with major Alcohol Problem (EO:AP)”. Covariates included sociodemographic characteristics, previous hospitalization and Elixhauser comorbidity index. Outcome measurements included recurrent hospitalization, and/or mortality due to: (a) all-cause, (b) alcohol-related disorders and diseases (c) polydrug use (d) other psychiatric disorders.

Findings: During the study period, 73.2% were hospitalized at least once, 57.3% were alcohol-related, 8.5% polydrug use and 18.5% psychiatric-related diagnoses. Compared with LO:FC, EO:PP had higher risk for all-cause (adjusted hazard ratio [aHR]= 1.27, 95% confidence interval [CI]= 1.02—1.59) and alcohol-related (aHR= 1.34, 95% CI= 1.02—1.75) hospitalizations. Adjusted risks for polydrug-related hospitalization were 2.55, 95%CI= 1.04—6.27 for EO:MD and 2.62, 95%CI= 1.07—6.40 for EO:PP. Adjusted risk for psychiatric-related hospitalization was higher for LO:AD (aHR= 1.78, 95%CI= 1.16—2.73 and EO:PP (aHR= 2.03, 95%CI= 1.22—3.38).

Conclusions: Older addiction service users in Sweden have varying risks of hospitalization due to alcohol use, polydrug use and psychiatric disorders. Older persons with problematic alcohol use who have multiple needs and are assessed in social services may benefit from earlier interventions with an integrated focus on substance use and mental health.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
hospital readmission, substance use disorder, mental health disorder, longitudinal study, dual diagnoses, aged, addiction care, addiction services, at-risk drinking, at-risk alcohol consumption
National Category
Psychiatry Social Work
Research subject
Psychiatry; Social Medicine
Identifiers
urn:nbn:se:umu:diva-194237 (URN)10.1111/add.15907 (DOI)000792509600001 ()35470927 (PubMedID)2-s2.0-85129627252 (Scopus ID)
Projects
Substance Use Disorder Among Older Adults: typologies, pathways and health outcomesSTANCE
Funder
The Royal Swedish Academy of Sciences, SO2021-0027Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07213Swedish Research Council, 2013‐08755
Available from: 2022-04-28 Created: 2022-04-28 Last updated: 2023-02-27Bibliographically approved
Jemberie, W. B., Padyab, M., Snellman, F. & Lundgren, L. (2020). A Multidimensional Latent Class Analysis of Harmful Alcohol Use Among Older Adults: Subtypes Within the Swedish Addiction Severity Index Registry. Journal of addiction medicine, 14(4), e89-e99
Open this publication in new window or tab >>A Multidimensional Latent Class Analysis of Harmful Alcohol Use Among Older Adults: Subtypes Within the Swedish Addiction Severity Index Registry
2020 (English)In: Journal of addiction medicine, ISSN 1932-0620, E-ISSN 1935-3227, Vol. 14, no 4, p. e89-e99Article in journal (Refereed) Published
Abstract [en]

Objectives: The present study aimed to identify multidimensional typologies of harmful alcohol use based on the Swedish Addiction Severity Index (ASI) assessment data on individuals aged 50 years and above.

Methods: Latent class analysis examined 11 indicators from ASI data on 1747 individuals (men = 1255, women = 492) who reported they were troubled by alcohol problem at least one day in the past 30 days before their assessment. The discriminative validity of the classes was assessed by comparing other measures of individual characteristics and problem severity of other ASI dimensions.

Results: Five subtypes of harmful alcohol use were identified. Two classes with alcohol problems varying in psychosocial functioning, age composition and ages of onset of both regular and heavy drinking. Two with psychiatric comorbidity but varying in violence, criminality, gender composition and ages of onset of regular and heavy drinking. One with high prevalence of concurrent use of other substances, psychiatric, legal, and employment problems.

Conclusions: The analysis identified, in a national sample, heterogeneous risk groups of older adults with harmful alcohol use. These findings suggest a need for healthcare providers to assess older adults not only for their substance use but also for associated problems and needs. Given these findings, the Addiction Severity Index is a valuable assessment tool for older adults with harmful alcohol use.

Place, publisher, year, edition, pages
Wolters Kluwer, 2020
Keywords
addiction severity index, harmful alcohol use, older adults, register-based study, subtypes
National Category
Substance Abuse Psychiatry Social Work Public Health, Global Health, Social Medicine and Epidemiology
Research subject
medical behavioral science
Identifiers
urn:nbn:se:umu:diva-168621 (URN)10.1097/ADM.0000000000000636 (DOI)000619442100017 ()32097236 (PubMedID)2-s2.0-85089202504 (Scopus ID)
Projects
Substance Use Disorder Among Older Adults: typologies, pathways and health outcomesSTANCE
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07213
Note

Acknowledgement: The first author (WBJ) was also awarded grant from the Kempe Foundation to cover tuition fees for methodological courses relevant to this study.

Available from: 2020-03-03 Created: 2020-03-03 Last updated: 2023-09-05Bibliographically approved
Jemberie, W. B. (2020). Multiple indicators focusing on different alcohol-related domains should be used to describe alcohol use profiles among older patients. popnad
Open this publication in new window or tab >>Multiple indicators focusing on different alcohol-related domains should be used to describe alcohol use profiles among older patients
2020 (English)In: popnadArticle in journal, News item (Other (popular science, discussion, etc.)) Published
Abstract [en]

Grouping older adults with alcohol use disorder as those with early versus late onset problem drinking does not capture the multiple intervention needs these patients present to service providers. We should instead use a range of indicators focusing on different alcohol-related domains to describe alcohol use profiles among older patients. This is the key finding of a recent study from Umeå University and the University of Denver, published in the Journal of Addiction Medicine.

Place, publisher, year, edition, pages
Helsinki: , 2020
Keywords
alcohol use disorder, older adults, Substance use disorder
National Category
Social Work Public Health, Global Health, Social Medicine and Epidemiology Substance Abuse Psychiatry
Research subject
Public health; Psychiatry; Social Medicine
Identifiers
urn:nbn:se:umu:diva-171253 (URN)
Projects
Substance Use Disorder Among Older Adults: typologies, pathways and health outcomesSTANCE
Note

Published 2020-04-15

Available from: 2020-05-29 Created: 2020-05-29 Last updated: 2022-05-13Bibliographically approved
Jemberie, W. B., Padyab, M., Snellman, F. & Lundgren, L. (2019). Alcohol subtypes in older adults: A multidimensional Latent Class Analysis of harmful alcohol use among oder adults: Subtypes within the Swedish addiction severity index registry. In: : . Paper presented at SAD conference 2019 - Svenska föreningen för Alkohol- och Drogforskning and Svensk förening för Beroendemedicin, Skövde, Sweden, November 7-8, 2019. Skövde
Open this publication in new window or tab >>Alcohol subtypes in older adults: A multidimensional Latent Class Analysis of harmful alcohol use among oder adults: Subtypes within the Swedish addiction severity index registry
2019 (English)Conference paper, Oral presentation only (Other academic)
Place, publisher, year, edition, pages
Skövde: , 2019
Keywords
Addiction Severity Index, harmful alcohol use, older adults, register-based study, subtypes
National Category
Social Work Substance Abuse Psychiatry
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-167893 (URN)
Conference
SAD conference 2019 - Svenska föreningen för Alkohol- och Drogforskning and Svensk förening för Beroendemedicin, Skövde, Sweden, November 7-8, 2019
Projects
Substance Use Disorder Among Older Adults: typologies, pathways and health outcomesSTANCE
Note

1st place Award for Best Poster

Available from: 2020-02-05 Created: 2020-02-05 Last updated: 2022-05-13Bibliographically approved
Principal InvestigatorLundgren, Lena
Coordinating organisation
Umeå University
Funder
Period
2017-01-01 - 2019-12-31
National Category
Social Sciences Interdisciplinary
Identifiers
DiVA, id: project:622Project, id: 2016-07213_Forte

Search in DiVA

Social Sciences Interdisciplinary

Search outside of DiVA

GoogleGoogle Scholar