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This study examines the Swedish Police’s perceptions and experiences in implementing the 2015 Swedish Counter-Terrorism Strategy, focusing on the intermediary strategic level that connects political decision-making with local practitioners. Using the Consolidated Framework for Implementation Research (CFIR), the study identifies barriers and facilitators across five domains: innovation, outer setting, inner setting, individual characteristics, and implementation processes. Semi-structured interviews were conducted with 14 participants from the National Operational Department (Noa), responsible for operationalizing the strategy or its critical components. The findings highlight systemic challenges, including misalignment between top-down directives and local priorities, resource limitations, and an emphasis on outputs (e.g., equipment procurement) over outcomes (e.g., prevention effectiveness). Key barriers included resistance to change, reliance on individual initiative, and a lack of clarity, motivation, and performance-based incentives. Structural and cultural factors, such as organizational autonomy and scepticism toward external mandates, further impeded implementation. Despite these obstacles, opportunities for improvement were identified. These include align national directives with local realities by engaging stakeholders early, transferring scientific knowledge on effective implementation to practitioners, recognizing individual contributions, and developing long-term, outcome-focused strategies. This research offers critical insights into the complexities of implementing counter-terrorism strategies within bureaucratic organizations, providing valuable lessons for similar contexts globally. Future research should incorporate regional and local perspectives to capture a comprehensive understanding of implementation dynamics across organizational levels.

Objective: To explore health professionals’ perspectives on the barriers and enablers of healthcare access for older adults in Cambodia.

Design: A qualitative study based on semi-structured interviews conducted in Khmer, recorded, transcribed, translated into English and analysed using an abductive thematic analysis approach.

Setting: Phnom Penh, Cambodia.

Participants: A purposive sample of 11 health professionals serving in diverse roles and sectors participated in the study.

Results: Three key barriers emerged: (1) institutional barriers, (2) patient-specific access barriers and (3) communication barriers. However, four key enablers were also identified: (1) supportive healthcare environment, (2) reaching out to improve access to health services, (3) peer and community engagement and (4) government direct support to access healthcare. Despite previous policy efforts, gaps in the implementation of healthcare services for older adults persist across all health facilities. Health professionals identified that improving healthcare access for older adults in Cambodia requires a multifaceted strategy involving proactive outreach, health promotion, financial assistance and stronger community and family support.

Conclusion: Effective policy implementation requires collaboration among stakeholders and the active involvement of older adults in programme design to enhance dignity and well-being in Cambodia’s ageing population.

Health behaviour is crucial for influencing health, making it a key component in health promotion. However, changing behaviours is complex, as many factors interact to determine health behaviours. Information, awareness, and knowledge are important but not enough. It is essential to move beyond focusing solely on individual psychological and cognitive factors to an understanding of the complex processes involved in health behaviour change. Social-ecological models account for these complex processes but risk being overly broad and all-encompassing.

This qualitative grounded theory study explores how individual, interpersonal, and environmental factors interplay to influence health behaviour, and examines how social-ecological models in health promotion can be tailored to address different ecological needs. Participants were recruited from a community-based cardiovascular disease-prevention program in Northern Sweden. Data was collected through in-depth interviews about health and health behaviours throughout the life course among middle-aged men and women.

The results illustrate how factors obstructing or enabling health behaviours vary in patterned ways for individuals with different health identities. Social-ecological interventions could be more effective if adapted to the specific needs of people with different health identities. In addition to screening for various risk factors, screening for health identities could be helpful in designing social-ecological health-promoting interventions.

The COVID-19 pandemic caused a global health crisis that affected every aspect of society worldwide. However, the detrimental health effects of the pandemic were not equally distributed across groups and places. Likewise, adherence to preventive measures varied across groups and communities. Having supportive social networks and living in areas with social cohesion—social capital—is believed to protect against adverse consequences of social crises. This mixed method study aims to investigate the bidirectional relationship between social capital and the COVID-19 pandemic, and to analyze the significance of individual and neighborhood social capital for physical and mental health, attitudes toward- and adherence to preventive measures. The specific objectives are to; (1) Investigate the development of neighborhood social capital during the COVID-19 pandemic and to assess whether perceptions on how the pandemic affected life situation and attitudes toward preventive measures differ across neighborhoods with different social capital profiles and population characteristics. (2) Analyze the effects of individual social capital on physical and mental health, as well as attitudes toward and adherence to preventive measures for diverse population sub-groups, living in neighborhoods with different social capital profiles. (3) Analyze how the pandemic and its associated preventive measures impacted people’s access to and utilization of social capital. Sub-study 1 will utilize data from repeated cross-sectional social capital surveys conducted before and after the COVID-19 pandemic, in 2020 and 2024. Data from a cohort who responded to both the post- and the pre-COVID social capital surveys will be linked to population register data on socioeconomic and sociodemographic factors and health registers to be used for the quantitative sub-study 2. A strategic sample of individuals who participated in both the 2020 and the 2024 social capital surveys will be invited to participate in interviews for a subsequent qualitative sub-study 3. This study is carried out in Umeå Municipality, Northern Sweden, where extensive research on social capital, health and social sustainability has been conducted since 2006. The proposed study contributes novel knowledge on how a social crisis affects unequal living conditions between groups and places. This knowledge can provide a basis for what actions are needed to reduce adverse health consequences of social crises.

This qualitative thematic study aimed to examine the placement of unaccompanied asylum-seeking minors in compulsory institutional care in Sweden, to expand knowledge regarding their care and treatment. The dataset comprised official documents and anonymized journal documents from personnel detailing the experiences of twenty-five unaccompanied asylum-seeking minors in compulsory institutional care organized by the Swedish National Board of Institutional Care in 2015. The study identified three main themes: traumatic life events and mental health, alignment between needs, goals, and treatment, and language difficulties. The findings revealed a high prevalence of severe traumatic experiences among the asylum-seeking minors, with half having endured significant psychological and physical trauma. Mental health issues were inconsistently addressed, and prior traumas were often overlooked in care planning. The majority exhibited various mental health problems, underscoring the need for tailored interventions. The study highlights challenges in aligning unaccompanied asylum-seeking minors' individual needs, treatment goals, and provided care. Language barriers emerged as a critical concern, impeding effective communication and treatment. Approximately 80% of the asylum-seeking minors experienced difficulties in understanding and expressing themselves in Swedish. The limited use of professional interpreters further exacerbated this issue. The study underscores the need for targeted interventions to better support unaccompanied asylum-seeking minors within compulsory institutional settings.

Poliser i yttre tjänst har en avgörande roll i att förebygga, förhindra och upptäcka brottslig verksamhet, samt att bevaka den allmänna ordningen och säkerheten. Detta uppdrag är inte begränsat till en specifik plats utan spänner över hela samhället. Det innebär att hela samhället utgör polisernas arbetsmiljö. Denna arbetsmiljö är dock komplex och involverar risker såsom hot och våld. Det gör att poliser i yttre tjänst löper en särskilt hög risk för övergrepp, vilket kan leda till långvariga fysiska och psykiska påverkningar.

Poliser ställs inför ökande krav, särskilt med tanke på de samhällsutmaningar som finns idag med exempelvis den grova organiserade brottsligheten. En hög andel poliser överväger att lämna yrket och upplever känslor av otillräcklighet. Det indikerar att det finns utmaningar i arbetsmiljön. Det är därför nödvändigt att få en systematisk översikt över risk- och friskfaktorer på individ-, organisations och samhällsnivå för att utveckla effektiva arbetsmiljöstrategier för en hållbar polisorganisation.

Forskargruppens uppdrag av Myndigheten för arbetsmiljökunskap är att sammanställa befintlig forskning som genomförts i Sverige och Europa de senaste tio åren gällande arbetsmiljö för poliser i yttre tjänst. Resultatet kan vara ett stöd i den svenska polismyndighetens arbetsmiljöarbete.

Background: The increase in adolescents reporting mental health problems presents a major public health challenge. The complex association between mental health and social capital motivates further investigation of social capital as a crucial aspect in shaping adolescents' help-seeking knowledge, attitudes, and behaviours.

Aim: This protocol presents a project that aims to investigate social capital in relation to help-seeking and mental health in close collaboration with adolescents and key stakeholders in the school setting, in the southern part of Sweden.

Methods: A mixed-method design with three interconnected work packages (WP) will be undertaken with an emphasis on co-production where adolescents are involved throughout the process. WP1 is a development and validation of two questionnaire instruments for assessing social capital and help-seeking in adolescence. WP2 is a longitudinal quantitative study involving 1,500 adolescents from two regions representing rural and suburban/urban settings. Adolescents aged 15 will be asked to complete questionnaires concerning social capital, mental health, and help-seeking in a baseline and one-year follow-up, allowing for investigation of the role of social capital for help-seeking. WP3 is designed to elucidate experiences and knowledge of adolescents and key stakeholders via collaborative World Café workshops. These will be held along the project to evolve the generated knowledge and maximize it's applicability during and after the project is finalized.

Conclusion: The results are expected to further the understanding of the relationship between adolescents' social capital, mental health, and help-seeking, to contribute to a deeper understanding of the mechanisms behind the paradoxical help-seeking patterns among adolescents today and to narrow the gap between research and practice to produce sustainable and efficient strategies, which may facilitate help-seeking and improve the mental health of adolescents within existing organizational structures.

An aim of committing terror is to instill fear in the population. This article explores to what extent Swedish citizens were cognitively, emotionally, and behaviorally affected by the 2017 terrorist attack in Stockholm and how the citizens perceived that the authorities handled the situation. The study is based on data from a survey with 1996 participants, consisting of a random sample of people living in Sweden, aged 18–79 years. Our results show that exposure to terrorist acts has a significant negative psychological impact on the population in general and on those who do not feel part of Swedish society in particular. The attack's negative effect was despite the fact that the vast majority of respondents felt that society had handled the attack well and almost half of the respondents stated that they had gained increased confidence in the authorities.

Background: The COVID-19 control policies might negatively impact older adults’ participation in volunteer work, instrumental support provision, and the likelihood of receiving instrumental support. Studies that quantify changes in these activities and the related factors are limited. The current study aimed to examine the level of volunteering, instrumental support provision and receipt before and during the first phase of the COVID-19 pandemic in Europe and to determine whether older adults’ volunteering, instrumental support provision and receipt were associated with individual exposure to COVID-19 and the stringency of country’s COVID-19 control policy during the first phase of the COVID-19 pandemic.

Methods: A cross-sectional survey using data from the Survey of Health, Ageing and Retirement in Europe (SHARE) Corona Survey 1 was designed to focus on community-dwelling Europeans aged ≥50 years. History of participation in volunteering work and instrumental support provision or receipt was assessed from the previous SHARE Wave data. The country’s COVID-19 control policy stringency index (S-Index) was from the Oxford COVID-19 Government Response Tracker database. A total of 45,669 respondents from 26 European countries were included in the volunteering analysis. Seventeen European countries were included in the analyses of instrumental support provision (N = 36,518) and receipt (N = 36,526). The multilevel logistic regression model was fitted separately to analyse each activity.

Results: The level of volunteering and instrumental support provision was lower during the pandemic, but instrumental support receipt was higher. The country S-Index was positively associated with support provision (OR:1.13;95%CI:1.02–1.26) and negatively associated with support receipt (OR:0.69;95%CI:0.54–0.88). Exposure to COVID-19 was positively associated with support receipt (OR:1.64;95%CI:1.38–1.95). COVID-19 exposure on close ones positively associated with volunteering (OR:1.47;95%CI:1.32–1.65), support provision (OR:1.28;95%CI:1.19–1.39), and support receipt (OR:1.25;95%CI:1.15–1.35).

Conclusions: The COVID-19 pandemic impacted older Europeans’ volunteering, instrumental support provision, and instrumental support receipt from outside their household. When someone close to them was exposed to COVID-19, older Europeans were likely to receive instrumental support and to volunteer and provide instrumental support. A stricter country’s COVID-19 control policy might motivate older adults to provide instrumental support, but it prevents them from receiving instrumental support from outside their households. 

Syftet med denna artikel är att utforska hur centrala svenska aktörer upplever och hanterar arbetet med åldersbedömningar av asylsökande barn i Sverige. Vidare syftar artikeln till att diskutera hur dessa aktörer använder sitt handlingsutrymme till att balansera mellan den rättsliga regleringen å den ena sidan och barnets rättigheter och behov å den andra. I artikeln används Lipskys teori om gräsrotsbyråkrater. Undersökningen baseras på kvalitativa semi-strukturerade intervjuer med tjänstepersoner vid Migrationsverket och rättsläkare. Av resultaten dras slutsatsen att tjänstepersonerna vid Migrationsverket har ett stort handlingsutrymme vid åldersbedömning av asylsökande barn, men att de i hög grad använder detta till att överlämna beslutet om ålder till rättsläkarna. Vidare dras slutsatsen att rättsläkarna har ett mer begränsat handlingsutrymme, eftersom det är utlåtanden från tandläkare och röntgenläkare som egentligen avgör vilken åldersbedömning som görs.