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Wall, Stig
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Publications (10 of 101) Show all publications
Bile, K., Emmelin, M., Freij, L., Gustafsson, L. L., Sahlen, K.-G., Wall, S. & Warsame Yusuf, M. (2022). Who published what on Somali health issues?. Somali Health Action Journal, 2(1)
Open this publication in new window or tab >>Who published what on Somali health issues?
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2022 (English)In: Somali Health Action Journal, E-ISSN 2004-1985, Vol. 2, no 1Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
Umeå: Umeå University, 2022
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-206858 (URN)10.36368/shaj.v2i1.281 (DOI)
Available from: 2023-04-19 Created: 2023-04-19 Last updated: 2023-04-19Bibliographically approved
Wall, S., Emmelin, M., Krantz, I., Nilsson, M., Norström, F., Schröders, J., . . . Östergren, P.-O. (2021). Global Health Action at 15 – revisiting its rationale. Global Health Action, 14(1), Article ID 1965863.
Open this publication in new window or tab >>Global Health Action at 15 – revisiting its rationale
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2021 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 14, no 1, article id 1965863Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Taylor & Francis, 2021
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-187437 (URN)10.1080/16549716.2021.1965863 (DOI)34496714 (PubMedID)2-s2.0-85114695111 (Scopus ID)
Available from: 2021-09-10 Created: 2021-09-10 Last updated: 2021-09-17Bibliographically approved
Blomstedt, Y., Norberg, M., Ng, N., Nyström, L., Boman, K., Lönnberg, G., . . . Weinehall, L. (2019). Flawed conclusions on the Vasterbotten Intervention Program by San Sebastian et .al [Letter to the editor]. BMC Public Health, 19(1), Article ID 1095.
Open this publication in new window or tab >>Flawed conclusions on the Vasterbotten Intervention Program by San Sebastian et .al
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2019 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 19, no 1, article id 1095Article in journal, Letter (Refereed) Published
Abstract [en]

An evaluation of Vasterbotten Intervention Programme (VIP) was recently conducted by San Sebastian et al. (BMC Public Health 19:202, 2019). Evaluation of health care interventions of this kind require 1) an understanding of both the design and the nature of the intervention, 2) correct definition of the target population, and 3) careful choice of the appropriate evaluation method. In this correspondence, we review the approach used by San Sebastian et al. as relates to these three criteria. Within this framework, we suggest important explanations for why the conclusions drawn by these authors contradict a large body of research on the effectiveness of the VIP.

Keywords
Prevention, Community intervention, Evaluation, CVD
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-163072 (URN)10.1186/s12889-019-7444-3 (DOI)000480751900003 ()31409308 (PubMedID)2-s2.0-85070763966 (Scopus ID)
Available from: 2019-11-27 Created: 2019-11-27 Last updated: 2023-08-28Bibliographically approved
Byass, P., Ng, N. & Wall, S. (2019). Nurturing Global Health Action through its first decade. Global Health Action, 12(1), Article ID 1569847.
Open this publication in new window or tab >>Nurturing Global Health Action through its first decade
2019 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 12, no 1, article id 1569847Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Taylor & Francis Group, 2019
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-158193 (URN)10.1080/16549716.2019.1569847 (DOI)000457989300001 ()30727852 (PubMedID)2-s2.0-85061160218 (Scopus ID)
Available from: 2019-04-16 Created: 2019-04-16 Last updated: 2023-03-23Bibliographically approved
Wall, S. (2019). Prevention of antibiotic resistance: an epidemiological scoping review to identify research categories and knowledge gaps. Global Health Action, 12(S1), Article ID 1756191.
Open this publication in new window or tab >>Prevention of antibiotic resistance: an epidemiological scoping review to identify research categories and knowledge gaps
2019 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 12, no S1, article id 1756191Article, review/survey (Refereed) Published
Abstract [en]

Background: Antibiotics have become the cornerstone for the treatment of infectious diseases and contributed significantly to the dramatic global health development during the last 70 years. Millions of people now survive what were previously life-threatening infections. But antibiotics are finite resources and misuse has led to antibiotic resistance and reduced efficacy within just a few years of introduction of each new antibiotic. The World Health Organization rates antibiotic resistance as a ‘global security threat’ impacting on global health, food security and development and as important as terrorism and climate change.

Objectives: This paper explores, through a scoping review of the literature published during the past 20 years, the magnitude of peer-reviewed and grey literature that addresses antibiotic resistance and specifically the extent to which “prevention” has been at the core. The ultimate aim is to identify know-do gaps and strategies to prevent ABR.

Methods: The review covers four main data bases, Web of Science, Medline, Scopus and Ebsco searched for 2000–17. The broader research field “antibiotic OR antimicrobial resistance” gave 431,335 hits. Narrowing the search criteria to “Prevention of antibiotic OR antimicrobial resistance” resulted in 1062 remaining titles. Of these, 622 were unique titles. After screening of the 622 titles for relevance, 420 abstracts were read, and of these 282 papers were read in full. An additional 53 references were identified from these papers, and 64 published during 2018 and 2019 were also included. The final scoping review database thus consisted of 399 papers.

Results: A thematic structure emerged when categorizing articles in different subject areas, serving as a proxy for interest expressed from the research community. The research area has been an evolving one with about half of the 399 papers published during the past four years of the study period. Epidemiological modelling needs strengthening and there is a need for more and better surveillance systems, especially in lower- and middle-income countries. There is a wealth of information on the local and national uses and misuses of antibiotics. Educational and stewardship programmes basically lack evidence. Several studies address knowledge of the public and prescribers. The lessons for policy are conveyed in many alarming reports from national and international organizations.

Conclusions: Descriptive rather than theoretical ambitions have characterized the literature. If we want to better understand and explain the antibiotic situation from a behavioural perspective, the required approaches are lacking. A framework for an epidemiological causal web behind ABR is suggested and may serve to identify entry points for potential interventions.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Antibiotic resistance, antimicrobial resistance, drug resistance, prevention, health policy, behaviour, global threat
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-171574 (URN)10.1080/16549716.2020.1756191 (DOI)000616945300004 ()32475304 (PubMedID)2-s2.0-85085855262 (Scopus ID)
Available from: 2020-06-04 Created: 2020-06-04 Last updated: 2023-09-05Bibliographically approved
Stewart Williams, J. & Wall, S. (2019). The AMR emergency: multi-sector collaboration and collective global policy action is needed now. Global Health Action, 12(sup1), Article ID 1855831.
Open this publication in new window or tab >>The AMR emergency: multi-sector collaboration and collective global policy action is needed now
2019 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 12, no sup1, article id 1855831Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Taylor & Francis, 2019
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-178330 (URN)10.1080/16549716.2019.1855831 (DOI)33357144 (PubMedID)2-s2.0-85098645304 (Scopus ID)
Available from: 2021-01-11 Created: 2021-01-11 Last updated: 2023-03-23Bibliographically approved
Schröders, J., Wall, S., Hakimi, M., Dewi, F. S., Weinehall, L., Nichter, M., . . . Ng, N. (2017). How is Indonesia coping with its epidemic of chronic noncommunicable diseases?: A systematic review with meta-analysis. PLOS ONE, 12(6), Article ID e0179186.
Open this publication in new window or tab >>How is Indonesia coping with its epidemic of chronic noncommunicable diseases?: A systematic review with meta-analysis
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2017 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 12, no 6, article id e0179186Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Chronic noncommunicable diseases (NCDs) have emerged as a huge global health problem in low- and middle-income countries. The magnitude of the rise of NCDs is particularly visible in Southeast Asia where limited resources have been used to address this rising epidemic, as in the case of Indonesia. Robust evidence to measure growing NCD-related burdens at national and local levels and to aid national discussion on social determinants of health and intra-country inequalities is needed. The aim of this review is (i) to illustrate the burden of risk factors, morbidity, disability, and mortality related to NCDs; (ii) to identify existing policy and community interventions, including disease prevention and management strategies; and (iii) to investigate how and why an inequitable distribution of this burden can be explained in terms of the social determinants of health.

METHODS: Our review followed the PRISMA guidelines for identifying, screening, and checking the eligibility and quality of relevant literature. We systematically searched electronic databases and gray literature for English- and Indonesian-language studies published between Jan 1, 2000 and October 1, 2015. We synthesized included studies in the form of a narrative synthesis and where possible meta-analyzed their data.

RESULTS: On the basis of deductive qualitative content analysis, 130 included citations were grouped into seven topic areas: risk factors; morbidity; disability; mortality; disease management; interventions and prevention; and social determinants of health. A quantitative synthesis meta-analyzed a subset of studies related to the risk factors smoking, obesity, and hypertension.

CONCLUSIONS: Our findings echo the urgent need to expand routine risk factor surveillance and outcome monitoring and to integrate these into one national health information system. There is a stringent necessity to reorient and enhance health system responses to offer effective, realistic, and affordable ways to prevent and control NCDs through cost-effective interventions and a more structured approach to the delivery of high-quality primary care and equitable prevention and treatment strategies. Research on social determinants of health and policy-relevant research need to be expanded and strengthened to the extent that a reduction of the total NCD burden and inequalities therein should be treated as related and mutually reinforcing priorities.

Place, publisher, year, edition, pages
Public Library Science, 2017
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-137238 (URN)10.1371/journal.pone.0179186 (DOI)000404046100012 ()28632767 (PubMedID)2-s2.0-85021170460 (Scopus ID)
Available from: 2017-06-28 Created: 2017-06-28 Last updated: 2023-03-24Bibliographically approved
Dalmar, A. A., Hussein, A. S., Walhad, S. A., Ibrahim, A. O., Abdi, A. A., Ali, M. K., . . . Wall, S. (2017). Rebuilding research capacity in fragile states: the case of a Somali-Swedish global health initiative. Global Health Action, 10(1), Article ID 1348693.
Open this publication in new window or tab >>Rebuilding research capacity in fragile states: the case of a Somali-Swedish global health initiative
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2017 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, no 1, article id 1348693Article in journal (Refereed) Published
Abstract [en]

This paper presents an initiative to revive the previous Somali-Swedish Research Cooperation, which started in 1981 and was cut short by the civil war in Somalia. A programme focusing on research capacity building in the health sector is currently underway through the work of an alliance of three partner groups: six new Somali universities, five Swedish universities, and Somali diaspora professionals. Somali ownership is key to the sustainability of the programme, as is close collaboration with Somali health ministries. The programme aims to develop a model for working collaboratively across regions and cultural barriers within fragile states, with the goal of creating hope and energy. It is based on the conviction that health research has a key role in rebuilding national health services and trusted institutions.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2017
Keywords
Diaspora, Somalia, fragile states, health research training, health systems
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-138141 (URN)10.1080/16549716.2017.1348693 (DOI)000407952800001 ()28799463 (PubMedID)2-s2.0-85028598833 (Scopus ID)
Available from: 2017-08-14 Created: 2017-08-14 Last updated: 2023-03-23Bibliographically approved
Ivarsson, A., Kinsman, J., Johansson, K., Mohamud, K. B., Weinehall, L., Freij, L., . . . Omar, S. (2015). Healing the health system after civil unrest. Global Health Action, 8, 1-4
Open this publication in new window or tab >>Healing the health system after civil unrest
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2015 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 8, p. 1-4Article in journal, Editorial material (Other academic) Published
Keywords
Diaspora, action, health systems, research collaboration, war and conflicts
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-103570 (URN)10.3402/gha.v8.27381 (DOI)000352006300001 ()25828070 (PubMedID)2-s2.0-84930631984 (Scopus ID)
Available from: 2015-05-25 Created: 2015-05-21 Last updated: 2023-03-24Bibliographically approved
Blomstedt, Y., Norberg, M., Stenlund, H., Nyström, L., Lönnberg, G., Boman, K., . . . Weinehall, L. (2015). Impact of a combined community and primary care prevention strategy on all-cause and cardiovascular mortality: a cohort analysis based on 1 million person-years of follow-up in Västerbotten County, Sweden, during 1990-2006. BMJ Open, 5(12), Article ID e009651.
Open this publication in new window or tab >>Impact of a combined community and primary care prevention strategy on all-cause and cardiovascular mortality: a cohort analysis based on 1 million person-years of follow-up in Västerbotten County, Sweden, during 1990-2006
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2015 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 5, no 12, article id e009651Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To evaluate the impact of the Västerbotten Intervention Programme (VIP) by comparing all eligible individuals (target group impact) according to the intention-to-treat principle and VIP participants with the general Swedish population.

DESIGN: Dynamic cohort study.

SETTING/PARTICIPANTS: All individuals aged 40, 50 or 60 years, residing in Västerbotten County, Sweden, between 1990 and 2006 (N=101 918) were followed from their first opportunity to participate in the VIP until age 75, study end point or prior death.

INTERVENTION: The VIP is a systematic, long-term, county-wide cardiovascular disease (CVD) intervention that is performed within the primary healthcare setting and combines individual and population approaches. The core component is a health dialogue based on a physical examination and a comprehensive questionnaire at the ages of 40, 50 and 60 years.

PRIMARY OUTCOMES: All-cause and CVD mortality.

RESULTS: For the target group, there were 5646 deaths observed over 1 054 607 person-years. Compared to Sweden at large, the standardised all-cause mortality ratio was 90.6% (95% CI 88.2% to 93.0%): for women 87.9% (95% CI 84.1% to 91.7%) and for men 92.2% (95% CI 89.2% to 95.3%). For CVD, the ratio was 95.0% (95% CI 90.7% to 99.4%): for women 90.4% (95% CI 82.6% to 98.7%) and for men 96.8% (95% CI 91.7 to 102.0). For participants, subject to further impact as well as selection, when compared to Sweden at large, the standardised all-cause mortality ratio was 66.3% (95% CI 63.7% to 69.0%), whereas the CVD ratio was 68.9% (95% CI 64.2% to 73.9%). For the target group as well as for the participants, standardised mortality ratios for all-cause mortality were reduced within all educational strata.

CONCLUSIONS: The study suggests that the VIP model of CVD prevention is able to impact on all-cause and cardiovascular mortality when evaluated according to the intention-to-treat principle.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2015
Keywords
Primary care, Epidemiology, Public health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-113605 (URN)10.1136/bmjopen-2015-009651 (DOI)000368839100125 ()26685034 (PubMedID)2-s2.0-84960429941 (Scopus ID)
Available from: 2015-12-21 Created: 2015-12-21 Last updated: 2023-08-28Bibliographically approved
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