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  • 1.
    Ineland, Jens
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karhina, Kateryna
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Workplace-based learning and school-to-work transitions among special needs upper-secondary students with intellectual disabilities in Sweden2019Ingår i: Book of Abstracts, NNDR 2019, 2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Introduction and research questions

    Having a job commonly viewed as important for people’s health and well-being as well as their social roles and social status in society. Work is also imposed by society for its socio-cultural values and provides prerequisites for social inclusion. There are several important transitions during the life course. Being able to gain and maintain a job is one them, a transition also strongly associated with adulthood as it brings autonomy, social networks and economic independence. People with intellectual disabilities, who have attended special upper secondary school, face harsh discrepancies between the desire to be employed and available opportunities. Although Sweden exhibits one of the highest measures of human equality and GDP growth worldwide, people with intellectual disabilities confront limited access to employment, compared to non-disabled citizens. To deal with this propensity, workplace-based learning (WBL) was implemented in the special upper secondary schools in Sweden in 2013. It is hoped that WBL will help students acquire vocational skills, learn vocational cultures and become a part of the community at a workplace. However, there is limited knowledge about WBL and if and how it enhances opportunities at the labor market for students with intellectual disabilities. This presentation reports experiences about WBL amongst professionals in schools from five different municipalities: how are they working with WBL, how is WBL monitored and evaluated, and to what extent is WBL perceived to improve entry to the labor market for students with intellectual disabilities?

    Method

    Our findings are based on empirical data retrieved through semi structured interviews with professionals working with WBL in special upper secondary schools. Data was collected in the autumn of 2018, thus the presentation report on up to date new findings. To analyze the empirical data, a thematic content analysis was conducted.

    Results

    Our presentation focuses on three preliminary findings. First, there is an overall positive view on WBL and the opportunities to enhance the students’ transition to employment. Second, there is no mutual evaluation and documentation procedures in the different municipalities, which professional collaboration and complicate coordinated transitions from school to work. Third, findings also show big differences, both in relation to both WBL and employments, between private and public sector employers. Despite of the recent changes in public policy, private sector still provides more WBL-places and employments for young adults with intellectual disabilities.

    Implications

    Our study suggest that more research on WBL and school-to-work transitions is needed, not at least research focusing on individual experiences amongst people with intellectual disabilities. It also indicate that improved coordination between school, employers and other work agencies is important to improve quality in WBL as well as enhance the possibilities for future employments for students with intellectual disabilities.

  • 2.
    Ineland, Jens
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karhina, Kateryna
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Vikström, Lotta
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    School-to-work Transitions for Students with Intellectual Disabilities: Teachers' Perceptions and Experiences of a Recent Workplace-Based Reform in Sweden2021Ingår i: Journal of International Special Needs Education, ISSN 2159-4341, E-ISSN 2331-4001, Vol. 24, nr 2, s. 86-96Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Having a job, or being employed, is associated with a number of positive effects. Although policies in Sweden support the right of people with disabilities to work and highlight access to employment as a priority, this group of people continues to lose out in employment against other citizens. However, little is known about actions or initiatives implemented to enhance labor market participation among people with disabilities. This study contributes useful findings on a promising implementation of a school-to-work transition initiative, workplace based learning (WBL), in special needs upper-secondary schools in Sweden. The aim of the study was to identify how teachers, having a key role in the implementation process, view and experience WBL and its actual functioning to enhance school-to-work transitions for students with intellectual disabilities. Drawing on 13 interviews with teachers working as supervisors and coordinators in the WBL training, our findings lead to three main conclusions. First, the teachers had significant reliance on WBL and its potential to prepare students for the labor market. Second, the teachers hesitated with regard to whether and to what extent WBL actually enhances school-to-work transitions. Third, the WBL reform has had significant negative effects on the working conditions of the supervising teachers involved. Our study uncovers a number of barriers for WBL to function as an actual bridge to work for students with intellectual disabilities, which we argue have important messages to bring for both policy and practice. 

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  • 3.
    Karhina, Kateryna
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Social capital and well-being in the transitional setting of Ukraine2017Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Bakgrund: Den militära konflikten i Ukraina som startade 2014 fick många politiska, ekonomiska och sociala konsekvenser. Konfliktsituationen triggade bland annat framväxten av omfattande informella volontärverksamheter (en form av social kapital) som senare formaliserades, för att stödja soldater och deras familjer. Denna situation är relativt unik, med tanke på Ukrainas postsovjetiska historia med jämförelsevis låga nivåer av socialt kapital och negativa indikatorer för hälsa och välbefinnande. Denna avhandling syftar att undersöka betydelsen av socialt kapital under pågående militär konflikt i Ukraina, samt att analysera sambandet mellan social kapital och välbefinnande, såväl som fördelningen av social kapitalt mellan kvinnor och män i Ukraina.

    Metoder: Studien kombinerar en kvalitativ och kvantitativ forskningsdesign. En fallstudie genomfördes med hjälp av kvalitativa metoder. Arton djupintervjuer med volontärer samt mottagare av volontärstöd genomfördes. Analysen genomfördes med hjälp av Grundad Teori och Webers sociala idealtyper. Den kvantitativa forskningen är baserad på två sekundära datamaterial. Världshälsoorganisationens (WHOs) World Health Survey användes för att analysera sambandet mellan socialt kapital och fysiskt och mentalt välbefinnande för kvinnor (n = 1723) och män (n = 910) med hjälp av multivariabel logistisk regression. European Social Survey (våg 6) användes för att undersöka tillgången till socialt kapital och bestämningsfaktorer för ojämlikhet i tillgången till socialt kapital mellan kvinnor (n = 1377) och män ( n = 797). Analysen genomfördes med hjälp av multivariabel logistisk regression och post-regression Fairlie decomposition analys.

    Resultat: Resultaten i denna avhandling visar att social kapital transformeras under pågående militär konflikt och antar särskilda former i övergångssamhällen som Ukraina. Det finns både positiva och negativa effekter på välbefinnande relaterat till volontärarbete under pågående samhällskris. Sambanden mellan social kapital och välbefinnande varierar för kvinnor och män till förmån för kvinnor. Vissa former av socialt kapital kan ha en starkare skyddande effekt för kvinnor än män i Ukraina. Resultaten visar också att socialt kapital fördelas ojämnt mellan män och kvinnor. Tillgången till socialt kapital kan betraktas som en indikator för socialt välbefinnande och socialt kapital kan därmed användas både som determinant och ett utfall i studier om socialt kapital, hälsa och välbefinnande.

    Slutsats: Informellt socialt deltagande, dvs volontärarbete, kan spela en viktig roll i samhällskriser och behöver beaktas i såväl mätningar som interventioner av socialt kapital. Mätningar av socialt kapital i ”stabila” samhällen fångar nödvändigtvis inte dessa former av socialt kapital. Sambandet mellan social kapital och välbefinnande beror till stor det på vilka mått för socialt kapital som används. Eftersom socialt kapital har både positiva och negativa effekter på välbefinnande bör det tas i beaktande i forskning, policy och praxis för att kunna förhindra negativa effekter och främja de positiva effekterna. I Ukraina, liksom i andra samhällen, är socialt kapital en ojämn resurs för olika samhällsgrupper. Att minska klyftor mellan könen och inkomstgrupper skulle troligen påverka fördelningen av socialt kapital i samhället.

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  • 4.
    Karhina, Kateryna
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Eriksson, Malin
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ghazinour, Mehdi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för polisutbildning vid Umeå universitet.
    Ng, Nawi
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Gender and social inequalities in access to structural and cognitive social capital in Ukraine: what are the determinants?Manuskript (preprint) (Övrigt vetenskapligt)
  • 5.
    Karhina, Kateryna
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Eriksson, Malin
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ghazinour, Mehdi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för polisutbildning vid Umeå universitet.
    Ng, Nawi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    What determines gender inequalities in social capital in Ukraine?2019Ingår i: SSM - Population Health, ISSN 2352-8273, Vol. 8, artikel-id 100383Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Background: Social capital is a social determinant of health that has an impact on equity and well-being. It may be unequally distributed among any population. The aims of this study are to investigate the distribution of different forms of social capital between men and women in Ukraine and analyse how potential gender inequalities in social capital might be explained and understood in the Ukrainian context.

    Method: The national representative cross-sectional data from the European Social Survey (wave 6) was used with a sample of 1377 women and 797 men. Seven outcomes that represent cognitive and structural social capital were constructed i.e. institutional trust, generalised trust, reciprocity, safety, as well as bonding, bridging and linking forms. Multivariate logistic regression and post-regression Fairlies decompositions were used for the analyses.

    Results: There are several findings that resulted from the analyses i), access to institutional trust, linking and bridging social capital is very limited; ii), the odds for almost all forms of social capital (besides safety) are lower for men; iii), feeling about income and age explain most of the gender differences and act positively, as well as offsetting the differences.

    Conclusion: Social capital is unequally distributed between different population groups. Some forms of social capital have a stronger buffering effect on women than on men in Ukraine. Reducing gender and income inequalities would probably influence the distribution of social capital within the society.

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  • 6.
    Karhina, Kateryna
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Ghazinour, Mehdi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för polisutbildning vid Umeå universitet.
    Ng, Nawi
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Eriksson, Malin
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Social capital transformation, voluntarily services and mental health during times of military conflict in Ukraine2017Ingår i: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 9, nr 5, s. 141-155Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The effects of war as well as military conflict include long-term physical and psychological harm to children and adults. Social relations and trust play a role in peace building and conflict resolution. Social capital is believed to facilitate institutional and interpersonal trust as well as safety and security, and thus may become an important resource in times of military conflict.

    OBJECTIVE: The aims of this study are to analyse how social capital may be transformed due to a military conflict in contemporary Ukraine and to explore the role of voluntarily services in this change. Further we aim to discuss the possible influence of social capital transformation on mental health in times of military conflict.

    METHODS: A qualitative case study design was chosen to explore it. In-depth interviews were chosen as a method for data collection. Informant’s selection criteria were: either to be involved in volunteering activities in the city of Khmelnitsky (which is the place of research) or to receive volunteering help. 18 interviews were conducted.

    Informants were reached by snowball sampling. Interviews are collected, transcribed, translated and analyzed using constructive Grounded Theory approach of Charmaz.

    RESULTS: Our results show that social capital transforms during military conflict experiences. The changes happen both in cognitive and structural components since they are connected. The most important changes occur in bonding social capital, where new formation such as brotherhood, emerges and replaces previous bonding ties with family and friends. In addition, voluntarily acting actors (those who normally belong to bridging social capital) transform into relations with bonding entities. New forms of social capital are thus generated through the existence of voluntary services, and these networks provide essential social support in times of military conflict. Perceived support softens negative emotional responses to traumatic events. In line with the stress-buffering model, our results support that the formation of new social capital in times of military conflict may protect against the negative mental health effects of these experiences.

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  • 7.
    Karhina, Kateryna
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Ghazinour, Mehdi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för polisutbildning vid Umeå universitet.
    Ng, Nawi
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Eriksson, Malin
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Voluntary work during times of military crisis: what motivates people to be involved and what are the effects on well-being?2017Ingår i: Psychology, ISSN 2152-7180, E-ISSN 2152-7199, Vol. 8, s. 1601-1619Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The positive health effects of volunteering are quite well described in the lite- rature; however, potential negative effects of volunteering are less explored. Volunteering got attention in Ukraine because of the recent political crisis that brought military conflict to the Eastern part of the country in 2014. In- formal volunteering has transformed into a formal one. In order to be able to organize volunteering that promotes well-being, it is important to have more in-depth knowledge about motives behind volunteering as well as the positive and potential negative effects of it. We explore the case voluntary work in of one of the cities in Ukraine. Military conflict context has its own specifics and different motives make people act voluntarily. There are goal-oriented, val- ue-oriented, affectual and traditional motives present in our data. The data shows that involvement in volunteering brings positive returns on well-being of the providers such as enlarging the circles of friendship and expanding the networks volunteers involved in; brings positive emotions into life; compen- sates the efforts and gives meaning to life. However, the negative effects of volunteering are also present. They are physical tiredness and a lot of time spent on volunteering activities; becoming disconnected from the ordinary (non-volunteering) world; unsafety; neglect of own needs and experiences of negative emotions out of the involvement in volunteering activities. 

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  • 8.
    Karhina, Kateryna
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Ineland, Jens
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Vikström, Lotta
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Stakeholder views on young adults with intellectual disabilities as a workforce: a qualitative study on students' performance in upper secondary education and their employment potential2022Ingår i: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309, Vol. 26, nr 4, s. 28s. 1057-1074Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    People with intellectual disabilities are the most disadvantaged group among all disability types when it comes to employment. In Sweden, special needs upper secondary schools prepare students with intellectual disabilities for the labour market using practice periods at workplaces. This study targets stakeholder involved in their school-to-work transition (i.e. teachers, employers, employment agency officials). The aim is to identify how they view: (1) the working capabilities of students during practice periods and (2) their employment potential. We base the analysis on interview data with the stakeholders using Grounded Theory. Our results identify three student types whose preparedness for the labour market differs considerably. One student type performs well during the practice period and represents a high potential to enter the workforce. The other two student types have the lower working capability and employment potential. Our study highlights stakeholders as resources to improve the labour market preparations of students with intellectual disabilities.

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  • 9.
    Karhina, Kateryna
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Ng, Nawi
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Ghazinour, Mehdi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för polisutbildning vid Umeå universitet. Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Eriksson, Malin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Gender differences in the association between cognitive social capital, self-rated health, and depressive symptoms: a comparative analysis of Sweden and Ukraine2016Ingår i: International Journal of Mental Health Systems, E-ISSN 1752-4458, Vol. 10, artikel-id 37Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Social capital is one of the social determinants of health, but there is still a lack of studies comparing its significance for health in different cultural settings. This study investigates and compares the relations between individual cognitive social capital and depressive symptoms and self-rated health in Sweden and Ukraine for men and women separately.

    STUDY DESIGN: Two cross-sectional nationally representative surveys of adult populations were used for the analysis. Data from the Ukraine's World Health Survey and the Sweden's National Public Health Survey were analyzed in this comparative study.

    METHODS: The independent variable, cognitive social capital, was operationalized as institutional trust and feelings of safety. Depressive symptoms and self-rated health were used as the outcome variables. Crude and adjusted odds ratios and the 95 % confidence intervals were calculated using logistic regression. The model also adjusted for socio-demographic and lifestyle variables.

    RESULTS: Institutional trust is higher in Sweden compared to Ukraine (31 % of the Swedes vs. 12 % of the Ukrainians reported high trust to their national government/parliament). There is a strong association between self-rated health and institutional trust for both sexes in Sweden (odds ratio/OR = 1.99; 95 % CI = 1.58-2.50 for women and OR = 1.82, CI = 1.48-2.24 for men who reported low institutional trust compared with those with high institutional trust) but only for women (OR = 1.88, CI = 1.12-3.15) in Ukraine. Trust thus seems to be more important for self-rated health of women and men in Sweden compared to their counterparts in Ukraine. Significant associations between depressive symptoms and institutional trust were not observed in either country after adjusting for socio-demographic and lifestyle factors. A lack of feeling of safety increased the odds of having depressive symptoms among women (OR = 1.97, CI = 1.41-2.76) and men (OR = 3.91, CI = 2.19-6.97) in Sweden. The same association was observed for poor self-rated health among Swedish women (OR = 2.15, CI = 1.55-2.99) and men (OR = 2.75, CI = 1.58-4.80). In Ukraine, a lack of feeling of safety did not show any significant association with self-rated health or depressive symptoms for men, but it increased the odds of depressive symptoms among women (OR = 1.72, CI = 1.13-2.62).

    CONCLUSIONS: In general, individual cognitive social capital is higher in Sweden than in Ukraine, and there is a stronger association between cognitive social capital and self-rated health in Sweden than in Ukraine. Interventions aiming to increase cognitive social capital for health promoting purposes might be favorable in Sweden, but this is not evidently the case in Ukraine.

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  • 10.
    Vikström, Lotta
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Junkka, Johan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Karhina, Kateryna
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Two Centuries of Disability Disadvantages in Swedish Partnerships2021Rapport (Övrigt vetenskapligt)
    Abstract [en]

    Partnership signifies a key transition for social recognition in society. This study identifies long-term trends of disability and partnership in Sweden evidenced by the chances to marry or cohabit during two centuries(1800s–2010s). We compare results from studies within one comprehensive disability project, making use of quantitative life-course analysis and population records. Our findings uncover a remarkably persistent trendfrom the 1800s until the 2010s. Disability impeded both men and women’s partnership chances significantly (by about 60%), with some variations across disability types, genders, and periods. That disabled people did not enjoy greater access to a partner relative to others while Sweden moved from a poor country to a wealthy welfare state, suggests that disability persistently affords fewer possibilities to participate in social life and society. Our study is exceptional by combining disability with partnership and comparing recent results with the past.

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  • 11.
    Vikström, Lotta
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Junkka, Johan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Karhina, Kateryna
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Doctor in Public Health and Epidemiology, Department of Psychosocial Science, University of Bergen, Norway.
    Two centuries of disability disadvantages in Swedish partnerships2022Ingår i: Disability & Society, ISSN 0968-7599, E-ISSN 1360-0508Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Partnership signifies a key transition for social recognition in society. This study identifies long-term trends of disability and partnership in Sweden evidenced by the chances to marry or cohabit during two centuries (1800s–2010s). We compare results from studies within one comprehensive disability project, making use of quantitative life-course analysis and population records. Our findings uncover a remarkably persistent trend from the 1800s until the 2010s. Disability impeded both men and women’s partnership chances significantly (by about 60%), with some variations across disability types, genders, and periods. That disabled people did not enjoy greater access to a partner relative to others while Sweden moved from a poor country to a wealthy welfare state, suggests that disability persistently affords fewer possibilities to participate in social life and society. Our study is exceptional by combining disability with partnership and comparing recent results with the past.

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  • 12.
    Vikström, Lotta
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Junkka, Johan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Namatovu, Fredinah
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Medicinska fakulteten, Institutionen för epidemiologi och global hälsa.
    Häggström Lundevaller, Erling
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Karhina, Kateryna
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    A longitudinal study of how disability affects mortality in Swedish Populations from the 1800s, 1900s and 2000s2021Rapport (Övrigt vetenskapligt)
    Abstract [en]

    BACKGROUND: Studies from across the world show that disability limits people’s health and social wellbeing in present-day populations. This disadvantage can lead to premature death, but there is dearth knowledge about the relationship between disability and mortality and changes over time.   

    OBJECTIVES: Unique access to longitudinal micro data on comprehensive Swedish populations enabled us to examine how disability affects premature death in men and women from the 1800s until 2010. 

    METHODS: Cox proportional regressions were used to estimate mortality hazards by disability status, gender and socio-economic indicators in three study populations from the 1800s, 1900s and 2000s. We followed all adults having disability from age 25 to compare their premature death risks (< age 43) relative to non-disabled groups.

    RESULTS: Irrespective of gender and century studied, the adjusted hazard ratios show that adults with disabilities had a significantly higher premature death risk relative to adults without disabilities, and it increased over time. In the 1800s, disability about doubled this risk (HR: 2.31, CI: 1.65–3.22) and it tripled from 1900–1959 (HR 3.01, CI 2.60– 3.48). At the turn of the 21th century, the mortality risk was almost ten-folded (HR 9.90, CI 8.03–10.5). 

    CONCLUSIONS: This study provides the first comprehensive estimates on how disability increased mortality in Swedish populations from the 1800s until the 2000s. Across three centuries, disability was associated with a profoundly higher relative death risk in adults aged 25–42. This risk grew when the general survival in Sweden improved and it was the highest in the 1990–2010 period. Fundamental societal changes and extensive welfare provisions promoting equality in gender, health and social wellbeing of all citizens have not come to include younger generations with disabilities. 

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  • 13.
    Vikström, Lotta
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Karhina, Kateryna
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Junkka, Johan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Two Centuries of Inequalities: Disability and Partnership in Sweden2021Rapport (Övrigt vetenskapligt)
    Abstract [en]

    This study brings together a unique selection of results that reveal how disabilities shaped the marriage/cohabitation chances in Swedish populations from the 1800s until recent decades. Using longitudinal population registers and a life-course approach, multivariate statistical analysis helps to estimate the impact of disability on partnership relative to other individual-level attributes in different temporal contexts of Swedish society. While there were some differences by type of disability and gender, the overall finding is that disabilities kept weakening people’s partnership chances to a similarly high extent (with about 60% or even more), as Sweden moved from being a poor country in the 1800s to a modern welfare state. We discuss the findings from social inequalities perspectives arguing that disabled people’s partnership chances not only represent how potential partners perceive disability; these chances also reflect general attitudes in society towards disability that work to compromise disabled people’s participation in social life and society. Our long-term results uncover a remarkable persistence in the relationship between disability and partnership in turn suggesting that social inequalities persist being associated with disability in spite of profound structural changes and extensive welfare measures in Sweden to create a more equal society for all.

    Ladda ner fulltext (pdf)
    fulltext
  • 14.
    Vikström, Lotta
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Karhina, Kateryna
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR). Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Department of Psychosocial Science, University of Bergen, Norway.
    Junkka, Johan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för demografi och åldrandeforskning (CEDAR).
    Two centuries of inequalities: disability and partnership in Sweden2022Ingår i: The Routledge handbook of contemporary inequalities and the life course / [ed] Magda Nico; Gary Pollock, London: Routledge, 2022, s. 136-151Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    This study brings together a unique selection of results that reveal how disabilities shaped the marriage/cohabitation chances in Swedish populations from the 1800s until recent decades. Using longitudinal population registers and a life course approach, multivariate statistical analysis helps to estimate the impact of disability on partnership relative to other individual-level attributes in different temporal contexts of Swedish society. While there were some differences by type of disability and gender, the overall finding is that disabilities kept weakening people’s partnership chances to a similarly high extent (with about 60% or even more), as Sweden moved from being a poor country in the 1800s to a modern welfare state. We discuss the findings from social inequalities perspectives arguing that disabled people’s partnership chances not only represent how potential partners perceive disability; these chances also reflect general attitudes in society towards disability that work to compromise disabled people’s participation in social life and society. Our long-term results uncover a remarkable persistence in the relationship between disability and partnership in turn suggesting that social inequalities persist being associated with disability in spite of profound structural changes and extensive welfare measures in Sweden to create a more equal society for all.

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