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  • 1.
    Isma, Gabriella E
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Rämgård, Margareta
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Enskär, Karin
    Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden..
    Perceptions of health among school-aged children living in socially vulnerable areas in Sweden2023Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, artikel-id 1136832Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: According to the Convention on the Rights of the Child, all children have the right to health. Since good health is a decisive factor for children's future, investing in children's health is important, especially children from vulnerable areas. The purpose of this study was to investigate the perceptions of health among school-aged children from socially vulnerable areas.

    Methods: The study has an explorative mixed-method design with a participatory and inductive approach based on focus group interviews with children and youth leaders, respectively, at Multi-activity Centers in three of the vulnerable areas in Malmö Municipality, as well as results from the Multi-activity Centers' own questionnaire. The data has been analyzed with inductive and deductive content analysis.

    Results: The children and the youth leaders described health in terms of well-being, participation, and activity. Well-being included feeling good and safe, having a healthy body, and having fun by doing things together with friends and leaders. Participating in activities was described as having a feeling of involvement, being able to have an influence on the organization of the activities and participating on one's own terms.

    Discussion: The result of this study shows that participating in activities increases the child's sense of well-being.

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  • 2.
    Lindsjö, Cecilia
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Sjögren Forss, Katarina
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kumlien, Christine
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kottorp, Anders
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Rämgård, Margareta
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Migrant women's engagement in health-promotive activities through a women's health collaboration2023Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, artikel-id 1106972Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Social determinants of health impact health, and migrants are exposed to an inequitable distribution of resources that may impact their health negatively, leading to health inequality and social injustice. Migrant women are difficult to engage in health-promotional activities because of language barriers, socioeconomic circumstances, and other social determinants. Based on the framework of Paulo Freire, a community health promotion program was established in a community-academic partnership with a community-based participatory research approach.

    Aim: The aim of this study was to describe how a collaborative women's health initiative contributed to migrant women's engagement in health promotion activities.

    Materials and methods: This study was part of a larger program, carried out in a disadvantaged city area in Sweden. It had a qualitative design with a participatory approach, following up on actions taken to promote health. Health-promotional activities were developed in collaboration with a women's health group, facilitated by a lay health promoter. The study population was formed by 17 mainly Middle Eastern migrant women. Data was collected using the story-dialog method and the material was analyzed using thematic analysis.

    Result: Three important contributors to engagement in health promotion were identified at an early stage of the analysis process, namely, the group forming a social network, the local facilitator from the community, and the use of social places close to home. Later in the analysis process, a connection was made between these contributors and the rationale behind their importance, that is, how they motivated and supported the women and how the dialog was conducted. This therefore became the designated themes and were connected to all contributors, forming three main themes and nine sub-themes.

    Conclusion: The key implication was that the women made use of their health knowledge and put it into practice. Thus, a progression from functional health literacy to a level of critical health literacy may be said to have occurred.

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  • 3.
    Mangrio, Elisabeth
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Enskär, Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Uppsala Universitet.
    Ramji, Rathi
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Sjögren Forss, Katarina
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Tengland, Per-Anders
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Theodoridis, Kyriakos
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Zdravkovic, Slobodan
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Rämgård, Margareta
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    The Need for Parental Support for Migrant Parents in Transition Into Sweden: A Perspective2022Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 10, artikel-id 680767Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Migration is a stressful experience and research shows that newly arrived migrants in Sweden suffer from different challenges and struggle to relate to parenting in a new culture that is different from their own. The Swedish Child Health Services (CHS) focuses on promoting health among children, as well as supporting parents in parenting. Although this is a goal, migrant parents participate at lower rates in parental support groups. This paper aims to discuss how the Swedish CHS can support these families and address the need for improvement in the parental support offered to migrant parents during transition into their host country. In addition, this paper also aims to review and discuss the advantages of using a community-based participatory research approach together with the Swedish CHS to identify and apply culturally appropriate support programs to increase health literacy among migrant parents.  

    The Swedish government decided to place greater emphasis and resources on supporting parents and promoting equal health among families in Sweden, with special emphasis on migrants and other vulnerable groups. This report from the Swedish government indicates the importance of creating knowledge about new ways, methods, and actions that may be needed to increase this support. One suggestion of this paper is to provide culturally appropriate healthcare work using a community-based participatory research approach, where migrant parents themselves are actively involved in the development of support programs. This approach will not only provide migrant families knowledge and support, it will also build on their needs and the challenges they can share, and receive support to overcome.

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  • 4.
    Mangrio, Elisabeth
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Hellström, Lisa
    Malmö universitet, Fakulteten för lärande och samhälle (LS), Institutionen för skolutveckling och ledarskap (SOL).
    Nilsson, Eva-Lotta
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för kriminologi (KR).
    Ivert, Anna-Karin
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för kriminologi (KR).
    An Extended Home Visit Programme Within the Swedish Child Healthcare System for First-Time Parents in Scania, Sweden: A Study Protocol2021Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The Swedish Child Healthcare (CHC) system aims to provide equal and fair health care for all children and families in Sweden. Currently in Sweden, the CHC offers every family two home visits during the child's 1st year of life. During 2019, an extended home visit programme, called Grow Safely, was started in the region of Scania for first-time parents. The aim of the extended home visit programme was to provide support for first-time parents in order to improve the overall health of the child and family and contribute to better conditions for equal health. Instead of two home visits during the 1st year, a subsample of first-time parents would receive six visits during the child's first 15 months. These six visits would be conducted by CHC nurses and social workers, midwives, and dental assistants. In the present paper, we describe a research project related to the regional extended home visit programme; the project aims to illuminate the experiences of the participants and to investigate the perceived benefits of the programme in relation to improved health, social and emotional interaction between parent and child, and attitudes toward authorities and surrounding society.

    Method/Analysis: In order to evaluate the introduction of the intervention, three qualitative interview studies and one quantitative study with follow-up questionnaires will be conducted. Since the research project also comprises studies focusing on the implementation and expectations of politicians, civil servants, organizational managers, and professionals working within the programme, interviews within these fields will be conducted.

    Discussion: Sweden has a well-established CHC programme, but improvements are always possible. Previous research has shown that home visits are an effective tool to improve both the child's physical and mental health as well as the parents' well-being. However, this kind of intervention involves a significant investment from all organizations involved in the home visits; hence, it is important that the intervention is evaluated. The research project described in the present paper intends to examine the impact of the intervention, and its findings will aid decisionmakers in determining the future of the home visit programme.

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  • 5.
    Mangrio, Elisabeth
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Maneesh, Paul-Satyaseela
    Acharya Inst Technol, R&D Directorate, Bengaluru, India..
    Sjögren Forss, Katarina
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Zdravkovic, Slobodan
    Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM). Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Strange, Michael
    Malmö universitet, Fakulteten för kultur och samhälle (KS), Institutionen för globala politiska studier (GPS). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Antimicrobial Resistance & Migrants in Sweden: Poor Living Conditions Enforced by Migration Control Policies as a Risk Factor for Optimal Public Health Management2021Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 9, artikel-id 642983Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Infectious diseases exacerbated by Antimicrobial Resistance (AMR) are of increasing concern in Sweden, with multi-drug resistant strains associated with new resistance mechanisms that are emerging and spreading worldwide. Existing research has identified that sub-optimal living conditions and poor access to healthcare are significant factors in the spread and incubation of AMR strains. The article considers this linkage and the effort to control the spread of AMR in relation to migrants, highlighting deficiencies in public policy where such individuals are often increasingly exposed to those conditions that exacerbate AMR. In many of the richest countries, those conditions are not accidental, but often direct goals of policies designed with the goal of deterring migrants from staying within host countries. Without engaging with the politics around migration control, the article points to urgent need for more holistic assessment of all public policies that may, however unintentionally, undermine AMR control through worsening living conditions for vulnerable groups. The consequences of prioritizing policies meant to deliberately worsen the living conditions of migrants over avoiding those conditions that accelerate AMR spread, are today made ever apparent where new AMR strains have the potential to dwarf the societal effects of the current Covid-19 pandemic.

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  • 6.
    Mangrio, Elisabeth
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Paul-Satyaseela, Maneesh
    Acharya Institutes, Bangalore, Indien.
    Strange, Michael
    Malmö universitet, Fakulteten för kultur och samhälle (KS), Institutionen för globala politiska studier (GPS). Malmö universitet, Fakulteten för kultur och samhälle (KS), Rethinking Democracy (REDEM).
    Refugees in Sweden during the Covid-19 pandemic-the need for a new perspective on health and integration2020Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 8, artikel-id 574334Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Refugees are already a vulnerable group in society and are in a stressful situation due to their often uncertain legal status in seeking asylum and integration in the new society after migration. Refugees are, in general, at greater risk of poor health outcomes when contracting Covid-19, exacerbated by poor living conditions and difficulties in accessing healthcare. The longer-term social consequences of the pandemic also disproportionately impact refugees, including social isolation, unemployment and difficulties to obtain correct health information. The aim of this paper is to review the social and health consequences that Covid-19 has brought to the refugees residing in Sweden. This needs to be emphasized in order to mitigate against these likely consequences and improve the overall well-being among such a highly vulnerable group in society. As Covid-19 demonstrates, human health needs to be understood holistically, meaning that the vulnerability of any individuals, or even nations, is a vulnerability for the whole population requiring urgent action. 

    Keywords: Covid-19, refugees, social situation, health information

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    Refugees and Covid 19
  • 7.
    Mangrio, Elisabeth
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Zdravkovic, Slobodan
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Strange, Michael
    Malmö universitet, Fakulteten för kultur och samhälle (KS), Institutionen för globala politiska studier (GPS). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Working With Refugees' Health During COVID-19: The Experience of Health- and Social Care Workers in Sweden2022Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 10, artikel-id 811974Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

    In Sweden, often seen as one of the most egalitarian countries, the COVID-19 pandemic exposed high levels of health inequality, especially harming people with a refugee background. This is also despite Sweden’s image as a refugee-friendly country. In this context, the aim of this paper is to better understand how Swedish health- and social workers have reacted to the health- and social needs of refugees during the pandemic. The Swedish case is particularly interesting because, as seen in the paper, health- and social workers had the task of communicating health guidance to refugees who were sometimes more reliant on information from abroad where the consensus on COVID-19 restrictions ran contrary to the approach recommended by the Swedish public health authority.

    Method

    The study utilizes a qualitative content analysis of 13 in-depth interviews with health- and social workers in Sweden, active in the care of refugees within different kinds of health- and social care settings. 

    Results

    The analysis showed that healthcare services have remained open during the pandemic but with new precautions at reception areas impacting how refugees access healthcare. As discussed in the article, the shift to digital tools has particularly impacted refugees, worsening already existing barriers to healthcare services faced by those with refugee status. Public health recommendations were poorly designed to the needs of refugees whose living conditions often prevented them from self-isolation and social distancing. Furthermore, Sweden’s initially non-restrictive approach to the pandemic instructed health- and social-workers to encourage refugees to take far fewer precautions (e.g. self-isolation, home-schooling, pregnant women to avoid virus hotspots) compared both with European neighbours and the international media typically used by refugees. When Sweden shifted towards a more restrictive approach, health- and social-workers had to revise their guidance in relation to the new recommendations around precautions.

    Conclusion

    Refugees have faced increased barriers to maintaining their health and well-being during the pandemic that exceed those experienced by the rest of the Swedish population. Refugees have, in general, taken precautions in regard to social distancing and followed recommendations but faced challenges with social distancing due to isolation and crowded living. Public health authorities have often failed to acknowledge that individuals use increasingly diverse sources of knowledge when trying to protect their health, and that not everyone has access to the knowledge needed to access healthcare and social systems. At the same time, there is a need to acknowledge that refugees are sometimes a source of expertise that was ignored by the Swedish health and social system during the pandemic. There is a need for urgent efforts to halt the worsening health conditions for this specific group, but also to counter knock-on societal effects and rising health inequity.

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  • 8.
    Ramji, Rathi
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Carlson, Elisabeth
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Kottorp, Anders
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Rämgård, Margareta
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Impact of a CBPR-informed physical activity intervention before and during COVID-19 among women from a disadvantaged neighborhood in Sweden.2022Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 10, artikel-id 997329Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Public health practitioners have been striving to reduce the social gradient and promote physical activity among citizens living in disadvantaged neighborhoods. The emergence of the COVID-19 pandemic, which has affected these citizens extensively, has posed a significant challenge to efforts to maintain a physically active lifestyle. Thus, the aim of this study was to explore the impact of a CBPR-informed physical activity intervention before and during the COVID-19 pandemic from the perspective of women from a socially disadvantaged neighborhood.

    METHODS: A total of 34 women participated in a CBPR-informed physical activity intervention previously developed in collaboration with lay health promoters and other citizens from the same neighborhood. Focus group discussions were conducted at four time points, namely, at baseline prior to the intervention, post-intervention, 6 months after the intervention ended, and during the COVID-19 pandemic. The data were analyzed using qualitative content analysis following an inductive approach.

    RESULTS: In total, four themes emerged from the discussions: "Wavering between frustration and action," "Shifting from prioritizing family needs to taking control of self," "Between isolation and social support," and "Restricted access to health-related knowledge vs. utilizing internalized knowledge".

    CONCLUSION: The results of this study reveal that building on CBPR-informed health promotion initiatives has the potential to foster individual empowerment and assist during acute situations like the COVID-19 pandemic through mobilizing communities and their resources, which leads to increased community resilience and health. This study is regarded as unique in that it involves evaluation of a CBPR intervention that was initiated ahead of the pandemic and followed even during the pandemic.

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  • 9.
    Rämgård, Margareta
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Avery, Helen
    Lund Univ, Ctr Adv Middle Eastern Studies, Lund, Sweden.;Linnaeus Univ, Dept Languages, Växjö, Sweden..
    Lay Health Promoters Empower Neighbourhoods-Results From a Community-Based Research Programme in Southern Sweden2022Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 10, s. 1-13, artikel-id 703423Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article focuses on the role of lay health promoters in the Lindangen initiative, a community-based participatory research (CBPR) programme for health promotion that started 2016 in a low-income neighbourhood in the outskirts of Malmo, southern Sweden. The programme aimed to support equitable health and develop an innovative model for community health promotion. The purpose of this article is to describe the role of the lay health promoters in the initiative and discuss the challenges of their position mediating between residents of the neighbourhood and the established institutions, using interviews, meeting notes and focus groups sessions with the health promoters and local stakeholders. Lay health promoters' role and function developed in a collaborative process of networking with local stakeholders and citizens in local meeting places. Their work was based on their credibility in their role, in combination with the use of a CBPR model that was open to innovation, with a strong focus on actively engaging members of the community. This allowed the lay health promoters to take political and social stances towards various issues, and to start to concretely address the social determinants of health in the community, as well as express recommendations to policymakers. Based on these experiences, the lay health promoters gained clearer insights into the institutional and structural conditions that impact their community. The position they had in the process of the programme resulted in empowerment and a new local association for health promotion; LindangenKraft (LindangenPower) driven by the health promotors and community members.

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  • 10.
    Sjögren Forss, Katarina
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Mangrio, Elisabeth
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV). Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM).
    Leijon, Matti
    Department of Medical and Health Sciences, Linköping University.
    Grahn, Mathias
    Unit for Statistics and Data, Municipality of Malmö.
    Zdravkovic, Slobodan
    Malmö universitet, Malmö Institute for Studies of Migration, Diversity and Welfare (MIM). Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Physical Activity in Relation to Wellbeing Among Newly Arrived Refugees in Sweden: A Quantitative Study2021Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 8, artikel-id 532883Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Little is known about physical activity among newly arrived refugees and what impact physical activity might have on their health, as measured by mental wellbeing, vitality, stress and sleep quality. Thus, this study sought to investigate the relationship between physical activity and wellbeing among refugees who were newly arrived in Sweden. Methods: The present study was based on the results from a survey, conducted in 2015-2016 among newly arrived adult refugees who spoke Arabic, Pashto, Somali or Dari, participated in a mandatory public integration support programme in the Scania region of Sweden and agreed to participate in the survey. Ultimately 681 participants completed the survey (a response rate of 39.5%). Results: We found a significant association between physical activity and mental wellbeing, vitality, stress and sleep quality among newly arrived refugees. Conclusions: Newly arrived refugees need to be informed about the importance of prioritizing physical activity for their health and wellbeing, regardless of their external circumstances, and supported in their attempts to do so.

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  • 11.
    Sjögren Forss, Katarina
    et al.
    Malmö universitet, Fakulteten för hälsa och samhälle (HS), Institutionen för vårdvetenskap (VV).
    Stjernberg, Louise
    Department of Health Sciences, The Swedish Red Cross University College, Huddinge, Sweden.
    Physical Activity Patterns Among Women and Men During Pregnancy and 8 Months Postpartum Compared to Pre-pregnancy: A Longitudinal Study2019Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 7, artikel-id 294Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Realizing the essential prerequisite of regular physical activity (PA) it is essential to have knowledge about how different life change events may influence individual's participation. Many studies have documented that pregnancy and the transition to parenthood are life change events associated with decreased PA among women however, the examination of changes of PA in the male parent during this major life change event has been largely neglected in scientific literature and a significant research gap can be found. In the light of this, this longitudinal study aimed to follow changing PA patterns among women and men during pregnancy and 8 months postpartum compared to pre-pregnancy. Methods: In this study, 123 women and 112 men (partners of the women) that lived in the municipality of Karlskrona, Sweden, were included. Data were collected between 2008 and 2010. The self-reported amount of PA performed outdoors and indoors before pregnancy throughout the entire pregnancy, and 8 months postpartum, were measured. Results: We found similar changes in PA patterns among both women and men during pregnancy and 8 months postpartum when compared to pre-pregnancy. In almost all the activities studied except for walking/strolling, a significant decline was found. Conclusions: Our findings contribute new knowledge about changes in men's PA patterns from pre-pregnancy to pregnancy and postpartum. As couples seem to change activity patterns similarly, it is important to promote family-based PA initiatives and encourage couples to be active together during pregnancy and postpartum.

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    FULLTEXT01
  • 12.
    Tucker, Jason
    et al.
    Malmö universitet, Fakulteten för kultur och samhälle (KS), Institutionen för globala politiska studier (GPS).
    Lorig, Fabian
    Malmö universitet, Fakulteten för teknik och samhälle (TS), Institutionen för datavetenskap och medieteknik (DVMT). Malmö universitet, Internet of Things and People (IOTAP).
    Agent-based social simulations for health crises response: utilising the everyday digital health perspective2024Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, s. 1-6, artikel-id 1337151Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is increasing recognition of the role that artificial intelligence (AI) systems can play in managing health crises. One such approach, which allows for analysing the potential consequences of different policy interventions is agent-based social simulations (ABSS). Here, the actions and interactions of autonomous agents are modelled to generate virtual societies that can serve as a “testbed” for investigating and comparing different interventions and scenarios. This piece focuses on two key challenges of ABSS in collaborative policy interventions during the COVID-19 pandemic. These were defining valuable scenarios to simulate and the availability of appropriate data. This paper posits that drawing on the research on the “everyday” digital health perspective in designing ABSS before or during health crises, can overcome aspects of these challenges. The focus on digital health interventions reflects a rapid shift in the adoption of such technologies during and after the COVID-19 pandemic, and the new challenges this poses for policy makers. It is argued that by accounting for the everyday digital health in modelling, ABSS would be a more powerful tool in future health crisis management.

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  • 13.
    Östlund, Britt
    et al.
    Royal Inst Technol KTH, Dept Biomed Engn & Hlth Syst, Stockholm, Sweden..
    Malvezzi, Monica
    Univ Siena, Dept Informat Engn & Math, Siena, Italy..
    Frennert, Susanne
    Malmö universitet, Fakulteten för teknik och samhälle (TS), Institutionen för datavetenskap och medieteknik (DVMT). Malmö universitet, Internet of Things and People (IOTAP).
    Funk, Michael
    Univ Vienna, Fac Comp Sci, Cooperat Syst, Vienna, Austria..
    Gonzalez-Vargas, Jose
    Ottobock SE & Co, KGaA OBG, Duderstadt, Germany..
    Baur, Kilian
    Swiss Fed Inst Technol, CYBATHLON, Zurich, Switzerland..
    Alimisis, Dimitris
    European Lab Educ Technol EDUMOTIVA, Athens, Greece..
    Thorsteinsson, Freygardur
    OSSUR, Reykjavik, Iceland..
    Alonso-Cepeda, Antonio
    ACCIONA Construct, Dept Technol Innovat, Madrid, Spain..
    Fau, Guillaume
    Space Applicat Serv SA, Brussels, Belgium..
    Haufe, Florian
    Swiss Fed Inst Technol, Inst Robot & Intelligent Syst, Sensory Motor Syst Lab, Zurich, Switzerland..
    Di Pardo, Massimo
    Ctr Ric Fiat CRF, Res & Innovat Dept, SPW, Orbassano, Italy..
    Moreno, Juan C.
    CSIC, Cajal Inst, Neural Rehabil Grp, Madrid, Spain..
    Interactive robots for health in Europe: Technology readiness and adoption potential2023Ingår i: Frontiers In Public Health, ISSN 2296-2565, Vol. 11, artikel-id 979225Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Social robots are accompanied by high expectations of what they can bring to society and in the healthcare sector. So far, promising assumptions have been presented about how and where social robots are most relevant. We know that the industry has used robots for a long time, but what about social uptake outside industry, specifically, in the healthcare sector? This study discusses what trends are discernible, to better understand the gap between technology readiness and adoption of interactive robots in the welfare and health sectors in Europe.

    Methods: An assessment of interactive robot applications at the upper levels of the Technology Readiness Level scale is combined with an assessment of adoption potential based on Rogers' theory of diffusion of innovation. Most robot solutions are dedicated to individual rehabilitation or frailty and stress. Fewer solutions are developed for managing welfare services or public healthcare.

    Results: The results show that while robots are ready from the technological point of view, most of the applications had a low score for demand according to the stakeholders.

    Discussion: To enhance social uptake, a more initiated discussion, and more studies on the connections between technology readiness and adoption and use are suggested. Applications being available to users does not mean they have an advantage over previous solutions. Acceptance of robots is also heavily dependent on the impact of regulations as part of the welfare and healthcare sectors in Europe.

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