• A cluster randomized evaluation of an intervention to increase skilled birth attendant utilization in mid- and far-western Nepal. 

      Choulagai, Bishnu P.; Onta, Sharad; Subedi, Narayan; Bhatta, Dharma N.; Shrestha, Binjwala; Petzold, Max; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-05-04)
      killed birth attendant (SBA) utilization is low in remote and rural areas of Nepal. We designed and implemented an evaluation to assess the effectiveness of a five-component intervention that addressed previously identified barriers to SBA services in mid- and far-western Nepal. We randomly and equally allocated 36 village development committees with low SBA utilization among 1-year intervention ...
    • Determination and Evaluation of Sense of Coherence in Women in Semi-urban Nepal: A part of the Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) Trial 

      Thapa, Dip Raj; Oli, Natalia; Vaidya, Abhinav; Souminen, Sakkari; Ekström-Bergström, Anette; Areskoug-Josefsson, Kristina; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2021)
      Background - Sense of coherence (SOC) is a core concept of salutogenesis which relates to individuals’ overall life orientation. Stronger SOC associates with better coping strategies, better health, and better quality of life. Although the SOC-questionnaire is validated in many cultures and languages, it has not, to date, been applied in Nepal.<p> <p>Objective - To determine and evaluate women’s ...
    • Diet and physical activity for children’s health: a qualitative study of Nepalese mothers’ perceptions 

      Oli, Natalia; Vaidya, Abhinav; Subedi, Madhusudan; Eiben, Gabriele; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-09-08)
      Objectives: Non-communicable diseases account for 50% of all deaths in Nepal and 25% result from cardiovascular diseases. Previous studies in Nepal indicate a high burden of behavioural cardiovascular risk factors, suggesting a low level of knowledge, attitude and practice/behaviour regarding cardiovascular health. The behavioural foundation for a healthy lifestyle begins in early childhood, ...
    • Effect of Smoking Behavior before and during Pregnancy on Selected Birth Outcomes among Singleton Full-Term Pregnancy: A Murmansk County Birth Registry Study 

      Kharkova, Olga Alexandrovna; Grjibovski, Andrej M; Krettek, Alexandra; Nieboer, Evert; Odland, Jon Øyvind (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-08-02)
      The aim of our study was to assess associations between smoking behavior before and during pregnancy and selected adverse birth outcomes. This study is based on the Murmansk County Birth Registry (MCBR). Our study includes women who delivered a singleton pregnancy after 37 weeks of gestation (N = 44,486). Smoking information was self-reported and assessed at the first antenatal visit during pregnancy. ...
    • Effectiveness of health promotion regarding diet and physical activity among Nepalese mothers and their young children: The Heart-health Associated Research, Dissemination, and Intervention in the Community (HARDIC) trial 

      Oli, Natalia; Vaidya, Abhinav; Eiben, Gabriele; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-10-01)
      <i>Background</i>: Nepal, like many low- and middle-income countries, exhibits rising burden of cardiovascular diseases. Misconceptions, poor behavior, and a high prevalence of risk factors contribute to this development. Health promotion efforts along with primary prevention strategies, including risk factor reduction in both adults and children, are therefore critical.<p><p> <i>Objectives</i>: ...
    • Facilitators for and barriers to nurses’ work-related health-a qualitative study 

      Thapa, Dip Raj; Subedi, Madhusudan; Ekström-Bergström, Anette; Areskoug Josefsson, Kristina; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-08-05)
      Background: Work-related health problems, such as work stress, fatigue, and burnout constitute a global challenge within the nursing profession. Work-related health among nurses is not yet a prioritized phenomenon in Nepal. Health-promoting approaches to maintaining and sustaining nurses’ health are therefore essential. The aim of this study was to explore and thereby gain a deeper understanding ...
    • First-trimester smoking cessation in pregnancy did not increase the risk of preeclampsia/eclampsia: A Murmansk County Birth Registry study 

      Kharkova, Olga Alexandrovna; Grjibovski, Andrej M; Krettek, Alexandra; Nieboer, Evert; Odland, Jon Øyvind (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-08-10)
      Although prior studies have shown that smoking reduces preeclampsia/eclampsia risk, the consequence of giving up this habit during pregnancy should be assessed. The aims of the current study were threefold: (i) describe maternal characteristics of women with preeclampsia/ eclampsia; (ii) examine a possible association between the number of cigarettes smoked daily during pregnancy and the development ...
    • Genetic risk-factors for anxiety in healthy individuals: polymorphisms in genes important for the HPA axis 

      Lindholm, Heléne; Morrison, India; Krettek, Alexandra; Malm, Dan; Novembre, Giovanni; Handlin, Linda (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-09-21)
      <i>Background</i> - Two important aspects for the development of anxiety disorders are genetic predisposition and alterations in the hypothalamic-pituitary-adrenal (HPA) axis. In order to identify genetic risk-factors for anxiety, the aim of this exploratory study was to investigate possible relationships between genetic polymorphisms in genes important for the regulation and activity of the HPA ...
    • Hepatitis B and C viruses and survival from hepatocellular carcinoma in the Arkhangelsk region: a Russian registry-based study 

      Makarova, Maria; Krettek, Alexandra; Valkov, Mikhail Y.; Grjibovski, Andrej (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      Introduction. Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide. The prevalence of hepatitis B (HBV) and C (HCV) in Russia was 7.6 and 5.4 per 100,000, respectively. The aim of this study was to assess the proportion of HCV and HBV infection among HCC patients, to evaluate associations between HCV, HBV and stage of HCC and to compare survival of HCC patients by their HBV/HCV ...
    • Jhaukhel-Duwakot Health Demographic Surveillance Site, Nepal: 2012 follow-up survey and use of skilled birth attendants 

      Choulagai, Bishnu P; Aryal, Umesh R; Shrestha, Binjwala; Vaidya, Abhinav; Onta, Sharad; Petzold, Max; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2015-12-21)
      Background: Estimates of disease burden in Nepal are based on cross-sectional studies that provide inadequate epidemiological information to support public health decisions. This study compares the health and demographic indicators at the end of 2012 in the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) with the baseline conducted at the end of 2010. We also report on the use of ...
    • Job demands, job resources, and health outcomes among nursing professionals in private and public healthcare sectors in Sweden – a prospective study 

      Thapa, Dip Raj; Stengård, Johanna; Ekström-Bergström, Anette; Areskoug Josefsson, Kristina; Krettek, Alexandra; Nyberg, Anna (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-06-06)
      Background: Nursing professionals exhibit high prevalence of stress-related health problems. Job demands and job resources are parallel drivers of health and well-being among employees. Better job resources associate with better job satisfaction, job motivation and engagement even when job demands are high. To date, there is limited research which explores the association between job demands, job ...
    • Knowledge, attitude and practice on diet and physical activity among mothers with young children in the Jhaukhel-Duwakot Health Demographic Surveillance Site, Nepal 

      Oli, Natalia; Vaidya, Abhinav; Pahkala, Katja; Eiben, Gabriele; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-07-09)
      The prevalence of cardiovascular diseases is increasing in low and middle-income countries; Nepal’s population shows a high prevalence of behavioral risk factors. Our cross-sectional study in the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS), located near the capital Kathmandu, explored knowledge, attitude, and practice (KAP) of mothers with young children regarding diet and physical ...
    • Maternal Risk Factors for Preterm Birth in Murmansk County, Russia: A Registry-Based Study 

      Usynina, Anna Alexandrovna; Postoev, Vitaly Alexandrovich; Grjibovski, Andrej; Krettek, Alexandra; Nieboer, Evert; Odland, Jon Øyvind; Anda, Erik Eik (Journal article; Tidsskriftartikkel; Peer reviewed, 2016)
      Background: Globally, about 11% of all liveborn infants are preterm. To date, data on prevalence and risk factors of preterm birth (PTB) in Russia are limited. The aims of this study were to estimate the prevalence of PTB in Murmansk County, Northwestern Russia and to investigate associations between PTB and selected maternal factors using the Murmansk County Birth Registry. Methods: We conducted ...
    • Obesity Prevalence and Associated Socio-Demographic Characteristics and Health Behaviors in Russia and Norway 

      Kholmatova, Kamila Kahramonzhonovna; Krettek, Alexandra; Leon, David A; Malyutina, Sofia; Cook, Sarah; Hopstock, Laila Arnesdatter; Løvsletten, Ola; Kudryavtsev, Alexander V (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-08-01)
      Associations between obesity and socio-demographic and behavioral characteristics vary between populations. Exploring such differences should throw light on factors related to obesity. We examined associations between general obesity (GO, defined by body mass index) and abdominal obesity (AO, defined by waist-to-hip ratio) and sex, age, socio-economic characteristics (education, financial ...
    • Prevalence of smoking before and during pregnancy and changes in this habit during pregnancy in Northwest Russia: a Murmansk county birth registry study 

      Kharkova, Olga Alexandrovna; Krettek, Alexandra; Grjibovski, Andrej; Nieboer, Evert; Odland, Jon Øyvind (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-03-08)
      BACKGROUND Smoking during pregnancy leads to adverse maternal and birth outcomes. However, the prevalence of smoking among women in Russia has increased from < 5 % in the 1980s to > 20 % in the 2000s. We conducted a registry-based study in Murmansk County, Northwest Russia. Our aims were twofold: (i) assess the prevalence of smoking before and during pregnancy; and (ii) examine the socio-demographic ...
    • Risk Factors for hypospadias in Northwest Russia: A Murmansk County Birth Registry Study 

      Kovalenko, Anton Alexandrovich; Brenn, Tormod; Odland, Jon Øyvind; Nieboer, Evert; Krettek, Alexandra; Anda, Erik Eik (Journal article; Tidsskriftartikkel; Peer reviewed, 2019-04-04)
      <i>Background</i> - Hypospadias is the most common congenital anomaly of the penis, but its causes are mainly unknown. Of the risk factors identified, the most plausible are hormonal and genetic. The aim of this study was to identify risk factors for hypospadias in Northwest Russia based on registry data.<p> <p><i>Methods</i> - The study population included male infants registered in the Murmansk ...
    • Risk factors for perinatal mortality in Murmansk County, Russia: a registry-based study 

      Usynina, Anna Alexandrovna; Grjibovski, Andrej M; Krettek, Alexandra; Odland, Jon Øyvind; Kudryavtsev, Alexander Valerievich; Anda, Erik Eik (Journal article; Tidsskriftartikkel; Peer reviewed, 2017-01-27)
      Background: Factors contributing to perinatalmortality (PM) in Northwest Russia remain unclear. This study investigated possible associations between selected maternal and fetal characteristics and PM based on data from the population-based Murmansk County Birth Registry. <br> Objective: This study investigated possible associations between selected maternal and fetal characteristics and PM ...
    • Risk Factors for Ventricular Septal Defects in Murmansk County, Russia: A Registry-Based Study 

      Kovalenko, Anton Alexandrovich; Anda, Erik Eik; Odland, Jon Øyvind; Nieboer, Evert; Brenn, Tormod; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2018-06-24)
      Cardiovascular malformations are one of the most common birth defects among newborns and constitute a leading cause of perinatal and infant mortality. Although some risk factors are recognized, the causes of cardiovascular malformations (CVMs) remain largely unknown. In this study, we aim to identify risk factors for ventricular septal defects (VSDs) in Northwest Russia. The study population ...
    • Social correlates of term small for gestational age babies in a Russian Arctic setting 

      Usynina, Anna Alexandrovna; Grjibovski, Andrej; Odland, Jon Øyvind; Krettek, Alexandra (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-11-29)
      <b>Background.</b> Small for gestational age (SGA) births have been associated with both short- and long-term adverse health outcomes. Although social risk factors for SGA births have been studied earlier, such data are limited from Northern Russia.<br> <b>Objective.</b> We assessed maternal social risk factors for term SGA births based on data from the population- 20 based Murmansk County Birth ...
    • Support and resources to promote and sustain health among nurses and midwives in the workplace: A qualitative study 

      Thapa, Dip Raj; Ekström-Bergström, Anette; Krettek, Alexandra; Areskoug Josefsson, Kristina (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-02-09)
      Registered nurses and midwives are in short supply and have among the highest rates of sick leave in the global workforce. The aim of this study was therefore to explore and gain a deeper understanding of how nurses and midwives experience their everyday work, with a view toward promoting and sustaining their work-related health. Nine registered nurses and four registered midwives working in hospitals ...