Artikler, rapporter og annet (samfunnsmedisin)

Risk factors for type 2 diabetes in groups stratified according to metabolic syndrome : a 10-year follow-up of The Tromsø Study

Joseph, Josepha — Thu, 31 Dec 2009 23:00:00 GMT

Joseph, Josepha; Svartberg, Johan; Njølstad, Inger; Schirmer, Henrik
Many incident cases of type 2 diabetes do not fulfill the metabolic syndrome, which accordingly has been questioned both as a research and clinical tool. The aim of this study was to determine differences in risk factors for type 2 diabetes between groups with high or low metabolic score. The study population were 26,093 men and women attending the Tromsø Study in 1994, followed through 2005, and who did not have diabetes when entering the study. A total of 492 incident cases of type 2 diabetes were registered. A metabolic score was defined according to a modified version of the National Cholesterol Education Program Adult Treatment Panel III. For those fulfilling C 3 metabolic score criteria, increasing age, body mass index (BMI), triglycerides and a family history of diabetes were independent predictors. Age, BMI, and triglycerides predicted type 2 diabetes more strongly in subjects with low metabolic score, whereas high HDL cholesterol was not protective in this low risk group. The risk associated with a positive family history was unaffected by level of metabolic score. In addition smoking, low education and in men also physical inactivity were independent risk factors only in those with low metabolic score. Adding these nonmetabolic risk factors increased correct classification from an ROC area of 77.2 to 87.1% (P value\0.0001). One half of the incident cases of type 2 diabetes were missed by using high metabolic score for risk prediction
This article is part of Josepha Joseph's doctoral thesis, which is available in Munin at http://hdl.handle.net/10037/2968

Medical education, care, and research in Norway

Skoie, Hans — Sun, 31 Dec 1972 23:00:00 GMT

Skoie, Hans; Hjort, Peter Fredrik

Health service use in indigenous Sami and non-indigenous youth in North Norway : A population based survey

Turi, Anne Lene — Wed, 31 Dec 2008 23:00:00 GMT

Turi, Anne Lene; Bals, Margrethe; Skre, Ingunn; Kvernmo, Siv

The relationship between internalizing and externalizing symptoms and cultural resilience factors in indigenous Sami youth from Arctic Norway

Bals, Margrethe — Fri, 31 Dec 2010 23:00:00 GMT

Bals, Margrethe; Turi, Anne Lene; Skre, Ingunn; Kvernmo, Siv
Objectives. To examine whether enculturation factors, like cultural activities, ethnic pride, and native language competence, are related to decreasing internalizing and externalizing symptoms in indigenous Sami youth from Arctic Norway. The impact of self-efficacy on the relationship between enculturation factors and mental health problems was also examined. Study design. Population-based, cross-sectional questionnaire study.
Methods. The Norwegian Arctic Adolescent Health Study was conducted among 10th graders in junior high schools in North Norway during 2003-2005. The study sample consisted of 450 indigenous Sami youth, aged 15-16 years. Internalizing symptoms were measured with the Hopkins Symptom Check List-10 (HSCL-10), while externalizing symptoms were measured by two subscales of the Strengths and Difficulties Questionnaire (SDQ).
Results. For boys, participating in cultural activities and self-efficacy were associated with decreasing internalizing symptoms. Additionally, self-efficacy interacted with Sami language competence and cultural activities: when self-efficacy increased, these enculturation factors were related to symptom reduction. For girls, self-efficacy had an independent effect on internalizing symptoms and self-efficacy also strengthened the relationship between participation in cultural activities and reduced externalizing symptoms. Sami language competence was related to reduction of both internalizing and externalizing symptoms in girls.
Conclusions. In the present study, several enculturation factors and self-efficacy were identified as potential protective factors against mental health problems. In order to develop theoretical models that explain the mechanisms between cultural resilience and mental health, there is a need for both qualitative studies and longitudinal studies.
This is the accepted manuscript version of the article. Published version: International Journal of Circumpolar Health 2011; 70(1): 37-45, available at http://ijch.fi/show_abstract.php?abstract_id=1072
This article is part og Margrethe Bals' doctoral thesis, which is available in Munin at http://hdl.handle.net/10037/2934

Prevalence of the metabolic syndrome and its components in Northwest Russia: the Arkhangelsk study

Martiushov, Sergey — Mon, 18 Jan 2010 23:00:00 GMT

Martiushov, Sergey; Sidorenkov, Oleg; Arkhipovsky, Vadim L.; Nilssen, Odd; Grjibovski, Andrej M.; Brenn, Tormod
Background: The metabolic syndrome (MetS) is a cluster of risk factors associated with morbidity from cardiovascular disease (CVD) and associated mortality. Russia has one of the highest CVD mortality rates in the world. However, the prevalence of MetS in Russia remains largely unknown. The aim of this study is to estimate the prevalence of MetS and its components in an urban Russian setting. Methods: Altogether, 3705 Russian adults aged 18-90 years were enrolled in a cross-sectional study in Arkhangelsk (Northwest Russia). All subjects completed a questionnaire and underwent a physical examination. Blood samples were taken and analyzed in Tromsø, Norway. Three separate modified definitions of MetS were used, namely, the National Education Cholesterol Education Program Adult Treatment Panel III (NCEP), the American Heart Association / National Heart, Lung and Blood Institute (AHA/NHLBI) and the International Diabetes Federation (IDF). To ensure comparability of the findings, the prevalence data were standardized using world and European standard populations and Russian population. Results: The age-standardized (Segi’s world standard population) prevalence rates of the MetS among women were 19.8% (95% CI: 18.1-21.5), 20.6% (95% CI: 18.9- 22.3) and 23.1% (95% CI: 21.3-24.9) by the NCEP, AHA/NHLBI and IDF criteria, respectively. The corresponding rates for men were 11.5% (95% CI: 10.1-12.9), 13.7% (95% CI: 12.2-15.2) and 11.0% (95% CI: 9.7-12.4). Among subjects with MetS, central obesity was more common among women, while elevated triglycerides and blood glucose were more common among men. Almost perfect agreement was found between the NCEP and AHA/NHLBI criteria (ĸ=0.94). There was less agreement between the used definitions of MetS in men than in women. Conclusions: While the prevalence of MetS among Russian women is comparable to the data for Europe and the U.S., the prevalence among Russian men is considerably lower than among their European and North-American counterparts. Our results suggest that MetS is unlikely to be a major contributor to the high cardiovascular mortality among Russian men. Further studies of MetS determinants and associated cardiovascular risk are needed for a better understanding of the mechanisms leading to the exceptionally high cardiovascular mortality in Russia.

HLA-B27 predicts a more extended disease with increasing age at onset in boys with juvenile idiopathic arthritis

Berntson, L. — Sun, 14 Sep 2008 22:00:00 GMT

Berntson, L.; Nordal, Ellen Berit; Damgård, M.; Andersson-Gäre, B.; Herlin, T.; Nielsen, S.; Rygg, M.; Zak, M.; Fasth, A.
Poster presentatiopn at 15th Paediatric Rheumatology European Society (PreS) Congress London, UK. 14–17 September 2008

Innovative approaches to competence building

Norbye, Bente — Mon, 31 Dec 2007 23:00:00 GMT

Norbye, Bente; Leslie, Ian; Steinerowski, Arthur; Furu, Rigmor
This report is part of the overall project Sustainable Rural Health Care Networks (Sustainable Health). Rural areas in the Northern Periphery face specific challenges as regards to the provision of high quality, coherent and integrated health services. These challenges manifest in the obvious geographic factors including isolation and small dispersed populations, limited public transport and road infrastructure, and the resultant, long distances to hospitals and primary health care services institutions.
Project Sustainable Rural Health Care Networks.

"I need a kick start" : presentation of an educational program using flexible methods of learning designed for the rehabilitation network in rural areas of Northern Norway - expereriences and reflecftions

Norby, Bente — Mon, 31 Dec 2007 23:00:00 GMT

Norby, Bente; Furu, Rigmor

Creating sustainable rural healthcare networks through new technology and learning opportunities

Leslie, Ian — Mon, 31 Dec 2007 23:00:00 GMT

Leslie, Ian; Furu, Rigmor; Steinerowski, Arthur; Norbye, Bente

Analyse av dokumenter som omhandler organiseringen av hjemmetjenesten i Tromsø kommune : hvordan kan språk og begrepsbruk i et dokument disiplinere aktørene i en politisk beslutningsprosess?

Drageset, Ingrid — Mon, 31 Dec 2007 23:00:00 GMT

Drageset, Ingrid