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Okenwa-Emegwa, L. (2019). Doctoral Theses as a Source of Knowledge Production for IPV Prevention: A Literature Review of Doctoral Theses at a Swedish University. The Open Public Health Journal, 12, 145-154
Open this publication in new window or tab >>Doctoral Theses as a Source of Knowledge Production for IPV Prevention: A Literature Review of Doctoral Theses at a Swedish University
2019 (English)In: The Open Public Health Journal, ISSN 1874-9445, Vol. 12, p. 145-154Article in journal (Refereed) Published
Abstract [en]

Background:

Intimate Partner Violence (IPV) is a pervasive form of Violence Against Women (VAW). IPV has been acknowledged as a human rights violation and a public health problem. Years of research and advocacy have led to a better understanding of the problem including the development of the ecological model for explaining IPV. Although diverse international policies and global advances in women’s rights have contributed to addressing IPV, the problem still persists. IPV is associated with adverse health outcomes, therefore, its prevention is an important aspect of population health promotion.

Objective:

Considering that doctoral research and theses form an integral aspect of knowledge production, the present study aims to provide a review of doctoral theses on IPV at a Swedish university in order to identify areas of unmet need for future IPV prevention studies.

Methods:

A search was conducted to identify IPV related thesis stored in the Karolinska Institutet (KI), which is a database where all publications produced at KI are stored. A total of thirteen PhD theses (the earliest published in 2004 and the latest in 2017) met the inclusion criteria and were reviewed.

Results:

Through their wide range of contexts and contents, these theses provide a global insight into IPV. Findings show that prevalence estimates and risk factors at the individual and relationship levels are well researched. Potential areas of unmet needs include the under-researched nature of risk factors and interventions at the community and societal level as well as underlying issues preventing the healthcare sector from actively playing its role in addressing IPV.

Conclusion:

Capacity building for the health sector and addressing community and societal level risk factors of IPV are modifiable factors to address IPV and improve population health.

Keywords
Intimate partner violence, Prevention, Health promotion, Gender inequality, Attitudes, Disclosure.
National Category
Public Health, Global Health, Social Medicine and Epidemiology Nursing
Identifiers
urn:nbn:se:rkh:diva-2807 (URN)10.2174/1874944501912010145 (DOI)
Available from: 2019-05-09 Created: 2019-05-09 Last updated: 2019-05-10Bibliographically approved
Sigblad, F., Fredriksson, M., Wilmer, M., Okenwa-Emegwa, L. & Savela, M. (2018). Barriers and Facilitators of Employees’ Utilisation of Wellness Subventions: Managers Perspectives. In: Siw Tone Innstrand, Geir Arild Espnes and Bjarne Bruun Jensen (Ed.), Implementing Health Promotion in the Life Course - User Involvement in Practice and Research: September 24 – 26, 2018, Trondheim, Norway : Programme and Abstracts. Paper presented at 10th IUHPE European Conference and International Forum for Health Promotion Research, Trondheim, Norway, September 24 – 26, 2018. (pp. 155-156). Norway
Open this publication in new window or tab >>Barriers and Facilitators of Employees’ Utilisation of Wellness Subventions: Managers Perspectives
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2018 (English)In: Implementing Health Promotion in the Life Course - User Involvement in Practice and Research: September 24 – 26, 2018, Trondheim, Norway : Programme and Abstracts / [ed] Siw Tone Innstrand, Geir Arild Espnes and Bjarne Bruun Jensen, Norway, 2018, p. 155-156Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The workplace has an important influence on the health trajectories of individuals due to the amount of time spent in this sphere daily and over the life course. Work related factors such as injury, poor ergonomics, exposure to hazards etc. all have health implications during the course of life. The workplace is thus an important arena for population level health promotion. Recent times have seen much emphasis on ensuring healthy working lives. Examples inlude creation of many international and national policies, employers’ growing interest in work place health promotion (WPH) and large resources invested in WPH. Research however shows that utilisation of some WPH packages is relatively low. One such package is the provision of wellness subventions for employees in many Swedish workplaces. Managers are often charged with the responsibilities of WPH and have direct contact with employees. The aim of this study therefore is to investigate managers’ perspectives on barriers and facilitators of WHP package uptake among employees.

Method: A qualitative method based on semistructured interview questions was used. Participants include managers at medium to large scale private companies in central Sweden. State owned companies were excluded in order to ensure homogeneity in terms of structure and policy. Not more than one manager per company was interviewed, giving rise to a total of nineteen respondents. Data was analyzed using content analysis. Results: A total of three themes and nine sub themes emerged. The first theme deals with factors at the individual level, sub themes include work-life balance, individual resources and individual attitude. In the second theme which relates to the Structure of WHP packages, sub themes including design and delivery of WHP, information flow and type of external collaborators/partners involved were identified. Company culture and leadership is the third theme, sub themes are leadership style and health perspective of management; existence of enabling environmet and support for management.

Conclusion: Modifiable factors at organisational level can lead to improved design and delivery of WPH packages. These modifications may be crucial in addressing barriers at individual level with lots of potential to improve utilisation.

Place, publisher, year, edition, pages
Norway: , 2018
Series
Rapportserie Senter for helsefremmende forskning
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:rkh:diva-2721 (URN)978-82-93158-42-4 (ISBN)978-82-93158-43-1 (ISBN)
Conference
10th IUHPE European Conference and International Forum for Health Promotion Research, Trondheim, Norway, September 24 – 26, 2018.
Available from: 2018-10-16 Created: 2018-10-16 Last updated: 2018-10-17Bibliographically approved
Okenwa-Emegwa, L. & von Strauss, E. (2018). Higher education as a platform for capacity building to address violence against women and promote gender equality: the Swedish example. Public Health Reviews, 39(31)
Open this publication in new window or tab >>Higher education as a platform for capacity building to address violence against women and promote gender equality: the Swedish example
2018 (English)In: Public Health Reviews, ISSN 0301-0422, E-ISSN 2107-6952, Vol. 39, no 31Article in journal (Refereed) Published
Abstract [en]

Violence against women is an acknowledged public and global health problem which has adverse consequences for women’s health. Education, especially higher education, has long been identified as an important arena for addressing the problem and promoting gender equality. Two measures recently put in place in the Swedish higher education have brought the role of the sector into focus. The first is the inclusion of gender equality as a measurable outcome in quality assurance in higher education. The second measure is the amendment of the Swedish Higher Education Ordinance to include mandatory knowledge of VAW in the degree programme of seven selected relevant professional groups. The potentials of both measures to positively contribute to the gender equality discourse, as well as improving capacity building for the public health workforce who encounter VAW, are discussed.

Keywords
violence against women, gender equality, higher education, sweden, public health workforce, active citizens, quality assurance in higher education, higher education ordinance, #metoo movement
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2732 (URN)10.1186/s40985-018-0108-5 (DOI)30473904 (PubMedID)
Available from: 2018-11-19 Created: 2018-11-19 Last updated: 2018-11-29Bibliographically approved
Nanyanzi, S., Emegwa, L. & Lawoko, S. (2018). HIV Testing Among Women of Reproductive Age Exposed to Intimate Partner Violence in Uganda. Open Public Health Journal, 11, 275-287
Open this publication in new window or tab >>HIV Testing Among Women of Reproductive Age Exposed to Intimate Partner Violence in Uganda
2018 (English)In: Open Public Health Journal, ISSN 1874-9445, Vol. 11, p. 275-287Article in journal (Refereed) Published
Abstract [en]

Background:

Intimate Partner Violence (IPV) and Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS) occur as dual epidemics with gender dimensions. IPV sometimes result in lack of decision making autonomy over one’s own health and this may negatively affect uptake HIV testing services.

Objective:

The study aimed to examine the association between exposure to IPV and HIV testing among women of reproductive age in Uganda.

Method:

The study is based on cross-sectional data from 2011 Uganda Demographic and Health Survey (UDHS). A sub-sample of 1705 ever-partnered women aged 15-49 who responded to the domestic violence module was examined in the study. Bivariate and multivariable (logistic regression) analyses were used to determine the association between exposure to IPV and HIV testing.

Results:

Up to 82.3% and 61.5% of the respondents were tested for HIV ever and in the past year, respectively. The prevalence of physical IPV and IPV of any form in the past year was 25.6% and 44% respectively. Exposure to physical IPV and emotional IPV in the past year was associated with HIV testing within the past year. In the multivariate analysis, exposure to physical IPV remained significantly associated with HIV testing within the past year (OR: 1.34; 95% CI: 1.03-1.73). Frequent access to newspapers remained a significant predictor of HIV testing uptake.

Conclusion:

HIV testing in the past year is associated with exposure to IPV among women of reproductive age in Uganda. There is a need to include IPV as a part of global strategy to address HIV/AIDS.

Keywords
HIV/AIDS, HIV testing, Intimate Partner Violence, Women, Uganda, Physical IPV, Emotional IPV.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2597 (URN)10.2174/1874944501811010275 (DOI)
Available from: 2018-06-21 Created: 2018-06-21 Last updated: 2018-06-25Bibliographically approved
Okenwa-Emegwa, L. & Dalal, K. (2018). Length of Stay in Hospital Following Occupational Injury. Journal of Epidemiology and Public Health Reviews, 3(1), 1-6
Open this publication in new window or tab >>Length of Stay in Hospital Following Occupational Injury
2018 (English)In: Journal of Epidemiology and Public Health Reviews, ISSN ISSN 2471-8211, Vol. 3, no 1, p. 1-6Article in journal (Refereed) Published
Abstract [en]

Background: Length of stay in hospital (LOS) is regarded as a useful indicator of morbidity and an important determinant of medical care cost. LOS has been shown to have implications for post injury functionality, return to work, sickness absence and some psychosocial health outcomes such as quality of life. However, not much is known about LOS following occupational injury. The present study examined LOS and its predictors in a population of Swedish workers injured at work, and admitted for hospital care between 2007 and 2012.

Methods: The study is based on data from the Swedish Working Environment Agency and hospital records of injured workers in the county of Gävleborg, Sweden. Specifically those admitted and discharged alive during the period under review.

Results: A total of 1608 cases were identified, 34.4% were from the manufacturing sector, 32.2% had injuries of the upper extremities, mean LOS was 2.78 days. Individual level independent predictors of LOS were employment and injury location. Factors such as referrals, admitting ward and diagnose related groups (DGRs) were hospital level predictors of LOS. Injured workers admitted to the orthopedic ward and those referred from other clinics had approximately four fold likelihood of LOS greater than 3days.

Discussion: The findings show individual and hospital level factors were identified as predictors of LOS in hospital following an occupational injury. The likely implications of these findings are discussed.

Keywords
Diagnose related group; Hospital admission; Length of stay; Occupational injury; Workers
National Category
Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:rkh:diva-2594 (URN)10.16966/2471-8211.162 (DOI)
Available from: 2018-06-21 Created: 2018-06-21 Last updated: 2018-06-25Bibliographically approved
Okenwa-Emegwa, L., Saboonchi, F. & Tinghög, P. (2018). Prevalence and predictors of violence among Syrian refugee women resettled in Sweden. Paper presented at 11th European Public Health Conference Winds of change: towards new ways of improving public health in Europe Ljubljana, Slovenia 28 November–1 December 2018. European Journal of Public Health, 28(Suppl. 4), 156
Open this publication in new window or tab >>Prevalence and predictors of violence among Syrian refugee women resettled in Sweden
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, no Suppl. 4, p. 156-Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background Refugee women are at more risk of a continuum of violence, pre, during and post flight. After resettlement, increased family conflicts are likely, due to shifts in gender roles and changing family structures. Prevalence estimates, however, remain scarce especially for Syrian refugee women in Europe. Given that exposure to violence is a substantial risk factor for ill health and poor adaptation, this study aims to estimate the prevalence of violence in different phases of flight and associated sociodemographic factors. Methods The study is based on a random sample of 452 Syrian refugee women resettled in Sweden. Exposure to violence was operationalised as having been a victim of torture, physical or sexual violence, pre and during flight; witnessing violence was operationalised as experiencing war at close quarters, witnessing physical violence, or forced separation from loved ones, pre and during flight; family conflicts was operationalised as experiencing distressing conflicts in the family since resettlement. Descriptive analysis were conducted to estimate prevalence and logistic regression to assess associations. Weighted data produced socio-demographically representative estimates. Robust standard errors were used to obtain 95% confidence intervals for all estimates. Results About 25.1% (95% 20.9 – 29.4) of the women were exposed to violence preflight, 7.8% (95% 5.2 – 10.4) were victims during flight. Up to 93.3% (95% 90.7 – 95.9) witnessed violence preflight, 67.2% (95% 62.6 – 71.8) during flight. About 34.2% (95% 29.7 – 38.7) are experiencing distressing family conflicts.Logistic regressions showed no significant difference after controlling for age, education and marital status. Conclusions The magnitude of violence and ongoing family conflicts calls for a closer look at the plight of refugee women.Violence is widespread and not specific to any sociodemographic group, an important finding for healthcare and public health workforce to take note of. 

National Category
Health Sciences
Identifiers
urn:nbn:se:rkh:diva-2734 (URN)10.1093/eurpub/cky213.457 (DOI)
Conference
11th European Public Health Conference Winds of change: towards new ways of improving public health in Europe Ljubljana, Slovenia 28 November–1 December 2018
Available from: 2018-11-29 Created: 2018-11-29 Last updated: 2019-04-09Bibliographically approved
Okenwa-Emegwa, L., Paillard-Borg, S., Tinghög, P., Saboonchi, F. & von Strauss, E. (2017). A global workspace is the emerging reality for future public health workforce. Socialmedicinsk Tidskrift, 94(3), 132-140
Open this publication in new window or tab >>A global workspace is the emerging reality for future public health workforce
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2017 (English)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 94, no 3, p. 132-140Article in journal (Refereed) Published
Abstract [en]

There is an urgent need to train public health professionals at undergraduate level who can face global challenges that are due to longstanding conflicts, increasing number of displaced people, natural disasters, and growing inequalities between and within countries. Future public health professionals will lead activities ranging from national and international community planning, strategic work geared towards integration of migrants and crisis management of refugees, and humanitarian services. Consequently, the need for public health professionals with deep and wide theoretical and practical competencies in global contexts has become most relevant. In response to this need, The Swedish Red Cross University College has created such a programme leading to a Bachelor degree in Public Health Science, specialization Global Health.

Keywords
global health, global health challenges, public health sciences, public health professionals, undergraduate education
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2448 (URN)
Available from: 2017-09-09 Created: 2017-09-09 Last updated: 2017-09-11Bibliographically approved
Okenwa-Emegwa, L., Saboonchi, F. & Tinghög, P. (2017). Depression and Low Labour Market and Social Expectations among Resettled Syrian Refugees in Sweden: Leah Okenwa Emegwa. Paper presented at 10th European Public Health Conference, Stockholm, Sweden 1–4 November 2017. European Journal of Public Health, 27(3)
Open this publication in new window or tab >>Depression and Low Labour Market and Social Expectations among Resettled Syrian Refugees in Sweden: Leah Okenwa Emegwa
2017 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no 3Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background

Large numbers of refugees have come to Europe in search of safety. For non-refugee migrants, expectations and the extent to which they are met are shown to be integral components of adaptation and wellbeing. This study aims to explore the prevalence of low expectations for labour market, economic and social integration among Syrian refugees recently resettled in Sweden and whether depression is associated with these expectations.

Methods

A random sample of 1215 Syrian refuges of working age recently resettled in Sweden responded to a questionnaire in Arabic. Expectations were assessed by three items developed for this study. Average item score of >1.80 on the depressive symptoms in Hopkins Symptom Checklist indicated depression. Logistic regressions adjusted for demographic factors and social support were conducted. Weighted data was used to produce socio-demographically representative prevalence rates and odds ratios (ORs). Robust standard errors were used to obtain 95% confidence intervals for all estimates.

Results

Prevalence of low economic, social and labour market expectations were 14.1% (95% CI 12.0-16.1), 13.4% (11.3-15.4) and 10.9% (9.1-12.6) respectively. Approximately 40.2% (36.9-43.3) of the participants had depression. Those with depression were about four times more likely to have low economic expectations (OR 3.89, 95% CI 2.66-5.92), three times more likely to have low social (OR 3.1, 2.30-5.24), and labour market (OR 2.83, 1.90-4.47) expectations.

Conclusions

Low expectations, while not widespread, exist among Syrian refugees in Sweden. Notable proportions had depression which was also significantly associated with low expectations. The association between depression and low expectations in keys areas necessary for adaptation and wellbeing in a new land, indicates the need to address mental health issues in current societal level efforts aimed at boosting labour market participation and social inclusion.

Key messages:

  • Notable proportions of Syrian refugees in Sweden have low expectations in domains vital for adaptation and wellbeing in a new land. Depression is significantly associated with low expectations.

  • Low expectation among Syrian refugees in domains vital for adaptation and wellbeing and the association with depression indicate need to address mental health in social and labour market interventions.

National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2670 (URN)10.1093/eurpub/ckx189.260 (DOI)
Conference
10th European Public Health Conference, Stockholm, Sweden 1–4 November 2017
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2018-09-27Bibliographically approved
Okenwa-Emegwa, L., Paillard-Borg, S., Tinghög, P., Saboonchi, F. & von Strauss, E. (2017). Framtidens hälsovetare verkar på en global arena.. Socialmedicinsk Tidskrift, 94(3), 318-326
Open this publication in new window or tab >>Framtidens hälsovetare verkar på en global arena.
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2017 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 94, no 3, p. 318-326Article in journal (Refereed) Published
Abstract [sv]

Det föreligger ett akut behov att utbilda folkhälsovetare på grundnivå och som kan möta de globala utmaningarna. Hälsoutmaningarna förändras i takt med långvariga konflikter, människor på flykt, stora katastrofer och en ökande ojämlikhet mellan och inom länder, i en omvärld som är i ständig rörelse. Dagens och morgondagens folkhälsovetare ska kunna arbeta med olika aktörer på skilda arenor; med hälso- och sjukdomsprevention kommunalt, regionalt, nationellt (regering, myndigheter) och internationellt (europeiskt och globalt). Det innefattar även integrationsarbete, internationellt biståndsarbete och humanitärt arbete. Behovet av professionella folkhälsovetare med breda och djupa teoretiska och praktiska kompetenser i globala sammanhang har därför blivit högst relevant. Därför agerar nu Röda Korsets Högskola och startar ett folkhälsovetenskapligt program på kandidatnivå med global inriktning.

Keywords
global hälsa, globala hälsoutmaningar, folkhälsovetenskap, folkhälsovetare, kandidatprogram
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2447 (URN)
Available from: 2017-09-09 Created: 2017-09-09 Last updated: 2017-09-11Bibliographically approved
Okenwa-Emegwa, L. (2017). Risk Factors of Occupational Injuries Due to Loss of Control, Falls and Overexertion. Journal of Epidemiology and Public Health Reviews, 2(2)
Open this publication in new window or tab >>Risk Factors of Occupational Injuries Due to Loss of Control, Falls and Overexertion
2017 (English)In: Journal of Epidemiology and Public Health Reviews, ISSN 2471-8211, Vol. 2, no 2Article in journal (Refereed) Published
Abstract [en]

Occupational injuries are a major concern globally due to its growing prevalence and its consequences on health. While many of the risks are related to daily routines others are as a result of individual characteristics and environmental conditions at work. Studies show that certain demographic groups and work categories appear to have higher prevalence of specific types of injury causes especially those resulting in hospital care. Most studies of risk factors for occupational injuries traditionally attempt to understand factors that distinguish persons who get injured at work from those who do not. In this study, the probability of specific occupational injury causes is modeled using injury data accrued between 2007 and 2012. In this approach, the contrast group comprises those who attained other injuries during the same time frame. All statistical analysis was performed using SPSS version 22. Results show that Injuries due to falls, loss of control and overexertion were the top three leading causes of occupational injury for the period under study. The risk for falls and overexertion were highest in the healthcare sector compared to loss of control in the manufacturing industry. Foreign born workers had increased risk for overexertion. Gender and age differences as well as other risk factors are discussed.

Knowledge of specific risk factors for individual occupational injury cause may be relevant for primary and secondary interventions.

Keywords
Occupational injuries; Causes; Hospital; falls; Loss of control; Overexertion; Foreign born; Worker; Gävleborg; Sweden
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2406 (URN)10.16966/2471-8211.140 (DOI)
Available from: 2017-05-23 Created: 2017-05-23 Last updated: 2017-05-23Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0459-1496

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