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  • 1.
    Fratiglioni, L
    et al.
    The Aging Research Center, Division of Geriatric Epidemiology and Medicine, Neurotec Department, Karolinska Institute and Stockholm Gerontology Research Center, Stockholm.
    Paillard-Borg, Stéphanie
    The Aging Research Center, Division of Geriatric Epidemiology and Medicine, Neurotec Department, Karolinska Institute and Stockholm Gerontology Research Center, Stockholm.
    Winblad, B
    The Aging Research Center, Division of Geriatric Epidemiology and Medicine, Neurotec Department, Karolinska Institute and Stockholm Gerontology Research Center, Stockholm.
    An active and socially integrated lifestyle in late life might protect against dementia2004In: Lancet Neurology, ISSN 1474-4422, E-ISSN 1474-4465, ISSN 1474-4422, Vol. 3, no 6, p. 343-353Article, review/survey (Refereed)
    Abstract [en]

    The recent availability of longitudinal data on the possible association of different lifestyles with dementia and Alzheimer's disease (AD) allow some preliminary conclusions on this topic. This review systematically analyses the published longitudinal studies exploring the effect of social network, physical leisure, and non-physical activity on cognition and dementia and then summarises the current evidence taking into account the limitations of the studies and the biological plausibility. For all three lifestyle components (social, mental, and physical), a beneficial effect on cognition and a protective effect against dementia are suggested. The three components seem to have common pathways, rather than specific mechanisms, which might converge within three major aetiological hypotheses for dementia and AD: the cognitive reserve hypothesis, the vascular hypothesis, and the stress hypothesis. Taking into account the accumulated evidence and the biological plausibility of these hypotheses, we conclude that an active and socially integrated lifestyle in late life protects against dementia and AD. Further research is necessary to better define the mechanisms of these associations and better delineate preventive and therapeutic strategies.

  • 2.
    Holmgren, Jessica
    et al.
    The Swedish Red Cross University College, Department of Health Sciences.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College, Department of Health Sciences.
    Saaristo, Panu
    The International Federation of the Red Cross and Red Crescent Societies (IFRC), Geneva, Switzerland.
    von Strauss, Eva
    The Swedish Red Cross University College, Department of Health Sciences.
    Nurses’ experiences of health concerns, teamwork, leadership and knowledge transfer during an Ebola outbreak in West Africa2019In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 3, p. 824-833Article in journal (Refereed)
  • 3.
    Karp, A
    et al.
    Aging Research Center, Division of Geriatric Epidemiology, Department of Neurotec, Karolinska Institutet, and the Stockholm Gerontology Research Center, Stockholm.
    Paillard-Borg, Stéphanie
    Aging Research Center, Division of Geriatric Epidemiology, Department of Neurotec, Karolinska Institutet, and the Stockholm Gerontology Research Center, Stockholm.
    Wang, H
    Aging Research Center, Division of Geriatric Epidemiology, Department of Neurotec, Karolinska Institutet, and the Stockholm Gerontology Research Center, Stockholm.
    Silverstein, M
    Aging Research Center, Division of Geriatric Epidemiology, Department of Neurotec, Karolinska Institutet, and the Stockholm Gerontology Research Center, Stockholm.
    Winblad, B
    Aging Research Center, Division of Geriatric Epidemiology, Department of Neurotec, Karolinska Institutet, and the Stockholm Gerontology Research Center, Stockholm.
    Fratiglioni, L
    Aging Research Center, Division of Geriatric Epidemiology, Department of Neurotec, Karolinska Institutet, and the Stockholm Gerontology Research Center, Stockholm.
    Mental, physical and social components in leisure activities equally contribute to decrease dementia risk2006In: Dementia and Geriatric Cognitive Disorders, ISSN 1420-8008, E-ISSN 1421-9824, ISSN 1420-8008, Vol. 21, no 2, p. 65-73Article in journal (Refereed)
    Abstract [en]

    Background: There is accumulating evidence in the literature that leisure engagement has a beneficial effect on dementia. Most studies have grouped activities according to whether they were predominantly mental, physical or social. Since many activities contain more than one component, we aimed to verify the effect of all three major components on the dementia risk, as well as their combined effect. Methods: A mental, social and physical component score was estimated for each activity by the researchers and a sample of elderly persons. The correlation between the ratings of the authors and the means of the elderly subjects' ratings was 0.86. The study population consisted of 776 nondemented subjects, aged 75 years and above, living in Stockholm, Sweden, who were still nondemented after 3 years and were followed for 3 more years to detect incident dementia cases. Results: Multi-adjusted relative risks (RRs) of dementia for subjects with higher mental, physical and social component score sums were 0.71 (95% CI: 0.49-1.03), 0.61 (95% CI: 0.42-0.87) and 0.68 (95% CI: 0.47-0.99), respectively. The most beneficial effect was present for subjects with high scores in all or in two of the components (RR of dementia = 0.53; 95% CI: 0.36-0.78). Conclusions: These findings suggest that a broad spectrum of activities containing more than one of the components seems to be more beneficial than to be engaged in only one type of activity

  • 4.
    Karp, Anita
    et al.
    Neurotec, Karolinska Institutet.
    Paillard-Borg, Stéphanie
    Neurotec, Karolinska Institutet.
    Wang, Hui-Xin
    Neurotec, Karolinska Institutet.
    Silverstein, Merril
    niversity of Southern California, Andrus Gerontology Center, Los Angeles, CA, USA.
    Winblad, Bengt
    Neurotec, Karolinska Institutet.
    Fratiglioni, Laura
    Neurotec, Karolinska Institutet.
    Mental, physical, and social components in common leisure activities in old age in relation to dementia: Findings from the Kungsholmen Project2004In: Neurobiology of Aging, ISSN 0197-4580, E-ISSN 1558-1497, Vol. 25, p. S313-Article in journal (Other academic)
  • 5.
    Okenwa-Emegwa, Leah
    et al.
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Tinghög, Petter
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Saboonchi, Fredrik
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    von Strauss, Eva
    The Swedish Red Cross University College, Department of Public Health and Medicine. Swedish Red Cross University College.
    A global workspace is the emerging reality for future public health workforce2017In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 94, no 3, p. 132-140Article in journal (Refereed)
    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.

  • 6.
    Okenwa-Emegwa, Leah
    et al.
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Tinghög, Petter
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Saboonchi, Fredrik
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    von Strauss, Eva
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Framtidens hälsovetare verkar på en global arena.2017In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 94, no 3, p. 318-326Article in journal (Refereed)
    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.

  • 7.
    Paillard-Borg, Stephanie
    et al.
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Saaristo, P.
    Int Federat Red Cross & Red Crescent Soc IFRC, Water Sanitat & Emergency Hlth Unit, Geneva, Switzerland..
    von Strauss, Eva
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Humanitarian nursing in a viral haemorrhagic fever outbreak: before, during and after deployment2015In: Tropical medicine & international health, ISSN 1360-2276, E-ISSN 1365-3156, Vol. 20, p. 203-203Article in journal (Other academic)
  • 8.
    Paillard-Borg, Stéphanie
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Leisure activities at old age and their influence on dementia development2009Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis aims to describe the participation in leisure activities of elderly subjects and to detect their possible effect, if any, on the development of dementia. The data were derived from the Kungsholmen Project, which is a community-based prospective study on aging and dementia in people aged over 74 years, living in Stockholm, Sweden. The major findings are summarized below. Study I. The pattern of participation in leisure activities was related to contextual factors as well as to mental and physical health conditions. In spite of the advanced age, the majority of the population was active, as 70% participated in at least one activity. Reading (19%) was the most prevalent individual activity, and mental activities (43%) the most prevalent activity type. Older age, female gender, low education, poor or limited social network, mental disorders, and physical limitation were all correlated with a decreased engagement in at least one activity . Contextual factors and health-related factors were differentially associated with the five activity types. Study II. We aimed to verify the hypothesis that mental, social and physical components are relevant protective factors against dementia, and that a combined beneficial effect may be present over a 6-year follow-up period. Multi-adjusted relative risks (RRs) of dementia for subjects with higher mental, physical and social component scores were 0.71 (95% CI: 0.49 1.03), 0.61 (95% CI: 0.42 0.87) and 0.68 (95% CI: 0.47 0.99), respectively. The most beneficial effect was present for subjects with high scores in all or in two of the components (RR of dementia=0.53; 95% CI: 0.36 0.78). Study III. The hypothesis that an active lifestyle may protect against dementia development was further tested by using principal component analysis to characterize the exposure. Among a set of lifestyle variables, three underlying factors were identified: physical, mental and social factors. All the factors showed an independent protective effect on dementia development. The relative risks (RRs) ranged from 0.60 to 0.70. When these factors were integrated into an Active Lifestyle Index, a significant dose-response association was observed, Compared with low level of engagement (low in at least two of the factors), the RR of dementia was 0.66 (95% CI: 0.49-0.89) for the moderate level (high scores in two factors), and RR=0.51 (95% CI: 0.31-0.85) for the high level (high scores in all three factors). Study IV. The hypothesis that an active lifestyle delays the dementia onset was verified over a 9-year follow-up period. The lifestyle factors of the mental, social and physical component scores estimated in a previous study (study II) were studied in relation to age at dementia onset. Results showed that dementia developed at a significantly later age in individuals who had a higher level of participation in activities with high physical, mental or social components. When the three components were integrated, we found that the broader spectrum of participation (higher levels in at least two of the components) the later the age at dementia onset (β 0.62; P<0.01). Conclusions. Even in the advanced age, elderly persons are still active, being limited in their participation only by mental disorders or by physical limitation. An active lifestyle, defined as a higher level of participation in leisure activities with either mental, social or physical component may decrease the risk of dementia and postpone its onset.

  • 9.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College.
    Survey to understand current conditions in Sweden2013Report (Other academic)
  • 10.
    Paillard-Borg, Stéphanie
    et al.
    Karolinska Institutet.
    Fratiglioni, L.
    Winblad, B.
    Wang, H-X
    Does a stimulating lifestyle postpone the onset of dementia?Manuscript (preprint) (Other academic)
  • 11.
    Paillard-Borg, Stéphanie
    et al.
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Fratiglioni, L
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Winblad, B
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Wang, H-X
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Leisure activities in late life in relation to dementia risk: principal component analysis2009In: Dementia and Geriatric Cognitive Disorders, ISSN 1420-8008, E-ISSN 1421-9824, ISSN 1420-8008, Vol. 28, no 2, p. 136-144Article in journal (Refereed)
    Abstract [en]

    AIMS: To explore the underlying dimensions of a set of interrelated lifestyle factors and test the hypothesis that an active lifestyle may protect against dementia. METHODS: The study population consisted of 776 participants aged >or=75 years who were dementia-free at both baseline and the first follow-up examinations. Participation in leisure activities was assessed at baseline of the survey, and principal component analysis was used to identify their underlying factors. RESULTS: During the 9-year follow-up from exposure assessment, 212 subjects developed dementia. Higher factor scores of physical, mental, and social dimensions of an active lifestyle was each related to a lower dementia risk. A significant dose-response association between participation in the diverse dimensions and lower dementia risk was observed. CONCLUSION: An active lifestyle may protect older people against dementia, and the higher level of engagement the stronger protection.

  • 12.
    Paillard-Borg, Stéphanie
    et al.
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm.
    Fratiglioni, L
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm.
    Xu, W
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm.
    Winblad, B
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm.
    Wang, H-X
    Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm.
    An active lifestyle postpones dementia onset by more than one year in very old adults2012In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 31, no 4, p. 835-842Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to test the hypothesis that an active lifestyle delays age at dementia onset. This study included 388 incident dementia cases (DSM-III-R criteria) that developed over a 9-year follow-up period among 1,375 baseline dementia-free community dwellers with good cognitive function (MMSE >23) (mean age = 81.2) from the Kungsholmen Project. An active lifestyle was defined as participation in mental, physical, or social activity. We used linear regression models to estimate influence of baseline active lifestyle on age at onset of incident dementia and general linear models to estimate mean age at dementia onset. Age at onset of dementia was significantly older in persons who had higher levels of participation in mental, physical, or social activity (β: 0.18, 0.29 and 0.23 respectively, p < 0.001 for all the activities) independent of education, medical condition, functional status, and other confounders including APOE. When the three types of activities were integrated into an index, we found that the broader the spectrum of participation in the activities, the later the onset of disease (β = 0.93, p = 0.01 for participating in two activities, and β = 1.42, p < 0.001 for three activities). There were 17 months difference in mean age at dementia onset between the inactive group and the most active group. An active lifestyle operates as a protective factor for dementia by delaying the clinical onset of the disease. These findings highlight the relevance of encouraging old adults to have active lifestyles, which could have a great impact on public health.

  • 13.
    Paillard-Borg, Stéphanie
    et al.
    The Swedish Red Cross University College, Department of Health Sciences.
    Hallberg, David
    The Swedish Red Cross University College, Department of Health Sciences.
    The Other Side of the Mirror: An Analytic Journalistic Approach to the Subjective Well-Being of Filipino Women Migrant Workers in Japan2018In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 8, no 1Article in journal (Refereed)
    Abstract [en]

    In its political structural reform, the Japanese government presents the urgency to consider an increase in labor mobility that includes the issue of immigration to Japan. Women from Southeast Asia represent a large proportion of this immigration. The aim of this case study was to identify factors associated with subjective well-being (SWB) among Filipino women migrant workers in Tokyo, Japan. The study used an analytic journalistic approach. A focus group interview was conducted with three women and the data were analyzed using qualitative content analysis. Communication, support network, faith, and sense of identity were identified as the main factors contributing to SWB among these women. In conclusion, the feminization of migration will continue; therefore, better understanding about the factors associated to SWB is needed to ease the impact of migration on home and host countries.

  • 14.
    Paillard-Borg, Stéphanie
    et al.
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Holmgren, Jessica
    The Swedish Red Cross University College, Department of Nursing and Care.
    Immigration, Women, and Japan—A Leap Ahead and a Step Behind: A Qualitative Journalistic Approach2016In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 6, no 2, p. 1-7, article id 2158244016673129Article in journal (Refereed)
    Abstract [en]

    Japan has become a super-aged society, facing demographic challenges resulting in societal and economic consequences. In its political structural reform, the Japanese government presented the urgency to consider the increase in labor mobility that includes the issues of immigration and female employment, both domestic and foreign. The aim of this study was to explore, from a Japanese woman’s perspective, the intertwined issues of immigration. An in-depth interview was performed and analyzed by content analysis with a methodological departure in qualitative journalistic interviewing. The case was a Japanese woman with a unique profile. The results of this study, family permanency and group cohesiveness, can contribute to understand the potential interdependency between the roles, within the Japanese society, of foreign female domestic workers and Japanese women. In conclusion, it appears that the pivotal role of women in the Japanese society and the global feminization of migration challenge Japanese social consistency.

  • 15.
    Paillard-Borg, Stéphanie
    et al.
    The Swedish Red Cross University College, Department of Health Sciences.
    Holmgren, Jessica
    The Swedish Red Cross University College, Department of Health Sciences.
    Saaristo, P.
    International Federation of Red Cross and Red Crescent Societies, Geneva, Switzerland.
    von Strauss, Eva
    The Swedish Red Cross University College, Department of Health Sciences.
    Heroes and pariahs: Nurses in a viral haemorrhagic fever outbreak2017In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no S3, p. 319-319Article in journal (Other academic)
  • 16.
    Paillard-Borg, Stéphanie
    et al.
    Red Cross University College of Nursing.
    Strömberg, Lars
    Red Cross University College of Nursing.
    The importance of reciprocity for female caregivers in a super-aged society: a qualitative journalistic approach2014In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 35, no 11-12, p. 1367-1379Article in journal (Refereed)
  • 17.
    Paillard-Borg, Stéphanie
    et al.
    Aging Research Center, NVS Department, Karolinska Institutet and Stockholm Gerontology Research Center, Stockholm.
    Wang, H-X
    Aging Research Center, NVS Department, Karolinska Institutet and Stockholm Gerontology Research Center, Stockholm.
    Winblad, B
    Aging Research Center, NVS Department, Karolinska Institutet and Stockholm Gerontology Research Center, Stockholm.
    Fratiglioni, L
    Aging Research Center, NVS Department, Karolinska Institutet and Stockholm Gerontology Research Center, Stockholm.
    Pattern of participation in leisure activities among older people in relation to their health conditions and contextual factors: a survey in a Swedish urban area2009In: Ageing & Society, ISSN 0144-686X, E-ISSN 1469-1779, ISSN 0144-686X, Vol. 29, no 5, p. 803-821Article in journal (Refereed)
    Abstract [en]

    The objective of this study is to describe the pattern of participation in leisure activities in an older population in relation to contextual factors as well as to mental and physical health. A cohort of 1,623 participants aged 75 or older living in Stockholm, Sweden was asked to list all the leisure activities they were engaged in. These were successively organised into 31 major categories and further grouped into mental, social, physical, productive and recreational types. The pattern of participation was examined in relation to age, gender, contextual factors (education, social network) and health status (depressive symptoms, cognitive impairment, dementia, somatic diseases and physical limitation). In spite of their advanced age, the majority of the population was active, as 70 per cent had participated in at least one activity. Reading (19%) was the most prevalent individual activity, and mental activities (43%) the most prevalent activity type. Older age, female gender, low education status, having a poor or limited social network, mental disorders, and physical limitation, were all factors correlated with a decreased engagement in 'at least one activity '. Contextual factors and health-related factors were related to the five activity types in different ways. The pattern of participation in leisure activities is associated with multiple factors and their recognition is essential to the facilitation of an active lifestyle in the older population

  • 18.
    Song, Fei
    et al.
    Tianjin Medical University, Tianjin, China.
    Bao, Cuiping
    Tianjin Medical University, Tianjin, China.
    Deng, Meiyu
    Tianjin Medical University, Tianjin, China.
    Xu, Hui
    Tianjin Medical University, Tianjin, China.
    Fan, Meijuan
    Tianjin Medical University, Tianjin, China.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Xu, Weili
    Tianjin Medical University, Tianjin, China / Karolinska Institutet / Stockholm University.
    Qi, Xiuying
    Tianjin Medical University, Tianjin, China.
    The prevalence and determinants of hypothyroidism in hospitalized patients with type 2 diabetes mellitus2017In: Endocrine (Basingstoke), ISSN 1355-008X, E-ISSN 1559-0100, Vol. 55, no 1, p. 179-185Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to investigate the prevalence of hypothyroidism among hospitalized patients with type 2 diabetes mellitus and its related factors, and to assess the prevalence of macrovascular and microvascular diseases among type 2 diabetes mellitus inpatients with hypothyroidism and euthyroidism. A total of 1662 type 2 diabetes mellitus inpatients hospitalized at the Metabolic Diseases Hospital, Tianjin Medical University from 1 January 2008 to 1 March 2013 were included in this study. Information on demographic and anthropometric factors and additional variables related to hypothyroidism were collected from medical records. Prevalence rates were calculated and standardized using direct method based on the age-specific and sex-specific structure of all participants. Data were analyzed using binary logistic regression with adjustment for potential confounders. The prevalence of hypothyroidism among type 2 diabetes mellitus inpatients was 6.8 %, and 77.0 % of the patients with hypothyroidism had subclinical hypothyroidism. The prevalence of hypothyroidism increased with age, and was higher in women (10.8 %) than in men (3.4 %). Older age (odds ratio, 1.74; 95 % confidence interval, 1. 05 to 2.89), female gender (odds ratio, 2.02; 95 % confidence interval, 1.05 to 3.87), and positive thyroid peroxidase antibody (odds ratio, 4.99; 95 % confidence interval, 2.83 to 8.79) were associated with higher odds of hypothyroidism among type 2 diabetes mellitus inpatients. The type 2 diabetes mellitus inpatients with hypothyroidism had higher prevalence of cerebrovascular diseases than those with euthyroidism after adjustment for age and gender. The prevalence of hypothyroidism among type 2 diabetes mellitus inpatients was 6.8 %, and most patients had subclinical hypothyroidism. Older age, female gender, and positive thyroid peroxidase antibody could be indicators for detecting hypothyroidism in type 2 diabetes mellitus inpatients.

  • 19.
    von Strauss, Eva
    et al.
    The Swedish Red Cross University College, Department of Health Sciences.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College, Department of Health Sciences.
    Holmgren, Jessica
    The Swedish Red Cross University College, Department of Health Sciences.
    Saaristo, Panu
    International Federation of Red Cross and Red Crescent Societies (IFRC), Geneva, Switzerland.
    Global nursing in an Ebola viral haemorrhagic fever outbreak: before, during and after deployment2017In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 10, no 1, article id 1371427Article in journal (Refereed)
    Abstract [en]

    Background: Nurses are on the forefront and play a key role in global disaster responses. Nevertheless, they are often not prepared for the challenges they are facing and research is scarce regarding the nursing skills required for first responders during a disaster situation.Objectives: To investigate how returnee nursing staff experienced deployment before, during and after having worked for the Red Cross at an Ebola Treatment Center in Kenema, West Africa, and to supply knowledge on how to better prepare and support staff for viral haemorrhagic fever outbreaks.Methods: A descriptive, cross-sectional approach. Questionnaires were administered to nurses having worked with patients suffering from Ebola in 2014 and 2015. Data collection covered aspects of pre-, during and post-deployment on clinical training, personal health, stress management, leadership styles, socio-cultural exposure and knowledge transfer, as well as attitudes from others. Data was analysed using both quantitative and qualitative methods.Results: Response-rate was 88%: forty-four nurses from 15 different countries outside West Africa answered the questionnaire. The respondents identified the following needs for improvement: increased mental health and psychosocial support and hands-on coping strategies with focus on pre- and post-deployment; more pre-deployment task-oriented clinical training; and workload reduction, as exhaustion is a risk for safety.Conclusions: This study supplies knowledge on how to better prepare health care staff for future viral haemorrhagic fever outbreaks and other disasters. Participants were satisfied with their pre-deployment physical health preparation, whereas they stressed the importance of mental health support combined with psychosocial support after deployment. Furthermore, additional pre-clinical training was requested.

  • 20.
    Wang, Hui-Xin
    et al.
    Karolinska Institutet.
    Paillard-Borg, Stéphanie
    Karolinska Institutet.
    Winblad, Bengt
    Karolinska Institutet.
    Fratiglioni, Laura
    Karolinska Institutet.
    Physical activity, emotional support, and intellectual stimulation in relation to dementia risk in the elderly: Results from the Kungsholmen Project2002In: Neurobiology of Aging, ISSN 0197-4580, E-ISSN 1558-1497, Vol. 23, no 1, p. S289-Article in journal (Other academic)
  • 21.
    Xu, Weili
    et al.
    Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China; Aging Research Center (ARC), Department Neurobiology, Health Care Sciences and Society, Karolinska Institutet and Stockholm University.
    Zhang, Hua
    School of Nursing, Tianjin Medical University, Tianjin, China.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Zhu, Hong
    Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, University, Tianjin, China.
    Qi, Xiuying
    Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, University, Tianjin, China.
    Rizzuto, Debora
    Aging Research Center (ARC), Department Neurobiology, Health Care Sciences and Society, Karolinska Institutet and Stockholm University.
    Prevalence of Overweight and Obesity among Chinese Adults: Role of Adiposity Indicators and Age.2016In: Obesity Facts, ISSN 1662-4025, E-ISSN 1662-4033, Vol. 9, no 1, p. 17-28Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The role of different body fat indicators and age in assessing the prevalence of obesity is unclear. We aimed to examine to what extent different body fat indicators including BMI, waist circumference (WC) and waist-to-hip ratio (WHR) affect the prevalence of overweight and obesity among Chinese adults taking age into account.

    METHODS: This population-based cross-sectional study included a random sample of 7,603 adults aged 20-79 years across entire Tianjin, China. BMI, WC, and WHR were used to define overweight and obesity following standard criteria. Prevalence rates were calculated and standardized using local age- and gender-specific census data. Logistic regression was used in data analysis.

    RESULTS: Using the combination of BMI, WC, and WHR, the prevalence of overweight and obesity was 69.8%, and increased with age till the age of 60 and a decline thereafter. The prevalence of overweight assessed by BMI was higher than that assessed by WC and WHR, while the prevalence of obesity defined by BMI was much lower than that defined by WC or WHR.

    CONCLUSION: The prevalence of overweight and obesity is about 70% among Chinese adults. Adiposity indicators and age play an important role in the prevalence of overweight and obesity.

  • 22.
    Zhang, H
    et al.
    School of Public Health, Tianjin Medical University, Tianjin, China; School of Nursing, Tianjin Medical University, Tianjin, China.
    Deng, M
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Xu, H
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Wang, H
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Song, F
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Bao, C
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Xu, W
    School of Public Health, Tianjin Medical University, Tianjin, China; Karolinska Institutet; Stockholm University.
    Qi, X
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Pre- and undiagnosed-hypertension in urban Chinese adults: a population-based cross-sectional study.2017In: Journal of Human Hypertension, ISSN 0950-9240, E-ISSN 1476-5527, Vol. 31, no 4, p. 263-269Article in journal (Refereed)
    Abstract [en]

    Hypertension is common in adults and often undiagnosed, and the prevalence of pre- and undiagnosed-hypertension remains unclear. We aimed to investigate the prevalence of pre- and undiagnosed-hypertension and their correlates among urban Chinese adults. A total of 7435 participants aged 20-79 were included in this study. Data on demographics, lifestyle and medical history were collected through a structured interview. Pre- and undiagnosed-hypertension was defined as systolic blood pressure/ diastolic blood pressure (SBP/DBP) of 120-139/80-89 mm Hg and SBP⩾140 mm Hg and/or DBP⩾90 mm Hg, respectively, in participants without a history of hypertension and use of antihypertensive medication. Prevalence rates were calculated and standardized using local age- and gender-specific census data. Data were analysed using multinomial logistic regression with adjustment for potential confounders. Of all the participants, 2726 (36.7%) were diagnosed with pre-hypertension and 919 (12.3%) with undiagnosed-hypertension. Undiagnosed-hypertension accounted for 37.3% of all participants with hypertension. The prevalence of pre-hypertension gradually decreased with age, while undiagnosed-hypertension increased, although presenting different changing patterns among men and women. In a fully adjusted multinomial logistic regression, age, male sex, low socio-economic status (SES), abdominal obesity, alcohol drinking, physical inactivity and type 2 diabetes mellitus (T2DM) were significantly associated with increased odds of pre- and undiagnosed-hypertension. In conclusions, the prevalence of pre- and undiagnosed-hypertension was ~50% among urban Chinese adults. Abdominal obesity, low SES, alcohol drinking, physical inactivity and T2DM may be indicators for pre- and undiagnosed-hypertension.

  • 23.
    Zhang, Hua
    et al.
    Tianjin Medical University, Tianjin, PR, China.
    Xu, Hui
    Tianjin Medical University, Tianjin, PR, China.
    Song, Fei
    Tianjin Medical University, Tianjin, PR, China.
    Xu, Weili
    Tianjin Medical University, Tianjin, PR, China / Karolinska Institute / Stockholm University.
    Paillard-Borg, Stéphanie
    The Swedish Red Cross University College, Department of Public Health and Medicine.
    Qi, Xiuying
    Tianjin Medical University, Tianjin, PR, China.
    Relation of socioeconomic status to overweight and obesity: a large population-based study of Chinese adults2017In: Annals of Human Biology, ISSN 0301-4460, E-ISSN 1464-5033, Vol. 44, no 6, p. 495-501Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: China has been going through significant changes in social and economical aspects and with great socioeconomic disparity in different regions. However, data on the association between socioeconomic status (SES) and obesity are not available in Tianjin, China.

    AIM: We aimed to investigate the association between SES and high adiposity among the adult population in Tianjin.

    SUBJECTS & METHODS: A total of 7351 individuals aged 20-79 were included in this study. Socioeconomic information was collected through the interview following a structured questionnaire. Waist circumference, body weight and height were measured following standard procedures. Overweight and obesity were defined according to the criteria of the Working Group on Obesity in China. Data were analysed using multinomial logistic regression with adjustment for potential confounders.

    RESULTS: Stratified analysis showed that higher monthly income and education were related to decreased odds of abdominal overweight/obesity in women, while high education was associated with increased odds of general overweight/obesity in men. Retirement increased the odds of abdominal overweight and obesity, and nonmanual work was associated with low odds of abdominal obesity in women.

    CONCLUSIONS: SES was associated with general and abdominal overweight/obesity and sex may play a role in such an association.

1 - 23 of 23
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