Ulla Christensen
Dados Biográficos
| ID | 108613 |
|---|---|
| NOME | Ulla Christensen |
| PRENOMES | Ulla |
| SOBRENOME | Christensen |
| ASSINATURA | CHRISTENSEN U |
| AFILIAÇÕES | University of Copenhagen |
| ORCID | 0000-0001-7797-6640 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 44 |
| TOTAL DE CITAÇÕES | 88 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Treading a fine line in equitable breastfeeding support
Exploring stroke awareness in an ethnic minority population
Our study highlights the need for more socioculturally and linguistically accessible stroke awareness campaigns, to improve early recognition of stroke symptoms and ensure timely intervention
Addressing social inequity in breastfeeding through proactive support
Breastfeeding is subject to social inequity with short-term education and young age being important risk factors of early breastfeeding cessation. Breastfeeding support can be offered reactively, with mothers reaching out, or proactively where a health professional or peer supporter contacts the mother. Reactive support alone may be inadequate and inequitable as individuals with the greatest needs are often less inclined to reach out. An evidence…
Curating 'the good story
In this article, we explore the intricacies of veteran care and show how care practices come to incorporate veterans' 'self-performances' to raise political attention and funding for future rehabilitation activities. By bringing into dialogue theories of care and theories of performance and representation, we illustrate how a seemingly classic form of care-veteran rehabilitation-takes the form of representative performance. Drawing on ethnographi…
Mechanisms of Stigmatization in Family-Based Prevention and Treatment of Childhood Overweight and Obesity
It is well established that overweight and obesity are often accompanied by stigmatization. However, the influence of stigmatization on interventions for overweight and obesity remains unknown. Stigma may be particularly harmful to children. This study aimed to examine how stigmatization affects efforts to reduce childhood overweight and obesity through family interventions. This research was conducted in a socially disadvantaged area in Denmark.…
Involving supermarkets in health promotion interventions in the Danish Project SoL. A practice-oriented qualitative study on the engagement of supermarket staff and managers
Our findings point to both potentials and challenges for using supermarkets as settings for health promotion. The voluntary engagement of supermarket staff in community-based health projects cannot stand alone but should be supplemented by more long-lasting strategies and policies regulating this and other food environments. Context-sensitive and practice-oriented analyses in local food environments could inform such strategies and policies to ma…
Mechanisms Activated in the Interaction between Peer Supporters and Peers
Research on peer support programmes for people with type 2 diabetes has shown a positive effect on health-related behaviours, yet little is known about what causes this effect. This study researched the mechanisms generating immediate outcomes (changes in awareness) and intermediate outcomes (behavioural changes) among socially vulnerable people with type 2 diabetes in a Danish peer support intervention. Using a realist-informed evaluation approa…
Conflicting Logics in a Changing Action Space
Well-being at work is important to quality of life. However, reconciling work and diabetes management is often challenging; failing to do so threatens the well-being of people with type 1 diabetes (T1D). We explored the mechanisms underlying diabetes-specific challenges at work using theories of logics, involvement, and action space. Thematic analyses of two data sets, consisting of interviews with adults with T1D ( n = 22) showed that people wit…
Implementation, Mechanisms and Context of the Mamaact Intervention to Reduce Ethnic and Social Disparity in Stillbirth and Infant Health
The MAMAACT intervention aimed to address ethnic and social disparity in stillbirth and infant health by improving management of pregnancy complications. This process evaluation of the intervention was guided by the British Medical Research Council's framework. We examined implementation through dose, reach, and fidelity, important mechanisms and the influence of contextual factors. The intervention included a six-hour training session for antena…
Developing Interpersonal Trust Between Service Users and Professionals in Integrated Services
Trust in personal relationships between stakeholders appeared to compensate for contextually shaped distrust, vulnerability and uncertainty. Identifying latent distrust, vulnerabilities, uncertainties, and power structures might be key to improving trust-building strategies in a specific context. The time-consuming process of trust-building between micro-level stakeholders should be supported structurally
A Qualitative Study on the Implementation of Flexible Assertive Community Treatment – an Integrated Community-based Treatment Model for Patients with Severe Mental Illness
FACT increases access to intensive care for a broader group of patients with severe mental illness. However, findings from this study also suggest that the increased caseload in FACT compared with ACT and a changed mindset may not reflect the needs of the smaller group of patients who find it difficult to engage with mental health care services
It Is a Full-time Job to Be Ill
Previous research has shown social inequality in type 2 diabetes prevalence and that socially vulnerable type 2 diabetes patients benefit less than average from health services. Based on ethnographic fieldwork carried out between February 2017 and March 2018 in a Danish specialized outpatient clinic, this article focuses on patient work among socially vulnerable type 2 diabetes patients. Through attending to the border zone between formal health …
Contextual Complexities in Implementing a Family-Based Childhood Obesity Intervention
Family interventions to treat childhood obesity are widely used, but knowledge about how family dynamics are affected by these interventions is lacking. The present study aims to understand how a family intervention impacts the context of family dynamics, and how different contexts affect the families' implementation of the intervention. Based on qualitative interviews, we studied families with a child between 9-12 years enrolled in a family inte…
Contextual Factors Influencing the Mamaact Intervention
In western countries, immigrant women have an increased risk of negative birth outcomes. Immigrant women's and maternity care system's delayed response to pregnancy complications contribute to ethnic inequities in reproductive health. The MAMAACT intervention was developed to improve midwives' and women's response to pregnancy complications in Denmark. The study examines the context of the implementation of the MAMAACT intervention and investigat…
Social Relations, Community Engagement and Potentials
Emerging evidence points towards a lower quality of life, fragile social relations and suboptimal health behavior and status of residents living in social housing areas characterized by ethnic diversity and socioeconomic deprivation. Community-based health promotion interventions developed in collaboration with the target group and adjusted to the local context can affect the acceptance of and engagement in such interventions. However, few studie…
Intra-familial health polarisation
In a disadvantaged rural area in Denmark, severe challenges have been identified concerning overweight and obesity in families with preschool-age children. The present paper examines how families with young children and emerging obesity issues perceive 'healthy living' and barriers to practising it. Using data from qualitative workshops with families and professionals working with them, we reveal health perceptions and related family dynamics. Dr…
Co-Designing an Intervention to Prevent Overweight and Obesity among Young Children and Their Families in a Disadvantaged Municipality
Design-based research (DBR) is an innovative methodology for co-creation, but potentials, challenges, and differences between methodological ideals and the real-life intervention context are under-researched. This study analyzes the DBR process in which researchers, professionals, and families co-design a family-based intervention to prevent childhood overweight and obesity in a rural municipality. It involves interviews with six key stakeholders…
The joint effect of unemployment and cynical hostility on all-cause mortality
Men and women exposed to both unemployment and hostility were at markedly high risk of premature mortality. However, this study did not support the hypothesis that the deleterious health effect of the combination of unemployment and hostility exceeds their individual effects
Multi-method investigation of normative integration in a novel inter-sectoral collaboration between mental health care services and public sick leave insurance organizations in Denmark
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Developing Normative Integration among Professionals in an Intersectoral Collaboration
This study shows how normative integration among health care professionals and employment consultants is feasible in co-located intersectoral teams, with positive implications for the delivery of coherent support
What constitutes ‘good care’ and ‘good carers’? The normative implications of introducing reablement in Danish home care
As populations worldwide are ageing, Western welfare states are currently implementing welfare reforms aimed at curbing the rising need for social and healthcare services for ageing populations. A central element in home-care reforms in several welfare countries is reablement: short-term home-based training programmes aimed at re-enabling older people to live in their own homes independently of care. In this paper, we explore how transitioning fr…
Home care as reablement or enabling arrangements? An exploration of the precarious dependencies in living with functional decline
The threat to welfare societies posed by population ageing has urged high-income countries to rethink the provision of social and healthcare services for the ageing population. One widely implemented policy solution is 'reablement': short-term home-based training programmes focusing on re-enabling older people to carry out activities of daily living independently. Drawing on empirical material from multisited ethnographic fieldwork of reablement …
Substituting sugar confectionery with fruit and healthy snacks at checkout – a win-win strategy for consumers and food stores? a study on consumer attitudes and sales effects of a healthy supermarket …
The present study finds that the healthy checkout intervention was positively evaluated by consumers and provided a 'responsible' branding opportunity for supermarkets, thus representing a win-win strategy for store managers and consumers in the short term. However, the intervention was too modest to draw conclusions on long-term sales and health implications of this initiative. More research is needed to assess whether retailer-researcher collab…
Neighborhood perceptions and allostatic load
Loneliness, immigration background and self-identified ethnicity
Migration is an increasing worldwide phenomenon that creates multicultural societies with a growing number of adolescents who have experienced a process of migration or who have an ethnic background other than that of the majority. Migration may lead to loss of social relations and create challenges related to acculturation in the new country. These experiences may induce feelings of loneliness. Research on ethnic and migrant disparities in lonel…
Addressing Social Inequality in Aging by the Danish Occupational Social Class Measurement
The DOSC measure was associated with aging-related outcomes in a midlife Danish population, and is, thus, well suited for future epidemiological research on social inequalities in health and aging
Copenhagen Aging and Midlife Biobank (Camb)
Since the early 1980s, a number of large-scale, population-based, epidemiologic studies have focused on the development of disability, cognitive impairment, dementia, long-term care, and other health issues with particular relevance to older adults. With few exceptions, these health issues have been investigated in older populations, usually defined on the basis of chronological age (e.g., older than 65). Examples are the Established Populations …
Neighborhood perceptions and allostatic load
Loneliness, immigration background and self-identified ethnicity
Migration is an increasing worldwide phenomenon that creates multicultural societies with a growing number of adolescents who have experienced a process of migration or who have an ethnic background other than that of the majority. Migration may lead to loss of social relations and create challenges related to acculturation in the new country. These experiences may induce feelings of loneliness. Research on ethnic and migrant disparities in lonel…
Developing Normative Integration among Professionals in an Intersectoral Collaboration
This study shows how normative integration among health care professionals and employment consultants is feasible in co-located intersectoral teams, with positive implications for the delivery of coherent support
Influence of marital history over two and three generations on early death. A longitudinal study of Danish men born in 1953
Background: This study examined the effects of marital status over two and three generations on last generation’s mortality, and tested the hypothesis of an effect of the latest status (proximity effect) as well as the hypothesis of an accumulative effect. Methods: The study population covers a random sample of all boys born in the the metropolitan area of Copenhagen with complete data from interviews and registers on two and three generation’s m…
Social Class Differences in Physical Functions in Middle-Aged Men and Women
Including measures of vigorous physical functioning may add to the existing knowledge on development of functional limitation and poorer functional health later in life
Home care as reablement or enabling arrangements? An exploration of the precarious dependencies in living with functional decline
The threat to welfare societies posed by population ageing has urged high-income countries to rethink the provision of social and healthcare services for the ageing population. One widely implemented policy solution is 'reablement': short-term home-based training programmes focusing on re-enabling older people to carry out activities of daily living independently. Drawing on empirical material from multisited ethnographic fieldwork of reablement …
Stressful social relations and mortality
BACKGROUND: Few studies have examined the relationship between stressful social relations in private life and all-cause mortality. OBJECTIVE: To evaluate the association between stressful social relations (with partner, children, other family, friends and neighbours, respectively) and all-cause mortality in a large population-based study of middle-aged men and women. Further, to investigate the possible modification of this association by labour …
Healing a Vulnerable Self
Mental health problems (MHPs) such as stress and depression are among the leading causes of work disability. In this article we explore how women with MHPs experience sickness absence and subsequent return to work. We conducted 16 semistructured interviews and employed constructivist grounded theory for the analysis. We found that whereas sickness absence constituted a major threat to positive self-images, the experience had potential as a person…
Impact of Social Capital on 8-Year Mortality Among Older People in 34 Danish Municipalities
The measures of social capital used in the present study include key aspects of social capital that are associated to mortality in older populations via physical activity and mobility disability
What constitutes ‘good care’ and ‘good carers’? The normative implications of introducing reablement in Danish home care
As populations worldwide are ageing, Western welfare states are currently implementing welfare reforms aimed at curbing the rising need for social and healthcare services for ageing populations. A central element in home-care reforms in several welfare countries is reablement: short-term home-based training programmes aimed at re-enabling older people to live in their own homes independently of care. In this paper, we explore how transitioning fr…
It Is a Full-time Job to Be Ill
Previous research has shown social inequality in type 2 diabetes prevalence and that socially vulnerable type 2 diabetes patients benefit less than average from health services. Based on ethnographic fieldwork carried out between February 2017 and March 2018 in a Danish specialized outpatient clinic, this article focuses on patient work among socially vulnerable type 2 diabetes patients. Through attending to the border zone between formal health …
Intra-familial health polarisation
In a disadvantaged rural area in Denmark, severe challenges have been identified concerning overweight and obesity in families with preschool-age children. The present paper examines how families with young children and emerging obesity issues perceive 'healthy living' and barriers to practising it. Using data from qualitative workshops with families and professionals working with them, we reveal health perceptions and related family dynamics. Dr…
Reduced probability of smoking cessation in men with increasing number of job losses and partnership breakdowns
BACKGROUND: Unemployment and partnership breakdowns are common stressful life events, but their association with smoking cessation has been investigated in only a few studies. OBJECTIVE: To investigate how history of employment and cohabitation affects the probability of smoking cessation and to study joint exposure to both. METHODS: Birth cohort study of smoking cessation of 6232 Danish men born in 1953 with a follow-up at age 51 (response rate …
Developing Interpersonal Trust Between Service Users and Professionals in Integrated Services
Trust in personal relationships between stakeholders appeared to compensate for contextually shaped distrust, vulnerability and uncertainty. Identifying latent distrust, vulnerabilities, uncertainties, and power structures might be key to improving trust-building strategies in a specific context. The time-consuming process of trust-building between micro-level stakeholders should be supported structurally
A Qualitative Study on the Implementation of Flexible Assertive Community Treatment – an Integrated Community-based Treatment Model for Patients with Severe Mental Illness
FACT increases access to intensive care for a broader group of patients with severe mental illness. However, findings from this study also suggest that the increased caseload in FACT compared with ACT and a changed mindset may not reflect the needs of the smaller group of patients who find it difficult to engage with mental health care services
The Relationship Between Cognitive Ability and Demographic Factors in Late Midlife
Late-midlife cognitive ability is associated with a number of demographic factors, and demographic differences may contribute to individual differences in health and early aging. In analyses of cognitive ability, the three CAMB cohorts can be combined provided the relevant demographic variables are included as covariates
Personality in Late Midlife
Robust sex, educational, and social class differences in personality may contribute to late midlife social gradients in health and early aging. Demographic factors did not fully explain correlations between personality and cognitive ability or cohort differences in personality
Content Validity and Reliability of the Copenhagen Social Relations Questionnaire
CSRQ holds satisfactory face and content validity as well as reliability, and is suitable for measuring structure and function of social relations including the negative aspects among middle-aged individuals
Are negative aspects of social relations predictive of angina pectoris? A 6-year follow-up study of middle-aged Danish women and men
BACKGROUND: Social relations have been shown to be protective against ischaemic heart disease (IHD), but little is known about the impact of negative aspects of the social relations on IHD. METHODS: During a 6-year follow-up, the authors aimed to assess if negative aspects of social relations were associated with angina pectoris among 4573 middle-aged Danish men and women free of heart disease at baseline in 2000. RESULTS: Nine per cent experienc…
Income inequality, individual income, and mortality in Danish adults
Objective: To analyse the association between area income inequality and mortality after adjustment for individual income and other established risk factors. Design: Analysis of pooled data from two cohort studies. The relation between income inequality in small areas of residence (parishes) and individual mortality was examined with Cox proportional hazard analyses. Setting: Two population studies conducted in Copenhagen, Denmark. Participants: …
Cynical Hostility, Socioeconomic Position, Health Behaviors, and Symptom Load
OBJECTIVE: To analyze the cross-sectional association between cynical hostility and high symptom load in a Danish population-based study. Furthermore, the aim was to investigate to what extent health risk behaviors mediated this association. METHODS: Data were based on a postal questionnaire in a Danish random sample of 3426 men and 3699 women aged 40 or 50 years. Cynical hostility was measured by the 8-item Cynical Distrust Scale. High symptom l…
Influence of marital history over two and three generations on early death. A longitudinal study of Danish men born in 1953
Background: This study examined the effects of marital status over two and three generations on last generation’s mortality, and tested the hypothesis of an effect of the latest status (proximity effect) as well as the hypothesis of an accumulative effect. Methods: The study population covers a random sample of all boys born in the the metropolitan area of Copenhagen with complete data from interviews and registers on two and three generation’s m…
How do musculoskeletal pain, avoidant coping and sickness absence relate to each other
Background Musculoskeletal pain is common and causes extensive sickness absence and work disability in many industrialised countries. The prevalence of musculoskeletal morbidity increases by decreasing socio-economic position and it appears that people with a disadvantaged social situation are more vulnerable to the consequences of musculoskeletal disorders. An avoidant coping strategy has been associated with an increased likelihood of sickness …
Reduced probability of smoking cessation in men with increasing number of job losses and partnership breakdowns
BACKGROUND: Unemployment and partnership breakdowns are common stressful life events, but their association with smoking cessation has been investigated in only a few studies. OBJECTIVE: To investigate how history of employment and cohabitation affects the probability of smoking cessation and to study joint exposure to both. METHODS: Birth cohort study of smoking cessation of 6232 Danish men born in 1953 with a follow-up at age 51 (response rate …
Impact of Social Capital on 8-Year Mortality Among Older People in 34 Danish Municipalities
The measures of social capital used in the present study include key aspects of social capital that are associated to mortality in older populations via physical activity and mobility disability
OP59 Do Demands and Worries from Close Social Relations Increase the Risk of Subsequent Incident IHD Hospitalization? A 7 Year Longitudinal Study of Middle-Aged Danish Men and Women
Background The association between support from social relations and ischemic heart disease is well described, however the possible hazardous effects of negative aspects of social relations on cardiovascular health are less well known. The purpose of the present study was to analyze the possible influence of negative aspects of social relations (NASR) at baseline on the risk of development of ischemic heart disease (IHD) defined as incident hospi…
PS30 The Joint Effect of Unemployment and Cynical Hostility on All Cause Mortality
Background Unemployment as well as hostility has been associated with mortality and morbidity. Hostility and socioeconomic position, including unemployment is highly associated. One of the hypothetical models on the relation between hostility, health and life context, states that hostility moderates the relationship between health problems and stressful conditions in the environment, such as unemployment. The aim of this study is to analyze the j…
Are negative aspects of social relations predictive of angina pectoris? A 6-year follow-up study of middle-aged Danish women and men
BACKGROUND: Social relations have been shown to be protective against ischaemic heart disease (IHD), but little is known about the impact of negative aspects of the social relations on IHD. METHODS: During a 6-year follow-up, the authors aimed to assess if negative aspects of social relations were associated with angina pectoris among 4573 middle-aged Danish men and women free of heart disease at baseline in 2000. RESULTS: Nine per cent experienc…
Psychosocial work environment factors and weight change
This study of a single occupational group suggested a few new risk factors for weight change outside the traditional work stress models
Healing a Vulnerable Self
Mental health problems (MHPs) such as stress and depression are among the leading causes of work disability. In this article we explore how women with MHPs experience sickness absence and subsequent return to work. We conducted 16 semistructured interviews and employed constructivist grounded theory for the analysis. We found that whereas sickness absence constituted a major threat to positive self-images, the experience had potential as a person…
Influence of lifestyle factors on long-term sickness absence among female healthcare workers
In female healthcare workers, an unhealthy lifestyle (too high/ too low body mass index, smoking, and low physical activity) is associated with higher risk of LTSA
The Relationship Between Cognitive Ability and Demographic Factors in Late Midlife
Late-midlife cognitive ability is associated with a number of demographic factors, and demographic differences may contribute to individual differences in health and early aging. In analyses of cognitive ability, the three CAMB cohorts can be combined provided the relevant demographic variables are included as covariates
Personality in Late Midlife
Robust sex, educational, and social class differences in personality may contribute to late midlife social gradients in health and early aging. Demographic factors did not fully explain correlations between personality and cognitive ability or cohort differences in personality
Content Validity and Reliability of the Copenhagen Social Relations Questionnaire
CSRQ holds satisfactory face and content validity as well as reliability, and is suitable for measuring structure and function of social relations including the negative aspects among middle-aged individuals
Addressing Social Inequality in Aging by the Danish Occupational Social Class Measurement
The DOSC measure was associated with aging-related outcomes in a midlife Danish population, and is, thus, well suited for future epidemiological research on social inequalities in health and aging
Social Class Differences in Physical Functions in Middle-Aged Men and Women
Including measures of vigorous physical functioning may add to the existing knowledge on development of functional limitation and poorer functional health later in life
Copenhagen Aging and Midlife Biobank (Camb)
Since the early 1980s, a number of large-scale, population-based, epidemiologic studies have focused on the development of disability, cognitive impairment, dementia, long-term care, and other health issues with particular relevance to older adults. With few exceptions, these health issues have been investigated in older populations, usually defined on the basis of chronological age (e.g., older than 65). Examples are the Established Populations …
Stressful social relations and mortality
BACKGROUND: Few studies have examined the relationship between stressful social relations in private life and all-cause mortality. OBJECTIVE: To evaluate the association between stressful social relations (with partner, children, other family, friends and neighbours, respectively) and all-cause mortality in a large population-based study of middle-aged men and women. Further, to investigate the possible modification of this association by labour …
Substituting sugar confectionery with fruit and healthy snacks at checkout – a win-win strategy for consumers and food stores? a study on consumer attitudes and sales effects of a healthy supermarket …
The present study finds that the healthy checkout intervention was positively evaluated by consumers and provided a 'responsible' branding opportunity for supermarkets, thus representing a win-win strategy for store managers and consumers in the short term. However, the intervention was too modest to draw conclusions on long-term sales and health implications of this initiative. More research is needed to assess whether retailer-researcher collab…
Neighborhood perceptions and allostatic load
Loneliness, immigration background and self-identified ethnicity
Migration is an increasing worldwide phenomenon that creates multicultural societies with a growing number of adolescents who have experienced a process of migration or who have an ethnic background other than that of the majority. Migration may lead to loss of social relations and create challenges related to acculturation in the new country. These experiences may induce feelings of loneliness. Research on ethnic and migrant disparities in lonel…
Co-Designing an Intervention to Prevent Overweight and Obesity among Young Children and Their Families in a Disadvantaged Municipality
Design-based research (DBR) is an innovative methodology for co-creation, but potentials, challenges, and differences between methodological ideals and the real-life intervention context are under-researched. This study analyzes the DBR process in which researchers, professionals, and families co-design a family-based intervention to prevent childhood overweight and obesity in a rural municipality. It involves interviews with six key stakeholders…
The joint effect of unemployment and cynical hostility on all-cause mortality
Men and women exposed to both unemployment and hostility were at markedly high risk of premature mortality. However, this study did not support the hypothesis that the deleterious health effect of the combination of unemployment and hostility exceeds their individual effects
Multi-method investigation of normative integration in a novel inter-sectoral collaboration between mental health care services and public sick leave insurance organizations in Denmark
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Medicine (36 obras) · Psychology (30 obras) · Political science (16 obras) · Sociology (16 obras) · Gerontology (14 obras) · Health disparities and outcomes (14 obras) · Environmental health (13 obras) · Danish (12 obras) · Nursing (12 obras) · Demography (11 obras)