Lennarth Nyström
Dados Biográficos
| ID | 308653 |
|---|---|
| NOME | Lennarth Nyström |
| PRENOMES | Lennarth |
| SOBRENOME | Nyström |
| ASSINATURA | NYSTRÖM L |
| AFILIAÇÕES | Umeå University |
| ORCID | 0000-0002-5095-3454 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAÇÕES | 18 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1993 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2022 |
| ÍNDICE H | 3 |
Maternal mortality decline in Zimbabwe, 2007/2008 to 2018/2019
BACKGROUND: Sustainable Development Goal (SDG) 3.1 target is to reduce the global maternal mortality ratio (MMR) to less than 70 maternal deaths per 100 000 live births by 2030. In the Ending Preventable Maternal Mortality strategy, a supplementary target was added, that no country has an MMR above 140 by 2030. We conducted two cross-sectional reproductive age mortality surveys to analyse changes in Zimbabwe's MMR between 2007-2008 and 2018-2019 …
Changes in causes of pregnancy-related and maternal mortality in Zimbabwe 2007-08 to 2018-19
Zimbabwe experienced a decline in both direct and indirect causes of pregnancy-related deaths. Deaths from indirect causes declined mainly due to a reduction in HIV/AIDS-related and malaria mortality, while deaths from direct causes declined because of a reduction in obstetric haemorrhage and pregnancy-related infections. Ongoing interventions ought to improve the coverage and quality of maternal care in Zimbabwe, to further reduce deaths from di…
Reduction in Lifetime Fertility Through MNCS in Rural Bangladesh
This study assesses the effect of a customised Maternal Neonatal and Child Survival (MNCS) intervention in the rural areas of Bangladesh. This study attempts to estimate the lifetime fertility rate and the proportion of live births ≥3, and the age-specific lifetime fertility patterns among the women of reproductive age. This quasi-experimental study used impact evaluation data from the MNCS intervention in 2013 and compared these with the baselin…
Waist Circumference and All-Cause Mortality among Older Adults in Rural Indonesia
Waist circumference, a measure of abdominal obesity, is associated with all-cause mortality in general adult population. However, the link between abdominal obesity with all-cause mortality in the studies of older adults is unclear. This study aims to determine the association between waist circumference and all-cause mortality in older adults in Indonesia. The association between waist circumference and all-cause mortality was examined in 10,997…
Socioeconomic inequality in abdominal obesity among older people in Purworejo District, Central Java, Indonesia – a decomposition analysis approach
Abdominal obesity was more prevalent among older women in a rural Indonesian setting. Socioeconomic inequality in abdominal obesity exists and concentrates more among the rich population in both sexes. The inequality gap is less prominent among women, indicating a trend towards obesity being more common in poor women. Policies to address social determinants of health need to be developed to address the socioeconomic inequality gaps in obesity, wi…
Orphanhood and mistreatment drive children to leave home – A study from early Aids-affected Kagera region, Tanzania
The aim of this mixed-method study was to explore the trajectories of leaving home, and views and experiences among children and youth in the Kagera region in Tanzania, who have lived on the streets or been domestic workers. The main results showed that orphanhood and mistreatment were the main reasons for leaving home: few children lived with their parents before they left, and leaving home was a complex process over several years where three tr…
Home visits to improve breast health knowledge and screening practices in a less privileged area in Jordan
Home visits by local community outreach workers that incorporated education about breast cancer and breast health in addition to offering free mammography screening vouchers were effective in improving women's breast health knowledge and practices in a less privileged area in Jordan
Health coaching to promote healthier lifestyle among older people at moderate risk for cardiovascular diseases, diabetes and depression
Current Controlled Trials ISRCTN01396033
Diabetes duration and health-related quality of life in individuals with onset of diabetes in the age group 15—34 years – a Swedish population-based study using EQ-5D
Our study confirms the negative impact of diabetes on HRQoL and that the difference to control individuals increased by disease duration for women with diabetes. The small difference one year after diagnosis could imply a good management of diabetes care and a relatively quick adaptation. Our results also indicate that gender differences still exist in Sweden, despite modern diabetes treatment and management in Sweden
Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme
BACKGROUND: Selection bias and declining participation rates are of concern in many long-term epidemiological studies. The Västerbotten Intervention Programme (VIP) was launched in 1985 as a response to alarming reports on elevated cardiovascular disease (CVD) mortality in Västerbotten County in Northern Sweden. The VIP invites women and men to a health examination and health counselling during the year of their 40th, 50th, and 60th birthdays. OB…
Screening of women for intimate partner violence
UNLABELLED: Intimate partner violence (IPV) is a public health problem in Tanzania with limited health care interventions. OBJECTIVES: To study the feasibility of using an abuse screening tool for women attending an outpatient department, and describe how health care workers perceived its benefits and challenges. METHODS: Prior to screening, 39 health care workers attended training on gender-based violence and the suggested screening procedures. …
Exploring the role of cognitive and structural forms of social capital in HIV/Aids trends in the Kagera region of Tanzania – a grounded theory study
The article presents a synthesis of data from three village case studies focusing on how structural and cognitive social capital may have influenced the progression of the HIV epidemic in the Kagera region of Tanzania. Grounded theory was used to develop a theoretical model describing the possible links between structural and cognitive social capital and the impact on sexual health behaviours. Focus group discussions and key informant interviews …
The impact of prenatal vitamin A and zinc supplementation on growth of children up to 2 years of age in rural Java, Indonesia
Objective To determine whether prenatal vitamin A and/or Zn supplementation affects postnatal growth. Design Follow-up of a randomized controlled trial monitoring growth in children from birth up to 24 months of age. Setting Central Java, Indonesia. Subjects Children ( n 343) of mothers participating in a double-blinded, randomized controlled study of vitamin A and/or Zn supplementation during pregnancy. We report the effects of prenatal suppleme…
Managing in the Contemporary World
Grounded theory guided the analysis of 30 in-depth interviews with raped women and community members who had supported raped women in their contact with the police and health care services in Tanzania. The aim of this study was to understand and conceptualize the experiences of the informants by creating a theoretical model focusing on barriers, strategies, and responses during the help seeking process. The results illustrate a process of managin…
Effect of Supporter Characteristics on Expression of Negative Social Reactions Toward Rape Survivors in Dar Es Salaam, Tanzania
Using a community representative sample of 1,505 adults we examined interpretations of rape situations in order to establish attitudes toward rape. We assessed their intentions to express negative social reactions (NSRs) toward rape survivors. We then determined effects of attitudinal and sociodemographic characteristics in logistic regression models assessing the odds of expressing NSRs. Being old, male, and Muslim, and failing to interpret the …
Social capital and the decline in HIV transmission - A case study in three villages in the Kagera region of Tanzania
We present data from an exploratory case study characterising the social capital in three case villages situated in areas of varying HIV prevalence in the Kagera region of Tanzania. Focus group discussions and key informant interviews revealed a range of experiences by community members, leaders of organisations and social groups. We found that the formation of social groups during the early 1990s was partly a result of poverty and the many death…
HIV/Aids and sexuality
Concerns regarding HIV and AIDS were elicited from 546 school youth (51% female, age range 9-25 years) in a Zimbabwean rural district, through a self-generated question writing process. Concerns emerged around how to avoid infection at a time when they were undergoing secondary sexual development, had growing feelings for love and were even engaging in sexual activity, but had limited access to preventive methods due to denial by the adult world.…
Striving to Make a Difference
In this article we describe health care workers' (HCWs') experiences and perceptions of meeting clients exposed to intimate partner violence (IPV). Qualitative content analysis of in-depth interviews from 16 informants resulted in four main themes. The first, "internalizing women's suffering and powerlessness," describes HCWs' perceptions of violence, relating it to gender relations. The second, "caught between encouraging disclosure and lack of …
The Hide-and-Seek Game
This paper is based on a study aimed at understanding the perceptions of men to induced abortion and contraceptive use within marriage in rural Zimbabwe. Two qualitative methods were combined. Men were found to view abortion not as a reproductive health problem for women. Instead, they described abortion as a sign of illicit sexual activity and contraceptive use as a strategy married women use to conceal their involvement in extramarital sexual a…
Título não encontrado
Trends in fertility patterns of women in rural Zimbabwe
To study changes over time in reproductive health and living conditions of women in a rural setting in Zimbabwe, 12 villages were selected at random in the Gutu district, Masvingo province. During two study periods in 1992 and 1993, 1,213 women of fertile age (15-44 years) were interviewed and examined. Median age at menarche was 15 years, with a decrease of 0.4 years from the oldest to the youngest age group. There has been no increase in the me…
A Community-based Investigation of Avoidable Factors for Maternal Mortality in Zimbabwe
A community-based investigation of maternal deaths was undertaken in a rural province (Masvingo) and an urban area (Harare) of Zimbabwe in order to assess their preventability. Avoidable factors were identified in 90 percent of the 105 rural deaths and 85 percent of 61 urban deaths. Delay in seeking treatment contributed to 32 percent and 28 percent of rural and urban deaths, respectively. Lack of transportation delayed or prevented access to hea…
Operational factors of maternal mortality in Zimbabwe
Most studies on maternal mortality have looked at the direct clinical causes and the distribution of actual rates. Much less attention has been given to prevailing health care systems or community factors associated with such deaths. A case-control study design using incident cases was used to identify the magnitude of maternal deaths and community and health care operational factors in both an urban and a rural setting in Zimbabwe. The maternal …
Maternal mortality in rural and urban Zimbabwe
Managing in the Contemporary World
Grounded theory guided the analysis of 30 in-depth interviews with raped women and community members who had supported raped women in their contact with the police and health care services in Tanzania. The aim of this study was to understand and conceptualize the experiences of the informants by creating a theoretical model focusing on barriers, strategies, and responses during the help seeking process. The results illustrate a process of managin…
Maternal mortality in rural and urban Zimbabwe
A Community-based Investigation of Avoidable Factors for Maternal Mortality in Zimbabwe
A community-based investigation of maternal deaths was undertaken in a rural province (Masvingo) and an urban area (Harare) of Zimbabwe in order to assess their preventability. Avoidable factors were identified in 90 percent of the 105 rural deaths and 85 percent of 61 urban deaths. Delay in seeking treatment contributed to 32 percent and 28 percent of rural and urban deaths, respectively. Lack of transportation delayed or prevented access to hea…
Operational factors of maternal mortality in Zimbabwe
Most studies on maternal mortality have looked at the direct clinical causes and the distribution of actual rates. Much less attention has been given to prevailing health care systems or community factors associated with such deaths. A case-control study design using incident cases was used to identify the magnitude of maternal deaths and community and health care operational factors in both an urban and a rural setting in Zimbabwe. The maternal …
Social capital and the decline in HIV transmission - A case study in three villages in the Kagera region of Tanzania
We present data from an exploratory case study characterising the social capital in three case villages situated in areas of varying HIV prevalence in the Kagera region of Tanzania. Focus group discussions and key informant interviews revealed a range of experiences by community members, leaders of organisations and social groups. We found that the formation of social groups during the early 1990s was partly a result of poverty and the many death…
Orphanhood and mistreatment drive children to leave home – A study from early Aids-affected Kagera region, Tanzania
The aim of this mixed-method study was to explore the trajectories of leaving home, and views and experiences among children and youth in the Kagera region in Tanzania, who have lived on the streets or been domestic workers. The main results showed that orphanhood and mistreatment were the main reasons for leaving home: few children lived with their parents before they left, and leaving home was a complex process over several years where three tr…
Operational factors of maternal mortality in Zimbabwe
Most studies on maternal mortality have looked at the direct clinical causes and the distribution of actual rates. Much less attention has been given to prevailing health care systems or community factors associated with such deaths. A case-control study design using incident cases was used to identify the magnitude of maternal deaths and community and health care operational factors in both an urban and a rural setting in Zimbabwe. The maternal …
Maternal mortality in rural and urban Zimbabwe
A Community-based Investigation of Avoidable Factors for Maternal Mortality in Zimbabwe
A community-based investigation of maternal deaths was undertaken in a rural province (Masvingo) and an urban area (Harare) of Zimbabwe in order to assess their preventability. Avoidable factors were identified in 90 percent of the 105 rural deaths and 85 percent of 61 urban deaths. Delay in seeking treatment contributed to 32 percent and 28 percent of rural and urban deaths, respectively. Lack of transportation delayed or prevented access to hea…
Trends in fertility patterns of women in rural Zimbabwe
To study changes over time in reproductive health and living conditions of women in a rural setting in Zimbabwe, 12 villages were selected at random in the Gutu district, Masvingo province. During two study periods in 1992 and 1993, 1,213 women of fertile age (15-44 years) were interviewed and examined. Median age at menarche was 15 years, with a decrease of 0.4 years from the oldest to the youngest age group. There has been no increase in the me…
Título não encontrado
The Hide-and-Seek Game
This paper is based on a study aimed at understanding the perceptions of men to induced abortion and contraceptive use within marriage in rural Zimbabwe. Two qualitative methods were combined. Men were found to view abortion not as a reproductive health problem for women. Instead, they described abortion as a sign of illicit sexual activity and contraceptive use as a strategy married women use to conceal their involvement in extramarital sexual a…
Striving to Make a Difference
In this article we describe health care workers' (HCWs') experiences and perceptions of meeting clients exposed to intimate partner violence (IPV). Qualitative content analysis of in-depth interviews from 16 informants resulted in four main themes. The first, "internalizing women's suffering and powerlessness," describes HCWs' perceptions of violence, relating it to gender relations. The second, "caught between encouraging disclosure and lack of …
HIV/Aids and sexuality
Concerns regarding HIV and AIDS were elicited from 546 school youth (51% female, age range 9-25 years) in a Zimbabwean rural district, through a self-generated question writing process. Concerns emerged around how to avoid infection at a time when they were undergoing secondary sexual development, had growing feelings for love and were even engaging in sexual activity, but had limited access to preventive methods due to denial by the adult world.…
Effect of Supporter Characteristics on Expression of Negative Social Reactions Toward Rape Survivors in Dar Es Salaam, Tanzania
Using a community representative sample of 1,505 adults we examined interpretations of rape situations in order to establish attitudes toward rape. We assessed their intentions to express negative social reactions (NSRs) toward rape survivors. We then determined effects of attitudinal and sociodemographic characteristics in logistic regression models assessing the odds of expressing NSRs. Being old, male, and Muslim, and failing to interpret the …
Social capital and the decline in HIV transmission - A case study in three villages in the Kagera region of Tanzania
We present data from an exploratory case study characterising the social capital in three case villages situated in areas of varying HIV prevalence in the Kagera region of Tanzania. Focus group discussions and key informant interviews revealed a range of experiences by community members, leaders of organisations and social groups. We found that the formation of social groups during the early 1990s was partly a result of poverty and the many death…
Screening of women for intimate partner violence
UNLABELLED: Intimate partner violence (IPV) is a public health problem in Tanzania with limited health care interventions. OBJECTIVES: To study the feasibility of using an abuse screening tool for women attending an outpatient department, and describe how health care workers perceived its benefits and challenges. METHODS: Prior to screening, 39 health care workers attended training on gender-based violence and the suggested screening procedures. …
Exploring the role of cognitive and structural forms of social capital in HIV/Aids trends in the Kagera region of Tanzania – a grounded theory study
The article presents a synthesis of data from three village case studies focusing on how structural and cognitive social capital may have influenced the progression of the HIV epidemic in the Kagera region of Tanzania. Grounded theory was used to develop a theoretical model describing the possible links between structural and cognitive social capital and the impact on sexual health behaviours. Focus group discussions and key informant interviews …
The impact of prenatal vitamin A and zinc supplementation on growth of children up to 2 years of age in rural Java, Indonesia
Objective To determine whether prenatal vitamin A and/or Zn supplementation affects postnatal growth. Design Follow-up of a randomized controlled trial monitoring growth in children from birth up to 24 months of age. Setting Central Java, Indonesia. Subjects Children ( n 343) of mothers participating in a double-blinded, randomized controlled study of vitamin A and/or Zn supplementation during pregnancy. We report the effects of prenatal suppleme…
Managing in the Contemporary World
Grounded theory guided the analysis of 30 in-depth interviews with raped women and community members who had supported raped women in their contact with the police and health care services in Tanzania. The aim of this study was to understand and conceptualize the experiences of the informants by creating a theoretical model focusing on barriers, strategies, and responses during the help seeking process. The results illustrate a process of managin…
Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme
BACKGROUND: Selection bias and declining participation rates are of concern in many long-term epidemiological studies. The Västerbotten Intervention Programme (VIP) was launched in 1985 as a response to alarming reports on elevated cardiovascular disease (CVD) mortality in Västerbotten County in Northern Sweden. The VIP invites women and men to a health examination and health counselling during the year of their 40th, 50th, and 60th birthdays. OB…
Health coaching to promote healthier lifestyle among older people at moderate risk for cardiovascular diseases, diabetes and depression
Current Controlled Trials ISRCTN01396033
Diabetes duration and health-related quality of life in individuals with onset of diabetes in the age group 15—34 years – a Swedish population-based study using EQ-5D
Our study confirms the negative impact of diabetes on HRQoL and that the difference to control individuals increased by disease duration for women with diabetes. The small difference one year after diagnosis could imply a good management of diabetes care and a relatively quick adaptation. Our results also indicate that gender differences still exist in Sweden, despite modern diabetes treatment and management in Sweden
Home visits to improve breast health knowledge and screening practices in a less privileged area in Jordan
Home visits by local community outreach workers that incorporated education about breast cancer and breast health in addition to offering free mammography screening vouchers were effective in improving women's breast health knowledge and practices in a less privileged area in Jordan
Orphanhood and mistreatment drive children to leave home – A study from early Aids-affected Kagera region, Tanzania
The aim of this mixed-method study was to explore the trajectories of leaving home, and views and experiences among children and youth in the Kagera region in Tanzania, who have lived on the streets or been domestic workers. The main results showed that orphanhood and mistreatment were the main reasons for leaving home: few children lived with their parents before they left, and leaving home was a complex process over several years where three tr…
Socioeconomic inequality in abdominal obesity among older people in Purworejo District, Central Java, Indonesia – a decomposition analysis approach
Abdominal obesity was more prevalent among older women in a rural Indonesian setting. Socioeconomic inequality in abdominal obesity exists and concentrates more among the rich population in both sexes. The inequality gap is less prominent among women, indicating a trend towards obesity being more common in poor women. Policies to address social determinants of health need to be developed to address the socioeconomic inequality gaps in obesity, wi…
Waist Circumference and All-Cause Mortality among Older Adults in Rural Indonesia
Waist circumference, a measure of abdominal obesity, is associated with all-cause mortality in general adult population. However, the link between abdominal obesity with all-cause mortality in the studies of older adults is unclear. This study aims to determine the association between waist circumference and all-cause mortality in older adults in Indonesia. The association between waist circumference and all-cause mortality was examined in 10,997…
Reduction in Lifetime Fertility Through MNCS in Rural Bangladesh
This study assesses the effect of a customised Maternal Neonatal and Child Survival (MNCS) intervention in the rural areas of Bangladesh. This study attempts to estimate the lifetime fertility rate and the proportion of live births ≥3, and the age-specific lifetime fertility patterns among the women of reproductive age. This quasi-experimental study used impact evaluation data from the MNCS intervention in 2013 and compared these with the baselin…
Maternal mortality decline in Zimbabwe, 2007/2008 to 2018/2019
BACKGROUND: Sustainable Development Goal (SDG) 3.1 target is to reduce the global maternal mortality ratio (MMR) to less than 70 maternal deaths per 100 000 live births by 2030. In the Ending Preventable Maternal Mortality strategy, a supplementary target was added, that no country has an MMR above 140 by 2030. We conducted two cross-sectional reproductive age mortality surveys to analyse changes in Zimbabwe's MMR between 2007-2008 and 2018-2019 …
Changes in causes of pregnancy-related and maternal mortality in Zimbabwe 2007-08 to 2018-19
Zimbabwe experienced a decline in both direct and indirect causes of pregnancy-related deaths. Deaths from indirect causes declined mainly due to a reduction in HIV/AIDS-related and malaria mortality, while deaths from direct causes declined because of a reduction in obstetric haemorrhage and pregnancy-related infections. Ongoing interventions ought to improve the coverage and quality of maternal care in Zimbabwe, to further reduce deaths from di…
Medicine (21 obras) · Environmental health (13 obras) · Population (11 obras) · Demography (10 obras) · Sociology (10 obras) · Global Maternal and Child Health (9 obras) · Poverty, Education, and Child Welfare (8 obras) · Pregnancy (8 obras) · Public health (7 obras) · Adolescent Sexual and Reproductive Health (6 obras)