Knut Fylkesnes
Dados Biográficos
| ID | 389808 |
|---|---|
| NOME | Knut Fylkesnes |
| PRENOMES | Knut |
| SOBRENOME | Fylkesnes |
| ASSINATURA | FYLKESNES K |
| AFILIAÇÕES | University of Bergen |
| ORCID | 0000-0001-9469-2500 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAÇÕES | 78 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1991 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 4 |
Does Migration Widen Mortality Inequalities Between Rural and Urban Areas? Long‐Term Mortality Risk Among Rural Stayers, Rural Migrants, Urban Migrants, and Returners in Norway
In many countries, the main internal migration trend has been from rural to urban areas. However, there is little knowledge of whether internal migration from rural to urban areas contributes to widening geographical inequalities in health and survival. In the present study, we investigated differences in long‐term mortality risk among stayers (individuals who did not move from their rural municipality), rural migrants (individuals who moved to o…
The value of general health perception in health equity research
SRH adds unique information to our understanding of health inequities. The consistency in shared predictors of educational inequity concerning both mortality and SRH underscores the correspondence of these measures. In addition to predicting the fatal effects of social selection mechanisms, SRH adds non-fatal effects and seems less prone to selective mortality. The results are relevant to approaches in health equity research and have important po…
Lifetime risk of pregnancy-related death among Zambian women
The aim of this study was to examine district differentials in the lifetime risk of pregnancy-related death among females aged 15–49 in Zambia. We used data on household deaths collected in the 2010 census to estimate the lifetime risk of pregnancy-related death among females in Zambia. Using all-cause age-specific death rates, we generated female life tables for 74 districts and estimated person-years of exposure to all-cause mortality at each a…
Strong effects of home-based voluntary HIV counselling and testing on acceptance and equity
The seven Cs of the high acceptability of home-based VCT
HIV testing and counselling is a critical gateway to prevention and treatment. Yet, coverage remains insufficient, few couples are tested together and gender differences in access exist. We used an embedded mixed methods approach to investigate possible explanations for the high acceptance of home-based voluntary HIV counselling and testing (HB-VCT) in a pair-matched cluster-randomized trial in Zambia. A baseline survey included 1694 individuals …
Effects of home-based Voluntary Counselling and Testing on HIV-related stigma
Targeting condom distribution at high risk places increases condom utilization-evidence from an intervention study in Livingstone, Zambia
ClinicalTrials.gov NCT01423357
Factors affecting voluntary HIV counselling and testing among men in Ethiopia
VCT utilization among men in Ethiopia was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma. Targeting rural men with low SEP should be given first priority when designing, expanding, and implementing VCT services in the country
Risk factors, healthcare-seeking and sexual behaviour among patients with genital ulcers in Zambia
Low awareness of HIV status despite high probability of being infected and low condom use after onset of genital ulcer symptoms leads to a high potential for transmission to sexual partners. This, combined with the fact that many patients with GUs delayed seeking care, shows a need for awareness campaigns about GUs and the importance of abstinence or use of condoms when experiencing such symptoms
Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities
A high uptake was achieved by delivering HIV counselling and testing at home. The highest uptakes were seen in rural areas, in young people and groups with low educational attainment, resulting in substantial reductions in existing inequalities in accessing VCT services
The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam
HIV-positive injection drug users continue to practice HIV risk behaviours. The anti-drug law and the police crack-down policy appeared as critical factors hampering ongoing prevention efforts with needle and syringe distribution programmes in Viet Nam. Drastic policy measures are needed to reduce the very high HIV prevalence among injection drug users
Mental distress in the general population in Zambia
These findings suggest a strong effect of HIV infection on mental distress. In this population where few knew their HIV status, this effect was mediated through self-perceptions of health status, found to capture changes in health perceptions related to HIV, and self-perceived risk and worry of actually being HIV infected
Effects of neighbourhood-level educational attainment on HIV prevalence among young women in Zambia
The findings suggested structural effects on HIV prevalence. Future research should include more detailed mapping of neighbourhood factors of relevance to HIV transmission as part of the effort to better understand the causal mechanisms involved
Lost opportunities in HIV prevention
In the places studied we found a high prevalence of behaviours with a high potential for HIV transmission but few signs of HIV preventive interventions. Covering the gaps in prevention in these high exposure places should be given the highest priority
Prevalence and Correlates of Concurrent Sexual Partnerships in Zambia
Community action for preventing HIV in Cambodia
The 'Community Action for Preventing HIV/AIDS Project' was implemented in four provinces in Cambodia (2001-04) to support a comprehensive set of HIV prevention efforts. Implementation was strictly monitored in terms of inputs, outputs and outcomes. We examine changes in these variables during the project period to assess the extent to which they were related to the project. Inputs and outputs were monitored regularly by supervision and quarterly …
Constraints to educational opportunities of orphans
The objective of this article is to assess constraints on educational opportunities of orphans cared for within the extended family system in Lira district, northern Uganda. The data were collected through: review of school census records; ethnographic fieldwork; in-depth interviews with 21 community leaders, 45 heads of households caring for orphans and 35 orphans. Focus group discussions were held with men and women caring for orphans, communit…
High potential of escalating HIV transmission in a low prevalence setting in rural Tanzania
The HIV prevalence from the general population was comparable to that of pregnant women attending antenatal clinics. The revealed patterns of sexual risk behaviours, for example, close to 50% of men having multiple partners and 78% of the population have never used a condom; it is likely that HIV infection will rapidly escalate. Immediate and effective preventive efforts that consider the socio-cultural contexts are necessary to reduce the spread…
Associations between sexual behaviour change in young people and decline in HIV prevalence in Zambia
High risk behaviours clearly decreased, especially in higher-educated and urban groups, and there is a probable association here with the decline in HIV prevalence in the study population. Fewer sexual partners and condom use were among the core factors involved for both sexes; and for women a further factor was delayed child-bearing
Reducing uncertainties in global HIV prevalence estimates
The HIV prevalence estimate for the total general population 15-49 years derived from testing both women and men in the population survey was similar to the estimate derived from testing women attending ANC clinics. It shows that national HIV prevalence estimates for adults aged 15-49 years can also be obtained from ANC HIV sentinel surveillance surveys with good coverage when ANC attendance and fertility are high
Steep HIV prevalence declines among young people in selected Zambian communities
Steep HIV prevalence declines in young people, suggesting continuing declining incidence, were masked by modest overall declines. The concentration of declines in higher educated groups suggests a plausible association with behavioural change
The silent HIV epidemic among pregnant women within rural Northern Tanzania
Including rural remote sites, as part of the national ANC routine surveillance, is crucial in order to discover imminent silent epidemics such as the one described in this paper. Scaling up HIV prevention efforts is mandatory to prevent the imminent escalation of the HIV epidemic highly associated with a history of sexually transmitted infections (STIs), multiple sexual partners and pregnancies at a younger age. Ignorance of relevant knowledge an…
Determinants and dimensions involved in self-evaluation of health
The Tromsø study
The aim of this study was to examine factors influencing decisions involved in i) patient-intiated visits to general practitioners and ii) provider-initiated use of referral services. The analyses were performed with regression models on a set of data from a comprehensive population study of 7369 men aged 20-61 and 6832 women aged 20-56. Marked gender differences appeared in both patient-initiated and physician-initiated health care use. Various …
The Tromsø study
The Tromsø study
Determinants and dimensions involved in self-evaluation of health
Effects of home-based Voluntary Counselling and Testing on HIV-related stigma
The Tromsø study
The aim of this study was to examine factors influencing decisions involved in i) patient-intiated visits to general practitioners and ii) provider-initiated use of referral services. The analyses were performed with regression models on a set of data from a comprehensive population study of 7369 men aged 20-61 and 6832 women aged 20-56. Marked gender differences appeared in both patient-initiated and physician-initiated health care use. Various …
Strong effects of home-based voluntary HIV counselling and testing on acceptance and equity
Community action for preventing HIV in Cambodia
The 'Community Action for Preventing HIV/AIDS Project' was implemented in four provinces in Cambodia (2001-04) to support a comprehensive set of HIV prevention efforts. Implementation was strictly monitored in terms of inputs, outputs and outcomes. We examine changes in these variables during the project period to assess the extent to which they were related to the project. Inputs and outputs were monitored regularly by supervision and quarterly …
Lifetime risk of pregnancy-related death among Zambian women
The aim of this study was to examine district differentials in the lifetime risk of pregnancy-related death among females aged 15–49 in Zambia. We used data on household deaths collected in the 2010 census to estimate the lifetime risk of pregnancy-related death among females in Zambia. Using all-cause age-specific death rates, we generated female life tables for 74 districts and estimated person-years of exposure to all-cause mortality at each a…
The Tromsø study
Determinants and dimensions involved in self-evaluation of health
The Tromsø study
The aim of this study was to examine factors influencing decisions involved in i) patient-intiated visits to general practitioners and ii) provider-initiated use of referral services. The analyses were performed with regression models on a set of data from a comprehensive population study of 7369 men aged 20-61 and 6832 women aged 20-56. Marked gender differences appeared in both patient-initiated and physician-initiated health care use. Various …
Reducing uncertainties in global HIV prevalence estimates
The HIV prevalence estimate for the total general population 15-49 years derived from testing both women and men in the population survey was similar to the estimate derived from testing women attending ANC clinics. It shows that national HIV prevalence estimates for adults aged 15-49 years can also be obtained from ANC HIV sentinel surveillance surveys with good coverage when ANC attendance and fertility are high
Steep HIV prevalence declines among young people in selected Zambian communities
Steep HIV prevalence declines in young people, suggesting continuing declining incidence, were masked by modest overall declines. The concentration of declines in higher educated groups suggests a plausible association with behavioural change
The silent HIV epidemic among pregnant women within rural Northern Tanzania
Including rural remote sites, as part of the national ANC routine surveillance, is crucial in order to discover imminent silent epidemics such as the one described in this paper. Scaling up HIV prevention efforts is mandatory to prevent the imminent escalation of the HIV epidemic highly associated with a history of sexually transmitted infections (STIs), multiple sexual partners and pregnancies at a younger age. Ignorance of relevant knowledge an…
Constraints to educational opportunities of orphans
The objective of this article is to assess constraints on educational opportunities of orphans cared for within the extended family system in Lira district, northern Uganda. The data were collected through: review of school census records; ethnographic fieldwork; in-depth interviews with 21 community leaders, 45 heads of households caring for orphans and 35 orphans. Focus group discussions were held with men and women caring for orphans, communit…
High potential of escalating HIV transmission in a low prevalence setting in rural Tanzania
The HIV prevalence from the general population was comparable to that of pregnant women attending antenatal clinics. The revealed patterns of sexual risk behaviours, for example, close to 50% of men having multiple partners and 78% of the population have never used a condom; it is likely that HIV infection will rapidly escalate. Immediate and effective preventive efforts that consider the socio-cultural contexts are necessary to reduce the spread…
Associations between sexual behaviour change in young people and decline in HIV prevalence in Zambia
High risk behaviours clearly decreased, especially in higher-educated and urban groups, and there is a probable association here with the decline in HIV prevalence in the study population. Fewer sexual partners and condom use were among the core factors involved for both sexes; and for women a further factor was delayed child-bearing
Lost opportunities in HIV prevention
In the places studied we found a high prevalence of behaviours with a high potential for HIV transmission but few signs of HIV preventive interventions. Covering the gaps in prevention in these high exposure places should be given the highest priority
Prevalence and Correlates of Concurrent Sexual Partnerships in Zambia
Community action for preventing HIV in Cambodia
The 'Community Action for Preventing HIV/AIDS Project' was implemented in four provinces in Cambodia (2001-04) to support a comprehensive set of HIV prevention efforts. Implementation was strictly monitored in terms of inputs, outputs and outcomes. We examine changes in these variables during the project period to assess the extent to which they were related to the project. Inputs and outputs were monitored regularly by supervision and quarterly …
The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam
HIV-positive injection drug users continue to practice HIV risk behaviours. The anti-drug law and the police crack-down policy appeared as critical factors hampering ongoing prevention efforts with needle and syringe distribution programmes in Viet Nam. Drastic policy measures are needed to reduce the very high HIV prevalence among injection drug users
Mental distress in the general population in Zambia
These findings suggest a strong effect of HIV infection on mental distress. In this population where few knew their HIV status, this effect was mediated through self-perceptions of health status, found to capture changes in health perceptions related to HIV, and self-perceived risk and worry of actually being HIV infected
Effects of neighbourhood-level educational attainment on HIV prevalence among young women in Zambia
The findings suggested structural effects on HIV prevalence. Future research should include more detailed mapping of neighbourhood factors of relevance to HIV transmission as part of the effort to better understand the causal mechanisms involved
Home-based voluntary HIV counselling and testing found highly acceptable and to reduce inequalities
A high uptake was achieved by delivering HIV counselling and testing at home. The highest uptakes were seen in rural areas, in young people and groups with low educational attainment, resulting in substantial reductions in existing inequalities in accessing VCT services
Targeting condom distribution at high risk places increases condom utilization-evidence from an intervention study in Livingstone, Zambia
ClinicalTrials.gov NCT01423357
Factors affecting voluntary HIV counselling and testing among men in Ethiopia
VCT utilization among men in Ethiopia was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma. Targeting rural men with low SEP should be given first priority when designing, expanding, and implementing VCT services in the country
Risk factors, healthcare-seeking and sexual behaviour among patients with genital ulcers in Zambia
Low awareness of HIV status despite high probability of being infected and low condom use after onset of genital ulcer symptoms leads to a high potential for transmission to sexual partners. This, combined with the fact that many patients with GUs delayed seeking care, shows a need for awareness campaigns about GUs and the importance of abstinence or use of condoms when experiencing such symptoms
Strong effects of home-based voluntary HIV counselling and testing on acceptance and equity
The seven Cs of the high acceptability of home-based VCT
HIV testing and counselling is a critical gateway to prevention and treatment. Yet, coverage remains insufficient, few couples are tested together and gender differences in access exist. We used an embedded mixed methods approach to investigate possible explanations for the high acceptance of home-based voluntary HIV counselling and testing (HB-VCT) in a pair-matched cluster-randomized trial in Zambia. A baseline survey included 1694 individuals …
Effects of home-based Voluntary Counselling and Testing on HIV-related stigma
Lifetime risk of pregnancy-related death among Zambian women
The aim of this study was to examine district differentials in the lifetime risk of pregnancy-related death among females aged 15–49 in Zambia. We used data on household deaths collected in the 2010 census to estimate the lifetime risk of pregnancy-related death among females in Zambia. Using all-cause age-specific death rates, we generated female life tables for 74 districts and estimated person-years of exposure to all-cause mortality at each a…
The value of general health perception in health equity research
SRH adds unique information to our understanding of health inequities. The consistency in shared predictors of educational inequity concerning both mortality and SRH underscores the correspondence of these measures. In addition to predicting the fatal effects of social selection mechanisms, SRH adds non-fatal effects and seems less prone to selective mortality. The results are relevant to approaches in health equity research and have important po…
Does Migration Widen Mortality Inequalities Between Rural and Urban Areas? Long‐Term Mortality Risk Among Rural Stayers, Rural Migrants, Urban Migrants, and Returners in Norway
In many countries, the main internal migration trend has been from rural to urban areas. However, there is little knowledge of whether internal migration from rural to urban areas contributes to widening geographical inequalities in health and survival. In the present study, we investigated differences in long‐term mortality risk among stayers (individuals who did not move from their rural municipality), rural migrants (individuals who moved to o…
Medicine (23 obras) · Environmental health (22 obras) · Population (19 obras) · Demography (17 obras) · Demography (15 obras) · HIV/AIDS Research and Interventions (15 obras) · Public health (15 obras) · Adolescent Sexual and Reproductive Health (14 obras) · Biostatistics (13 obras) · Family medicine (11 obras)