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  • 1.
    Abbas, Päivi Maria
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Stockholms stad.
    Kommunala riktlinjer för anhöriganställningar: En kvalitativ innehållsanalys med feministisk teoriansats2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The overall aim was to investigate municipal guidelines for paid dependent care which were available online, i.e. documents regarding situations where a relative is hired to care for a next-to-kin. The overall aim has been built on the following three research questions regarding how municipalities describe: 1) which situations qualify for paid dependent care, 2) how the elderly person’s needs are met in case of paid dependent care and 3) how the dependent caregivers’ rights and well-being are ensured?

    There is no legal basis for demanding cash-for-care setting, and the local self-government determines whether the municipality offers this form of care. Recently, paid dependent care has been restricted and banned in several Swedish municipalities, and according to some statistics paid dependent care is allowed in 55–65 % of the Swedish municipalities. It is mostly women of foreign origin who are dependent caregivers nowadays, and feminist care research and the media lift up cash-for-care settings as a trap for women and for migrant integration.

    The study included guidelines from a total of 21 municipalities, which were analyzed using qualitative content analysis according to Elo & Kyngäs (2007). The guidelines analysed were found from the websites of Sweden's 121 medium and large municipalities (more than 20 000 inhabitants). The results were processed using feminist theory (Hirdman 2012).

    The results show that overall there are few guidelines available in Sweden's municipalities and that the regulations differ in the different municipalities’ guidelines. The guidelines that are available often contain general or vague descriptions. One conclusion is therefore that many municipalities ensure their own discretion and prevail through vague and general rules in their guidelines. From a feminist perspective, these different municipal policies create unfair structures and differences in conditions and terms for the elderly and their family caregivers regarding cash-for-care settings. Finally, the result shows that the few detailed descriptions prioritize elder people's rights over their caregivers'. Ensuring the paid dependent caregivers’ rights is mainly described to be done by checking and controlling them. In other words, the paid dependent caregivers are often invisible in the guidelines, are often regarded as pseudo-employees and therefore fall between the cracks in terms of their need for support (Sand 2010).

  • 2.
    Abellan, Antonio
    et al.
    Centre for Human and Social Sciences, Spanish National Research Council, Madrid, Spain.
    Perez, Julio
    Centre for Human and Social Sciences, Spanish National Research Council, Madrid, Spain.
    Pujol, Rogelio
    Centre for Human and Social Sciences, Spanish National Research Council, Madrid, Spain.
    Sundström, Gerdt
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue).
    Jegermalm, Magnus
    School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
    Malmberg, Bo
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).
    Partner care, gender equality, and ageing in Spain and Sweden2017In: International Journal of Ageing and Later Life, ISSN 1652-8670, E-ISSN 1652-8670, Vol. 11, no 1, 69-89 p.Article in journal (Refereed)
    Abstract [en]

    We used national surveys to study how older persons’ changing household patterns influence the gender balance of caregiving in two countries with distinct household structures and cultures, Spain and Sweden. In both countries, men and women provide care equally often for their partner in couple-only households. This has become the most common household type among older persons in Spain and prevails altogether in Sweden. This challenges the traditional dominance of young or middle-aged women as primary caregivers in Spain. In Sweden, many caregivers are old themselves. We focus attention to partners as caregivers and the consequences of changing household structures for caregiving, which may be on the way to gender equality in both countries, with implications for families and for the public services.

  • 3.
    Agahi, Neda
    et al.
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Kelfve, Susanne
    Stockholm University, Faculty of Social Sciences, Department of Sociology. Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Lennartsson, Carin
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Kåreholt, Ingemar
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Jönköping University, Sweden.
    Alcohol consumption in very old age and its association with survival: A matter of health and physical function2016In: Drug And Alcohol Dependence, ISSN 0376-8716, E-ISSN 1879-0046, Vol. 159, 240-245 p.Article in journal (Refereed)
    Abstract [en]

    Background: Alcohol consumption in very old age is increasing; yet, little is known about the personal and health-related characteristics associated with different levels of alcohol consumption and the association between alcohol consumption and survival among the oldest old. Methods: Nationally representative data from the Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD, ages 76-101; n=863) collected in 2010/2011 were used. Mortality was analyzed unti12014. Alcohol consumption was measured with questions about frequency and amount. Drinks per month were calculated and categorized as abstainer, light-to-moderate drinker (0.5-30 drinks/month) and heavy drinker (>30 drinks/month). Multinomial logistic regressions and Laplace regressions were performed. Results: Compared to light-to-moderate drinkers, abstainers had lower levels of education and more functional health problems, while heavy drinkers were more often men, had higher levels of education, and no serious health or functional problems. In models adjusted only for age and sex, abstainers died earlier than drinkers. Among light-to-moderate drinkers, each additional drink/month was associated with longer survival, while among heavy drinkers, each additional drink/month was associated with shorter survival. However, after adjusting for personal and health-related factors, estimates were lower and no longer statistically significant. Conclusions: The association between alcohol consumption and survival in very old age seems to have an inverse J-shape; abstention and heavy use is associated with shorter survival compared to light-to moderate drinking. To a large extent, differences in survival are due to differences in baseline health and physical function.

  • 4.
    Agahi, Neda
    et al.
    Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden.
    Kelfve, Susanne
    Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden; Department of Sociology, Stockholm University, Stockholm, Sweden.
    Lennartsson, Carin
    Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden.
    Kåreholt, Ingemar
    Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Aging Research Center, Karolinska Institutet/Stockholm University, Stockholm, Sweden.
    Alcohol consumption in very old age and its association with survival: a matter of health and physical function2016In: Drug And Alcohol Dependence, ISSN 0376-8716, E-ISSN 1879-0046, Vol. 159, 240-245 p.Article in journal (Refereed)
    Abstract [en]

    Background

    Alcohol consumption in very old age is increasing; yet, little is known about the personal and health-related characteristics associated with different levels of alcohol consumption and the association between alcohol consumption and survival among the oldest old.

    Methods

    Nationally representative data from the Swedish Panel Study of Living Conditions of the Oldest Old (SWEOLD, ages 76-101; n = 863) collected in 2010/2011 were used. Mortality was analyzed until 2014. Alcohol consumption was measured with questions about frequency and amount. Drinks per month were calculated and categorized as abstainer, light-to-moderate drinker (0.5–30 drinks/month) and heavy drinker (>30 drinks/month). Multinomial logistic regressions and Laplace regressions were performed.

    Results

    Compared to light-to-moderate drinkers, abstainers had lower levels of education and more functional health problems, while heavy drinkers were more often men, had higher levels of education, and no serious health or functional problems. In models adjusted only for age and sex, abstainers died earlier than drinkers. Among light-to-moderate drinkers, each additional drink/month was associated with longer survival, while among heavy drinkers, each additional drink/month was associated with shorter survival. However, after adjusting for personal and health-related factors, estimates were lower and no longer statistically significant.

    Conclusions

    The association between alcohol consumption and survival in very old age seems to have an inverse J-shape; abstention and heavy use is associated with shorter survival compared to light-to-moderate drinking. To a large extent, differences in survival are due to differences in baseline health and physical function.

    Graphical abstract

  • 5.
    Agahi, Neda
    et al.
    Karolinska Institutet.
    Lennartsson, Carin
    Karolinska Institutet.
    Kåreholt, Ingemar
    Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health. Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Karolinska Institutet.
    Shaw, Benjamin A.
    School of Public Health, University at Albany, Rensselaer, NY, USA.
    Trajectories of social activities from middle age to old age and late-life disability: a 36-year follow-up2013In: Age and Ageing, ISSN 0002-0729, E-ISSN 1468-2834, Vol. 42, no 6, 790-793 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: to examine the association between 34-year trajectories of social activity, from middle age to old age and late-life disability.

    METHODS: data from the Swedish Level of Living Survey (LNU) and the Swedish Panel Study of the Oldest Old (SWEOLD) were used. LNU data from 1968, 1981, 1991 and 2000 were merged with SWEOLD data from 1992, 2002 and 2004 to create a longitudinal data set with five observation periods. Trajectories of social activities covered 1968-2002, and late-life disability was measured in 2004. The sample consisted of 729 individuals aged 33-61 at baseline (1968), who participated in at least four observation periods and who were free from mobility limitations at baseline. Four trajectories of social activity were identified and used as predictors of late-life disability.

    RESULTS: reporting low/medium levels of social activity from mid-life to old age was the most common trajectory group. Persons reporting continuously low/medium or decreasing levels of social activity had higher odds ratios for late-life disability (OR = 2.33 and OR = 2.15, respectively) compared with those having continuously high levels of activity, even when adjusting for age, sex and mobility limitations, and excluding persons with baseline mobility limitations.

    CONCLUSIONS: results suggest that the disability risk associated with social activities is related to recent levels of activity, but also that risk may accumulate over time, as indicated by the higher disability risk associated with the continuously low/medium level social activity trajectory.

  • 6.
    Agahi, Neda
    et al.
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Silverstein, Merril
    Parker, Marti G.
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Late-Life and Earlier Participation in Leisure Activities: Their Importance for Survival Among Older Persons2011In: Activities, Adaptation & Aging, ISSN 0192-4788, Vol. 35, no 3, 210-222 p.Article in journal (Refereed)
    Abstract [en]

    Is activity participation in old age important for survival independent of one's earlier history of participation? A nationally representative sample of 457 older persons was followed for 25 years with data from the Level-of-Living Survey and the SWEOLD study. Cox regressions showed that regardless of earlier activities and health, late-life leisure engagement was associated with enhanced survival, especially among men. Among women, earlier activities (study groups) also seem important, perhaps by providing social networks. Results suggest that it is worthwhile to encourage elderly people to participate in leisure activities and to facilitate their participation in the community even at high ages.

  • 7. Akerborg, Örjan
    et al.
    Lang, Andrea
    Wimo, Anders
    Sköldunger, Anders
    Fratiglioni, Laura
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Gaudig, Maren
    Rosenlund, Mats
    Cost of Dementia and Its Correlation With Dependence2016In: Journal of Aging and Health, ISSN 0898-2643, E-ISSN 1552-6887, Vol. 28, no 8, 1448-1464 p.Article in journal (Refereed)
    Abstract [en]

    Objective: To estimate the cost of dementia care and its relation to dependence. Method: Disease severity and health care resource utilization was retrieved from the Swedish National Study on Aging and Care. Informal care was assessed with the Resource Utilization in Dementia instrument. A path model investigates the relationship between annual cost of care and dependence, cognitive ability, functioning, neuropsychiatric symptoms, and comorbidities. Results: Average annual cost among patients diagnosed with dementia was Euro43,259, primarily incurred by accommodation. Resource use, that is, institutional care, community care, and accommodation, and corresponding costs increased significantly by increasing dependency. Path analysis showed that cognitive ability, functioning, and neuropsychiatric symptoms were significantly correlated with dependence, which in turn had a strong impact on annual cost. Discussion: This study confirms that cost of dementia care increases with dependence and that the impact of other disease indicators is mainly mediated by dependence.

  • 8.
    Akner, Gunnar
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Medicine and Optometry. Karolinska Institutet.
    Larsson, Kjell
    Karolinska Institutet.
    Undernutrition state in patients with chronic obstructive pulmonary disease: A critical appraisal on diagnostics and treatment2016In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 117, 81-91 p.Article in journal (Refereed)
    Abstract [en]

    Undernutrition state’ (UNS) is an ominous condition, in particular when associated with chronic obstructive pulmonary disease (COPD). In this review we discuss pathophysiological mechanisms and how UNS is defined and diagnosed. It seems unlikely that COPD-patients with established UNS have similar potential of reversibility (treatability) upon nutrition interventions as patients at a risk of developing such a condition, i.e. patients with low energy/nutrient intake, since pathophysiological, biochemical and metabolic conditions may differ substantially.

    We summarize the results of 7 of 17 published randomized controlled trials of nutritional supplementation in COPD-patients with defined UNS in the latest Cochrane review (2012). We thus excluded 10 of 17 trials included in review (2012), mostly because those studies also included patients with ’risk of’ UNS.

    The seven included trials exhibit extensive heterogeneity for all studied variables. Most studies did not show beneficial effects of nutritional supplementation, although some reported minor increase in body weight and physical function of unclear clinical relevance.

    In contrast to the Cochrane review we conclude that it is difficult to draw firm conclusions regarding the effect of nutritional supplements in patients with COPD and UNS. Improved knowledge in this area is of utmost importance and some factors which should be considered in future studies are suggested.

  • 9.
    Almborg, Ann-Helene
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Perceived Participation in Discharge Planning and Health Related Quality of Life after Stroke2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to investigate the patients’ and their relatives’ perceived participation in discharge planning after stroke and the patients’ health-related quality of life, depressive symptoms, performance of personal daily activities and social activities in connection with discharge. Another aim was to evaluate the psychometric assumptions of the SF-36 for Swedish stroke patients.

    Prospective, descriptive and cross-sectional designs were used to study all patients with stroke admitted to the stroke unit at a hospital in southern Sweden from October 1, 2003 to November 30, 2005 each with one close relative. The total sample consisted of 188 patients (mean age=74.0 years) and 152 relatives (mean age=60.1 years). Data were collected during interviews, 2-3 weeks after discharge.

    The results showed that less depressive symptoms, more outdoor activities and performance of interests are important variables that related to higher HRQoL. SF-36 functions well as a measure of health related quality of life in Swedish stroke patients, but the two summary scales have shortcomings. Compared to a Swedish normal population, scores on all scales/components of the SF-36 were lower among stroke patients especially in the middle-aged group. Most of the patients perceived that they received information, but fewer perceived participation in the planning of medical treatment and needs of care/service/rehabilitation and goal setting. The relatives perceived that they need more information and they perceived low participation in goal setting and needs assessment. The professionals seem to lack effective practices for involving patients and their relatives to perceive participation in discharge planning. It is essential to develop and to implement methods for discharge planning, including sharing information, needs assessment with goal setting that facilitate patients’ and relatives’ perceived participation. The results suggest that ICF can be used in goal setting and needs assessment in discharge planning after acute stroke.

  • 10.
    Almborg, Ann-Helene
    et al.
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology. Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health.
    Ulander, Kerstin
    Thulin, Anders
    Berg, Stig
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    Discharged after stroke - important factors for health-related quality of life.2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 15-16, 2196-2206 p.Article in journal (Refereed)
    Abstract [en]

    AIMS: This study examines different correlates to health-related quality (HRQoL) of life after discharge in patients with stroke.

    BACKGROUND: HRQoL is an important aspect of life after suffering a stroke. Previous research has revealed several variables associated with poststroke quality of life, including age, gender, depression, fatigue, length of hospital stay, functional status and amount of social participation. However, the time span after stroke varies greatly in the different studies. Although the multiple factors that contribute to short-term postdischarge HRQoL have potential importance for discharge planning, to our knowledge, these factors have not been systematically investigated during the earlier days following discharge.

    DESIGN: Cross-sectional study.

    METHODS: The sample consisted of 188 consecutively included individuals (mean age 74 years, 56% men) from a stroke unit in southern Sweden. The interviews were performed two to three weeks after discharge and included use of the SF-36, the Center for Epidemiological Studies Depression Scale, the Barthel Index, the Frenchay Activities Index, performance of interests and survey of patients' perceived participation in discharge planning. Multiple linear regression analysis was conducted to identify variables associated with HRQoL.

    RESULTS: Multiple regression analyses with the eight scales of SF-36 as dependent variables revealed eight models, one for each scale, which were statistically significant. Depressive symptoms were associated with lower HRQoL. Ability to perform personal and social activities, interests, younger age, education (elementary school) and shorter hospital stay were related to higher HRQoL. Patients' perceived participation in discharge planning was both positively and negatively associated with HRQoL.

    CONCLUSIONS: Several variables were related to good HRQoL two to three weeks post-discharge, particularly fewer depressive symptoms, participation in social activities such as outdoor activities and performance of interests.

    RELEVANCE TO CLINICAL PRACTICE: These results can be used to design needs assessment forms of discharge planning to promote adaptation and recovery after stroke.

  • 11.
    Almkvist, Ove
    et al.
    Stockholm University, Faculty of Social Sciences, Department of Psychology. Karolinska Institutet, Sweden.
    Bosnes, Ole
    Bosnes, Ingunn
    Stordal, Eystein
    Selective impact of disease on short-term and long-term components of self-reported memory: a population-based HUNT study2017In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 5, e013586Article in journal (Refereed)
    Abstract [en]

    Background Subjective memory is commonly considered to be a unidimensional measure. However, theories of performance-based memory suggest that subjective memory could be divided into more than one dimension. Objective To divide subjective memory into theoretically related components of memory and explore the relationship to disease. Methods In this study, various aspects of self-reported memory were studied with respect to demographics and diseases in the third wave of the HUNT epidemiological study in middle Norway. The study included all individuals 55 years of age or older, who responded to a nine-item questionnaire on subjective memory and questionnaires on health (n=18 633). Results A principle component analysis of the memory items resulted in two memory components; the criterion used was an eigenvalue above 1, which accounted for 54% of the total variance. The components were interpreted as long-term memory (LTM; the first component; 43% of the total variance) and short-term memory (STM; the second component; 11% of the total variance). Memory impairment was significantly related to all diseases (except Bechterew's disease), most strongly to brain infarction, heart failure, diabetes, cancer, chronic obstructive pulmonary disease and whiplash. For most diseases, the STM component was more affected than the LTM component; however, in cancer, the opposite pattern was seen. Conclusions Subjective memory impairment as measured in HUNT contained two components, which were differentially associated with diseases.

  • 12. Andel, Ross
    et al.
    Crowe, Michael
    Feychting, Maria
    Pedersen, Nancy L.
    Fratiglioni, Laura
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Johansson, Boo
    Gatz, Margaret
    Work-Related Exposure to Extremely Low-Frequency Magnetic Fields and Dementia: Results from the Population-Based Study of Dementia in Swedish Twins2010In: The journals of gerontology. Series A, Biological sciences and medical sciences, ISSN 1079-5006, E-ISSN 1758-535X, Vol. 65A, no 11, 1220-1227 p.Article in journal (Refereed)
    Abstract [en]

    Background. We examined the association between extremely low-frequency magnetic fields (EMF) and the risk of dementia and Alzheimer’s disease using all 9,508 individuals from the Study of Dementia in Swedish Twins (HARMONY) with valid occupational and diagnostic data.

    Methods. Dementia diagnoses were based on telephone screening followed by in-person clinical workup. Main lifetime occupation was coded according to an established EMF exposure matrix. Covariates were age, gender, education, vascular risk factors, and complexity of work. Based on previous research, data were also analyzed separately for cases with disease onset by age 75 years versus later, men versus women, and those with manual versus nonmanual main occupation. We used generalized estimating equations with the entire sample (to adjust for the inclusion of complete twin pairs) and conditional logistic regression with complete twin pairs only.

    Results. Level of EMF exposure was not significantly associated with dementia or Alzheimer’s disease. However, in stratified analyses, medium and high levels of EMF exposure were associated with increased dementia risk compared with low level in cases with onset by age 75 years (odds ratio: 1.94, 95% confidence interval: 1.07–3.65 for medium, odds ratio: 2.01, 95% confidence interval: 1.10–3.65 for high) and in participants with manual occupations (odds ratio: 1.81, 95% confidence interval: 1.06–3.09 for medium, odds ratio: 1.75, 95% confidence interval: 1.00–3.05 for high). Results with 42 twin pairs discordant for dementia did not reach statistical significance.

    Conclusions. Occupational EMF exposure appears relevant primarily to dementia with an earlier onset and among former manual workers.

  • 13. Andel, Ross
    et al.
    Crowe, Michael
    Kåreholt, Ingemar
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Wastesson, Jonas
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Parker, Marti G.
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Indicators of Job Strain at Midlife and Cognitive Functioning in Advanced Old Age2011In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 66B, no 3, 287-291 p.Article in journal (Refereed)
    Abstract [en]

    Objectives. We used data from SWEOLD, a Swedish nationally representative study of individuals aged 77 years or older, to examine midlife indicators of job strain in relation to cognitive performance and impairment.

    Methods. In all, 827 participants completed an abridged 11-point version of the Mini-Mental State Examination in-person in 1992 and/or 2002 and had self-reported and/or occupation-based scores for job control and demands from data collected in 1968. Seventeen percent scored below the cutoff for cognitive impairment.

    Results. Controlling for age, sex, education, self-rated health, and year of cognitive screening, low self-reported and occupation-based job control at midlife was associated with poorer cognitive performance later (ps < .001). For the occupation-based measure, low job control was also associated with greater likelihood of impairment, whereas having an active job (high job control/high job demands) was associated with better cognitive performance and lower likelihood of impairment (ps < .01). Childhood environment, midlife depressive symptoms, and social activity had limited influence, whereas the influence of both adulthood socioeconomic position and work complexity on these results was more pronounced.

    Discussion. Job control at midlife, by itself and in combination with job demands, may influence cognitive functioning later above and beyond demographic variables and other occupational characteristics.

  • 14. Andel, Ross
    et al.
    Kåreholt, Ingemar
    Jönköping University, School of Health Science, HHJ. Ageing - living conditions and health. Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    The role of midlife ocupational complexity and leisure time activity in cognitive performance later in life.2013Conference paper (Other academic)
  • 15. Andel, Ross
    et al.
    Silverstein, Merril
    Kåreholt, Ingemar
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Jönköping University, Sweden.
    The Role of Midlife Occupational Complexity and Leisure Activity in Late-Life Cognition2015In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 70, no 2, 314-321 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To examine whether occupational complexity of working with data or people, and cognitive or social leisure activity at midlife predicted cognition in advanced old age.

    METHODS: We used 810 eligible participants from Longitudinal Study of Living Conditions of the Oldest Old, a Swedish nationally representative study of individuals aged 77+ with cognitive assessments (an abridged version of the Mini-Mental State Exam) administered in 1992 and 2002 and linked to information about their midlife occupation and leisure activities collected in 1968 and 1981. A bootstrapping technique was applied to examine the direct and interactive associations of occupational complexity and leisure activity with late-life cognition.

    RESULTS: Controlling for demographic and health-related factors from childhood, midlife, and late life, we found that greater work complexity, both with people and with data, and greater participation in cognitive or social leisure activities independently related to better late-life cognitive scores. The complexity-cognition link was moderated by leisure activity such that the cognitive benefit related to the complexity of work-especially complexity of working with people-was rendered insignificant when participation in leisure activities-especially social activities-was above average.

    DISCUSSION: Results are discussed in terms of using work complexity to compensate for lack of leisure activity as well as in terms of promoting leisure engagement to compensate for long-term cognitive disadvantage imposed by working in less challenging occupations.

  • 16.
    Andel, Ross
    et al.
    School of Aging Studies, University of South Florida, Tampa, Florida.
    Silverstein, Merril
    Sociology Department and School of Social Work, Aging Studies Institute, Syracuse University, New York.
    Kåreholt, Ingemar
    Jönköping University, School of Health Science, HHJ, Institute of Gerontology.
    The role of midlife occupational complexity and leisure activity in late-life cognition2015In: The journals of gerontology. Series B, Psychological sciences and social sciences, ISSN 1079-5014, E-ISSN 1758-5368, Vol. 70, no 2, 314-321 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:

    To examine whether occupational complexity of working with data or people, and cognitive or social leisure activity at midlife predicted cognition in advanced old age.

    METHODS:

    We used 810 eligible participants from Longitudinal Study of Living Conditions of the Oldest Old, a Swedish nationally representative study of individuals aged 77+ with cognitive assessments (an abridged version of the Mini-Mental State Exam) administered in 1992 and 2002 and linked to information about their midlife occupation and leisure activities collected in 1968 and 1981. A bootstrapping technique was applied to examine the direct and interactive associations of occupational complexity and leisure activity with late-life cognition.

    RESULTS:

    Controlling for demographic and health-related factors from childhood, midlife, and late life, we found that greater work complexity, both with people and with data, and greater participation in cognitive or social leisure activities independently related to better late-life cognitive scores. The complexity-cognition link was moderated by leisure activity such that the cognitive benefit related to the complexity of work-especially complexity of working with people-was rendered insignificant when participation in leisure activities-especially social activities-was above average.

    DISCUSSION:

    Results are discussed in terms of using work complexity to compensate for lack of leisure activity as well as in terms of promoting leisure engagement to compensate for long-term cognitive disadvantage imposed by working in less challenging occupations.

  • 17.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Compact living or space for ageing comfortably: Contemporary architectural thinking for the Nordic frail ageing process2014Other (Other (popular science, discussion, etc.))
  • 18.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Hemmets ytterligheter på ålderns höst: ett värdigt hem i två perspektiv2014Other (Other (popular science, discussion, etc.))
  • 19.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Den boende i centrum vid utformning av god arkitektur vid demensproblem2014Other (Other (popular science, discussion, etc.))
  • 20.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Arkitektur og sociale idealer for plejekraevende og svage aeldre2015In: In press: In press / [ed] Rostgaard, T.; Jensen, P.H., Aalborg: Aalborg Universitetsforlag, 2015Chapter in book (Other academic)
  • 21.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Försök till jämförande analys: mätbara och omätbara värden i kvalitet2014Other (Other (popular science, discussion, etc.))
  • 22.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Nordisk omsorg för äldre: en förebild för Spanien?2012In: Ä : en tidning för Riksföreningen sjuksköterskan inom äldrevård : geriatriker, dietister inom geriatrik samt alla professioner runt den äldre patienten, ISSN 2001-1164, no 2, 76-79 p.Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Befolkningsprognoser framtill 2060 visar på en förändring i sammansättningen av befolkningen, där antalet personer i arbetsförålder minskar medan andelen äldre personer med ett möjligt ökande behov av omsorg och vård ökar. Det är ett pågående fenomen att andelen personer 65 år och äldre i befolkningen ökar i de flesta länder. I Europa intar Grekland, Italien och Tyskland tätplatserna med 19-20 procent av befolkningen. Sverige ligger på en fjärde plats med 18 procent. Övriga europeiska länder ligger några procentenheter lägre, mellan 11 till 17 procent, och de följer de förberedelser som de fyra länderna i täten vidtar på tröskeln till ett samhälle som karakteriseras av en stor andel personer i de övre åldersgrupperna. Ett sådant land är Spanien, där gruppen äldre personer 65 år och uppåt uppgår till ca 17 procent av befolkningen. Den demografiska förändringen i Spanien kommer att bli större än de prognoser som görs för Sverige: beroendeförhållandet (antal äldre person jämfört med personer i arbetsförålder) år 2050 uppskattas till 58,7 i Spanien mot 41,9 i Sverige.

  • 23.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Vision eller verklighet?: Arkitektur för sköra äldre i praktiken2012In: Omsorg: Nordisk tidsskrift for Palliativ Medisin, ISSN 0800-7489, Vol. 4, 46-51 p.Article in journal (Refereed)
    Abstract [sv]

    Denmark, Norway and Sweden are entering the graying society. The demographic situation creates new demands on buildings, infrastructure and services. The number of residential homes is increasing, especially for older persons with a dementia diagnosis. This is a type of public building that is regulated by programming documents that eventually will define the residential environment. This article is based on a survey of 78 architectural competitions from the period of 2000 to 2012. The competition documentation of nine Nordic competitions has been analyzed by use of close reading and drawing analysis. This study suggests that there is a gap between reality and visions. Despite research-based guidelines, the architecture of contemporary residential care homes relies on universal qualities that are associated with the home environment rather than with the particular conditions of this housing that integrates home in a care environment. A multidisciplinary approach, however, is desirable inorder to create appropriate and sustainable environments for frail older people.

  • 24.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Arkitekturens betydelse för hemlikhet i särskilt boende2012In: Äldres boende: Forskningsperspektiv i Norden / [ed] Marianne Abramsson, Catharina Nord, Lund: Studentlitteratur, 2012, 1, 219-246 p.Chapter in book (Other academic)
  • 25.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Goda boendemiljöer med vård och omsorg: för det sköra åldrandet2014Conference paper (Other (popular science, discussion, etc.))
  • 26.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Calamities and controversies around resilient architecture for ageing: life course perspective on an exemplary Swedish residential care home2014In: / [ed] Padam, K.; Silik, K., 2014Conference paper (Other academic)
    Abstract [en]

    Age is a delicate matter, but the Swedish welfare state is ageing and has an increasingly larger propor-tion of elderly people, about 19 per cent (Sweden Statistics, 2014). Since the election campaign in 2006, the matter of appropriate housing and caregiving for older frail persons has been a reoccurring item on the political agenda. Governmental delegations and programmes have ventured out into the great unknown territory of architectural experiences and age-related problems. However, one existing residential care home, in the following RCH, pops up as an exemplary and universal model for architec-ture and the frail ageing process, the residential care home of Vigs Ängar.Initiated as a mutual initiative in the early 1990s, between a local anthroposophical interest group and the municipality of Ystad, Sweden, its creation and existence describe a troublesome tension between legal frameworks, managerial systems for eldercare, facility management and idealistic visions for fu-ture-oriented caregiving. Despite a 20 year existence, this exemplary model has resulted in few similar facilities, both architecture-wise and eldercare-wise. Instead, a large number of national and interna-tional study visits have turned the building along with caregiving into an open smorgasbord consisting of architectural elements or therapeutic approaches, subject to free sampling and tasting. To some extent, the anthroposophical label has clouded the resilient approach in architectural design and care-giving for the frail stages in life.The focus of this paper was to go behind semantics and unravel the generating images that constitute the fundamental reason for the exemplary status of the RCH in question. Critical analysis has been applied as a research method in order to scrutinize documents and drawings that originate from the design process. Random conversations and interviews with various informants associated with the RCH, among which the architect, have been executed over the period 2007-2013. This study suggests that the key factor in this successful realization of an RCH is the solid idea for a resilient architecture. This idea encompasses both ephemeral and tangible experiences of space that structure both the older person’s quality in life as well as the individual staff member’s satisfaction with the work envi-ronment. In that sense, the RCH of Vigs Ängar is more of a spatial sensation than an anthroposophical epiphany.

  • 27.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Hur kan man skapa den bästa miljön på ett äldreboende? Hur kan man förvandla det institutionella intrycket till en miljö som man kan trivas som hemma i?: Byggandet av framtidssäkra äldreboenden och exempel på evidensbaserad design2012Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Hur kan man skapa den bästa miljön på ett äldreboende? Hur kan man förvandla det institutionella intrycket till en miljö som man kan trivas som hemma i? / How to create the best possible environment for frail older people in residential housing? How to convert the institutional impression to an environment in which you experience homelikeness?: Byggandet av framtidssäkra äldreboenden och exempel på evidensbaserad design. / The building of future-oriented residential housing and examples of evidence-based design.

  • 28.
    Andersson, Jonas E
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Stödjande arkitektur för sköra äldre: Arkitekttävlingar som medel2012In: Vigs Ängars diskussionsseminarium 2012, Köpingebro, 2012Conference paper (Other (popular science, discussion, etc.))
  • 29.
    Andersson, Jonas E
    et al.
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design. Statens Byggeforskningsinstitut, SBi, Aalborg Universitet, Danmark.
    Rönn, Magnus
    KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design.
    Arkitektur för Bo bra på äldre dar: tre tävlingar i Burlöv, Gävle och Linköping2013Report (Other academic)
    Abstract [en]

    The Swedish governmental two year program “Growing old, Living well” was launched in 2010 with the specific intent to create innovation regarding housing for both able and frail older people. The program has been administered by the Swedish Institute for Assistive Technology (SIAT), which has diffused the allocation of 50 million Swedish crowns into various projects and studies about housing for the ageing generation. Sweden is entering the ageing country in which the group of people aged 65 years and above attains approximately 19 per cent. Apart from regular case studies on different phenomena that occur in relation to older people and housing, the Swedish government designated the architectural competition as an instrument for renewing contemporaneous thinking about ordinary and special housing for older people. National architecture competitions have been used to define space for dependent persons. These competitions have preceded reforms of the social act. In a parallel track, local architecture competitions have resulted in new housing for older people who still able reside within the stock of ordinary housing.

     

    According to the SIAT, a total of 18 municipalities requested information about the conditions and possibilities for acquiring finical support for the organization of architecture competitions or studies about housing for senior citizen. Of these, seven applied for funding to organize competitions, but five local organizers were granted funding. Later, two municipalities suspended their competitions due to unforeseen obstacles. The program has resulted in three architectural competitions. The objective for these competitions has been to infuse creative thinking and future-oriented solutions concerning housing for the older people. The present study will shed light on how a municipal actor works with these matters and will supply a time estimate for such a planning process. The study focuses on the three municipal architectural competitions and the two pilot studies that were used as supplementary source of information regarding housing preferences. Supplemented by written documentation, the process of realizing an architecture competition or a pilot study has been reconstructed as to its dynamics. The methodology includes an inventory of competitions, case studies, document review and interviews of key-persons. By use of the competition documentation and the pilot studies, 74 informants were possible to delimit as to their participation in the process.

     

    The decisive reason for why the governmental program Growing Older - Living Well didn’t get a better response from the municipalities lies in the timetable for the national initiative. The governmental program was not coordinated with municipal planning processes for housing. Only municipals that already started their planning could consider organizing competitions. The competitions were organized as invited competitions with a prequalification procedure. Prequalification is a selection procedure used early in the competition process to identify suitable candidates for the following design phase. Three to four teams of architects have been invited to develop design proposals. Based on the study, a set comprising of thirty detailed conclusions can be made about the municipal competitions that were arranged with support from the governmental program. However, they all converge into an overarching conclusion that states the direct link between the wording of the competition brief and the participating architects’ inclination to rethink the design task in a fundamental or moderate approach. The study concludes that the better the arranger prepare the competition brief, the more accurately will the participating architects convert this text into future-oriented architecture for older people that is active on a comprehensive level as well as on the detailed level one.

  • 30.
    Andreassen Devik, Siri
    et al.
    Centre for Care Research Mid-Norway, Steinkjer, Norway; Department of Health Sciences, Mid-Sweden University, Sundsvall, Sweden.
    Enmarker, Ingela
    Centre for Care Research Mid-Norway, Steinkjer, Norway;Nord Trøndelag University College, Namsos, Norway.
    Wiik, Guri Bitnes
    Nord Trøndelag University College, Namsos, Norway.
    Hellzén, Per Ove
    Centre for Care Research Mid-Norway, Steinkjer, Norway; Department of Health Sciences, Mid-Sweden University, Sundsvall, Sweden.
    Meanings of being old, living on one`s own and suffering from incurable cancer in rural Norway2014Conference paper (Refereed)
  • 31.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Broling, Lillemor
    Primary Health Care, Kalmar County Council.
    Enhanced participation, safety and security for older people and their carers with health supportive e-services2015Conference paper (Refereed)
  • 32.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Online support for carers2016Conference paper (Other (popular science, discussion, etc.))
  • 33.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Dissemination event Sweden2015Conference paper (Other (popular science, discussion, etc.))
  • 34.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Poli, Arianna
    Italian National Institute of Health and Science on Aging (INRCA) ; Linköping University.
    Salzmann, Benjamin
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Döhner, Hanneli
    Eurocarers, Belgium.
    Efthymiou, Areti
    Eurocarers, Belgium.
    Anhörigstöd via internet: InformCare2015Conference paper (Other (popular science, discussion, etc.))
  • 35.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Eurocarers, Belgium.
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    The INNOVAGE-Eurocarers platform and current ICT-based services for informal carers of older people in Sweden2015In: Irish Ageing Studies Review, ISSN 1649-9972, Vol. 6, no 1, 88-88 p.Article in journal (Refereed)
    Abstract [en]

    Background: Different support services for family carers are available in Sweden through information and communication technologies (ICTs) since late 1990s, like ACTION, My Joice, IPPI, ‘The Gap’, and Carer Sweden’s online ‘Carer’s Book’. The INNOVAGE-Eurocarers platform aimed to complement the offer of web services to carers through the provision of a new tailored package.

    Methods: The Swedish pilot test enrolled around 50 carers through contacts with professionals working with carers in different municipalities. They could access the following web-based services: information resources; individual support via e-mail and private messages; group support via social network and forum. Periodical writing activities were asked to active users in the forum, alternating expressive writing (EW) and time management (TM) writing tasks. Periodical reminders were sent in order to increase user involvement.

    Results: Users were predominantly older, female carers, of which two thirds were over 65 years old. The web platform was perceived as a flexible tool, potentially accessible at any time, which gave users the possibility to exploit their experience as carers with others in similar situations. This peer exchange seemed to improve self empowerment, sense of solidarity and mutual learning. However, usage of the web platform was limited due to the low level of digital skills of some carers.

    Conclusions: Although results confirmed usefulness and appropriateness of implemented web services, it is fundamental to address the issue of usability and accessibility in order to ensure a wider accessibility. An option might be to offer initial digital skill training and continuous technical support for computer novices.

  • 36.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Eurocarers, Belgium.
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    The INNOVAGE-Eurocarers platform and current ICT-based services for informal carers of older people in Sweden2015Conference paper (Refereed)
    Abstract [en]

    Background: Different support services for family carersare available in Sweden through information andcommunication technologies (ICTs) since late 1990s, likeACTION, My Joice, IPPI, ‘The Gap’, and Carer Sweden’son-line ‘Carer’s Book’. The INNOVAGE-Eurocarersplatform aimed to complement the offer of web services tocarers through the provision of a new tailored package.

    Methods: The Swedish pilot test enrolled around 50carers through contacts with professionals working withcarers in different municipalities. They could access thefollowing web-based services: information resources;individual support via e-mail and private messages; groupsupport via social network and forum. Periodical writingactivities were asked to active users in the forum,alternating expressive writing (EW) and time management(TM) writing tasks. Periodical reminders were sent in orderto increase user involvement.

    Results: Users were predominantly older, female carers,of which two thirds were over 65 years old. The webplatform was perceived as a flexible tool, potentiallyaccessible at any time, which gave users the possibility toexploit their experience as carers with others in similarsituations. This peer exchange seemed to improve selfempowerment,sense of solidarity and mutual learning.However, usage of the web platform was limited due to thelow level of digital skills of some carers.

    Conclusions: Although results confirmed usefulness andappropriateness of implemented web services, it isfundamental to address the issue of usability andaccessibility in order to ensure a wider accessibility. Anoption might be to offer initial digital skill training andcontinuous technical support for computer novices.

  • 37.
    Andréasson, Frida
    et al.
    Swedish Family Care Competence Centre (NKA).
    Hanson, Elizabeth
    Swedish Family Care Competence Centre (NKA).
    Lancioni, Cristina
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Papa, Roberta
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Barbabella, Francesco
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Online support for carers: using a social forum and social network as a means of developing the role of informal caregiving2015Conference paper (Refereed)
  • 38.
    Angleman, Sara B.
    et al.
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Santoni, Giola
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Pilotto, Alberto
    Fratiglioni, Laura
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Stockholm Gerontology Research Center, Karolinska Institutet.
    Welmer, Anna-Karin
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Multidimensional Prognostic Index in Association with Future Mortality and Number of Hospital Days in a Population-Based Sample of Older Adults: Results of the EU Funded MPI_AGE Project2015In: PLoS ONE, ISSN 1932-6203, Vol. 10, no 7, e0133789Article in journal (Refereed)
    Abstract [en]

    Background The Multidimensional Prognostic Index (MPI) has been found to predict mortality in patients with a variety of clinical conditions. We aimed to assess the association of the MPI with future mortality and number of in-hospital days for the first time in a population-based cohort. Methods The study population consisted of 2472 persons, aged 66-99 years, from the Swedish National Study on Aging and Care in Kungsholmen, Sweden, who underwent the baseline visit 2001-4, and were followed up >10 years for in-hospital days and >12 years for mortality. The MPI was a modified version of the original and aggregated seven domains (personal and instrumental activities of daily living, cognitive function, illness severity and comorbidity, number of medications, co-habitation status, and nutritional status). The MPI score was divided into risk groups: low, medium and high. Number of in-hospital days (within 1, 3 and 10 years) and mortality data were derived from official registries. All analyses were age-stratified (sexagenarians, septuagenarians, octogenarians, nonagenarians). Results During the follow-up 1331 persons (53.8%) died. Laplace regression models, suggested that median survival in medium risk groups varied by age from 2.2-3.6 years earlier than for those in the corresponding low risk groups (p = 0.002-p<0.001), and median survival in high risk groups varied by age from 3.8-9.0 years earlier than for corresponding low risk groups (p<0.001). For nonagenarians, the median age at death was 3.8 years earlier in the high risk group than for the low risk group (p<0.001). The mean number of in-hospital days increased significantly with higher MPI risk score within 1 and 3 years for people of each age group. Conclusion For the first time, the effectiveness of MPI has been verified in a population-based cohort. Higher MPI risk scores associated with more days in hospital and with fewer years of survival, across a broad and stratified age range.

  • 39.
    Angleman, Sara B.
    et al.
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). Stockholm Gerontology Research Center, Sweden.
    Santoni, Giola
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Von Strauss, Eva
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). The Swedish Red Cross University College, Sweden.
    Fratiglioni, Laura
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI). The Swedish Red Cross University College, Sweden.
    Temporal Trends of Functional Dependence and Survival Among Older Adults From 1991 to 2010 in Sweden: Toward a Healthier Aging2015In: The journals of gerontology. Series A, Biological sciences and medical sciences, ISSN 1079-5006, E-ISSN 1758-535X, Vol. 70, no 6, 746-752 p.Article in journal (Refereed)
    Abstract [en]

    Background. Declines in functional dependence among older adults were observed before the 1990s, but there is uncertainty about subsequent trends. Our study aimed to verify the temporal trends in disability during 1991-2010 in an older Swedish population and to estimate the associated changes in survival. Methods. Functional status in octogenarians and nonagenarians was assessed at seven occasions with intervals of 2-3 years. Sample size varied at each assessment with an average of 646 (range 212-1096). Disability was defined as difficulty in one or more of personal activities of daily living. We compared prevalence and incidence, as well as mortality, and survival associated with disability over the 20-year period. Results. Sex-standardized prevalence of disability remained steady over time with a tendency toward a gradual decline, and a statistically significant decrease was present among nonagenarians. Sex-standardized cumulative incidence also remained steady. The proportion of people with prevalent disability who died <3 years remained stable, as did the survival time of people with incident disability. In contrast, among nondisabled persons, 3-year mortality decreased significantly, and for octogenarians median survival time was 1.3 years longer at the more recent assessment than a decade earlier. Conclusions. Both prevalence and incidence of disability remained stable over the last two decades in this urban Swedish population, with a trend toward a slow decline. Mortality remained steady among disabled persons but decreased among persons without disability, suggesting that increased life expectancy during the last two decades may be essentially driven by longer lives of functionally independent people.

  • 40.
    Angleman, Sara B
    et al.
    Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden / Stockholm Gerontology Research Center, Sweden.
    Santoni, Giola
    Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.
    Von Strauss, Eva
    The Swedish Red Cross University College. Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.
    Fratiglioni, Laura
    The Swedish Red Cross University College. Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden.
    Temporal Trends of Functional Dependence and Survival Among Older Adults From 1991 to 2010 in Sweden: Toward a Healthier Aging2015In: The journals of gerontology. Series A, Biological sciences and medical sciences, ISSN 1079-5006, E-ISSN 1758-535X, Vol. 70, no 6, 746-752 p.Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Declines in functional dependence among older adults were observed before the 1990s, but there is uncertainty about subsequent trends. Our study aimed to verify the temporal trends in disability during 1991-2010 in an older Swedish population and to estimate the associated changes in survival.

    METHODS: Functional status in octogenarians and nonagenarians was assessed at seven occasions with intervals of 2-3 years. Sample size varied at each assessment with an average of 646 (range 212-1096). Disability was defined as difficulty in one or more of personal activities of daily living. We compared prevalence and incidence, as well as mortality, and survival associated with disability over the 20-year period.

    RESULTS: Sex-standardized prevalence of disability remained steady over time with a tendency toward a gradual decline, and a statistically significant decrease was present among nonagenarians. Sex-standardized cumulative incidence also remained steady. The proportion of people with prevalent disability who died <3 years remained stable, as did the survival time of people with incident disability. In contrast, among nondisabled persons, 3-year mortality decreased significantly, and for octogenarians median survival time was 1.3 years longer at the more recent assessment than a decade earlier.

    CONCLUSIONS: Both prevalence and incidence of disability remained stable over the last two decades in this urban Swedish population, with a trend toward a slow decline. Mortality remained steady among disabled persons but decreased among persons without disability, suggesting that increased life expectancy during the last two decades may be essentially driven by longer lives of functionally independent people.

  • 41. Anstey, Kaarin J.
    et al.
    Cherbuin, Nicolas
    Herath, Pushpani M.
    Qiu, Chengxuan
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    Kuller, Lewis H.
    Lopez, Oscar L.
    Wilson, Robert S.
    Fratiglioni, Laura
    Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
    A Self-Report Risk Index to Predict Occurrence of Dementia in Three Independent Cohorts of Older Adults: The ANU-ADRI2014In: PLoS ONE, ISSN 1932-6203, Vol. 9, no 1, e86141- p.Article in journal (Refereed)
    Abstract [en]

    Background and Aims: The Australian National University AD Risk Index (ANU-ADRI, http://anuadri.anu.edu.au) is a self-report risk index developed using an evidence-based medicine approach to measure risk of Alzheimer's disease (AD). We aimed to evaluate the extent to which the ANU-ADRI can predict the risk of AD in older adults and to compare the ANU-ADRI to the dementia risk index developed from the Cardiovascular Risk Factors, Aging and Dementia (CAIDE) study for middle-aged cohorts. Methods: This study included three validation cohorts, i.e., the Rush Memory and Aging Study (MAP) (n = 903, age >= 53 years), the Kungsholmen Project (KP) (n = 905, age >= 75 years), and the Cardiovascular Health Cognition Study (CVHS) (n = 2496, age >= 65 years) that were each followed for dementia. Baseline data were collected on exposure to the 15 risk factors included in the ANU-ADRI of which MAP had 10, KP had 8 and CVHS had 9. Risk scores and C-statistics were computed for individual participants for the ANU-ADRI and the CAIDE index. Results: For the ANU-ADRI using available data, the MAP study c-statistic was 0.637 (95% CI 0.596-0.678), for the KP study it was 0.740 (0.712-0.768) and for the CVHS it was 0.733 (0.691-0.776) for predicting AD. When a common set of risk and protective factors were used c-statistics were 0.689 (95% CI 0.650-0.727), 0.666 (0.628-0.704) and 0.734 (0.707-0.761) for MAP, KP and CVHS respectively. Results for CAIDE ranged from c-statistics of 0.488 (0.427-0.554) to 0.595 (0.565-0.625). Conclusion: A composite risk score derived from the ANU-ADRI weights including 8-10 risk or protective factors is a valid, self-report tool to identify those at risk of AD and dementia. The accuracy can be further improved in studies including more risk factors and younger cohorts with long-term follow-up.

  • 42.
    Antelius, Eleonor
    et al.
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Kiwi, Mahin
    Linköping University, Department of Social and Welfare Studies, NISAL - National Institute for the Study of Ageing and Later Life. Linköping University, Faculty of Arts and Sciences.
    Frankly, None of Us Know What Dementia Is: Dementia Caregiving Among Iranian Immigrants Living in Sweden2015In: Care Management Journals, ISSN 1521-0987, Vol. 16, no 2, 79-94 p.Article in journal (Refereed)
    Abstract [en]

    In quite a short amount of time, Sweden has gone from being a relatively homogeneous society to a multicultural one, with a rapid expansion of immigrants having culturally and linguistically diverse (CALD) backgrounds growing old in Sweden. This is particularly interesting in relation to studying age-related dementia diseases. Research shows that not only do CALD persons with dementia diseases tend to mix languages, have difficulties with separation of languages, or revert to speaking only their native tongue as the disease progresses, but they also show tendencies to experience that they live in the cultural environment in which they were brought up, rather than in the current Swedish one. In this article, we explore findings in relation to one such CALD group in Sweden, Iranians. The article is empirically driven and based on data gathered in 2 separate settings with specific ethnocultural profiles, offering dementia care with Middle Eastern, Arab, and/or Persian profile. Observations were carried out in combination with semistructured in-depth interviews (n = 66). By using a combination of content and ethnographic analysis, 4 main findings related to ethnocultural dementia care were elucidated. These include (a) a wider recognition of people from different CALD backgrounds possibly having different perceptions of what dementia is, (b) a possibility that such ascribed meaning of dementia has a bearing on health maintenance and health-seeking behavior as well as the inclination to use formal services or not, (c) choosing to use formal service in the forms of ethnoculturally profiled dementia care facility seems to relate to being able to “live up to ideals of Iranian culture,” and (d) “culture,” however ambiguous and hotly debated a concept it is, appears to be a relevant aspect of people's lives, an aspect that is both acquired as well as ascribed to oneself and to others. As such, we argue that culture needs to be further addressed in relation to dementia care in multicultural societies because ascribing culture boxes people in as well as out. In addition, ethnocultural contextualization of dementia care needs to be understood in relation to this because it affects the care provided.

  • 43.
    Backman, Annica
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lövheim, Hugo
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Sjögren, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lindkvist, Marie
    Umeå University, Faculty of Medicine, Department of Nursing. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing.  School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
    Characteristics of highly rated leadership in Swedish nursing homes2016In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 56, 283-283 p.Article in journal (Other academic)
  • 44. Ballesteros, Soledad
    et al.
    Prieto, Antonio
    Mayas, Julia
    Pilar, Toril
    Ponce De León Romero, Laura
    Reales, José Manuel
    Waterworth, John
    Umeå University, Faculty of Social Sciences, Department of Informatics.
    Corrigendum: brain training with non-action video games enhances aspects of cognition in older adults: a randomized controlled trial2015In: Frontiers in Aging Neuroscience, ISSN 1663-4365, Vol. 7, 82Article in journal (Refereed)
  • 45.
    Bamzar, Roya
    et al.
    KTH, School of Architecture and the Built Environment (ABE), Urban Planning and Environment, Urban and Regional Studies.
    Ceccato, Vania
    KTH, School of Architecture and the Built Environment (ABE), Urban Planning and Environment, Urban and Regional Studies.
    The regional ecology of elderly falls in Sweden2016In: GeoJournal, ISSN 0343-2521, E-ISSN 1572-9893, Vol. 81, no 1, 23-36 p.Article in journal (Refereed)
    Abstract [en]

    The study assesses exploratory the geography of the elderly fall in Sweden in relation to the ecology of the socio-demographic characteristics of the Swedes older population. Kendall Test is used to measure the association between elderly fall rates and demographic, socio-economic characteristics of the population, costs of elderly care and accessibility measures at county level. Results show a number of significant associations: high rates of the elderly fall are associated with high cost of the elderly care but also low rate of elderly fall and good accessibility to basic services (e.g., grocery store, health care and cash machines). The articles finalizes with reflections of the results and suggestions for future research.

  • 46. Barbabella, Francesco
    Family carers: Technology-based support services2015Book (Refereed)
  • 47.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy ; Lund University.
    Di Rosa, Mirko
    Marche Polytechnic University, Italy ; National Institute of Health and Science on Ageing (INRCA), Italy.
    La bussola di NNA: lo stato dell'arte basato sui dati2015In: L'assistenza agli anziani non autosufficienti in Italia: 5° Rapporto, Un futuro da ricostruire / [ed] N.N.A., Rimini: Maggioli Editore, 2015, 15-33 p.Chapter in book (Refereed)
  • 48.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy ; Marche Polytechnic University, Italy ; Lund University.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA).
    Gori, Cristiano
    Università Cattolica del Sacro Cuore, Italy ; Istituto per la ricerca sociale, Italy ; London School of Economics, UK.
    La bussola di N.N.A.: lo stato dell'arte basato sui dati2013In: L'assistenza agli anziani non autosufficienti in Italia: 4° Rapporto, Tra crisi e ripartenza / [ed] N.N.A., Rimini: Maggioli Editore, 2013, 11-28 p.Chapter in book (Refereed)
  • 49.
    Barbabella, Francesco
    et al.
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Di Rosa, Mirko
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Lamura, Giovanni
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Martin-Matthews, Anne
    University of British Columbia, Canada.
    Papa, Roberta
    National Institute of Health & Science on Ageing (INRCA), Italy.
    Svensson, Torbjörn
    Lund University.
    Launching an interdisciplinary “International Summer School on Ageing” (ISSA): Aims, methodology and outcomes2016In: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 42, no 4, 253-264 p.Article in journal (Refereed)
    Abstract [en]

    Despite the increasing availability of gerontological training programmes, knowledge of theircontents, characteristics, methods and outcomes remains limited. However, the transitionfrom multidisciplinarity to interdisciplinary orientations is now fundamental to such training,providing participants from diverse academic orientations and professional backgrounds withopportunities to interact ‘across boundaries’. In response to recommendations of the EUFuturage Road Map for European Ageing Research (2011) concerning training and careerdevelopmentneeds of future cohorts of practitioners and scholars in aging, an InternationalSummer School on Ageing (ISSA) was developed in 2012. Its aim was to initiate the practicalimplementation of some of the capacity building goals identified by Futurage. The design andstructure of the ISSA was informed by the experience of Canada’s Summer Programme inAgeing - run by the Institute of Aging of the Canadian Institutes of Health Research – and bythe cross-border academic training activities organized by Lund University (Sweden) inScandinavian countries. As Italy has lacked a tradition of comprehensive, interdisciplinarytraining programmes in gerontology, the Italian National Institute of Health and Science onAgeing undertook to launch the inaugural ISSA. In this article, the core aims andmethodology of the ISSA are presented, together with an analysis of its main outcomes, asmeasured by participant evaluations. These are discussed in the context of internationaldebate on this topic.

  • 50.
    Barbabella, Francesco
    et al.
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Chiatti, Carlos
    National Institute of Health and Science on Ageing (INRCA), Italy ; Marche Polytechnic University, Italy ; Lund University.
    Di Rosa, Mirko
    National Institute of Health and Science on Ageing (INRCA), Italy.
    Pelliccia, Laura
    Alcuni profili dell’assistenza nelle regioni2013In: L'assistenza agli anziani non autosufficienti in Italia: 4° Rapporto, Tra crisi e ripartenza / [ed] N.N.A., Rimini: Maggioli Editore, 2013, 29-43 p.Chapter in book (Refereed)
1234567 1 - 50 of 595
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