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Kjeldgård, L., Stigson, H., Bergsten, E. L., Farrants, K. & Friberg, E. (2023). Diagnosis-specific sickness absence among injured working-aged pedestrians: a sequence analysis. BMC Public Health, 23(1), Article ID 367.
Open this publication in new window or tab >>Diagnosis-specific sickness absence among injured working-aged pedestrians: a sequence analysis
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2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 367Article in journal (Refereed) Published
Abstract [en]

Background

The knowledge about the long-term consequences in terms of sickness absence (SA) among pedestrians injured in a traffic-related accident, including falls, is scarce. Therefore, the aim was to explore diagnosis-specific patterns of SA during a four-year period and their association with different sociodemographic and occupational factors among all individuals of working ages who were injured as a pedestrian.

Methods

A nationwide register-based study, including all individuals aged 20–59 and living in Sweden, who in 2014–2016 had in- or specialized outpatient healthcare after a new traffic-related accident as a pedestrian. Diagnosis-specific SA (> 14 days) was assessed weekly from one year before the accident up until three years after the accident. Sequence analysis was used to identify patterns (sequences) of SA, and cluster analysis to form clusters of individuals with similar sequences. Odds ratios (ORs) with 95% confidence intervals (CIs) for association of the different factors and cluster memberships were estimated by multinomial logistic regression.

Results

In total, 11,432 pedestrians received healthcare due to a traffic-related accident. Eight clusters of SA patterns were identified. The largest cluster was characterized by no SA, three clusters had different SA patterns due to injury diagnoses (immediate, episodic, and later). One cluster had SA both due to injury and other diagnoses. Two clusters had SA due to other diagnoses (short-term and long-term) and one cluster mainly consisted of individuals with disability pension (DP). Compared to the cluster “No SA”, all other clusters were associated with older age, no university education, having been hospitalized, and working in health and social care. The clusters “Immediate SA”, “Episodic SA” and “Both SA due to injury and other diagnoses” were also associated with higher odds of pedestrians who sustained a fracture.

Conclusions

This nationwide study of the working-aged pedestrians observed diverging patterns of SA after their accident. The largest cluster of pedestrians had no SA, and the other seven clusters had different patterns of SA in terms of diagnosis (injury and other diagnoses) and timing of SA. Differences were found between all clusters regarding sociodemographic and occupational factors. This information can contribute to the understanding of long-term consequences of road traffic accidents.

Place, publisher, year, edition, pages
BMC, 2023
Keywords
Disability pension; Fall accidents; Pedestrians; Population-based; Sick leave; Traffic injury
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-41122 (URN)10.1186/s12889-023-15259-w (DOI)000936899500001 ()36803378 (PubMedID)2-s2.0-85148396285 (Scopus ID)
Funder
Swedish Research Council, 2017–00624AFA Insurance
Available from: 2023-02-23 Created: 2023-02-23 Last updated: 2023-08-28Bibliographically approved
Bergsten, E. L. & Kristiansen, L. (2023). Ett hållbart arbetsliv genom riktade och samordnade insatser för individer med psykisk ohälsa i Ockelbo kommun. Gävle: Högskolan i Gävle
Open this publication in new window or tab >>Ett hållbart arbetsliv genom riktade och samordnade insatser för individer med psykisk ohälsa i Ockelbo kommun
2023 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Gävle: Högskolan i Gävle, 2023. p. 21
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-41246 (URN)
Available from: 2023-03-29 Created: 2023-03-29 Last updated: 2023-04-03Bibliographically approved
Bergsten, E. L., Kjeldgård, L., Stigson, H., Farrants, K. & Friberg, E. (2023). Fall and collision related injuries among pedestrians, sickness absence and associations with accident type and occupation. Journal of Safety Research, 86, 357-363
Open this publication in new window or tab >>Fall and collision related injuries among pedestrians, sickness absence and associations with accident type and occupation
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2023 (English)In: Journal of Safety Research, ISSN 0022-4375, E-ISSN 1879-1247, Vol. 86, p. 357-363Article in journal (Refereed) Published
Abstract [en]

Objectives: This study explores pedestrian fall accidents and collisions with other road users in the Swedish road transport system, and sickness absence (SA) in relation to accident type, injury, and occupation. Further, it studies the associations between accident type, occupation, and duration of SA. Methods: Data from several national registers were used that included 15,359 working age pedestrians (20–64 years) receiving healthcare after a fall or collision throughout 2014–2016. Individual characteristics, accident type, injury, and occupation were presented and related to SA. Logistic regression was used to estimate odds ratios (OR), with 95% confidence intervals, for associations between accident type, occupation, and SA duration. Results: About 11,000 pedestrians (72%) were involved in fall accidents in the road traffic environment and well over 4,000 in collisions with another road user; 22% of all injured pedestrians had a new SA. The population had a higher proportion of women and individuals in older age groups (≥45). Of the falls, 31% were due to snow or ice, and these were associated with a higher OR for both short SA (<90 days) 1.76 (95% CI 1.56–1.98) and long SA (≥90 days) 1.81 (95% CI 1.51–2.18), compared to the group slipping, tripping, and stumbling. The working sectors health & social care, and construction had the highest ORs for SA. A higher OR was found for health & social care, short SA 1.58 (95% CI 1.38–1.81), long SA 1.79 (95% CI 1.45–2.20) and for construction, short SA 1.56 (95% CI 1.24–1.96), long SA 1.75 (95% CI 1.26–2.44), compared to the sector finance, communication, & cultural service. Conclusions: The OR for having short and long SA was higher in falls due to snow or ice and differed between occupational sectors. Practical implications: This information contributes to the knowledge base for planning a safe road transport system for pedestrians.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Traffic accidents, Walking, Insurance medicine, Register data, Sick leave
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hig:diva-41779 (URN)10.1016/j.jsr.2023.07.014 (DOI)001082853300001 ()37718063 (PubMedID)2-s2.0-85168498144 (Scopus ID)
Funder
AFA InsuranceSwedish Research Council, 2017-00624
Available from: 2023-05-17 Created: 2023-05-17 Last updated: 2023-11-05Bibliographically approved
Dahlkvist, E., Wallhagen, M., Bergsten, E. L., Larsson, J. & Enmarker, I. (2023). First-line managers’ leadership behavior profiles and use of gardens in residential care facilities: An interview study. Journal of Aging and Environment, 37(1), 65-84
Open this publication in new window or tab >>First-line managers’ leadership behavior profiles and use of gardens in residential care facilities: An interview study
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2023 (English)In: Journal of Aging and Environment, ISSN 2689-2618, Vol. 37, no 1, p. 65-84Article in journal (Refereed) Published
Abstract [en]

This study explored first-line managers’ leadership behavior profiles regarding their goals for utilizing the garden at residential care facilities for older people. Semi-structured interviews were conducted with a convenience sample of first-line managers (n = 12) in Sweden. Data were analyzed using deductive content analysis theoretically guided by the Three-dimensional Leadership Model. The results showed that the main leadership behavior profiles were related to the dimensions structure, relation and change. The managers emphasized workplace regulations and goals. They allowed staff to make decisions and encouraged them to see problems and opportunities.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Older people, first-line managers, garden, leadership
National Category
Health Sciences
Research subject
Sustainable Urban Development
Identifiers
urn:nbn:se:hig:diva-37398 (URN)10.1080/26892618.2021.2001707 (DOI)000967885300004 ()2-s2.0-85119203641 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1761
Available from: 2021-11-19 Created: 2021-11-19 Last updated: 2023-11-23Bibliographically approved
Wijk, K., Bergsten, E. L., Mathiassen, S. E. & Hallman, D. (2023). Individual determinants of satisfaction with the work environment after relocation to activity-based workplaces: a prospective study. PLOS ONE, 18(3), Article ID e0281771.
Open this publication in new window or tab >>Individual determinants of satisfaction with the work environment after relocation to activity-based workplaces: a prospective study
2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 3, article id e0281771Article in journal (Refereed) Published
Abstract [en]

Relocation to activity-based workplaces influences work environment satisfaction, but individual determinants of changes in satisfaction remain unknown. The aim of the present study was to determine whether age, gender, education, occupational position, or office type before relocation can predict work environment satisfaction among employees and managers relocated to activity-based offices. Respondents (n=422) rated work environment satisfaction three months before and nine months after relocation. The findings indicate that, on average, satisfaction decreased after relocation, while for some workers it increased. Occupational position and office type at baseline predicted changes in satisfaction with the work environment; specifically, managers and those working in open-plan offices before relocation reported a smaller decline in satisfaction after relocation, compared to those relocating from private offices. Participants with no university education were more satisfied with the physical and psychosocial work environment in activity-based workplaces than those with a university degree. 

Place, publisher, year, edition, pages
PLOS, 2023
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-40615 (URN)10.1371/journal.pone.0281771 (DOI)000967546000012 ()37000789 (PubMedID)2-s2.0-85151350085 (Scopus ID)
Funder
Swedish Transport Administration
Available from: 2022-12-19 Created: 2022-12-19 Last updated: 2023-06-16Bibliographically approved
Haapakangas, A., Hallman, D. & Bergsten, E. L. (2023). Office design and occupational health – has research been left behind?. Scandinavian Journal of Work, Environment and Health, 49(1), 1-4
Open this publication in new window or tab >>Office design and occupational health – has research been left behind?
2023 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 49, no 1, p. 1-4Article in journal, Editorial material (Other academic) Published
Place, publisher, year, edition, pages
NOROSH, 2023
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work; Health-Promoting Work, Flexibelt arbete
Identifiers
urn:nbn:se:hig:diva-40709 (URN)10.5271/sjweh.4073 (DOI)000903928500001 ()2-s2.0-85145242327 (Scopus ID)
Available from: 2023-01-06 Created: 2023-01-06 Last updated: 2023-01-19Bibliographically approved
Friberg, E., Alexanderson, K., Staland Nyman, C., Bergsten, E. L. & Svedberg, P. (2023). Organisatorisk och social arbetsmiljö (OSA 2015:4): Hur har föreskrifterna tillämpats och har sjukskrivningarna påverkats sedan de implementerades?. Stockholm
Open this publication in new window or tab >>Organisatorisk och social arbetsmiljö (OSA 2015:4): Hur har föreskrifterna tillämpats och har sjukskrivningarna påverkats sedan de implementerades?
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2023 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: , 2023
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-41780 (URN)978-91-8016-893-9 (ISBN)
Available from: 2023-05-17 Created: 2023-05-17 Last updated: 2023-05-22Bibliographically approved
Bergsten, E. L., Wijk, K. & Hallman, D. (2022). Implementation of Activity-Based Workplaces (ABW)—The Importance of Participation in Process Activities. International Journal of Environmental Research and Public Health, 19(21), Article ID 14338.
Open this publication in new window or tab >>Implementation of Activity-Based Workplaces (ABW)—The Importance of Participation in Process Activities
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 21, article id 14338Article in journal (Refereed) Published
Abstract [en]

Relocation to new office solutions such as activity-based workplaces (ABW) has increased but satisfaction with the ABW among employees varies, and the importance of participation in the relocation process is unclear. This study aimed to examine the association between employees’ extent of participation in the implementation process activities and satisfaction with the relocation to ABW. Data were collected from 699 employees in a Swedish governmental agency 3-months prior to, 3-months and 9-months after relocation to the ABW. Questionnaires were used to assess participation in process activities and perceived satisfaction with knowledge about working in ABW, office rules, and information and support during the process. Participation in activities was significantly associated with higher overall satisfaction with knowledge, office rules, information and support, and effects were generally more pronounced as the number of attended activities increased. Satisfaction also increased among non-participants, although without reaching the same levels as participants. Our results show the importance to offer and facilitate a high participation in the relocation process activities to obtain satisfaction with a relocation to ABW.

Place, publisher, year, edition, pages
MDPI, 2022
Keywords
activity-based flexible office; office design; relocation; organizational intervention
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-40351 (URN)10.3390/ijerph192114338 (DOI)000883934500001 ()36361224 (PubMedID)2-s2.0-85141593461 (Scopus ID)
Funder
Swedish Transport Administration, 2017/98929
Available from: 2022-11-04 Created: 2022-11-04 Last updated: 2022-12-01Bibliographically approved
Bergsten, E. L., Wijk, K. & Hallman, D. (2022). The important process when relocating to activity-based workplaces. In: : . Paper presented at 51st NES (Nordic Ergonomics and Human Factors Society) Conference, Uppsala, 23-25 October 2022.
Open this publication in new window or tab >>The important process when relocating to activity-based workplaces
2022 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-40352 (URN)
Conference
51st NES (Nordic Ergonomics and Human Factors Society) Conference, Uppsala, 23-25 October 2022
Available from: 2022-11-04 Created: 2022-11-04 Last updated: 2022-12-01Bibliographically approved
Bergsten, E. L., Haapakangas, A., Larsson, J., Jahncke, H. & Hallman, D. (2021). Effects of relocation to activity-based workplaces on perceived productivity: importance of change-oriented leadership. Applied Ergonomics, 93, 10-16, Article ID 103348.
Open this publication in new window or tab >>Effects of relocation to activity-based workplaces on perceived productivity: importance of change-oriented leadership
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2021 (English)In: Applied Ergonomics, ISSN 0003-6870, E-ISSN 1872-9126, Vol. 93, p. 10-16, article id 103348Article in journal (Refereed) Published
Abstract [en]

Activity-based workplaces (ABWs) are becoming popular in Western countries and were implemented at four office sites of a large Swedish government agency. A fifth office was used as a control group. The study aim was to examine the effects of relocation to ABW on perceived productivity among employees and to determine if perceived change-oriented leadership behavior prior to relocation moderates potential effects. Data were collected three months prior to relocation, and three and 12 months after. 407 respondents were included in linear mixed regression models. Perceived productivity decreased significantly after relocation compared to the control group and these effects persisted 12 months after the relocation. However, the decrease in perceived productivity was significantly smaller among employees perceiving high change-oriented leadership before relocation. Our results point out the importance of a change-oriented leadership behavior during the implementation to avoid productivity loss among employees when implementing ABWs.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Flexible office; Implementation process; Organisational change
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-30121 (URN)10.1016/j.apergo.2020.103348 (DOI)000633160900007 ()33497955 (PubMedID)2-s2.0-85099804827 (Scopus ID)
Funder
Swedish Transport Administration, 2015/118
Available from: 2019-06-20 Created: 2019-06-20 Last updated: 2021-08-16Bibliographically approved
Projects
Effekter av en extern kris på arbetsmiljö, hälsa och jämlikhet bland svensk och utlandsfödd arbetskraft: en fallstudie på ett tvätteri [200243]; University of Gävle
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9612-3766

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