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  • 1.
    Bildtgard, Torbjörn
    et al.
    Stockholms universitet.
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Changing sexual pracitices in intimate relationships in later life - a life course perspective2014In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 54, no Suppl. 2, p. 76-76Article in journal (Other academic)
    Abstract [en]

    In late modernity sex has escaped its reproductive cage and people form pure relationships, based on mutual satisfaction (Giddens). Ironically, although older people are per definition non-reproductive, they have been neglected in studies on sexuality. The aim is to study sexual attitudes and practices among older people in life-course perspective. We present results from 1) a qualitative interview study with 28 63–91 year old Swedes currently dating or in a relationship (married, cohabiting, LAT) initiated 60+ and 2) a quantitative survey including 1225 60–90 year old Swedes (response rate 42%). The interviews revealed a normative change, from condemnation of extra-marital sex in young adulthood to encouragement of sexual relationships but not marriage in later life. Despite restrictive norms, the survey showed a majority (93%) had had their sexual debut before marriage. All informants had experienced the 1960’s sexual liberation and today liberal attitudes seem to encompass later life. Most had had rather active sexual lives. Half or the survey respondents had had ≥4 more sexual partners, and one in five ≥10. Today, an active sex-life was regarded as important for a good relationship. Many informants had interpreted sexual decline as “natural” and age-related, but re-discovered sexuality with their new partner. The survey confirmed relationship length as a better predictor of sexual activity than age. Cohort and period effects will be discussed. It has been argued that sexual practices will become more liberal in the future by cohort replacement. Our data indicates that “the future might already be here”.

  • 2.
    Bildtgård, Torbjörn
    et al.
    Stockholms Universitet.
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Changing Sexual Practices in New Intimate Relationships in Later Life – A Life Course Perspective2014In: 8th International Conference on Cultural Gerontology: Programme and Abstracts, 2014, p. 138-138Conference paper (Other academic)
    Abstract [en]

    It has been argued that in late modernity sex has escaped its reproductive cage and people form pure relationships, based on mutual satisfaction. Ironically, although older people are per definition non-­‐reproductive, they have often been neglected in studies on sexuality. In this paper we present results from 1) a qualitative interview study with a strategic sample of 28 63–91 year old Swedes currently dating or in a heterosexual relationship (married, cohabiting, LAT) initiated 60+ and 2) a quantitative survey including answers from 1225 60–90 year old Swedes. The interviews revealed a clear normative  change,  from  a  cultural  context  that  condemned  extra-­‐marital  sex  in young adulthood  to  a context  encouraging  sexual  relationships  but  not  marriage in later  life.  All  had experienced  the  sexual  liberation  of  the  1960s,  and today, these liberal  attitudes  seem  to encompass later life. Today, an active sex-­‐life is regarded as important for a good relationship and sexual attraction was seen as a precondition for newrelationships. Many informants had interpreted sexual decline in former relationships as “natural ageing”, but re-­‐discovered sexuality with their new partner. In the survey, a majority (93 %) had had their sexual debut before marriage (despite the restrictive norms). Half or the respondents have had ≥ 4 sexual partners, and one in five ≥ 10. Sexual activity correlated negatively with relationship length. It has often been argued that sexual values and practices will become more liberal in the future by cohort replacement. Our data indicates that “the future might already be here”.

  • 3.
    Bildtgård, Torbjörn
    et al.
    Stockholms universitet.
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    New intimate relationships as a resource for independent living in later life2014In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 54, no Suppl. 2, p. 11-11Article in journal (Other academic)
    Abstract [en]

    Despite increased research interest in transitions into new intimate relationships in later life, little focus has been on how transitions affect older people’s social networks. We investigate the impact of entering into new intimate relationships in later life on interdependent lives. Results are based on both qualitative interviews with 28 Swedes (63–91 years) either dating or living in new relationships initiated 60+ (marriage, cohabitation, LAT), and a quantitative survey to 60–90 year old Swedes (n=1225; response rate 42%). A central theoretical frame is Elder’s (1994) principle of interdependent lives. A new relationship usually meant integration into the new partner’s social and filial networks (some problems will be discussed) and a restructuring of the relationship chain so that time and energy is redirected to the new partner. A new partner was described as a resource for living independent lives by the older informants, and as a way of “unburdening” the children. Finally, the qualitative interviews hinted at a hierarchy of dependencies. This was confirmed by the survey. A majority of respondents would primarily turn to their partners for social, emotional and practical support, with children as a distant second and “others” third. An exception was personal hygiene, where partners remained the first choice, but where the social services were preferred to children. This hierarchy was the same in new relationships. The results, partly contradicting previous research findings, are discussed in light of Western individualism generally and Swedish welfare-state and state supported individualism in particular.

  • 4.
    Bildtgård, Torbjörn
    et al.
    Stockholms universitet.
    Öberg, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    The Impact of New Intimate Relationships in Later Life on Intergenerational Exchange2014In: 8th International Conference on Cultural Gerontology: Programme and Abstracts, 2014, p. 167-167Conference paper (Other academic)
    Abstract [en]

    Much social gerontological research has focused on partner loss in later life and how it affects social, emotional and practical exchanges between generations. In this paper we instead ask how a newintimate relationship in later life affects these inter-­‐generational exchanges. The results are based both  on  qualitative  interviews  with  28  Swedes  (63–91  years)  either  dating  or  living  in  new relationships initiated after the age of 60 (marriage, cohabitation, LAT), and a quantitative survey to 60–90 year old Swedes (n=1225). In the interviews we found that the informants described changes in what we conceptualize as the ‘relationship chain’ –a hierarchy in social and care responsibilities–where the new partner stepped in at the very front of the chain. The follow-­‐up survey confirmed a hierarchy of dependencies, where partners tend to come first, followed by children, friends and the state. The interviews further showed that the informants recurrently described their partners as a resource for their own autonomy as well as that of their children and friends. We interpret these findings in light of an individualist culture of independence that characterizes the Nordic countries, aided by a strong welfare state, involving a strong ethic of not being a burden, even to your own children.

  • 5.
    Löf, Louise
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
     Journalföring vid läkemedelsgivning: en journalstudie gällande dokumentation av given vid behovsmedicinering2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att belysa om lagstiftningen efterföljs vid behovsmedicinering på SÄBO (Särskiltboende) samt beskriva vilka likheter och skillnader som finns i dokumentationen gällande när vid behovs medicinering ges. Designen var jämförande, deskriptiv, kvantitativ, retrospektiv journalstudie. Urvalet var 100 patientjournaler från tre SÄBO i mellan Sverige. Journalerna har granskats utifrån följande variabler: demens- eller somatisk-avdelning, läkemedelsnamn, styrka, dos, orsak till att medicinen givits, effekten av medicinen, yrkestillhörighet på dokumenteraren samt jämförande med gammalt/nytt journalsystem. Resultatet visade signifikanta skillnader i dokumentationen utifrån om det var ett demensboende eller ett somatikboende. Ingen skillnad i dokumentationen fanns att finna mellan gammalt och nytt datasystem. Läkemedelsnamnet var det som förekom mest i dokumentationen vid behovsmedicinering. Minst förekommande var anteckningar angående utvärderad effekt. Dokumentationen kring given vid behovsmedicinering var bristfällig och resultatet i denna studie visade bland annat att det inte var journalföringssystemet som var orsaken.

  • 6.
    Mamhidir, Anna-Greta
    et al.
    Neurotec Department, Division of Gerontological Caring Science, Karolinska Institutet, Stockholm, Sweden.
    Karlsson, Ingvar
    Göteborg University, Institute of Neuroscienses, Section of Psychiatry, Mölndal Hospital, Mölndal, Sweden.
    Norberg, Astrid
    Department of Nursing, Umeå University, Umeå , Sweden.
    Kihlgren, Mona
    Neurotec Department, Division of Gerontological Caring Science, Karolinska Institutet, Stockholm, Sweden; Centre for Nursing Science, Örebro University Hospital, Örebro, Sweden.
    Weight increase in patients with dementia, and alteration in meal routines and meal environment after integrity promoting care2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 5, p. 987-996Article in journal (Refereed)
    Abstract [en]

    AIMS: To follow weight changes in patients with moderate and severe dementia and analyse how these changes related to biological and psychological parameters after staff education and support in integrity promoting care. A further aim was to describe meal environment and routines relative to the intervention. BACKGROUND: Weight loss in patients with dementia and in particular Alzheimer’s disease (AD) is common. The etiology appears multifactorial with the meal environment and a decreased independence while eating among the factors. METHOD: Over a three-month intervention period, an integrity-promoting care training program was conducted with the staff of a long-term ward. AD patients, 18 from an intervention ward and 15 from a control ward were included and possible effects were evaluated. Weighing was conducted at the start and after completion of the intervention. Weight changes were analyzed in relation to psychological and biochemical parameters. In addition, the staff wrote diaries about e.g. changes made in the environment and in their work.

    RESULTS: The most prominent difference observed was weight increases in 13 of 18 patients compared to two of 15 patients in the control ward. No weight changes were related to the type of dementia. The individual weight changes correlated significant to changes in the intellectual functions. Relationships between weight change, increased motor function and increased appetite were non-significant. There was no significant relationship between weight changes and changes in biochemical parameters. According to the staff, increased contact with the patients and a more pleasant atmosphere resulted when the meal environment and routines were changed. RELEVANCE TO CLINICAL PRACTICE: Weight gain in patients with moderate and severe dementia was achieved by adjusting the meal environment to the individual’s needs. Staff education was profitable, as increased competence seemed to promote individually adapted feeding situations. Ensuring good meal situations need to be given high priority.

  • 7.
    Marques, Maria J.
    et al.
    CEDOC, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Portugal.
    Woods, Bob
    Dementia Services Development Centre (DSDC) Wales, Bangor University, United Kingdom.
    Hopper, Louise
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Jelley, Hannah
    Dementia Services Development Centre (DSDC) Wales, Bangor University, United Kingdom.
    Irving, Kate
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Kerpershoek, Liselot
    Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands.
    Meyer, Gabriele
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Bieber, Anja
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Stephan, Astrid
    Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
    Sköldunger, Anders
    Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Neurobiology, Care sciences and Society, Karolinska Institutet, Stockholm.
    Selbaek, Geir
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg.; Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
    Rosvik, Janne
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg.; Faculty of Medicine, University of Oslo, Oslo.; Centre for Old Age Psychiatric Research, Ottestad, Norway.
    Zanetti, Orazio
    Alzheimer's Research Unit-Memory Clinic, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
    Portolani, Elisa
    Alzheimer's Research Unit-Memory Clinic, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
    de Vugt, Marjolein
    Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands.
    Verhey, Frans
    Department of Psychiatry and Neuropsychology and Alzheimer Centre Limburg, School for Mental Health and Neurosciences, Maastricht University, Maastricht, The Netherlands.
    Gonçalves-Pereira, Manuel
    CEDOC, Nova Medical School/Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Portugal.
    Relationship quality and sense of coherence in dementia: results of a European cohort study2019In: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 34, no 5, p. 745-755Article in journal (Refereed)
    Abstract [en]

    Objective: Quality of life of people with dementia and their family carers is strongly influenced by interpersonal issues and personal resources. In this context, relationship quality (RQ) and sense of coherence (SOC) potentially protect and promote health. We aimed to identify what influences RQ in dyads of people with dementia and their carers and to examine differences in their perspectives.

    Methods: Cross-sectional data from the Actifcare cohort study of 451 community-dwelling people with dementia and their primary carers in eight European countries. Comprehensive assessments included the Positive Affect Index (RQ) and the Orientation to Life Questionnaire (SOC).

    Results: Regression analyses revealed that RQ as perceived by people with dementia was associated with carer education, stress and spouse caregiving. RQ as perceived by carers was associated with carer stress, depression, being a spouse, social support, reported neuropsychiatric symptoms of dementia and carer SOC. Neuropsychiatric symptoms and carer stress contributed to discrepancies in RQ ratings within the dyad. The only factor associated with both individual RQ ratings and with discrepancies was carer stress (negative feelings sub-score). No significant differences in the overall perception of RQ were evident between spouses and adult children carers, but RQ determinants differed between the two.

    Conclusions: In this European sample, carer SOC was associated with carer-reported RQ. RQ determinants differed according to the perspective considered (person with dementia or carer) and carer subgroup. A deeper understanding of RQ and its determinants will help to tailor interventions that address these distinct perspectives and potentially improve dementia outcomes.

  • 8.
    Nilsson, Annika
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University.
    Andrén, Marianne
    University of Gävle, Faculty of Health and Occupational Studies.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science. Department of Public Health and Caring Sciences, Uppsala University.
    E-assessment of prior learning: a pilot study of interactive assessment of staff with no formal education who are working in Swedish elderly care2014In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 14, p. 52-Article in journal (Refereed)
    Abstract [en]

    Background: The current paper presents a pilot study of interactive assessment using information and communication technology (ICT) to evaluate the knowledge, skills and abilities of staff with no formal education who are working in Swedish elderly care.

    Methods: Theoretical and practical assessment methods were developed and used with simulated patients and computer-based tests to identify strengths and areas for personal development among staff with no formal education.

    Results: Of the 157 staff with no formal education, 87 began the practical and/or theoretical assessments, and 63 completed both assessments. Several of the staff passed the practical assessments, except the morning hygiene assessment, where several failed. Other areas for staff development, i.e. where several failed (>50%), was the theoretical assessment of the learning objectives: Health, Oral care, Ergonomics, hygiene, esthetic, environmental, Rehabilitation, Assistive technology, Basic healthcare and Laws and organization. None of the staff passed all assessments. Number of years working in elderly care and staff age were not statistically significantly related to the total score of grades on the various learning objectives.

    Conclusion: The interactive assessments were useful in assessing staff members’ practical and theoretical knowledge, skills, and abilities and in identifying areas in need of development. It is important that personnel who lack formal qualifications be clearly identified and given a chance to develop their competence through training, both theoretical and practical.

  • 9.
    Sidenvall, Birgitta
    et al.
    Department of Caring Sciences, Faculty of Health Sciences, University of Linköping; Uppsala University, College of Health and Caring Sciences, Department of Nursing, Uppsala, Sweden.
    Lennernäs, Maria A. C.
    Department of Home Economics, University of Uppsala, National Food Administration.
    Ek, Anna-Christina
    Linköping University, Campus Norrköping, Faculty of Health Sciences, Department of Caring Sciences, Faculty of Health Sciences, University of Linköping.
    Elderly patients' meal patterns: A retrospective study1996In: Journal of human nutrition and dietetics (Print), ISSN 0952-3871, E-ISSN 1365-277X, Vol. 9, no 4, p. 263-272Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to examine possible causes of malnutrition in geriatric patients on admission to hospital by evaluation and comparison of their meal pattern between periods of working, retirement and hospitalization, respectively. Forty-five consecutive patients aged 60 years or older participated. By use of modified dietary history interviews, a retrospective assessment of food intake was carried out. A qualitative system for meal classification was then applied. In the retirement period there was a strong reduction in daily eating frequency when compared to working and hospital periods. Thus, the daily intake and also distribution of energy and nutrients seem to be reduced during retirement, which might lead to nutritional deficiency.

  • 10.
    Torstensson, Emma
    University of Gävle, Department of Caring Sciences and Sociology, Ämnesavdelningen för vårdvetenskap.
    En litteraturstudie om depression hos äldre2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att beskriva vilka kunskaper sjuksköterskor har om äldre över 65 år med depression. Studiens syfte var även att beskriva vad som finns i litteraturen om depression hos äldre över 65 år. Depression hos äldre är vanligt, underdiagnostiserat och inkorrekt behandlad. Den orsakar dåligt välbefinnande och ökar vårdtyngden och dödligheten.

    Studien är en beskrivande litteraturstudie baserad på arton vetenskapliga artiklar. Litteratursökningar gjordes i databaserna CINAHL och PubMed samt manuellt i Högskolans bibliotek. De utvalda artiklarna har sammanställts, analyserats, granskats och kvalitetsbedömts. Depression ökar med åldern i allmänhet och bland sjukhemspatienter i synnerhet, vilket beror på sambandet mellan institutionaliserings- och åldrandeprocessen. Sjuksköterskor har svårt att korrekt identifiera depression hos äldre, vilket utgör ett betydande hinder för behandling. Depressionsträningsprogram kan öka kunskapen om depression hos äldre, och därmed få en mer gynnsam utgång på depression. Sjuksköterskan bör se depression som ett diagnostiskt alternativ och använda standardiserade instrument. Minimum Data Set (MDS) och Geriatric Depression Scale (GDS) visade adekvat reliabilitet som mätmetoder bland äldre. Det är vidare viktigt att prioritera tillräckligt med tid i mötet med patienten, eventuella anhöriga och behandlande läkare. Noggrann dokumentation ska utföras regelmässigt och systematiskt.

    Syftet med denna studie var att beskriva vilka kunskaper sjuksköterskor har om äldre över 65 år med depression. Studiens syfte var även att beskriva vad som finns i litteraturen om depression hos äldre över 65 år. Depression hos äldre är vanligt, underdiagnostiserat och inkorrekt behandlad. Den orsakar dåligt välbefinnande och ökar vårdtyngden och dödligheten.

    Studien är en beskrivande litteraturstudie baserad på arton vetenskapliga artiklar. Litteratursökningar gjordes i databaserna CINAHL och PubMed samt manuellt i Högskolans bibliotek. De utvalda artiklarna har sammanställts, analyserats, granskats och kvalitetsbedömts. Depression ökar med åldern i allmänhet och bland sjukhemspatienter i synnerhet, vilket beror på sambandet mellan institutionaliserings- och åldrandeprocessen. Sjuksköterskor har svårt att korrekt identifiera depression hos äldre, vilket utgör ett betydande hinder för behandling. Depressionsträningsprogram kan öka kunskapen om depression hos äldre, och därmed få en mer gynnsam utgång på depression. Sjuksköterskan bör se depression som ett diagnostiskt alternativ och använda standardiserade instrument. Minimum Data Set (MDS) och Geriatric Depression Scale (GDS) visade adekvat reliabilitet som mätmetoder bland äldre. Det är vidare viktigt att prioritera tillräckligt med tid i mötet med patienten, eventuella anhöriga och behandlande läkare. Noggrann dokumentation ska utföras regelmässigt och systematiskt.

     

  • 11.
    Voraroon, Supraon
    et al.
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Boromarajonani College of Nursing, Suphanburi, Thailand.
    Hellzén, Ove
    Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
    Meebunmak, Yaowaluck
    Boromarajonani College of Nursing, Suphanburi, Thailand.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden; Centre of Care Research, Department of Health Sciences, Nord University, Steinkjer, Norway.
    Older People’s Lived Experiences with Participation in Shareholding Networks for the Care of Older People in Rural Areas of Thailand: A Phenomenological Hermeneutic Study2017In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 7, no 7, p. 875-892Article in journal (Refereed)
    Abstract [en]

    Background: Older people participating in shareholding networks are exposed to diverse situations, which may be associated with dignity. Aims: This study aimed to illuminate the meaning of lived experiences when participating in shareholding networks for the care of older people in rural areas. Methods: This qualitative study is based on individual interviews. Ten older Thai persons with at least 12 months of lived experiences participating in shareholding networks for older people in rural areas were interviewed. A phenomenological-hermeneutic approach, inspired by Ricoeur, was used to understand the meaning of the narrated text. Findings: The structural analysis resulted in four themes: 1) being satisfied with activities, 2) being valued as important, 3) being frustrated and feeling sad, and 4) being bored and feeling disinterest. The meaning of participation in a shareholding network for the elderly can be understood as a pathway to feelings of confidence and presence of others. Confidence and allowing the presence of others mean facing humanity and sensing vulnerability, because in a trusting relationship the person who gives confidence is susceptible to the other’s betrayal. Conclusion: An individual’s dignity should be a high priority in health and social care strategies. Therefore, it is important for healthcare professionals to initiate a dialogue with the shareholding participants for support and information. The narrations in this study can be used as a basis for developing cooperating care with older people in shareholding network focusing on their needs and dignity.

  • 12.
    Wimo, Anders
    et al.
    Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden; Center for Alzheimer Research at Karolinska Institutet, Stockholm, Sweden; Centre for Research & Development, Uppsala University/County Council of Gävleborg, Sjukhuset i Gävle, Sweden.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
    Sköldunger, Anders
    Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
    Qui, Chengxuan
    Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
    Klarin, Inga
    Department of Geriatrics, Karolinska University Hospital, Stockholm, Sweden; Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm Sweden.
    Nordberg, Gunilla
    The Swedish Dementia Centre, Stockholm, Sweden.
    von Strauss, Eva
    Aging Research Center (ARC), Karolinska Institutet and Stockholm University, Stockholm, Sweden; The Swedish Red Cross University College, Stockholm, Sweden.
    Cohort Effects in the Prevalence and Survival of People with Dementia in a Rural Area in Northern Sweden2016In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 50, no 2, p. 387-396Article in journal (Refereed)
    Abstract [en]

    Background: Recent studies suggest that trends in cardiovascular risk may result in a decrease in age-specific prevalence of dementia. Studies in rural areas are rare.

    Objectives: To study cohort effects in dementia prevalence and survival of people with dementia in a Swedish rural area.

    Methods: Participants were from the 1995-1998 Nordanstig Project (NP) (n = 303) and the 2001-2003 Swedish National study on Aging and Care in Nordanstig (SNAC-N) (n = 384). Overall 6-year dementia prevalence and mortality in NP and SNAC-N were compared for people 78 years and older. Logistic regression analyses were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for dementia occurrence using the NP study population as the reference group. Cox regression models were used to analyze time to death.

    Results: The crude prevalence of dementia was 21.8% in NP and 17.4% in SNAC-N. When the NP cohort was used as the reference group, the age- and gender-adjusted OR of dementia was 0.71 (95% CI 0.48-1.04) in SNAC-N; the OR was 0.47 (0.24-0.90) for men and 0.88 (0.54-1.44) for women. In the extended model, the OR of dementia was significantly lower in SNAC-N than in the NP cohort as a whole (0.63; 0.39-0.99) and in men (0.34; 0.15-0.79), but not in women (0.81; 0.46-1.44). The Cox regression models indicated that the hazard ratio of dying was lower in the SNAC-N than NP population.

    Conclusions: Trends toward a lower prevalence of dementia in high-income countries seem to be evident in this Swedish rural area, at least in men.

  • 13.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgard, Torbjörn
    Stockholms universitet.
    Diversity of intimacy forms and their importance for well-being in later life2014In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 54, no Suppl. 2, p. 195-195Article in journal (Other academic)
    Abstract [en]

    This paper focuses on different forms of intimacy in later life in late modern Sweden and their consequences for well-being. The results are based both on qualitative interviews with 28 Swedes (63–91 years), living in new relationships initiated after the age of 60 (marriage, cohabitation, LAT) or currently dating; and on a quantitative survey to 60–90 year old Swedes (n=1225; response rate 42%). The results show: A great diversity in relationship careers over the life course; a preference for LAT (70%) and cohabitation (26%) in new unions established 60+; strong support from adult children for parents’ new LAT (86%) and cohabitation (76%) relationships, but less support for marriage (50%); that new relationships are as important for life-satisfaction as long-lasting ones; after subjective health, a partner is the second most important explanation for life-satisfaction, more important than having children; LAT was the union form that added most to life-satisfaction for men while marriage was the only form that significantly added to the life-satisfaction of women. Results were the same for newly established relationships and older relationships. Results will be discussed in relation to the shift from marriage to divorce culture (Hackstaff), the transformation of intimacy (Giddens), potentials of the third age (Laslett), and gender socialization, but also in terms of how the results can be interpreted in a context of Swedish welfare-state supported individualism where a partner provides both autonomy in relation to adult children and social integration.

  • 14.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholms universitet.
    Initiation and development of new intimate relationships in later life2016In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 56, no Suppl. 3, p. 17-18, article id Suppl. 3Article in journal (Refereed)
    Abstract [en]

    According to contemporary family theory late modern relationships are guided less be external norms and more by internal negotiation between relatively equal partners. The purpose of this paper is to study initiation and development of new intimate relationships in later life, with a focus on negotiation and change, based on relationship histories with older Swedes (n=28), who are currently in new late in life cross-gender relationships initiated 60+, or currently dating singles. The results show a paradox: relationship ideals often seem unchangeable in prospect, but actual relationship arrangements appear open and changeable, when described in retrospect. LATs recall having been determined not to initiate any new relationships, cohabitants to retain their own home, remarried informants never to marry again. The analysis focuses the negotiations leading to relationship change. We discuss and question prevailing implicit assumptions about older people’s relationships as non-negotiated and unchangeable.

  • 15.
    Öberg, Peter
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Psychology, Social work.
    Bildtgård, Torbjörn
    Stockholms universitet.
    New Forms of Intimacy in Later Life in a Culture of Divorce2014In: 8th International Conference on Cultural Gerontology: Programme and Abstracts, 2014, p. 92-92Conference paper (Other academic)
    Abstract [en]

    Studies on intimacy in later life have mostly focused on institutionalized life-­‐long marriages, and the transition out of such marriages into widowhood. Based on theories about the shift from marriage to divorce culture (Hackstaff), the transformation of intimacy (Giddens) and potentials of the third age (Laslett), this paper focuses on forms of intimacy in later life in late modern Sweden. The results arebased partly on qualitative interviews, including relationship biographies, with 28 Swedes (63–91 years) living in new heterosexual relationships initiated after the age of 60 (marriage, cohabitation, LAT) and dating singles. And partly on a quantitative survey to 60–90 year old Swedes (n=1225). The results show: A great diversity in relationship careers; a preference of LAT and cohabitation (non-­‐visible in official statistics); the importance of intimate relationships for well-­‐being and that new relationships are as important for life-­‐satisfaction as long-­‐lasting ones; that intimate relationships are more important than children for well-­‐being. A central analytical finding was the importance of time as an organizing frame for new intimate relationships in later life: the paradox of having a lot of free time in the third age, but a restricted life time left. Results will be discussed in relation to the theorizing frames mentioned above, especially new practices for intimacy in a culture of divorce. Cohort replacement is only one explanation for changing practices and the period effect seems to be as important.

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