Publications by authors named "Allebeck P"

Article Synopsis
  • The study analyzed the impact of alcohol control policies on health outcomes related to alcohol in Nordic countries from 1990 to 2019.
  • More restrictive alcohol policies were generally linked to lower levels of alcohol-attributed harm, especially in Sweden and Norway, while Denmark, with the least restrictive policies, had higher harm levels.
  • Findings suggest that while stricter policies can reduce alcohol-related disease burdens, other factors like sex and specific locations also play crucial roles, indicating that policy effectiveness is context-dependent.
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Background: Clinical characteristics of psychosis in HIV infection have been described, but there have been limited comparative studies in HIV-endemic low-resource regions.

Aim: To compare clinical characteristics of psychosis in HIV-positive and HIV-negative patients at the main psychiatric referral units in Uganda.

Method: Patients with psychosis were consecutively recruited and completed a standardised demographic questionnaire and psychiatric and laboratory assessments including an HIV test.

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Introduction: Alcohol remains a significant contributor to mortality and morbidity in Finland and the Baltic countries, particularly among men. This study aimed to assess alcohol policy restrictiveness in this region from 1995 to 2019 using a modified version of the Bridging the Gap (BtG-M) policy scale and examine its association with alcohol-related disease burden.

Methods: The study utilised national laws to score policy restrictiveness (higher BtG-M scores mean stricter policies) and age-standardised rates of disability-adjusted life years (DALY), years of life lost, years lived with disability and deaths per 100,000 from the 2019 Global Burden of Disease Study (GBD).

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•Studies on how increased formal educational level in mid-life affects mortality is lacking.•We found that women who increased their educational level in mid-life had a reduced risk of mortality.•In men, mortality was reduced only for those who increased their education from a low level.

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Background: Despite universal healthcare, socioeconomic differences in healthcare utilization (HCU) persist in modern welfare states. However, little is known of how HCU inequalities has developed over time. The aim of this study is to assess time trends of differences in utilization of primary and specialized care for the lowest (Q1) and highest (Q5) income quantiles and compare these to mortality.

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Article Synopsis
  • Some research shows that using cannabis can lead to mental health issues like psychosis, but it's not clear if it changes how schizophrenia affects people.
  • The study looked at medical records of young men in Sweden to see how cannabis use in their teens affected their risk of getting schizophrenia later.
  • They found that those who used cannabis had their first symptoms of schizophrenia earlier and needed more hospital visits, but the type of symptoms was similar between those who used cannabis and those who didn't.
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Objective: To investigate the associations between low education and risk of mental disorders, substance use disorders and self-harm in different age-groups.

Methods: All subjects in Stockholm born between 1931 and 1990 were linked to their own or their parent's highest education in 2000 and followed-up for these disorders in health care registers 2001-2016. Subjects were stratified into four age-groups: 10-18, 19-27, 28-50, and 51-70 years.

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Background: It is important to understand the effects of population ageing on disease burden and explore conditions that drive poor health in later life to prevent or manage these. We examined the development of disease burden and its components for major disease groups among older adults in Europe over the last 30 years.

Methods: Using data from the Global Burden of Disease 2019 Study, we analyzed burden of disease trends between 1990 and 2019 measured by years of life lost (YLL), years lived with disability (YLD) and disability-adjusted life years (DALYs) among older adults (65+ years) in Western, Central and Eastern Europe using cause groups for diseases and injuries.

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Article Synopsis
  • Cannabis use disorder (CUD) is when people have problems because of using cannabis, and it's a major reason people seek help.
  • A study in Sweden looked at over 3 million people from 1970 to 2000 to understand more about CUD and its connection to other issues.
  • They found that more people are getting CUD diagnoses over time, especially younger ones, and many of them also have other mental health issues.
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We revied articles published in the Scandinavian Journal of Public Health in a 50 years perspective. Papers reflect development of public health research, policy and debate over the years. Several papers describe early phases of Nordic population based studies that came to have major importance.

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Article Synopsis
  • - The study highlights that mental health issues are a significant public health concern for young people in Europe, with varying levels of resources allocated to tackle these problems across different countries.
  • - Data from 31 European countries reveals alarming statistics for mental disorders, substance use disorders, and self-harm, showing trends in disability and premature death over a 30-year period.
  • - The findings suggest that improving national policies on mental health is crucial, particularly for younger populations, to address the increasing burden of these conditions highlighted in the research.
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Objectives: To examine (1) how a rapid data collection using a convenience sample fares in estimating change in alcohol consumption when compared to more conventional data sources, and (2) how alcohol consumption changed in Finland and Norway during the first months of the COVID-19 pandemic.

Methods: Three different types of data sources were used for the 2nd quarter of 2020 and 2019: sales statistics combined with data on unrecorded consumption; the rapid European Alcohol Use and COVID-19 (ESAC) survey (Finland: n = 3800, Norway: n = 17,092); and conventional population surveys (Finland: n = 2345, Norway: n1 = 1328, n2 = 2189, n3 = 25,708). Survey measures of change were retrospective self-reports.

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Aims: To investigate changes in alcohol consumption during the first months of the COVID-19 pandemic in Europe as well as its associations with income and experiences of distress related to the pandemic.

Design: Cross-sectional on-line survey conducted between 24 April and 22 July 2020.

Setting: Twenty-one European countries.

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Article Synopsis
  • The study presents a pan-European online survey conducted during the COVID-19 pandemic, focusing on alcohol use and its effects.
  • It evaluates different data collection strategies across five countries (Czechia, Germany, Lithuania, Norway, Spain) and discusses how to effectively weigh sample data to match actual population demographics.
  • Results indicate that using national newspapers, paid social media ads, and support from health ministries were the best methods for reaching a diverse sample, emphasizing the importance of monitoring responses to enhance representation.
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Background: The developmental origins of ischemic heart disease (IHD) have been widely documented but little is known about their persistence across more than one generation. This study aimed to investigate whether the effects of early life disadvantages on adult IHD have changed between generations and are mediated by adult socioeconomic circumstances, and further explore the transgenerational effects of grandparental and parental exposures to disadvantaged circumstances on adult offspring's IHD.

Methods: We used register-based data from the Uppsala Multigenerational Study, Sweden.

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Introduction And Aims: The gender difference in alcohol use seems to have narrowed in the Nordic countries, but it is not clear to what extent this may have affected differences in levels of harm. We compared gender differences in all-cause and cause-specific alcohol-attributed disease burden, as measured by disability-adjusted life-years (DALY), in four Nordic countries in 2000-2017, to find out if gender gaps in DALYs had narrowed.

Design And Methods: Alcohol-attributed disease burden by DALYs per 100 000 population with 95% uncertainty intervals were extracted from the Global Burden of Disease database.

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Background: The associations between cannabis use and anxiety or depression remain unclear. If cannabis affects these conditions, it is of interest to examine possible changes in cannabis use over time, in relation to anxiety and depression, as cannabis potency has increased in recent decades.

Methods: Cohorts from the Women and Alcohol in Gothenburg study (n = 1 100), from three time periods were used to examine associations over time between cannabis use and anxiety and depression.

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Aims: To examine the association between cannabis use and subsequent other illicit drug use and drug use disorders (harmful use and dependence).

Design, Setting, Participants: We used survey data from a population-based cohort in Stockholm County (collected 1998-2000), with linkage to the National Patient Register. The study base comprised participants aged 20-64 years (N = 10 345), followed-up until 2014.

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Several components of the Swedish alcohol policy, e.g., pricing and availability, weakened when Sweden joined the EU in 1995.

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