Scandinavian Journal of Public Health (SCAND J PUBLIC HEALT)

Publisher: Scandinavian Association for Social Medicine, SAGE Publications

Journal description

Public Health as we enter the third millennium, is facing challenges of new and re-emerging diseases. This health transition includes both changes in demographic patterns and the responses of health services to changing patterns of disease. However, while the ongoing transition allows for the chronic diseases of "welfare" and ageing it certainly also results from the "export" of well-known risk factors. Prevention often lies in the hands of public health policy and evidence-based implementation rather than in the search for new risk factors. Equity in health is on the public health agenda of most countries and agencies today. Inequity means unfairness - but nothing is as unfair as poverty, nor any epidemiological risk factor as strong. In bringing the chronic and pandemic nature of poverty and health needs to the attention of the world's conscience, a public health journal may be one lever. We will not avoid disclosing these value premises. They create a future challenge for public health researchers. Our ambition is to make this journal a forum for local, national as well as global health issues and we would like to recognise the challenge in bringing theory and methods nearer to public health efforts. We will certainly try to reflect the healthy multidisciplinarity that has become characteristic of public health globally in recent years. Epidemiologists, health economists and sociologists may thus contribute to conceptual and methodological development of the changing public health in terms of its efficacy, cost-effectiveness and social and ethical implications. Since January 2000 SJPH is under a new editorial management. We welcome contributions from North to South, on Nordic as well as International Public Health Developments, desk or field based studies, quantitative as well as qualitative. Our ambition is unequivocal - to foster and disseminate valid results from public health endeavours and, to the best of our ability, influence the current health research disequilibrium - that too little research effort is addressed to the bulk of health problems.

Current impact factor: 3.13

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 Impact Factor 3.125
2012 Impact Factor 1.966
2011 Impact Factor 1.388
2010 Impact Factor 1.487
2009 Impact Factor 1.435
2008 Impact Factor 1.537
2007 Impact Factor 1.222
2006 Impact Factor 1.021
2005 Impact Factor 0.727
2004 Impact Factor 0.881
2003 Impact Factor 1.018
2002 Impact Factor 0.769
2001 Impact Factor 0.728
2000 Impact Factor 0.34

Impact factor over time

Impact factor

Additional details

5-year impact 2.13
Cited half-life 5.50
Immediacy index 0.15
Eigenfactor 0.01
Article influence 0.75
Website Scandinavian Journal of Public Health website
Other titles Scandinavian journal of social medicine (Online), Social medicine
ISSN 1651-1905
OCLC 39636482
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

SAGE Publications

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Authors retain copyright
    • Pre-print on any website
    • Author's post-print on author's personal website, departmental website, institutional website or institutional repository
    • On other repositories including PubMed Central after 12 months embargo
    • Publisher copyright and source must be acknowledged
    • Publisher's version/PDF cannot be used
    • Post-print version with changes from referees comments can be used
    • "as published" final version with layout and copy-editing changes cannot be archived but can be used on secure institutional intranet
  • Classification
    ​ green

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: We examined the impact of different behavioral factors of health on the variations in the levels and rate of increase in life expectancy in Organization for Economic Co-operation and Development countries between 1985 and 2010. Using the World Health Organization's conceptual framework of socio-economic determinants of health, we incorporated Organization for Economic Co-operation and Development, World Bank and United Nations data to estimate the impact of these variables on life expectancy for 30 Organization for Economic Co-operation and Development countries. We used a random effect model to control the fixed effect of year and each country. Results show that the level of health care spending is the most important factor predicting life expectancy. Other important factors are gross domestic product per capita, labor productivity, years of schooling and percentage of gross domestic product spending allocated for public services. Life expectancy was reduced by smoking and higher daily calorie consumption. Countries that were previously part of the Soviet Union had lower life expectancies. Political factors had only a minor impact on life expectancy. Life expectancy increased an average of 5.1 years in Organization for Economic Co-operation and Development countries between 1985 and 2010, but there was wide variation. Health spending per capita, economic factors and two behavioral factors - smoking and caloric intake - explained most of the variation and suggest where increased policy attention could have the greatest impact on life expectancy. Policymakers who consider our estimates recognize that they may see greater or less impact depending on the characteristics of their nation. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 08/2015; DOI:10.1177/1403494815597357
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    ABSTRACT: To estimate trends in anthropometric indexes from 1992 to 2008 and to evaluate the risk of cardiovascular disease mortality in relation to anthropometric indexes (body mass index, waist circumference, waist:hip ratio, waist:height ratio). Data from the three surveys (1992-2008) are presented. A random sample of 5147 subjects aged 45-64 years was selected for statistical analysis. During follow-up there were 141 deaths from cardiovascular disease (excluding those with cardiovascular disease at entry). Cox's regression was used to estimate the associations between anthropometric indexes and cardiovascular disease mortality. During a 17-year period among men, the prevalence of obesity (body mass index ⩾30 kg/m(2)) increased from 18.4% to 32.1% (p<0.001) and a high level of waist:hip ratio (>0.9) from 59.3% to 72.9% (p<0.001). The risk profile of obesity did not change in women, but prevalence of a high level of waist:hip ratio (>0.85) increased from 25.9% to 41.5% (p<0.001). Multivariable-adjusted Cox's regression models showed that body mass index, waist circumference, waist:hip ratio, waist:height ratio were associated with cardiovascular disease mortality risk only in men (hazard ratios 1.40, 1.45, 1.49, 1.46 respectively (p<0.01)). Our data indicate that anthropometric measures such as body mass index, waist circumference, waist:hip ratio and waist:height ratio are good indicators of cardiovascular disease mortality risk only in men aged 45-64 years. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 08/2015; DOI:10.1177/1403494815597582
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    ABSTRACT: The aim was to analyse the association between economic stress during youth and adulthood, and poor mental health through life course models of (1) accumulation of risk and (2) sensitive period. The study was based on the Northern Sweden Cohort, a 26-year prospective cohort (N = 1010 in 2007; 94% of those participating in 1981 still alive) ranging from adolescence to middle age. Economic stress was measured at age 16, 21, 30 and 42 years. Two life course models of accumulation of risk and sensitive period were analysed using ordinal regression with internalized symptoms of mental health as outcome. Exposure of economic stress at several life course periods was associated with higher odds of internalized mental health symptoms for both women and men, which supports the accumulated risk model. No support for a sensitive period was found for the whole sample. For men, however, adolescence appears to be a sensitive period during which the exposure to economic stress has negative mental health consequences later in life independently of economic stress at other ages. This study confirms that the duration of economic stress between adolescence and middle age is important for mental health. In addition, the results give some indication of a sensitive period of exposure to economic stress during adolescence for men, although more research is needed to confirm possible gender differences. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 07/2015; DOI:10.1177/1403494815583420
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    ABSTRACT: In Sweden, the information in the sickness certificate is crucially important for the sick-listed person as well as for the Swedish Social Insurance Agency and the sick-listed person's employer. The certificate is used as the basis for deciding whether a person is entitled to sickness benefits. Further, it communicates information significant for the return-to-work process. The aim of the study was to evaluate the quality of sickness certificates issued in primary health care and examine if the patients' or physicians' gender influences the information in the sickness certificate. An insurance specialist at the Swedish Social Insurance Agency assessed the quality of the stated information in a sample of 323 certificates issued by 146 different general practitioners at 29 different primary health care centres in northern Sweden. Thirty-four percent of the certificates did not contain sufficient information requested. The areas of the certificates in need of supplementary information were mainly the descriptions of impairment of body function and activity limitation. More certificates issued for women than certificates issued for men lacked the required information. Full-time sick leave was more often prescribed for male patients than for female. Significant differences between certificates issued for women and certificates issued for men appeared in the group of musculoskeletal diseases. No differences in quality aspects connected to physicians' gender were found. Our study indicates a need for increased knowledge about the descriptions of functioning for sick-listed persons; more cooperation between health professionals in primary health care and a better gender awareness in health care encounters. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 07/2015; DOI:10.1177/1403494815597163
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    ABSTRACT: The aim of the study is to investigate the influence of maternal education on the utilization of maternal health care services in selected areas of the Eastern Cape. Moreover, the study's aim also is to examine the reasons for non-use as well as determinants and levels of maternal health care utilization. From the 422 participants sampled, 345 fully completed questionnaires were returned and included in the analysis. The study used multilevel analyses. The dependent variables included antenatal care, delivery care, and postnatal care within 2 months after birth. The independent variables were socioeconomic and demographic factors selected based on literature on the subject. Use of antenatal and delivery care services was high in the study areas, but postnatal check-ups were reported below 50%. The majority of the women (50%) reported that the ambulance arrived too late, and, as such, they did not use health facilities when giving birth. Women with four or more children use antenatal and delivery care less than women with one child, while women with four or more children use postnatal care more than women with just one child. This study will be immense useful for the policy-makers, public health research managers and concerned health care decision-makers. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 07/2015; DOI:10.1177/1403494815596501
  • [Show abstract] [Hide abstract]
    ABSTRACT: The content of public health research is often statistically complex. This review seeks to assess the breadth of statistical literacy required to understand this material, with a view to informing practitioners' statistical training. We review the statistical content of original research articles published in 2011 in four major public health journals. Categories of statistical methodologies are identified and their frequency of use recorded. Methods' "usefulness" in terms of the extent to which their understanding increases accessibility to the literature is assessed. A total of 482 articles were reviewed and 30 categories of methods identified. Along with descriptive statistics (467 articles), regression analyses were also common, with logistic regression (206 articles) more than twice as prevalent as linear regression (95 articles). More complex regression models for use with clustered data were also commonly encountered, appearing in 96 articles. The public health literature features a wide variety of statistical methods, some of which are advanced. To ensure the literature remains accessible, training for public health practitioners should include statistical training that maximizes breadth as well as depth of understanding. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 07/2015; DOI:10.1177/1403494815592735
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    ABSTRACT: The aim of this study was to compare the prevalence of smoking, smoking experimentation and future intention to smoke in the Pitkäranta district, the Republic of Karelia, Russia and Eastern Finland in the years 1995 and 2013. Cross-sectional studies were carried out among 15-year-old ninth grade adolescents in all schools in the Pitkäranta region (1995: n=385, response rate 95%; 2013: 182, response rate 98%) and a sample of schools in Eastern Finland (1995: n=2098, response rate 91%; 2013: 635 response rate 95%). The daily smoking prevalence among adolescents did not change either in Eastern Finland or in the Pitkäranta district from 1995 to 2013. However, smoking among Finnish adolescents was more common than among Russians (p<0.001) and boys, in general, smoke more commonly than girls (p<0.001). In Finland, early smoking experimentations declined by half among both genders but in Pitkäranta the girls' smoking experimentations tripled (relative risk 3.03, 95% confidence interval 1.76-5.20) from 1995 to 2013. The combined effect of country and gender was significant (p<0.001) for future intention to smoke. In Finland future intentions to smoke were very similar in boys and girls compared with obvious gender differences in Russia. These results suggest that more attention should be paid for programmes that consider better gender and culture-specific issues in preventing initiation of smoking and promoting an anti-smoking climate in societies. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 07/2015; DOI:10.1177/1403494815587437
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    ABSTRACT: High physical exertion during work is a risk factor for musculoskeletal pain and long-term sickness absence. Physical exertion (RPE) reflects the balance between physical work demands and physical capacity of the individual. Thus, increasing the physical capacity through physical exercise may decrease physical exertion during work. This study investigates the effect of workplace-based versus home-based physical exercise on physical exertion during work (WRPE) among healthcare workers. 200 female healthcare workers (age: 42.0, body mass index: 24.1, average pain intensity: 3.1 on a scale of 0 to 10, average WRPE: 3.6 on a scale of 0 to 10) from 18 departments at three participating hospitals. Participants were randomly allocated at the cluster level to 10 weeks of: (1) workplace physical exercise (WORK) performed in groups during working hours for 5×10 minutes per week and up to five group-based coaching sessions on motivation for regular physical exercise, or (2) home-based physical exercise (HOME) performed during leisure time for 5×10 minutes per week. Physical exertion was assessed at baseline and at 10-week follow-up. 2.2 (SD: 1.1) and 1.0 (SD: 1.2) training sessions were performed per week in WORK and HOME, respectively. Physical exertion was reduced more in WORK than HOME (p<0.01). Between-group differences in physical exertion at follow-up (WORK vs. HOME) was -0.5 points (95% CI -0.8 to -0.2). Within-group effect size (Cohen's d) in WORK and HOME was 0.43 and 0.13, respectively. Physical exercise performed at the workplace appears more effective than home-based exercise in reducing physical exertion during daily work tasks in healthcare workers. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 07/2015; DOI:10.1177/1403494815590936
  • [Show abstract] [Hide abstract]
    ABSTRACT: Educational inequalities in self-rated health (SRH) in European welfare countries are documented, but recent trends in these inequalities are less well understood. We examined educational inequalities in SRH in different age groups, and the contribution of selected material, behavioural and psychosocial determinants from 2000 to 2008. Data were derived from cross-sectional surveys conducted in 2000, 2004 and 2008 including 37,478, 34,876 and 32,982 respondents, respectively, aged 25-75 in mid-Sweden. Inequalities were analysed by age-standardized and age-stratified rate ratios of poor SRH and age-standardized prevalence of determinants, and contribution of determinants by age-adjusted logistic regression. Relative educational inequalities in SRH increased among women from 2000 (rate ratio (RR) 1.70, 95% CI 1.55-1.85) to 2008 (RR 2.07, 95% CI 1.90-2.26), but were unchanged among men (RR 1.91-2.01). The increase among women was mainly due to growing inequalities in the age group 25-34 years. In 2008, significant age differences emerged with larger inequalities in the youngest compared with the oldest age group in both genders. All determinants were more prevalent in low educational groups; the most prominent were lack of a financial buffer, smoking and low optimism. Educational differences were unchanged over the years for most determinants. In all three surveys, examined determinants together explained a substantial part of the educational inequalities in SRH. Increased relative educational health inequalities among women, and persisting inequalities among men, were paralleled by unchanged, large differences in material/structural, behavioural and psychosocial factors. Interventions to reduce these inequalities need to focus on early mid-life. © 2015 the Nordic Societies of Public Health.
    Scandinavian Journal of Public Health 07/2015; DOI:10.1177/1403494815592271
  • Scandinavian Journal of Public Health 07/2015; 43(5):445-6. DOI:10.1177/1403494815588440