Health and living conditions of Samis compared with other citizens based on representative surveys in three Swedish regions

This is the first general health survey of Samis compared with other Swedes to be based on randomised samples. In three regions, Samis were compared with respondents to the Public Health Investigation (n = 613 Samis and 6,309 respondents). Samis were also compared as to gender and membership in reindeer‐herding Sami villages (SVs). The survey shows that Samis of today have better education, work situation and health, and a healthier lifestyle than other Swedish citizens living in the same regions. There are, however, great differences among the Samis themselves. Members of SVs have weaker finances, and they report having less societal trust and worse health than non‐members do. Male members have lower education, are less involved in social activities and report worse overall health, but do not have a higher incidence of psychiatric problems, than other Samis. Samis, in general, have similar or better health and social situation than non‐Samis, but male SV‐members face greater problems and higher risks than other Samis. Key Practitioner Message: ? Health and welfare authorities in cooperation with the Sami parliament and the Sami villages should develop special strategies to assist the herding communities in culturally sensitive ways.     

Inference for outcome probabilities in multi-state models

In bone marrow transplantation studies, patients are followed over time and a number of events may be observed. These include both ultimate events like death and relapse and transient events like graft versus host disease and graft recovery. Such studies, therefore, lend themselves for using an analytic approach based on multi-state models. We will give a review of such methods with emphasis on regression models for both transition intensities and transition- and state occupation probabilities. Both semi-parametric models, like the Cox regression model, and parametric models based on piecewise constant intensities will be discussed.     

Ergonomics and sustainability--challenges from global supply chains

The development of globalised supply chains is a major challenge for sustainability. For several years, there has been discussion within the profession whether and how ergonomics and human factors can play a role. Based on our research, we have identified five major challenges from global supply chains especially related to the social aspects of sustainability: (1) criteria for social sustainability, (2) the role of key performance indicators in the management of supply chains, (3) the constant changes in supply chains, (4) the challenge in establishing participation, and (5) the development of agency and regulatory mechanisms. There are obviously no clear and simple solutions to these challenges. One possible avenue for progress might lie in acquiring a greater understanding of the challenges from global supply chains and developing a strategy which combines social and long-term business sustainability. Starting from such a basis, the next step would be to find ways for the ergonomics and human factors community to create international collaboration which can impact specific global supply chains.     

Inference Methods for Correlated Left Truncated Lifetimes: Parent and Offspring Relations in an Adoption Study

The associations in mortality of adult adoptees and their biological or adoptive parents have been studied in order to separate genetic and environmental influences. The 1003 Danish adoptees born 1924–26 have previously been analysed in a Cox regression model, using dichotomised versions of the parents’ lifetimes as covariates. This model will be referred to as the conditional Cox model, as it analyses lifetimes of adoptees conditional on parental lifetimes. Shared frailty models may be more satisfactory by using the entire observed lifetime of the parents. In a simulation study, sample size, distribution of lifetimes, truncation- and censoring patterns were chosen to illustrate aspects of the adoption dataset, and were generated from the conditional Cox model or a shared frailty model with gamma distributed frailties. First, efficiency was compared in the conditional Cox model and a shared frailty model, based on the conditional approach. For data with type 1 censoring the models showed no differences, whereas in data with random or no censoring, the models had different power in favour of the one from which data were generated. Secondly, estimation in the shared frailty model by a conditional approach or a two-stage copula approach was compared. Both approaches worked well, with no sign of dependence upon the truncation pattern, but some sign of bias depending on the censoring. For frailty parameters close to zero, we found bias when the estimation procedure used did not allow negative estimates. Based on this evaluation, we prefer to use frailty models allowing for negative frailty parameter estimates. The conclusions from earlier analyses of the adoption study were confirmed, though without greater precision than using the conditional Cox model. Analyses of associations between parental lifetimes are also presented.     

Gambling-related embezzlement in the workplace: a qualitative study

People with severe gambling problems typically first spend all their available money on gambling and then resort to borrowing, selling personal property and other ways of procuring more money for gambling. Some problem gamblers commit economic crimes. This investigation examined gambling-related embezzlement in the workplace, an aspect of problem gambling that may severely harm the gambler, significant others and the employer. The methods used are the study of newspaper articles and qualitative interviews with 18 informants, including professionals in workplace security and drug-use prevention, therapists specializing in problem gambling treatment, counsellors from mutual support societies, and recovered problem gamblers who had embezzled. Gambling-related embezzlement often progresses in a characteristic sequence shaped by specific processes in which the gambler’s thoughts and emotions interact systemically with the monetary losses caused by participating in commercial gambling and the opportunity to embezzle money in the workplace. In this study, criminological theory of white collar crime usefully complemented psychological theories of problem gambling. It is concluded that a processual perspective, in addition to consideration of psychological and environmental factors, is valuable for understanding the progression to severe problem gambling.     

Having a soul or choosing a face? Nation branding,identity and cosmopolitan imagination

If nation branding is about constructing and promoting national identity, what kind of ‘identity’ could it possibly be? This article analyses how the branded nation qualitatively differs from earlier forms of imagined communities by focusing on the tension between inward- and outward-directed dimensions of nation branding. A particular focus is placed on the concept of ‘identity’, which, it is argued, is insufficiently problematized in previous research. The discussion takes its departure in a case study of Ukraine, where all nation branding attempts came to an abrupt halt when political unrest broke out in late 2013. The political unrest led to a rapid shift in forms of concern over Ukraine, since nation branding can only be conducted in times of relative social harmony. The case further illustrates the argument that collective identity is not a main issue when branding a nation, and it is argued that a perspective of cosmopolitanism can bring new insights to the phenomenon.     

Goodness of fit tests for estimating equations based on pseudo-observations

Lifetime Data Analysis - We study regression models for mean value parameters in survival analysis based on pseudo-observations. Such parameters include the survival probability and the cumulative...