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  • 1.
    Dyar, Oliver J.
    et al.
    Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Haglund, Bo J. A.
    Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Melder, Cecilia A
    University College Stockholm, Stockholm School of Theology, Department of Religious Studies and Theology. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Skillington, Tracey
    Department of Sociology and Criminology, University College Cork, Cork, Ireland.
    Kristenson, Margareta
    Medical Faculty, Linköping University, Linköping, Sweden.
    Sarkadi, Anna
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Rainbows over the world’s public health: determinants of health models in the past, present, and future2022In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 50, no 7, p. 1047-1058Article in journal (Refereed)
    Abstract [en]

    The need to visualise the complexity of the determinants of population health and their interactions inspired the development of the rainbow model. In this commentary we chronicle how variations of this model have emerged, including the initial models of Haglund and Svanström (1982), Dahlgren and Whitehead (1991), and the Östgöta model (2014), and we illustrate how these models have been influential in both public health and beyond. All these models have strong Nordic connections and are thus an important Nordic contribution to public health. Further, these models have underpinned and facilitated other examples of Nordic leadership in public health, including practical efforts to address health inequalities and design new health policy approaches. Apart from documenting the emergence of rainbow models and their wide range of contemporary uses, we examine a range of criticisms levelled at these models – including limitations in methodological development and in scope. We propose the time is ripe for an updated generic determinants of health model, one that elucidates and preserves the core value in older models, while recognising the developments that have occurred over the past decades in our understanding of the determinants of health. We conclude with an example of a generic model that fulfills the general purposes of a determinants of health model while maintaining the necessary scope for further adjustments to be made in the future, as well as adjustments to location or context-specific purposes, in education, research, health promotion and beyond.

  • 2.
    Melder, Cecilia A
    University College Stockholm, Stockholm School of Theology, Department of Religious Studies and Theology.
    Aktiv livshjälp: PASTORNS UPPDRAG I ANDLIG VÅRD2019In: Uppdrag pastor: teologi och praktik / [ed] Fahlgren, Sune, Karlstad: Votum Förlag , 2019, 1, p. 146-164Chapter in book (Refereed)
    Download full text (pdf)
    Melder, C. (2019). Aktiv livshjälp. I S. Fahlgren (red). THS 25år - jubileumsskrift.
  • 3.
    Melder, Cecilia A
    University College Stockholm, Stockholm School of Theology, Department of Religious Studies and Theology.
    Existential public health and existential care in secular and interfaith contexts2022In: Complexities of Spiritual Care in Plural Societies: Education, Praxis and Concepts / [ed] Anne Hege Grung, Berlin, Boston: De Gruyter , 2022, p. 191-236Chapter in book (Refereed)
    Abstract [en]

    The existential dimension, some times referred to as the religious or spiritual dimension, is essential for health and health-related qualityof life (HQoL). Research has established a significant link between the existential health dimension and various conditions and diagnoses. The lack of an established definition of the existential dimension constitutes a challenge. Therefore, the starting point in this article is operationalisation. The World Health Organization(WHO) developed transcultural survey for measuring health-related quality of life, including a model for spiritual,religious,and personal beliefs (WHOQOL-SRPB). This article first presents existential aspects relevant to HQoL and then a model for systematic existential health interventions with the SRPB aspects. Finally, it presents the Social Determinants of Health (SDH) model with the addition of the existential health dimension.

  • 4.
    Melder, Cecilia A
    Stockholm School of Theology, Department of Theology.
    The epidemiology of lost meaning: A study in the psychology of religion and existential public health2012In: Scripta Instituti Donneriani Aboensis, ISSN 0582-3226, Vol. 24, p. 237-258Article in journal (Refereed)
    Abstract [en]

    The existential dimension of spirituality has proven to be of great importance over the last two decades when it comes to studies of self-rated health and quality of life. We see the positive effects it has on blood pressure, depression and life expectancy for chemotherapy and HIV patients, to mention just a few examples. In the public health sector, it is interesting to note that this existential/spiritual dimension had already been present in the early years when the term public health first came into the Swedish language. In the year 1926 public health was defined as ‘a people’s physical and spiritual health’. During the intervening years of major medical and scientific technical improvements in the field, the existential/spiritual perspective had been put aside, but now once again this dimension has come into focus. The central question is, how does the existential dimension of health, understood as a person’s ability to create and maintain functional meaning making systems, affect the person’s self-rated health and quality of life? The working theories and basic perspectives in this article are drawn from health research with attention to the existential dimension, public health from the perspective of the psychology of religion, and object relations theory.

  • 5.
    Melder, Cecilia A
    University College Stockholm, Stockholm School of Theology, Department of Religious Studies and Theology.
    UR Samtiden - Att vara människa i en digital värld: Meningsskapande i vår tid2018Other (Other academic)
  • 6.
    Melder, Cecilia A
    University College Stockholm, Stockholm School of Theology, Department of Religious Studies and Theology.
    UR Samtiden - Att vara människa i en digital värld: Människan och tekniken i framtiden2018Other (Other academic)
  • 7.
    Melder, Cecilia A
    Stockholm School of Theology, Department of Theology.
    UR Samtiden - Psykisk ohälsa hos äldre: Existentiell hälsa2017Other (Other academic)
  • 8.
    Melder, Cecilia A
    et al.
    Stockholm School of Theology, Department of Theology. Uppsala universitet, Religionspsykologi.
    Fischer, Regina Santamaki
    Abo Akad Univ, Turku, Finland.;Umea Univ, Umea, Sweden..
    Nygren, Bjorn
    Umea Univ, Umea, Sweden..
    DeMarinis, Valerie
    Uppsala universitet, Religionspsykologi.
    Validating WHOQOL-SRPB in Sweden: instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts2016In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, p. 100-100Article in journal (Refereed)
  • 9.
    Melder, Cecilia A
    et al.
    University College Stockholm, Stockholm School of Theology, Department of Religious Studies and Theology. Uppsala University, Sweden.
    Kostenius, Catrine
    Luleå tekniska universitet, Hälsa och rehabilitering.
    Existential health: A valuable dimension when promoting health throughout the life-course in Sweden2019In: WAIORA: Promoting Planetary Health and Sustainable Development for All, 2019Conference paper (Refereed)
    Download full text (pdf)
    FULLTEXT01
  • 10.
    Melder, Cecilia A
    et al.
    Stockholm School of Theology, Department of Theology. Uppsala universitet, Teologiska fakulteten.
    Santamäki Fischer, Regina
    Umeå universitet, Institutionen för omvårdnad.
    Nygren, Björn
    Umeå universitet, Institutionen för omvårdnad.
    DeMarinis, Valerie
    Umeå universitet, Allmänmedicin.
    Validating WHOQOL-SRPB in Sweden: instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts2016Conference paper (Refereed)
  • 11.
    Melder, Cecilia A
    et al.
    Uppsala universitet, Religionspsykologi.
    Söderqvist, Fredrik
    Uppsala universitet, Centrum för klinisk forskning, Västerås.
    Modern Meaning-making: Adolescent understanding of existential aspects in Health-related quality of life [HRQL]2017In: IAPR Conference in Hamar 2017: Culture, Context and Existential Challenges, 2017, p. 30-30Conference paper (Other (popular science, discussion, etc.))
    Abstract [en]

    Aims: Present results from focus interviews concerning existential aspects related to the adaptation of the WHOQOL-SRPB(BREF) for Swedish adolescents.

    Background: Exploring existential aspects of HRQL are important when mental ill-health is increasing among adolescents in a secular context. WHO introduced WHOQOL-SRPB in 2002 for measuring HRQL, including Spiritual, Religious and Personal beliefs [SRPB]. It is validated for Swedish adults. Now it requires adaptation for youth, even internationally.

    Methods: Pupils (age 15–19) in four groups were interviewed following WHO instructions for cognitive interviewing. Content analysis of the transcribed interviews was conducted.

    Results: The pupils considered existential aspects important for HRQL. The items: Meaning, Awe, Wholeness, Peace and Hope were comprehensible for them. Faith and Personal beliefs were related to e.g. insecurity, individualism:”To believe in yourself” and traditional aspects:”I personally believe in Jesus but I do not believe in God”. Spiritual Strength and Spiritual Connection did not require transcendence and could relate to various ideas e.g. nature or popular culture:”The first thing that pops up is the Lion King that talks to Simba in the clouds. It is his inner spirituality”.

    Conclusion: Results show the importance of adaptation of existential aspects in HRQL to the cultural (secularized) context.

    Download full text (pdf)
    FULLTEXT01
  • 12.
    Söderqvist, Fredrik
    et al.
    Uppsala universitet, Centrum för klinisk forskning, Västerås.
    Melder, Cecilia A
    University College Stockholm, Stockholm School of Theology, Department of Religious Studies and Theology. Uppsala universitet, Religionspsykologi.
    Psychometric testing of the WHOQOL-BREF scale in Swedish adolescents2016In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, no Supplement 1, p. 103-103Article in journal (Refereed)
1 - 12 of 12
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