Pia Vivian Pedersen

Readiness to change level of physical activity in leisure time among physically inactive Danish adults

Aims: The study examined readiness to change the level of physical activity in leisure time among physically inactive adults, the sociodemographic, lifestyle-related and social factors associated with readiness to change, and finally the various kinds of help to become more physically active required by people who are ready to change and by those not ready to change. Materials and methods: Data were derived from the national representative Danish Health Interview Survey 2005 and included 9,160 physically inactive persons between 16 and 79 years of age. Data were analysed using multiple logistic regression and multiple correspondence analysis. Results: In all, 52 % of the physically inactive respondents stated they were ready to change their level of physical activity. Men had higher odds of being ready to change than women. Readiness to change decreased with age and increased with increasing levels of education. Those ready to change led an active and social lifestyle characterized by considerable health-oriented engagement, while the opposite characterised those not ready to change. Those ready to change wanted help to become more physically active in the form of e.g. opportunities for physical activity at work or help and support from the family. Those not ready to change wanted help from a general practitioner or did not want help at all. Conclusions: Those ready to change and those not ready to change were characterized by very different sociodemographic, lifestyle-related and social factors. This knowledge will benefit prevention initiatives and elucidates the necessity of targeting the initiatives.

Social relations and experiences of social isolation among socially marginalized people

We aimed to obtain a greater understanding of the characteristics of social relations and experiences of social isolation among homeless people, substance users and other socially marginalized users of shelters and drop-in centres in Denmark. Based on in-depth interviews with 46 shelter/centre users, we created a typology of five groups: the socially related and content, the satisfied loners, the socially related but lonely, the socially isolated and the in-betweens. The characteristics of the groups did not seem related to interviewees’ degree of social marginalization. Professionals played a pivotal role, providing social support and help to improve interviewees’ life circumstances. The findings provide insight into the social lives of shelter/centre users that is useful for developing initiatives to improve their social wellbeing.

Comparison of health behaviors among women brothel workers to those of the general population of women in Denmark.

ABSTRACT Previous research on behavioral risk factors for illness among sex workers has been limited and based on mixed, poorly defined groups of sex workers. The aim of the present study was to compare the health behaviors and weight of women brothel workers with women in the general population in Denmark. Logistic regression analyses were used to compare data from eighty-eight women working in brothels in 2010 with data from 3,225 women of similar age from the nationally representative Danish Health Survey 2010. Compared to Danish women, the prevalence of daily and heavy smoking was higher among brothel workers, but the prevalence of wanting to quit smoking was lower. The prevalence rates of exceeding the Danish high-risk level of alcohol consumption, binge drinking, and illicit drug use were higher among women brothel workers compared to Danish women. The prevalence of underweight was higher and overweight and obesity lower among brothel workers compared to Danish women. These differences were significant when adjusted for age and educational level. Few differences were noted regarding dietary habits and no differences regarding physical activity. Findings suggest the need for health-promotion initiatives, particularly for smoking, alcohol consumption, and drug use, targeted at women brothel workers.

Targeted prevention in primary care aimed at lifestyle-related diseases: a study protocol for a non-randomised pilot study

BackgroundThe consequences of lifestyle-related disease represent a major burden for the individual as well as for society at large. Individual preventive health checks to the general population have been suggested as a mean to reduce the burden of lifestyle-related diseases, though with mixed evidence on effectiveness. Several systematic reviews, on the other hand, suggest that health checks targeting people at high risk of chronic lifestyle-related diseases may be more effective. The evidence is however very limited. To effectively target people at high risk of lifestyle-related disease, there is a substantial need to advance and implement evidence-based health strategies and interventions that facilitate the identification and management of people at high risk. This paper reports on a non-randomized pilot study carried out to test the acceptability, feasibility and short-term effects of a healthcare intervention in primary care designed to systematically identify persons at risk of developing lifestyle-related disease or who engage in health-risk behavior, and provide targeted and coherent preventive services to these individuals.MethodsThe intervention took place over a three-month period from September 2016 to December 2016. Taking a two-pronged approach, the design included both a joint and a targeted intervention. The former was directed at the entire population, while the latter specifically focused on patients at high risk of a lifestyle-related disease and/or who engage in health-risk behavior. The intervention was facilitated by a digital support system. The evaluation of the pilot will comprise both quantitative and qualitative research methods. All outcome measures are based on validated instruments and aim to provide results pertaining to intervention acceptability, feasibility, and short-term effects.DiscussionThis pilot study will provide a solid empirical base from which to plan and implement a full-scale randomized study with the central aim of determining the efficacy of a preventive health intervention.Trial registrationRegistered at Clinical Trial Gov (Unique Protocol ID: TOFpilot2016). Registered 29 April 2016. The study adheres to the SPIRIT guidelines.

“I Sort of Live for My Kids’ Sake Only”: Characteristics and Meaning of Parent–Child Relations Among Socially Marginalized Parents

The authors explored the characteristics and meaning of social relations between marginalized parents and their children, from the perspective of the parents, and the significance of these relations for parents’ mental well-being and life perspective. Based on in-depth interviews with 20 users of shelters and drop-in centers in Denmark, the authors show that a sociocultural notion of “appropriate” parenting shape parents’ practices. Irrespective of the actual frequency of contact and content of relations, they have a distinctive meaning for marginalized parents’ mental well-being and life perspective where parenthood paves the way for a sense of normality, recognition, and belonging in society.

Bodywork and bodily capital among youth using fitness gyms

ABSTRACT In this article, we explore what had become a predominant focus on the body and on shaping and refining the body through frequent, intensive workout and strict, controlled diets among a group of young people engaged in strength training in fitness gyms in Denmark. Theoretically and analytically, we draw inspiration from French sociologist Loïc Wacquant’s ethnographic study of professional boxers in Chicago around 1990. First, we use the concept of bodywork to explore and understand the meaning of the young people’s exercise and diet practices. We argue that the young people’s bodywork can be understood as the building up of bodily capital. Second, we aim to explore the social implications of this bodywork. We explore how and in what ways the young people’s bodily capital can be converted into other resources, or forms of capital, that are essentially social: social relations and sense of connectedness; knowledge, expertise and future plans; and recognition, self-worth and identity.