{"entity": "journal", "iuid": "3fc8972a36eb418a955e08936bdf43f9", "timestamp": "2026-09-23T21:52:05.022Z", "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/journal/BMC%20Public%20Health.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/journal/BMC%20Public%20Health"}}, "title": "BMC Public Health", "issn": "1471-2458", "issn-l": null, "publications_count": 2, "publications": [{"entity": "publication", "iuid": "c7ba5e705a154e65b8067fd1133e5880", "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/publication/c7ba5e705a154e65b8067fd1133e5880.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/publication/c7ba5e705a154e65b8067fd1133e5880"}}, "title": "Calling for allied efforts to strengthen digital health literacy in Sweden: perspectives of policy makers.", "authors": [{"family": "Bywall", "given": "Karin Sch\u00f6lin", "initials": "KS"}, {"family": "Norgren", "given": "Therese", "initials": "T"}, {"family": "Avagnina", "given": "Beatrice", "initials": "B"}, {"family": "Gonzalez", "given": "Marta Pisano", "initials": "MP"}, {"family": "Andersson", "given": "Sarah Wamala", "initials": "SW"}, {"family": "IDEAHL consortium", "given": "", "initials": ""}], "type": "journal article", "published": "2024-09-30", "journal": {"title": "BMC Public Health", "issn": "1471-2458", "volume": "24", "issue": "1", "pages": "2666", "issn-l": null}, "abstract": "A more digitalised world comes with the promise to improve people's lives. Therefore, it is essential that policymakers also align digital interventions with initiatives to empower citizens and strengthen their digital health literacy. The aim of this study was to explore the views of Swedish policymakers regarding the potential and barriers of a European strategy to strengthen digital health literacy.\n\nRepresentatives from Swedish governmental agencies and regions were purposively approached by email to ask them to participate in online workshops to discuss the potential and barriers of developing a European strategy to strengthen digital health literacy.\n\nThe results highlight the need for a national strategy to strengthen digital health literacy. The findings point to critical areas for improvement, ethical and social considerations, and the importance of inclusive and accessible health information online. Participants identified vulnerable groups requiring targeted support to enhance their digital health literacy, particularly those at risk of digital exclusion. Participants emphasised the importance of considering various combinations of conditions or problems that people may have, urging policymakers to adopt a nuanced approach to enhance digital literacy.\n\nThere is a critical need for policymakers to strengthen digital health literacy in the population to ensure health equity in relation to digitalisation opportunities. Policymakers advocate for a dedicated national strategy, supporting policymakers to prioritize digital health literacy. Tailoring information, enhancing digital support for prevention, and considering ethical implications are reported as important aspects to improve digital health literacy.", "doi": "10.1186/s12889-024-20174-9", "pmid": "39350078", "labels": [], "xrefs": [{"db": "pmc", "key": "PMC11440703"}, {"db": "pii", "key": "10.1186/s12889-024-20174-9"}], "notes": [], "created": "2026-09-23T11:26:26.797Z", "modified": "2026-09-23T11:26:26.815Z"}, {"entity": "publication", "iuid": "00d535719367419da30d8e6eb7684f5e", "links": {"self": {"href": "https://publications-affiliated.scilifelab.se/publication/00d535719367419da30d8e6eb7684f5e.json"}, "display": {"href": "https://publications-affiliated.scilifelab.se/publication/00d535719367419da30d8e6eb7684f5e"}}, "title": "Prevalence of exhaustion symptoms and associations with school level, length of work experience and gender: a nationwide cross-sectional study of Swedish principals.", "authors": [{"family": "Persson", "given": "Roger", "initials": "R", "orcid": "0000-0002-7208-2944", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/9103ed7dd0eb4cc9b6447fdb8ee33489.json"}}, {"family": "Leo", "given": "Ulf", "initials": "U", "orcid": "0000-0002-9897-7850", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/938216223c404a949084b71686b3f25f.json"}}, {"family": "Arvidsson", "given": "Inger", "initials": "I", "orcid": "0000-0002-8069-0819", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/f3c3fee2b0534e168a35212ade6210ff.json"}}, {"family": "H\u00e5kansson", "given": "Carita", "initials": "C", "orcid": "0000-0002-3660-3079", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/a3a6714269b3435195537354912e4be8.json"}}, {"family": "Nilsson", "given": "Kerstin", "initials": "K", "orcid": "0000-0002-3193-205X", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/aed370aeac3d4763b61c9f38480cad86.json"}}, {"family": "\u00d6sterberg", "given": "Kai", "initials": "K", "orcid": "0000-0003-1907-8812", "researcher": {"href": "https://publications-affiliated.scilifelab.se/researcher/67b65ee7e1df418ba3ff8f21a3690125.json"}}], "type": "journal article", "published": "2021-02-10", "journal": {"title": "BMC Public Health", "issn": "1471-2458", "volume": "21", "issue": "1", "pages": "331", "issn-l": null}, "abstract": "While poor mental health and psychiatric disorders attributed to stressful work conditions are a public health concern in many countries, the health consequences of the occupational stress experienced by school principals is an understudied issue. Although current data is lacking, some research suggests that principals have a stressful work situation that eventually may lead to burnout and exhaustion disorder, thus negatively affecting the ability of principals to function as leaders. To gauge the situation in Sweden, and as a basis for future preventive actions, we examined to what extent principals displayed signs of exhaustion and whether the prevalence rates of exhaustion differed across school levels, length of work experience as a principal, and gender.\n\nPrincipals (N = 2219; mean age 49 years [SD 7 years]; 78% women) working at least 50% in pre-schools, compulsory schools, upper secondary schools or adult education completed a cross-sectional web survey entailing two validated inventories: The Karolinska Exhaustion Disorder Scale (KEDS) and the Lund University Checklist for Incipient Exhaustion (LUCIE). Data was analysed using traditional non-parametric methods. Gender stratification achieved covariate balance when analysing school level and length of work experience.\n\nAltogether, 29.0% of the principals met the exhaustion criteria in KEDS. The prevalence rates for the four LUCIE-steps of increasing signs of exhaustion were: no signs of stress, 48.8%; weak signs of stress, 25.6%; clear signs of stress but no exhaustion, 15.4%; possible exhaustion disorder, 10.2%. Compared with male principals, female principals reported more signs of possible exhaustion disorder in both LUCIE and KEDS. School level was not associated with reports of exhaustion symptoms in neither LUCIE nor KEDS. Among male principals, length of work experience was associated with exhaustion symptoms in KEDS.\n\nA large group of Swedish principals working in pre-schools, compulsory schools, upper secondary schools or adult education displayed a symptomatology of signs of exhaustion that if sustained might lead to poor health. This observation suggests that education authorities, or other relevant stakeholders, ought to take some form of preventive action. However, effective combinations of individual, group, organisational, and/or societal preventive activities remain to be identified and tested.", "doi": "10.1186/s12889-021-10317-7", "pmid": "33568106", "labels": [], "xrefs": [{"db": "pmc", "key": "PMC7874991"}, {"db": "pii", "key": "10.1186/s12889-021-10317-7"}], "notes": [], "created": "2026-09-23T08:43:55.167Z", "modified": "2026-09-23T08:43:55.532Z"}], "created": "2026-09-23T08:43:55.481Z", "modified": "2026-09-23T08:43:55.481Z"}