The Salut Programme

Creator/Principal investigator(s)

Anneli Ivarsson - Umeå University, Department of Epidemiology and Global Health

Eva Eurenius - Umeå University, Department of Epidemiology and Global Health

Marie Lindkvist - Umeå University, Department of Epidemiology and Global Health

Description

In 2005, the health authorities of Region Västerbotten initiated the Salut Programme. The initiative got its name from the word “salutogenic” as the basic idea is to promote processes that give children and their parents an opportunity to increase control over their health and ability to improve it. Since 2009/2010 it is a countywide ongoing universal health promotion intervention in a variety of sectors for parents and children 0-18 years, starting already during pregnancy. The Programme has been implemented since 2006 onwards, prompted by alarming reports of child overweight/obesity and trends of increased dental caries, already during preschool age. The programme has been developed and implemented in close collaboration with antenatal care, child health care, dental services, open preschools and schools.
The Programme aims to support and strengthen initiated and ongoing health promotion interventions, and universal preventive interventions to improve health and lifestyle among expectant parents and children. The main focus areas are: to promote healthy eating habits, physical activity and g

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Subject area

Responsible department/unit

Umeå University, Department of Epidemiology and Global Health

Creator/Principal investigator(s)

Anneli Ivarsson - Umeå University, Department of Epidemiology and Global Health

Eva Eurenius - Umeå University, Department of Epidemiology and Global Health

Marie Lindkvist - Umeå University, Department of Epidemiology and Global Health

Identifiers

SND-ID: EXT 0082

Description

In 2005, the health authorities of Region Västerbotten initiated the Salut Programme. The initiative got its name from the word “salutogenic” as the basic idea is to promote processes that give children and their parents an opportunity to increase control over their health and ability to improve it. Since 2009/2010 it is a countywide ongoing universal health promotion intervention in a variety of sectors for parents and children 0-18 years, starting already during pregnancy. The Programme has been implemented since 2006 onwards, prompted by alarming reports of child overweight/obesity and trends of increased dental caries, already during preschool age. The programme has been developed and implemented in close collaboration with antenatal care, child health care, dental services, open preschools and schools.
The Programme aims to support and strengthen initiated and ongoing health promotion interventions, and universal preventive interventions to improve health and lifestyle among expectant parents and children. The main focus areas are: to promote healthy eating habits, physical activity and g

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Geographic spread

Geographic location: Västerbotten County

Unit of analysis

Population

The population in the Salut Programme includes all children and adolescents 0-18 years in Västerbotten county and all parents-to-be during pregnancy.

Funding

Swedish Research Council for Heath, Workning Life and Walfare

Public Health Agency of Sweden

Region Västerbotten

Umeå University

Subject area

Publications

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Kristina Edvardsson, Anneli Ivarsson, Eva Eurenius, Rickard Garvare, Monica E Nyström, Rhonda Small and Ingrid Mogren. Giving offspring a healthy start: parents’ experiences of health promotion and lifestyle change during pregnancy and early parenthood. BMC Public Health 2011;11:936
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Eurenius E, Richter Sundberg L, Vaezghasemi M, Silfverdal SA, Ivarsson A, Lindkvist M. Social-emotional problems among three-year-olds differ based on the child’s gender and custody arrangement. Acta Pediatrica 2018;108:1087-95.
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Kristina Edvardsson, Marie Lindkvist, Eva Eurenius, Ingrid Mogren, Rhonda Small, Anneli Ivarsson. A poulation-based study of overweight and obesity in expectant parents: socio-demographic patterns and within-couple associations. BMC Public Health 2013:13(1):923.
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Kristina Edvardsson, Anneli Ivarsson, Rickard Garvare, Eva Eurenius, Marie Lindkvist, Ingrid Mogren, Rhonda Small, Monica E Nyström. Improving child health promotion practices in multiple sectors - outcomes of the Swedish Salut Programme. BMC Public Health 2012, 12:920.
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Pulkki Brännström AM, Lindkvist M, Eurenius E, Häggström J, Ivarsson A, Sampaio F, Feldman I. The equity impact of a universal child health promotion programme. Journal of Epidemiology & Community Health 2020;0:1-7.
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Häggström J, Sampaio F, Eurenius E, Pulkki Brännström AM, Ivarsson A, Lindkvist M, Feldman I. Is the Salut Programme an effective and cost-effective universal health promotion intervention for parents and their children? A register-based retrospective observational study. BMJ Open 2017;7:e016732.
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Masoud Vaezghasemi, Marie Lindkvist, Anneli Ivarsson, Eva Eurenius. Overweight and lifestyle among 13 to 15 year olds: A cross-sectional study in northern Sweden. Scand J Public Health 2012;40:221–228.
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Lindqvist M, Lindkvist M, Eurenius E, Persson M, Ivarsson A, Mogren I. Leisure time physical activity among pregnant women and its associations with maternal characteristics and pregnancy outcomes. Sexual & Reproductive Healthcare 2016;9:14-20. Doi: 10.1016/j.srhc.2016.03.006.
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Vaezghasemi M, Eurenius E, Ivarsson A, Richter Sundberg L, Silfverdal SA, Lindkvist M. Social-emotional problems among Swedish three-year-olds: an Item Response Theory analysis of the Ages and Stages Questionnaires: Social-Emotional BMC Pediatrics 2020;20:149.
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Kristina Edvardsson, Rickard Garvare, Eva Eurenius, Anneli Ivarsson, Ingrid Mogren och Monica Nyström. Sustainable practice change: Professionals’ experiences with a multisectoral child health promotion programme in Sweden. BMC Health Services Research 2011;11:61.
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Feldman I, Eurenius E, Häggström J, Lindkvist M, Pulkki Brännström AM, Sampaio F, Ivarsson A. Effectiveness and cost-effectiveness of the Salut Programme: a universal health promotion intervention for parents and children - protocol of a register-based retrospective observational study. BMJ Open 2016;6:e011202.
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Wilson I, Eurenius E, Lindkvist M, Edin K, Edvardsson K. Is there an association between pregnant women's experience of violence and their partner's drinking? A Swedish population-based study. Midwifery 2018;69:84-91.
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Eva Eurenius, Marie Lindkvist, Magdalena Sundkvist, Anneli Ivarsson, Ingrid Mogren. Maternal and paternal self-rated health and BMI in relation to lifestyle in early pregnancy - the Salut Programme in Sweden. Scand J Public Health 2011;39:730-41.
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Dataset 1

Health questionnaire to expectant parents

Creator/Principal investigator(s)

Anneli Ivarsson - Umeå University, Department of Epidemiology and Global Health

Eva Eurenius - Umeå University, Department of Epidemiology and Global Health

Marie Lindkvist - Umeå University, Department of Epidemiology and Global Health

Description

Expectant parents, early in pregnancy (around gestational week 11), answer a ​​questionnaire each on self-rated health, BMI, lifestyle and life condition. It was countywide implemented in mid-2010 and onwards. Recently, the Salut Programme data have been linked, on an individual level, to data from national registers with annual data when relevant. This includes: Medical Birth Register (pregnancy, delivery and immediate postpartum), National Patient Register (inpatient and specialist outpatient

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Data format / data structure

Numeric

Collection methodology

Survey to expectant parents enriched with data from national registers.

Time period(s) investigated

2010 — ongoing

Number of individuals/objects

10000

Response rate/participation rate

ca 65-70 %

Dataset 6

3 years old survey

Creator/Principal investigator(s)

Anneli Ivarsson - Umeå University, Department of Epidemiology and Global Health

Eva Eurenius - Umeå University, Department of Epidemiology and Global Health

Marie Lindkvist - Umeå University, Department of Epidemiology and Global Health

Description

The Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) have been used for three-year-olds since 2014 and onwards. In addition, there are ​​questions on health, lifestyle and life condition included in the survey.

Data format / data structure

Numeric

Collection methodology

Survey

Time period(s) investigated

2014 — ongoing

Number of individuals/objects

15000

Response rate/participation rate

ca 70 %

Dataset 8

Student Health Survey

Creator/Principal investigator(s)

Anneli Ivarsson - Umeå University, Department of Epidemiology and Global Health

Eva Eurenius - Umeå University, Department of Epidemiology and Global Health

Marie Lindkvist - Umeå University, Department of Epidemiology and Global Health

Description

All children attending compulsory school and upper secondary school (grades F, 4, 7 and 1 corresponding to age 6, 10, 13 and 16) in Västerbotten County are invited to participate in an ongoing school-based online survey. Since 2016/2017 the municipalities Umeå and then Skellefteå introduced the surveys incrementally. The survey includes questions about self-reported health, BMI, lifestyle and well-being at school.

The questionnaires are available in Swedish only: https://www.regionvasterbotten.

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Data format / data structure

Numeric

Collection methodology

Web-based student survey

Time period(s) investigated

2016 — ongoing

Number of individuals/objects

12000

Response rate/participation rate

ca 85%

Published: 2013-12-17
Last updated: 2020-05-08