Jeanette H. Magnus

• Leirbakk, Maria Jensberg; Engebretsen, Eivind; Dolvik, Stina; Bratli, Elisabeth; Wiborg, Kersti & Magnus, Jeanette H. (2023). Changing praxis from within - an in-depth qualitative exploration of how home visits affected statutory service at a Child Health Clinic. Journal of Pediatric Nursing : Nursing Care of Children and Families. ISSN 0882-5963. doi: 10.1016/j.pedn.2023.06.001.
• Ousman, Seman Kedir; Gebremariam, Mekdes; Sundby, Johanne Sommerschild & Magnus, Jeanette H. (2022). Maternal exposure to intimate partner violence and uptake of maternal healthcare services in Ethiopia: Evidence from a national survey. PLOS ONE. ISSN 1932-6203. 17(8). doi: 10.1371/journal.pone.0273146. Full text in Research Archive Show summary

  Background Women exposed to Intimate Partner Violence (IPV) often do not utilize maternal health care optimally both because of stigma and other social problems. The current study aims to explore an association between maternal healthcare seeking and violence exposure among Ethiopian women and to assess if educational attainment and wealth status moderate this association. Methods The analyses included 2836 (weighted) currently married women with one live birth. We focus on the five years preceding the 2016 Ethiopian Demographic and Health Survey (EDHS) who participate, in the domestic violence sub-study. Exposure was determined by maternal reports of physical, emotional, sexual IPV or any form of IPV. The utilization of antenatal care (ANC) and place of delivery were used as proxy outcome variables for uptake of skilled maternal healthcare utilization. Women’s education attainment and wealth status were selected as potential moderators, as they can enable women with psychological and financial resources to counteract impact of IPV. Multilevel logistic regression analyses were used to explore the association between spousal IPV and maternal health outcomes. Moderation effects by education and wealth status were tested, and the data stratified. Using statistical software Stata MP 16.1, the restricted maximum likelihood method, we obtained the model estimates. Results About 27.5% of the women who reported exposure to any form of IPV had a health facility delivery. While 23.4% and 22.4% visited four or more antenatal care services among mothers exposed to emotional IPV and sexual IPV, respectively. After adjusting for potential confounding factors, only the association between maternal exposure to emotional IPV and adequate use of ANC was statistically significant (OR = 0.73, (95% CI:0.56–0.95)). But we found no significant association between IPV and utilization of health facility delivery. Some moderation effects of education and wealth in the association between IPV and maternal healthcare service utilization outcome were found. Conclusion Exposure to emotional IPV was associated with poor uptake of maternal health care service utilization for married Ethiopian women. While developing interventions to improve women’s maternal healthcare service use, it is crucial to consider the effects of socio-economic variables that moderate the association especially with the intersection of IPV.

• Røynesdal, Øystein; Magnus, Jeanette H. & Moen, Anne (2022). Pedagogical Approaches and Learning Activities, Content, and Resources Used in the Design of Massive Open Online Courses (MOOCs) in the Health Sciences: Protocol for a Scoping Review. JMIR Research Protocols. ISSN 1929-0748. 11(5). doi: 10.2196/35878. Full text in Research Archive Show summary

  Background: Developing online, widely accessible educational courses, such as Massive Open Online Courses (MOOCs), offer novel opportunities to advancing academic research and the educational system in resource-constrained countries. Despite much literature on the use of design-related features and principles of different pedagogical approaches when developing MOOCs, there are reports of inconsistency between the pedagogical approach and the learning activities, content, or resources in MOOCs. Objective: We present a protocol for a scoping review aiming to systematically identify and synthesize literature on the pedagogical approaches used, and the learning activities, content, and resources used to facilitate social interaction and collaboration among postgraduate learners in MOOCs across the health sciences. Methods: We will follow a 6-step procedure for scoping reviews to conduct a search of published and gray literature in the following databases: Medline via Ovid, ERIC, SCOPUS, Web of Science, and PsychINFO. Two reviewers will screen titles, abstracts, and relevant full texts independently to determine eligibility for inclusion. The team will extract data using a predefined charting form and synthesize results in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist. Results: The scoping review is currently ongoing. As of March 2022, we have performed initial data searches and screened titles and abstracts of the studies we found but revised the search string owing to inaccurate results. We aim to start analyzing the data in June 2022 and expect to complete the scoping review by February 2023. Conclusions: With the results of this review, we hope to report on the use of pedagogical approaches and what learning activities, content, and resources foster social and collaborative learning processes, and to further elucidate how practitioners and academics can harvest our findings to bridge the gap between pedagogics and learning activities in the instructional design of MOOCs for postgraduate students in the health sciences.

• Ahmed, Misra Abdulahi; Fretheim, Atle; Argaw, Alemayehu & Magnus, Jeanette H. (2021). Breastfeeding Education and Support to Improve Early Initiation and Exclusive Breastfeeding Practices and Infant Growth: A Cluster Randomized Controlled Trial from a Rural Ethiopian Setting . Nutrients. ISSN 2072-6643. 13(4), p. 1–15. doi: 10.3390/nu13041204. Full text in Research Archive Show summary

  Although peer-led education and support may improve breastfeeding practices, there is a paucity of evidence on the effectiveness of such interventions in the Ethiopian context. We designed a cluster-randomized trial to evaluate the efficacy of a breastfeeding education and support intervention (BFESI) on infant growth, early initiation (EI), and exclusive breastfeeding (EBF) practices. We randomly assigned 36 clusters into either an intervention group (n = 249) receiving BFESI by trained Women’s Development Army (WDA) leaders or a control group (n = 219) receiving routine care. The intervention was provided from the third trimester of pregnancy until five months postpartum. Primary study outcomes were EI, EBF, and infant growth; secondary outcomes included maternal breastfeeding knowledge and attitude, and child morbidity. The intervention effect was analysed using linear regression models for the continuous outcomes, and linear probability or logistic regression models for the categorical outcomes. Compared to the control, BFESI significantly increased EI by 25.9% (95% CI: 14.5, 37.3%; p = 0.001) and EBF by 14.6% (95% CI: 3.77, 25.5%; p = 0.010). Similarly, the intervention gave higher breastfeeding attitude scores (Effect size (ES): 0.85SD; 95% CI: 0.70, 0.99SD; p < 0.001), but not higher knowledge scores (ES: 0.15SD; 95% CI: −0.10, 0.41SD; p = 0.173). From the several growth and morbidity outcomes evaluated, the only outcomes with significant intervention effect were a higher mid-upper arm circumference (ES: 0.25cm; 95% CI: 0.01, 0.49cm; p = 0.041) and a lower prevalence of respiratory infection (ES: −6.90%; 95% CI: −13.3, −0.61%; p = 0.033). Training WDA leaders to provide BFESI substantially improves EI and EBF practices and attitude towards breastfeeding

• Ahmed, Misra Abdulahi; Fretheim, Atle; Argaw, Alemayehu & Magnus, Jeanette H. (2021). Determinants of knowledge and attitude towards breastfeeding in rural pregnant women using validated instruments in Ethiopia. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 18(15). doi: 10.3390/ijerph18157930. Full text in Research Archive
• Ejigu Teshay, Yohannes; Magnus, Jeanette H.; Sundby, Johanne & Magnus, Maria Christine (2020). Differences in Growth of HIV-exposed Uninfected Infants in Ethiopia According to Timing of In-utero Antiretroviral Therapy Exposure. The Pediatric Infectious Disease Journal. ISSN 0891-3668. 39(8), p. 730–736. doi: 10.1097/INF.0000000000002678. Full text in Research Archive
• Gashaw, Bosena Tebeje; Schei, Berit; Solbrække, Kari Nyheim & Magnus, Jeanette H. (2020). Ethiopian Health Care Workers’ Insights into and Responses to Intimate Partner Violence in Pregnancy—A Qualitative Study. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. doi: 10.3390/ijerph17103745. Full text in Research Archive
• Osman, Seman Kedir; Magnus, Jeanette H.; Sundby, Johanne & Gebremariam, Mekdes Kebede (2020). Uptake of Skilled Maternal Healthcare in Ethiopia: A Positive Deviance Approach. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 17(5). doi: 10.3390/ijerph17051712. Full text in Research Archive
• Ahmed, Misra Abdulahi; Fretheim, Atle; Alemayehu, Argaw & Magnus, Jeanette H. (2020). Adaptation and validation of the Iowa infant feeding attitude scale and the breastfeeding knowledge questionnaire for use in an Ethiopian setting. International Breastfeeding Journal. ISSN 1746-4358. 15(1). doi: 10.1186/s13006-020-00269-w. Full text in Research Archive Show summary

  Background: Validated instruments to assess breastfeeding knowledge and attitude are non-existent in Africa including Ethiopia. We aimed to adapt and validate the Breastfeeding Knowledge Questionnaire (BFKQ) and the Iowa Infant Feeding Attitude Scale (IIFAS) for use in Afan Oromo (AO), the most widely spoken language in Ethiopia. Methods: After forward-backward translation into Afan Oromo, the instruments were reviewed for content validity by a panel of a nutritionist and pediatricians, and pretested on a sample of 30 mothers. Then, a cross-sectional study involving 468 pregnant women in their second and third trimester was conducted between May and August 2017 in the Manna district, Southwest Ethiopia, using the final versions of the adapted questionnaires. We used exploratory and confirmatory factor analysis to assess the construct validity, receiver operating characteristic (ROC) curves to determine the predictive validity and Cronbach’s alpha coefficients to assess internal consistency. Results: Using exploratory factor analysis (EFA), nine domains containing 34 items were extracted from the BFKQAO. A confirmatory factor analysis of the constructs from EFA confirmed construct validity of the instrument (χ2/ df = 2.11, RMSEA = 0.049, CFI = 0.845, TLI = 0.823). In factor analysis of the IIFAS, the first factor explained 19.7% of the total variance and the factor loadings and scree plot test suggested unidimensionality of the tool. Cronbach’s alpha was 0.79 for the BFKQ-AO and 0.72 for IIFAS-AO suggesting an acceptable internal consistency of both instruments. For the sensitivity and specificity in predicting intention of breastfeeding for ≥24 months, the area under the curve (AUC) was 82% for IIFAS score and 79% for BFKQ score. Conclusions: Here we present the first study that reported the use of the BFKQ and the IIFAS in Ethiopia. Our results showed that both BFKQ-AO and IIFAS-AO can be reliable and valid tools for measuring maternal breastfeeding knowledge and attitude in the study population, showing the potential for adapting these tools for application in a wider Ethiopian context. Keywords: Optimal breastfeeding, Knowledge, Attitude, IIFAS, Reliability, Validity, Developing country, Ethiopia

• Leirbakk, Maria Jensberg; Magnus, Jeanette H.; Torper, Johan & Zeanah, Paula (2019). Look to Norway: Serving new families and infants in a multiethnic population. Infant Mental Health Journal. ISSN 0163-9641. 40(5), p. 659–672. doi: 10.1002/imhj.21804. Show summary

  Despite recognition that immigrant women face significant health challenges, addressing the healthcare needs of immigrants is a source of debate in the United States. Lack of adequate healthcare for immigrants is recognized as a social justice issue, and other countries have incorporated immigrants into their healthcare services. Oslo, the fastest growing capital in Europe, is rapidly shifting to a heterogeneous society prompting organizational action and change. The New Families Program serves first‐time mothers and their infants in an Oslo district serving 53% minorities from 142 countries. Anchored in salutogenic theory, the program aims to support the parent–child relationship, children's development and social adaptation, and to prevent stress‐related outcomes. Formative research has informed the successful program development and implementation within the existing maternal and child healthcare service. Implications for addressing maternal and child health needs of an immigrant population are presented.

• Solbakken, Siri Marie; Magnus, Jeanette H.; Meyer, Haakon E; Dahl, Cecilie; Stigum, Hein & Søgaard, Anne-Johanne [Show all 14 contributors for this article] (2019). Urban–Rural Differences in Hip Fracture Mortality: A Nationwide NOREPOS Study. JBMR Plus. ISSN 2473-4039. 3(11). doi: 10.1002/jbm4.10236. Full text in Research Archive
• Gashaw, Bosena Tebeje; Magnus, Jeanette H.; Schei, Berit & Solbrække, Kari Nyheim (2019). Community Stakeholders’ Perspectives on Intimate Partner Violence during Pregnancy—A Qualitative Study from Ethiopia. International Journal of Environmental Research and Public Health (IJERPH). ISSN 1661-7827. 16(23), p. 1–13. doi: 10.3390/ijerph16234694. Full text in Research Archive
• Søgaard, Anne-Johanne; Magnus, Jeanette H.; Bjørnerem, Åshild; Holvik, Kristin; Ranhoff, Anette Hylen & Emaus, Nina [Show all 8 contributors for this article] (2019). Grip strength in men and women aged 50–79 years is associated with non-vertebral osteoporotic fracture during 15 years follow-up: The Tromsø Study 1994–1995. Osteoporosis International. ISSN 0937-941X. doi: 10.1007/s00198-019-05191-4. Full text in Research Archive Show summary

  In 50-79-year-olds who participated in the Tromso Study (1994-1995), the risk of non-vertebral osteoporotic fractures during 15 years follow-up increased by 22% in men and 9% in women per 1 SD lower grip strength. The strongest association was observed in men aged 50-64 years. INTRODUCTION: We aimed to explore whether low grip strength was associated with increased risk of non-vertebral osteoporotic fracture in the population-based Tromso Study 1994-1995. METHODS: Grip strength (bar) was measured by a Martin Vigorimeter and fractures were retrieved from the X-ray archives at the University Hospital of North Norway between 1994 and 2010. At baseline, weight and height were measured, whereas information on the other covariates were obtained through self-reported questionnaires. Cox regression was used to estimate the hazard ratio (HR) of fracture in age- and gender-specific quintiles of grip-strength, and per 1 SD lower grip strength. Similar analyses were done solely for hip fractures. Adjustments were made for age, height, body mass index (BMI), marital status, education, smoking, physical activity, use of alcohol, self-perceived health, and self-reported diseases. RESULTS: In 2891 men and 4002 women aged 50-79 years, 1099 non-vertebral osteoporotic fractures-including 393 hip fractures-were sustained during the median 15 years follow-up. Risk of non-vertebral osteoporotic fracture increased with declining grip strength: hazard ratios per SD decline was 1.22 (95% CI 1.05-1.43) in men and 1.09 (95% CI 1.01-1.18) in women. HR for fracture in lower vs. upper quintile was 1.58 (95% CI 1.02-2.45) in men and 1.28 (95% CI 1.03-1.59) in women. The association was most pronounced in men aged 50-64 years with HR = 3.39 (95% CI 1.76-6.53) in the lower compared to the upper quintile. CONCLUSIONS: The risk of non-vertebral osteoporotic fracture increased with declining grip-strength in both genders, particularly in men aged 50-64 years

• Tsehay, Yohannes Ejigu; Magnus, Jeanette H.; Sundby, Johanne & Magnus, Maria Christine (2019). Pregnancy outcome among HIV-infected women on different antiretroviral therapies in Ethiopia: A cohort study. BMJ Open. ISSN 2044-6055. 9(8). doi: 10.1136/bmjopen-2018-027344. Full text in Research Archive Show summary

  Objective The objective of the study was to compare pregnancy outcomes according to maternal antiretroviral treatment (ART) regimens. Design A retrospective cohort study. Participants and settings Clinical data was extracted from ART exposed pregnancies of HIV-infected Ethiopian women attending antenatal care follow-up in public health facilities in Addis Ababa between February 2010 and October 2016. Outcomes The primary outcomes evaluated were preterm birth, low birth weight and small-for-gestational-age. results A total 1663 of pregnancies exposed to ART were included in the analyses. Of these pregnancies, 17% resulted in a preterm birth, 19% in low birth weight and 32% in a small-for-gestational-age baby. Compared with highly active antiretroviral therapy (HAART) initiated during pregnancy, zidovudine monotherapy was less likely to result in preterm birth (adjusted OR 0.35, 95% CI 0.19 to 0.64) and low birth weight (adjusted OR 0.48, 95% CI 0.24 to 0.94). We observed no differential risk of preterm birth, low birth weight and small-for-gestational-age, when comparing women who initiated HAART during pregnancy to women who initiated HAART before conception. The risk for preterm birth was higher in pregnancies exposed to nevirapine-based HAART (adjusted OR 1.44, 95% CI 1.06 to 1.96) compared with pregnancies exposed to efavirenzbased HAART. Comparing nevirapine-based HAART with efavirenz-based HAART indicated no strong evidence of increased risk of low birth weight or small-for-gestationalage. Conclusions We observed a higher risk of preterm birth among women who initiated HAART during pregnancy compared with zidovudine monotherapy. Pregnancies exposed to nevirapine-based HAART also had a greater risk of preterm births compared with efavirenz-based HAART.

• Ousman, Seman Kedir; Mdala, Ibrahimu; Combs Thorsen, Viva; Sundby, Johanne & Magnus, Jeanette H. (2019). Social determinants of antenatal care service use in ethiopia: Changes over a 15-year span. Frontiers in Public Health. ISSN 2296-2565. 7. doi: 10.3389/fpubh.2019.00161. Full text in Research Archive
• Ejigu Teshay, Yohannes; Magnus, Jeanette H.; Sundby, Johanne & Magnus, Maria Christine (2019). Health outcomes of asymptomatic HIV-infected pregnant women initiating antiretroviral therapy at different baseline CD4 counts in Ethiopia. International Journal of Infectious Diseases. ISSN 1201-9712. 82, p. 89–95. doi: 10.1016/j.ijid.2019.02.019. Full text in Research Archive Show summary

  Objective To compare health outcomes following initiation of antiretroviral therapy (ART) for asymptomatic HIV-infected pregnant women at different CD4 levels. Methods We analyzed data from 706 asymptomatic HIV-infected Ethiopian women initiating ART during pregnancy between February 2012 and October 2016. The outcomes evaluated were CD4 gain, CD4 normalization (CD4 count ≥750 cells/mm3) and occurrence of HIV-related clinical events after twelve months of treatment. Result On average, CD4 count (cells/mm3) increased from 391 (95% CI: 372–409) at baseline to 523 (95% CI: 495–551) after twelve months of treatment. Rate of CD4 gain was higher among women with baseline CD4 between 350 and 499 compared to CD4 ≥500 (207 versus 6, p < 0.001). But women with baseline CD4 between 350 and 499 could not catch up with women with CD4 ≥500. Women with baseline CD4 ≥500 had significantly higher likelihood of achieving CD4 normalization as compared to those with CD4 between 350 and 499 (AOR = 0.32, 95% CI: 0.13–0.76). No strong evidence of differential risk in the occurrence of HIV-related clinical events. Conclusion Starting ART for asymptomatic HIV-infected women with CD4 count ≥500 cells/mm3 was beneficial to preserve or recover immunity after 12 months of treatment in a resource limited setting.

• Gashaw, Bosena Tebeje; Magnus, Jeanette H. & Schei, Berit (2018). Intimate partner violence and late entry into antenatal care in Ethiopia. Women and Birth. ISSN 1871-5192. p. 1–8. doi: 10.1016/j.wombi.2018.12.008.
• Ahmed, Misra Abdulahi; Fretheim, Atle & Magnus, Jeanette H. (2018). Effect of breastfeeding education and support intervention (BFESI) versus routine care on timely initiation and exclusive breastfeeding in Southwest Ethiopia: study protocol for a cluster randomized controlled trial. BMC Pediatrics. ISSN 1471-2431. 18(313). doi: 10.1186/s12887-018-1278-5. Full text in Research Archive
• Leirbakk, Maria Jensberg; Torper, Johan; Engebretsen, Eivind; Opsahl, Jorunn Neerland; Zeanah, Paula & Magnus, Jeanette H. (2018). Formative research in the development of a salutogenic early intervention home visiting program integrated in public child health service in a multiethnic population in Norway. BMC Health Services Research. ISSN 1472-6963. 18(741). doi: 10.1186/s12913-018-3544-5.
• Gashaw, Bosena Tebeje; Schei, Berit & Magnus, Jeanette H. (2018). Social ecological factors and intimate partner violence in pregnancy. PLOS ONE. ISSN 1932-6203. 13(3), p. 1–14. doi: 10.1371/journal.pone.0194681. Full text in Research Archive
• Magnus, Jeanette H. & Kumar, Bernadette. N (2016). Rett til helse - menneskerettighet eller ikke? Omsorg: Nordisk tidsskrift for Palliativ Medisin. ISSN 0800-7489. 33(4), p. 51–56.
• Solbakken, Siri Marie; Meyer, Haakon E; Stigum, Hein; Søgaard, Anne-Johanne; Holvik, Kristin & Magnus, Jeanette H. [Show all 7 contributors for this article] (2016). Excess mortality following hip fracture: impact of self-perceived health, smoking, and body mass index. A NOREPOS study. Osteoporosis International. ISSN 0937-941X. 28(3), p. 881–887. doi: 10.1007/s00198-016-3795-0.
• Omsland, Tone Kristin; Eisman, John A.; Næss, Øyvind; Center, Jacqueline R; Gjesdal, Clara Gram & Tell, Grethe Seppola [Show all 13 contributors for this article] (2015). Educational inequalities in post-hip fracture mortality: a NOREPOS studys. Journal of Bone and Mineral Research. ISSN 0884-0431. 30(12), p. 2221–2228. doi: 10.1002/jbmr.2579. Show summary

  Hip fractures are associated with high excess mortality. Education is an important determinant of health, but little is known about educational inequalities in post-hip fracture mortality. Our objective was to investigate educational inequalities in post-hip fracture mortality and to examine whether comorbidity or family composition could explain any association. We conducted a register-based population study of Norwegians aged 50 years and older from 2002 to 2010. We measured total mortality according to educational attainment in 56,269 hip fracture patients (NORHip) and in the general Norwegian population. Both absolute and relative educational inequalities in mortality in people with and without hip fracture were compared. There was an educational gradient in post-hip fracture mortality in both sexes. Compared with those with primary education only, the age-adjusted relative risk (RR) of mortality in hip fracture patients with tertiary education was 0.82 (95% confidence interval [CI] 0.77-0.87) in men and 0.79 (95% CI 0.75-0.84) in women. Additional adjustments for Charlson comorbidity index, marital status, and number of children did not materially change the estimates. Regardless of educational attainment, the 1-year age-adjusted mortality was three- to fivefold higher in hip fracture patients compared with peers in the general population without fracture. The absolute differences in 1-year mortality according to educational attainment were considerably larger in hip fracture patients than in the population without hip fracture. Absolute educational inequalities in mortality were higher after hip fracture compared with the general population without hip fracture and were not mediated by comorbidity or family composition. Investigation of other possible mediating factors might help to identify new targets for interventions, based on lower educational attainment, to reduce post-hip fracture mortality.

• Højdahl, Torunn; Magnus, Jeanette H.; Mdala, Ibrahimu; Hagen, Roger & Langeland, Eva (2015). Emotional distress and sense of coherence in women completing a motivational program in five countries. A prospective study. International Journal of Prisoner Health. ISSN 1744-9200. 11(3), p. 169–182. doi: 10.1108/IJPH-10-2014-0037. Full text in Research Archive
• Solbakken, Siri Marie; Magnus, Jeanette H.; Meyer, Haakon E; Emaus, Nina; Tell, Grethe Seppola & Holvik, Kristin [Show all 11 contributors for this article] (2014). Impact of comorbidity, age, and gender on seasonal variation in hip fracture incidence. A NOREPOS study. Archives of Osteoporosis. ISSN 1862-3522. 9. doi: 10.1007/s11657-014-0191-2.
• Omsland, Tone Kristin & Magnus, Jeanette H. (2014). Forecasting the burden of future postmenopausal hip fractures. Osteoporosis International. ISSN 0937-941X. 25(10), p. 2493–2496. doi: 10.1007/s00198-014-2781-7.
• Omsland, Tone Kristin; Emaus, Nina; Tell, Grethe Seppola; Magnus, Jeanette H.; Ahmed, Luai Awad & Holvik, Kristin [Show all 16 contributors for this article] (2014). Mortality following the first hip fracture in Norwegian women and men (1999-2008): A NOREPOS study. Bone. ISSN 8756-3282. 63, p. 81–86. doi: 10.1016/j.bone.2014.02.016.
• Saketkoo, Lesley Ann; Magnus, Jeanette H. & Doyle, Mittie K. (2014). The primary care physician in the early diagnosis of systemic sclerosis: The cornerstone of recognition and hope. American Journal of the Medical Sciences. ISSN 0002-9629. 347(1), p. 54–63. doi: 10.1097/MAJ.0b013e3182a55d24.
• Højdahl, Torunn; Magnus, Jeanette H. & Langeland, Eva (2014). A bridge to change: Experiences of participation in “VINN”— a motivational program for convicted women. EuroVista. ISSN 2042-7026. 3(2), p. 81–96. Full text in Research Archive Show summary

  The objective of this study was to examine women’s perceptions after participation in a motivational and gender-sensitive program (VINN) and to explore what was experienced as helpful. The qualitative data consisted of reports and transcriptions from 13 group interviews with 65 participants on probation or imprisoned in Sweden, Denmark, Russia, Estonia and Norway. The data were analysed according to systematic text condensation. The participants’ perceptions could be grouped into the following clusters: confidence and trust, deeper understanding, change and future hopes. The women appreciated the collaborative atmosphere focusing on quality of life, autonomy, strengths, coping and resources. The most beneficial experiences reported, regardless of country, were that their personal repertoires of actions were expanded during their participation, and their confidence in their ability to desist from crime and substance abuse in the future increased. The results support the program’s salutogenic approach combined with motivational interviewing as a bridge to change. Future research should investigate whether the participants report sustainability of the changes.

• Ma, Ping; Brewer-Asling, Marci & Magnus, Jeanette H. (2013). A Case Study on the Economic Impact of Optimal Breastfeeding. Maternal and Child Health Journal. ISSN 1092-7875. 17(1), p. 9–13. doi: 10.1007/s10995-011-0942-2. Show summary

  To develop a framework, using Louisiana as a case study, for estimating the potential cost savings to individual states if families were able to meet current recommendations for breastfeeding. Using cost-analyses methods, cost savings, as well as, case and death reductions of infant illnesses and deaths on four selected infant diseases (respiratory tract infections, gastroenteritis, necrotizing enterocolitis, and Sudden Infant Death Syndrome) were calculated utilizing the most recent data of breastfeeding and low/very low birth weight rates in Louisiana. To estimate the incidence of a disease in exclusive breastfed infants and formula fed infants respectively, we used the following formula: x = s/br + 1 - b. Here "x" is the incidence rate of one disease in formula fed infants, "s" is the overall incidence of the disease, "b" is current breastfeeding rate and "r" is the odds ratios in favor of breastfeeding. A total of $216,103,368 could be saved and 18 infant deaths prevented, by these four conditions alone, if 90% of newborns in Louisiana were exclusive breastfed for the first 6 months of life ($186,371,125 in savings and 16 infant deaths prevented with 80% compliance). Increased rates of breastfeeding to the level of Healthy People 2020 goals and beyond would yield significant cost savings to Louisiana. Other US states can use the presented framework to demonstrate cost savings associated with breastfeeding promotion and support interventions in their respective states.

• Ma, Ping; Magnus, Maria Christine & Magnus, Jeanette H. (2013). Perception of Pregnancy Related Health Issues Among Arab Women Living in the United States. Journal of Immigrant and Minority Health. ISSN 1557-1912. 15(2), p. 273–280. doi: 10.1007/s10903-012-9589-3. Show summary

  Ethnic minorities living in the US have lower utilization and access to prenatal care, resulting in an increased risk of adverse pregnancy outcomes. The present study examines utilization of prenatal care, perceived pregnancy related health, and perceived risk of adverse pregnancy outcomes among Arab women living in the USA cross-sectional study was conducted, consisting of a convenience sample of 170 Arab women. A structured questionnaire was administered by a face-to-face or telephone interview. Multivariable logistic regression was used to calculate adjusted Odds Ratios and 95% Confidence Intervals, controlling for potential confounders. All study participants had received prenatal care during their most recent pregnancy, and 90% had their first prenatal care visit before the 12th gestational week. The Arab women who were older (P = 0.02), those with 12 years of education or less (P = 0.002), and those who had lived in the US more than five years (P = 0.0002) were more likely to report four or more pregnancies. In addition, more than one-third of the women reported having experienced a miscarriage (35.4%), which was significantly associated with gravida status (P < 0.001). An association between perceived susceptibility for spontaneous abortion and stillbirth was also demonstrated (P < 0.0001). Although Arab women reported good coverage of prenatal care, they perceived themselves as susceptible for several pregnancy complications and adverse pregnancy outcomes. Clinical guidelines for prenatal care to Arab women should therefore focus on their high parity and likelihood of miscarriages, in an attempt to reduce their risk of adverse pregnancy outcomes.

• Magnus, Jeanette H. (2013). The effect of golimumab on haemoglobin levels in patients with rheumatoid arthritis, psoriatic arthritis or ankylosing spondylitis. Rheumatology. ISSN 1462-0324. doi: 10.1093/rheumatology/ket233.
• Furst, Daniel E.; Kay, Jonathan; Wasko, Mary Chester; Keystone, Edward; Kavanaugh, Arthur & Deodhar, Atul [Show all 13 contributors for this article] (2013). The effect of golimumab on haemoglobin levels in patients with rheumatoid arthritis, psoriatic arthritis or ankylosing spondylitis. Rheumatology. ISSN 1462-0324. 52(10), p. 1845–1855. doi: 10.1093/rheumatology/ket233. Show summary

  OBJECTIVE: To evaluate the effect of golimumab on haemoglobin levels in patients with RA, PsA or AS. METHODS: Secondary analysis was performed on integrated data from five randomized controlled studies: three RA, one PsA and one AS (2303 patients total). Golimumab 50 or 100 mg was injected s.c. every 4 weeks with or without MTX. Control groups received placebo injections plus MTX or background therapy. Patients with haemoglobin levels below the age- and sex-specific normal ranges were considered to have anaemia. Ferritin levels were used to distinguish anaemia of mixed aetiology (≥ 15 and <60 ng/ml) and anaemia of inflammation (≥ 60 ng/ml). Changes from baseline to weeks 14 and 24 in haemoglobin level were compared between treatment groups using an analysis of variance on the van der Waerden normal scores. RESULTS: At baseline, 21% of RA patients, 9% of PsA patients and 15% of AS patients had anaemia. Of these, 24%, 57% and 25%, respectively, had anaemia of inflammation. The median increase from baseline to week 14 in the haemoglobin level of anaemic patients was 0.3 g/dl in the control group and 0.9 g/dl in the golimumab group (P < 0.001). Haemoglobin levels improved within the subgroups of patients with anaemia of mixed aetiology (control, 0.4 g/dl vs golimumab, 0.7 g/dl) (P = 0.305) and with anaemia of inflammation (0.2 vs 1.4 g/dl, respectively) (P < 0.001). CONCLUSION: Compared with the control group, patients receiving golimumab treatment had significantly improved haemoglobin levels, particularly among patients with anaemia of inflammation.

• Højdahl, Torunn; Magnus, Jeanette H.; Hagen, Roger & Langeland, Eva (2013). "VINN" - An accredited motivational program promoting convicted women's sense of coherence and coping. EuroVista. ISSN 2042-7026. 2(3), p. 177–190. Full text in Research Archive
• Ma, Ping & Magnus, Jeanette H. (2012). Exploring the concept of positive deviance related to breastfeeding initiation in black and white WIC enrolled first time mothers. Maternal and Child Health Journal. ISSN 1092-7875. 16(8), p. 1583–1593. doi: 10.1007/s10995-011-0852-3.
• Magnus, Jeanette H. & Guise, JM (2012). Building Interdisciplinary Research Careers in Women’s Health Directors. Best practices and pearls in interdisciplinary mentoring from Building Interdisciplinary Research Careers in Women's Health Directors. Journal of Women's Health. ISSN 1540-9996. 21(11), p. 1114–1127. doi: 10.1089/jwh.2012.3788. Show summary

  BACKGROUND: Increasingly, national programs and leaders are looking at interdisciplinary collaborations as essential to future research. Twelve years ago, the National Institutes of Health (NIH) Office of Research on Women's Health (ORWH) developed and implemented the Building Interdisciplinary Research Careers in Women's Health (BIRCWH) K12 program to focus on interdisciplinary mentored career development for junior faculty in women's health research. METHODS: We applied a mixed-methods approach using an electronic survey and in-person presentations and discussions to understand best practices and lessons learned for interdisciplinary mentoring across BIRCWH K12 program leaders. RESULTS AND CONCLUSIONS: We received responses from all 29 active BIRCWH programs. Factors associated with success included ensuring sufficient protected time for regular (weekly or biweekly) mentoring; mentors promoting the research independence of the Scholar; a team mentoring approach, including career as well as content mentors; and explicit and clear expectations outlined between the Scholar and mentor. The majority of programs conduct formal evaluations of mentorship, and 79% of programs offer training in mentorship for either Scholars, mentors, or both. This article presents program leaders' best practices, challenges, and lessons learned from mentoring junior faculty who are conducting women's health research, whether basic, clinical, behavioral, translational, or health services research, using an interdisciplinary mentoring approach.

• Magnus, Maria Christine; Ma, Ping & Magnus, Jeanette H. (2011). Effectiveness of Mammography Screening in Reducing Breast Cancer Mortality in Women Ages 39-49 Years - A Meta-analysis. Journal of Womens Health & Gender-Based Medicine. ISSN 1524-6094. p. 845–852.
• McGee, Jennifer & Magnus, Jeanette H. (2011). Race and Gender are not Independent Risk Factors of Allograft Loss after Kidney Transplantation. American Journal of Surgery. ISSN 0002-9610. 201, p. 463–467. doi: 10.1016/j.amjsurg.2010.01.032.
• Avery, AB & Magnus, Jeanette H. (2011). Expectant Fathers' and Mothers' Perceptions of Breastfeeding and Formula Feeding: A Focus Group Study in Three US Cities. Journal of Human Lactation. ISSN 0890-3344. 27(3), p. 147–154.
• Wu, Qing; Lefante, JJ; Rice, JC & Magnus, Jeanette H. (2011). Age, Race, Weight and Gender Impact Normative Values of Bone Mineral Density. Gender Medicine. ISSN 1550-8579. 8, p. 189–201. doi: 10.1016/j.genm.2011.04.004.
• Magnus, Jeanette H.; Martin, AE & Cunningham, SC (2011). Professional development using student-led, community-based activities. Journal of Public Health Management and Practice. ISSN 1078-4659. 17, p. 354–357. doi: 10.1097/PHH.0b013e3182140c18. Show summary

  As a community health education center affiliated with an academic institution, we recognize that by investing in the professional development of our students, we not only maximize our own outcomes but those of our students as well. Our project, Creating Community Connections, was developed to aid the work of our Center in characterizing the evolving community landscape following Hurricane Katrina while providing opportunities for students to engage in experiential learning. Students in the project could gain skills in program planning and community assessment, as well as leadership and communications. Twenty-three students worked on the project during its 2 years, developing data collection tools, organizing and conducting key informant interviews, facilitating focus groups and community forums, managing data, and summarizing project findings for community presentations. Participation in this project allowed our students to grow as public health leaders and researchers while gaining a greater appreciation for community collaboration.

• Magnus, Jeanette H. & Domino, SE (2011). Interdisciplinary Research Career Development: Building Interdisciplinary Research Careers in Women's Health Program Best Practices. Journal of Womens Health & Gender-Based Medicine. ISSN 1524-6094. 20(11), p. 1587–1601. doi: 10.1089/jwh.2011.3165. Show summary

  BACKGROUND: The Office of Research on Women's Health (ORWH) and the National Institutes of Health (NIH) Institutes and Centers and the Agency for Health Care Research and Quality (AHRQ) have sponsored an interdisciplinary research career development program in five funding cycles since 2000 through a K12 mechanism titled "Building Interdisciplinary Research Careers in Women's Health (BIRCWH)." As of 2010, 407 scholars have been supported in interdisciplinary women's health research and a total of 63 BIRCWH program awards have been made to 41 institutions across the U.S. METHODS: In an effort to share practical approaches to interdisciplinary research training, currently funded BIRCWH sites were invited to submit 300-word bullet-point style summaries describing their best practices in interdisciplinary research training following a common format with an emphasis on practices that are innovative, can be reproduced in other places, and advance women's health research. RESULTS AND CONCLUSIONS: Twenty-six program narratives provide unique perspectives along with common elements and themes in interdisciplinary research training best practices.

• Wu, Qing; Magnus, Jeanette H. & Hentz, JG (2010). Urinary Cadmium, Osteopenia, and Osteoporosis in the US Population. Osteoporosis International. ISSN 0937-941X. 21, p. 1449–1454.
• Magnus, Jeanette H.; Shankar, A & Broussard, DL (2010). Self Report of Depressive Symptoms in African American and White Women in Primary Care. Journal of the National Medical Association. ISSN 0027-9684. 102, p. 389–395.
• Wu, Qing; Magnus, Jeanette H.; Rice, J & Lefante, JJ (2010). Does Using Lower Limit of Normal Normative Values Enhance the Ability of a Single Bone Mineral Density Measure to Predict Fractures? Osteoporosis International. ISSN 0937-941X. 21, p. 1881–1888.
• Lindekleiv, Håkon; Valen Sendstad, K; Mardal, KA; Morgan, MK; Faulder, K & Magnus, Jeanette H. [Show all 8 contributors for this article] (2010). Sex Differences in Intracranial Bifurcation Geometry and Blood Flow Velocity Result in Stronger Hemodynamic Forces Acting upon the Female Vessel Wall. Gender Medicine. ISSN 1550-8579. 7, p. 149–155.
• McGee, Jennifer; Magnus, Jeanette H. & Islam, TM (2010). Donor-recipient gender and size mismatch affects graft success after kidney transplantation. Journal of the American College of Surgeons. ISSN 1072-7515. 210, p. 718–725.
• Magnus, Jeanette H.; Doyle, MK & Srivastav, S (2010). Self-reported Rheumatoid Arthritis and Hyperuricemia in a Multiethnic Adult Female Population. Current Medical Research and Opinion. ISSN 0300-7995. 27, p. 2157–2163.
• Wu, Qing; Magnus, Jeanette H.; Liu, J; Bencaz, AF & Hentz, JG (2009). Depression and Low Bone Mineral Density: A Meta-analysis of Epidemiologic Studies. Osteoporosis International. ISSN 0937-941X. 20, p. 1309–1320.
• Huang, HL; Chen, T; Chen, FL; Magnus, Jeanette H.; Rice, J & Yen, YY [Show all 7 contributors for this article] (2009). A Study of Smoking Disparity and Factors Associated with Children Smoking Behavior in the Mountain Schools and the City Schools in Taiwan. Journal of School Health. ISSN 0022-4391. 79, p. 67–73.
• Avery, AB; Zimmermann, K.; Underwood, PW & Magnus, Jeanette H. (2009). Confident Commitment is a Key Factors for Sustained Breastfeeding. Birth. ISSN 0730-7659. 36, p. 141–148.
• Berntsen, Gro Karine Rosvold; Fønnebø, Vinjar; Tollan, Anne; Søgaard, Anne-Johanne; Joakimsen, Ragnar Martin & Magnus, Jeanette H. (2000). The Tromsø Study: Determinants of precision in bone densitometry. Journal of Clinical Epidemiology. ISSN 0895-4356. p. 1104–1112.
• Joakimsen, Ragnar Martin; Fønnebø, Vinjar; Magnus, Jeanette H.; Størmer, Jan; Tollan, Anne & Søgaard, Anne-Johanne (1998). The Tromsø Study: Physical Activity and the Incidence of Fractures in a Middle-Aged Population. Journal of Bone and Mineral Research. ISSN 0884-0431. 13(7).

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• Magnus, Jeanette H. (2022). Importance of addressing sex and gender in research and education.
• Diaz, Esperanza; Moen, Bente Elisabeth; Alme, Maria Nordheim; Magnus, Jeanette H.; Kumar, Bernadette. N & Øderud, Tone (2022). "Å kreve betaling fra utenlandske studenter viser at vi ikke har lært av pandemien". Universitetet i Bergen.
• Eikemo, Terje Andreas; Fife, Paul Richard; Haavardsson, Ingeborg K; Magnus, Jeanette H. & Sandøy, Ingvild Fossgard (2021). Pandemiens klasseforskjeller. Forskning.no. ISSN 1891-635X. Show summary

  Onsdag 14. april 2021 la Koronakommisjonen frem sin rapport om myndighetenes håndtering av pandemien. Rapporten konkluderer med at vi burde vært bedre forberedt på en slik krise, men påpeker at vi må forberede oss på en ny. Leder av kommisjonen Stener Kvinnesland påpeker at pandemien har truffet oss ulikt. Vanskeligstilte har fått det vanskeligere. I denne kronikken forklarer vi hvorfor dette skjer både i Norge og andre land, og hva vi kan gjøre med det.

• Nordström, Charlott; Ingelby, D; Dias, Sónia; Magnus, Jeanette H. & Kumar, Bernadette. N (2019). Country Assessments: Identifying gaps in policy and practice to address equity in health for migrants. European Journal of Public Health. ISSN 1101-1262. doi: 10.1093/eurpub/ckz186.064.
• Magnus, Jeanette H. (2019). International collaboration for PhD training.
• Magnus, Jeanette H.; Tushune, Kora & Haileamlak, Abraham (2019). From needs assessment to academic leadership training for women in Ethiopia. In Halvorsen, Tor; Orgeret, Kristin & Krøvel, Roy (Ed.), Sharing knowledge, transforming Societies : The Norhed programme 2013-2020. African Minds. ISSN 9781928502005. p. 457–474.
• Magnus, Jeanette H. (2019). Discrimination and Health, Migrant Health: A Primary Care Perspective. CRC Press. ISSN 9781138498044. p. 55–63.
• Glavin, Kari; Dolvik, Stina; Leirbakk, Maria Jensberg; Berg, Rigmor & Magnus, Jeanette H. (2019). “New families”: Innovation and Development of the Child Health Services in Oslo.
• Tollan, Anne & Magnus, Jeanette H. (2018). Misogyny – a silent epidemic in the health service. Tidsskrift for Den norske legeforening. ISSN 0029-2001. doi: 10.4045/tidsskr.17.1107.
• Magnus, Jeanette H. (2018). Bredt om helseledelse. Osteoporosis International. ISSN 0937-941X. doi: 10.4045/tidsskr.17.0885.
• Dolvik, Stina; Leirbakk, Maria Jensberg & Magnus, Jeanette H. (2017). How to scale up an early intervention home visiting program. European Journal of Public Health. ISSN 1101-1262. 27.
• Leirbakk, Maria Jensberg; Dolvik, Stina & Magnus, Jeanette H. (2017). A universal approach to recruitment in a home visiting program in a multiethnic district in Oslo. European Journal of Public Health. ISSN 1101-1262. 27.
• Leirbakk, Maria Jensberg; Dolvik, Stina & Magnus, Jeanette H. (2017). The advantages of home visits compared to providing care in a clinic setting. European Journal of Public Health. ISSN 1101-1262. 27.
• Kumar, Bernadette. N & Magnus, Jeanette H. (2017). Migrasjon og helsefremmende arbeid. In Tellnes, Gunnar (Eds.), Helsefremmende samhandling - Natur og kultur som folkehelse. Fagbokforlaget. ISSN 9788245016963. p. 146–155. Show summary

  Helsefremmende samhandling er en bok om hvordan gode krefter kan arbeide for et sunt og trygt lokalsamfunn. Leseren innføres i et salutogent perspektiv heller enn en patologisk orientert tilnærming. Hovedtanken er å styrke individ, samfunn og miljø mot bedre folkehelse, trivsel og velferd. Helsefremmende natur- og kulturaktiviteter kan benyttes av alle uten de store kostnadene. Boken viser bredden i folkehelsearbeidet, er kunnskapsbasert og refererer til praktiske erfaringer, undersøkelser og fakta. De ulike kapittelforfatterne viser hvordan denne tilnærmingen kan supplere den tradisjonelle behandling som tilbys i dagens helsevesen og NAV. De bidrar dessuten til en bærekraftig utvikling, og til forebygging av helseplager blant alle innbyggerne, også innvandrere. Denne boken er aktuell for studenter og de som jobber innen folkehelse, samfunnsmedisin og forebyggende helsearbeid. Dette gjelder folkehelsekoordinatorer, leger, sykepleiere, psykologer og lærere, samt ansatte i ideelle organisasjoner, NAV, sosialomsorg, offentlige etater og næringsliv. Gunnar Tellnes er professor i samfunnsmedisin ved Universitetet i Oslo og rådgivende overlege i NAV Akershus. Han var initiativtaker til Nasjonalt senter for Natur-Kultur-Helse (NaKuHel) i Asker.

• Magnus, Jeanette H. (2017). Hjemmebesøk fra helsestasjonen – et salutogenetisk perspektiv.
• Magnus, Jeanette H. (2016). Political Determinants of global health.
• Magnus, Jeanette H. (2016). Capacity Exchange between Norway and Ethiopia.
• Magnus, Jeanette H. & Haileamlak, Abraham (2016). Capacity Exchange between Norway and Ethiopia in Higher Education.
• Magnus, Jeanette H. (2016). Transforming Academic Partnerships with the Global South.
• Magnus, Jeanette H. (2016). Migration and health: Authorities' responsibilities and civil society organizations' role.
• Magnus, Jeanette H. (2016). University Partnership for Development.
• Magnus, Jeanette H. (2016). Ny i Norge – minoritetshelse.
• Torper, Johan; Leirbakk, Maria Jensberg; Andersen, Tone; Neerland Opsahl, Jorun & Magnus, Jeanette H. (2016). Administrative participation in development of new preventive maternal and child health services – lessons learned from multiethnic community in Norway.
• Neerland Opsahl, Jorun; Dolvik, Stina; Leirbakk, Maria Jensberg; Bratli, Elisabeth; Hjelmerud, Thorild & Wiborg, KA [Show all 7 contributors for this article] (2016). Integration of a comprehensive home visit program for first time mothers in a multiethnic Norwegian district.
• Dolvik, Stina; Leirbakk, Maria Jensberg; Bratli, Elisabeth; Hjelmerud, Thorild; Neerland Opsahl, Jorun & Wiborg, KA [Show all 8 contributors for this article] (2016). Advancing public health nursing care in a multi ethic population – Critical reflection captures needs for training and assessment.
• Magnus, Jeanette H. (2015). The importance of sex and gender lenses in health research.
• Magnus, Jeanette H. (2015). Kvinnehelse forskning - kilde til innovasjon.
• Magnus, Jeanette H.; Leirbakk, Maria Jensberg; Torper, Johan & Sletnes, Kari Elisabeth (2015). Academic municipality partnership advancing practice anchored research agenda. European Journal of Public Health. ISSN 1101-1262. 25. Show summary

  In Norway few municipalities initiate research. According to policy they have an accomplice liability, but no responsibility in financing or conducting research. Thus a limited amount of research is implemented on the municipality’s premises. How can an academic community partnership between the City Health Department and the University in Oslo facilitate and increase the participation of practitioners in all aspects of the research process? The Municipality of Oslo and the University of Oslo signed partnership intent to encourage cooperation in research, education, personnel and service development and innovation. Needs assessment exploring the priority areas for collaboration and strengthening was undertaken. Ongoing and potential research projects and collaborative efforts were identified. A total of 12 cooperative research projects, all with a health perspective, have been initiated. Of these 6 are linked to PhD projects. The largest public health project, “New mothers”, is anchored in the municipality health service, based on the needs and challenges of the maternal and child population. Initially as pilot in one of the districts in Oslo, it is now supported by the city council and anchored in the administration. Employing community based participatory methods including all stakeholders in the district; the mothers, the Medical chief, the Mother and Child Health Care Service; we were able to design, implement and demonstrate the prospects of the project. Policy guides intent but not responsibility for conducting research at municipal levels in Norway. Academic community partnership facilitates community anchored research projects. Community based participatory methods facilitate design, implementation, support and success of research projects. Academic community partnership increases success of policy anchored public health research in the municipality enhancing efficacy and quality of health services.

• Leirbakk, Maria Jensberg; Magnus, Jeanette H.; Torper, Johan & Neerland Opsahl, Jorun (2015). Early intervention home visiting program in a multi ethnic population. European Journal of Public Health. ISSN 1101-1262. 25.
• Leirbakk, Maria Jensberg; Neerland Opsahl, Jorun; Hjelmerud, Thorild; Wiborg, KA; Bratli, Elisabeth & Magnus, Jeanette H. (2015). Use of critical reflection in advancing public health nursing care in a multi ethic population. European Journal of Public Health. ISSN 1101-1262. 25. Show summary

  Description of the problem: Stovner district has 30 100 inhabitants, 49% minorities from 137 countries, is located in Oslo, Norway. All pregnant mothers and children are offered free health care services and reaches 96% of the eligible population. Public health nurse (PHNs) offer services for mother and child, including health check-ups and vaccinations. “New mothers” is an early intervention public health project, aimed at improving parent and child relationship, child development, children's social adaptation, school readiness, and possibly reduce costly secondary and tertiary preventive measures. Each new mother is invited to have a “family” PHN that visit her during pregnancy and follow her until the child is two years. This is a new way of working for the PHNs and the challenges are to document the strategies used and knowledge adopted by the PHNs during this experience. Results: Through monthly reflection papers guided by semi-structured questions, the PHNs are encouraged to critically reflect on their choices and strategies. The cases and reflections are openly discussed each month in a group with the PHNs, the project coordinator and the evaluator. This is to capture and discuss the methods, experience and knowledge used. This facilitates peer learning between the PHNs, as well as offering a coherent method for the data collection for the evaluation, and future scale-up and training. Lessons: PHNs experience the process of writing reflection papers as an opportunity to critical reflects on own practice. Group discussions opens for peer learning and increases ability to reflect on own practice. Use of Critical reflection in public health nursing care in a multi ethic population facilitates project evaluation and identifies core competencies required for scale-up and training. Main message: Critical reflection is a useful method to capture praxis, advance practitioner’s knowledge, evaluate impact of change in practice, and capture knowledge adopted during service development.

• Magnus, Jeanette H. (2014). The political origins of health inequity - Political determinants of global health.
• Magnus, Jeanette H. (2014). Kvinnehelse- hvorfor angår det deg.
• Magnus, Jeanette H. (2014). Kreft og helseulikheter.
• Magnus, Jeanette H. (2014). Kvinnehelse- medisinsk og politisk aktuelt i 2014?
• Magnus, Jeanette H. (2014). Diabetes og helseulikheter.
• Magnus, Jeanette H. (2014). Osteoporosis.
• Magnus, Jeanette H.; Leirbakk, Maria Jensberg & Torper, Johan (2014). Health Disparity and social inclusion – home visits to new mothers, a feasibility study.
• Højdahl, Torunn; Magnus, Jeanette H. & Langeland, Eva (2014). Experiences of a motivational program (VINN), promoting convicted women`s sense of coherence and coping.
• Solbakken, Siri Marie; Magnus, Jeanette H.; Meyer, Haakon E; Emaus, Nina; Tell, Grethe Seppola & Holvik, Kristin [Show all 11 contributors for this article] (2014). IMPACT OF SEASON AND COMORBIDITY ON HIP FRACTURE INCIDENCE. A NOREPOS STUDY.
• Højdahl, Torunn; Magnus, Jeanette H. & Langeland, Eva (2014). ‘A bridge to change’. Experiences of a motivational program (VINN), promoting convicted women`s sense of coherence and coping.
• Magnus, Jeanette H. (2013). The Lancet-UiO Commission on global health.
• Omsland, Tone Kristin; Emaus, Nina; Holvik, Kristin; Tell, Grethe S; Ahmed, Luai Awad & Center, Jackie [Show all 15 contributors for this article] (2013). GENDER DIFFERENCES IN ALL-CAUSE MORTALITY FOLLOWING FIRST HIP FRACTURE IN 81,867 NORWEGIAN WOMEN AND MEN: THE NORWEGIAN EPIDEMIOLOGIC OSTEOPOROSIS STUDIES. Osteoporosis International. ISSN 0937-941X. 24, p. S257–S257.
• Magnus, Jeanette H. & Avery, Alexis (2012). Father's perceptions on infant feeding. Annals of Behavioral Medicine. ISSN 0883-6612. 43, p. S25–S25. doi: 10.1177/0890334410395753.

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