Jeanette H. Magnus

• Abdulahi, Misra; Fretheim, Atle & 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: doi: 10.1186/s13006-020-00269-w.
• 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.  ISSN 1660-4601.
• Ousman, 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.  ISSN 1660-4601.  17(5) . doi: 10.3390/ijerph17051712.
• 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.  ISSN 1660-4601.  16(23), s 1- 13 . doi: 10.3390/ijerph16234694 Fulltekst i vitenarkiv.
• 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, s 89- 95 . doi: 10.1016/j.ijid.2019.02.019 Fulltekst i vitenarkiv. Vis sammendrag

  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.

• 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), s 659- 672 . doi: 10.1002/imhj.21804 Vis sammendrag

  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.

• 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
• Solbakken, Siri Marie; Magnus, Jeanette H.; Meyer, Haakon E; Dahl, Cecilie; Stigum, Hein; Søgaard, Anne-Johanne; Holvik, Kristin; Tell, Grethe S.; Emaus, Nina; Forsmo, Siri; Gjesdal, Clara Gram; Schei, Berit; Vestergaard, Peter & Omsland, Tone Kristin (2019). Urban–Rural Differences in Hip Fracture Mortality: A Nationwide NOREPOS Study. JBMR Plus.  ISSN 2473-4039.  3(11) . doi: 10.1002/jbm4.10236 Fulltekst i vitenarkiv.
• Søgaard, Anne-Johanne; Magnus, Jeanette H.; Bjørnerem, Åshild; Holvik, Kristin; Ranhoff, Anette Hylen; Emaus, Nina; Meyer, Haakon E & Strand, Bjørn Heine (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 Fulltekst i vitenarkiv. Vis sammendrag

  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 Fulltekst i vitenarkiv. Vis sammendrag

  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.

• 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 Fulltekst i vitenarkiv.
• 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.  s 1- 8 . doi: 10.1016/j.wombi.2018.12.008
• 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), s 1- 14 . doi: 10.1371/journal.pone.0194681 Fulltekst i vitenarkiv.
• 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
• Magnus, Jeanette H. & Kumar, Bernadette. N (2016). Rett til helse - menneskerettighet eller ikke?. Omsorg: Nordisk tidsskrift for Palliativ Medisin.  ISSN 0800-7489.  33(4), s 51- 56
• Solbakken, Siri Marie; Meyer, Haakon E; Stigum, Hein; Søgaard, Anne-Johanne; Holvik, Kristin; Magnus, Jeanette H. & Omsland, Tone Kristin (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), s 881- 887 . doi: 10.1007/s00198-016-3795-0
• 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), s 169- 182 . doi: 10.1108/IJPH-10-2014-0037 Fulltekst i vitenarkiv.
• Omsland, Tone Kristin; Eisman, John A.; Næss, Øyvind; Center, Jacqueline R; Gjesdal, Clara Gram; Tell, Grethe Seppola; Emaus, Nina; Meyer, Haakon E; Søgaard, Anne-Johanne; Holvik, Kristin; Schei, Berit; Forsmo, Siri & Magnus, Jeanette H. (2015). Educational inequalities in post-hip fracture mortality: a NOREPOS studys. Journal of Bone and Mineral Research.  ISSN 0884-0431.  30(12), s 2221- 2228 . doi: 10.1002/jbmr.2579 Vis sammendrag

  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. & Langeland, Eva (2014). A bridge to change: Experiences of participation in “VINN”— a motivational program for convicted women. EuroVista.  ISSN 2042-7026.  3(2), s 81- 96 Fulltekst i vitenarkiv. Vis sammendrag

  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.

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• 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.
• Magnus, Jeanette H. (2019). Discrimination and Health, In  Migrant Health: A Primary Care Perspective.  CRC Press.  ISBN 9781138498044.  Chapter 5.  s 55 - 63
• Magnus, Jeanette H.; Tushune, Kora & Haileamlak, Abraham (2019). From needs assessment to academic leadership training for women in Ethiopia, In Tor Halvorsen; Kristin Orgeret & Roy Krøvel (ed.),  Sharing knowledge, transforming Societies : The Norhed programme 2013-2020.  African Minds.  ISBN 9781928502005.  Chapter.  s 457 - 474
• Magnus, Jeanette H. (2018). Bredt om helseledelse. Osteoporosis International.  ISSN 0937-941X. . doi: 10.4045/tidsskr.17.0885
• Tollan, Anne & Magnus, Jeanette H. (2018). Misogyny – a silent epidemic in the health service. Tidsskriftet Den norske legeforening. . doi: 10.4045/tidsskr.17.1107
• 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 . doi: ckx186.107
• Kumar, Bernadette. N & Magnus, Jeanette H. (2017). Migrasjon og helsefremmende arbeid., I: Gunnar Tellnes (red.),  Helsefremmende samhandling - Natur og kultur som folkehelse.  Fagbokforlaget.  ISBN 9788245016963.  Del IV Mental helse, migrasjon og forebygging, 14.  s 146 - 155
• 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 . doi: ckx187.123
• 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 . doi: ckx187.073
• Magnus, Jeanette H. (2017). Hjemmebesøk fra helsestasjonen – et salutogenetisk perspektiv..
• Dolvik, Stina; Leirbakk, Maria Jensberg; Bratli, Elisabeth; Hjelmerud, Thorild; Neerland Opsahl, Jorun; Wiborg, KA; Zeanah, P & Magnus, Jeanette H. (2016). Advancing public health nursing care in a multi ethic population – Critical reflection captures needs for training and assessment.
• Magnus, Jeanette H. (2016). Migration and health: Authorities' responsibilities and civil society organizations' role.
• Magnus, Jeanette H. (2016). Ny i Norge – minoritetshelse.
• Magnus, Jeanette H. (2016). Transforming Academic Partnerships with the Global South.
• Magnus, Jeanette H. (2016). University Partnership for Development.
• Magnus, Jeanette H. & Haileamlak, Abraham (2016). Capacity Exchange between Norway and Ethiopia in Higher Education.
• Neerland Opsahl, Jorun; Dolvik, Stina; Leirbakk, Maria Jensberg; Bratli, Elisabeth; Hjelmerud, Thorild; Wiborg, KA & Magnus, Jeanette H. (2016). Integration of a comprehensive home visit program for first time mothers in a multiethnic Norwegian district..
• 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.
• 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, s 473
• 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, s 414 Vis sammendrag

  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. (2015). Kvinnehelse forskning - kilde til innovasjon.
• Magnus, Jeanette H. (2015). The importance of sex and gender lenses in health research.
• 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, s 174 Vis sammendrag

  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.

• 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.
• Højdahl, Torunn; Magnus, Jeanette H. & Langeland, Eva (2014). Experiences of a motivational program (VINN), promoting convicted women`s sense of coherence and coping.
• Magnus, Jeanette H. (2014). Diabetes og helseulikheter.
• Magnus, Jeanette H. (2014). Kreft og helseulikheter.
• Magnus, Jeanette H. (2014). Kvinnehelse- hvorfor angår det deg.
• Magnus, Jeanette H. (2014). Kvinnehelse- medisinsk og politisk aktuelt i 2014?.
• Magnus, Jeanette H. (2014). Osteoporosis.
• Magnus, Jeanette H. (2014). The political origins of health inequity - Political determinants of global health..

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