Levels In Sweden Research Articles

How representative is the Swedish PISA sample? A comparison of PISA and register data

PISA aims to serve as a “global yardstick” for educational success, as measured by student performance. For comparisons to be meaningful across countries or over time, PISA samples must be representative of the population of 15-year-old students in each country. Exclusions and non-response can undermine this representativeness and potentially bias estimates of student performance. Unfortunately, testing the representativeness of PISA samples is typically infeasible due to unknown population parameters. To address this issue, we integrate PISA 2018 data with comprehensive Swedish registry data, which includes all students in Sweden. Utilizing various achievement measures, we find that the Swedish PISA sample significantly overestimates the achievement levels in Sweden. The observed difference equates to standardized effect sizes ranging from d = .19 to .28, corresponding to approximately 25 points on the PISA scale or an additional year of schooling. The paper concludes with a plea for more rigorous quality standards and their strict enforcement.

Digitalised Welfare: Access, Usage, and Outcomes Among Older Adults

The slogan “digital first” has become a buzzword for public organisational development at the local, regional, and national levels in Sweden. The slogan alludes to the idea that providing information to and communication with citizens should take place primarily through digital channels. This idea is also popular in other parts of the digitalised world. Obviously, digital solutions have the potential to become pedagogical, reliable, and effective interfaces for governmental interaction with citizens. However, the extent to which they are actually accessible, brought to use, and valued among older adult users (more than 65 years of age) has not attracted much research interest. Drawing on national survey data, collected in November–December 2020, on Swedish citizens (aged 65 to 90 years), this article will start to compensate for this deficit. First, it analyses the extent to which citizens have physical access to required devices and how access is related to material, discursive, and social resources. Second, it analyses resources and usage of important platforms for public services for older adults: the Pensions Agency, health care, e-pharmacy, the Social Insurance Agency, and the Tax Agency. Finally, the article examines outcomes: feelings and attitudes towards experiences of encountering a digitalising society. The article demonstrates how all three levels of divides—access, usage, and outcomes—are clearly related to older adults’ access to material, discursive, and social resources, as well as to age and pre-retirement experience with computers. It is comparatively younger individuals with longer formal education and at least average incomes and social networks who benefit the most from digitalised public services.

The relation between auditing and accounting timeliness in Swedish private firms

PurposeThe purpose of this study is to examine the relationship between auditing/non-auditing and accounting timeliness among Swedish private firms.Design/methodology/approachThis paper uses regression analysis to test the relationship between auditing and two measurements of timeliness; lead time and late filing. The sample consists of Swedish private firms.FindingsThis paper finds that audited firms, when compared with unaudited firms, are significantly less timely. Moreover, greater profitability was associated with more timeliness but only for audited firms. The results of this paper also show that firms being audited by a big 4 auditor are significantly timelier than firms being audited by a non-big 4 auditor.Practical implicationsThe findings in this paper suggests that one aspect of accounting quality, timeliness, does not seem to benefit from auditing in a Swedish context. There is a debate about whether the threshold levels in Sweden should be raised so that more firms voluntarily can opt out of audit. Those opposing a raised threshold level claim that auditing has positive effects on accounting quality and consequently that a raised level would have adverse effects. The findings in this paper do not support such a claim.Originality/valueLittle is known about timeliness in private firms compared to public firms and this paper fills that void. Contrary to prior research, findings show that unaudited firms in a Swedish regulatory setting actually are timelier than their audited counterparts. This questions one of the (presumed) benefits of auditing and should stimulate more research on this issue.

Old Wine in a New Bottle? – Interpreting Gender Mainstreaming in a Municipal Reorganisation


 Gender mainstreaming (GM) has been on the agenda of organisations at various levels in Sweden and worldwide since the 1990s. Research has shown that GM is difficult to apply and has yet to be clearly defined, and additionally that organisations are uncertain about how to implement it. Research also suggests that the dominance of the new public management (NPM) approach within organisations has made GM work more challenging. In this article, we examine GM in a medium-sized Swedish municipality that is reorganising itself to become gender mainstreamed while introducing trust-based governance (TBG). This municipality provides a unique opportunity to study how GM is constructed in a municipality at the intersection of NPM and TBG. Applying a critical perspective, this article analyses documents from reorganisation based on Bacchi’s (2009) policy analysis. The results demonstrate that GM is mainly translated into TBG-inspired practices and that efficiency becomes an overarching concept that entangles GM, TBG and NPM. GM becomes part of cultural change together with TBG, while NPM maintains its dominance in the structural change of the organisation.

HTA228 Willingness to Pay for Different Severity Levels in Sweden: An Analysis of TLV Decisions (2014-2022)

HTA228 Willingness to Pay for Different Severity Levels in Sweden: An Analysis of TLV Decisions (2014-2022)

Public health work in Sweden during the COVID-19 pandemic

Abstract Background and objectives This study examines the consequences of the COVID-19 pandemic for public health practice carried out at local and regional levels in Sweden. The work includes, for example, interventions in health care, schools and preschools, social services, and non-profit organisations. Methods By means of written questions and interviews in municipalities, regions, county administrative boards, networks, and organisations, we investigated whether public health-related interventions had decreased, increased, or changed as a result of the COVID-19 pandemic. Data were analysed by content analysis. Results The results show that a large number of interventions from a variety of local and regional actors aimed at broad target groups were cancelled or paused during the time of our survey. Eventually, many, but not all of the cancelled interventions were replaced with other options, most of which are included in the following themes: • Digital solutions and support over the phone instead of physical meetings. • Outdoor activities instead of indoor activities. • Organisational adaptations, for example, from drop-in visits to booked appointments and from open activities to scheduled visits. The interviews also revealed that public health issues had been highlighted and that existing collaboration structures were a success factor in managing the consequences of the COVID-19 pandemic. The risk of and concern for the spread of infection and compliance with the authorities’ recommendations were stated to be the main reasons why public health-related interventions had decreased, increased, or changed. Conclusions Both general public health practice and targeted interventions in health care and municipal activities have been cancelled or rescheduled according to our survey. Because many public health-related interventions have an equalising effect on health, this can be of great importance for groups that are socially, economically, or health-relatedly vulnerable.

Excess mortality and COVID-19 in Sweden in 2020: A demographic account

In this study, we provide an account of mortality levels in Sweden in 2020, focusing on both excess mortality and mortality due to COVID-19 deaths.We present various measures of life expectancy for women and men based on age-specific death rates in 2020. Our measures of excess mortality are based on comparisons with benchmarks derived from a previous mortality forecast for 2020 by Statistics Sweden and observed average mortality rates during 2017–2019. We present data on regional and seasonal variation in excess mortality, as well as estimates of Years of Potential Life Lost due to COVID-19. We decompose excess mortality in 2020 into excess mortality due to COVID-19 and excess mortality attributable to other causes. We also provide some estimates on the impact of excess mortality in 2020 on the remaining life expectancy for different cohorts of women and men in Sweden. We demonstrate that the impact of COVID-19 mortality was concentrated at higher ages, and among men in particular. Conversely, some younger age groups experienced negative excess mortality. The mortality changes during 2020 caused life expectancy levels to revert back to those observed in 2018 for women and in 2017 for men.

Covid-19 and outdoor recreation management: Increased participation, connection to nature, and a look to climate adaptation.

Outdoor recreation management perspectives were investigated based on the general perception of increased public outdoor recreation participation during the Covid-19 pandemic and supported by survey research at local, regional, and national levels in Sweden. There is an interest in how outdoor recreation professionals perceived outdoor recreation by the public during the pandemic and whether professionals could identify specific implications from the Covid-19/outdoor recreation experience. Climate adaptation literature supports the idea that current global challenge coupled with projections for ongoing challenge requires a pro-active approach; this turn to climate adaptation for potential consideration or guidance is based on characteristics that the Covid-19 pandemic shares with climate change. Outdoor recreational professionals' review of a recent public survey and subsequent semi-structured interviews with this group were conducted to obtain outdoor recreation professionals' detailed perceptions on survey outcomes. Results show that the professionals confirm a rapid and significant increase in outdoor recreation participation. Further, professionals identified critical trends in the increase of new or inexperienced outdoor recreation participants. A positive and proactive list of implications emerged as themes of the interviews. A review and synthesis of the themes support the national goals for outdoor recreation in Sweden. Further, results indicate a current opportunity for outdoor recreation to address concerns for diminishing nature experience and support connectedness to nature. The connectedness to nature outcome further strengthens the comparison with climate adaptation strategy given the potential relationship between connectedness to nature and pro-environmental behavior.

Occupation, socioeconomic status and chronic obstructive respiratory diseases – The EpiLung study in Finland, Estonia and Sweden

ObjectiveTo study occupational groups and occupational exposure in association with chronic obstructive respiratory diseases. MethodsIn early 2000s, structured interviews on chronic respiratory diseases and measurements of lung function as well as fractional expiratory nitric oxide (FENO) were performed in adult random population samples of Finland, Sweden and Estonia. Occupations were categorized according to three classification systems. Occupational exposure to vapours, gases, dusts and fumes (VGDF) was assessed by a Job-Exposure Matrix (JEM). The data from the countries were combined. ResultsCOPD, smoking and occupational exposure were most common in Estonia, while asthma and occupations requiring higher educational levels in Sweden and Finland. In an adjusted regression model, non-manual workers had a three-fold risk for physician-diagnosed asthma (OR 3.18, 95%CI 1.07–9.47) compared to professionals and executives, and the risk was two-fold for healthcare & social workers (OR 2.28, 95%CI 1.14–4.59) compared to administration and sales. An increased risk for physician-diagnosed COPD was seen in manual workers, regardless of classification system, but in contrast to asthma, the risk was mostly explained by smoking and less by occupational exposure to VGDF. For FENO, no associations with occupation were observed. ConclusionsIn this multicenter study from Finland, Sweden and Estonia, COPD was consistently associated with manual occupations with high smoking prevalence, highlighting the need to control for tobacco smoking in studies on occupational associations. In contrast, asthma tended to associate with non-manual occupations requiring higher educational levels. The occupational associations with asthma were not driven by eosinophilic inflammation presented by increased FENO.

Canopy openness and exclusion of wild ungulates act synergistically to improve oak natural regeneration

The recruitment of forest trees is driven by both bottom-up processes (the acquisition of resources) and top-down processes (herbivory). To initiate stand regeneration, foresters commonly reduce tree density to increase light levels for seedlings and enhance primary productivity. These changes in vegetation dynamics, however, could also influence effects of ungulate browsing, resulting in unintended consequences for forest management. Here, we assessed how effects of ungulate exclusion and canopy opening interacted to affect the regeneration of two oak species: Quercus robur and Quercus petraea. We monitored the growth and survival of oak seedlings for two to three growth seasons in paired fenced and unfenced plots under contrasting conditions of canopy openness (8% to 52%) at five sites in southern Sweden and three sites in northeastern France. We scored browsing in the unfenced plots by the four cervids occurring in these areas (Alces alces, Capreolus capreolus, Cervus elaphus and Dama dama). Fencing increased the growth of (mostly taller) seedlings occurring in Sweden and the survival of (mostly smaller) seedlings in France. Both effects increased as canopies became more open. Browsing reduced oak seedling growth in both countries, independently of canopy openness. Canopy openness increased browsing levels in Sweden. Cervid densities did not appear to modify how fencing affected oak seedling growth and survival. In both contrasting forest environments, creating gaps tended to enhance ungulate damage on young forest stands as browsing frequency increased. We conclude that net forest regeneration reflects a subtle equilibrium between enhancing resource availability, boosting seedling growth, and limiting herbivory, which curtails seedling growth and survival.

Municipal Social Innovation in a Rural Region

The study provides insights into how rural municipalities approach social innovation as a way of addressing current societal challenges. A survey and interviews among public servants in 14 municipalities in Sweden’s northernmost and largest region – Norrbotten – show that they perceive social innovation as pivotal in improving the supply and quality of public services. However, the presence of terminologies, cultures, structures and cooperation for promoting social innovation varies among the municipalities. The increased promotion of social innovation among public authorities at regional and national levels in Sweden, and at international level in Europe and beyond, is thus only reflected to some extent in these municipalities. The findings indicate that this variation might be related to their rural challenges and conditions, which restrict their economic and human resources for promotion of social innovation in relation to declining and ageing populations, limited and decreasing tax bases, and persistent labour shortages.

Destructive leadership in crisis management

PurposeThe purpose of this paper is to contribute to increased knowledge of destructive leadership in crisis management. The specific research questions are: (1) What types of destructive leadership behaviours can be identified in leaders in crisis management? and (2) Why are these behaviours considered destructive in this context?Design/methodology/approachAbout 21 informants involved in crisis management at regional, local and operational levels in Sweden were interviewed. They were selected since they had recently been involved in severe accidents and/or crises (e.g. terror attacks, forest fires). A grounded theory analysis of interview data yielded two core variables: destructive leadership behaviours, and appraisal: interpretation of leader behaviour.FindingsThe study identified seven different destructive leadership behaviours: four task-related and three relationship-related. Task-related behaviours primarily led to negative consequences for the task/crisis. Relationship-related behaviours have negative consequences for subordinates' job satisfaction, well-being and/or sense of meaningfulness. The paper relates the identified behaviours to existing leadership ideals within crisis management and discusses behaviours that appear to be unique for the crisis management context.Practical implicationsThe paper highlights the fact that great crisis managers are not always good at managing relationships, which may have negative implications for crisis management in the long term.Originality/valueDestructive leadership is a research field that is rapidly expanding. However, there is a lack of knowledge concerning the nature of destructive leadership behaviours and what makes an individual appraise a leader as destructive in crisis management.

Procedure to Estimate Added and Free Sugars in Food Items from the Swedish Food Composition Database Used in the National Dietary Survey Riksmaten Adolescents 2016-17.

A high intake of added and free sugars is associated with poor diet quality, caries, and potentially has a role in non-communicable diseases. As a result, dietary guidelines advice limitation. However, there is no standardized method for estimation of added and free sugars in food items and consequently intake is difficult to measure. This study aimed to refine a procedure for sugars estimation and apply it to a Swedish dietary survey on adolescents (Riksmaten Adolescents 2016–17). A national sample of 3099 adolescents in school year 5, 8 and 11 participated (55% girls). Individual dietary intake data from two non-consecutive days was collected retrospectively and used for analysis. A ten-step systematic procedure for estimation of sugars in a Swedish context has been developed by combining two earlier methods, one for estimation of added sugars and one for free sugars. Sugars estimates were made for all food items comprising the survey database. Mainly objective decisions were necessary to make the estimates (92% and 93% for the sugars respectively); meaning that the procedure was largely transparent. In relation to Nordic Nutrition Recommendations, 45% of the participants had an intake that adhered to the guidelines. However, the majority of intakes was close to the recommendation. Further research on how specific food sources contribute to added and free sugars is necessary to facilitate further guidance on sugars and how to reach recommended target levels in Sweden.

Perceptions of Corruption, Political Distrust, and the Weakening of Climate Policy

This article presents a theory of the relationship between public perceptions of political corruption and the strength of national climate change mitigation policies, which is then formally tested in a time-series-cross-section analysis of twenty industrialized democracies from 1990 to 2012. The analysis reveals that greater perceptions of corruption are highly and robustly associated with weaker climate policies—especially nonmarket policies—when controlling for relevant political and economic variables. A government perceived by citizens to be “mildly corrupt” but that transitions to “very clean” would be associated with strengthening nonmarket climate policies from levels in Greece to levels in Sweden or from levels in Poland to those in Denmark. Lax market-based climate policies are also significantly linked to greater perceived corruption, but notably, they are robustly associated with the size of domestic energy-intensive, trade-exposed industries, which have received substantial environmental tax exemptions and free allocations even in the greenest, high-trust, low-corruption democracies.

Subnational Sweden, the national state and the EU

ABSTRACTThe article examines to what extent the position of the Swedish state vis-à-vis the European Union (EU) has been mediated by domestic factors, and in particular how this has affected its subnational authorities, since Sweden joined the EU in 1995. It examines whether path-dependency prevented Sweden from converging with other member states. The article then examines the relevance of subnational mobilization for the relationship of the Swedish state to the EU. It provides an overview of bottom-up activism, subnational capacity building and top-down influence of the EU over conditions at the local and regional levels in Sweden. It is argued that the traditionally strong position of subnational authorities in Sweden, its institutional and administrative culture and a favourable economic situation have mediated EU influence over the Swedish state. This has also made it possible for local and regional government to bypass the state in its activities vis-à-vis the EU.

Perceptions of Corruption, Political Distrust, and the Weakening of Climate Policy

I present a theory of the relationship between public perceptions of political corruption and the strength of national climate change mitigation policies, which is then formally tested in a time-series-cross-sectional (TSCS) analysis of twenty industrialized democracies from 1990-2012. While perceived corruption is often a symptom of actual institutional corruption that undermines government performance across a variety of policy domains, the perception itself can be particularly pernicious to climate policymaking: by inflaming political distrust, distracting public discourse from foresighted policy debate, bolstering the strategic influence of energy-intensive businesses opposing emissions regulations, and biasing legislatures to adopt a laissez-faire or tawdry approach. The analysis reveals that greater perceptions of corruption are highly and robustly associated with weaker climate policies - especially non-market policies - when controlling for relevant political and economic variables. A government perceived by citizens to be mildly corrupt but that transitions to very clean would be associated with strengthening non-market climate policies from levels in Greece to levels in Sweden, or from levels in the United States to those in the Netherlands. Weak market-based climate policies are also significantly linked to greater perceived corruption, but notably, such policies are robustly associated with the size of domestic energy-intensive, trade-exposed industries, which have received substantial environmental tax exemptions and free allocations even in the greenest, high-trust, low-corruption democracies.

A cost-effectiveness analysis of lowering residential radon levels in Sweden—Results from a modelling study

PurposeResidential exposure to radon is considered as the second leading cause of lung cancer after smoking. The purpose of this study was to conduct a cost-effectiveness analysis of reducing the indoor radon levels in Sweden from the current reference level of 200 Bq/m3 to the WHO suggested reference level of maximum 100 Bq/m3. MethodsWe constructed a decision-analytic cost-effectiveness model using input data from published literature and administrative records. The model compared the increase in economic costs to the health benefits of lower indoor radon-levels in a Swedish policy context. We estimated the cost per life-year and quality adjusted life year (QALY) gained and assessed the robustness of the results using both deterministic and probabilistic sensitivity analysis. ResultsIncluding (excluding) costs of added life years the cost per QALY for existing homes was €130,000 (€99,000). For new homes the cost per QALY including (excluding) costs of added life years was €39,000 (€25,000). ConclusionsThe results indicate that it is not cost-effective to reduce indoor radon levels from 200 Bq/m3 to a maximum of 100 Bq/m3 in existing homes, whereas it is cost-effective for new homes.

Entrepreneurial activities in policy implementation: Sweden\u2019s national wind coordinators

A growing body of literature focuses on how the context in which policy entrepreneurs operate shapes their actions. This study contributes to this perspective by focusing on the regional implementation of wind turbines for increasing renewable energy levels in Sweden. Sweden introduced national wind coordinators for facilitating wind energy implementation. In this capacity, the coordinators carry out entrepreneurial strategies in form of moving the policy through the administrative agenda at local level and pursuing the implementation process together with municipal stakeholders. The study shows that over time, wind coordinators were able to move beyond the government-defined activities and widen the scope of their actions. The analysis offers insights into the temporal dimension of regional entrepreneurial activities by mapping activities from 2006 to 2016. The case reveals that a flexible policy framework and more in-depth knowledge into regional struggles through mediating and networking enable the identification of potential local bottlenecks and lobbying for legal changes by entrepreneurs.

Women and nuclear energy: Examining the gender divide in opposition to nuclear power among swedish citizens and politicians

Whether or not there will be a "renaissance" of nuclear power in the near future may depend upon the nature of support for this energy source among citizens and elected officials. Continued examination of the predictors of opposition to nuclear power therefore remains quite policy relevant. While the existing literature finds modest but consistent gender differences in attitudes towards nuclear power in the general publics of several Western countries, the robustness of this relationship has seldom been investigated across time or among elected officials. This paper addresses both of these gaps. First, analyzing nationally representative data from the Swedish general public between 1986 and 2011, we confirm that the theoretically expected gender divide in opposition to nuclear power—whereby women report greater opposition than do men—is indeed robust over time. Second, examining data from three recent surveys of elected officials at the local, regional, and national levels in Sweden, we find that female elected officials at each polity level report greater opposition to nuclear power than their male counterparts. Our results are consistent with the health and safety concerns argument, whereby women are less supportive than are men of technologies with considerable perceived health and safety risks.

Hög generell tillit och låg tolerans mot främlingar?

In light of Sweden’s exceptionally high levels of generalised trust, a widely argued view is that this country is well equipped to counterbalance contemporary challenges of xenophobia and build trust between diverse groups. However, while trust remains at high levels in Sweden, the same, somewhat paradoxically, goes for xenophobic attitudes. Therefore, the main question addressed in this article is why many Swedes report that they trust ‘most people in general’ while simultaneously displaying high levels of xenophobia. Drawing on unique survey-data, the article presents three main answers. First, the article shows that Swedish respondents place much more trust in their cultural in-group – which they tend to equate with ‘most people’ – than in their cultural out-group. Second, when relating these different measures of trust to respondents’ degree of xenophobia, on the one hand, and their party preferences, on the other hand, the article shows that an overwhelming majority of the electorate report that they trust people from Western Europe, while only a minority report that they tolerate and trust non-Europeans. Third, and most crucially, the article finds that high trust in the cultural out-group is associated with tolerance, whereas high trust in the in-group instead appears to breed xenophobia.