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Tambe, A. B., Mbanga, B. M. R., Dapi Nzefa, L. & Nama, M. G. (2019). Pesticide usage and occupational hazards among farmers working in small-scale tomato farms in Cameroon. Journal of the Egyptian Public Health Association, 94(1), 1-7, Article ID 20.
Open this publication in new window or tab >>Pesticide usage and occupational hazards among farmers working in small-scale tomato farms in Cameroon
2019 (English)In: Journal of the Egyptian Public Health Association, E-ISSN 2090-262X, Vol. 94, no 1, p. 1-7, article id 20Article in journal (Refereed) Published
Abstract [en]

Background: Agriculture is undoubtedly the backbone of the Cameroonian economy, and other economic activities thrive only if production in this sector is assured. It has been estimated that approximately 25 million agricultural workers worldwide experience unintentional pesticide poisoning yearly. Unfortunately, limited information exists about the health and safety of the farmers. The aim of this study was to describe the occupational health and safety (OHS) conditions of farmers working on small-scale tomato farms in the western region of Cameroon. A cross-sectional research method was used to collect data from tomato farmers in May 2017, using a questionnaire developed by the research team. Results: A total of 104 tomato farmers from small-scale farms participated in the study. The analysis revealed that the occupation is male-dominated (86.5%). The training and use of personal protective equipment (PPE) among farmers were rare (35.6%), and farmers were mostly exposed to chemical hazards. The farmers reported the following work-related health problems: skin irritation, backache, impairment of the central nervous system (CNS), visual problems, and respiratory difficulties. Conclusions: The OHS conditions on small-scale tomato farms are mostly poor, thus predisposing farmers to the risk of work-related health problems. Exposure to occupational hazards can be significantly reduced if the required PPE are available and efficiently used.

Place, publisher, year, edition, pages
Springer, 2019
Keywords
Tomato farmers, Pesticides, Occupational health and safety, Cameroon
National Category
Occupational Health and Environmental Health
Research subject
Social Sciences, Social Work
Identifiers
urn:nbn:se:lnu:diva-86958 (URN)10.1186/s42506-019-0021-x (DOI)000473818200001 ()2-s2.0-85067461901 (Scopus ID)
Available from: 2019-07-24 Created: 2019-07-24 Last updated: 2019-08-29Bibliographically approved
Dapi Nzefa, L., Monebenimp, F. & Äng, C. (2019). Undernutrition among children under five in the Bandja village of Cameroon, Africa. South African Journal of Clinical Nutrition, 32(2), 46-50
Open this publication in new window or tab >>Undernutrition among children under five in the Bandja village of Cameroon, Africa
2019 (English)In: South African Journal of Clinical Nutrition, ISSN 1607-0658, Vol. 32, no 2, p. 46-50Article in journal (Refereed) Published
Abstract [en]

Background: Sub-Saharan Africa has a long history of struggling with child undernutrition. The prevalence of undernutrition is still high and knowledge about this public health problem and the underlying causes is essential for children’s health.

Aim: To evaluate the anthropometric status of children under five in the Bandja village of Cameroon.

Methods: A cross-sectional study was undertaken that included 388 children. Undernutrition was evaluated in terms of wasting, stunting and underweight. Information on sex, age, birth order, birth interval, duration of breastfeeding, and mother’s age at birth, occupation and educational level were collected.

Results: The prevalence of wasting, stunting and underweight was 3.2%, 16.4% and 5.2%, respectively. Boys were more stunted than girls (OR 2.24; 95% CI 1.16–4.34). Children less than 30 months were more often wasted than older children (OR 17.70; 95% CI 1.82–172.40). The first and second born in order were more stunted than the third or later born in order (OR 2.06; 95% CI 1.02–4.18). Children of farming mothers were more often stunted (OR 2.87; 95% CI 1.35–6.13) and underweight (OR 3.47; 95% CI 1.09–11.09) than others. Children still being breastfed were more underweight (OR 6.52; 95% CI 1.31–32.43) than those whose mothers had finished breastfeeding.

Conclusion: Undernutrition is highly prevalent in Bandja, and is more common among boys, younger children, first born in order, children still being breastfed and children of farming mothers. This study underlines the importance of intervention to prevent and reduce undernutrition among children.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019
Keywords
Cameroon, children under five, stunting, underweight, wasting
National Category
Nutrition and Dietetics
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-72277 (URN)10.1080/16070658.2018.1448503 (DOI)000466820100004 ()2-s2.0-85059671851 (Scopus ID)
Available from: 2018-04-05 Created: 2018-04-05 Last updated: 2019-08-29Bibliographically approved
Oppong, G., Monebenimp, F. & Dapi Nzefa, L. (2019). ‘You just have to grin and bear’: emotional suppression among women in polygyny in Cameroon. Culture, Health and Sexuality, 21(8), 946-956
Open this publication in new window or tab >>‘You just have to grin and bear’: emotional suppression among women in polygyny in Cameroon
2019 (English)In: Culture, Health and Sexuality, ISSN 1369-1058, E-ISSN 1464-5351, Vol. 21, no 8, p. 946-956Article in journal (Refereed) Published
Abstract [en]

Polygyny is a matrimonial union in which a single man is simultaneously married to multiple wives. On a daily basis, women in polygynous unions suffer from financial, emotional and physical burdens. This study explores women’s perceptions of this matrimonial regime and the factors influencing their sexual health decision-making in Cameroon. Drawing on interviews with twenty-three women aged 23 to 80 years living in polygynous unions, we explore women’s daily life and perceptions on polygyny. Using content analysis, meaning units relating to respondents’ experiences and perceptions were identified and condensed into codes and categories that were later grouped into themes. Five themes emerged – refusal and tolerance; heavy workload and responsibility; lack of power in sexual health decision-making; discrimination and unequal treatment of spouses; and emotional suppression. Women reported emotional suppression, limited rights, discrimination and poor living conditions as being the most significant problems that they encountered. Addressing the discrimination faced by women in polygynous unions will entail adopting and implementing laws to protect women’s rights and promote their empowerment.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2019
Keywords
Polygyny; women; perceptions; emotional suppression; Cameroon
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-79277 (URN)10.1080/13691058.2018.1527944 (DOI)000473015600006 ()30488784 (PubMedID)2-s2.0-85057612108 (Scopus ID)
Available from: 2018-12-18 Created: 2018-12-18 Last updated: 2019-08-29Bibliographically approved
Dapi Nzefa, L., Ayuk, T. B., Axberg, F., Lundström, L. & Hörnell, A. (2018). After giving birth to a baby, breastfeeding becomes your responsibility: Infant feeding perceptions and practices among women in Yaoundé, Bamenda and Bandja, Cameroon, Africa. International Research Journal of Public and Environmental Health, 5(3), 38-45
Open this publication in new window or tab >>After giving birth to a baby, breastfeeding becomes your responsibility: Infant feeding perceptions and practices among women in Yaoundé, Bamenda and Bandja, Cameroon, Africa
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2018 (English)In: International Research Journal of Public and Environmental Health, ISSN 2360-8803, Vol. 5, no 3, p. 38-45Article in journal (Refereed) Published
Abstract [en]

The Ministry of Public Health of Cameroon advises mothers to follow the World Health Organization’s recommendation of exclusive breastfeeding during the first six months of life and to continue breastfeeding along with appropriate complementary foods up to two years or beyond. Despite these recommendations, malnutrition due to inadequate feeding practices is still prevalent in Cameroon. Therefore, this study aims to explore infant feeding perceptions and identify factors influencing infant feeding practices in Cameroon. Forty-nine women aged 19 to 38 who had infants aged 6 days to 15 months were purposively selected from hospitals during the vaccination days and interviewed until saturation. The research tools included six qualitative group interviews, with each group comprising 6 to 10 women. The study was conducted in the rural area of Bandja and the urban areas of Yaoundé and Bamenda. Data were analysed using content analysis. In the study, breastfeeding was agreed upon as the best way to feed infants and was commonly practised for 1 to 2 years. Nevertheless, few infants were breastfed exclusively. Complementary foods were often nutritionally inadequate; many children were not given fruit, vegetables or foods of animal origin on a daily basis. Cultural beliefs, tradition, community norms and low educational and economic levels negatively influenced the implementation of appropriate infant feeding recommendations. The short duration of exclusive breastfeeding and the poor food diversity are the main problems. In response, it is necessary to strengthen the position of women, increase the period of maternal leave, introduce sustainable and practical education for both parents about breastfeeding, and provide good, local complementary foods. 

Place, publisher, year, edition, pages
Journal Issues Limited, 2018
Keywords
Exclusive breastfeeding, malnutrition, feeding perceptions, Cameroon
National Category
Nutrition and Dietetics
Research subject
Social Sciences, Social Work; Health and Caring Sciences; Natural Science, Medicine
Identifiers
urn:nbn:se:lnu:diva-72017 (URN)10.15739/irjpeh.18.007 (DOI)
Available from: 2018-03-30 Created: 2018-03-30 Last updated: 2019-02-06Bibliographically approved
Dapi Nzefa, L., Tambe, B. A. & Monebenimp, F. (2018). Myths Surrounding Albinism and Struggles of Persons with Albinism to Achieve Human Rights in Yaoundé, Cameroon. Journal of Human Rights and Social Work, 3(1), 11-16
Open this publication in new window or tab >>Myths Surrounding Albinism and Struggles of Persons with Albinism to Achieve Human Rights in Yaoundé, Cameroon
2018 (English)In: Journal of Human Rights and Social Work, ISSN 2365-1792, Vol. 3, no 1, p. 11-16Article in journal (Refereed) Published
Abstract [en]

Persons with albinism (PWA) in Yaoundé, Cameroon are reported to experience stigma, discrimination and violation of their human rights based primarily on their lack of pigmentation in their skin, eyes and hair. This study explores the challenges faced by persons with albinism, with particular reference to their knowledge of albinism, social and health issues and support. This qualitative research study recruited persons with albinism through a non-probability sampling technique in the city of Yaoundé, capital city of Cameroon. Data were collected through three focus group discussions with 19 persons (13 women and 6 men, adults) with albinism and thematic content analysis was employed to analyze responses. Almost all participants revealed societal discrimination, stigmatization, human rights violations, and some reported frustration due to injustice, rejection and superstitions. All the participants had visual problems and 12 had skin diseases. These conditions were inadequately managed due to lack of care, rejection by others, superstition and limited financial resources. The majority of participants had a good understanding of albinism. This study urges social work interventions such as support groups for persons with albinism and their families; educational awareness programmes; and advocacy for the rights of persons with albinism to healthcare, education and employ- ment opportunities, and to demystify all myths and cultural beliefs surrounding albinism. 

Place, publisher, year, edition, pages
Springer, 2018
Keywords
People with albinism, Discrimination, Minority group rights, Lack of care, Cameroon
National Category
Social Work
Research subject
Social Sciences, Social Work; Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-70288 (URN)10.1007/s41134-018-0048-5 (DOI)
Available from: 2018-01-30 Created: 2018-01-30 Last updated: 2018-05-09Bibliographically approved
Ayuk, B. T., Dapi Nzefa, L. & Nchang Allo, N. (2015). Childhood Diarrhea Determinants in Sub-Saharan Africa: A Cross Sectional Study of Tiko-Cameroon. Challenges, 6(2), 229-243
Open this publication in new window or tab >>Childhood Diarrhea Determinants in Sub-Saharan Africa: A Cross Sectional Study of Tiko-Cameroon
2015 (English)In: Challenges, ISSN 2078-1547, E-ISSN 2078-1547, Vol. 6, no 2, p. 229-243Article in journal (Refereed) Published
Abstract [en]

Introduction: Diarrhea remains the second leading cause of death among children under five years globally. Nearly one in five child deaths, about 1.5 million each year, are due to diarrhea. It kills more young children than Acquired Immunodeficiency Syndrome (AIDS), malaria and measles combined. World Health Organization has accordingly underlined the need for epidemiological surveys of infantile diarrhea in all geographical areas. The main research objectives were to estimate the prevalence of diarrhea and identify factors associated with diarrheal diseases in Tiko city in Cameroon. Method: The present study was a cross-sectional community household survey which was conducted in Tiko town from 1st to 31st of August 2012. With the use of a questionnaire, a total of 602 households that had at least one child under five years of age were interviewed. Mothers/caregivers were questioned on the morbidity of diarrhea and the logistic regression model was employed to examine the determinants of childhood diarrhea. Both univariable and multivariable data analysis was performed using SPSS version 16.0. Results: The results of this study showed that the prevalence of diarrhea was 23.8% and children under 24 months were highly affected. We found children using the main toilet and other types of toilet facilities such as bushes, diaper, and streams (OR: 0.194; p < 0.001, 95% CI) and usage of narrow-mouth container for storage of drinking water (OR: 0.492; p < 0.001, 95% CI) less likely to suffer from diarrhea. In contrast, higher rates of diarrhea prevalence were seen in children from households with two or more siblings (OR: 1.222; p < 0.001, 95% CI) and whose mothers/caregivers never had the knowledge of safe sources of drinking water (OR: 1.849; p < 0.01, 95% CI). Conclusion: Childhood diarrhea is a public health problem in Tiko city. Hence, interventions aimed at reducing the prevalence should take into consideration the integration of family planning activities in the prevention of childhood diarrhea and the deployed of health personals to educate the community to adopt a hygienic behavior. Future research on the topic should be qualitative inquiry to complement the quantitative nature of this study.

Keywords
risk factors; prevalence; morbidity; childhood diarrhea; Cameroon
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Sciences, Social Work
Identifiers
urn:nbn:se:lnu:diva-68848 (URN)10.3390/challe6020229 (DOI)
Available from: 2017-11-24 Created: 2017-11-24 Last updated: 2018-02-16Bibliographically approved
Dapi Nzefa, L. (2010). Socioeconomic and sex differences in adolescents’ dietary intake, anthropometry and physical activity in Cameroon, Africa. (Doctoral dissertation). Umeå: Umeå university
Open this publication in new window or tab >>Socioeconomic and sex differences in adolescents’ dietary intake, anthropometry and physical activity in Cameroon, Africa
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: People in Cameroon are experiencing a dietary transition characterized by changing from traditional food habits to increased intake of highly processed sweet and fatty food. The rapid change in food pattern combined with an increased sedentary lifestyle has resulted in a rather high prevalence of obesity, hypertension, cardiovascular diseases and type 2 diabetes. Nutritional intake is important during adolescence for growth spurt, health, cognitive development and performance in school.

Objective: The aim of this thesis was to assess dietary intake, anthropometry and physical activity of adolescents according to sex and socioeconomic status (SES) and to investigate food perceptions of adolescents living in urban and rural areas of Cameroon.

Methods: Girls and boys, 12-16 years of age, were randomly selected from schools in urban and rural areas. Food frequency questionnaire, 24-hour dietary and physical activity recalls, anthropometric measurements, qualitative interviews and a background questionnaire were used for data collection.

Results: The proportion of overweight was three times higher in girls (14%) compared to boys (4%). Stunting and underweight were more common among boys (15% and 6%) than girls (5% and 1%). The prevalence of stunting was two times higher among the urban adolescents with low SES (12%) compared to those with high SES (5%). The rural adolescents had the highest proportion of stunting but more muscle that the urban adolescents. The rural adolescents ate in order to live and to maintain health. Urban adolescents with low SES ate in order to maintain health, while those with high SES ate for pleasure. More than 30% of the adolescents skipped breakfast in the urban area. Urban adolescents with high SES and girls reported a more frequent consumption of in-between meals and most food groups compared to the rural adolescents, boys and those with low SES. Over 55% of the adolescents had a protein intake below 10% of the energy (E%). Twenty-six percent of the adolescents had fat intake below 25 E%, and 25% had fat intake above 35 E%. A large proportion of the adolescents had an intake of micronutrients below the estimated average recommendation. Boys and the adolescents with low SES reported a higher energy expenditure and physical activity level than girls and the adolescents with high SES, respectively. Both under- and over-reporting of energy intake were common among the adolescents.

Conclusions: The present study showed that nutrient inadequacy, stunting, underweight, as well as overweight and obesity were common among the adolescents in Cameroon. Therefore an intervention program targeting both under- and overnutrition among school adolescents is needed. Sex and socioeconomic differences also need to be considered.

Place, publisher, year, edition, pages
Umeå: Umeå university, 2010. p. 64
Series
Umeå University Medical Dissertation, ISSN 0346-6612 ; 1327
Keywords
Adolescents, socioeconomic, energy intake, nutrient intake, physical activity, under-overweight, Cameroon
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Nutrition
Identifiers
urn:nbn:se:lnu:diva-68922 (URN)978-91-7264-942-2 (ISBN)
Public defence
2010-02-05, Allmänmedicin, Floor 9A, 135, 13:00 (English)
Opponent
Supervisors
Available from: 2017-12-08 Created: 2017-11-24 Last updated: 2017-12-08Bibliographically approved
Dapi Nzefa, L., Janlert, U., Nouedoui, C., Stenlund, H. & Håglin, L. (2009). Socioeconomic and gender differences in adolescents' nutritional status in urban Cameroon, Africa.. Nutrition Research, 29(5), 313-319
Open this publication in new window or tab >>Socioeconomic and gender differences in adolescents' nutritional status in urban Cameroon, Africa.
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2009 (English)In: Nutrition Research, ISSN 0271-5317, E-ISSN 1879-0739, Vol. 29, no 5, p. 313-319Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to assess adolescents' nutritional status according to socioeconomic status (SES) and sex using anthropometry in urban Cameroon, Africa. Adolescent boys (n = 248) and girls (n = 333) 12 to 16 years old were recruited from randomly selected schools in a cross sectional study in Yaoundé city and grouped according to SES. Weight, height, skinfold thickness, and circumferences were measured, and body mass index, waist/hip ratio, arm muscle, and arm fat areas were calculated. Stunting, underweight, and overweight were determined using international cutoff points. Adolescents with medium and high SES were less likely to be stunted than adolescents with low SES (odds ratio [OR], 0.40; P < .01). Prevalences of stunting (12%, 6%, and 5%) and underweight (3%, 4%, and 1%) were higher among the adolescents with low and medium SES than those with high SES. Overweight prevalence was high among the adolescents with low (8%), medium (11%), and high (9%) SES. The OR for overweight was higher among girls than boys (OR, 4.13; P < .001). Girls were less likely to be stunted and underweight than boys (OR, 0.29 [P < .001] and OR, 0.20 [P < .01], respectively). Prevalences of stunting (15% and 6%) and underweight (5% and 2%) were higher among boys than girls. Pubescent adolescents were less likely to be stunted than nonpubescent (OR, 0.53; P < .05). Adolescents with low and medium SES were more underweight and stunted than adolescents with high SES. Girls were more overweight, less stunted, and underweight than boys.

Place, publisher, year, edition, pages
Elsevier, 2009
Keywords
Adolescents, socioeconomic, anthropometry, stunting, underweight, overweight
National Category
Nutrition and Dietetics Sociology
Research subject
Social Sciences, Social Work
Identifiers
urn:nbn:se:lnu:diva-68838 (URN)10.1016/j.nutres.2009.05.002 (DOI)19555812 (PubMedID)
Available from: 2017-11-24 Created: 2017-11-24 Last updated: 2019-05-28Bibliographically approved
Dapi Nzefa, L., Omoloko, C., Janlert, U., Dahlgren, L. & Håglin, L. (2007). "I eat to be happy, to be strong, and to live." perceptions of rural and urban adolescents in Cameroon, Africa.. Journal of nutrition education and behavior, 39(6), 320-326
Open this publication in new window or tab >>"I eat to be happy, to be strong, and to live." perceptions of rural and urban adolescents in Cameroon, Africa.
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2007 (English)In: Journal of nutrition education and behavior, ISSN 1499-4046, E-ISSN 1878-2620, Vol. 39, no 6, p. 320-326Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate factors influencing rural and urban adolescents' food perceptions during a time of nutritional transition in Cameroon, Africa.

DESIGN: Qualitative in-depth interviews.

SETTINGS: Yaoundé urban and Bandja rural areas.

PARTICIPANTS: Fifteen adolescents 12 to 15 years old purposely selected from schools in urban and rural areas.

ANALYSIS: Interviews were audiotaped, transcribed, and analyzed using Grounded Theory method.

FINDINGS: Factors influencing adolescents' food perceptions from the rural area were "to live" "health" and "poverty." Among adolescents from the urban poor area, "health," "beauty," and "not enough money" were factors. Among adolescents from the urban rich area, "pleasure" and "beauty" were factors. Rural girls liked "to be fat," whereas girls from the urban poor wanted "to be a little bit fat," and girls from the urban rich wanted "to be normal."

CONCLUSIONS AND IMPLICATIONS: Food behavior is changing from a diet composed of traditional food in rural areas to a more westernized diet in urban areas. The relationship between socioeconomic factors and nutrition needs to be examined with a sufficiently large number of adolescents to investigate these factors in a quantitative survey. Healthful local food should be available at home and from vendors. Nutrition education about food and diet-related diseases is needed in school.

Place, publisher, year, edition, pages
Elsevier, 2007
Keywords
Adolescents, food perceptions, in-depth interviews, Cameroon
National Category
Nutrition and Dietetics
Identifiers
urn:nbn:se:lnu:diva-68839 (URN)10.1016/j.jneb.2007.03.001 (DOI)17996627 (PubMedID)
Available from: 2017-11-24 Created: 2017-11-24 Last updated: 2019-05-28Bibliographically approved
Dapi Nzefa, L., Nouedoui, C., Janlert, U. & Håglin, L. (2005). Adolescents' Food Habits and Nutritional Status among in urban and Rural Areas in Cameroon, Africa. Scandinavian Journal of Nutrition/Næringsforskning, 49(4), 151-158
Open this publication in new window or tab >>Adolescents' Food Habits and Nutritional Status among in urban and Rural Areas in Cameroon, Africa
2005 (English)In: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 49, no 4, p. 151-158Article in journal (Refereed) Published
Abstract [en]

Background: Food intake in Cameroon is based on three meals daily. The diet in rural areas is based on traditional staple foods, while that of the urban population incorporates more modern foods. The health and nutrition of adolescents is important as their eating behaviour and nutrition will affect their future health.

Objective: To describe and compare food habits and nutritional status of adolescents in Cameroon.

Design: A cross-Stional study using an unquantified food frequency questionnaire and anthropometric data, in urban and rural areas. Fifty-two adolescents, 12–15 years old, were selected from schools.

Results: Frequencies of consumption of meat, vegetables, cereals, milk products and junk food were significantly higher in urban than in rural adolescents (11.8 vs 4.5, 9.5 vs 3.9, 16.5 vs 11.9, 5.7 vs 0.8, 24.2 vs 8.7, respectively). The frequency of in-between meals was higher in urban than in rural adolescents (4.9 vs 0.9, respectively). Arm muscle area (AMA, mm2) and waist/hip ratio were significantly higher in rural than in urban adolescents (3554 vs 2802 and 0.82 vs 0.79, respectively). Body mass index (BMI, kg m−2) was higher in rural than urban adolescents, although not significant (20.6 vs 19.4, respectively). There was a positive significant correlation between BMI and AMA in urban and rural areas (r=0.67 and r=0. 72, respectively).

Conclusions: Despite a lower frequency of food consumption, rural adolescents had higher AMA and waist/hip ratio than urban adolescents. Less junk food and more traditional food consumption, more manual activities and walking in rural adolescents could explain these results.

Keywords
Adolescents, arm muscle area, body mass index, Cameroon, food frequency, waist/hip
National Category
Nutrition and Dietetics
Research subject
Natural Science
Identifiers
urn:nbn:se:lnu:diva-68850 (URN)10.1080/11026480500437554 (DOI)
Available from: 2017-11-19 Created: 2017-11-19 Last updated: 2018-01-24Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1828-6831

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