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Interfaith initiatives are seen as promising sites for societal change and personal transformation. However, many questions about the actual outcomes of such initiatives have remained unanswered. Therefore, a systematic review was conducted, focusing on 1) the outcomes of interfaith initiatives and 2) the methods used to evaluate these outcomes. This review analyses 47 empirical studies on interfaith initiatives. The review of the initiatives' outcomes indicates that interfaith initiatives can positively impact participants' knowledge about other worldviews, communication skills and appreciation for other worldviews. At the same time, it can be challenging for interfaith initiatives to positively impact participants' knowledge of socio-political challenges, awareness of power imbalance and privilege and behaviour as interfaith leaders. The analysis of the methods used to evaluate the impact of interfaith initiatives shows that most studies used qualitative methods. For studies using quantitative or mixed methods designs, a variety of measurement instruments were used, whereby there was little overlap or consensus regarding the concepts being used. The findings of this article will stimulate scholars to focus more on learning activities and evaluation methods that take societal learning outcomes into consideration. It emphasises the need to build on previous evaluation and research efforts.

Numerous scholars have emphasised that interfaith initiatives can contribute to personal transformation and enhance social cohesion, but it is often unclear if and how these initiatives effectively bring about the intended changes. This article argues that setting up a shared framework of interfaith learning objectives is a necessary first step towards organising and evaluating interfaith initiatives. After conducting a systematic scoping review, we categorised and summarised the learning objectives of 93 interfaith initiatives. These learning objectives are presented in a matrix of twelve categories, reflecting the learning objectives set by the organisers of the 93 initiatives. This article is intended as a first step towards building a shared scholarly framework that can then be used to guide the organisation and evaluation of interfaith initiatives. The matrix can encourage organisers of interfaith initiatives to clarify their learning objectives and, consequently, develop more coherent and evaluable initiatives.

This study examines participants' self-reported learning orientations over the course of the interfaith leadership program Emoena. Participants started the program with a range of different expectations and motivations, and this influenced the insights they gained and the challenges they faced throughout the program. Based on an inductive analysis of participants' reflection reports, four interfaith learning orientations were distinguished: 1) literacy-oriented learning, 2) connection-oriented learning, 3) competency-oriented learning, and 4) reflection-oriented learning. Knowing more about these learning orientations will benefit curriculum designers in choosing relevant learning activities, and will direct future empirical work on the complex dynamics of interfaith learning.

Abstract Background Educational inequalities in metabolic syndrome (MetS) are a growing public health concern. Intervening on modifiable factors may help reduce these inequalities, but there is a need for evidence on the long-term impact of intervening on these factors. Thus, we simulate the development of educational inequalities in MetS across the life course and assess the impact of intervening on the modifiable factors that contribute to these inequalities. Methods We used data from the prospective multigenerational Dutch Lifelines Cohort Study to estimate the required input for a continuous-time microsimulation. The microsimulation projects the development of educational inequalities in MetS between ages 18 and 65, and assesses the potential benefit of intervening on smoking, alcohol use, diet quality, and health literacy. Findings The likelihood of ever experiencing MetS between ages 18 and 65 varies from 32.5% among high educated women to 71.5% among low educated men. On average, 27.6% more individuals with low education will ever experience MetS between ages 18 and 65 compared to those with high education. Additionally, individuals with low education generally will develop MetS 2.3 years earlier, and will spend an extra 2.6 years with MetS, compared to individuals with high education. Changes to smoking behaviours in individuals with low education produced the largest effect; it would reduce inequalities in prevalence, timing and duration by an average of 7.5%, 9.5%, and 6.9%, respectively. Conclusions Interventions targeting the modifiable factors included in this study, especially smoking, could help reduce the estimated educational inequalities in MetS over the life course.

Many mental health care patients, regardless of their religious beliefs, prefer a similar outlook on life with their professional caregivers. Patients experience greater openness to discuss religion and spirituality (R/S), mutual understanding, less fear of disapproval and report a higher treatment alliance. The question is whether the core problem of a so-called ‘religiosity gap’ (RG) lies in (a) an objective difference in outlook on life, (b) a perceived difference in outlook on life or (c) in unmet R/S care needs. We explored this by matching data of 55 patients with their respective caregivers for a quantitative analysis. An actual (objective) RG, when patients were religious and caregivers not, was not associated with a lower treatment alliance but a difference in intrinsic religiosity, especially when caregivers scored higher than patients, was related to a lower treatment alliance. A subjective RG, perceived by patients, and a higher level of unmet R/S care needs were also significantly associated with a lower treatment alliance as rated by patients. These results emphasize that sensitivity, respect and openness regarding R/S and secular views are essential elements in treatment and might benefit the treatment relationship.

Abstract Background Mental disorders are a leading cause of sickness absence. Some groups of migrants are at higher risk of both mental disorder and sickness absence. Yet, research on sickness absence in relation to mental disorders among migrants is limited. This study investigates differences in sickness absence in the twelve-month period around contact with outpatient mental health services between non-migrants and various migrant groups with different length of stays. It also considers whether these differences are similar for men and women. Methods Using linked Norwegian register data, we followed 146,785 individuals, aged 18–66 years, who had attended outpatient mental health services and who had, or had recently had, a stable workforce attachment. The number of days of sickness absence was calculated for the 12-month period surrounding contact with outpatient mental health services. We applied logistic regression and zero-truncated negative binomial regression to assess differences in any sickness absence and number of days of absence between non-migrants and migrants, including refugees and non-refugees. We included interaction terms between migrant category and sex. Results Refugee men and other migrant men from countries outside the European Economic Area (EEA) had a higher probability of any sickness absence in the period surrounding contact with outpatient mental health services than their non-migrant counterparts. Women from EEA countries with stays of less than 15 years had a lower probability than non-migrant women. Additionally, refugees, both men and women, with 6–14 years in Norway had more days of absence while EEA migrants had fewer days than their non-migrant counterparts. Conclusions Refugee men and other non-EEA migrant men appear to have higher sickness absence than non-migrant men around the time of contact with services. This finding does not apply to women. Several probable reasons for this are discussed, though further research is required to understand why. Targeted strategies to reduce sickness absence and support the return to work for refugees and other non-EEA migrant men are needed. Barriers to timely help-seeking should also be addressed.

Abstract Background Marriage is considered beneficial for mental health when stable and of high quality. Yet, it is unclear whether marriage is equally advantageous for everyone regardless of marital timing or migrant background. This study aimed to investigate the association between early marriage and mental disorder, defined by outpatient mental healthcare (OPMH) service use, and whether the association varies between migrant and non-migrant women. Methods Using data from four Norwegian national registers, we applied discrete-time logistic regression analyses to study the aims of interest, among 602 473 young women aged 17–35 years. All women were followed from 2006 or the year they turned 17, and until first OPMH consultation, 2015 (study end), the year they turned 35, when emigrated, died, or changed marital status from married to separated, divorced, or widowed. Results Results show that unmarried and early married women had increased odds of mental disorder when compared to on-time married women. However, the differences between the early and on-time married women were explained by differences in educational level. There was no significant interaction between marital status and migrant background. Conclusions Differences in mental health between early- and on time married women are attributed to poorer educational attainment of women who marry early. Furthermore, migrant background seems to have a limited role in the association between marital timing and mental disorder. The promotion of formal education among young women could contribute to the accumulation of socioeconomic and psychosocial resources, thus, reducing the risk of mental disorder, also among early married women.

Abstract Background Low socioeconomic status during childhood is associated with increased risk of mental disorders later in life. Yet, there is limited research on whether this association varies by migrant background, despite an overrepresentation of migrants among the economically disadvantaged. Methods Using national register data on a study population of 577,072 individuals, we investigated the association between persistent low parental income during preschool, measured at age 3–5 years and mental disorder during adolescence and early adulthood, measured between ages 16–25. Outpatient mental healthcare (OPMH) service use was a proxy for mental disorder and was measured between 2006 and 2015. We applied discrete-time logistic regression analyses with interaction terms to study differences in the relationship between persistent low parental income and OPMH service use by migrant background and gender. Results Persistent low parental income during preschool age was associated with increased odds of OPMH service use in adolescence and early adulthood (aOR = 1.99, 95% CI 1.90–2.08), even after adjusting for gender, migrant background, parental education and persistent lower income at later ages (aOR = 1.33, 95% CI 1.27–1.40). Statistically significant interactions between migrant background and persistent low parental income were recalculated and presented as marginal yearly probabilities. These results showed that the association was in the opposite direction for migrants; those in the higher income group had higher probability of OPMH service use, although the differences were non-significant for some groups. The relationship did not vary by gender. Conclusions Social inequalities in mental health, as measured by OPMH service use, may have an onset already in childhood. Interventions to reduce inequalities should therefore start early in the life course. Since the association differed for migrants, future research should aim to investigate the mechanisms behind these disparities.

Abstract Background Giving birth to one’s first child is a life changing event. Beyond the post-partum period, little is known about the association between becoming a mother and mental disorder among migrant women. This study investigates outpatient mental health (OPMH) service use, a proxy for mental disorder, among married migrant and non-migrant women who become mothers and those who do not. Methods Using Norwegian register data, we followed 90,195 married women, aged 18-40 years, with no children at baseline between 2008-2013 to see if becoming a mother was associated with OPMH service use. Data were analysed using discrete time analyses. Results We found an interaction between motherhood and migrant category. Married non-migrant mothers, both in the perinatal period and beyond, had lower odds of OPMH use than married non-mothers. There was no association between motherhood and OPMH service use for migrants. However, there was no significant interaction between motherhood and migrant category when we excluded women who had been in Norway less than five years. Among women aged 25-40 years, a stable labour market attachment was associated with lower odds of OPMH use for non-migrants but not migrants, regardless of motherhood status. Conclusions The perinatal period is not associated with increased odds of OPMH use and appears to be associated with lower odds for married non-migrant women. Selection effects and barriers to care may explain the lack of difference in OPMH service use that we found across motherhood status and labour market attachment for married migrant women. Married migrant women in general have a lower level of OPMH use than married non-migrants. Married migrant women with less than five years in Norway and those with no/weak labour market attachment may experience the greatest barriers to care. Further research to bridge the gap between need for, and use of, mental health care among migrant women is required.

Interfaith initiatives are seen as promising sites for societal change and personal transformation. However, many questions about the actual outcomes of such initiatives have remained unanswered. Therefore, a systematic review was conducted, focusing on 1) the outcomes of interfaith initiatives and 2) the methods used to evaluate these outcomes. This review analyses 47 empirical studies on interfaith initiatives. The review of the initiatives' outcomes indicates that interfaith initiatives can positively impact participants' knowledge about other worldviews, communication skills and appreciation for other worldviews. At the same time, it can be challenging for interfaith initiatives to positively impact participants' knowledge of socio-political challenges, awareness of power imbalance and privilege and behaviour as interfaith leaders. The analysis of the methods used to evaluate the impact of interfaith initiatives shows that most studies used qualitative methods. For studies using quantitative or mixed methods designs, a variety of measurement instruments were used, whereby there was little overlap or consensus regarding the concepts being used. The findings of this article will stimulate scholars to focus more on learning activities and evaluation methods that take societal learning outcomes into consideration. It emphasises the need to build on previous evaluation and research efforts. [ABSTRACT FROM AUTHOR]

Abstract Background Metabolic syndrome (MetS) development strongly varies based on individuals’ socioeconomic position (SEP), but to date, no studies have assessed the mediating role of perceived stress from long-term difficulties (chronic stress) in this association. The aim of this study is to examine the mediating role of chronic stress in the associations of the SEP measures education, occupational prestige and income, with MetS development, and whether associations between chronic stress and MetS are moderated by sex. Methods We used an adult subsample (n = 53,216) from the Lifelines Cohort Study without MetS at baseline. MetS development was measured 3.9 years after baseline (follow-up), and defined according to National Cholesterol Education Program’s Adult Treatment Panel III (NCEP-ATPIII) criteria. Direct associations between SEP, chronic stress and MetS development were estimated using multivariable logistic and linear regression analyses, and were adjusted for age, sex, the other SEP measures, and time between baseline and follow-up. The mediating percentages of chronic stress explaining the associations between SEP and MetS development were estimated using the Karlson-Holm-Breen method. Results Upon follow-up, 7.4% of the participants had developed MetS. Years of education and occupational prestige were inversely associated with MetS development. Chronic stress suppressed the association between education and MetS development (5.6%), as well as the association between occupational prestige and MetS development (6.2%). No effect modification of sex on the chronic stress-MetS pathway was observed. Conclusions Chronic stress does not explain educational and occupational differences in developing MetS. In fact, individuals with more years of education or higher occupational prestige perceive more chronic stress than their lower SEP counterparts. Further, no difference between males and females was observed regarding the relationship between chronic stress and MetS development.

Abstract Background Although the incidence of metabolic syndrome (MetS) strongly varies based on individuals’ socioeconomic position (SEP), as yet no studies have examined the SEP-MetS remission relationship. Our aim is to longitudinally assess the associations between SEP measures education, income and occupational prestige, and MetS remission, and whether these associations are mediated by health behaviors, including physical activity, smoking, alcohol intake and diet quality. Methods A subsample (n = 16,818) of the adult Lifelines Cohort Study with MetS at baseline was used. MetS remission was measured upon second assessment (median follow-up time 3.8 years), defined according to NCEP-ATPIII criteria. To estimate direct associations between SEP, health behaviors and MetS remission multivariable logistic regression analyses were used. To estimate the mediating percentages of health behaviors that explain the SEP-MetS remission relationship the Karlson-Holm-Breen method was used. Analyses were adjusted for age, sex, the other SEP measures and follow-up time. Results At the second assessment, 42.7% of the participants experienced MetS remission. Education and income were positively associated with MetS remission, but occupational prestige was not. The association between education and MetS remission could partly (11.9%) be explained by health behaviors, but not the association between income and MetS remission. Conclusions Individuals with higher education more often experienced remission from MetS, mainly because individuals with higher education were more likely to have healthier behaviors. However, individuals with higher income more often experienced MetS remissions, regardless of their health behaviors. The occupational prestige of individuals was not associated with MetS remission.

Many mental health care patients, regardless of their religious beliefs, prefer a similar outlook on life with their professional caregivers. Patients experience greater openness to discuss religion and spirituality (R/S), mutual understanding, less fear of disapproval and report a higher treatment alliance. The question is whether the core problem of a so-called 'religiosity gap' (RG) lies in (a) an objective difference in outlook on life, (b) a perceived difference in outlook on life or (c) in unmet R/S care needs. We explored this by matching data of 55 patients with their respective caregivers for a quantitative analysis. An actual (objective) RG, when patients were religious and caregivers not, was not associated with a lower treatment alliance but a difference in intrinsic religiosity, especially when caregivers scored higher than patients, was related to a lower treatment alliance. A subjective RG, perceived by patients, and a higher level of unmet R/S care needs were also significantly associated with a lower treatment alliance as rated by patients. These results emphasize that sensitivity, respect and openness regarding R/S and secular views are essential elements in treatment and might benefit the treatment relationship. [ABSTRACT FROM AUTHOR]