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  • 1.
    Kalucza, Sara
    et al.
    Umeå universitet, Sociologiska institutionen.
    Hammarström, Anne
    Umeå universitet, Institutionen för folkhälsa och klinisk medicin.
    Nilsson, Karina
    Umeå universitet, Sociologiska institutionen.
    Mental health and parenthood: a longitudinal study of the relationship between self-reported mental health and parenthood2015In: Health Sociology Review, ISSN 1446-1242, E-ISSN 1839-3551, Vol. 24, no 3, p. 283-296Article in journal (Refereed)
    Abstract [en]

    According to previous studies, the relationship between parenthood and mental health is not straightforward. One reason could be that selection effects on parenthood are seldom accounted for. Using the unique Northern Swedish Cohort dataset, following individuals from age 16 to 43 (n=1001), this study examines whether there is a selection effect of self-reported mental health in adolescence into parenthood; and whether entry into parenthood is related to subsequent mental health after controlling for prior mental health. Our results show no evidence of a selection effect for women, but men with poor mental health at age 16 were less likely to become fathers. Having children improved women's subsequent mental health after controlling for adolescent mental health, something that was not true for men. Our result reinforces the need for future research of the complex relationship between mental health and parenthood through focusing on, for example, timing of parenthood as well as through using different mental health measures.

  • 2.
    Lövestam, Elin
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    Orrevall, Ylva
    Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden; Karolinska Univ Hosp, Funct Area Clin Nutr, Stockholm, Sweden.
    Koochek, Afsaneh
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism.
    Andersson, Agneta
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Food, Nutrition and Dietetics.
    The struggle to balance system and lifeworld: Swedish dietitians’ experiences of a standardised nutrition care process and terminology2016In: Health Sociology Review, ISSN 1446-1242, E-ISSN 1839-3551, Vol. 25, no 3, p. 240-255Article in journal (Refereed)
    Abstract [en]

    In this study, we explored Swedish dietitians’ experiences of a standardised Nutrition Care Process (NCP) and terminology from the perspective of Habermas’ concepts of system and lifeworld. Seven focus group discussions were analysed thematically. In thispaper, we argue that dietitians seem to mainly connect the NCP with a system perspective, highlighting aspects such as professionalism, measurability and clarity of the patient record as helpful outcomes from the NCP standardisation. We also see a tension between system and lifeworld, as dietitians emphasised the importance of the dietitian–patient relationship, stating that a patient’s complex situation does not always fit into the pre-defined NCP terms and measurements. Several approaches were identified whereby dietitians tried to reach a balance between the system and lifeworld. We argue that strategies for achieving this balance need more attention in the education and implementation of standardised care processes and terminologies.

  • 3.
    Schirmer, Werner
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
    Michailakis, Dimitris
    University of Linköping.
    The latent function of ‘responsibility for one's health’ in Swedish healthcare priority-setting2012In: Health Sociology Review, ISSN 1446-1242, E-ISSN 1839-3551, Vol. 21, no 1, p. 36-46Article in journal (Refereed)
    Abstract [en]

    Applying Luhmann's theoretical framework, this article analyses the function of the notion 'responsibility for one's health' in prioritization in Swedish healthcare. A document called 'Ethical Platform' was adopted in 1997 in order to guide decisions about prioritization. Evaluations deemed it as a failure. Against its official purpose, we argue that this document is no failure as it has the latent function of protecting the credibility of the self-description of the Swedish political system as a highly inclusive and caring welfare-state. Since prioritization implies exclusion it poses a threat for this self-description.

    The responsibility principle, suggested in 2007 as an improvement for the platform, has the latent function of helping overcoming the contradiction between the self-description of the welfare-state (inclusion) and prioritization (exclusion). While inclusion into healthcare is still offered for everybody (respect), this right becomes conditional when citizens are regarded as agents who account for their unhealthy lifestyle (responsibility).

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