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Gotfredsen, A., Enlund, D., Goicolea, I. & Landstedt, E. (2022). Precarious leisure in a teenage wasteland?: Intertwining discourses on responsibility and girls’ place-making in rural Northern Sweden. Journal of Youth Studies, 25(10), 1350-1366
Open this publication in new window or tab >>Precarious leisure in a teenage wasteland?: Intertwining discourses on responsibility and girls’ place-making in rural Northern Sweden
2022 (English)In: Journal of Youth Studies, ISSN 1367-6261, E-ISSN 1469-9680, Vol. 25, no 10, p. 1350-1366Article in journal (Refereed) Published
Abstract [en]

The relationship with place has been recognized as a significant dimension of rural youth leisure, both through the discursive constructions of place, but also as affective and embodied dimensions. This study captures these processes by applying the concept of place-making as a set of recurrent discursive processes, analyzing how girls in Northern Sweden engage in place-making alongside, beyond, and in contrast to dominant discourses on leisure, rurality and wellbeing. The study draws on data from photo-elicited focus groups with girls from two sports organizations. The discursive psychology analysis resulted in three interpretative repertoires. The first repertoire describes the sharp contrast between discourses of the ‘rural dull’ and how stressful the participants constructed their own places of leisure. The second illustrates the gendered discourses around what is considered to be productive and respectable leisure. The third shows how the participants are made responsible for the survival of their leisure. Through place-making, the participants shape places of leisure, affecting both themselves and their rural community. They engage in, conform to, and challenge place-making within discourses of responsibility and precariousness, creating space for their own initiatives, which are simultaneously shaped by the material conditions under which these practices take place.

Place, publisher, year, edition, pages
Routledge, 2022
Keywords
gender, Leisure, place-making, rurality, wellbeing, youth
National Category
Public Health, Global Health, Social Medicine and Epidemiology Gender Studies
Identifiers
urn:nbn:se:umu:diva-182821 (URN)10.1080/13676261.2021.1957086 (DOI)000677994300001 ()2-s2.0-85111643497 (Scopus ID)
Available from: 2021-05-06 Created: 2021-05-06 Last updated: 2023-03-07Bibliographically approved
Landstedt, E., Bortes, C. & Strandh, M. (2021). Is there a social gradient in how youth with mental disorder perform academically? Findings from a Swedish longitudinal register-based study. BMC Psychiatry, 21(1), Article ID 441.
Open this publication in new window or tab >>Is there a social gradient in how youth with mental disorder perform academically? Findings from a Swedish longitudinal register-based study
2021 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 21, no 1, article id 441Article in journal (Refereed) Published
Abstract [en]

Background: It is well established that academic achievement and other school-related outcomes are associated with mental health status in children and youths. However, few studies have examined the influence of socioeconomic background on the relationship between poor childhood/adolescent mental health and schoolperformance. From an equity perspective, it is important to explore how school-related outcomes are affected for young people with mental disorder and if these outcomes differ depending on gender and socioeconomic background. This study aimed to investigate social gradients in the prospective association between childhood/adolescent mental disorder and academic achievement.

Methods: This register based study used data from the Umeå SIMSAM Lab of linked Swedish registers on all children born between 1990 and 1994 and their parents (N = 642 558). The outcome was school grades achieved upon compulsory school graduation (age 15/16). Mental disorder was indicated by number of hospitalisations due to ICD classified mental disorders and prescription of psychoanaleptic drugs. Indicators of socioeconomic position were parental level of education and family income in four categories respectively. Parental history of mental disorder was controlled for. Linear regressions, including interaction analyses, were performed.

Results: Mental disorder in childhood/adolescence was related to lower grades, particularly in boys. The drop in academic achievement among youth with mental disorder was more pronounced among girls in mid SEP categories than among their less and more advantaged peers. A less clear interaction pattern was identified in boys.

Conclusions: Based on theory and existing research we expected a typical social gradient in the strength of the association between mental disorder and academic achievement. However, we identified a U-shaped social gradient among girls. Analyses of the links between mental health and academic outcomes need to take both gender andsocial position into account. More research is needed to investigate these patterns further.

Place, publisher, year, edition, pages
BioMed Central, 2021
Keywords
Mental Health, Academic Achievement, Social Gradient, Registry Data, Adolescents, Gender
National Category
Psychiatry Social Work Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Identifiers
urn:nbn:se:umu:diva-187502 (URN)10.1186/s12888-021-03448-z (DOI)000693241400002 ()2-s2.0-85114432379 (Scopus ID)
Funder
Swedish Research Council, 2014–1992Marianne and Marcus Wallenberg Foundation, 2014.0154
Note

Errata: Landstedt, E., Bortes, C. & Strandh, M. Correction to: Is there a social gradient in how youth with mental disorder perform academically? Findings from a Swedish longitudinal register-based study. BMC Psychiatry 21, 456 (2021). DOI: 10.1186/s12888-021-03465-y

Available from: 2021-09-14 Created: 2021-09-14 Last updated: 2024-01-17Bibliographically approved
Landstedt, E. & Almquist, Y. B. (2019). Intergenerational patterns of mental health problems: the role of childhood peer status position. BMC Psychiatry, 19(1), Article ID 286.
Open this publication in new window or tab >>Intergenerational patterns of mental health problems: the role of childhood peer status position
2019 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 19, no 1, article id 286Article in journal (Refereed) Published
Abstract [en]

Background: Past research has established the intergenerational patterning of mental health: children whose parents have mental health problems are more likely to present with similar problems themselves. However, there is limited knowledge about the extent to which factors related to the child's own social context, such as peer relationships, matter for this patterning. The aim of the current study was to examine the role of childhood peer status positions for the association in mental health across two generations.

Methods: The data were drawn from a prospective cohort study of 14,608 children born in 1953, followed up until 2016, and their parents. Gender-specific logistic regression analysis was applied. Firstly, we examined the associations between parental mental health problems and childhood peer status, respectively, and the children's mental health problems in adulthood. Secondly, the variation in the intergenerational patterning of mental health according to peer status position was investigated.

Results: The results showed that children whose parents had mental health problems were around twice as likely to present with mental health problems in adulthood. Moreover, lower peer status position in childhood was associated with increased odds of mental health problems. Higher peer status appeared to mitigate the intergenerational association in mental health problems among men. For women, a u-shaped was found, indicating that the association was stronger in both the lower and upper ends of the peer status hierarchy.

Conclusions: This study has shown that there is a clear patterning in mental health problems across generations, and that the child generation's peer status positions matter for this patterning. The findings also point to the importance of addressing gender differences in these associations.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Birth cohort, Intergenerational patterning, Longitudinal, Mental health, Peer relationships, Sweden
National Category
Psychiatry Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-164394 (URN)10.1186/s12888-019-2278-1 (DOI)000486723000009 ()31533680 (PubMedID)2-s2.0-85072390956 (Scopus ID)
Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2024-01-17Bibliographically approved
Zetterström Dahlqvist, H., Landstedt, E. & Gillander Gådin, K. (2018). A Latent Class Analysis of Violence Multi-Victimization in Youth. European Journal of Public Health, 28, 483-484
Open this publication in new window or tab >>A Latent Class Analysis of Violence Multi-Victimization in Youth
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 483-484Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: Violence among youth is common and has been linked to poor mental health outcomes. There is some evidence that there are groups of youth who are victims of more than one form of violence but more knowledge is needed in terms of patterning of subgroups of multiple violence victimization.

Aim: To explore if there are distinct subgroups of youth with particular patterns of violence victimization.

Methods: Survey data from a Swedish sample (n = 1,569) of youth 14-16 years old were used (females 48.4%). Using a broad definition of violence, respondents indicated if they had experienced physical violence, threat of physical violence, bullying, sexual harassment, cyber bullying, online sexual victimizayion, and other adverse sexual experience in the past six months as well as lifetime physical violence victimization. Distinct subgroups of youth within the data set with particular patterns of violence victimization were identified using Latent Class Analysis (LCA). Model fit was assessed using the Akaike information criterion (AIC) and the Bayesian information criterion (BIC), with smaller values indicating better model fit.

Results: Preliminary results show three distinct subgroups: 1. Sexualized violence off- and online (girls 66.6%), 2. Bullying only (girls 47.5%) and 3. Multi-victimization including threat of physical violence, violence in the past six months and lifetime, sexual harassment on- and offline, bullying on- and offline as well as other adverse sexual experience (girls 47.6%).

Conclusions: Three distinct subgroups of violence victimization in a sample of 14-16 year old youth was evident in the data. There was a greater representation of girls in the sexualized violence sub-group. Further research as well as preventive programs should acknowledge that many young people are victims of several types of violence. Future research should also investigate the implications of multi-victimization on mental health outcomes.

Key messages:

  • Three distinct subgroups of violence victimization was present in the data: 1. Sexualized violence off- and online 2. Bullying only and 3. Multi-victimization.

  • While the gendered pattern of the Bullying only and Multi-victimization subgroups were fairly balanced, a substantially greater proportion of girls were represented in the Sexualized violence group.

Place, publisher, year, edition, pages
Oxford University Press, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-157985 (URN)10.1093/eurpub/cky218.218 (DOI)000461384202204 ()
Note

Supplement 4

Available from: 2019-04-09 Created: 2019-04-09 Last updated: 2023-03-07Bibliographically approved
Landstedt, E., Hammarström, A., Fairweather-Schmidt, A. K. & Wade, T. (2018). Associations between adolescent risk for restrictive disordered eating and long-term outcomes related to somatic symptoms, body mass index, and poor well-being. British Journal of Health Psychology, 23(2), 496-518
Open this publication in new window or tab >>Associations between adolescent risk for restrictive disordered eating and long-term outcomes related to somatic symptoms, body mass index, and poor well-being
2018 (English)In: British Journal of Health Psychology, ISSN 1359-107X, E-ISSN 2044-8287, Vol. 23, no 2, p. 496-518Article in journal (Refereed) Published
Abstract [en]

Objective: To date, no longitudinal, community-based studies have examined the association between disordered eating emerging in adolescence and long-term physical well-being. This study sought to explore the longitudinal associations between risk for restrictive disordered eating (DE-R; those not presenting with binge-purge symptoms) in adolescence and trajectories of functional somatic symptoms (FSS) and body mass index (BMI), and several indicators of poor physical well-being across early- to mid-adulthood, including medication, number of doctor visits, and sick leave. Design: Data were obtained from the Northern Swedish Cohort Study (N=1,001), a prospective longitudinal study including four time points from age 16 to 42 years. Methods: A cumulative measure of DE-R risk was computed. Latent class growth analysis was used to identify subpopulation trajectories of FSS and BMI. The three-step method for auxiliary variables and logistic regressions were used to assess associations between DE-R and the trajectory classes as well as indicators of poorphysical well-being. ResultsThree trajectories were identified for FSS. A gender by BMI interaction led to a classification of four BMI trajectories in men, but three in women. The presence of DE-R risk in adolescence increased odds of unfavourable FSS development, increasing BMI in women, and continually low BMI in men. Indicators of poor physical well-being at ages 21, 30, and 42years were associated with DE-R risk in adolescence. Conclusions: Data spanning nearly three decades suggest that physical well-being impairment is related to DE-R risk measured earlier in life, underscoring the urgency for targeted, gender-sensitive preventive interventions for teenagers. What is already known on this subject? Disordered eating is linked to poor physical and mental well-being and quality of life. No longitudinal studies have examined long-term physical well-being consequences of adolescent disordered eating risk. What does this study add? Non-purging disordered eating symptoms in adolescence predict adverse physical well-being outcomes in middle-aged men and women. Targeted interventions and preventative work during adolescence are needed.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
disordered eating, longitudinal, adolescence, quality of life, body mass index, youth, cohort study, ychosomatic health
National Category
Psychiatry Applied Psychology
Identifiers
urn:nbn:se:umu:diva-147290 (URN)10.1111/bjhp.12301 (DOI)000428990500016 ()29457326 (PubMedID)2-s2.0-85044763119 (Scopus ID)
Available from: 2018-05-28 Created: 2018-05-28 Last updated: 2023-03-23Bibliographically approved
Landstedt, E. & San Sebastian, M. (2018). Complex inequalities of gender and social class in daily smoking among Swedish men and women. Paper presented at 11th European Public Health Conference Winds of change: towards new ways of improving public health in Europe Ljubljana, Slovenia, 28 November–1 December, 2018.. European Journal of Public Health, 28, 325-325
Open this publication in new window or tab >>Complex inequalities of gender and social class in daily smoking among Swedish men and women
2018 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 28, p. 325-325Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: Cigarette smoking is a major public health threat. In high income countries, smoking is most prevalent in disadvantaged groups. Little is known about complex inequalitites in smoking based on multiple axes of social positions which would be necessary in designing interventions aiming at reducing smoking rates. The study aimed to describe the prevalence of daily smoking in the adult Swedish population across combinations of the social positions gender and occupational class, and to examine smoking differences attributed to the intersection of gender/occupational class

Methods: The study sample (N = 61 316, age 26 – 84) was pooled from seven years of the annual cross sectional Swedish national public health surveys (2010 to 2016). The outcome was current daily smoking. Binary variables of gender (man/woman) and occupational class (blue collar/white collar) were used to construct the four category intersection meausure of gender/class. Complex inequalities in daily smoking were estimated by joint-, referent- and excess disparities. Survey year and age were used as covariates.

Results: The overall daily smoking prevalence was 10.21%. The smoking rates in the categories of gender and occupational class were as follows: white collar men: 6.70%; white collar women: 7.79%; blue collar men: 13.75% and blue collar women: 16.63%. The absolute joint disparity was 9.96 percentage points (CI: 9.14 – 10.79) and that the main contributor to this inequality was occupational class (70.66%). The results of excess disparity further showed that blue collar women were particularly exposed regarding smoking.

Conclusions: Acknowledging the complexity of disadvantage and privilege regarding daily smoking contributes to an understanding of the situation for multiply marginalised groups, for example blue collar women. The findings may inform future public health interventions to reduce smoking habits.

Key messages:

  • Acknowledging the complexity of disadvantage and privilege contributes to an understanding of daily smoking across multiply marginalised groups.

  • Blue collar women is a particularly important group to consider in public health efforts to reduce smoking.

Place, publisher, year, edition, pages
Oxford University Press, 2018
Keywords
smoking, social class, gender
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-157987 (URN)10.1093/eurpub/cky214.048 (DOI)000461384201284 ()
Conference
11th European Public Health Conference Winds of change: towards new ways of improving public health in Europe Ljubljana, Slovenia, 28 November–1 December, 2018.
Note

Supplement 4

Available from: 2019-04-09 Created: 2019-04-09 Last updated: 2023-03-07Bibliographically approved
Almquist, Y. B., Landstedt, E., Jackisch, J., Rajaleid, K., Westerlund, H. & Hammarstrom, A. (2018). Prevailing over Adversity: Factors Counteracting the Long-Term Negative Health Influences of Social and Material Disadvantages in Youth. International Journal of Environmental Research and Public Health, 15(9), Article ID 1842.
Open this publication in new window or tab >>Prevailing over Adversity: Factors Counteracting the Long-Term Negative Health Influences of Social and Material Disadvantages in Youth
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2018 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, no 9, article id 1842Article in journal (Refereed) Published
Abstract [en]

Disadvantaged circumstances in youth tend to translate into poor health development. However, the fact that this is not always the case has been seen as indicative of differential resilience. The current study highlights factors outside the context of the family with the potential to counteract the long-term negative influences of social and material adversity in adolescence on general health status. This study was based on two waves of questionnaire data from the Northern Swedish Cohort. From the wave in 1981 (age 16), indicators of social and material conditions as well as factors related to school, peers, and spare time were derived. From the wave in 2008 (age 43), information about self-rated health was used. Ordinal logistic regression models (n = 908) showed that adversity in youth was associated with poorer self-rated health in midlife among men and women alike, net of health status at baseline. However, having an advantaged situation with regard to school, peers, or spare time appeared to protect against the detrimental influences of disadvantaged circumstances in the family context on subsequent health. This suggests that health-promoting interventions may benefit from focusing on contexts outside the family in their effort to strengthen processes of resilience among disadvantaged youths.

Place, publisher, year, edition, pages
MDPI, 2018
Keywords
disadvantages, living conditions, longitudinal, resilience, self-rated health, youth
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-152898 (URN)10.3390/ijerph15091842 (DOI)000445765600051 ()30150519 (PubMedID)2-s2.0-85052510426 (Scopus ID)
Funder
Swedish Research Council Formas, 2012-37
Available from: 2018-10-30 Created: 2018-10-30 Last updated: 2023-03-24Bibliographically approved
Dahlqvist, H. Z., Landstedt, E., Almqvist, Y. B. & Gadin, K. G. (2017). A non-randomised pragmatic trial of a school-based group cognitive-behavioural programme for preventing depression in girls. International Journal of Circumpolar Health, 76, Article ID 1396146.
Open this publication in new window or tab >>A non-randomised pragmatic trial of a school-based group cognitive-behavioural programme for preventing depression in girls
2017 (English)In: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 76, article id 1396146Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate the effectiveness of the DISA-programme in preventing depressive symptoms (DS) in adolescent girls, as implemented in a real-world school setting, accounting for baseline socioeconomic and psychosocial factors, and to investigate whether the effects of these baseline variables on DS differed between intervention participants and non-participants. In this non-randomised pragmatic trial, an electronic questionnaire was disseminated in 2011 (baseline) and 2012 (follow-up) in schools in one municipality in northern Sweden. Pupils (total n=275; intervention participants identified in the questionnaire: n=53; non-participants: n=222) were 14-15 years old at baseline. The groups were compared by means of SEM. DISA could not predict differences in DS at follow-up in this real-life setting. In the overall sample, sexual harassment victimisation (SH) at baseline was associated with DS at follow-up and the estimate for SH increased in the DISA-participants compared to the overall sample.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD, 2017
Keywords
School, depressive symptoms, real-life setting, pragmatic trial, cognitive-behavioural, sexual harassment
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-143613 (URN)10.1080/22423982.2017.1396146 (DOI)000417206200001 ()29108508 (PubMedID)2-s2.0-85045666575 (Scopus ID)
Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2023-03-23Bibliographically approved
Almquist, Y. B., Landstedt, E. & Hammarström, A. (2017). Associations between social support and depressive symptoms: social causation or social selection-or both?. European Journal of Public Health, 27(1), 84-89
Open this publication in new window or tab >>Associations between social support and depressive symptoms: social causation or social selection-or both?
2017 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no 1, p. 84-89Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Numerous studies have demonstrated an association between social support and health, almost regardless of how social support and health have been conceptualised or measured. Even so, the issue of causality has not yet been sufficiently addressed. This issue is particularly challenging for mental health problems such as depressive symptoms. The aim of the present study is to longitudinally assess structural and functional aspects of social support in relation to depressive symptoms in men and women, through a series of competing causal models that, in contrast to many other statistical methods, allow for bi-directional effects.

METHODS: Questionnaire data from the Northern Swedish Cohort (n = 1001) were utilised for the years 1995 (age 30) and 2007 (age 42). Associations were analysed by means of gender-specific structural equation modelling, with structural and functional support modelled separately.

RESULTS: Both structural and functional support were associated with depressive symptoms at ages 30 and 42, for men and women alike. A higher level of support, particularly functional support, was associated with a decrease in depressive symptoms over time among men. Among women, there were bi-directional effects of social support and depressive symptoms over time.

CONCLUSION: Concerning social support and health, the social causation hypothesis seems relevant for men whereas, for women, the associations appear to be more complex. We conclude that preventive and health promoting work may need to consider that the presence of depressive symptoms in itself impedes on women's capability to increase their levels of social support.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-127464 (URN)10.1093/eurpub/ckw120 (DOI)000397046200020 ()27521575 (PubMedID)2-s2.0-85016785468 (Scopus ID)
Available from: 2016-11-14 Created: 2016-11-14 Last updated: 2023-03-24Bibliographically approved
Almquist, Y. B., Landstedt, E., Jackisch, J., Rajaleid, K., Westerlund, H. & Hammarström, A. (2017). Growing through asphalt: What counteracts the long-term negative health impact of youth adversity?. Paper presented at 10th European Public Health Conference Sustaining resilient and healthy communities Stockholm, Sweden 1–4 November 2017. European Journal of Public Health, 27(Suppl_3), 47-47
Open this publication in new window or tab >>Growing through asphalt: What counteracts the long-term negative health impact of youth adversity?
Show others...
2017 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no Suppl_3, p. 47-47Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: Adversity in the family of origin tends to translate into poor health development. Yet, the fact that this is not the always the case has been seen an indicator of resilience. The current study highlights factors outside the context of the family with the potential to counteract the long-term negative influences of social and material adversity in adolescence on general health status.

Methods: The study was based on the Northern Swedish Cohort born in 1965 (n = 1,001). Measures of social and material adversity, health, and protective factors related to school, peers, and spare time, were derived from questionnaires distributed to the cohort members and their teachers at age 16. Self-rated health was measured at age 43. The main associations were examined by means of ordinal regression analysis, with the role of the protective factors being assessed through interaction analysis.

Results: Social and material adversity in youth was associated with poorer self-rated health in midlife among males and females alike, net of health status at baseline. However, having an advantaged situation with regard to school, peers, or spare time – particularly in terms of being seen as having good educational and work prospects, as well as a high-quality spare time – appeared to protect against the detrimental influences of disadvantaged circumstances in the family context on subsequent health.

Conclusions: There are several factors outside the context of the family that seemingly have the potential to buffer against the negative health consequences stemming from having experienced a disadvantaged upbringing. Initiatives targeted at increasing academic motivation and commitment as well as social capital and relationships in youth, may here be of particular relevance.

Key messages:

  • While the experience of disadvantageous living conditions in adolescence tends to translate into poor health development across the life course, this is not always the case.
  • Advantages related to school, peers, and spare time have the potential of counteracting the negative health impact of an adverse family context.
Place, publisher, year, edition, pages
OXFORD UNIV PRESS, 2017
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-143147 (URN)10.1093/eurpub/ckx187.120 (DOI)000414389800099 ()
Conference
10th European Public Health Conference Sustaining resilient and healthy communities Stockholm, Sweden 1–4 November 2017
Available from: 2017-12-20 Created: 2017-12-20 Last updated: 2023-03-07Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-2996-3348

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