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  • 1.
    Borrie, Mats
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Kulturgeografiska institutionen.
    Olsson Skog, Frida
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Lindgren, Urban
    Umeå universitet, Samhällsvetenskapliga fakulteten, Kulturgeografiska institutionen.
    The importance of stressful events during childhood on adult labour market outcome2011Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    This paper examines if stressful events during childhood impact the labour market position in adulthood within the Swedish 1973 birth cohort. Empirical analyses are based on individual, longitudinal register data from the ASTRID database covering the total Swedish population between 1960-2008. We will analyze the different ways in which three specific events; parental separation, death of parent(s) and/or frequent migration, affect labour market outcome in an OLS-regression, controlling for family background characteristics. These events can occur in isola- tion or they can be interrelated. It is of importance to examine the effect of one single event as well as the accumulated effect of several events. The 1973 cohort makes an interesting case, since they both have experienced change in the nuclear family system during their childhood, and a period of recession and youth unemployment as well as cutbacks in social policy programmes during their age of labour market entrance. Our study thus focuses on how stressful events in childhood affect children’s life courses in turbulent times.

  • 2.
    Bortes, Cristian
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Centre for Research on Child and Adolescent Mental Health, Karlstad University, Karlstad, Sweden.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Health problems during childhood and school achievement: Exploring associations between hospitalization exposures, gender, timing, and compulsory school grades2018Ingår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 13, nr 12, s. 1-14, artikel-id e0208116Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS:

    To investigate while accounting for health at birth 1) associations between health problems during childhood, measured as hospitalizations, and school achievement in the final year of compulsory school, measured as overall grade points and eligibility for upper secondary education, 2) if and how gender moderates the association between health problems and school achievement, 3) if and how the timing of a health problem during childhood is associated with later school achievement.

    METHODS:

    Analyzes were performed on a population-based cohort (n = 115 196) born in 1990 in Sweden (51.3% boys, 48.7% girls) using data from several national registries. Multiple linear regression and logistic regression were used to analyze associations between study variables.

    RESULTS:

    Overall grade points and eligibility for continuation to upper secondary school were lower for individuals exposed to hospitalizations. Only the association between hospitalizations and overall grade points was moderated by gender and only for ages 13-16 years. Exposure close to actual grading had worst outcomes.

    CONCLUSIONS:

    Health problems, measured through hospitalizations, was significantly associated with lower school achievements among Swedish children. Girls exposed to health problems requiring hospitalizations had relatively poorer school achievements as compared to boys. Health problems requiring hospitalization during junior high school had the greatest negative association with final achievement at compulsory school.

  • 3.
    Bortes, Cristian
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Centre for Research on Child and Adolescent Mental Health, Karlstad University, Sweden.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Is the effect of ill health on school achievement among Swedish adolescents gendered?2019Ingår i: SSM - Population Health, ISSN 2352-8273, Vol. 8, artikel-id 100408Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study investigates why the relationship between health problems requiring hospitalization between the ages of 13 and 16 and school achievement (school grades in 9th grade) in Sweden was stronger for girls than for boys. We reviewed previous research on gender differences in subjective health, health care utilization and medical drug treatment to identify mechanisms responsible for this gendered effect. The relationship was analysed using retrospective observational data from several national full-population registers of individuals born in 1990 in Sweden (n = 115 196), and ordinary least squares techniques were used to test hypotheses. We found that girls had longer stays when hospitalized, which mediated 15% of the interaction effect. Variability in drug treatment between boys and girls did not explain the gendered effect of hospitalization. The main mediator of the gendered effect was instead differences in diagnoses between boys and girls. Girls’ hospitalizations were more commonly related to mental and behavioural diagnoses, which have particularly detrimental effects on school achievement.

  • 4.
    Brännlund, Annica
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Mental-health and educational achievement: the link between poor mental-health and upper secondary school completion and grades2017Ingår i: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 26, nr 4, s. 318-325Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Education profoundly affects adult socioeconomic status, so it is important to ensure that all children have the capability and opportunity to achieve educational goals.Aims: The study aimed to examine the relationship between mental-health during adolescence and upper secondary school completion and grades, which has received comparatively little research attention to date.Method: Longitudinal administrative and registered data were used to analyse the relationship between school achievement and prescriptions of psycholeptic and psycho-analeptic drugs. The sample consisted of all children born in Sweden in 1990 (n=109223), who were followed from birth to age 20. Logistic and OLS regressions were performed separately for boys and girls, controlling for birth health and family characteristics.Results: A negative relationship between mental-health problems and educational outcomes was found; this result was almost independent of the controls. Only minor differences between the sexes were detected.Conclusions: Poor mental-health during childhood correlated negatively with educational attainment. Given the strong link between educational success and adult life, more resources are needed to support children with mental-health problems.

  • 5. Chaparro, M Pia
    et al.
    de Luna, Xavier
    Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.
    Häggström, Jenny
    Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.
    Ivarsson, Anneli
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Lindgren, Urban
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för geografi och ekonomisk historia, Kulturgeografi.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Koupil, Ilona
    Childhood family structure and women's adult overweight risk: A longitudinal study2017Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 45, nr 5, s. 511-519Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: The aim of this study was to investigate whether women's adult overweight and obesity risk was associated with their childhood family structure, measured as their mothers' marital status history, during the women's first 18 years of life.

    METHODS: Using linked register data, we analyzed 30,584 primiparous women born in Sweden in 1975 who were between 19-35 years of age when their height and pre-pregnancy weight was recorded. The outcomes were women's overweight/obesity (body mass index (BMI) ≥ 25 kg/m(2)) and obesity (BMI ≥ 30 kg/m(2)) and the predictor was mothers' marital status history, which was summarized using sequence analysis. We carried out nested logistic regression models adjusting for women's age and maternal sociodemographic characteristics.

    RESULTS: Mothers' marital status history was summarized into six clusters: stable marriage, stable cohabitation, married then divorcing, cohabiting then separating, varied transitions, and not with father. In fully adjusted models and compared with women whose mothers belonged to the stable marriage cluster: (1) women whose mothers belonged to the other marital status clusters had higher odds of overweight/obesity (odds ratio (OR) ranging 1.15-1.19; p < 0.05); and (2) women whose mothers belonged to the stable cohabitation (OR = 1.31; 95% confidence interval (CI) = 1.14-1.52), cohabiting then separating (OR = 1.23; 95% CI = 1.01-1.49), varied transitions (OR = 1.24; 95% CI = 1.11-1.39), and not with father (OR = 1.24; 95% CI = 1.00-1.54) clusters had higher odds of obesity.

    CONCLUSIONS: Women whose mothers were not in stable marriage relationships had higher odds of being overweight or obese in adulthood. The finding that even women raised in the context of stable cohabitation had higher odds of being overweight or obese is intriguing as these relationships are socially accepted in Sweden.

  • 6.
    Chaparro, M Pia
    et al.
    Centre for Health Equity Studies (CHESS).
    Ivarsson, Anneli
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Koupil, Ilona
    Centre for Health Equity Studies (CHESS).
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Häggström, Jenny
    Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.
    de Luna, Xavier
    Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.
    Lindgren, Urban
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för geografi och ekonomisk historia.
    Regional inequalities in overweight and obesity among first-time pregnant women in Sweden, 1992–20102015Ingår i: 22nd European Congress on Obesity (ECO2015), Prague, Czech Republic, May 6-9, 2015: abstracts, S. Karger, 2015, Vol. 8: suppl 1, s. 119-119Konferensbidrag (Refereegranskat)
  • 7.
    Chaparro, M. Pia
    et al.
    Centre for Health Equity Studies (CHESS).
    Ivarsson, Anneli
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Koupil, Ilona
    Centre for Health Equity Studies (CHESS).
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Häggström, Jenny
    Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.
    de Luna, Xavier
    Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.
    Lindgren, Urban
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för geografi och ekonomisk historia.
    Regional inequalities in pre-pregnancy overweight and obesity in Sweden, 1992, 2000, and 20102015Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 43, nr 5, s. 534-539Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims: To investigate regional differences and time trends in women’s overweight and obesity in Sweden. Methods: Using datafrom the Swedish Medical Birth Register (women aged ⩾18 years, first pregnancy only) and the Total Population Registeraccessed through the Umeå SIMSAM Lab, age-standardized prevalence of pre-pregnancy overweight/obesity (BMI ⩾ 25 kg/m2) and obesity (BMI ⩾ 30 kg/m2) were estimated by county for the years 1992, 2000, and 2010. Maps were created usingArcMap v10.2.2 to display regional variations over time and logistic regression analyses were used to assess if the observedtrends were significant. Results: The prevalence of pre-pregnancy overweight/obesity and obesity increased significantly inall Swedish counties between 1992, and 2010. In 2010, Södermanland and Gotland exhibited the highest age-standardizedoverweight/obesity (39.7%) and obesity (15.1%) prevalence, respectively. The sharpest increases between 1992 and 2010were observed in Västerbotten for overweight/obesity (75% increase) and in Gotland for obesity (233% increase). Across theyears, Stockholm had the lowest prevalence of overweight/obesity (26.3% in 2010) and obesity (7.3% in 2010) and one ofthe least steep increases in prevalence of both between 1992 and 2010. Conclusions: Substantial regional differencesin pre-pregnancy overweight and obesity prevalence are apparent in Sweden. Further research should elucidatethe mechanisms causing these differences.

  • 8.
    Holmström, Anna
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Oudin, Anna
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
    de Luna, Xavier
    Umeå universitet, Samhällsvetenskapliga fakulteten, Statistiska institutionen.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Lindgren, Urban
    Umeå universitet, Samhällsvetenskapliga fakulteten, Kulturgeografiska institutionen.
    Bergdahl, Ingvar
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
    Ivarsson, Anneli
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    SIMSAM-nätverket i Umeå strävar mot att bli ett framstående center för registerforskning som knyter samman barndomen med livslång hälsa och välfärd2011Ingår i: SVEPET - Medlemstidning för Svensk Epidemiologisk Förening (SVEP), ISSN 1101-4385, Vol. 29, nr 3, s. 8-9Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    Vetenskapsrådets SIMSAM initiativ syftar till att stärka multidisciplinär registerforskning i Sverige. Inom SIMSAM-nätverket i Umeå arbetar vi tvärvetenskapligt med sikte på att utvecklas till ett center med excellens kring mikrodataforskning som knyter samman barndomen med livslång hälsa och välfärd. Just nu fokuserar vi på att få tillgång till sammanlänkade data från ett flertal nationella och regionala register för att komma vidare med vår planerade forskning. Dessutom har Umeå-nätverket nyligen fått i uppdrag att leda den nationella samordningen av SIMSAM initiativet.

  • 9. Holowko, N.
    et al.
    Chaparro, M. P.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Ivarsson, Anneli
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Mishra, G.
    Koupil, Ilona
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen. Centre for Health Equity Studies,Stockholm University/Karolinska Institutet, Stockholm.
    Goodman, A.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Social inequality in BMI change and gestational weight gain in the first and second pregnancy among women in Sweden2015Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, s. 3-4Artikel i tidskrift (Övrigt vetenskapligt)
  • 10.
    Holowko, Natalie
    et al.
    Centre for Longitudinal and Life Course Research, School of Public Health, University of Queensland, Brisbane, Queensland, Australia.
    Chaparro, M Pia
    Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Ivarsson, Anneli
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Mishra, Gita
    Centre for Longitudinal and Life Course Research, School of Public Health, University of Queensland, Brisbane, Queensland, Australia.
    Koupil, Ilona
    Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden; Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
    Goodman, Anna
    Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden; Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
    Social inequality in pre-pregnancy BMI and gestational weight gain in the first and second pregnancy among women in Sweden2015Ingår i: Journal of Epidemiology and Community Health, ISSN 0143-005X, E-ISSN 1470-2738, Vol. 69, nr 12, s. 1154-1161Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: High pre-pregnancy body mass index (BMI) and inappropriate gestational weight gain (GWG) are associated with adverse short and long-term maternal and neonatal outcomes and may act as modifiable risk factors on the path to overweight/obesity, but their social patterning is not well established. This study investigates the association of education with BMI and GWG across two consecutive pregnancies.

    METHODS: The study includes 163 352 Swedish women, having their first and second singleton birth in 1982-2010. In both pregnancies, we investigated the association of women's education with (1) pre-pregnancy weight status and (2) adequacy of GWG. We used multinomial logistic regression, adjusting for child's birth year, mother's age and smoking status.

    RESULTS: Overall, the odds of starting either pregnancy at an unhealthy BMI were higher among women with a low education compared to more highly-educated women. Lower education also predicted a greater increase in BMI between pregnancies, with this effect greatest among women with excessive GWG in the first pregnancy (p<0.0001 for interaction). Education was also inversely associated with odds of excessive GWG in both pregnancies among healthy weight status women, but this association was absent or even weakly reversed among overweight and obese women.

    CONCLUSIONS: Lower educated women had the largest BMI increase between pregnancies, and these inequalities were greatest among women with excessive GWG in the first pregnancy. The importance of a healthy pre-pregnancy BMI, appropriate GWG and a healthy postpartum weight should be communicated to all women, which may assist in reducing existing social inequalities in body weight.

  • 11.
    Ivarsson, Anneli
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    de Luna, Xavier
    Umeå universitet, Samhällsvetenskapliga fakulteten, Statistiska institutionen.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Lindgren, Urban
    Umeå universitet, Samhällsvetenskapliga fakulteten, Kulturgeografiska institutionen.
    Bergdahl, Ingvar
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
    Registerdata om barndomen: kunskapsbas för hållbar hälsa och välfärd2010Ingår i: SVEPET. Medlemsbladet för Svensk Epidemiologisk Förening (Svep), Vol. 28, nr 3, s. 4-6Artikel i tidskrift (Övrigt vetenskapligt)
  • 12.
    Kalucza, Sara
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Hammarström, Anne
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Socialmedicin.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Mental health and parenthood: a longitudinal study of the relationship between self-reported mental health and parenthood2015Ingår i: Health Sociology Review, ISSN 1446-1242, E-ISSN 1839-3551, Vol. 24, nr 3, s. 283-296Artikel i tidskrift (Refereegranskat)
    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.

  • 13.
    Lindgren, Urban
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för geografi och ekonomisk historia, Kulturgeografi.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    de Luna, Xavier
    Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Statistik.
    Ivarsson, Anneli
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Data Resource Profile: Swedish Microdata Research from Childhood into Lifelong Health and Welfare (Umeå SIMSAM Lab)2016Ingår i: International Journal of Epidemiology, ISSN 0300-5771, E-ISSN 1464-3685, Vol. 45, nr 4, s. 1075-1075gArtikel i tidskrift (Refereegranskat)
  • 14.
    Namatovu, Fredinah
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ivarsson, Anneli
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Effect of childhood coeliac disease on ninth grade school performance: evidence from a population-based study2018Ingår i: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 103, nr 2, s. 143-148Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Coeliac disease might affect school performance due to its effect on cognitive performance and related health consequences that might increase school absenteeism. The aim of this study was to investigate whether children with coeliac disease performed differently on completion of ninth grade in school compared with children without coeliac disease.

    Methods: Analysis was performed on a population of 445 669 children born in Sweden between 1991 and 1994 of whom 1767 were diagnosed with coeliac disease. School performance at ninth grade was the outcome and coeliac disease was the exposure. Other covariates included sex, Apgar score at 5 min, small for gestational age, year of birth, family type, parental education and income.

    Results: There was no association between coeliac disease and school performance at ninth grade (adjusted coefficient -2.4, 95% CI 5.1 to 0.4). A weak association was established between late coeliac diagnosis and higher grades, but this disappeared after adjusting for parent socioeconomic conditions. Being small for gestational age affected performance negatively (adjusted coefficient -6.9, 95% CI 8.0 to 5.7). Grade scores were significantly lower in children living with a single parent (adjusted coefficient -20.6, 95% CI 20.9 to 20.2), compared with those with married/cohabiting parents. A positive association was found between scores at ninth grade and parental education and income.

    Conclusion: Coeliac disease diagnosis during childhood is not associated with poor school performance at ninth grade.

  • 15.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskaplig fakultet, Sociologi.
    Housework and Family Formation: Exploring the Relationship Between Gender Division of Housework and Having Children2010Ingår i: The Open Demography Journal, ISSN 1874-9186, Vol. 3, s. 1-10Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Declining birth rates in Europe over the last 30 years have often been associated with changes in family structure and with increased female labour market participation. In order to understand the changes in family formation, it is important to also take family relations and gender equality within the family into consideration. This article focuses on the division of housework (as a measurement of gender equality) and its impact on childbirth in Sweden. Sweden has a relatively long history of high female labour market participation, something combined with generous parental leave and subsidised child care, should allow us to explore more fully the effects of gender relations within the household on childbearing patterns. Swedish couples were classified as traditional, intermediate and modern on the basis of the reported division of housework. While the initial analyses showed that modern i.e. more gender-equal couples, were more likely to have children, the effect of the fairer distribution of housework on having children disappeared when controlling for demographic variables such as age and the number of children already in the family. The results of this and related studies indicate that more research is needed in order to establish the impact of gender relations on childbirth.

  • 16.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskaplig fakultet, Sociologi.
    Jämställdhet, barnafödande och separationer2008Ingår i: Jämställdhetens pris, Boréa bokförlag, Umeå , 2008, s. 83-109Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 17.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Parenthood and welfare outcomes in late-twentieth-century Sweden2010Ingår i: The History of the Family, ISSN 1081-602X, E-ISSN 1873-5398, Vol. 15, nr 2, s. 206-214Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article explores the impact of family formation and in particular the impact of parenthood on Swedish men's and women's welfare outcomes during the last decades of the twentieth century. A description of changes to family forms since the 1970s, with an emphasis on marriages, divorces, and childbirth is followed by a description of Swedish family policy and labour market settings. After this, the article focuses on the effects of parenthood on welfare outcomes, namely income and well-being. Negative effects of parenthood, specifically lowered income and self-reported feelings of tiredness are more frequently observed in mothers, something which is argued to influence future childbirth patterns. Furthermore, the article points to the need to examine the potential influence that fathers' changing roles within families will have on future family formation and fertility patterns.

  • 18.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    The feeling of tiredness among Swedish parents2008Ingår i: The practice of birth control and historical fertility change, 2008Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
  • 19.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    The feeling of tiredness among Swedish parents: a longitudinal cohort comparison2010Ingår i: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397, Vol. 19, nr 4, s. 424-432Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In Europe, there is an ongoing debate on how to combine work and family life, a problem many women face today. Implicit in this debate is that women are more affected by having children compared with women in earlier generations. This article presents a cohort study on how Swedish women and men's reported feelings of tiredness is affected by having children. Longitudinal results representing three cohorts show that both men and women in general report more feelings of tiredness in the early 2000s compared with the 1980s. Being a first-time mother or father is connected with more feelings of tiredness among the latest cohort studied. However, when control variables are included, the effect of becoming a first-time parent weakens, especially for men. Finally, the effect of becoming a first-time mother is no longer significant when controlling for age.

  • 20.
    Nilsson, Karina
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Hammarström, Anne
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Socialmedicin.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Centre for Research on Child and Adolescent Mental Health, Karlstad University, Sweden.
    The relationship between work and family preferences and behaviors: a longitudinal study of gender differences in Sweden2017Ingår i: Acta Sociologica, ISSN 0001-6993, E-ISSN 1502-3869, Vol. 60, nr 2, s. 120-133Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Proposed theories to explain gender inequality in the labor market and family, such as gender specialization within families and gender segregation in the labor markets, lack consideration for individual preferences. Preference theory accounts for individual choice and gendered preferences but has been substantially criticized, indicating a need for further research. This study uses Swedish longitudinal data to explore how preferences for work and family relate to behavior. We explore three critical issues raised in previous research: gender differences in preferences; the relationship between work and family changes and subsequent preferences; how preferences relate to work and family behaviors. Our results showed small general gender differences in preferences, although women had a stronger preference for both children and work than men. Changes in work status were further related to changes in work preferences, while changes in family status were related to changes in family preferences. Moreover, preferences had poor predictive power in relation to work and family behaviors. Our results indicate that preferences do not explain gender inequality in Sweden. The relationship between preferences and behaviors seems bidirectional and preferences and behavior within the family sphere has little to do with preferences and behavior within the work sphere.

  • 21.
    Nilsson, Karina
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Nest leaving in Sweden: the importance of early educational and labour market careers1999Ingår i: Journal of Marriage and Family, ISSN 0022-2445, E-ISSN 1741-3737, Vol. 61, nr 4, s. 1068-1079Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article investigates the importance of the early educational and labor market career for nest leaving and for returning to the parental home. Using unique individual life course data for the entire Swedish cohort born in 1973, the article shows that employment means a high probability of nest leaving and stability of independent living. University studies mean a high probability of nest leaving but less stability of independent living. Those neither employed nor pursuing and education had both low probabilities of nest leaving and less stability of independent living. The early career was more important for structuring women's nest leaving than men's nest leaving.

  • 22.
    Nilsson, Karina
    et al.
    Umeå universitet, Samhällsvetenskaplig fakultet, Sociologi.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskaplig fakultet, Sociologi.
    New gender roles – new explanations for separation?: From specialisation and trading to role balance?2008Ingår i: Journal of Societal and Social Policy, ISSN 1681 2816, Vol. 7, nr 3, s. 107-117Artikel i tidskrift (Refereegranskat)
  • 23.
    Nilsson, Karina
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen. Davidson College, NC, USA.
    Skilsmässor och separationer: betydelsen av rollspecialisering och jämställdhet2009Ingår i: Sociologisk forskning, ISSN 0038-0342, Vol. 46, nr 3, s. 19-36Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    At the same time as women made their large scale entrance on the labour market divorce rates increased in most western societies. This combination of societal trends was widely understood from the perspective of the specialization and trading model, which implies undermined marital stability through decreasing interdependency between husband and wife. We argue the need to acknowledge the new roles, and perceptions of these roles, men and women have in order to explain differences in separation and stability among couples. When both partners are expecting to be in paid labour and share housework responsibilities, specialisation could actually be a risk factor for cohabitational dissolution. This article uses a ten year longitudinal data base of all Swedish cohabiting first time parents in 1993. The analyses generally support what could be labelled a role balance model on separation rather than the specialization model. Looking at the father's participation in childcare this was quite clear, where the man's outtake of parental leave for the first child was shown to be related to reduced hazards of separation. In the same way equal distribution of the household labour market incomes between the partners was related to lower hazards of separation.

  • 24.
    Nilsson, Karina
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Skilsmässor och separationer: Betydelsen av rollspecialisering och jämställdhet2009Ingår i: Sociologisk forskning, ISSN 0038-0342, Vol. 46, nr 3, s. 19-36Artikel i tidskrift (Refereegranskat)
  • 25.
    Nilsson, Karina
    et al.
    Umeå universitet, Samhällsvetenskaplig fakultet, Sociologi.
    Strandh, Mattias
    Umeå universitet, Samhällsvetenskaplig fakultet, Sociologi.
    Work in Swedish households: the role of education2004Ingår i: Australian Journal of Adult Learning, Vol. 44, nr 2, s. ?-Artikel i tidskrift (Övrigt vetenskapligt)
  • 26.
    Nordenmark, Mikael
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Grönlund, Anne
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Halleröd, Björn
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Evertsson, Lars
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Norberg-Schönfeldt, Magdalena
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för nationalekonomi.
    Nyman, Charlott
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Wikström, Magnus
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för nationalekonomi.
    Vi kan inte bortse från jämställdhetens baksida2008Övrigt (Övrig (populärvetenskap, debatt, mm))
  • 27.
    Strandh, Mattias
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Hammarström, Anne
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Allmänmedicin.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Nordenmark, Mikael
    Rehabiliteringsvetenskap vid Institutionen för hälsovetenskap, Mittuniversitetet.
    Russel, Helen
    Econ & Social Res Inst, Dublin, Ireland.
    Unemployment, gender and mental health: the role of the gender regime2013Ingår i: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566, Vol. 35, nr 5, s. 649-665Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Existing research suggests that gender differences in the effect of unemployment on mental health are related to the different positions and roles that are available for men and women in society and the family; roles that are connected with their different psychosocial and economic need for employment. The aim of this article is to analyse the role of gender in the relationship between unemployment and mental wellbeing in Sweden, representing a gender regime with a similar need for employment among women and men, and Ireland, representing a gender regime in which the need for employment differs between women and men. The results, based on longitudinal data from the two countries, show that unemployment was more negatively related to mental health among men than among women in Ireland, while men and women were equally affected by unemployment in Sweden. Factors related to the family and economic situation, as well as gendered selection into the unemployment population, explains the difference in mental health between unemployed men and women in Ireland. The overall conclusion is that the context has a major influence on the relationship between unemployment, gender and mental health.

  • 28.
    Strandh, Mattias
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Ger arbetslösheten ärr? – Arbetslöshet och mental hälsa över livsbanan2013Ingår i: Tiden, ISSN 0040-6759, nr 2/3, s. 46-49Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 29.
    Strandh, Mattias
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. Centre for Research on Child and Adolescent Mental Health, Karlstad University, SE-651 88 Karlstad, Sweden.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Nordlund, Madelene
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Hammarström, Anne
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Socialmedicin.
    Do open youth unemployment and youth programs leave the same mental health scars?: Evidence from a Swedish 27-year cohort study2015Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 15, artikel-id 1151Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Recent findings suggest that the mental health costs of unemployment are related to both short- and long-term mental health scars. The main policy tools for dealing with young people at risk of labor market exclusion are Active Labor Market Policy programs for youths (youth programs). There has been little research on the potential effects of participation in youth programs on mental health and even less on whether participation in such programs alleviates the long-term mental health scarring caused by unemployment. This study compares exposure to open youth unemployment and exposure to youth program participation between ages 18 and 21 in relation to adult internalized mental health immediately after the end of the exposure period at age 21 and two decades later at age 43.

    Methods: The study uses a five wave Swedish 27-year prospective cohort study consisting of all graduates from compulsory school in an industrial town in Sweden initiated in 1981. Of the original 1083 participants 94.3 % of those alive were still participating at the 27-year follow up. Exposure to open unemployment and youth programs were measured between ages 18–21. Mental health, indicated through an ordinal level three item composite index of internalized mental health symptoms (IMHS), was measured pre-exposure at age 16 and post exposure at ages 21 and 42.

    Ordinal regressions of internalized mental health at ages 21 and 43 were performed using the Polytomous Universal Model (PLUM). Models were controlled for pre-exposure internalized mental health as well as other available confounders.

    Results: Results show strong and significant relationships between exposure to open youth unemployment and IMHS at age 21 (OR = 2.48, CI = 1.57–3.60) as well as at age 43 (OR = 1.71, CI = 1.20–2.43). No such significant relationship is observed for exposure to youth programs at age 21 (OR = 0.95, CI = 0.72–1.26) or at age 43 (OR = 1.23, CI = 0.93–1.63).

    Conclusions: A considered and consistent active labor market policy directed at youths could potentially reduce the short- and long-term mental health costs of youth unemployment.

  • 30.
    Strandh, Mattias
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Nilsson, Karina
    Umeå universitet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
    Winefield, Anthony
    Centre for Applied Psychological Research, School of Psychology, Social Work and Social Policy, University of South Australia, Australia .
    Hammarström, Anne
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Allmänmedicin.
    Unemployment and mental health scarring during the life course2014Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 24, nr 3, s. 440-445Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There has been little research on the long-term relationship between unemployment experiences and mental health over the life course. This article investigates the relationship between youth unemployment as well as that of unemployment experiences during later periods and mental health at ages 16, 21, 30 and 42 years. Methods: The study makes use of the 'Northern Swedish Cohort' (NSC), a 27-year prospective cohort study. The cohort, investigated at ages 16, 18, 21, 30 and 42 years, consisted of all graduates from compulsory school in an industrial town in Sweden. Of the original 1083 participants, 94.3% of those still alive were still participating at the 27-year follow up. Mental health, measured through a three-item index of nervous symptoms, depressive symptoms and sleeping problems, was analysed using a repeated measures linear mixed models approach using ages 16, 21, 30 and 43 years. Unemployment exposure was measured as exposure to at least a 6-month spell during three periods; 18-21, 21-30 and 30-42 years. Results: Youth unemployment was shown to be significantly connected with poorer mental health at all three target ages, 21, 30 and 42 years. Later singular unemployment experiences did not appear to have the same long-term negative effects. There was however an accumulation in poorer mental health among respondents with unemployment experiences during two, and even more so three, of the periods. Conclusion: There are long-term mental health scarring effects of exposure to youth unemployment and multiple exposure to unemployment during the life course

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