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  • 1.
    Bergstedt Oscarsson, Kristina
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Infectious Diseases.
    Brorstad, Alette
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Infectious Diseases.
    Baudin, Maria
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Virology.
    Lindberg, Anne
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Evander, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Virology.
    Eriksson, Marie
    Umeå University, Faculty of Social Sciences, Umeå School of Business and Economics (USBE), Statistics.
    Ahlm, Clas
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Infectious Diseases.
    Human Puumala hantavirus infection in northern Sweden: increased seroprevalence and association to risk and health factors2016In: BMC Infectious Diseases, ISSN 1471-2334, E-ISSN 1471-2334, Vol. 16, article id 566Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The rodent borne Puumala hantavirus (PUUV) causes haemorrhagic fever with renal syndrome in central and northern Europe. The number of cases has increased and northern Sweden has experienced large outbreaks in 1998 and 2006-2007 which raised questions regarding the level of immunity in the human population.

    METHODS: A randomly selected population aged between 25 and 74 years from northern Sweden were invited during 2009 to participate in a WHO project for monitoring of trends and determinants in cardiovascular disease. Health and risk factors were evaluated and sera from 1,600 participants were available for analysis for specific PUUV IgG antibodies using a recombinant PUUV nucleocapsid protein ELISA.

    RESULTS: The overall seroprevalence in the investigated population was 13.4 %, which is a 50 % increase compared to a similar study only two decades previously. The prevalence of PUUV IgG increased with age, and among 65-75 years it was 22 %. More men (15.3 %) than women (11.4 %) were seropositive (p < 0.05). The identified risk factors were smoking (OR = 1.67), living in rural areas (OR = 1.92), and owning farmland or forest (OR = 2.44). No associations were found between previous PUUV exposure and chronic lung disease, diabetes, hypertension, renal dysfunction, stroke or myocardial infarction.

    CONCLUSIONS: PUUV is a common infection in northern Sweden and there is a high life time risk to acquire PUUV infection in endemic areas. Certain risk factors as living in rural areas and smoking were identified. Groups with increased risk should be targeted for future vaccination when available, and should also be informed about appropriate protection from rodent secreta.

  • 2.
    Bergstedt-Oskarsson, Kristina
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Brorstad, Alette
    Baudin, Maria
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Virology.
    Lindberg, Anne
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Evander, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Virology.
    Ahlm, Clas
    Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Infectious Diseases.
    Seroepidemiology, comorbidity and riskfactors for Puumula hantavirus in a highly endemic area of Sweden2011Conference paper (Other academic)
  • 3. Carlstedt, Gunilla
    et al.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Elderly women's work, health and ill health - diversities and common experiences in a life-course perspective.1999In: Hannover: Gender and Ageing: Quality in diversity.: Report from an international workshop. Hannover, EWHNET (European Women's Health Network), 1999, 1999Conference paper (Other academic)
  • 4.
    Carlstedt, Gunilla
    et al.
    Luleå tekniska universitet, Luleå.
    Forssén, Annika
    Luleå tekniska universitet, Luleå.
    Kvinnoforskningen ifrågasätts och misstolkas ständigt. Förändring är målet - inte frustration.1997In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, no 14, p. 1308-1309Article in journal (Other academic)
  • 5. Carlstedt, Gunilla
    et al.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Kvinnor under hemmafruns årtionden. Vad gjorde de egentligen?2003In: Häften för Kritiska Studier, ISSN 0345-4789Article in journal (Other (popular science, discussion, etc.))
  • 6.
    Carlstedt, Gunilla
    et al.
    Institutionen för Arbetsvetenskap / Genus & Teknik, Luleå Tekniska Universitet.
    Forssén, Annika
    Institutionen för Arbetsvetenskap / Genus & Teknik, Luleå Tekniska Universitet.
    Mellan ansvar och makt: En diskussion om arbete, hälsa och ohälsa utifrån tjugo kvinnors livsberättelser1999Doctoral thesis, monograph (Other academic)
    Abstract [sv]

    Syftet med vår gemensamma medicinska avhandling är att skapa ny kunskap om kvinnors arbete, hälsa och ohälsa. Forskningen är kvalitativ och bygger på tjugo kvinnors livsberättelser. Feministisk teoribildning är grundläggande. Kvinnornas arbete (betalt och obetalt) och deras upplevelser av hälsa och ohälsa beskrivs och karakteriseras. Även graviditeter, födande och amning räknas som arbete.

    Begrepp som fått betydelse i förhållande till kvinnornas arbete/hälsa/ohälsa är; skapande, ansvar, lyhördhet, självbestämmande, "klara av", tyngd (i arbete), tid och planering av tid, ekonomi, (sam)levnadsform, maktrelationer mellan könen, könsarbetsdelning (i hem och förvärvsliv), föreställningar om kvinnlighet och manlighet, mötet med sjukvården, förändring. Vetenskapsteoretiska frågor av vikt för medicinsk (kvinno)forskning diskuteras.

  • 7. Fernandez, Andreas
    et al.
    Andén, Annika
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Brändström, Christina
    Flodin, Christina
    Truedsson, Maria
    Wiborgh, Meta
    Backman, Monica
    Ernstdotter, Ninni
    Svartholm, Robert
    Runeberg, Sam
    Wallmark, Stefan
    "Enkla" mått ökar risken för felorientering2010In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, no 17, p. 1168-Article in journal (Other academic)
  • 8.
    Forssen, Annika S. K.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Lifelong Significance of Disempowering Experiences in Prenatal and Maternity Care: Interviews With Elderly Swedish Women2012In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 22, no 11, p. 1535-1546Article in journal (Other academic)
    Abstract [en]

    In this article I show how the effects of harsh and humiliating treatment, experienced by a number of Swedish women in antenatal care and childbirth in the mid-20th Century, endured for the rest of their lives. This treatment was carried out by medical staff in conformity with a view of expectant mothers as irresponsible and ignorant and with the prevalent idea of "natural birth." These effects were findings in an interview investigation that, with a colleague, I conducted into paid and unpaid work and health of 20 women, seen in a lifetime perspective. Our biomedical way of understanding risks and complications during pregnancy and birthing was confronted with many participants' feelings of distress, guilt, and grief linked to their childbearing experience. I interpret the treatments as "violations of dignity" and as abuse. The consequences are similar to those following traumatic birth experiences described in today's literature.

  • 9.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    "Actually, I have enjoyed my job more than anything else." Gainful employment as a health resource for women.: Results from a qualitative study.2005Conference paper (Refereed)
  • 10.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Apropå mammografiscreening. Informerat samtycke: även i Sverige?2010In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, no 1-2, p. 9-Article in journal (Other academic)
  • 11.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Ett eget rum - en strategi för kvinnors hälsa.2002Conference paper (Refereed)
  • 12.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Feminism och medicinsk vetenskap - en provokativ betraktelse2004In: Kropp och genus i medicinen / [ed] Birgitta Hovelius, Eva E Johansson, Lund: Studentlitteratur, 2004, p. 87-95Chapter in book (Other academic)
  • 13.
    Forssén, Annika
    Luleå Tekniska Universitet.
    Gör vi dygd av tvånget och kvinnor till mäns motsatser?: en kritisk självreflektion om feministers lust till ett kvinnligt väsen1998In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 75, no 1-2, p. 13-18Article in journal (Other academic)
  • 14.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Humour, beauty, and culture as personal health resources: experiences of elderly Swedish women2007In: Scandinavian Journal of Public Health, ISSN 1403-4948, Vol. 35, no 3, p. 228-34Article in journal (Refereed)
  • 15.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Kan begreppet positionerade kunskaper användas för att granska och utveckla (allmän)medicinsk kunskap?2004In: Medicinsk genusforskning: teori och begreppsutveckling, Stockholm: Vetenskapsrådet , 2004, p. 138-145Chapter in book (Other academic)
  • 16.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Klimakteriet och vetenskapen: en historia att lära av?2010Conference paper (Other academic)
  • 17.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Kvinnors skuld och skam  - och mötet med vården.2000Conference paper (Refereed)
  • 18.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Livslopp och barnafödande: viktiga aspekter i patient-läkarmötet2004In: Kropp och genus i medicinen / [ed] Birgitta Hovelius, Eva E Johansson, Lund: Studentlitteratur, 2004, p. 127-135Chapter in book (Other academic)
  • 19.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Medical training and the "risk epidemic" in preventative medicine2013In: AMEE (An International Association for Medical Education) 2013. Colouring outside the lines. International Conference in Medical Education. Prague 24-28 August, 2013, 2013Conference paper (Other academic)
    Abstract [en]

    BACKGROUND: In Sweden and other Western societies, preventive medicine based on risk-factor investigation of individuals and population screening, is given increasing priority by doctors and politicians. But has a medically induced "risk epidemic" now replaced earlier infectious and cardiovascular epidemics? More and more people are labelled "at-risk", even in countries with the highest life expectancy in the world. The Hippocratic Oath for physicians includes the promise "to abstain from doing harm", but any medical intervention can be harmful. Investigation of healthy people, as part of preventive medicine, is no exception. SUMMARY OF WORK: I discuss these issues in a lecture on Family Medicine to Term 8 medical students at Umeå University, aiming to promote critical thinking around a problem I regard as crucial for the future. I also emphasize people/patient-empowering approaches in research and practice, introducing concepts such as “salutogenesis” and “personal health resources”. SUMMARY OF RESULTS: Like most medical students approaching graduation, my students appreciate “hard facts” and “how-to-do-knowledge”. This lecture has caused some hostility among students as well as the teaching-staff, for rocking the students’ earlier learning in a critical period of their training, but I have also been awarded a pedagogical prize from the students – for elucidating the complexity in health care-work. CONCLUSIONS: The negative effects of preventive measures, risk-focusing and medicalisation of everyday problems are difficult to discuss professionally, but such a discussion is also longed for by medical students. TAKE-HOME MESSAGES: Critical thinking about the “risk epidemic” in medicine, and a discussion about empowering and sustainable medicine, should be introduced into medical training

  • 20.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Medikalisering av "kvinnan".2007Conference paper (Other academic)
  • 21.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Negotiating Power and Responsibility - Decisive to Women's Health.1999Conference paper (Refereed)
  • 22.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Osynliggjort arbete och kvinnors hälsa. (Symposium)1999Conference paper (Other academic)
  • 23.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine. Porsö Vårdcentral Luleå.
    Recension av Christina Janssons avhandling "Maktfyllda möten i medicinska rum. Debatt, kunskap och praktik i svensk förlossningsvård 1960-1985."2009In: Tidskrift för Genusvetenskap, ISSN 1654-5443, E-ISSN 2001-1377, Vol. 29, no 2-3, p. 145-148Article, book review (Other academic)
  • 24.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Science, direction and situated knowledges.2007Conference paper (Refereed)
  • 25.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Women's Work, Health and Ill Health - concepts and relations in question.1995Report (Other academic)
  • 26.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    Arbete, hälsa och ohälsa: om begrepp och samband utifrån tjugo kvinnors livsberättelser2000In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 77, no 6, p. 542-552Article in journal (Refereed)
  • 27.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    Feminism som vetenskapligt perspektiv - ett exempel2008In: Tillämpad kvalitativ forskning inom hälso- och sjukvård / [ed] Granskär & Höglund-Nielsen, Lund: Studentlitteratur , 2008, 1, p. 57-72Chapter in book (Other academic)
  • 28.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    Feministisk forskning tydliggör att all forskning är politisk2000In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 97, no 47, p. 5477-5481Article in journal (Refereed)
    Abstract [en]

    The article is a review of different trends and epistemologies in women’s studies/feminist research within the field of medicine. In the beginning of the 1980s, women’s studies entered the field of medicine in the Nordic countries. They are now a part of the feminist research that has been established within most sciences both nationally and internationally. The gender power relation and its impact on health - first of all women’s, but in extension also men’s - has been in focus. Moreover, science itself, its limits and possibilities, and the kind of knowledge it produces, is discussed. In this respect, feminist theory of science is a useful tool.

  • 29.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    Health-promoting aspects of a paid job: findings in a qualitative interview study with elderly women in Sweden2007In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 28, no 10, p. 909-29Article in journal (Refereed)
  • 30.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    "It's heavenly to be alone!": a room of one's own as a health-promoting resource for women. Results from a qualitative study.2006In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 34, no 2, p. 175-81Article in journal (Refereed)
  • 31.
    Forssén, Annika
    et al.
    Department of Human Work Sciences, Luleå University of Technology, Luleå, Sweden.
    Carlstedt, Gunilla
    Department of Human Work Sciences, Luleå University of Technology, Luleå, Sweden.
    Kvinnors ansvarstagande kan leda till ohälsa2001In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 98, no 16, p. 1930-1933Article in journal (Refereed)
    Abstract [en]

    Women often feel compelled to assume responsibility for the needs and wishes of others. This is of consequence to their own health. The concept »compulsive sensitivity» is used in this article to describe a work injury that can result when this demand is excessive and the trained sensitivity to the needs of others has come to dictate woman’s way of being and acting. This kind of ill health is seen as a result of the gender division of labor that persists in our society. The article is based on qualitative research on women’s work, health and ill health.

  • 32. Forssén, Annika
    et al.
    Carlstedt, Gunilla
    Kön och (o)hälsa: exemplet arbete (Keynote)1999Conference paper (Other (popular science, discussion, etc.))
  • 33.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    Om kvinnors arbete och mötet med vården1999In: Kvinnors hälsa, sjukdom och livsvillkor - vilka kunskaper kan nås med kvalitativa metoder? (Symposium), 1999Conference paper (Refereed)
  • 34.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    Varsågod och var stark: om kvinnors liv, arbete och hälsa under 1900-talet2003Book (Other (popular science, discussion, etc.))
  • 35.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    Work, health and ill health: new research makes women's experiences visible2001In: Scandinavian Journal of Primary Health Care, ISSN 0281-3432, E-ISSN 1502-7724, Vol. 19, no 3, p. 154-7Article in journal (Refereed)
    Abstract [en]

    This study presents new knowledge about women’s work, health and ill health. The point of departure is a lack of knowledge and understanding in medical research and practice of women’s work and experiences of ill health. The study is qualitative and based on the life histories of 20 elderly women. What can be learned from them is often of use also in the encounter with younger female patients. The research constitutes a part of feminist science. The women taught us about invisible and heavy work, paid and unpaid, and often carried out for the benefit of others. The relationship between the married women and their husbands had a strong impact on both the women’s work and their health. Being responsible for other people’s well being, and with little sway over their working conditions, the women often had difficulty looking after their own health. The results point to the necessity of asking women thorough questions about their everyday life when they seek primary health care. Great parts of their work and working conditions, crucial to their health, might otherwise be overlooked over. 

  • 36.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    “You really do something useful with kids”: mothering and experienced health and illness in a group of elderly Swedish women2008In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 29, no 10, p. 1019-1039Article in journal (Refereed)
  • 37.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Carlstedt, Gunilla
    Mörtberg, Christina M
    Department of Informatics/Centre of Women's Studies and Gender Research, University of Oslo, Oslo, Norway.
    Compulsive sensitivity - a consequence of caring: a qualitative investigation into women carer's difficulties in limiting their labours2005In: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 26, no 8, p. 652-71Article in journal (Refereed)
  • 38.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Ekström, Helene
    Englund, Lars
    Hovelius, Birgitta
    Håkansson, Jan
    Sjönell, Göran
    Annonserna appellerar till könsstereotypa fördomar2012In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, no 5, p. 231-231Article in journal (Other (popular science, discussion, etc.))
  • 39.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Ekström, Helene
    Englund, Lars
    Hovelius, Birgitta
    Håkansson, Jan
    Sjönell, Göran
    Korsstygnsbroderier och premenstruella besvär2011In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, no 49, p. 2598-2598Article in journal (Other (popular science, discussion, etc.))
  • 40.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hormoner och positioner2002In: Hjärnsläpp: Bang om biologism / [ed] Karin Ekman, Vanja Hermele, Ulrika Westerlund, Stockholm: Bang , 2002Chapter in book (Other (popular science, discussion, etc.))
  • 41.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hetlevik, A
    Meland, E
    Vetenskap och kunskapssyn2009In: Skapar vården ohälsa?: allmänmedicinska reflektioner / [ed] John Brodersen, Birgitta Hovelius, Lotte Hvas, Lund: Studentlitteratur , 2009, 1, p. 39-49Chapter in book (Other academic)
  • 42.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hetlevik, I
    Meland, E
    Kan sundhesvaesenet skabe usundhed?: Refleksjoer fra almen praksis2009In: Månedsskrift for praktisk laegegerningArticle in journal (Other academic)
  • 43.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Meland, Eivind
    Universitetet i Bergen, Norge.
    Rethinking scientific responsibility (Workshop)2012Conference paper (Other academic)
  • 44.
    Forssén, Annika
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Meland, Eivind
    Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway.
    Hetlevik, Irene
    Research Unit for General Practice, Department of Public Health and General Practice, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
    Strand, Roger
    Centre for the Study of the Sciences and the Humanities, University of Bergen, Bergen, Norway.
    Rethinking scientific responsibility2011In: Journal of Medical Ethics, ISSN 0306-6800, E-ISSN 1473-4257, Vol. 37, no 5, p. 299-302Article in journal (Refereed)
    Abstract [en]

    Researchers should be made co-responsible for the wider consequences of their research focus and the application of their findings. This paper describes a meta-reflection procedure that can be used as a tool to enhance scientific responsibility and reflective practice. The point of departure is that scientific practice is situated in power relations, has direction and, consequently, power implications. The contextual preconditions and implications of research should be stated and discussed openly. The reflection method aims at revealing both upstream elements, such as for instance preconceptions, and downstream elements, for example, public consequences of research. The validity of research might improve from such discussions. Validity should preferably be understood as a broader concept than the methodological concerns in science.

  • 45.
    Karlsson, Andreas
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Österlund, Anders
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Pharyngeal Chlamydia trachomatis is not uncommon any more2011In: Scandinavian Journal of Infectious Diseases, ISSN 0036-5548, E-ISSN 1651-1980, Vol. 43, no 5, p. 344-348Article in journal (Refereed)
    Abstract [en]

    Background. The significance of Chlamydia trachomatis (Ct) infection in the pharynx, and possible symptoms, are under discussion. Most studies have involved only homo/bisexual men. We report findings of pharyngeal Ct (PhCt) infections in patients with long-lasting throat discomfort and the prevalence of PhCt in genitally Ct-infected young people in a Swedish primary care setting. Method. Sub-study 1 (SS1) included 48 persons aged 15-35 y, with pharyngeal discomfort for more than 14 days. Sub-study 2 (SS2) included 150 persons, aged 15-35 y, with genital Ct. Questionnaires concerning symptoms, sexual behaviour and sexual identity were completed for both groups. Samples for Ct testing were taken from the pharynx, and in SS1, samples were also collected to ascertain genital Ct. Results. In SS1, 2 of 48 persons (4%) with pharyngeal discomfort had PhCt. In all, 35 of the 48 persons (73%) included in SS1 reported unprotected oral sex during the previous year. In SS2, 11 of 92 women (12%) and 4 of 58 men (7%) tested positive for PhCt. More women (94%) than men (83%) had given unprotected oral sex. Persons with PhCt had more symptoms from the upper respiratory tract (p = 0.04). Conclusions. Some primary care patients with long-lasting throat discomfort have a PhCt infection. PhCt infection is not uncommon in genitally infected sexually active people. More heterosexual women than heterosexual men had given unprotected oral sex and were infected by Ct in the pharynx. Thus, research on PhCt should not focus on homo/bisexual men only. Information about Ct should include the risk of contracting a PhCt infection as well as a gender perspective.

  • 46.
    Rexvid, Devin
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Blom, Björn
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Evertsson, Lars
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Allmänläkares och socialarbetares respons på riskreduceringsteknologier: en litteraturstudie2012In: “Partnership in social work – active collaboration withdifferent actors”,9th Forsa Nordic conference, 4th-6th oct-2012 in Trondheim, 2012Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Allmänläkare och socialarbetare utgör exempel på välfärdsprofessioner vars villkor anses ha förändrats i det så kallade risk- och granskningssamhället. Minskad autonomi, inskränkt diskretion och försvagad jurisdiktion lyfts i professionsforskningen fram som några av uttrycksformerna för de förändrade villkoren.  

    Syfte: Att beskriva och analysera allmänläkares och socialarbetares respons på evidensbaserade och organisatoriska riskreduceringsteknologier (ERRT och ORRT).

    Metod: Artikeln är baserad på en innehållsanalys av resultatet från en litteraturöversikt av referee-granskade empiriska artiklar, publicerade i vetenskapliga tidskrifter, om dessa professioners kunskapsanvändning i form av respons på RRT.

    Resultat: Det framkommer att båda professionerna, trots en i grunden positiv inställning till ERRT, intar en ambivalent inställning till dessa. Ambivalensen är såväl patient- och klientrelaterad som expertisrelaterad. Professionernas respons på ORRT skiljer sig dock i den bemärkelsen att allmänläkare ställer sig skeptiska till ORRT medan socialarbetare förhåller sig mer pragmatiskt till ORRT.

  • 47.
    Rexvid, Devin
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Blom, Björn
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Evertsson, Lars
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Risk reduction technologies in general practice and social work2012In: Professions & Professionalism, ISSN 1893-1049, E-ISSN 1893-1049, Vol. 2, no 2Article in journal (Refereed)
    Abstract [en]

    General practitioners (GPs) and social workers (SWs) are professions whose professional autonomy and discretion have changed in the so-called risk and audit society. The aim of this article is to compare GPs’ and SWs’ responses to Evidence-Based and Organizational Risk Reduction Technologies (ERRT and ORRT). It is based on a content analysis of 54 peer-reviewed empirical articles. The results show that both professions held ambivalent positions towards ERRT. The response towards ORRT differed in that GPs were sceptical whilst SWs took a more pragmatic view. Furthermore the results suggest that SWs might experience professional benefits by adopting an adherent approach to the increased dis-semination of risk reduction technologies (RRT). GPs, however, did not seem to experience such benefits.

  • 48.
    Rexvid, Devin
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Blom, Björn
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Evertsson, Lars
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Socialarbetares och allmänläkares (icke-) användning av kunskap i risksamhället2011Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Dagens samhälle beskrivs ofta som ett risksamhälle. Karaktäristiskt för risksamhället är ökad komplexitet, eskalerande osäkerhet och minskat eller brutet förtroende för professioners kompetens och förmåga att handskas med den ökande komplexiteten och osäkerheten. Närmare bestämt handlar det urholkade förtroendet för professioner om ett ifrågasättande av deras definitionsmakt, autonomi och diskretion. Idag är det i hög grad kraven på riskreduceringstekniker, exempelvis evidensbaserad praktik och standardiserade riskbedömningsinstrument, som står för kontroverserna om professionsutövningens natur, villkor och utmaningar.

    Syfte: Att undersöka hur risk påverkar (icke-)användning av kunskap i professionell praktik i socialt arbete och allmänmedicin, samt att belysa hur de två professionerna förhåller sig till riskteknologins imperativ.

    Metod: Studien är ett utsnitt ur en större systematisk litteraturöversikt över socialarbetares och allmänläkares (icke-)användning av kunskap i praktiken. Föreliggande paper bygger på knappt hälften av de 100 referee-granskade artiklar som översikten inbegriper. 

    Resultat: I studien framkommer bl.a. att det finns mer forskning om allmänläkares oföljsamhet gentemot riskreduceringstekniker, om osäkerhet och komplexitet samt hantering av dessa faktorer, om mer användning av informella än standardiserade osäkerhets- och komplexitetsreduceringsteknologier, jämfört med dito forskning i socialt arbete. Ett annat resultat är att forskning i socialt arbete sätter socialarbetares risktagande i relation till deras bristande kunskap medan forskning om allmänläkare relaterar det till deras icke-användning av riskreduceringstekniker.

    Konklusion: En preliminär slutsats är att skillnaderna mellan socialt arbete och allmänmedicin är så pass stora – även om människovård är en gemensam nämnare – att det inte automatiskt går att överföra principer och modeller mellan dem.

  • 49.
    Rexvid, Devin
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Evertsson, Lars
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
    Nygren, Lennart
    The precarious character of routine practice in social and primary health care2015In: Journal of Social Work, ISSN 1468-0173, E-ISSN 1741-296X, Vol. 15, no 3, p. 317-336Article in journal (Refereed)
    Abstract [en]

    Summary: This article presents a description and analysis of the written narratives of problematic situations given by social workers and general practitioners (GPs) within the framework of the sociology of professions and organisations. The narratives were collected from 28 social workers and 24 GPs, working in several Swedish counties.

    Findings: Our findings show that the professionals rarely described lack of knowledge or difficulties choosing the right intervention or treatment as problematic. Rather, the problematic situations contained encounters with clients perceived as disruptive to professional routine practice. We conclude that there were three different types of problematic situations where the professional routine practice was disrupted: (1) Situations related to ‘client-making work’, where the professionals perceived it difficult to, e.g., gather enough information about the client to make a diagnosis, set a timetable or decide on adequate interventions; (2) Situations related to ‘wicked work’, where the professionals experienced clients unable to articulate their problems or understand and follow the interventions suggested by the professionals; (3) Situations related to ‘dirty work’ were only present in GPs’ narratives and typically occurred when GPs perceived that they were dealing with clients who endangered their profes- sional status. 

    Applications: Contrary to previous studies, this study indicates that problematic situ- ations are not necessarily connected with traits and characteristic of the client or a lack of professional competence. Instead, they might be connected to situations where professional routine practice is disrupted. Furthermore, it is questionable to what extent problematic situations connected to such disruption can be managed by evi- dence-based methods, manualisation and standardisation. 

  • 50.
    Waller, Göran
    et al.
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Hamberg, Katarina
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    Forssén, Annika
    Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
    GPs asking patients to self-rate their health: a qualitative study2015In: British Journal of General Practice, ISSN 0960-1643, E-ISSN 1478-5242, Vol. 65, no 638, p. e624-e629Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In epidemiological research, self-rated health is an independent predictor of mortality, cardiovascular diseases, and other critical outcomes. It is recommended for clinical use, but research is lacking.

    AIM: To investigate what happens in consultations when the question 'How would you assess your general health compared with others your own age?' is posed.

    DESIGN AND SETTING: Authentic consultations with GPs at health centres in Sweden.

    METHOD: Thirty-three planned visits concerning diabetes, pain, or undiagnosed symptoms were voice-recorded. Dialogue regarding self-rated health was transcribed verbatim and analysed using a systematic text condensation method. Speaking time of patients and doctors was measured and the doctors' assessment of the value of the question was documented in a short questionnaire.

    RESULTS: Two overarching themes are used to describe patients' responses to the question. First, there was an immediate reaction, often expressing strong emotions, setting the tone of the dialogue and influencing the continued conversation. This was followed by reflection regarding their functional ability, management of illnesses and risks, and/or situation in life. The GPs maintained an attitude of active listening. They sometimes reported a slight increase in consultation time or feeling disturbed by the question, but mostly judged it as valuable, shedding additional light on the patients' situation and making it easier to discuss difficulties and resources. The patients' speaking time increased noticeably during this part of the consultation.

    CONCLUSION: Asking patients to comparatively self-rate their health is an effective tool in general practice.

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