Evidence map›Paper›PMID 41635145›Full record

ArticleScandinavian journal of caring sciences2026

Constructing Menopause on Sweden's Official Healthcare Platform: A Critical Discourse Analysis.

Amanda Calvin, Kerstin Erlandsson, Camilla Udo, Lise-Lotte Franklin Larsson

Abstract read
In one paragraph

Article in Scandinavian journal of caring sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amanda CalvinSchool of Health and Welfare, Dalarna University, Falun, Sweden.ORCID 0009-0000-0794-2242
Kerstin ErlandssonSchool of Health and Welfare, Dalarna University, Falun, Sweden.
Camilla UdoSchool of Health and Welfare, Dalarna University, Falun, Sweden.
Lise-Lotte Franklin LarssonSchool of Health and Welfare, Dalarna University, Falun, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMenopause will personally affect half the population and can cause severe symptoms and increase long-term health risks. Despite this, gaps in menopausal knowledge and unequal access to menopausal healthcare have been identified in Sweden. Limited knowledge among women undermines informed choice and delays care-seeking. To address these gaps, this study purports to critically examine how menopause is represented in Swedish digital health communication and to explore the implications for informed choice and equitable care. In Sweden, the Patient Act and national quality standards guarantee accessible, evidence-based information to support autonomy and equity. It remains unclear whether these principles are met in Sweden's primary official digital healthcare platform (1177.se).

aimTo analyse how menopause is discursively constructed on Sweden's primary official digital healthcare platform (1177.se) and to examine implications for informed choice and health equity.

methodFairclough's Critical Discourse Analysis guided interpretation of 1177.se texts on menopause across three levels: text, discursive practice and social practice. Analytical rigour was upheld through reflexive practice and theoretical triangulation, achieved via continuous dialogue among the authors.

resultsSix intersecting discourses were identified: gendered minimisation, gatekeeping, risk-framing, neoliberal individualism, heteronormativity and intersectional exclusion. These discourses oversimplify complexity, privilege selective biomedical knowledge and moralise personal responsibility, limiting autonomy and health literacy. Such patterns contradict the principles of knowledge-based, equitable care outlined in the Swedish Patient Act and the EU Gender Equality Strategy.

conclusionMenopause communication on 1177.se reflects systemic tensions between governance ideals and discursive realities. To fulfil policy mandates and advance equity, digital health communication must integrate precise terminology, multilingual access, balanced risk-benefit framing and inclusive perspectives.

Indexed as

Digital HealthHealth CommunicationMenopauseFemaleHealth Services AccessibilityHumansMiddle AgedSwedendigital healthhealth equityhealth literacymenopausequalitative researchwomen's health

Identifiers

PMID41635145
PMCPMC12869007

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.