We present here our latest publications


Jonsson F, Sebastian MS, Hammarström A, Gustafsson PE. Are neighbourhood inequalities in adult health explained by socio-economic and psychosocial determinants in adolescence and the subsequent life course in northern Sweden? A decomposition analysis. Health Place 2018; 52: 127-134. doi: 10.1016/j.healthplace.2018.05.010

Wagenius CM, San Sebastián M, Gustafsson PE, Goicolea I. Access for all? Assessing vertical and horizontal inequities in healthcare utilization among young people in northern Sweden. Scand J Public Health 2018:1403494818774965. doi: 10.1177/1403494818774965.

Brydsten A, Hammarström A, San Sebastian M. Health inequalities between employed and unemployed in northern Sweden: a decomposition analysis of social determinants for mental health. Int J Equity Health. 2018 May 16;17(1):59. doi: 10.1186/s12939-018-0773-5.

Ramadani RV, Mosquera PA, Sebastián MS, Gustafsson PE. The moderating effect of income on the relationship between body mass index and health-related quality of life in Northern Sweden. Scand J Public Health 2018 1:1403494818761418. doi: 10.1177/1403494818761418.

Goicolea I, Carson D, San Sebastian M, Christianson M, Wiklund M, Hurtig AK. Health care access for rural youth on equal terms? A mixed methods study protocol in northern Sweden. Int J Equity Health 2018; 17(1):6. doi: 10.1186/s12939-018-0718-z.


Baroudi M, Waenerlund AK, San Sebastian M, Goicolea I. Assessing the dimensionality of YFHS-Swe: a questionnaire to assess youth-friendliness in differentiated health services. Glob Health Action 2017; 10(1):1380399. doi: 10.1080/16549716.2017.1380399.

Szilcz M, Mosquera PA, Sebastián MS, Gustafsson PE.Time trends in absolute and relative socioeconomic inequalities in leisure time physical inactivity in northern Sweden. Scand J Public Health 2017:1403494817713123. doi: 10.1177/1403494817713123.

Amroussia N, Gustafsson PE, Mosquera PA. Explaining mental health inequalities in Northern Sweden: a decomposition analysis. Glob Health Action. 2017;10(1):1305814. doi: 10.1080/16549716.2017.1305814.

Gustafsson PE, Bozorgmehr K, Hammarström A, Sebastian MS. What role does adolescent neighborhood play for adult health? A cross-classified multilevel analysis of life course models in Northern Sweden. Health Place 2017; 46: 137-144. doi: 10.1016/j.healthplace.2017.04.013.

San Sebastián M, Mosquera PA, Ng N, Gustafsson PE. Health care on equal terms? Assessing horizontal equity in health care use in Northern Sweden. Eur J Public Health 2017; Mar 18. doi: 10.1093/eurpub/ckx031.

Malm D, Bishop L, Gustafsson P, Waenerlund AK, Goicolea I. Validation of a questionnaire to measure youth-friendliness of Swedish youth clinics. Scand J Public Health. 2017 Apr 1:1403494817699479. doi: 10.1177/1403494817699479.

Gustafsson PE, Linander I, Mosquera PA. Embodying pervasive discrimination: a decomposition of sexual orientation inequalities in health in a population-based cross-sectional study in Northern Sweden.Int J Equity Health 2017;16(1):22. doi: 10.1186/s12939-017-0522-1

Mosquera PA, Waenerlund AK, Goicolea I, Gustafsson PE. Equitable health services for the young? A decomposition of income-related inequalities in young adults' utilization of health care in Northern Sweden. Int J Equity Health 2017; 16(1):20. doi: 10.1186/s12939-017-0520-3.

Jonsson F, Sebastian MS, Hammarström A, Gustafsson PE. Intragenerational social mobility and functional somatic symptoms in a northern Swedish context: analyses of diagonal reference models. Int J Equity Health 2017;16(1):1. doi: 10.1186/s12939-016-0499-1

Brydsten A, Gustafsson PE, Hammarström A, San Sebastian M. Does contextual unemployment matter for health status across the life course? A longitudinal multilevel study exploring the link between neighbourhood unemployment and functional somatic symptoms. Health Place 2017;43:113-120. doi: 10.1016/j.healthplace.2016.11.014


Gustafsson PE, Sebastián MS, Mosquera PA. Meddling with middle modalities: a decomposition approach to mental health inequalities between intersectional gender and economic middle groups in northern Sweden. Glob Health Action 2016;9:32819. doi: 10.3402/gha.v9.32819

Mosquera PA, San Sebastian M, Ivarsson A, Weinehall L, Gustafsson PE. Are health inequalities rooted in the past? Income inequalities in metabolic syndrome decomposed by childhood conditions. Eur J Public Health 2016. pii: ckw186. doi.org/10.1093/eurpub/ckw186

Mosquera PA, San Sebastian M, Waenerlund AK, Ivarsson A, Weinehall L, Gustafsson PE. Income related inequalities in cardiovascular disease from mid-life to old age in a Northern Swedish cohort: a decomposition analysis. Soc Sci Med 2016; 149:135-44. doi: 10.1016/j.socscimed.2015.12.017

Thomée S, Malm D, Christianson M, Hurtig AK, Wiklund M, Waenerlund AK, Goicolea I. Challenges and strategies for sustaining youth-friendly health services – a qualitative study from the perspective of professionals at youth clinics in northern Sweden. Reprod Health 2016; 13(1): 147.  doi: 10.1186/s12978-016-0261-6.

Goicolea I, Christianson M, Hurtig AK, Marchal B, San Sebastian M, Wiklund M. Searching for best practices of youth friendly services – a study protocol using qualitative comparative analysis in Sweden. BMC Health Serv Res 2016; 16:321.  doi: 10.1186/s12913-016-1570-8

Brydsten A, Hammarström A, San Sebastian M. The impact of economic recession on the association between youth unemployment and functional somatic symptoms in adulthood: a difference-in-difference analysis from Sweden. BMC Public Health 2016; 16: 230. doi: 10.1186/s12889-016-2917-0

Rajaleid K, Nummi T, Westerlund H, Virtanen P, Gustafsson PE, Hammarström A. Social adversities in adolescence predict unfavourable trajectories of internalized mental health symptoms until middle age: results from the Northern Swedish Cohort.Eur J Public Health 2016; 26(1):23-9. doi: 10.1093/eurpub/ckv150.

Jonsson F, San Sebastian M, Strömsten LM, Hammarström A, Gustafsson PE. Life course pathways of adversities linking adolescent socioeconomic circumstances and functional somatic symptoms in mid-adulthood: a path analysis study. PLoS One 2016; 11(5): e0155963. doi: 10.1371/journal.pone.0155963


San Sebastian M, Hammarström A, Gustafsson PE. Socioeconomic inequalities in functional somatic symptoms by social and material conditions at four life course periods in Sweden: a decomposition analysis. BMJ Open 2015; 5(8): e006581. doi: 10.1136/bmjopen-2014-006581

Johansson K, San Sebastian M, Hammarström A, Gustafsson PE. Neighbourhood disadvantage and individual adversities in adolescence and total alcohol consumption up to mid-life: results from the Northern Swedish Cohort. Health Place 2015; 33: 187-94. doi: 10.1016/j.healthplace.2015.03.005

Gustafsson PE, Hammarström A, San Sebastian M. Cumulative contextual and individual disadvantages over the life course and adult functional somatic symptoms in Sweden. Eur J Public Health 2015; 25(4): 592-7. doi: 10.1093/eurpub/cku213

Elwér S, Hammarström A, Strandh M, Gustafsson PE. Life course models of economic stress and poor mental health in mid-adulthood: Results from the prospective Northern Swedish Cohort. Scand J Public Health 2015; 43(8):833-40. doi: 10.1177/1403494815583420.


Gustafsson PE, San Sebastian M. When does hardship matter for health? Neighborhood and individual disadvantages and functional somatic symptoms from adolescence to mid-life in The Northern Swedish Cohort. PLoS One 2014; 9(6): e99558. doi: 10.1371/journal.pone.0099558

Gustafsson PE, San Sebastian M, Janlert U, Theorell T, Westerlund H, Hammaström A. Life-course accumulation of neighborhood disadvantage and allostatic load: empirical integration of three social determinants of health frameworks. Am J Public Health 2014; 104(5):904-10. doi: 10.2105/AJPH.2013.301707

Jonsson F, Hammarström A, Gustafsson PE. Social capital across the life course and functional somatic symptoms in mid-adulthood. Scand J Public Health 2014; 42(7): 581-8. doi: 10.1177/1403494814548749

Waenerlund AK, Gustafsson PE, Hammarström A, Virtanen P; Northern Swedish Cohort. History of labour market attachment as a determinant of health status: a 12-year follow-up of the Northern Swedish Cohort. BMJ Open 2014; 4(2): e004053. doi: 10.1136/bmjopen-2013-004053.

Theorell T, Hammarström A, Gustafsson PE, Magnusson Hanson L, Janlert U, Westerlund H. Job strain and depressive symptoms in men and women: a prospective study of the working population in Sweden. J Epidemiol Community Health 2014; 68(1): 78-82. doi: 10.1136/jech-2012-202294.


Gustafsson PE, San Sebastian M, Janlert U, Theorell T, Westerlund H, Hammarström A. Residential selection across the life course: adolescent contextual and individual determinants of neighborhood disadvantage in mid-adulthood. PLoS One 2013; 8(11): e80241. doi: 10.1371/journal.pone.0080241

Bohlin A, Ahlgren C, Hammarstrom A, Gustafsson PE. Perceived gender inequality in the couple relationship and musculoskeletal pain in middle-aged women and men. Scand J Public Health 2013; 41(8): 825-31. doi: 10.1177/1403494813498157.

Westerlund H, Gustafsson PE, Theorell T, Janlert U, Hammarström A. Parental academic involvement in adolescence, academic achievement over the life course and allostatic load in middle age: a prospective population-based cohort study. J Epidemiol Community Health. 2013 Jun;67(6):508-13. doi: 10.1136/jech-2012-202052.


Westerlund H, Gustafsson PE, Theorell T, Janlert U, Hammarström A. Social adversity in adolescence increases the physiological vulnerability to job strain in adulthood: a prospective population-based study. PLoS One 2012; 7(4): e35967. doi: 10.1371/journal.pone.0035967.

Gustafsson PE, Janlert U, Theorell T, Westerlund H, Hammarström A. Do peer relations in adolescence influence health in adulthood? Peer problems in the school setting and the metabolic syndrome in middle-age. PLoS One 2012; 7(6): e39385. doi: 10.1371/journal.pone.0039385.

Sidansvarig: NOEHHC



Miguel San Sebastian
Epidemiology and Global Health, Umeå university
901 87 Umeå 

Tel:  090-7865051