{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:52:17Z","timestamp":1785930737691,"version":"3.56.0"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Menopause will personally affect half the population and can cause severe symptoms and increase long\u2010term 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\u2010seeking. 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\u2010based information to support autonomy and equity. It remains unclear whether these principles are met in Sweden's primary official digital healthcare platform (1177.se).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Fairclough'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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six intersecting discourses were identified: gendered minimisation, gatekeeping, risk\u2010framing, 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\u2010based, equitable care outlined in the Swedish Patient Act and the EU Gender Equality Strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Menopause 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\u2013benefit framing and inclusive perspectives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.70194","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T07:03:50Z","timestamp":1770188630000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Constructing Menopause on Sweden's Official Healthcare Platform: A Critical Discourse Analysis"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0794-2242","authenticated-orcid":false,"given":"Amanda","family":"Calvin","sequence":"first","affiliation":[{"name":"School of Health and Welfare Dalarna University  Falun Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Erlandsson","sequence":"additional","affiliation":[{"name":"School of Health and Welfare Dalarna University  Falun Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Udo","sequence":"additional","affiliation":[{"name":"School of Health and Welfare Dalarna University  Falun Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise\u2010Lotte Franklin","family":"Larsson","sequence":"additional","affiliation":[{"name":"School of Health and Welfare Dalarna University  Falun Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2025.101117"},{"key":"e_1_2_16_3_1","unstructured":"European Commission \u201cUnion of Equality: Gender Equality Strategy 2020\u20132025 \u201d2020."},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30293-9"},{"key":"e_1_2_16_5_1","unstructured":"UN \u201cTransforming Our World: The 2030 Agenda for Sustainable Development \u201d2015."},{"key":"e_1_2_16_6_1","unstructured":"UN \u201cSustainable Development Goals \u201d2015."},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cell.2023.08.016"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000001819"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2025.108263"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S430203"},{"key":"e_1_2_16_11_1","unstructured":"The Swedish Government \u201cThe Patient Act (2014:821) \u201d2024."},{"key":"e_1_2_16_12_1","unstructured":"The National Board of Health and Welfare \u201cFramework for Governance and Management of Municipally Funded Healthcare \u201d (2022) https:\/\/kunskapsguiden.se\/omraden\u2010och\u2010teman\/god\u2010och\u2010nara\u2010vard\/styrning\u2010och\u2010ledning\u2010av\u2010kommunalt\u2010finansierad\u2010halso\u2010\u2010och\u2010sjukvard\/ramverk\u2010for\u2010styrning\u2010och\u2010ledning\u2010av\u2010kommunalt\u2010finansierad\u2010halso\u2010\u2010och\u2010sjukvard\/."},{"key":"e_1_2_16_13_1","unstructured":"The Swedish Government. \u201cHealth and Medical Services Act \u201d (2017) https:\/\/www.riksdagen.se\/sv\/dokument\u2010och\u2010lagar\/dokument\/svensk\u2010forfattningssamling\/halso\u2010och\u2010sjukvardslag\u2010201730_sfs\u20102017\u201030\/."},{"key":"e_1_2_16_14_1","unstructured":"The Public Health Agency of Sweden \u201cNational Strategy for SRHR.\u201d"},{"key":"e_1_2_16_15_1","unstructured":"Swedish Association of Local Authorities and Regions \u201cA Person\u2010Centred Accessible and Equitable Maternal and Childbirth Care and Strengthened Measures for Women's Health \u201d2024."},{"key":"e_1_2_16_16_1","unstructured":"Government Offices of Sweden \u201cRegulation (2024:1253) on State Grants to Municipalities and Regions for the Development of Good and Close Care \u201d2024."},{"key":"e_1_2_16_17_1","doi-asserted-by":"crossref","unstructured":"Inera \u201cVision for 1177 \u201d2023.","DOI":"10.1167\/jov.24.10.1177"},{"key":"e_1_2_16_18_1","unstructured":"Inera \u201cVision for 1177 for Healthcare Professionals \u201d2024."},{"key":"e_1_2_16_19_1","unstructured":"The National Board of Health and Welfare \u201cCare and Treatment for Menopausal Symptoms in Primary Care and Gynecological Specialist Care \u201d2021."},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11013-017-9560-9"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55090602"},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13194"},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203809068.ch1"},{"key":"e_1_2_16_24_1","volume-title":"Diskursanalys Som Teori Och Metod [Discourse Analysis as Theory and Method]","author":"Winther J\u00f8rgensen M.","year":"2000"},{"key":"e_1_2_16_25_1","unstructured":"\u201c1177.se National Swedish Health Information Platform Menopause \u201dMenopause (Content Only Available in Swedish) 2024."},{"key":"e_1_2_16_26_1","unstructured":"\u201c1177.se National Swedish Health Information Platform Medical Treatment for Menopausal Discomfort \u201dMedical Treatment (Content Only Available in Swedish) 2025."},{"key":"e_1_2_16_27_1","unstructured":"\u201c1177.se National Swedish Health Information Platform Menopausal Discomfort \u201dMenopausal Discomforts (Content Only Available in Swedish) 2024."},{"key":"e_1_2_16_28_1","unstructured":"\u201c1177.se National Swedish Health Information Platform Myomas \u201dMyomas (Content only available in Swedish) 2025."},{"key":"e_1_2_16_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-021-00648-7"},{"key":"e_1_2_16_30_1","unstructured":"Swedish eHealth Agency \u201cFollow\u2010Up Vision for eHealth 2025 \u201d2021."},{"key":"e_1_2_16_31_1","volume-title":"Michel Foucault Power Essential Works 1954\u20131984","author":"Faubion J. D.","year":"1994"},{"key":"e_1_2_16_32_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44159-025-00463-9"},{"key":"e_1_2_16_33_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-090419-102529"},{"key":"e_1_2_16_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002028"},{"key":"e_1_2_16_35_1","unstructured":"The Swedish Society of Obstetricians and Gynecologists \u201cCare and Treatment for Menopausal Symptoms in Primary Care and Gynaecological Specialist Care \u201d2021."},{"key":"e_1_2_16_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000004589"},{"key":"e_1_2_16_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2022.01.017"},{"key":"e_1_2_16_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/GME.0000000000002267"},{"key":"e_1_2_16_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2019.05.005"},{"issue":"7","key":"e_1_2_16_40_1","article-title":"Acupuncture for Menopausal Hot Flushes","volume":"2013","author":"Dodin S.","year":"2013","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_16_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/17456916211041598"},{"key":"e_1_2_16_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-022-02397-2"},{"key":"e_1_2_16_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-021-02100-x"},{"key":"e_1_2_16_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/13634593241270923"},{"key":"e_1_2_16_45_1","doi-asserted-by":"publisher","DOI":"10.1086\/669608"},{"key":"e_1_2_16_46_1","volume-title":"Research Design, Qualitative, Quantitative & Mixed Method Approaches","author":"Creswell J. W.","year":"2018"}],"container-title":["Scandinavian Journal of Caring Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scs.70194","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/scs.70194","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scs.70194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T22:42:35Z","timestamp":1774564955000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scs.70194"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,3]]},"references-count":45,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/scs.70194"],"URL":"https:\/\/doi.org\/10.1111\/scs.70194","archive":["Portico"],"relation":{},"ISSN":["0283-9318","1471-6712"],"issn-type":[{"value":"0283-9318","type":"print"},{"value":"1471-6712","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,3]]},"assertion":[{"value":"2025-08-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70194"}}