{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T21:09:20Z","timestamp":1794344960189,"version":"4.9.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T00:00:00Z","timestamp":1620259200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T00:00:00Z","timestamp":1620259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The Swedish Research Council for Health, Working Life and Welfare","award":["2018-00384"],"award-info":[{"award-number":["2018-00384"]}],"id":[{"id":"https:\/\/ror.org\/02d290r06","id-type":"ROR","asserted-by":"crossref"}]},{"name":"The Swedish Heart-Lung Foundation","award":["20180636"],"award-info":[{"award-number":["20180636"]}],"id":[{"id":"https:\/\/ror.org\/052261q33","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Total sitting time is associated with a higher risk for cardio metabolic disease and mortality, while breaks in prolonged sitting attenuate these effects. However, less is known about associations of different specific domains and breaks of sitting on general health, back\/neck pain and if physical activity could influence these associations. The aim was to investigate how workplace sitting and frequency of breaking up workplace sitting is associated with self-reported general health and self-reported back\/neck pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>44,978 participants (42% women) from the Swedish working population, who participated in a nationwide occupational health service screening 2014\u20132019, were included in this cross-sectional study. Self-reported sitting duration and frequency of breaks from sitting at work, general health, back\/neck pain, exercise, leisure time sitting, diet, smoking, stress and body mass index were assessed. Occupation was classified as requiring higher education qualifications or not. Logistic regression modelling was used to assess the association between workplace sitting\/frequency of breaks in workplace sitting and poor general health and back\/neck pain, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared to sitting all the time at work, sitting \u226475% of the time showed significantly lower risks for poor general health (OR range 0.50\u20130.65), and sitting between 25 and 75% of the time showed significantly lower risks (OR 0.82\u20130.87) for often reported back\/neck pain. For participants reporting sitting half of their working time or more, breaking up workplace sitting occasionally or more often showed significantly lower OR than seldom breaking up workplace sitting; OR ranged 0.40\u20130.50 for poor health and 0.74\u20130.81 for back\/neck pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sitting almost all the time at work and not taking breaks is associated with an increased risk for self-reported poor general health and back\/neck pain. People sitting almost all their time at work are recommended to take breaks from prolonged sitting, exercise regularly and decrease their leisure time sitting to reduce the risk for poor health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-021-10893-8","type":"journal-article","created":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T06:03:39Z","timestamp":1620281019000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Workplace sitting is\u00a0associated with self-reported general health and back\/neck pain: a cross-sectional analysis in 44,978 employees"],"prefix":"10.1186","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3185-9702","authenticated-orcid":false,"given":"Lena V.","family":"Kallings","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Blom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Ekblom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Holmlund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane Salier","family":"Eriksson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunnar","family":"Andersson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Wallin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elin","family":"Ekblom-Bak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,6]]},"reference":[{"issue":"5","key":"10893_CR1","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1016\/j.jsams.2014.07.012","volume":"18","author":"M Hagstr\u00f6mer","year":"2015","unstructured":"Hagstr\u00f6mer M, Kwak L, Oja P, Sj\u00f6str\u00f6m M. A 6 year longitudinal study of accelerometer-measured physical activity and sedentary time in Swedish adults. J Sci Med Sport. 2015;18(5):553\u20137. https:\/\/doi.org\/10.1016\/j.jsams.2014.07.012.","journal-title":"J Sci Med Sport"},{"issue":"8","key":"10893_CR2","doi-asserted-by":"publisher","first-page":"659","DOI":"10.1111\/j.1467-789X.2011.00982.x","volume":"13","author":"SW Ng","year":"2012","unstructured":"Ng SW, Popkin BM. Time use and physical activity: a shift away from movement across the globe. Obes Rev. 2012;13(8):659\u201380. https:\/\/doi.org\/10.1111\/j.1467-789X.2011.00982.x.","journal-title":"Obes Rev"},{"issue":"5","key":"10893_CR3","doi-asserted-by":"publisher","first-page":"e19657","DOI":"10.1371\/journal.pone.0019657","volume":"6","author":"TS Church","year":"2011","unstructured":"Church TS, Thomas DM, Tudor-Locke C, Katzmarzyk PT, Earnest CP, Rodarte RQ, et al. Trends over 5 Decades in U.S. Occupation-Related Physical Activity and Their Associations with Obesity. PLoS ONE. 2011;6(5):e19657.","journal-title":"PLoS ONE"},{"issue":"1","key":"10893_CR4","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1186\/s12966-017-0525-8","volume":"14","author":"MS Tremblay","year":"2017","unstructured":"Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary behavior research network (SBRN) \u2013 terminology consensus project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75. https:\/\/doi.org\/10.1186\/s12966-017-0525-8.","journal-title":"Int J Behav Nutr Phys Act"},{"issue":"5","key":"10893_CR5","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1001\/jamacardio.2016.1567","volume":"1","author":"A Pandey","year":"2016","unstructured":"Pandey A, Salahuddin U, Garg S, Ayers C, Kulinski J, Anand V, et al. Continuous dose-response association between sedentary time and risk for cardiovascular disease: a meta-analysis. JAMA Cardiol. 2016;1(5):575\u201383. https:\/\/doi.org\/10.1001\/jamacardio.2016.1567.","journal-title":"JAMA Cardiol"},{"issue":"2","key":"10893_CR6","doi-asserted-by":"publisher","first-page":"123","DOI":"10.7326\/M14-1651","volume":"162","author":"A Biswas","year":"2015","unstructured":"Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults. Ann Intern Med. 2015;162(2):123\u201332. https:\/\/doi.org\/10.7326\/M14-1651.","journal-title":"Ann Intern Med"},{"issue":"5","key":"10893_CR7","doi-asserted-by":"publisher","first-page":"998","DOI":"10.1249\/MSS.0b013e3181930355","volume":"41","author":"PT Katzmarzyk","year":"2009","unstructured":"Katzmarzyk PT, Church TS, Craig CL, Bouchard C. Sitting time and mortality from all causes, cardiovascular disease, and Cancer. Med Sci Sports Exerc. 2009;41(5):998\u20131005. https:\/\/doi.org\/10.1249\/MSS.0b013e3181930355.","journal-title":"Med Sci Sports Exerc"},{"issue":"13","key":"10893_CR8","doi-asserted-by":"publisher","first-page":"e262","DOI":"10.1161\/CIR.0000000000000440","volume":"134","author":"DR Young","year":"2016","unstructured":"Young DR, Hivert MF, Alhassan S, Camhi SM, Ferguson JF, Katzmarzyk PT, et al. Sedentary behavior and cardiovascular morbidity and mortality: a science advisory from the American Heart Association. Circulation. 2016;134(13):e262\u2013e79. https:\/\/doi.org\/10.1161\/CIR.0000000000000440.","journal-title":"Circulation."},{"issue":"3","key":"10893_CR9","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1016\/j.amepre.2019.04.015","volume":"57","author":"DP Bailey","year":"2019","unstructured":"Bailey DP, Hewson DJ, Champion RB, Sayegh SM. Sitting time and risk of cardiovascular disease and diabetes: a systematic review and meta-analysis. Am J Prev Med. 2019;57(3):408\u201316. https:\/\/doi.org\/10.1016\/j.amepre.2019.04.015.","journal-title":"Am J Prev Med"},{"issue":"7","key":"10893_CR10","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1016\/j.jsams.2017.10.035","volume":"21","author":"I-M Dohrn","year":"2018","unstructured":"Dohrn I-M, Sj\u00f6str\u00f6m M, Kwak L, Oja P, Hagstr\u00f6mer M. Accelerometer-measured sedentary time and physical activity\u2014a 15 year follow-up of mortality in a Swedish population-based cohort. J Sci Med Sport. 2018;21(7):702\u20137. https:\/\/doi.org\/10.1016\/j.jsams.2017.10.035.","journal-title":"J Sci Med Sport"},{"issue":"6","key":"10893_CR11","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1249\/MSS.0000000000001935","volume":"51","author":"PT Katzmarzyk","year":"2019","unstructured":"Katzmarzyk PT, Powell KE, Jakicic JM, Troiano RP, Piercy K, Tennant B, et al. Sedentary behavior and health: update from the 2018 physical activity guidelines advisory committee. Med Sci Sports Exerc. 2019;51(6):1227\u201341. https:\/\/doi.org\/10.1249\/MSS.0000000000001935.","journal-title":"Med Sci Sports Exerc"},{"issue":"9","key":"10893_CR12","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1007\/s10654-018-0380-1","volume":"33","author":"R Patterson","year":"2018","unstructured":"Patterson R, McNamara E, Tainio M, de S\u00e1 TH, Smith AD, Sharp SJ, et al. Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. Eur J Epidemiol. 2018;33(9):811\u201329. https:\/\/doi.org\/10.1007\/s10654-018-0380-1.","journal-title":"Eur J Epidemiol"},{"issue":"4","key":"10893_CR13","doi-asserted-by":"publisher","first-page":"661","DOI":"10.2337\/dc07-2046","volume":"31","author":"GN Healy","year":"2008","unstructured":"Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, et al. Breaks in sedentary time: beneficial associations with metabolic risk. Diabetes Care. 2008;31(4):661\u20136. https:\/\/doi.org\/10.2337\/dc07-2046.","journal-title":"Diabetes Care"},{"issue":"9","key":"10893_CR14","doi-asserted-by":"publisher","first-page":"1800","DOI":"10.1002\/oby.21180","volume":"23","author":"SFM Chastin","year":"2015","unstructured":"Chastin SFM, Egerton T, Leask C, Stamatakis E. Meta-analysis of the relationship between breaks in sedentary behavior and cardiometabolic health. Obesity. 2015;23(9):1800\u201310. https:\/\/doi.org\/10.1002\/oby.21180.","journal-title":"Obesity."},{"key":"10893_CR15","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/j.ypmed.2014.04.005","volume":"65","author":"V Carson","year":"2014","unstructured":"Carson V, Wong SL, Winkler E, Healy GN, Colley RC, Tremblay MS. Patterns of sedentary time and cardiometabolic risk among Canadian adults. Prev Med. 2014;65:23\u20137. https:\/\/doi.org\/10.1016\/j.ypmed.2014.04.005.","journal-title":"Prev Med"},{"issue":"10","key":"10893_CR16","doi-asserted-by":"publisher","first-page":"2053","DOI":"10.1249\/MSS.0000000000000654","volume":"47","author":"FB Benatti","year":"2015","unstructured":"Benatti FB, Ried-Larsen M. The effects of breaking up prolonged sitting time: a review of experimental studies. Med Sci Sports Exerc. 2015;47(10):2053\u201361. https:\/\/doi.org\/10.1249\/MSS.0000000000000654.","journal-title":"Med Sci Sports Exerc"},{"issue":"5","key":"10893_CR17","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1007\/s11136-016-1451-y","volume":"26","author":"J Kim","year":"2017","unstructured":"Kim J, Im J-S, Choi Y-H. Objectively measured sedentary behavior and moderate-to-vigorous physical activity on the health-related quality of life in US adults: the National Health and nutrition examination survey 2003\u20132006. Qual Life Res. 2017;26(5):1315\u201326. https:\/\/doi.org\/10.1007\/s11136-016-1451-y.","journal-title":"Qual Life Res"},{"key":"10893_CR18","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.ypmed.2016.03.023","volume":"88","author":"AY Omorou","year":"2016","unstructured":"Omorou AY, Vuillemin A, Menai M, Latarche C, Kesse-Guyot E, Galan P, et al. 10-year cumulative and bidirectional associations of domain-specific physical activity and sedentary behaviour with health-related quality of life in French adults: Results from the SU.VI.MAX studies. Preventive Medicine. 2016;88:66\u201372.","journal-title":"Preventive Medicine"},{"issue":"4","key":"10893_CR19","doi-asserted-by":"publisher","first-page":"1389","DOI":"10.1111\/sms.13003","volume":"28","author":"V P\u00e4iv\u00e4rinne","year":"2018","unstructured":"P\u00e4iv\u00e4rinne V, Kautiainen H, Heinonen A, Kiviranta I. Relations between subdomains of physical activity, sedentary lifestyle, and quality of life in young adult men. Scand J Med Sci Sports. 2018;28(4):1389\u201396. https:\/\/doi.org\/10.1111\/sms.13003.","journal-title":"Scand J Med Sci Sports"},{"issue":"7","key":"10893_CR20","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1007\/s00420-009-0410-0","volume":"82","author":"S-M Chen","year":"2009","unstructured":"Chen S-M, Liu M-F, Cook J, Bass S, Lo SK. Sedentary lifestyle as a risk factor for low back pain: a systematic review. Int Arch Occup Environ Health. 2009;82(7):797\u2013806. https:\/\/doi.org\/10.1007\/s00420-009-0410-0.","journal-title":"Int Arch Occup Environ Health"},{"issue":"1","key":"10893_CR21","doi-asserted-by":"publisher","first-page":"21","DOI":"10.2307\/2955359","volume":"38","author":"EL Idler","year":"1997","unstructured":"Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav. 1997;38(1):21\u201337. https:\/\/doi.org\/10.2307\/2955359.","journal-title":"J Health Soc Behav"},{"issue":"1","key":"10893_CR22","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1186\/s12875-014-0185-6","volume":"15","author":"N Mavaddat","year":"2014","unstructured":"Mavaddat N, Valderas JM, van der Linde R, Khaw KT, Kinmonth AL. Association of self-rated health with multimorbidity, chronic disease and psychosocial factors in a large middle-aged and older cohort from general practice: a cross-sectional study. BMC Fam Pract. 2014;15(1):185. https:\/\/doi.org\/10.1186\/s12875-014-0185-6.","journal-title":"BMC Fam Pract"},{"issue":"2","key":"10893_CR23","doi-asserted-by":"publisher","first-page":"511","DOI":"10.3390\/ijerph17020511","volume":"17","author":"V Blom","year":"2020","unstructured":"Blom V, Kallings LV, Ekblom B, Wallin P, Andersson G, Hemmingsson E, et al. Self-reported general health, overall and work-related stress, loneliness, and sleeping problems in 335,625 Swedish adults from 2000 to 2016. Int J Environ Res Public Health. 2020;17(2):511. https:\/\/doi.org\/10.3390\/ijerph17020511.","journal-title":"Int J Environ Res Public Health"},{"key":"10893_CR24","volume-title":"The importance of exercise for sick leave and perceived health","author":"G Andersson","year":"1987","unstructured":"Andersson G. The importance of exercise for sick leave and perceived health: Link\u00f6ping University; 1987."},{"issue":"3","key":"10893_CR25","first-page":"151","volume":"16","author":"E Lilliecreutz Huitema","year":"2014","unstructured":"Lilliecreutz Huitema E, Andersson G, Samuelsson K. Lifestyle changes with help from health profile assessment in combination with support in individual interventions for persons with acquired brain injury \u2013 a pilot study. Eur J Phys. 2014;16(3):151\u20138.","journal-title":"Eur J Phys"},{"issue":"1","key":"10893_CR26","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.1186\/1471-2458-13-1071","volume":"13","author":"RR Rosenkranz","year":"2013","unstructured":"Rosenkranz RR, Duncan MJ, Rosenkranz SK, Kolt GS. Active lifestyles related to excellent self-rated health and quality of life: cross sectional findings from 194,545 participants in the 45 and up study. BMC Public Health. 2013;13(1):1071. https:\/\/doi.org\/10.1186\/1471-2458-13-1071.","journal-title":"BMC Public Health"},{"issue":"6","key":"10893_CR27","doi-asserted-by":"publisher","first-page":"e0180072","DOI":"10.1371\/journal.pone.0180072","volume":"12","author":"GS Kolt","year":"2017","unstructured":"Kolt GS, George ES, Rebar AL, Duncan MJ, Vandelanotte C, Caperchione CM, et al. Associations between quality of life and duration and frequency of physical activity and sedentary behaviour: Baseline findings from the WALK 2.0 randomised controlled trial. PLOS ONE. 2017;12(6):e0180072.","journal-title":"PLOS ONE"},{"key":"10893_CR28","doi-asserted-by":"publisher","unstructured":"Parry SP, Coenen P, Shrestha N, O'Sullivan PB, Maher CG, Straker LM. Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers. Cochrane Database Syst Rev. 2019;11:CD012487. https:\/\/doi.org\/10.1002\/14651858.CD012487.pub2.","DOI":"10.1002\/14651858.CD012487.pub2"},{"key":"10893_CR29","doi-asserted-by":"crossref","unstructured":"Danquah IH, Kloster S, Holtermann A, Aadahl M, Tolstrup JS. Effects on musculoskeletal pain from \u201cTake a Stand!\u201d \u2013 a cluster-randomized controlled trial reducing sitting time among office workers. Scand J Work Environ Health. 2017;(4):350\u20137.","DOI":"10.5271\/sjweh.3639"},{"issue":"10051","key":"10893_CR30","doi-asserted-by":"publisher","first-page":"1302","DOI":"10.1016\/S0140-6736(16)30370-1","volume":"388","author":"U Ekelund","year":"2016","unstructured":"Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388(10051):1302\u201310. https:\/\/doi.org\/10.1016\/S0140-6736(16)30370-1.","journal-title":"Lancet"},{"key":"10893_CR31","doi-asserted-by":"publisher","unstructured":"Farioli A, Mattioli S, Quaglieri A, Curti S, Violante FS, Coggon D. Musculoskeletal pain in Europe: the role of personal, occupational, and social risk factors. Scand J Work Environ Health. 2014;40(1):36-46.\u00a0 https:\/\/doi.org\/10.5271\/sjweh.3381.","DOI":"10.5271\/sjweh.3381"},{"issue":"6","key":"10893_CR32","doi-asserted-by":"publisher","first-page":"2028","DOI":"10.1002\/art.34347","volume":"64","author":"D Hoy","year":"2012","unstructured":"Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheumatism. 2012;64(6):2028\u201337. https:\/\/doi.org\/10.1002\/art.34347.","journal-title":"Arthritis Rheumatism"},{"issue":"23","key":"10893_CR33","doi-asserted-by":"publisher","first-page":"4766","DOI":"10.3390\/ijerph16234766","volume":"16","author":"LV Kallings","year":"2019","unstructured":"Kallings LV, Olsson SJG, Ekblom \u00d6, Ekblom-Bak E, B\u00f6rjesson M. The SED-GIH: A single-item question for assessment of stationary behavior\u2014a study of concurrent and convergent validity. Int J Environ Res Public Health. 2019;16(23):4766. https:\/\/doi.org\/10.3390\/ijerph16234766.","journal-title":"Int J Environ Res Public Health"},{"issue":"5","key":"10893_CR34","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1016\/S0895-4356(97)00045-0","volume":"50","author":"S Miilunpalo","year":"1997","unstructured":"Miilunpalo S, Vuori I, Oja P, Pasanen M, Urponen H. Self-rated health status as a health measure: the predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. J Clin Epidemiol. 1997;50(5):517\u201328. https:\/\/doi.org\/10.1016\/S0895-4356(97)00045-0.","journal-title":"J Clin Epidemiol"}],"container-title":["BMC Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-021-10893-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12889-021-10893-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12889-021-10893-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,6]],"date-time":"2021-05-06T06:05:40Z","timestamp":1620281140000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-021-10893-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,6]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10893"],"URL":"https:\/\/doi.org\/10.1186\/s12889-021-10893-8","relation":{},"ISSN":["1471-2458"],"issn-type":[{"value":"1471-2458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,6]]},"assertion":[{"value":"21 October 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All participants provided written (electronic 2014\u20132016 and on paper since 2017) informed consent prior to data collection. The study was approved by the Stockholm Ethics Review Board (Dnr 2015\/1864\u201331\/2 and 2016\/9\u201332), and adhered to the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Gunnar Andersson and Peter Wallin are employed at HPI Health Profile Institute. The authors declare that they have no other competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"875"}}