Sara Öberg
About me
I am interested in the causes and consequences of reproductive challenges. The vast majority of my work is collaborative, involving individual experts and working in teams and larger networks.
MD 2002, Karolinska Institutet
MPH 2009, Harvard T.H. Chan School of Public Health
PhD 2011. Karolinska Institutet
Docent 2020, Karolinska InstitutetAcademic positions
Postdoc research fellow (2011-2016), Harvard T.H. Chan School of Public- Health
Assistant professor (2016-2020), Karolinska Institutet
Adjunct assistant professor (2016-2021), Harvard Chan School
Principal investigator (2020-), Karolinska Institutet
Adjunct associate professor (2022-2027), Harvard Chan School
Research
Reproduction is the beginning of life, and the time we spend in utero
- inarguably the most important developmental period of our lives. Disruptions
or insults during this critical time could, through direct or downstream effects, impair offspring health both in the short and long-term. My research
spans across the whole the range of sensitive periods, from pre-conception - through pregnancy up to labour and delivery, and concerns the health of both
- mother and child.
Infertility and fertility treatments
Involuntary childlessness is prevalent and increasing in many countries, and - approximately 5% of births in the Nordic countries were conceived with
assisted reproductive techniques. The potential consequences on maternal and - offspring health are still not fully known, due to lingering methodological
- issues but also limited large-scale long-term follow-up. Rigorous evaluation
- is required to establish whether potential adverse effects are due to the
- treatments or rather their indication (and associated risk factors). In the
- last years we have looked into the long-term health of children conceived
- with ART, contributing also to an international collaborative effort to do so
- across several countries (LIFT Study), and we are currently moving to
- evaluate the impact of ART on women's cardiovascular health. I am also involved in UppStART [1] - the "Uppsala-Stockholm Assisted
- Reproductive Techniques study" is a prospective cohort study of couples
- undergoing infertility treatment (specifically IVF or ICSI) in the greater
- Stockholm and Uppsala municipalities. Participants were recruited from three
- of the four fertility and reproductive health clinics in Stockholm and one
- clinic in Uppsala, which also serves a large volume of patients from
- Stockholm.
Prescribed drug use
Studies of the safety of prescribed drug use are similarly challenged by the - need to disentangle the treatment effect from the role of the underlying
- condition (confounding by indication). Collaborative efforts to study
- offspring health following maternal use of psychotropics in pregnancy are
- currently undergoing substantial upscaling to allow the study of both safety and effectiveness of various prescribed drugs in pregnancy, using more
- advanced and detailed exposure characterisation and a new register linkage
- with maximised follow-up. In this I am particularly interested in the
- extension to evaluate what influence prescribed drug use can have on the
- ability to conceive and maintain pregnancy among women receiving fertility
- assistance.
Family designs
To make meaningful inference from observational data, and ultimately identify - modifiable risk factors, it is vital to understand and address threats to
- study validity and in particular the influence of confounding. In my thesis
- work I used twins to exclude the potentially confounding influence of shared genetic and environmental factors on well-established associations between birth weight and adult health outcomes such as cardiovascular disease and
- breast cancer. I have since then moved to use siblings and other relatives to understand the influence of factors shared in families. While the ability to
- target otherwise unmeasured confounding is an attractive feature that has to
- be balanced against specific assumptions and limitations, and I am proud to
- contribute to an effort to identify, formalise and contextualise this in a
- series of methods papers on the sibling comparison design.
Academic positions
Postdoc research fellow (2011-2016), Harvard T.H. Chan School of Public - Health
Assistant professor (2016-2020), Karolinska Institutet
Adjunct assistant professor (2016-2021), Harvard Chan School
Principal investigator (2020-), Karolinska Institutet
Adjunct associate professor (2022-2027), Harvard Chan School
Current co-workers and studentsChen Wang, research specialist (2023-)
Cina Nyberg, PhD-student Kliniska Vetenskaper DS, KI (2020-)
Angelo Mezzoiuso, MEB, KI (2022-)
Anne Brynolf, PhD-student KEP, KI (co-advisor 2019-)
Pauline De Corte. PhD-student, Charité Universitätsmedizin Berlin - (co-advisor 2021-)
Mujin Ye, PhD-student, Onk-Pat KI (co-advisor 2022-)
Emma Cleary, PhD-student, Indiana University (co-advisor, 2022-)Balram Rai, PhD-student, MEB, KI (co-advisor, 2022-)
Lisa Kogner, PhD-student, KEP, KI (co-advisor, 2023-)
Charlotta Riese, PhD-student, Onkologi-Patologi, KI (co-advisor, 2023-)
Previous co-workers and students
Franziska Fischer, research assistant, MEB, KI (2023)
Mina Rosenqvist, assistant professor MEB, KI (2020-2023)
Chen Wang, PhD-student MEB, KI (2017-2022)
Ayesha Sujan, PhD-student, Indiana University (co-advisor)
Kelsey Wiggs, PhD-student, Indiana University (co-advisor)Medical Degree Project at Karolinska Institutet: Davide Attebrant-Sbrzesny (17’), Eva Skärby (18’), Linnea Lin (19’), Theo Ekholm, Julius Martin
and Edwin Råsberg (20’), Tilda Agild and Astrid Östholm (22'), Elin Trulsson and Jenny Näsholm (23')MPH Practicum at Harvard Chan School of Public Health: Rossana Calderon and John Lowery (19’), Mausumi Das, Anuj Pareek and Alexandra
Puchwein-Schwepcke (20’), Matthew Carawana and Kelly Nichols (21’), Daniel Rolnik (22'), Jennifer Yo (2023)
FundersNational Institutes of Health, Forte, the Swedish Research Council, Fulbright, Karolinska Institutet, Lennander’s stiftelse, Wallenius’
- stiftelse, and Iris.
Teaching
Instructor in Analytic Methods for Epidemiologists, Harvard Chan School 2016 -
Shared course instructor in Epidemiology I, Karolinska Institutet 2020 -
Lecturer [Causal mediation analysis] in Epidemiology III, Karolinska Institutet 2018 -
Grading instructor Systematic Reviews and Meta-analysis, Harvard Chan School 2016
Lecturer [Research synthesis] in Clinical Data Science, Harvard Medical School 2016
Articles
- Article: FERTILITY AND STERILITY. 2024;122(4):706-714
- Article: BJOG: AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY. 2024;131(9):1229-1237
- Article: FERTILITY AND STERILITY. 2024;122(1):95-105
- Article: PLOS MEDICINE. 2024;21(3):e1004363
- Article: STATISTICS IN MEDICINE. 2024;43(4):731-755
- Article: THE BMJ. 2024;384:e075462
- Article: JAMA NETWORK OPEN. 2024;7(1):e2350897
- Article: PLOS MEDICINE. 2023;20(12):e1004324
- Article: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2023;192(6):866-877
- Article: EPILEPSY RESEARCH. 2023;192:107134
- Article: JAMA PEDIATRICS. 2023;177(2):149-159
- Article: JOURNAL OF MATERNAL-FETAL AND NEONATAL MEDICINE. 2022;35(25):5161-5167
- Article: BMC MEDICINE. 2022;20(1):348
- Article: NEUROLOGY. 2022;98(23):e2329-e2336
- Article: EUROPEAN JOURNAL OF EPIDEMIOLOGY (EJE). 2022;37(5):461-476
- Article: ANNUAL REVIEW OF STATISTICS AND ITS APPLICATION. 2022;9:71-94
- Article: JAMA PSYCHIATRY. 2022;79(2):133-142
- Article: BEHAVIOR GENETICS. 2022;52(1):38-47
- Article: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2022;191(1):38-48
- Journal article: HUMAN REPRODUCTION. 2021;36(Supplement_1):deab130.723
- Article: VOX SANGUINIS. 2021;116(7):821-830
- Article: PEDIATRICS. 2021;148(1):e2020033183
- Article: PAEDIATRIC AND PERINATAL EPIDEMIOLOGY. 2021;35(2):184-193
- Article: NEUROLOGY. 2020;95(24):e3232-e3240
- Article: ANNUAL REVIEW OF CLINICAL PSYCHOLOGY. 2020;16:25-48
- Article: PSYCHOLOGICAL MEDICINE. 2020;50(4):616-624
- Article: PLOS MEDICINE. 2019;16(12):e1002980
- Article: SCIENTIFIC REPORTS. 2019;9(1):13101
- Article: BMJ OPEN. 2019;9(8):e028866
- Journal article: JOURNAL OF THE ENDOCRINE SOCIETY. 2019;3(Supplement_1):sun-065
- Journal article: ENDOCRINE PRACTICE. 2019;25:183
- Article: PLOS ONE. 2019;14(8):e0214180
- Article: INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 2018;47(4):1333-1342
- Article: INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 2018;47(4):1159-1168
- Article: OBSTETRICS AND GYNECOLOGY. 2017;130(6):1304-1311
- Article: BEHAVIOR GENETICS. 2017;47(4):383-393
- Article: JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (JAMA). 2017;317(15):1553-1562
- Journal article: OBSTETRICAL AND GYNECOLOGICAL SURVEY. 2017;72(1):8-9
- Article: EPIDEMIOLOGY. 2016;27(6):852-858
- Article: JAMA PEDIATRICS. 2016;170(9):e160965
- Article: BEHAVIOR GENETICS. 2016;46(3):431-456
- Article: INTERNATIONAL JOURNAL OF CANCER. 2016;138(5):1102-1110
- Journal article: OBSTETRIC ANESTHESIA DIGEST. 2015;35(4):190-191
- Article: CURRENT EPIDEMIOLOGY REPORTS. 2015;2(1):31-36
- Article: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. 2015;212(3):337.e1-337.14
- Article: THE BMJ. 2014;349:g4984
- Article: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. 2014;210(3):229.e1-229.e8
- Article: JOURNAL OF THE NATIONAL CANCER INSTITUTE. 2013;105(23):1833-1836
- Article: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2013;177(6):531-537
- Article: HUMAN REPRODUCTION. 2013;28(2):480-487
- Article: EPIDEMIOLOGY. 2012;23(5):713-720
- Article: PAEDIATRIC AND PERINATAL EPIDEMIOLOGY. 2012;26(5):448-455
- Article: INTERNATIONAL JOURNAL OF EPIDEMIOLOGY. 2012;41(4):1002-1009
- Article: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH. 2012;40(1):43-50
- Journal article: EPIDEMIOLOGIC METHODS. 2012;1(1):217-237
- Article: CIRCULATION. 2011;123(24):2792-2798
- Article: CANCER EPIDEMIOLOGY, BIOMARKERS AND PREVENTION. 2009;18(9):2447-2452
- Article: AMERICAN JOURNAL OF HYPERTENSION. 2007;20(12):1235-1241
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All other publications
- Conference publication: HUMAN REPRODUCTION. 2023;38
- Conference publication: MULTIPLE SCLEROSIS JOURNAL. 2023;29:243
- Conference publication: HUMAN REPRODUCTION. 2021;36:465-466
- Review: CNS DRUGS. 2020;34(7):731-747
- Conference publication: HUMAN REPRODUCTION. 2020;35:1487
- Conference publication: HUMAN REPRODUCTION. 2020;35:18-19
- Review: JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY. 2019;60(4):356-376
- Preprint: BIORXIV. 2019
- Meeting abstract: OBSTETRICS AND GYNECOLOGY. 2018;131:75S-76S
- Conference publication: PHARMACOEPIDEMIOLOGY AND DRUG SAFETY. 2018;27:234
- Conference publication: HUMAN REPRODUCTION. 2018;33:129-130
- Conference publication: BEHAVIOR GENETICS. 2018;48(6):515
- Editorial comment: OBSTETRICAL AND GYNECOLOGICAL SURVEY. 2017;72(9):523-524
- Conference publication: PHARMACOEPIDEMIOLOGY AND DRUG SAFETY. 2017;26:408-409
- Conference publication: BEHAVIOR GENETICS. 2017;47(6):691
- Review: BEHAVIOR GENETICS. 2016;46(3):315-328
- Conference publication: BEHAVIOR GENETICS. 2016;46(6):780
- Conference publication: PHARMACOEPIDEMIOLOGY AND DRUG SAFETY. 2015;24:274-275
- Conference publication: PHARMACOEPIDEMIOLOGY AND DRUG SAFETY. 2015;24:237
- Conference publication: BEHAVIOR GENETICS. 2015;45(6):653-654
- Conference publication: BEHAVIOR GENETICS. 2015;45(6):689
- Letter: THE BMJ. 2014;349:g6210
- Editorial comment: ACTA PAEDIATRICA, INTERNATIONAL JOURNAL OF PAEDIATRICS. 2014;103(4):349-351
- Editorial comment: OBSTETRICAL AND GYNECOLOGICAL SURVEY. 2013;68(7):495-497
- Conference publication: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2013;177:S80
- Conference publication: AMERICAN JOURNAL OF EPIDEMIOLOGY. 2012;175:S81
- Thesis / dissertation: 2011
- Meeting abstract: EARLY HUMAN DEVELOPMENT. 2007;83:S84-S85
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Grants
- Does it take a village? The role of social networks in socioeconomic fertility differentialsStiftelsen Riksbankens Jubileumsfond1 January 2024 - 31 December 2026
- Bank of Sweden Tercentenary Foundation1 January 2024 - 31 December 2026
- Swedish Research Council for Health Working Life and Welfare1 January 2021 - 31 December 2023
- National Institute on Drug Abuse1 April 2019 - 28 February 2024
- Swedish Research Council1 January 2019 - 31 December 2021
- Swedish Research Council for Health Working Life and Welfare1 January 2017 - 31 December 2019
- Swedish Research Council1 January 2014 - 31 December 2018
- Swedish Research Council1 July 2012 - 30 June 2015
Employments
- Principal Researcher, Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 2022-
Degrees and Education
- Docent, Karolinska Institutet, 2020
- Degree Of Doctor Of Philosophy, Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, 2011
- University Medical Degree, Karolinska Institutet, 2002