“…This deterioration is an example of how a sector that is very gender segregated and organised in a way that was supposed to suit women instead led to large differences in comparison with male-dominated sectors and services. The same development did not occur in male-dominated municipal services that have been observed in several studies of employees and managers in the public sector (Björk, 2013;Björk & Härenstam, 2016;Forsberg Kankkunen, 2014;Westerberg & Armelius, 2000). Changes of contextual factors at a macro level can thus mean that the prerequisites to organise for healthy work can also change and lead to increased gender differences (Härenstam, 2009;Härenstam, Bejerot, Schéele, Waldenström, & Leijon, 2004).…”