Heta Moustgaard
Datos Biográficos
| ID | 365545 |
|---|---|
| NOMBRE | Heta Moustgaard |
| NOMBRES | Heta |
| APELLIDO | Moustgaard |
| FIRMA | MOUSTGAARD H |
| AFILIACIONES | University of Helsinki |
| ORCID | 0000-0001-6632-4727 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 28 |
| TOTAL DE CITAS | 98 |
| TOTAL COMO AUTOR | 28 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2008 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 6 |
Age at First Marriage or Cohabitation Among First-, Second-, and 2.5-Generation Immigrant Women, Finland 1987–2020
Immigrants and their descendants are increasingly forming families across Europe, yet little is known about how immigration background shapes first union entry in emerging immigration contexts. Here, we examine whether immigrant generation, age at arrival, and sending region are associated with entry into opposite-sex first unions for women in Finland from 1987 to 2020. Treating cohabitation and direct marriage as competing events, we estimate ca…
Educational outcomes of children with an immigrant background
Children with an immigrant background have generally poorer school outcomes than nonimmigrant children. Immigrant generation and age at migration play a significant role in shaping these outcomes. To capture the complexity of this population’s experiences, we define immigrant background as a compound variable including immigrant generation, age at migration, and exogamous family setting (i.e. children born to one immigrant and one nonimmigrant pa…
Childhood family income and medication use in youth
BACKGROUND: Low family socioeconomic position is a well-established determinant of poor health in youth. Much less is known about the social patterning of youth medication use, and the current evidence is mixed. Furthermore, previous studies have not assessed important confounders of the associations. We analyse differences in youth medication use by childhood family income and medication type. METHODS: Administrative register data on full Finnis…
Trends in Life Expectancy in Residential Long-Term Care by Sociodemographic Position in 1999–2018
Recent declines in LTC use were driven by postponed LTC admission closer to death. The results suggest that across sociodemographic strata older adults enter LTC in even worse health and spend a shorter time in care than before
Own depression, partner's depression, and childlessness
Depression and other mental health disorders are increasing while childlessness is increasing. However, this relationship has rarely been studied. We examine how depression, as measured by antidepressant use, is related to childlessness. We add to the previous research by examining both the role of current partnership status and having a partner with depression as a mechanism. We use Finnish total population register data for cohorts born in 1977…
Health-related selection into employment among the unemployed
The prospects of the unemployed finding employment are reduced by poor health, particularly alcohol-related and psychiatric conditions. These two conditions may also lead to unstable career trajectories. The selection process contributes to the health differentials between employed and unemployed people. Unemployed people with health problems may therefore need additional support to improve their chances of employment
Association between neighbourhood characteristics and antidepressant use at older ages
Background Research evidence on the association between neighbourhood characteristics and individual mental health at older ages is inconsistent, possibly due to heterogeneity in the measurement of mental-health outcomes, neighbourhood characteristics and confounders. Register-based data enabled us to avoid these problems in this longitudinal study on the associations between socioeconomic and physical neighbourhood characteristics and individual…
Health of Immigrant Children
Although the children of first-generation immigrants tend to have better health than the native population, the health advantage of the children of immigrant families deteriorates over generations. It is, however, poorly understood where on the generational health assimilation spectrum children with one immigrant and one native parent (i.e., exogamous families) lie, to what extent family resources explain health assimilation, and whether the proc…
Time patterns of external and alcohol-related mortality after marital and non-marital separation
Background External and alcohol-related mortality is elevated postseparation, but the role of poor mental health in explaining this excess is unclear. We assess postseparation excess mortality by union type and over time since separation and examine how psychiatric morbidity present already before separation, during the separation process and after separation attenuates this excess. Methods Using individual-level register data from 1995 to 2012, …
Evaluating the Role of Parental Education and Adolescent Health Problems in Educational Attainment
This article reconsiders the role of social origin in health selection by examining whether parental education moderates the association between early health and educational attainment and whether health problems mediate the intergenerational transmission of education. We used longitudinal register data on Finns born in 1986–1991 (n = 352,899). We measured the completion of secondary and tertiary education until age 27 and used data on hospital c…
Early Adolescent Health Problems, School Performance, and Upper Secondary Educational Pathways
Early health problems predict lower educational attainment, but it remains unclear whether this is due to health problems weakening school performance or due to other mechanisms operating above and beyond school performance. We employed counterfactual-based mediation analysis on a register-based sample of Finnish adolescents born in 1988-1993 (n = 73,072) to longitudinally assess the direct (unexplained by school performance, as measured by grade…
Parental socioeconomic resources and adverse childhood experiences as predictors of not in education, employment, or training
Socioeconomic disadvantage in childhood is common among youth not in education, employment or training (NEETs). However, the evidence on other adverse childhood experiences as determinants of NEET remains scarce. We use Finnish longitudinal register data on a 20% random sample of households with 0–14-year-old children in 2000 to assess the childhood determinants of NEET. For an analytical sample of 99,137 children born 1986–1993, family socioecon…
Living arrangements of older persons in 1987–2035 in Finland
Changes in household structure may have a major impact on the future wellbeing of older people. We evaluate changes in living arrangements of 65+ Finnish men and women from 1987 to 2011 and project living arrangements to 2035 by education level. We use an 11 per cent longitudinal sample of Finns drawn from the population registration data. We estimate proportions in various living arrangements and multi-state life table estimates of years lived i…
Parental education and adolescent health problems due to violence, self-harm and substance use
BACKGROUND: Adolescent health problems are more prevalent in families with low socioeconomic position, but few studies have assessed the role of parental health in this association. This study examines the extent to which parental health problems, particularly those related to high-risk health behaviour, might explain the association between parental education and adolescent health problems due to violence, self-harm and substance use. METHODS: W…
Cohabitation and mental health
Marriage is associated with better mental health. While research on the mental health of cohabiting individuals has increased in recent years, it has yielded mixed results thus far. We assessed whether the mental health of cohabiters is comparable to that of married individuals or those living alone using longitudinal data on psychotropic medication purchases. Panel data from an 11% random sample of the population residing in Finland for the year…
Partner resources and incidence and survival in two major causes of death
Because people tend to marry social equals - and possibly also because partners affect each other's health - the social position of one partner is associated with the other partner's health and mortality. Although this link is fairly well established, the underlying mechanisms are not fully identified. Analyzing disease incidence and survival separately may help us to assess when in the course of the disease a partner's resources are of most sign…
Pre-existing depression predicts survival in cardiovascular disease and cancer
BACKGROUND: Previous studies have found depression to be negatively associated with the prognosis of both cardiovascular disease (CVD) and cancer, but this may partly reflect reverse causality. We limited the possibility of reverse causality by measuring depression before the first diagnosis of CVD or cancer. METHODS: We used an 11% longitudinal random sample of the Finnish population aged 25 years or older who are residents of Finland for at lea…
Substance abuse in parents and subsequent risk of offspring psychiatric morbidity in late adolescence and early adulthood
Does the risk of hospitalisation for ischaemic heart disease rise already before widowhood
BACKGROUND: The death of a spouse has been shown to increase mortality from various causes, including ischaemic heart disease. It is unclear, however, whether cardiac problems are already on the rise before widowhood. METHODS: Using longitudinal register data of Finnish widows-to-be aged 65 and over at baseline (N=19 185), we assessed the risk of hospitalisation for ischaemic heart disease 18 months before and after widowhood. Hospital admissions…
Socioeconomic Position and Antidepressant Use as Predictors of Coronary Heart Disease Mortality
OBJECTIVE: The interplay between depression and socioeconomic position (SEP) in predicting cardiovascular outcomes has rarely been examined. We investigated whether SEP modified the effect of antidepressant use on coronary heart disease (CHD) mortality. METHODS: The data consisted of an 11% random sample of the Finnish population aged 40 to 79 years at the end of 1999 with an oversample of 80% of those who died in 2000 to 2007. Participants free …
Life Expectancy in Long-Term Institutional Care by Marital Status
The resources that are needed to provide long-term care services will increase as age of death increases. We demonstrate significantly longer care expectancy among women and among the unmarried
Parental use of antidepressant medication and family type in the risk for incident psychiatric morbidity in offspring
BACKGROUND: Maternal depression increases the risk for psychiatric morbidity in offspring but the effects of paternal depression and family type are less studied. METHODS: We assessed the effects of parental antidepressant use on offspring psychiatric morbidity in various family settings. RESULTS: Our register-based study followed 132637 children for incident psychiatric morbidity in 1998-2003. The highest risk for psychiatric morbidity was in ch…
Changing associations between partnership history and risk of accidents, violence and suicides
BACKGROUND: Lower mortality has been systematically found in married when compared with non-married, especially in men, but little is known about marital status differences in mortality from external causes. Furthermore, the role of cohabitation and partnership history in the formation of these differences and how they have been changed over time are poorly understood. METHODS: The incidence of fatal and non-fatal cases of accidents, violence and…
Seven-year hospital and nursing home care use according to age and proximity to death
BACKGROUND: Provision of hospital and long-term care services for the growing number of older people is a major policy concern. The authors estimate hospital and nursing home care use by age and proximity to death for selected causes and by gender, education and marital status. METHODS: A 40% random sample of the Finnish population aged 65+ years alive at the end of 1997 was followed to death in 1998-2002. Use of hospital and nursing home care wa…
Nonmarital Cohabitation Among Older Finnish Men and Women
In socioeconomic terms, elderly cohabiters are mostly less privileged than the married. Nonmarital unions seem somewhat less protective than marriages against institutionalization and death. The substantially higher risk of separation also puts cohabiters at higher risk of losing potential care and support provided by coresident partners
Is the Association Between Alcohol Use and Delinquency Causal or Spurious
We attempt to isolate the effects of alcohol on different types of delinquent behavior by identifying the spurious portion of the relationship. Using data on adolescents from Finland, we compare the relationship between drinking and delinquent behavior while sober to the total relationship between drinking and delinquent behavior (sober or not). For each type of offense, we find a substantial relationship between drinking and sober delinquency, w…
Nonmarital Cohabitation Among Older Finnish Men and Women
In socioeconomic terms, elderly cohabiters are mostly less privileged than the married. Nonmarital unions seem somewhat less protective than marriages against institutionalization and death. The substantially higher risk of separation also puts cohabiters at higher risk of losing potential care and support provided by coresident partners
The effects of individual taxable income, household taxable income, and household disposable income on mortality in Finland, 1998-2004
To improve our understanding of the association between income and mortality, we analysed prospective record linkage data on Finns aged 30 and over in 1997. The results show a weaker association of mortality with household disposable income-the measure that best captures consumption potential-than with individual income, particularly above age 65 when the ability to work does not bias the associations. The association between income and mortality…
The Effects of Socioeconomic Status and Health on Transitions in Living Arrangements and Mortality
Variations in the associations of different socioeconomic indicators with living arrangement transitions imply different social pathways. However, material socioeconomic indicators dominated other measures of socioeconomic status in determining such transitions, and their effects were only partly mediated by chronic conditions
Parental socioeconomic resources and adverse childhood experiences as predictors of not in education, employment, or training
Socioeconomic disadvantage in childhood is common among youth not in education, employment or training (NEETs). However, the evidence on other adverse childhood experiences as determinants of NEET remains scarce. We use Finnish longitudinal register data on a 20% random sample of households with 0–14-year-old children in 2000 to assess the childhood determinants of NEET. For an analytical sample of 99,137 children born 1986–1993, family socioecon…
Evaluating the Role of Parental Education and Adolescent Health Problems in Educational Attainment
This article reconsiders the role of social origin in health selection by examining whether parental education moderates the association between early health and educational attainment and whether health problems mediate the intergenerational transmission of education. We used longitudinal register data on Finns born in 1986–1991 (n = 352,899). We measured the completion of secondary and tertiary education until age 27 and used data on hospital c…
Life Expectancy in Long-Term Institutional Care by Marital Status
The resources that are needed to provide long-term care services will increase as age of death increases. We demonstrate significantly longer care expectancy among women and among the unmarried
Health of Immigrant Children
Although the children of first-generation immigrants tend to have better health than the native population, the health advantage of the children of immigrant families deteriorates over generations. It is, however, poorly understood where on the generational health assimilation spectrum children with one immigrant and one native parent (i.e., exogamous families) lie, to what extent family resources explain health assimilation, and whether the proc…
Living arrangements of older persons in 1987–2035 in Finland
Changes in household structure may have a major impact on the future wellbeing of older people. We evaluate changes in living arrangements of 65+ Finnish men and women from 1987 to 2011 and project living arrangements to 2035 by education level. We use an 11 per cent longitudinal sample of Finns drawn from the population registration data. We estimate proportions in various living arrangements and multi-state life table estimates of years lived i…
Parental education and adolescent health problems due to violence, self-harm and substance use
BACKGROUND: Adolescent health problems are more prevalent in families with low socioeconomic position, but few studies have assessed the role of parental health in this association. This study examines the extent to which parental health problems, particularly those related to high-risk health behaviour, might explain the association between parental education and adolescent health problems due to violence, self-harm and substance use. METHODS: W…
Own depression, partner's depression, and childlessness
Depression and other mental health disorders are increasing while childlessness is increasing. However, this relationship has rarely been studied. We examine how depression, as measured by antidepressant use, is related to childlessness. We add to the previous research by examining both the role of current partnership status and having a partner with depression as a mechanism. We use Finnish total population register data for cohorts born in 1977…
Seven-year hospital and nursing home care use according to age and proximity to death
BACKGROUND: Provision of hospital and long-term care services for the growing number of older people is a major policy concern. The authors estimate hospital and nursing home care use by age and proximity to death for selected causes and by gender, education and marital status. METHODS: A 40% random sample of the Finnish population aged 65+ years alive at the end of 1997 was followed to death in 1998-2002. Use of hospital and nursing home care wa…
Association between neighbourhood characteristics and antidepressant use at older ages
Background Research evidence on the association between neighbourhood characteristics and individual mental health at older ages is inconsistent, possibly due to heterogeneity in the measurement of mental-health outcomes, neighbourhood characteristics and confounders. Register-based data enabled us to avoid these problems in this longitudinal study on the associations between socioeconomic and physical neighbourhood characteristics and individual…
Early Adolescent Health Problems, School Performance, and Upper Secondary Educational Pathways
Early health problems predict lower educational attainment, but it remains unclear whether this is due to health problems weakening school performance or due to other mechanisms operating above and beyond school performance. We employed counterfactual-based mediation analysis on a register-based sample of Finnish adolescents born in 1988-1993 (n = 73,072) to longitudinally assess the direct (unexplained by school performance, as measured by grade…
Does the risk of hospitalisation for ischaemic heart disease rise already before widowhood
BACKGROUND: The death of a spouse has been shown to increase mortality from various causes, including ischaemic heart disease. It is unclear, however, whether cardiac problems are already on the rise before widowhood. METHODS: Using longitudinal register data of Finnish widows-to-be aged 65 and over at baseline (N=19 185), we assessed the risk of hospitalisation for ischaemic heart disease 18 months before and after widowhood. Hospital admissions…
The Effects of Socioeconomic Status and Health on Transitions in Living Arrangements and Mortality
Variations in the associations of different socioeconomic indicators with living arrangement transitions imply different social pathways. However, material socioeconomic indicators dominated other measures of socioeconomic status in determining such transitions, and their effects were only partly mediated by chronic conditions
Is the Association Between Alcohol Use and Delinquency Causal or Spurious
We attempt to isolate the effects of alcohol on different types of delinquent behavior by identifying the spurious portion of the relationship. Using data on adolescents from Finland, we compare the relationship between drinking and delinquent behavior while sober to the total relationship between drinking and delinquent behavior (sober or not). For each type of offense, we find a substantial relationship between drinking and sober delinquency, w…
Nonmarital Cohabitation Among Older Finnish Men and Women
In socioeconomic terms, elderly cohabiters are mostly less privileged than the married. Nonmarital unions seem somewhat less protective than marriages against institutionalization and death. The substantially higher risk of separation also puts cohabiters at higher risk of losing potential care and support provided by coresident partners
The effects of individual taxable income, household taxable income, and household disposable income on mortality in Finland, 1998-2004
To improve our understanding of the association between income and mortality, we analysed prospective record linkage data on Finns aged 30 and over in 1997. The results show a weaker association of mortality with household disposable income-the measure that best captures consumption potential-than with individual income, particularly above age 65 when the ability to work does not bias the associations. The association between income and mortality…
Seven-year hospital and nursing home care use according to age and proximity to death
BACKGROUND: Provision of hospital and long-term care services for the growing number of older people is a major policy concern. The authors estimate hospital and nursing home care use by age and proximity to death for selected causes and by gender, education and marital status. METHODS: A 40% random sample of the Finnish population aged 65+ years alive at the end of 1997 was followed to death in 1998-2002. Use of hospital and nursing home care wa…
Life Expectancy in Long-Term Institutional Care by Marital Status
The resources that are needed to provide long-term care services will increase as age of death increases. We demonstrate significantly longer care expectancy among women and among the unmarried
Parental use of antidepressant medication and family type in the risk for incident psychiatric morbidity in offspring
BACKGROUND: Maternal depression increases the risk for psychiatric morbidity in offspring but the effects of paternal depression and family type are less studied. METHODS: We assessed the effects of parental antidepressant use on offspring psychiatric morbidity in various family settings. RESULTS: Our register-based study followed 132637 children for incident psychiatric morbidity in 1998-2003. The highest risk for psychiatric morbidity was in ch…
Changing associations between partnership history and risk of accidents, violence and suicides
BACKGROUND: Lower mortality has been systematically found in married when compared with non-married, especially in men, but little is known about marital status differences in mortality from external causes. Furthermore, the role of cohabitation and partnership history in the formation of these differences and how they have been changed over time are poorly understood. METHODS: The incidence of fatal and non-fatal cases of accidents, violence and…
Socioeconomic Position and Antidepressant Use as Predictors of Coronary Heart Disease Mortality
OBJECTIVE: The interplay between depression and socioeconomic position (SEP) in predicting cardiovascular outcomes has rarely been examined. We investigated whether SEP modified the effect of antidepressant use on coronary heart disease (CHD) mortality. METHODS: The data consisted of an 11% random sample of the Finnish population aged 40 to 79 years at the end of 1999 with an oversample of 80% of those who died in 2000 to 2007. Participants free …
Does the risk of hospitalisation for ischaemic heart disease rise already before widowhood
BACKGROUND: The death of a spouse has been shown to increase mortality from various causes, including ischaemic heart disease. It is unclear, however, whether cardiac problems are already on the rise before widowhood. METHODS: Using longitudinal register data of Finnish widows-to-be aged 65 and over at baseline (N=19 185), we assessed the risk of hospitalisation for ischaemic heart disease 18 months before and after widowhood. Hospital admissions…
Cohabitation and mental health
Marriage is associated with better mental health. While research on the mental health of cohabiting individuals has increased in recent years, it has yielded mixed results thus far. We assessed whether the mental health of cohabiters is comparable to that of married individuals or those living alone using longitudinal data on psychotropic medication purchases. Panel data from an 11% random sample of the population residing in Finland for the year…
Partner resources and incidence and survival in two major causes of death
Because people tend to marry social equals - and possibly also because partners affect each other's health - the social position of one partner is associated with the other partner's health and mortality. Although this link is fairly well established, the underlying mechanisms are not fully identified. Analyzing disease incidence and survival separately may help us to assess when in the course of the disease a partner's resources are of most sign…
Pre-existing depression predicts survival in cardiovascular disease and cancer
BACKGROUND: Previous studies have found depression to be negatively associated with the prognosis of both cardiovascular disease (CVD) and cancer, but this may partly reflect reverse causality. We limited the possibility of reverse causality by measuring depression before the first diagnosis of CVD or cancer. METHODS: We used an 11% longitudinal random sample of the Finnish population aged 25 years or older who are residents of Finland for at lea…
Substance abuse in parents and subsequent risk of offspring psychiatric morbidity in late adolescence and early adulthood
Parental socioeconomic resources and adverse childhood experiences as predictors of not in education, employment, or training
Socioeconomic disadvantage in childhood is common among youth not in education, employment or training (NEETs). However, the evidence on other adverse childhood experiences as determinants of NEET remains scarce. We use Finnish longitudinal register data on a 20% random sample of households with 0–14-year-old children in 2000 to assess the childhood determinants of NEET. For an analytical sample of 99,137 children born 1986–1993, family socioecon…
Living arrangements of older persons in 1987–2035 in Finland
Changes in household structure may have a major impact on the future wellbeing of older people. We evaluate changes in living arrangements of 65+ Finnish men and women from 1987 to 2011 and project living arrangements to 2035 by education level. We use an 11 per cent longitudinal sample of Finns drawn from the population registration data. We estimate proportions in various living arrangements and multi-state life table estimates of years lived i…
Parental education and adolescent health problems due to violence, self-harm and substance use
BACKGROUND: Adolescent health problems are more prevalent in families with low socioeconomic position, but few studies have assessed the role of parental health in this association. This study examines the extent to which parental health problems, particularly those related to high-risk health behaviour, might explain the association between parental education and adolescent health problems due to violence, self-harm and substance use. METHODS: W…
Time patterns of external and alcohol-related mortality after marital and non-marital separation
Background External and alcohol-related mortality is elevated postseparation, but the role of poor mental health in explaining this excess is unclear. We assess postseparation excess mortality by union type and over time since separation and examine how psychiatric morbidity present already before separation, during the separation process and after separation attenuates this excess. Methods Using individual-level register data from 1995 to 2012, …
Evaluating the Role of Parental Education and Adolescent Health Problems in Educational Attainment
This article reconsiders the role of social origin in health selection by examining whether parental education moderates the association between early health and educational attainment and whether health problems mediate the intergenerational transmission of education. We used longitudinal register data on Finns born in 1986–1991 (n = 352,899). We measured the completion of secondary and tertiary education until age 27 and used data on hospital c…
Early Adolescent Health Problems, School Performance, and Upper Secondary Educational Pathways
Early health problems predict lower educational attainment, but it remains unclear whether this is due to health problems weakening school performance or due to other mechanisms operating above and beyond school performance. We employed counterfactual-based mediation analysis on a register-based sample of Finnish adolescents born in 1988-1993 (n = 73,072) to longitudinally assess the direct (unexplained by school performance, as measured by grade…
Association between neighbourhood characteristics and antidepressant use at older ages
Background Research evidence on the association between neighbourhood characteristics and individual mental health at older ages is inconsistent, possibly due to heterogeneity in the measurement of mental-health outcomes, neighbourhood characteristics and confounders. Register-based data enabled us to avoid these problems in this longitudinal study on the associations between socioeconomic and physical neighbourhood characteristics and individual…
Health of Immigrant Children
Although the children of first-generation immigrants tend to have better health than the native population, the health advantage of the children of immigrant families deteriorates over generations. It is, however, poorly understood where on the generational health assimilation spectrum children with one immigrant and one native parent (i.e., exogamous families) lie, to what extent family resources explain health assimilation, and whether the proc…
Health-related selection into employment among the unemployed
The prospects of the unemployed finding employment are reduced by poor health, particularly alcohol-related and psychiatric conditions. These two conditions may also lead to unstable career trajectories. The selection process contributes to the health differentials between employed and unemployed people. Unemployed people with health problems may therefore need additional support to improve their chances of employment
Trends in Life Expectancy in Residential Long-Term Care by Sociodemographic Position in 1999–2018
Recent declines in LTC use were driven by postponed LTC admission closer to death. The results suggest that across sociodemographic strata older adults enter LTC in even worse health and spend a shorter time in care than before
Own depression, partner's depression, and childlessness
Depression and other mental health disorders are increasing while childlessness is increasing. However, this relationship has rarely been studied. We examine how depression, as measured by antidepressant use, is related to childlessness. We add to the previous research by examining both the role of current partnership status and having a partner with depression as a mechanism. We use Finnish total population register data for cohorts born in 1977…
Medicine (24 obras) · Population (19 obras) · Psychology (17 obras) · Demography (16 obras) · Health disparities and outcomes (15 obras) · Psychiatry (14 obras) · Gerontology (13 obras) · Sociology (12 obras) · Demography (11 obras) · Environmental health (11 obras)