Mika Gissler
Dados Biográficos
| ID | 1832644 |
|---|---|
| NOME | Mika Gissler |
| PRENOMES | Mika |
| SOBRENOME | Gissler |
| ASSINATURA | GISSLER M |
| AFILIAÇÕES | Finnish Institute for Health and Welfare |
| ORCID | 0000-0001-8254-7525 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 64 |
| TOTAL DE CITAÇÕES | 82 |
| TOTAL COMO AUTOR | 64 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1994 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
Prevalence and Risk Factors of Intimate Partner Violence Among Pregnant Women
To our knowledge, this is the first population-based study on violence experience during pregnancy based on International Classification of Diseases (ICD)-10 classification. This study examined violence before, during, and after childbirth in Finland focusing on prevalence and risk factors. Based on the National Register Data from 2000 to 2020, 0.3% (3,485 of 1,177,569) of pregnant women were identified as having experienced violence. Violence wa…
Risk of substance use disorders in the adult children of parents with severe alcohol use disorder
Offspring of parents with alcohol use disorder (AUD) have elevated risk of substance use. However, few studies have comprehensively assessed risks associated with different substances. This study investigated the risk of substance use disorders (SUDs) in adult children with severe parental AUD over four decades, contributing information on the risk of each disorder, the roles of important risk factors, and the general versus substance-specific na…
Psychotherapy use among migrants
BACKGROUND: Migrants use less mental health services compared with non-migrant populations, but there is very little information on the use of long-term psychotherapy among migrants. Finnish register data allow for studying the whole migrant population in Finland and collecting data on all publicly supported rehabilitative psychotherapy. METHODS: 2020 were identified from a register maintained by the Social Insurance Institution of Finland. Cox r…
Financial difficulties among youth prenatally exposed to substances
Aim The receipt of long-term financial social assistance (FSA) as an indicator of financial difficulties among Finnish youth with prenatal substance exposure (PSE) was investigated in comparison with unexposed youth.Methods Data from national health and social welfare registers were collected for 18–24-year-old exposed (n = 355) and unexposed (n = 1011) youth. The influence of youth and maternal characteristics and out-of-home care (OHC) on the a…
The Association of Prenatal Diagnoses with Mortality and Long-Term Morbidity in Children with Specific Isolated Congenital Anomalies
Our findings do not show improved outcomes for prenatally diagnosed infants. For conditions where prenatal diagnoses were associated with greater mortality and morbidity, the findings might be attributed to increased detection of more severe anomalies. The increased mortality and morbidity in those diagnosed prenatally may be related to the lower mean gestational age (GA) at birth, leading to insufficient surfactant for respiratory effort. This i…
Risk of severe mood and anxiety disorders in the adult children of parents with alcohol use disorder
BACKGROUND: Growing up with parental alcohol use disorder (AUD) is a risk factor for psychiatric disorders. This study investigated the risk of mood disorders and of anxiety disorders in the adult children of parents with AUD, adjusted for sociodemographic factors. METHODS: Individual-level register data on the total population were linked to follow children of parents with AUD from 1973 to 2018 to assess their risk of mood disorders and of anxie…
Parental suicide attempts and offspring mental health problems in childhood and adolescence
BACKGROUND: The relationship between parental suicide attempts and offspring suicide risk has been established. However, the impact of parental suicide attempts on mental health problems in offspring as youth remains unexplored. This study examined the prospective association between parental suicide attempts and offspring internalizing, externalizing, and attention/hyperactivity problems in childhood and adolescence. We also examined how offspri…
Hospital Length of Stay and Surgery among European Children with Rare Structural Congenital Anomalies—A Population-Based Data Linkage Study
Little is known about morbidity for children with rare structural congenital anomalies. This European, population-based data-linkage cohort study analysed data on hospitalisations and surgical procedures for 5948 children born 1995-2014 with 18 rare structural congenital anomalies from nine EUROCAT registries in five countries. In the first year of life, the median length of stay (LOS) ranged from 3.5 days (anotia) to 53.8 days (atresia of bile d…
Disease Burden Attributed to Drug use in the Nordic Countries
The Nordic countries share similarities in many social and welfare domains, but drug policies have varied over time and between countries. We wanted to compare differences in mortality and disease burden attributed to drug use over time. Using results from the Global Burden of Disease (GBD) study, we extracted age-standardized estimates of deaths, DALYs, YLLs and YLDs per 100 000 population for Denmark, Finland, Iceland, Norway, and Sweden during…
Integration of maternity care as a part of social welfare and health care reform in Finland
Introduction: The vertical integration of primary and specialized care has been identified as a key challenge internationally. In Finland, 23 wellbeing services counties will be responsible for organizing integrated social and health care of primary and specialized care starting 2023. Primary maternity care services are offered in antenatal clinics. Specialized care is offered at 23 maternity hospitals including specialized ante- and postnatal ca…
Impact of the Finnish Maternity Grant on infant mortality rates in the 20th century
BACKGROUND: Baby boxes provide goods to new parents and a space for infant sleeping. They were first introduced in Finland, and it has been argued that the policy helped reduce infant mortality. We evaluated the impact of the Finnish Maternity Grant (which includes the Finnish Baby Box) on infant mortality rates (IMRs) at the points of introduction (disadvantaged mothers only) in 1938 and universalisation in 1949. METHODS: Maternity Grant introdu…
Changes in preterm birth and stillbirth during Covid-19 lockdowns in 26 countries
Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data f…
Evidence from Finland and Sweden on the relationship between early-life diseases and lifetime childlessness in men and women
The percentage of people without children over their lifetime is approximately 25% in men and 20% in women. Individual diseases have been linked to childlessness, mostly in women, yet we lack a comprehensive picture of the effect of early-life diseases on lifetime childlessness. We examined all individuals born in 1956-1968 (men) and 1956-1973 (women) in Finland (n = 1,035,928) and Sweden (n = 1,509,092) to the completion of their reproductive li…
Preconception Mental Health, Socioeconomic Status, and Pregnancy Outcomes in Primiparous Women
Background: One in four women of childbearing age has some degree of mental disorders and are, therefore, prone to both pregnancy complications and adverse health outcomes in their offspring. We aimed to evaluate the impact of preconception severe mental disorders on pregnancy outcomes in primiparous women. Methods: The study cohort was composed of 6,189 Finnish primiparous women without previously diagnosed diabetes, who delivered between 2009 a…
Cardiometabolic Disorders in the Offspring of Parents With Severe Mental Illness
OBJECTIVE: The elevated prevalence of cardiometabolic disorders is consistently reported in patients with severe mental illness (SMI). We explored the association between parental SMI and offspring cardiometabolic morbidity. Our hypothesis was that offspring of people with SMI have increased morbidity risk. METHOD: The Northern Finland Birth Cohort 1966 is a study of offspring whose date of birth was expected in 1966. The follow-up lasted until 2…
Autistic Adult Services Availability, Preferences, and User Experiences
There is very little knowledge regarding autistic adult services, practices, and delivery. The study objective was to improve understanding of current services and practices for autistic adults and opportunities for improvement as part of the Autism Spectrum Disorder in the European Union (ASDEU) project. Separate survey versions were created for autistic adults, carers of autistic adults, and professionals in adult services. 2,009 persons respon…
Increased Oral Care Needs and Third Molar Symptoms in Women with Gestational Diabetes Mellitus
(1) Hyperglycemia and oral pathology accelerate each other in diabetes. We evaluated whether gestational diabetes mellitus (GDM) is associated with self-reported increased oral health care needs and oral symptoms, including third molar symptoms, during pregnancy. (2) Pregnant women with ( n = 1030) and without GDM ( n = 935) were recruited in this multicenter Finnish Gestational Diabetes study in 2009-2012. Of the women with GDM, 196 (19.0%) rece…
Use of reproductive health services among women using long- or short-acting contraceptive methods – a register-based cohort study from Finland
While women initiating LARC methods have lower need for abortion care compared to women initiating SARC methods, women initiating both LARC and SARC methods have similar overall need for reproductive health services. In contrast, women continuing with their SARC method need reproductive health services less than women initiating LARC or a new SARC method. These service needs should be acknowledged when planning and organizing family planning serv…
Prenatal care adequacy of migrants born in conflict-affected countries and country-born parturients in Finland
Migrant parturients had significantly smaller number of check-ups and later entry in care compared with the country-born parturients. These findings add to earlier reported challenges in the organizing of conflict-affected country born migrants' prenatal care in a high-income setting, in which the proportion of conflict-area born migrants has risen rapidly and unexpectedly
Out-of-home care and diagnosed mental and behavioral disorders among youth with and without prenatal substance exposure – A longitudinal register-based cohort study
A majority of youths with prenatal substance exposure (PSE) have experienced out-of-home care (OHC), but there is a lack of studies on its association with mental health in adolescence and adulthood. The main aim of this retrospective longitudinal cohort study was to explore whether type of OHC (family/institutional) and number of OHC placements are associated with mental and behavioral disorders among youth with PSE (n = 393) and unexposed contr…
Normal Gestational Weight Gain Protects From Large-for-Gestational-Age Birth Among Women With Obesity and Gestational Diabetes
Background: Pre-pregnancy obesity, excess gestational weight gain (GWG), and gestational diabetes (GDM) increase fetal growth. Our aim was to assess whether normal GWG is associated with lower risk for a large-for-gestational-age (LGA; over the 90th percentile of birth weight for sex and gestational age) infant and lower birth weight standard deviation (SD) score in the presence of GDM and maternal obesity. Methods: This multicenter case-control …
Alcohol‐attributed disease burden in four Nordic countries between 2000 and 2017
Completed secondary education among youth with prenatal substance exposure
INTRODUCTION: The dual impact of prenatal substance exposure (i.e. alcohol/drugs) and adverse postnatal caregiving environment on offspring secondary education completion is an understudied research area. The aim was to investigate the influence of childhood adversities, out-of-home care, and offspring's mental and/or behavioural disorders on secondary education completion among prenatally exposed offspring in comparison to matched unexposed offs…
Iodine and thyroid status during pregnancy and risk of stillbirth
Prior research suggests that severe iodine deficiency in pregnancy may be associated with stillbirth. However, the relationship between mild to moderate iodine insufficiency, which is prevalent even in developed countries, and risk of stillbirth is unclear. We thus examined associations of iodine status and risk of stillbirth in a prospective population-based nested case-control study in Finland, a mild to moderately iodine insufficient populatio…
Autistic Adult Health and Professional Perceptions of It
The Autism Spectrum Disorders in the European Union (ASDEU) survey investigated the knowledge and health service experiences of users and providers to generate new hypotheses and scientific investigations that would contribute to improvement in health care for autistic adults. An online survey designed for autistic adults, carers of autistic adults, and professionals in adult services was translated into 11 languages and distributed electronicall…
Maternal Smoking in Pregnancy, Fetal Development, and Childhood Asthma
Objectives. We examined the relationships among maternal smoking in pregnancy, fetal development, and the risk of asthma in childhood. Methods. We conducted a population-based cohort study, where all 58 841 singleton births were followed for 7 years using nationwide registries. Results. Maternal smoking increased the risk of asthma (adjusted odds ratio = 1.35; 95% confidence interval = 1.13, 1.62 for high exposure). Low birthweight and preterm de…
International migration and adverse birth outcomes
BACKGROUND: The literature on international migration and birth outcomes shows mixed results. This study examined whether low birth weight (LBW) and preterm birth differed between non-migrants and migrant subgroups, defined by race/ethnicity and world region of origin and destination. METHODS: A systematic review and meta-regression analyses were conducted using three-level logistic models to account for the heterogeneity between studies and betw…
Social inequality in fetal growth
OBJECTIVE: To examine the socioeconomic patterns and time trends in fetal growth in Denmark, Finland, Norway, and Sweden from 1981 to 2000. DESIGN AND SETTINGS: Data on all live-born singleton births was drawn from national population registries in each of the four countries (Denmark n = 1,077,584; Finland n = 400,442; Norway n = 929,458; Sweden n = 1,761,562). MAIN OUTCOME MEASURE: Slope index of inequality (SII) and mean differences in birthwei…
Register based monitoring shows decreasing socioeconomic differences in Finnish perinatal health
Study objective: Several studies on differences in infant outcome by socioeconomic position have been done, but these have usually been based on ad hoc data linkages. The aim of this paper was to investigate whether socioeconomic differences in perinatal health in Finland could be regularly monitored using routinely collected data from one single register. Design and setting: Since October 1990, the Finnish Medical Birth Register (MBR) has includ…
Social class differences in health until the age of seven years among the Finnish 1987 birth cohort
Evidence from Finland and Sweden on the relationship between early-life diseases and lifetime childlessness in men and women
The percentage of people without children over their lifetime is approximately 25% in men and 20% in women. Individual diseases have been linked to childlessness, mostly in women, yet we lack a comprehensive picture of the effect of early-life diseases on lifetime childlessness. We examined all individuals born in 1956-1968 (men) and 1956-1973 (women) in Finland (n = 1,035,928) and Sweden (n = 1,509,092) to the completion of their reproductive li…
Trends in socioeconomic differences in Finnish perinatal health 1991–2006
BACKGROUND: Socioeconomic differences in perinatal health decreased in Finland in the late 1990s. Whether the decreasing socioeconomic differences in perinatal health observed in Finland in the late 1990s have continued in 2000-6 was studied. METHODS: The data were based on 965 443 births and 931 285 singletons recorded between 1991 and 2006 in the Finnish Medical Birth Register. Information on socioeconomic position was based on maternal occupat…
Fertility and perinatal health among Finnish immigrants in sweden
A comparative study of educational inequality in the risk of stillbirth in Denmark, Finland, Norway and Sweden 1981–2000
BACKGROUND: The stillbirth rates in Denmark, Finland, Norway and Sweden are among the lowest in the world, but socioeconomic disparities in stillbirth still exist. This study examined the educational patterns in the risk of stillbirth in Denmark, Finland, Norway and Sweden from 1981 to 2000. METHODS: From the national birth registries, all singleton live births and stillbirths with a gestational age of at least 28 weeks were selected in Denmark (…
Mortality and causes of death among homeless in Finland
BACKGROUND: Homelessness is associated with increased mortality, and some predictors of mortality have been previously identified. We examined the overall and cause-specific mortality among homeless men in Helsinki and the associations of social background and health service use with mortality. METHODS: To assess cause-specific mortality in a competing risks framework, we performed a register-based, case-control study of 617 homeless men and an a…
Social determinants of mental health
BACKGROUND: Most mental disorders start in childhood and adolescence. Risk factors are prenatal and perinatal, genetic as well as environmental and family related. Research evidence is, however, insufficient to explain the life-course development of mental disorders. This study aims to provide evidence on factors affecting mental health in childhood and adolescence. DATA AND METHODS: The 1987 Finnish Birth Cohort covers all children born in Finla…
Impact of the Finnish Maternity Grant on infant mortality rates in the 20th century
BACKGROUND: Baby boxes provide goods to new parents and a space for infant sleeping. They were first introduced in Finland, and it has been argued that the policy helped reduce infant mortality. We evaluated the impact of the Finnish Maternity Grant (which includes the Finnish Baby Box) on infant mortality rates (IMRs) at the points of introduction (disadvantaged mothers only) in 1938 and universalisation in 1949. METHODS: Maternity Grant introdu…
Birth outcomes by level of obstetric care in Finland
STUDY OBJECTIVE--To study whether hospitals of different levels are equally safe places to give birth in a regionalised system of care. DESIGN--This was a population based, cross sectional survey comparing birth outcomes in nationwide catchment areas of different levels of hospital care. All women and low risk women were examined separately. SETTING AND SUBJECTS--The study population comprised all women who gave birth in Finland in 1987-88. The d…
Changes in preterm birth and stillbirth during Covid-19 lockdowns in 26 countries
Preterm birth (PTB) is the leading cause of infant mortality worldwide. Changes in PTB rates, ranging from −90% to +30%, were reported in many countries following early COVID-19 pandemic response measures ('lockdowns'). It is unclear whether this variation reflects real differences in lockdown impacts, or perhaps differences in stillbirth rates and/or study designs. Here we present interrupted time series and meta-analyses using harmonized data f…
Growing up in economic hardship
Despite the vast body of literature investigating the effects of childhood economic conditions, few studies have investigated the significance of the timing and extent of economic hardship experienced during childhood. This study utilised the 1987 Finnish Birth Cohort, which includes all 59,476 children born in Finland in 1987, to explore the impact of the timing of childhood economic hardship on subsequent well‐being, with a special emphasis on …
Antidepressant use and violent crimes among young people
BACKGROUND: The use of antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), has been questioned due to poor efficacy and safety. We examined whether young violent offenders were more likely antidepressant users prior to their first violent offence than other young persons. METHODS: The study is a follow-up of children born in Finland in 1987 (n=59 120), linking national registers to each other using personal identity codes…
Social Mobility and Crime
This research examined intergenerational educational mobility as an antecedent of criminal offending. Anomie theory and the general theory of crime assume an inverse association between intergenerational mobility and criminal behaviour. In addition, Moffitt’s taxonomic theory and general strain theory expect intergenerational continuity in low educational attainment to be especially criminogenic. We examined the hypothesized associations with tot…
Smoking cessation in the first trimester reduces most obstetric risks, but not the risks of major congenital anomalies and admission to neonatal care
BACKGROUND: In industrialised countries, approximately 5-20% of women smoke during pregnancy. We aim to study the association between smoking during pregnancy and adverse perinatal outcomes. METHODS: A retrospective population-based cohort study using data on all singleton births between 1991 and 2010 (n=1,164,953) derived from the Finnish Medical Birth Register. RESULTS: Of all the mothers included, 82.3% were non-smokers, 2.6% quit smoking duri…
Sex differences in child and adolescent mortality by parental education in the Nordic countries
BACKGROUND: Socioeconomic position inequalities in infant mortality are well known, but there is less information on how child mortality is socially patterned by sex and age. OBJECTIVE: To assess maternal and paternal socioeconomic inequalities in mortality by sex, whether these differences vary by age and country, and how much of the sex differences can be explained by external causes of death. METHODS: Data on all live-born children were receiv…
Birth outcomes by level of obstetric care in Finland
STUDY OBJECTIVE--To study whether hospitals of different levels are equally safe places to give birth in a regionalised system of care. DESIGN--This was a population based, cross sectional survey comparing birth outcomes in nationwide catchment areas of different levels of hospital care. All women and low risk women were examined separately. SETTING AND SUBJECTS--The study population comprised all women who gave birth in Finland in 1987-88. The d…
Social class differences in health until the age of seven years among the Finnish 1987 birth cohort
Regional equity in childhood health — register-based follow-up of the Finnish 1987 birth cohort
Register based monitoring shows decreasing socioeconomic differences in Finnish perinatal health
Study objective: Several studies on differences in infant outcome by socioeconomic position have been done, but these have usually been based on ad hoc data linkages. The aim of this paper was to investigate whether socioeconomic differences in perinatal health in Finland could be regularly monitored using routinely collected data from one single register. Design and setting: Since October 1990, the Finnish Medical Birth Register (MBR) has includ…
Fertility and perinatal health among Finnish immigrants in sweden
Maternal Smoking in Pregnancy, Fetal Development, and Childhood Asthma
Objectives. We examined the relationships among maternal smoking in pregnancy, fetal development, and the risk of asthma in childhood. Methods. We conducted a population-based cohort study, where all 58 841 singleton births were followed for 7 years using nationwide registries. Results. Maternal smoking increased the risk of asthma (adjusted odds ratio = 1.35; 95% confidence interval = 1.13, 1.62 for high exposure). Low birthweight and preterm de…
Social inequality in fetal growth
OBJECTIVE: To examine the socioeconomic patterns and time trends in fetal growth in Denmark, Finland, Norway, and Sweden from 1981 to 2000. DESIGN AND SETTINGS: Data on all live-born singleton births was drawn from national population registries in each of the four countries (Denmark n = 1,077,584; Finland n = 400,442; Norway n = 929,458; Sweden n = 1,761,562). MAIN OUTCOME MEASURE: Slope index of inequality (SII) and mean differences in birthwei…
The socio-demographic patterning of sexual risk behaviour
A clear socio-demographic patterning for sexual behaviour and self-reported STIs was revealed in Finland, but a less consistent trend was seen in Estonia. The findings of this study suggest that prevention strategies should focus in Finland on less educated singles and in Estonia on young men generally
Maternal care and birth outcomes among ethnic minority women in Finland
Despite good general coverage of maternal care among migrant origin women, there were clear variations in the type of treatment given to them or needed by them. African origin women had the most health problems during pregnancy and childbirth and the worst perinatal outcomes indicating the urgent need of targeted preventive and special care. These study results do not confirm either healthy migrant effect or epidemiological paradox according to w…
Trends in socioeconomic differences in Finnish perinatal health 1991–2006
BACKGROUND: Socioeconomic differences in perinatal health decreased in Finland in the late 1990s. Whether the decreasing socioeconomic differences in perinatal health observed in Finland in the late 1990s have continued in 2000-6 was studied. METHODS: The data were based on 965 443 births and 931 285 singletons recorded between 1991 and 2006 in the Finnish Medical Birth Register. Information on socioeconomic position was based on maternal occupat…
Use of psychotropic drugs before pregnancy and the risk for induced abortion
The observed increased risk for induced abortion among women with psychotropic medication highlights the importance to acknowledge the mental health needs of women seeking an induced abortion. Further studies are needed to establish the impact of pre-existing differences in mental health on mental health outcomes of induced abortions compared to outcomes of pregnancies ending in a birth
International migration and adverse birth outcomes
BACKGROUND: The literature on international migration and birth outcomes shows mixed results. This study examined whether low birth weight (LBW) and preterm birth differed between non-migrants and migrant subgroups, defined by race/ethnicity and world region of origin and destination. METHODS: A systematic review and meta-regression analyses were conducted using three-level logistic models to account for the heterogeneity between studies and betw…
SP6-1 Mothers' abortion history and perinatal health at first birth
Introduction We studied perinatal health of first born children by mother's abortion history in Finland with good abortion and birth services and relatively few abortions. Methods Nationwide registers covering all births and induced abortions were used. All first time mothers in Birth Register (1996–2008) were linked to Abortion Register (1983–2008). The perinatal health of children was compared by the number of mother's abortions adjusting by lo…
P1-194 Health implications of ageing motherhood
Introduction In developed countries, postponing of childbearing has become common, but health impacts are poorly known. Methods All first births in Finland in 2008 (n=23 511) from nationwide medical birth register were included. Older mothers (35–39 and 40 years and over) were compared to younger mothers aged 20–34 years. Perinatal outcomes were adjusted for mother's background characteristics (marital status, socioeconomic position, smoking, pre…
Sex differences in child and adolescent mortality by parental education in the Nordic countries
BACKGROUND: Socioeconomic position inequalities in infant mortality are well known, but there is less information on how child mortality is socially patterned by sex and age. OBJECTIVE: To assess maternal and paternal socioeconomic inequalities in mortality by sex, whether these differences vary by age and country, and how much of the sex differences can be explained by external causes of death. METHODS: Data on all live-born children were receiv…
A comparative study of educational inequality in the risk of stillbirth in Denmark, Finland, Norway and Sweden 1981–2000
BACKGROUND: The stillbirth rates in Denmark, Finland, Norway and Sweden are among the lowest in the world, but socioeconomic disparities in stillbirth still exist. This study examined the educational patterns in the risk of stillbirth in Denmark, Finland, Norway and Sweden from 1981 to 2000. METHODS: From the national birth registries, all singleton live births and stillbirths with a gestational age of at least 28 weeks were selected in Denmark (…
Contribution of socioeconomic status to the risk of small for gestational age infants – a population-based study of 1,390,165 singleton live births in Finland
SGA is substantially affected by SES. Smoking explained up to 50% of the difference in risk of SGA between high and low SES groups. Quitting smoking during the first trimester of pregnancy resulted in a 7% higher incidence of SGA comparable to that of non-smoking women. Thus, interventional attempts to reduce smoking during pregnancy might help to decrease the socioeconomic gradient of SGA
Smoking among older childbearing women - a marker of risky health behaviour a registry-based study in Finland
Smoking during pregnancy increased the risk of adverse pregnancy outcomes in all women, but the rates were the highest for women aged ≥35 years. Pregnant women aged ≥35 years smoking during pregnancy was a distinctly high risk group. Maternity care should identify these women and support them in cessation of smoking during the first trimester of pregnancy
Patterns in mortality among people with severe mental disorders across birth cohorts
The mortality gap between people with severe mental disorders and the general population decreased, but there was no improvement for young Finnish men with mental disorders. The Finnish recession in the early 1990s may have adversely affected mortality of adolescent and young adult men with mental disorders. Among women born 1933-1957, the lack of improvement may reflect adverse effects of the era of extensive hospitalisation of people with menta…
Social determinants of mental health
BACKGROUND: Most mental disorders start in childhood and adolescence. Risk factors are prenatal and perinatal, genetic as well as environmental and family related. Research evidence is, however, insufficient to explain the life-course development of mental disorders. This study aims to provide evidence on factors affecting mental health in childhood and adolescence. DATA AND METHODS: The 1987 Finnish Birth Cohort covers all children born in Finla…
Unemployment at municipality level is associated with an increased risk of small for gestational age births - a multilevel analysis of all singleton births during 2005-2010 in Finland
After adjustment for individual level socio-demographics, the prevalence of SGA was around 6-13% higher in municipalities with an intermediate or high unemployment rate than municipalities with the lowest unemployment rate. The results suggested that the unemployment rate has an important public health effect with clinical implications since SGA is associated with a higher risk of adverse long-term health outcomes
Prevalence of overweight in 2 to 17 year-old children and adolescents whose parents live separately
No association between parental cohabitation and overweight in Nordic children was found. Our finding of greater prevalence of overweight in Icelandic children whose parents live separately may be an indication that the welfare system in Iceland is separating from the other Nordic countries
Smoking cessation in the first trimester reduces most obstetric risks, but not the risks of major congenital anomalies and admission to neonatal care
BACKGROUND: In industrialised countries, approximately 5-20% of women smoke during pregnancy. We aim to study the association between smoking during pregnancy and adverse perinatal outcomes. METHODS: A retrospective population-based cohort study using data on all singleton births between 1991 and 2010 (n=1,164,953) derived from the Finnish Medical Birth Register. RESULTS: Of all the mothers included, 82.3% were non-smokers, 2.6% quit smoking duri…
Demographic Characteristics and Psychiatric Comorbidity of Children and Adolescents Diagnosed with ADHD in Specialized Healthcare
Prenatal Maternal Smoking and Tourette Syndrome
Medicine (58 obras) · Environmental health (32 obras) · Population (32 obras) · Demography (31 obras) · Pregnancy (26 obras) · Internal Medicine (21 obras) · Psychiatry (19 obras) · Psychology (19 obras) · Cohort (17 obras) · Obstetrics (16 obras)