Niina Metsä‐simola
Dados Biográficos
| ID | 207637 |
|---|---|
| NOME | Niina Metsä‐simola |
| PRENOMES | Niina |
| SOBRENOME | Metsä‐simola |
| ASSINATURA | SIMOLA N M |
| AFILIAÇÕES | University of Helsinki |
| ORCID | 0000-0001-8813-3980 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 17 |
| TOTAL DE CITAÇÕES | 32 |
| TOTAL COMO AUTOR | 17 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Having a child through medically assisted reproduction
Prior research documents marked social disparities in births through medically assisted reproduction (MAR), which are often attributed to unequal access to treatment. However, social inequalities may also arise from processes operating after MAR treatments begin. We examine this possibility using population-level administrative register data from Finland, a context where MAR treatments are generously subsidized and access barriers are relatively …
Linking mental health disorders to childlessness
Objective: Drawing on a life-course perspective that emphasises partnership-related processes, we examine how different mental health disorders relate to childlessness and whether these associations are explained by partnership status and partner’s mental health. Background: Mental health problems are increasing, while childlessness is becoming more common. Method: We use Finnish total population register data and discrete-time event history mode…
Physical illness and changes in spousal mental health
BACKGROUND: Spousal caregiving is linked to increased symptoms of poor mental health among older people. Less is known about the effects of physical health conditions with different progression and level of impairment on spousal mental health among younger people. METHODS: Using Finnish total population register data, we identified 106 673 partnered individuals aged 30-70, newly diagnosed in 2000-2015 with progressive conditions with increasing i…
Trajectories of antidepressant use before and after union dissolution and re-partnering in later life
BACKGROUND: Grey divorce and later remarriage have become increasingly common in high-income countries, but previous evidence on their impacts on mental health is scarce. Even less is known about the effects of non-marital separation and re-partnering in later life. METHODS: Using Finnish registry data from 1996 to 2018 on 228 644 individuals aged 50-70 in 2000-2014, trajectories of antidepressant (AD) use 4 years before and 4 years after divorce…
Maternal psychiatric and somatic illness, and the risk of unintentional injuries in children
BACKGROUND: Maternal mental illness appears to increase the risk of unintentional childhood injuries, which are a common cause of morbidity and mortality in early childhood. However, little is known about the variations in this association by type of injury and child's age, and studies on the effects of maternal somatic illness on children's injury risk are scarce. METHODS: We used Finnish total population register data from 2000 to 2017 to link …
Neurological conditions and subsequent divorce risk in the Nordic countries
BACKGROUND: Prior studies suggest that poor physical health, accompanied by functional disability, is associated with increased divorce risk. However, this association may depend on gender, the socioeconomic resources of the couple, as well as the social policy and social (in)equality context in which the illness is experienced. This study focuses on neurological conditions, which often have substantial functional consequences. METHODS: We used l…
Grandparental support and maternal depression
Grandparental support may protect mothers from depression, particularly mothers who separate and enter single parenthood. Using longitudinal Finnish register data on 116,917 separating and 371,703 non-separating mothers with young children, we examined differences in mothers' antidepressant purchases by grandparental characteristics related to provision of support. Grandparents' younger age (<70 years), employment, and lack of severe health probl…
Medically Assisted Reproduction and Partnership Stability
Despite the increasing use of medically assisted reproduction (MAR) in modern societies, there is limited evidence on whether conceiving with MAR or remaining involuntarily childless after MAR is associated with partnership stability. While older age, the more advantaged socioeconomic position of women undergoing MAR and their strong fertility intentions could lead to higher partnership stability, the experience of infertility and undergoing MAR …
Partnership trajectories preceding medically assisted reproduction
The number of people who undergo medically assisted reproduction (MAR) to conceive has increased considerably in recent decades. However, existing research into the demographics and the partnership histories of this growing subgroup is limited. Using unique data from Finnish population registers on nulliparous women born in Finland in 1971–77 (n = 21,129; ∼10 per cent of all women) who had undergone MAR treatment, we created longitudinal partners…
Partner violence surrounding divorce
Objective: This study analyzes the victimization trajectories of partner violence against women surrounding divorce, depending on whether the couple has children together. Background: Prior studies have found that partner violence is associated with an increased risk of divorce. No study has assessed the victimization trajectories surrounding divorce for women with and without children, although women with children may remain at higher risk of vi…
Physical health conditions and subsequent union separation
BACKGROUND: Studies that assess the role of physical health conditions on separation risk are scarce and mostly lack health information on both partners. It is unclear how the association between physical illness and separation risk varies by type of illness, gender of the ill spouse and age of the couple. METHODS: We used Finnish register data on 127 313 couples to examine how neurological conditions, heart and lung disease, and cancer are assoc…
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, …
Divorce and subsequent increase in uptake of antidepressant medication
Our findings suggest that divorce effects on antidepressant use are individual and show no pattern of either convergence or divergence at the level of the couple. The increased incidence of antidepressant use associated with divorce occurs in individuals independent of what happens to their ex-partner
The effects of marriage and separation on the psychotropic medication use of non-married cohabiters
Divorce and changes in the prevalence of psychotropic medication use
The short-term and long-term effects of divorce on mortality risk in a large Finnish cohort, 1990-2003
This study investigated time patterns of post-divorce excess mortality. Using register-based data, we followed 252,641 married Finns from 1990 until subsequent date of divorce and death until 2003. Among men, excess mortality is highest immediately after divorce, followed by a decline over 8 years. Among women, excess mortality shows little variation over time, and is lower than among men at all durations of divorce. Social and economic factors--…
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…
Divorce and changes in the prevalence of psychotropic medication use
The short-term and long-term effects of divorce on mortality risk in a large Finnish cohort, 1990-2003
This study investigated time patterns of post-divorce excess mortality. Using register-based data, we followed 252,641 married Finns from 1990 until subsequent date of divorce and death until 2003. Among men, excess mortality is highest immediately after divorce, followed by a decline over 8 years. Among women, excess mortality shows little variation over time, and is lower than among men at all durations of divorce. Social and economic factors--…
The effects of marriage and separation on the psychotropic medication use of non-married cohabiters
Physical health conditions and subsequent union separation
BACKGROUND: Studies that assess the role of physical health conditions on separation risk are scarce and mostly lack health information on both partners. It is unclear how the association between physical illness and separation risk varies by type of illness, gender of the ill spouse and age of the couple. METHODS: We used Finnish register data on 127 313 couples to examine how neurological conditions, heart and lung disease, and cancer are assoc…
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…
Physical illness and changes in spousal mental health
BACKGROUND: Spousal caregiving is linked to increased symptoms of poor mental health among older people. Less is known about the effects of physical health conditions with different progression and level of impairment on spousal mental health among younger people. METHODS: Using Finnish total population register data, we identified 106 673 partnered individuals aged 30-70, newly diagnosed in 2000-2015 with progressive conditions with increasing i…
Trajectories of antidepressant use before and after union dissolution and re-partnering in later life
BACKGROUND: Grey divorce and later remarriage have become increasingly common in high-income countries, but previous evidence on their impacts on mental health is scarce. Even less is known about the effects of non-marital separation and re-partnering in later life. METHODS: Using Finnish registry data from 1996 to 2018 on 228 644 individuals aged 50-70 in 2000-2014, trajectories of antidepressant (AD) use 4 years before and 4 years after divorce…
Grandparental support and maternal depression
Grandparental support may protect mothers from depression, particularly mothers who separate and enter single parenthood. Using longitudinal Finnish register data on 116,917 separating and 371,703 non-separating mothers with young children, we examined differences in mothers' antidepressant purchases by grandparental characteristics related to provision of support. Grandparents' younger age (<70 years), employment, and lack of severe health probl…
Medically Assisted Reproduction and Partnership Stability
Despite the increasing use of medically assisted reproduction (MAR) in modern societies, there is limited evidence on whether conceiving with MAR or remaining involuntarily childless after MAR is associated with partnership stability. While older age, the more advantaged socioeconomic position of women undergoing MAR and their strong fertility intentions could lead to higher partnership stability, the experience of infertility and undergoing MAR …
Partnership trajectories preceding medically assisted reproduction
The number of people who undergo medically assisted reproduction (MAR) to conceive has increased considerably in recent decades. However, existing research into the demographics and the partnership histories of this growing subgroup is limited. Using unique data from Finnish population registers on nulliparous women born in Finland in 1971–77 (n = 21,129; ∼10 per cent of all women) who had undergone MAR treatment, we created longitudinal partners…
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…
Divorce and changes in the prevalence of psychotropic medication use
The short-term and long-term effects of divorce on mortality risk in a large Finnish cohort, 1990-2003
This study investigated time patterns of post-divorce excess mortality. Using register-based data, we followed 252,641 married Finns from 1990 until subsequent date of divorce and death until 2003. Among men, excess mortality is highest immediately after divorce, followed by a decline over 8 years. Among women, excess mortality shows little variation over time, and is lower than among men at all durations of divorce. Social and economic factors--…
The effects of marriage and separation on the psychotropic medication use of non-married cohabiters
Divorce and subsequent increase in uptake of antidepressant medication
Our findings suggest that divorce effects on antidepressant use are individual and show no pattern of either convergence or divergence at the level of the couple. The increased incidence of antidepressant use associated with divorce occurs in individuals independent of what happens to their ex-partner
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, …
Physical health conditions and subsequent union separation
BACKGROUND: Studies that assess the role of physical health conditions on separation risk are scarce and mostly lack health information on both partners. It is unclear how the association between physical illness and separation risk varies by type of illness, gender of the ill spouse and age of the couple. METHODS: We used Finnish register data on 127 313 couples to examine how neurological conditions, heart and lung disease, and cancer are assoc…
Partner violence surrounding divorce
Objective: This study analyzes the victimization trajectories of partner violence against women surrounding divorce, depending on whether the couple has children together. Background: Prior studies have found that partner violence is associated with an increased risk of divorce. No study has assessed the victimization trajectories surrounding divorce for women with and without children, although women with children may remain at higher risk of vi…
Trajectories of antidepressant use before and after union dissolution and re-partnering in later life
BACKGROUND: Grey divorce and later remarriage have become increasingly common in high-income countries, but previous evidence on their impacts on mental health is scarce. Even less is known about the effects of non-marital separation and re-partnering in later life. METHODS: Using Finnish registry data from 1996 to 2018 on 228 644 individuals aged 50-70 in 2000-2014, trajectories of antidepressant (AD) use 4 years before and 4 years after divorce…
Maternal psychiatric and somatic illness, and the risk of unintentional injuries in children
BACKGROUND: Maternal mental illness appears to increase the risk of unintentional childhood injuries, which are a common cause of morbidity and mortality in early childhood. However, little is known about the variations in this association by type of injury and child's age, and studies on the effects of maternal somatic illness on children's injury risk are scarce. METHODS: We used Finnish total population register data from 2000 to 2017 to link …
Neurological conditions and subsequent divorce risk in the Nordic countries
BACKGROUND: Prior studies suggest that poor physical health, accompanied by functional disability, is associated with increased divorce risk. However, this association may depend on gender, the socioeconomic resources of the couple, as well as the social policy and social (in)equality context in which the illness is experienced. This study focuses on neurological conditions, which often have substantial functional consequences. METHODS: We used l…
Grandparental support and maternal depression
Grandparental support may protect mothers from depression, particularly mothers who separate and enter single parenthood. Using longitudinal Finnish register data on 116,917 separating and 371,703 non-separating mothers with young children, we examined differences in mothers' antidepressant purchases by grandparental characteristics related to provision of support. Grandparents' younger age (<70 years), employment, and lack of severe health probl…
Medically Assisted Reproduction and Partnership Stability
Despite the increasing use of medically assisted reproduction (MAR) in modern societies, there is limited evidence on whether conceiving with MAR or remaining involuntarily childless after MAR is associated with partnership stability. While older age, the more advantaged socioeconomic position of women undergoing MAR and their strong fertility intentions could lead to higher partnership stability, the experience of infertility and undergoing MAR …
Partnership trajectories preceding medically assisted reproduction
The number of people who undergo medically assisted reproduction (MAR) to conceive has increased considerably in recent decades. However, existing research into the demographics and the partnership histories of this growing subgroup is limited. Using unique data from Finnish population registers on nulliparous women born in Finland in 1971–77 (n = 21,129; ∼10 per cent of all women) who had undergone MAR treatment, we created longitudinal partners…
Having a child through medically assisted reproduction
Prior research documents marked social disparities in births through medically assisted reproduction (MAR), which are often attributed to unequal access to treatment. However, social inequalities may also arise from processes operating after MAR treatments begin. We examine this possibility using population-level administrative register data from Finland, a context where MAR treatments are generously subsidized and access barriers are relatively …
Linking mental health disorders to childlessness
Objective: Drawing on a life-course perspective that emphasises partnership-related processes, we examine how different mental health disorders relate to childlessness and whether these associations are explained by partnership status and partner’s mental health. Background: Mental health problems are increasing, while childlessness is becoming more common. Method: We use Finnish total population register data and discrete-time event history mode…
Physical illness and changes in spousal mental health
BACKGROUND: Spousal caregiving is linked to increased symptoms of poor mental health among older people. Less is known about the effects of physical health conditions with different progression and level of impairment on spousal mental health among younger people. METHODS: Using Finnish total population register data, we identified 106 673 partnered individuals aged 30-70, newly diagnosed in 2000-2015 with progressive conditions with increasing i…
Family Dynamics and Relationships (12 obras) · Medicine (12 obras) · Demography (10 obras) · Population (8 obras) · Psychiatry (7 obras) · Mental health (6 obras) · Environmental health (5 obras) · Gerontology (5 obras) · Health disparities and outcomes (5 obras) · Intergenerational Family Dynamics and Caregiving (5 obras)