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Improving mental health care: Finnish mental health policy rationale in the era of dehospitalisation.

https://arctichealth.org/en/permalink/ahliterature301499
Source
Department of Social Studies, University of Helsinki. 65 pages.
Publication Type
Dissertation
Date
2017
Pu bl ic at io ns o f t he F ac ul ty o f S oc ia l S ci en ce s 60 2017 Sociology 60 ISBN 978-951-51-3275-8 Anna Alanko IMPROVING MENTAL HEALTH CARE Finnish mental health policy rationale in the era of dehospitalisation A N N A A LA N KO IM PR O V
  1 document  
Author
Alanko, Anna
Source
Department of Social Studies, University of Helsinki. 65 pages.
Date
2017
Language
English
Geographic Location
Finland
Publication Type
Dissertation
File Size
6048449
Keywords
Mental health
Policies
Dehospitalisation
Outpatient treatment
Abstract
The study investigates policy level attempts to improve mental health care. It analyses the rationale of the proposals to improve Finnish mental health policy between 1964–2016. Such proposals have been presented in policy documents such as committee reports, working group memorandums, government bills and project reports. The most prominent examples of the improvement proposals are reducing psychiatric hospital care, increasing outpatient treatment, increasing the possibilities for mental health services users to work, emphasising the autonomy of the service users, and increasing the equal position of mental health care service users and other citizens.
The study seeks to find out what has been in the focus in reforming mental health care, how the people using mental health services have been perceived, and finally, what has been left unproblematised.
Notes
Academic Dissertation to be presented, with the permission of the Faculty of Social Sciences of the University of Helsinki, for public examination in lecture hall 12, University main building, on 22 September 2017, at 12 noon.
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Source
Pages 513-517 in R.J. Shephard and S. Itoh, eds. Proceedings of the Third International Symposium on Circumpolar Health, Yellowknife, Northwest Territories, 1974.
Publication Type
Article
Date
1976
Mental health in northern Finland E.J. VAISANEN A survey of canparative psychiatric epidemiology was carried out in the region of northern Finland during the period 1970-72. A stratified random sample of 250 men and women aged 15 to 64 years was selected to include in each group three
  1 document  
Author
Väisänen, EJ
Author Affiliation
Clinic of Psychiatry, University of Oulu, Oulu, Finland
Source
Pages 513-517 in R.J. Shephard and S. Itoh, eds. Proceedings of the Third International Symposium on Circumpolar Health, Yellowknife, Northwest Territories, 1974.
Date
1976
Language
English
Geographic Location
Finland
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Keywords
Cornell Medical Index questionnaire
Northern Finland
Psychiatric epidemiology
Psychic disturbances
Psychotic Disorders
Socio-psychiatric study
Documents
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[Mental health and psychiatric rehabilitation].

https://arctichealth.org/en/permalink/ahliterature102810
Source
Duodecim. 1966;82(14):695-7
Publication Type
Article
Date
1966
Author
Elosuo R
Source
Duodecim. 1966;82(14):695-7
Date
1966
Language
Finnish
Geographic Location
Finland
Publication Type
Article
Keywords
Finland
Humans
Mental health
Mental health services
Psychiatry
Rehabilitation
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Sámi Norwegian National Advisory Unit on Mental Health and Substance Use (SANKS).

https://arctichealth.org/en/permalink/ahliterature296475
Source
Finnmark Hospital Trust. [33 slides]
Publication Type
Report
Date
2016
Sámi Norwegian National Advisory Unit on Mental Health and Substance Use (SANKS) Sámi našuvnnala gealbobálvalus - psyhkalaš dearvvašvuođasuddjen ja gárrendilledikšu Melbourne 2016 Gunn Kristin Heatta FINNMARK HOSPITAL TRUST 2 hours later Disposition  The Indigenous Sámi people
  1 document  
Author
Heatta, Gunn Kristin
Source
Finnmark Hospital Trust. [33 slides]
Date
2016
Language
English
Geographic Location
Finland
Norway
Russia
Sweden
Publication Type
Report
File Size
8398080
Keywords
Sami
Mental health
Milieu Therapy
Documents

Thu-P3-1330-G-Heatta.pdf

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Psychosocial factors and working conditions related to mental health of reindeer herders.

https://arctichealth.org/en/permalink/ahliterature76745
Source
Pages 229-230 in H. Linderholm et al., eds. Circumpolar Health 87. Proceedings of the Seventh International Congress on Circumpolar Health, Umeå, Sweden, 1987. Arctic Medical Research. 1988;47 Supp 1.
Publication Type
Article
Date
1988
Arctic Medical Research, Vol. 47: Suppl. 1, pp. 229-230, 1988 PSYCHOSOCIAL FACTORS AND WORKING CONDITIONS RELATED TO MENTAL HEALTH OF REINDEER HERDERS K. Makinen and J. Hassi Oulu Regional Institute of Occupational Health, Oulu, Finland Abstract. To develop the model of health care for
  1 document  
Author
Mäkinen, K
Makinen, K
Hassi, J.
Author Affiliation
Oulu Regional Institute of Occupational Health, Oulu, Finland
Source
Pages 229-230 in H. Linderholm et al., eds. Circumpolar Health 87. Proceedings of the Seventh International Congress on Circumpolar Health, Umeå, Sweden, 1987. Arctic Medical Research. 1988;47 Supp 1.
Date
1988
Language
English
Geographic Location
Finland
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
Alaska Medical Library
Keywords
Demographic variables
Mental health care
Mental stress
Negative workload factors
Occupational health care
Occupational hygiene
Pilot survey
Psychological stress symptoms
Psychosocial load factors
Reindeer herders
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Mental health among youth in Finland: Who is responsible? What is being done?

https://arctichealth.org/en/permalink/ahliterature301498
Source
Norden, Nordic Centre for Welfare and Social Issues.
Publication Type
Report
1 Mental health aMong youth in Finland Who is responsible? What is being done? Author: Matilda Wrede-Jantti, PhD, university lecturer in Social Work, university of helsinki 3 youth in the nordic region - Mental health, Work and education All children and young people are a huge
  1 document  
Author
Wrede-Jantti, Matilda
Source
Norden, Nordic Centre for Welfare and Social Issues.
Language
English
Geographic Location
Finland
Publication Type
Report
File Size
10932125
Keywords
Teenagers
youth
Mental health
Behavioral health
Social Welfare
Health services
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Need for psychiatric services of the Northern Finnish population

https://arctichealth.org/en/permalink/ahliterature85286
Source
Pages 251-2 in International Symposium on Circumpolar Health, 4th, Novosibirsk, USSR, 2-7 October. Scientific and Technical Progress and Circumpolar Health. Vol. 1.
Publication Type
Conference/Meeting Material
Date
1978
  1 document  
Author
E. Vaisanen
P. Niskanen
Source
Pages 251-2 in International Symposium on Circumpolar Health, 4th, Novosibirsk, USSR, 2-7 October. Scientific and Technical Progress and Circumpolar Health. Vol. 1.
Date
1978
Language
English
Geographic Location
Finland
Publication Type
Conference/Meeting Material
File Size
89608
Physical Holding
University of Alaska Anchorage
Keywords
Mental health
Behavioral health
Health care services
Notes
UAA - ALASKA RC955.5.I572 1978a vol.1
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Plan for suicide prevention among the Sami people in Norway, Sweden, and Finland.

https://arctichealth.org/en/permalink/ahliterature296242
Source
Sami Norwegian National Advisory Unit on Mental Health and Substance Abuse (SANKS) & Saami Council. 23 p.
Publication Type
Report
Date
2017
PLAN FOR SUICIDE PREVENTION AMONG THE SÀMI PEOPLE IN NORWAY, SWEDEN, AND FINLAND English Version SÀMI NORWEGIAN NATIONAL ADVISORY UNIT ON MENTAL HEALTH AND SUBSTANCE ABUSE (SANKS) & SAAMI COUNCIL 1
  1 document  
Source
Sami Norwegian National Advisory Unit on Mental Health and Substance Abuse (SANKS) & Saami Council. 23 p.
Date
2017
Language
English
Geographic Location
Finland
Norway
Sweden
Publication Type
Report
File Size
1637946
Keywords
Sami
Suicide
Prevention
Cultural identity
Discrimination
Violence
Education
Mental health
Documents
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Seasonal variation in suicide and mental depression in Finland

https://arctichealth.org/en/permalink/ahliterature76560
Source
Pages 312-315 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May, 1984. University of Washington Press, Seattle. 1985.
Publication Type
Article
Date
1985
CircumpoZar Health 84:312-315 SEASONAL VARIATION IN SUICIDE AND MENTAL DEPRESSION IN FINLAND SIMO NAYHA INTRODUCTION Since the early part of the nineteenth century it has been clear that most suicides in the north occur in the 1 i ght period of the year (1). The reasons underlying this
  1 document  
Author
Näyhä, S.
Author Affiliation
Department of Public Health Science, University of Oulu, Finland
Source
Pages 312-315 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May, 1984. University of Washington Press, Seattle. 1985.
Date
1985
Geographic Location
Finland
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
Alaska Medical Library
Keywords
Affective mental illness
Finland
Seasonal variations
Suicide
Documents
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Source
Pages 432-434 in R.J. Shephard and S. Itoh, eds. Proceedings of the Third International Symposium on Circumpolar Health, Yellowknife, Northwest Territories, 1974.
Publication Type
Article
Date
1976
ascribable , above all, to the mental and physi cal stress and strain of modern civilization the high fre quencies of symptoms found in this study are re- markable. As to psychiatric and socio-medical studies of people living in the subarctic environments, however, stress factors are not uncommon
  1 document  
Source
Pages 432-434 in R.J. Shephard and S. Itoh, eds. Proceedings of the Third International Symposium on Circumpolar Health, Yellowknife, Northwest Territories, 1974.
Date
1976
Language
English
Geographic Location
Canada
Finland
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Keywords
Caucasoid populations
Facial pain
Genetic studies
Inari Lapps
Mandibular dysfunction
Mongoloid populations
Northern Finland
Oral parafunctions
TMJ disorders
Notes
"Epidemiologic studies of facial pain and mandibular dysfunction in Lapps in northern Finland" (Martti Helkimo)
"A method of delivery of dental care in remote areas of the Canadian north" (K.W. Davey)
"Racial odontology and the origin of Skolt Lapps" (P. Kirveskari)
"Interregional comparisons of dental health in northern Canadian populations" (C.W.B. McPhail) -- paper not sumitted
"Oral pathology in 3,000-year-old skeletal Eskimo material" (Bj?rn Hedeg?rd) -- paper not submittted
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Psychological and cultural perspectives on arctic hysteria among the Skolt Lapps

https://arctichealth.org/en/permalink/ahliterature76561
Source
Pages 316-319 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May, 1984. University of Washington Press, Seattle. 1985.
Publication Type
Article
Date
1985
grandchildren deplore her Seitamo: Hysteria in Lapps 317 behavior and often ask her why she talks so rudely. She says that she doesn't remember what she has said and cannot help talking as she does. When I was interviewing her in the health center she accidentally kicked a pail, was startled by it
  1 document  
Author
Seitamo. L.
Source
Pages 316-319 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May, 1984. University of Washington Press, Seattle. 1985.
Date
1985
Geographic Location
Finland
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
Alaska Medical Library
Keywords
Arctic hysteria
Cognitive-behavioral theories
Dynamic theories
Mental disturbance
Skolt Lapps
Startle response
Documents
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Facts about Social Welfare and Health Care in Finland. 2010.

https://arctichealth.org/en/permalink/ahliterature301493
Source
National Institute for Health and Welfare, Department of Information. Helsinki.
Publication Type
Report
Date
2010
health care ................................................ 25 Treatment of mental disorders .................. 26 Legally induced abortions ......................... 27 Sterilisations ............................................. 27 7 PRIVATE SOCIAL AND HEALTH SERVICES Private providers of
  1 document  
Source
National Institute for Health and Welfare, Department of Information. Helsinki.
Date
2010
Language
English
Geographic Location
Finland
Publication Type
Report
File Size
1185214
Keywords
Health care
Social services
Children
Elderly
Families
People with disabilities
Abstract
Facts about Social Welfare and Health Care in Finland includes information from the late 1980s to 2010 on health behaviour, social welfare services, alcohol and drugs, health care services, social assistance, personnel and expenditures. The data come primarily from THL’s statistics, registers and surveys, but also from for instance the databases of Statistics Finland and the Social Insurance Institution. In addition, international information has been obtained among others from, OECD and Eurostat. More detailed statistical information on social and health care can be obtained from, among others, the Statistical Yearbook on Social Welfare and Health Care and the SOTKAnet Indicator Bank
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Finnish health and social welfare registers in epidemiological research

https://arctichealth.org/en/permalink/ahliterature301496
Source
Norsk Epidemiologi 2004; 14 (1): 113-120
Publication Type
Article
Date
2004
children taken into custody, and in 1994 the Hospital Discharge Register (re-named as the Care Register) was widened to cover all social institutions, such as elderly care homes and institutions for the mentally disabled. In addition to the specific health and social welfare registers, many other
  1 document  
Author
Gissler, Mika
Haukka, Jari
Source
Norsk Epidemiologi 2004; 14 (1): 113-120
Date
2004
Language
English
Geographic Location
Finland
Publication Type
Article
File Size
184289
Keywords
Health registers
Data protection
Personal identification numbers
Research data
Abstract
Finland introduced a personal identification number system in 1964, and since then practically all administrative registers have included this unique identification code. Currently Finland has strict data protection laws, which prohibit the collection of sensitive health and social information. Health data that includes identifiers can be gathered by obtaining informed consent from the patients or clients, or under special legislation. An important exemption of this general principle, however, is the collection and use of such data for statistical and scientific purposes, for example in epidemiological studies. Thus, these registers can be used as a basis when trying to improve health, welfare, health services, and social welfare services. This article describes the health and social welfare register system and data protection legislation in Finland, and gives some examples on epidemiological register studies. This article also presents methods for promoting register research, including the newly launched Finnish Information Centre for Register Research.
Documents

284-Article-Text-1058-1-10-20091014.pdf

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The Finnish Health Care System: a value-based perspective.

https://arctichealth.org/en/permalink/ahliterature301495
Source
Helsinki. Sitra, the Finnish Innovation Fund, reports 82. 115 pages.
Publication Type
Report
Date
2009
costly complications, and payers cut back on mental health or social services, which then creates the need for expensive inpatient or institutional care. In the near term, costs may in fact decrease. Over the longer term, costs are higher and outcomes are worse. In the medium and long run, the best
  1 document  
Author
Juha Teperi
Michael E. Porter
Lauri Vuorenkoski
Jennifer F. Baron
Source
Helsinki. Sitra, the Finnish Innovation Fund, reports 82. 115 pages.
Date
2009
Language
English
Geographic Location
Finland
Publication Type
Report
File Size
526727
Keywords
Value-based delivery
Health care coverage
Health care delivery
Notes
ISBN 978-951-563-658-4 (paperback) ISSN 1457-571X (paperback)
Documents

finnish_health_care_system_sitra2009_78584c8b-10c4-4206-9f9a-441bf8be1a2c.pdf

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Experiences in maternal and child health services in a Nordic country.

https://arctichealth.org/en/permalink/ahliterature76568
Source
Pages 363-368 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May, 1984. University of Washington Press, Seattle. 1985.
Publication Type
Article
Date
1985
postpartum period. All expectant mothers received free pregnancy and childbirth education, supervision, and counseling in the promotion of good physical and mental health. Fathers-to-be also participated in the family training program (3). The year 1944 was thus a turning point for health care in
  1 document  
Author
Hultin, H.
Author Affiliation
Department of Public Health Sciences, University of Helsinki, Finland
Source
Pages 363-368 in R. Fortuine, ed. Circumpolar Health 84. Proceedings of the International Symposium on Circumpolar Health, 6th, Anchorage, 13-18 May, 1984. University of Washington Press, Seattle. 1985.
Date
1985
Geographic Location
Finland
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
Alaska Medical Library
Keywords
Finland
Immunization
Infant mortality rates
Maternal and child health (MCH) services
Vaccination
Vital statistics
Documents
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Structural racism and Indigenous health: a critical reflection of Canada and Finland.

https://arctichealth.org/en/permalink/ahliterature301485
Source
University of Oulu Graduate School, Faculty of Medicine, Thule Institute. ACTA Universitatis Ouluensis D Medica 1413.
Publication Type
Dissertation
Date
2017
’, definitions of health. Indigenous peoples' concept of health and survival is both a collective and an individual inter-generational continuum encompassing a wholistic perspective incorporating four distinct shared dimensions of life. These dimensions are the spiritual, the intellectual/mental, physical
  1 document  
Author
Juutilainen, Sandra Alexis
Source
University of Oulu Graduate School, Faculty of Medicine, Thule Institute. ACTA Universitatis Ouluensis D Medica 1413.
Date
2017
Language
English
Geographic Location
Canada
Finland
Publication Type
Dissertation
File Size
4109889
Keywords
Boarding schools
Health inequality
Indigenous peoples
Research ethics
Structural racism
Abstract
The purpose of the study was to broaden understanding of structural racism by examining the relationships between Indigenous peoples and nation-states in the context of education and how this affects Indigenous lives. This thesis delves into understanding both the theoretical and methodological contributions that more critical analyses can have on: the role of de-colonial approaches to Indigenous health research methodologies so that the most urgent health inequities are addressed through more rigorous and Indigenous specific research processes; and to improve our understanding of the complex interactions that historical and contemporary legacies of residential schools and boarding schools have on the health and well-being of Indigenous populations in Canada and Finland.
The research design was a qualitative multiple case study informed by a public health critical race praxis. The study was completed in two phases; consisting of a literature study using content analysis of Indigenous research ethics protocols and policies, in Canada and the Nordic countries; and, three case studies developed from open ended questions from structured interview research comparing discriminatory experiences and its impact on self-perceived health with participants from Six Nations of the Grand River, Canada (n = 25) and the Sámi in Inari, Finland (n = 20); and their family members. The case studies were analyzed using both Western and Indigenous methodologies.
Results of Phase one shows how Indigenous resistance to colonial structures within academia in Canada and Finland has resulted in dialogical processes to create an ethical space for working between the differing worldviews of academia and Indigenous communities with the aim to produce ethically valid knowledge. Phase two results shows that regardless of contextual differences of the experiences in Canada and Finland, the main parallel outcomes are similar, i.e. the teachings of shame received in these educational environments. This produces both vulnerabilities and resiliencies and the negative effects of shame require an ongoing healing journey for both individuals and their families and communities at large.
Conclusion: For a more in depth understanding of structural racism and its influence on Indigenous health, investigations require methodological choices by both Western and Indigenous methodologies.
Notes
Academic dissertation to be presented with the assent of the Doctoral Training Committee of Health and Biosciences of the University of Oulu for public defence in Kuusamonsali (YB210), Linnanmaa, on 19 May 2017, at 12 noon
ISBN 978-952-62-1551-8 (Paperback) ISBN 978-952-62-1552-5 (PDF)
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Proposal for ethical guidelines for Sami health research and research on Sami human biological material.

https://arctichealth.org/en/permalink/ahliterature296261
Source
The Samediggi - The Sami Parliament in Norway. 50 p.
Publication Type
Report
Date
[2016]
student, Sámi National Competence Center for Mental Health Services (SANKS), Finnmark Hospital and the Centre for Sámi Health Research, UiT - The Arctic University of Norway/University of Umeå, Sweden. ● Heidi Anita Eriksen, municipal physician, Utsjohki Municipality, Finland. ● Isalill Simonsen
  1 document  
Source
The Samediggi - The Sami Parliament in Norway. 50 p.
Date
[2016]
Language
English
Geographic Location
Finland
Norway
Sweden
Publication Type
Report
File Size
3643975
Keywords
Sami
Health Research
Ethical guidelines
Consent
Human biological material
Documents

Proposal-for-Ethical-Guidelines-for-Smi-Health-Research-and-Research-on-Smi-Human-Biological-Material.pdf

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Tobacco and health: A study of young adults in Northern Finland.

https://arctichealth.org/en/permalink/ahliterature301494
Source
University of Oulu Graduate School. Faculty of Medicine; Lapland Central Hospital. ACTA Universitatis Ouluensis D Medica 1352.
Publication Type
Dissertation
Date
2016
S I S MEDICA ACTA D D 1352 AC TA A nna Tuisku OULU 2016 D 1352 Anna Tuisku TOBACCO AND HEALTH A STUDY OF YOUNG ADULTS IN NORTHERN FINLAND UNIVERSITY OF OULU GRADUATE SCHOOL; UNIVERSITY OF OULU, FACULTY OF MEDICINE; LAPLAND CENTRAL HOSPITAL A C T A U N I V E R S I T A T I S O U L U
  1 document  
Author
Tuisku, Anna
Source
University of Oulu Graduate School. Faculty of Medicine; Lapland Central Hospital. ACTA Universitatis Ouluensis D Medica 1352.
Date
2016
Language
English
Geographic Location
Finland
Publication Type
Dissertation
File Size
916631
Keywords
Tobacco use
Health
Young adults
Chronic bronchitis
Nicotine dependence
Physical Fitness
Smokeless tobacco
Smoking cessation pharmacotherapy
Abstract
Although smoking in adolescents and young adults has been declining in the 21st century in Finland, about 17% of 18-year-olds still smoke on a daily basis. Young adults are in fact one of the age groups that are most likely to smoke in several countries. Nevertheless, a large proportion of them are known to want to quit smoking.
Relatively little is known about the smoking habits of young adults. There are no evidencebased guidelines for smoking cessation in this age group. In many cases, they have been included within studies of adolescents or older adults without any separate analysis. Consequently, smoking cessation interventions demonstrated to be effective in middle-aged smokers are often adapted for young adults even though their culture, somatic features and smoking habits in many ways are different from those of middle-aged people.
This study focused on 18–26-year-olds in northern parts of Finland. Specific aims were 1) to describe their smoking habits, 2) to compare health and lifestyle in tobacco users and non-tobacco users, 3) to study their nicotine dependence and motivation to quit smoking, and 4) to examine the use and effectiveness of smoking cessation pharmacotherapy in this age group.
A total of 1163 male military recruits from northern parts of Finland filled in the study questionnaire. The survey study revealed that young adult males in northern parts of the country used tobacco products relatively often. Their smoking was associated with lower education, higher body mass index, inactivity in sports and impaired physical fitness. In addition, a great part of young smokers displayed symptoms of chronic bronchitis. Although most daily smokers were clearly dependent on nicotine and had previously tried to quit smoking, only 47% of the quitters had utilized any pharmacological aids in their attempts. Snus use seemed to be related to more severe nicotine dependence in smokers.
The prospective study consisted of 314 voluntary young adult daily smokers who were motivated to quit smoking. The study was a randomised, placebo-controlled clinical trial, and the results indicated that varenicline might be more effective than nicotine patches in smoking cessation of young adult heavy smokers, at least in short term. Abstinence rates during the followup were similar when the nicotine patch and placebo patch were compared in young adult light smokers.
Notes
Academic dissertation to be presented with the assent of the Doctoral Training Committee of Health and Biosciences of the University of Oulu for public defence in Auditorium F201 of the Faculty of Medicine, on 22 April 2016, at 12 noon
ISBN 978-952-62-1154-1 (Paperback) ISBN 978-952-62-1156-5 (PDF)
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5db82094431595439ab42a80a1a61e6dc533.pdf

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The health of the Finnish Sami in light of mortality and cancer pattern.

https://arctichealth.org/en/permalink/ahliterature296244
Source
University of Helsinki, Faculty of Medicine Department of Public Health. 197 p.
Publication Type
Dissertation
Date
2015
University of Helsinki, Faculty of Medicine Department of Public Health THE HEALTH OF THE FINNISH SAMI IN LIGHT OF MORTALITY AND CANCER PATTERN Leena Soininen ACADEMIC DISSERTATION To be presented, with the permission of the Faculty of Medicine, University of Helsinki, for public
  1 document  
Author
Soininen, Leena.
Source
University of Helsinki, Faculty of Medicine Department of Public Health. 197 p.
Date
2015
Language
English
Geographic Location
Finland
Publication Type
Dissertation
File Size
2190774
Keywords
Sami
Ethnicity
Cancer
Mortality
Accidents
Abstract
Objectives. The Sami are regarded as indigenous people of Scandinavia and northwest Russia. Their traditional dwelling zone consists of the most northern parts of those countries. The Sami consist of rather small groups that have been living in isolation for a long time in harsh circumstances. Because there was not much data about the health and diseases of these Finnish ethnic minorities, the health of the Sami is the object of this dissertation, approached in terms of cause specific mortality, cancer incidence and the cancer patient survival.
Material and methods. All persons living in the two northern municipalities of Finland (Inari and Utsjoki) on 31st December 1978 were identified from the National Population Register. The Sami cohort was extracted from that by using the grouping of Sami of the International Biological Program, Human Health Adaptability-study. Dates of death and emigration of the cohort members were obtained from the Population Register. Follow-up for cancer through the files of the population-based countrywide Finnish Cancer Registry was done using the personal identification code as the key. The first period of the follow-up for mortality and cancer started on 1st January 1979 and ended at death or on 31st December 2005 (Study I, mortality), on 31st December 1998 (Study II, cancer), and on 31th December 2009 (Study IV, survival of cancer patients). The second period started on 1st January 2006 and ended 31st December 2010 (Study I) and Study II started on 1st January 1999, and ended on 31st December 2010. In Study III, a comparison of several cancer studies from Finland, Sweden and Norway from different time periods between the years 1961–2006 was made. A person representing at least 75 per cent of any ethnic group of Sami was classified as Sami. A non-Sami is a person without any Sami ethnicity, and the remaining persons were classified into the mixed group. The Sami group was divided into subcategories of North Sami, Inari Sami and Skolt Sami with the same principle: to be classified in a specific Sami subgroup, a person had to represent at least 75 per cent of this type of the three specific Sami ethnicity. In Study III, in Sweden and Norway the defining of Sami people for epidemiological studies has been different. In Sweden, all possible registers have been combined to find the Sami, and in Norway, the defining is concentrated to the Sami counties and the interview. In all countries, the Sami have mixed more or less with the main population, and therefore the Finnish cohort was recalculated for Study III. The Finnish cohort in that study has included all Sami with 1–100% of Saminess.
Notes
ISBN 978-951-51-1111-1 (pbk.)
ISBN 978-951-51-1118-2 (PDF)
Documents

THEHEALTHO_korjattu.pdf

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Biomonitoring and Studying the Nutrition of Mothers and Newborn in the Finnish Lapland. AMAP Human Health.

https://arctichealth.org/en/permalink/ahliterature301258
Source
Lapland Regional Environment Centre, Ministry of the Environment. Regional Environmental Publications 389.
Publication Type
Book/Book Chapter
Date
2005
R e g i o n a l E n v i r o n m e n t a l P u b l i c a t i o n sR e g i o n a l E n v i r o n m e n t a l P u b l i c a t i o n s AMAP Human Health Biomonitoring and Studying the Nutrition of Mothers and Newborn in the Finnish Lapland Leena Soininen, Helena Mussalo-Rauhamaa and Sari
  1 document  
Author
Leena Soininen
Helena Mussalo-Rauhamaa
Sari Hyvönen
Source
Lapland Regional Environment Centre, Ministry of the Environment. Regional Environmental Publications 389.
Date
2005
Geographic Location
Finland
Publication Type
Book/Book Chapter
File Size
2236287
Keywords
Lapland
Mothers
Newborn infants
Maternal blood
Newborn cord blood
Mercury
Lead
Cadmium
Environmental Pollutants
Traditional diet
Nutrition
Abstract
In connection to the international Arctic study the Arctic Monitoring and Assessment Project, Human Health (AMAP/HH), 150 mothers and their newborn infants were studied. The following studies were conducted: maternal blood mercury, lead, and cadmium concentrations, and newborn cord blood mercury, lead, and cadmium concentration. From both the maternal plasma and cord plasma the levels of selenium, zinc, copper, 15 different polychlorinated biphenyl compounds (PCB congeners), and 11 pesticides or Persistent Organic Pollutants (POP) were measured. Arsenic and nickel were analysed from maternal and newborn urine. The exposure to environmental pollutants was calculated by using the frequency method and diary method. Furthermore, the concentrations of pollutants and nutrients in the Lappish diet were discussed.
The geometric mean of the maternal whole blood mercury concentration was 1.4 µg/l and the cord blood mercury concentration 1.9 µg/l. The mean maternal blood lead concentration was 11.3 µg/l. The mean maternal and cord blood cadmium concentration was below detection level. The maternal urine creatinine adjusted nickel concentration was 0.68 µg/l and in the newborn urine 1.16 µg/l. The corresponding arsenic concentrations were 8.71 µg/l for the mothers and 8.27 µg/l for the newborn. Organic chlorinated compounds and PCB compounds were measured from several combined specimen pools. The concentrations were low. In addition, the calculated supply of pollutants was low. Furthermore, some nutritional deficiencies were found, as usually expected.
There were no significant differences between the frequency method and the diary method concerning the food calculation results. A few differences were found between the results of, for example, fats, sugar, fibres, and certain vitamins. The local produce in Lapland is non-polluted and recommended to the population. The pregnant women need advise on a healthy and diverse diet.
Notes
ISBN 952-11-2000-2
ISBN 952-11-2001-0 (PDF)
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