Skip header and navigation
Did you mean name:"Pekka mäntyselkä"? Also try mäntyselkä.

Refine By

23 records – page 1 of 3.

Access to and continuity of primary medical care of different providers as perceived by the Finnish population.

https://arctichealth.org/en/permalink/ahliterature164689
Source
Scand J Prim Health Care. 2007 Mar;25(1):27-32
Publication Type
Article
Date
Mar-2007
Author
Pekka Mäntyselkä
Pirjo Halonen
Arto Vehviläinen
Jorma Takala
Esko Kumpusalo
Author Affiliation
Department of Public Health and Clinical Nutrition, Unit of Family Practice, University of Kuopio, Kuopio, Finland. pekka.mantyselka@uku.fi
Source
Scand J Prim Health Care. 2007 Mar;25(1):27-32
Date
Mar-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Chronic Disease - therapy
Community Health Centers - standards - statistics & numerical data
Continuity of Patient Care
Family Practice - standards - statistics & numerical data
Finland
Health Services Accessibility
Humans
Middle Aged
Occupational Health Services - standards - statistics & numerical data
Patient satisfaction
Primary Health Care - standards - statistics & numerical data
Private Sector
Public Sector
Questionnaires
Abstract
To study people's views on the accessibility and continuity of primary medical care provided by different providers: a public primary healthcare centre (PPHC), occupational healthcare (OHC), and a private practice (PP).
A nationwide population-based questionnaire study.
Finland.
A total of 6437 (from a sample of 10,000) Finns aged 15-74 years.
Period of time (in days) to get an appointment with any physician was assessed via a single structured question. Accessibility and continuity were evaluated with a five-category Likert scale. Values 4-5 were regarded as good.
Altogether 72% had found that they could obtain an appointment with a physician within three days, while 6% had to wait more than two weeks. Older subjects and subjects with chronic diseases perceived waiting times as longer more often than younger subjects and those without chronic diseases. The proportion of subjects who perceived access to care to be good was 35% in a PPHC, 68% in OHC, and 78% in a PP. The proportion of subjects who were able to get successive appointments with the same doctor was 45% in a PPHC, 68% in OHC, and 81% in a PP. A personal doctor system was related to good continuity and access in a PPHC.
Access to and continuity of care in Finland are suboptimal for people suffering from chronic diseases. The core features of good primary healthcare are still not available within the medical care provided by public health centres.
Notes
Cites: Fam Pract. 2000 Jun;17(3):236-4210846142
Cites: Br J Gen Pract. 2000 Nov;50(460):882-711141874
Cites: Scand J Prim Health Care. 2001 Jun;19(2):131-4411482415
Cites: Br J Gen Pract. 2002 Jun;52(479):459-6212051209
Cites: Health Serv Res. 2002 Oct;37(5):1403-1712479503
Cites: Scand J Prim Health Care. 2006 Sep;24(3):140-416923622
Cites: Scand J Prim Health Care. 1992 Dec;10(4):290-41480869
Cites: J Fam Pract. 2004 Dec;53(12):974-8015581440
Cites: CMAJ. 2006 Jan 17;174(2):177-8316415462
Cites: Scand J Prim Health Care. 2006 Mar;24(1):1-216464807
Cites: Ann Fam Med. 2003 Sep-Oct;1(3):149-5515043376
PubMed ID
17354156 View in PubMed
Less detail

Anticholinergic drug use and its association with self-reported symptoms among older persons with and without diabetes.

https://arctichealth.org/en/permalink/ahliterature298928
Source
J Clin Pharm Ther. 2019 Apr; 44(2):229-235
Publication Type
Journal Article
Date
Apr-2019
Author
Niina-Mari Inkeri
Merja Karjalainen
Maija Haanpää
Hannu Kautiainen
Juha Saltevo
Pekka Mäntyselkä
Miia Tiihonen
Author Affiliation
School of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Source
J Clin Pharm Ther. 2019 Apr; 44(2):229-235
Date
Apr-2019
Language
English
Publication Type
Journal Article
Keywords
Aged
Aged, 80 and over
Cholinergic Antagonists - adverse effects - therapeutic use
Cohort Studies
Cross-Sectional Studies
Diabetes Mellitus - epidemiology
Female
Finland
Humans
Independent living
Male
Practice Patterns, Physicians' - statistics & numerical data
Primary Health Care
Self Report
Surveys and Questionnaires
Abstract
Anticholinergic drug use has been associated with a risk of central and peripheral adverse effects. There is a lack of information on anticholinergic drug use in persons with diabetes. The aim of this study is to investigate anticholinergic drug use and the association between anticholinergic drug use and self-reported symptoms in older community-dwelling persons with and without diabetes.
The basic population was comprised of Finnish community-dwelling primary care patients aged 65 and older. Persons with diabetes were identified according to the ICD-10 diagnostic codes from electronic patient records. Two controls adjusted by age and gender were selected for each person with diabetes. This cross-sectional study was based on electronic primary care patient records and a structured health questionnaire. The health questionnaire was returned by 430 (81.6%) persons with diabetes and 654 (73.5%) persons without diabetes. Data on prescribed drugs were obtained from the electronic patient records. Anticholinergic drug use was measured according to the Anticholinergic Risk Scale. The presence and strength of anticholinergic symptoms were asked in the health questionnaire.
The prevalence of anticholinergic drug use was 8.9% in the total study cohort. There were no significant differences in anticholinergic drug use between persons with and without diabetes. There was no consistent association between anticholinergic drug use and self-reported symptoms.
There is no difference in anticholinergic drug use in older community-dwelling persons with and without diabetes. Anticholinergic drug use should be considered individually and monitored carefully.
PubMed ID
30315583 View in PubMed
Less detail

Association between suicidal behaviour and impaired glucose metabolism in depressive disorders.

https://arctichealth.org/en/permalink/ahliterature269531
Source
BMC Psychiatry. 2015;15:163
Publication Type
Article
Date
2015
Author
Hannu Koponen
Hannu Kautiainen
Esa Leppänen
Pekka Mäntyselkä
Mauno Vanhala
Source
BMC Psychiatry. 2015;15:163
Date
2015
Language
English
Publication Type
Article
Keywords
Adult
Aged
Antidepressive Agents - therapeutic use
Depressive Disorder, Major - drug therapy - psychology
Epidemiologic Methods
Female
Finland
Humans
Insulin Resistance - physiology
Male
Metabolic Syndrome X - psychology
Middle Aged
Personality Inventory
Suicidal ideation
Suicide, Attempted - psychology - statistics & numerical data
Abstract
Disturbances in lipid metabolism have been linked to suicidal behaviour, but little is known about the association between suicide risk and abnormal glucose metabolism in depression. Hyperglycaemia and hyperinsulinaemia may increase the risk of depression and also the risk for suicide, we therefore studied associations between suicidal behaviour and disturbances in glucose metabolism in depressive patients who had been referred to depression nurse case managers.
Patients aged 35 years and older (N = 448, mean age 51 years) who were experiencing a new depressive episode, who were referred to depression nurse case managers in 2008-2009 and who scored =10 on the Beck Depression Inventory were enrolled in this study. The study was conducted in municipalities within the Central Finland Hospital District (catchment area of 274 000 inhabitants) as part of the Finnish Depression and Metabolic Syndrome in Adults study. The patients' psychiatric diagnoses and suicidal behaviour were confirmed by the Mini-International Neuropsychiatric Interview. Blood samples, for glucose and lipid determinations, were drawn from participants after 12 h of fasting, which was followed by a 2-hour oral glucose tolerance test (OGTT) when blood was drawn at 0 and 2 h. Insulin resistance was measured by the Quantitative Insulin Sensitivity Check Index (QUICKI) method.
Suicidal ideation (49 %) and previous suicide attempts (16 %) were common in patients with major depressive disorder or dysthymia. Patients with depression and suicidal behaviour had higher blood glucose concentrations at baseline and at 2 hours in the OGTT. Glucose levels associated positively with the prevalence of suicidal behaviour, and the linearity was significant at baseline (p for linearity: 0.012, adjusted for age and sex) and for 2-hour OGTT glucose (p for linearity: 0.004, adjusted for age and sex). QUICKI levels associated with suicidal behavior (p for linearity across tertiles of QUICKI: 0.026). Total and LDL cholesterol and triglyceride levels were also higher in those patients with suicidal behaviour. Multivariate analysis revealed that blood glucose levels, BDI scores and antidepressive medications associated with suicidal behaviour.
Insulin resistance and disturbances in glucose and lipid metabolism may be more common in middle-aged depressive patients with suicidal behaviour.
Notes
Cites: Am J Psychiatry. 2000 Apr;157(4):648-5010739432
Cites: J Clin Endocrinol Metab. 2000 Jul;85(7):2402-1010902785
Cites: Br J Psychiatry. 2001 Oct;179:308-1611581110
Cites: J Clin Endocrinol Metab. 2001 Nov;86(11):5457-6411701722
Cites: Am J Psychiatry. 2003 Apr;160(4):773-912668368
Cites: JAMA. 2003 Jun 18;289(23):3095-10512813115
Cites: Br J Psychiatry. 2003 Nov;183:382-314594911
Cites: J Clin Psychiatry. 2003 Sep;64(9):1094-10014628986
Cites: Arch Gen Psychiatry. 1994 Jan;51(1):8-198279933
Cites: BMJ. 1995 May 27;310(6991):1366-77787539
Cites: Arch Gen Psychiatry. 1961 Jun;4:561-7113688369
Cites: Neurosci Biobehav Rev. 2005;29(4-5):891-90915885777
Cites: J Clin Endocrinol Metab. 2006 Feb;91(2):718-2116303834
Cites: Atherosclerosis. 2009 Jan;202(1):263-7118501910
Cites: J Psychosom Res. 2009 Apr;66(4):277-8519302884
Cites: Lancet. 2010 Feb 27;375(9716):735-4220167359
Cites: Schizophr Res. 2010 Dec;124(1-3):22-820934306
Cites: Diabetes Care. 2011 Jan;34(1):71-620929992
Cites: Psychosom Med. 2011 Feb-Mar;73(2):114-2621257974
Cites: Prog Neuropsychopharmacol Biol Psychiatry. 2011 Apr 29;35(3):664-7520599581
Cites: Psychiatry Res. 2011 Jun 30;188(1):83-721112642
Cites: Brain Behav Immun. 2011 Aug;25(6):1272-821605657
Cites: J Affect Disord. 2011 Sep;133(1-2):234-821521628
Cites: J Affect Disord. 2011 Dec;135(1-3):115-2121802743
Cites: J Affect Disord. 2012 Feb;136(3):386-9222166399
Cites: Clin Chim Acta. 2012 Aug 16;413(15-16):1163-7022521751
Cites: J Affect Disord. 2012 Dec 1;141(1):72-822391518
Cites: Acta Diabetol. 2012 Dec;49 Suppl 1:S227-3423064949
Cites: Diabetes Care. 2013 Feb;36(2):480-923349152
Cites: Psychoneuroendocrinology. 2013 Feb;38(2):209-1822717171
Cites: Diabet Med. 2013 Mar;30(3):e115-2223181742
Cites: Diabetes Care. 2013 Apr;36(4):928-3423230097
Cites: J Affect Disord. 2013 Sep 25;150(3):736-4423870425
Cites: Diabetes Res Clin Pract. 2013 Sep;101(3):e14-723871574
Cites: Eur Neuropsychopharmacol. 2013 Dec;23(12):1672-8623896009
Cites: Psychoneuroendocrinology. 2014 Mar;41:46-6224495607
PubMed ID
26199013 View in PubMed
Less detail

Association between vitamin b12 levels and melancholic depressive symptoms: a Finnish population-based study.

https://arctichealth.org/en/permalink/ahliterature259549
Source
BMC Psychiatry. 2013;13:145
Publication Type
Article
Date
2013
Author
Jussi Seppälä
Hannu Koponen
Hannu Kautiainen
Johan G Eriksson
Olli Kampman
Jaana Leiviskä
Satu Männistö
Pekka Mäntyselkä
Heikki Oksa
Yrjö Ovaskainen
Merja Viikki
Mauno Vanhala
Source
BMC Psychiatry. 2013;13:145
Date
2013
Language
English
Publication Type
Article
Keywords
Aged
Depression - blood
Female
Finland
Humans
Male
Middle Aged
Registries
Vitamin B 12 - blood
Abstract
An association between vitamin B12 levels and depressive symptoms (DS) has been reported in several epidemiological studies. The purpose of this study was to evaluate vitamin B12 levels in population-based samples with melancholic or non-melancholic DS as the relationship between vitamin B12 levels and different subtypes of DS has not been evaluated in previous studies.
Subjects without previously known type 2 diabetes, aged 45-74 years were randomly selected from the National Population Register as a part of the Finnish diabetes prevention programme (FIN-D2D). The study population (N?=?2806, participation rate 62%) consisted of 1328 men and 1478 women. The health examinations were carried out between October and December 2007 according to the WHO MONICA protocol. The assessment of DS was based on the Beck Depression Inventory (BDI, cut-off =10 points). A DSM-IV- criteria based summary score of melancholic items in the BDI was used in dividing the participants with DS (N?=?429) into melancholic (N?=?138) and non-melancholic DS (N?=?291) subgroups. In the statistical analysis we used chi-squared test, t-test, permutation test, analysis of covariance, multivariate logistic regression analysis and multinomial regression model.
The mean vitamin B12 level was 331±176 pmol/L in those without DS while the subjects with non-melancholic DS had a mean vitamin B12 level of 324 ± 135 pmol/L, and those with melancholic DS had the lowest mean vitamin B12 level of 292±112 pmol/L (p?
Notes
Cites: J Am Geriatr Soc. 2009 May;57(5):871-619484842
Cites: Acta Psychiatr Scand. 2010 Jan;121(1):80; author reply 8020059455
Cites: Neuro Endocrinol Lett. 2009;30(5):564-7320035251
Cites: J Affect Disord. 2010 Jun;123(1-3):150-719698995
Cites: World J Biol Psychiatry. 2010 Sep;11(6):834-920632843
Cites: Psychosom Med. 2010 Nov;72(9):862-7320841559
Cites: Prev Med. 2010 Dec;51(6):466-7020854837
Cites: Diabetes Care. 2011 Jan;34(1):71-620929992
Cites: Am J Clin Nutr. 2011 Oct;94(4):1079-8721900461
Cites: J Affect Disord. 2012 Feb;136(3):543-922119085
Cites: J Affect Disord. 2012 May;138(3):473-822353381
Cites: J Am Coll Nutr. 2000 Feb;19(1):68-7610682878
Cites: Am J Psychiatry. 2000 May;157(5):715-2110784463
Cites: J Neurol Neurosurg Psychiatry. 2000 Aug;69(2):228-3210896698
Cites: J Psychosom Res. 2000 Sep;49(3):183-711110989
Cites: Clin Chim Acta. 2002 Dec;326(1-2):47-5912417096
Cites: Am J Psychiatry. 2002 Dec;159(12):2099-10112450964
Cites: J Affect Disord. 2003 Feb;73(3):245-5212547293
Cites: Psychother Psychosom. 2003 Mar-Apr;72(2):80-712601225
Cites: Arch Gen Psychiatry. 2003 Jun;60(6):618-2612796225
Cites: Nord J Psychiatry. 2004;58(1):49-5314985154
Cites: Br J Psychiatry. 2004 May;184:386-9215123501
Cites: BMC Psychiatry. 2003 Dec 2;3:1714641930
Cites: J Affect Disord. 2004 Sep;81(3):269-7315337331
Cites: Acta Psychiatr Scand. 1979 Feb;59(2):145-52420034
Cites: J Clin Epidemiol. 1988;41(2):105-143335877
Cites: Blood. 1990 Sep 1;76(5):871-812393714
Cites: J Am Geriatr Soc. 1991 Mar;39(3):252-72005338
Cites: Arch Gen Psychiatry. 1994 Jan;51(1):8-198279933
Cites: Am J Psychiatry. 1994 Apr;151(4):489-988147445
Cites: Aging (Milano). 1997 Aug;9(4):241-579359935
Cites: J Clin Psychol. 1999 Jan;55(1):117-2810100838
Cites: Arch Gen Psychiatry. 1961 Jun;4:561-7113688369
Cites: Prev Med. 2004 Dec;39(6):1256-6615539065
Cites: Psychol Med. 2005 Apr;35(4):529-3815856723
Cites: Prog Neuropsychopharmacol Biol Psychiatry. 2005 Sep;29(7):1103-1216109454
Cites: Mol Psychiatry. 2006 Oct;11(10):929-3316702975
Cites: Age Ageing. 2007 Mar;36(2):177-8317189285
Cites: Diabetes Care. 2007 Apr;30(4):872-717392548
Cites: Int J Circumpolar Health. 2007 Apr;66(2):101-1217515250
Cites: Br J Psychiatry. 2008 Apr;192(4):268-7418378986
Cites: Soc Sci Med. 2008 Dec;67(11):1907-1618930340
Cites: Acta Psychiatr Scand. 2009 Feb;119(2):137-4219016666
Cites: Psychiatry Res. 2009 May 15;167(1-2):73-919346005
PubMed ID
23705786 View in PubMed
Less detail

Concomitant use of analgesics and psychotropics in home-dwelling elderly people-Kuopio 75 + study.

https://arctichealth.org/en/permalink/ahliterature173209
Source
Br J Clin Pharmacol. 2005 Sep;60(3):306-10
Publication Type
Article
Date
Sep-2005
Author
Sirpa Hartikainen
Pekka Mäntyselkä
Kirsti Louhivuori-Laako
Hannes Enlund
Raimo Sulkava
Author Affiliation
Division of Geriatrics, Department of Public Health and General Practice, University of Kuopio, Kuopio, Finland. Sirpa.Hartikainen@uku.fi
Source
Br J Clin Pharmacol. 2005 Sep;60(3):306-10
Date
Sep-2005
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Aged, 80 and over
Analgesics - therapeutic use
Cross-Sectional Studies
Female
Finland
Homebound Persons
Humans
Male
Pain - drug therapy
Psychotropic Drugs - therapeutic use
Abstract
To investigate the extent of concomitant use of analgesic and psychotropic medicines among home-dwelling elderly people aged at least 75 years in Finland.
This was a population-based study in Finland, performed as part of Kuopio 75 + study focusing on the clinical epidemiology of diseases, medication and functional capacity. A random sample of 700 persons was drawn from the total population of the city of Kuopio, eastern Finland, aged 75 years on January 1, 1998 (n = 4518). Ninety-nine persons could not be examined and 78 were living in long-term institutions, so that the number of home-dwelling elderly persons amounted to 523. A trained nurse interviewed the participants about their use of medicines, and a geriatrician examined their overall physical and mental status. Dementia and depression were diagnosed according to the DSM IV criteria. Both regular and irregular prescribed and nonprescribed drug use was recorded.
Every fourth elderly person (27.2%) used analgesics and psychotropics concomitantly, this use becoming twice as common with advancing age (19.6% in the age group 75-79 years, 38.2% among the oldest, aged 85 + years). Concomitant use of psychotropics and opioids also became more common with increasing age (2.8% in age group 75-79 years and 9.6% in the oldest group, aged 85 + years). The use of opioids was nearly twice as common among concomitant users (19.7%) than among those using only analgesics (11.3%). Concomitant users suffered from interfering daily pain and daily pain at rest more commonly than nonusers of analgesics. Depression, sleeping problems and polypharmacy were more common among the concomitant users, who had also had more hip fractures than the rest.
Concomitant use of analgesics and psychotropics becomes more common with advancing age and is a potential risk factor for adverse drug effects.
Notes
Cites: Int J Geriatr Psychiatry. 2002 Sep;17(9):874-8312221663
Cites: J Korean Med Sci. 2002 Feb;17(1):65-7011850591
Cites: J Am Geriatr Soc. 2002 Nov;50(11):1861-512410908
Cites: Ageing Res Rev. 2003 Jan;2(1):57-9312437996
Cites: Epidemiology. 2003 Mar;14(2):240-612606892
Cites: Drugs. 2003;63(6):525-3412656651
Cites: Int Clin Psychopharmacol. 2003 May;18(3):163-712702896
Cites: Int J Geriatr Psychiatry. 2003 Dec;18(12):1135-4114677146
Cites: Eur J Clin Pharmacol. 2004 Jan;59(11):849-5014652704
Cites: J Psychiatr Res. 1975 Nov;12(3):189-981202204
Cites: J Gerontol. 1992 Jul;47(4):M111-51624693
Cites: Med J Aust. 1993 Mar 15;158(6):414-78479356
Cites: Lancet. 1998 May 2;351(9112):1303-79643791
Cites: Am J Epidemiol. 1998 Nov 1;148(9):887-929801019
Cites: Br J Clin Pharmacol. 1998 Dec;46(6):531-39862240
Cites: Ann Pharmacother. 2005 Jan;39(1):11-615598966
Cites: Am J Epidemiol. 2000 Mar 1;151(5):488-9610707917
Cites: J Am Geriatr Soc. 2000 Sep;48(9):1073-910983906
Cites: Drugs Aging. 2001;18(1):45-6111232738
Cites: Med Care. 2001 May;39(5):425-3511317091
Cites: Ann Intern Med. 2001 Oct 16;135(8 Pt 2):731-511601956
Cites: J Clin Epidemiol. 2001 Nov;54(11):1181-611675171
Cites: Arch Intern Med. 2001 Dec 10-24;161(22):2721-411732938
Cites: Pain. 2002 Jan;95(1-2):75-8211790469
Cites: J Clin Psychiatry. 2002 Sep;63(9):817-2512363124
PubMed ID
16120070 View in PubMed
Less detail

Decreasing cholesterol levels in the community--lifestyle change with statin?

https://arctichealth.org/en/permalink/ahliterature270022
Source
BMC Fam Pract. 2015;16:29
Publication Type
Article
Date
2015
Author
Jorma Savolainen
Hannu Kautiainen
Leo Niskanen
Pekka Mäntyselkä
Source
BMC Fam Pract. 2015;16:29
Date
2015
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alcohol Drinking
Cholesterol - blood
Dyslipidemias - drug therapy
Exercise
Female
Finland
Health promotion
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
Life Style
Male
Middle Aged
Multivariate Analysis
Regression Analysis
Risk factors
Smoking
Abstract
The Lapinlahti 2005-2010 study was carried out to explore cardiovascular disease risk factors and changes in lifestyle in Lapinlahti residents in eastern Finland. Our aim was to analyse factors influencing the level of cholesterol in the community.
In 2005, 480 subjects aged 30-65 years underwent a complete health survey (baseline study) that consisted of a structured questionnaire and a health examination. The follow-up was carried out five years later in 2010. The present study population included 326 individuals who did not use lipid-lowering medication at the baseline. A trained research nurse measured weight, height, waist circumference and blood pressure at the baseline and follow-up. Respectively, lifestyle factors (nutrition, exercise, smoking and alcohol use) were examined with a structured questionnaire. Each lifestyle item was valued as -1, 0 or 1, depending on how closely it fitted to the recommendations. Cholesterol level analyses at the baseline and follow-up were performed according to the protocol of the Kuopio University Hospital's medical laboratory. Based on their baseline cholesterol levels, the participants were divided into tertiles. The age- and sex-adjusted linear trend between the tertiles was tested.
The change in cholesterol level was associated with lipid-lowering medication (P
Notes
Cites: N Engl J Med. 1991 Aug 15;325(7):461-61852180
Cites: Ann Nutr Metab. 1991;35(1):1-72058997
Cites: Circulation. 1992 Jul;86(1):1-111617762
Cites: JAMA. 1995 Jul 12;274(2):131-67596000
Cites: Am J Clin Nutr. 1995 Aug;62(2):471S-477S7625362
Cites: Circulation. 1998 Mar 17;97(10):946-529529261
Cites: Atherosclerosis. 1998 Oct;140(2):199-2709862269
Cites: Am J Clin Nutr. 1999 Apr;69(4):632-4610197564
Cites: Arch Intern Med. 1999 Apr 12;159(7):725-3110218753
Cites: J Am Board Fam Pract. 2004 Nov-Dec;17(6):424-3715575034
Cites: Eur Heart J. 2007 Oct;28(19):2375-41417726041
Cites: Pain. 2008 Jul;137(1):34-4017869422
Cites: Am J Med. 2008 Jul;121(7):604-1018538295
Cites: Scand J Prim Health Care. 2008;26(4):203-1018609254
Cites: Annu Rev Public Health. 2010;31:315-28 3 p following 32820070201
Cites: Int J Epidemiol. 2010 Apr;39(2):504-1819959603
Cites: Duodecim. 2011;127(2):150-121442865
Cites: Int J Behav Med. 2012 Jun;19(2):134-4221494820
Cites: Duodecim. 2013;129(11):1198-923819207
Cites: Scand J Public Health. 2014 Mar;42(2):163-7024048729
Cites: PLoS One. 2014;9(2):e8955424586867
Cites: J Am Coll Cardiol. 2008 Nov 25;52(22):1769-8119022156
Cites: JAMA. 1999 Dec 22-29;282(24):2340-610612322
Cites: BMJ. 2000 Oct 21;321(7267):983-611039962
Cites: JAMA. 2001 May 16;285(19):2486-9711368702
Cites: Clin Cardiol. 2004 Jun;27(6 Suppl 3):III12-515239486
Cites: Duodecim. 2004;120(14):1794-81615497316
Cites: Lancet. 1981 Dec 12;2(8259):1303-106118715
Cites: BMJ. 1992 Apr 18;304(6833):1015-91586782
PubMed ID
25879518 View in PubMed
Less detail

Do people regard cheaper medicines effective? Population survey on public opinion of generic substitution in Finland.

https://arctichealth.org/en/permalink/ahliterature137726
Source
Pharmacoepidemiol Drug Saf. 2011 Feb;20(2):185-91
Publication Type
Article
Date
Feb-2011
Author
Reeta Heikkilä
Pekka Mäntyselkä
Riitta Ahonen
Author Affiliation
Faculty of Health Sciences, School of Pharmacy, Social Pharmacy, University of Eastern Finland, Kuopio, Finland. reeta.heikkila@uef.fi
Source
Pharmacoepidemiol Drug Saf. 2011 Feb;20(2):185-91
Date
Feb-2011
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Chi-Square Distribution
Consumer Product Safety
Cost Savings
Drug Costs
Drug Substitution - adverse effects - economics - psychology
Drugs, Generic - adverse effects - economics - therapeutic use
Female
Finland
Health Care Surveys
Health Knowledge, Attitudes, Practice
Humans
Insurance, Pharmaceutical Services
Logistic Models
Male
Middle Aged
National Health Programs
Odds Ratio
Patient satisfaction
Public Opinion
Questionnaires
Risk assessment
Sex Factors
Time Factors
Treatment Refusal
Young Adult
Abstract
Generic substitution (GS) is an important way to decrease medical costs. We aimed to study the opinions and attitudes of Finnish people about GS five years after it was introduced, the reasons for substituting and what people think about generic medicines.
We sent a postal survey to a random stratified population sample of 3000 Finnish people aged at least 18 years in 2008. The random sample was drawn from five mainland counties. The sampling was conducted by the Finnish Population Register Centre. The response rate was 62% (n=1844) after exclusion of unobtainable addressees (n=34).
Most of the respondents (70.9%) considered GS a good law reform. However, there were many respondents who were unsure about their opinion (26.9%). The respondents also held the opinion that cheaper medicines are effective (80.9%) and that GS does not cause any risk to drug safety (84.9%). Most of the respondents (88.4%) who had substituted their medicines had not noticed any difference between the previously used and substituted medicines. Two main reasons for substituting were a desire to save money and recommendation by pharmacists. Of the respondents, 16.3% had experience with both substituting and refusing it. The percentage of the respondents who only had experience with refusing GS was 8.6%. Female gender, older age and use of prescription drugs were associated with refusing.
Finnish people consider GS a good reform. They also have confidence in the effect of cheaper medicines. Savings are the main reason for accepting GS.
PubMed ID
21254290 View in PubMed
Less detail

Effects of dementia on perceived daily pain in home-dwelling elderly people: a population-based study.

https://arctichealth.org/en/permalink/ahliterature179125
Source
Age Ageing. 2004 Sep;33(5):496-9
Publication Type
Article
Date
Sep-2004
Author
Pekka Mäntyselkä
Sirpa Hartikainen
Kirsti Louhivuori-Laako
Raimo Sulkava
Author Affiliation
Department of Public Health and General Practice, University of Kuopio, Unit of General Practice, Kupio University Hospital, Kuopio, Finland. pekka.mantyselka@uku.fi
Source
Age Ageing. 2004 Sep;33(5):496-9
Date
Sep-2004
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Alzheimer Disease - epidemiology
Analgesics - therapeutic use
Chronic Disease
Cross-Sectional Studies
Drug Utilization - statistics & numerical data
Female
Finland
Health Surveys
Humans
Male
Pain - drug therapy - epidemiology
Pain Measurement
Pain Threshold - drug effects
Abstract
Pain is a significant problem in the elderly, but the impact of dementia on perceived pain has not been studied in population-based study settings.
To analyse the prevalence of daily pain and analgesic use among home-dwelling older people with and without dementia.
A cross-sectional population-based survey.
Population of Kuopio city, Finland.
523 home-dwelling subjects aged 75 years and older.
Structured clinical examination and interview.
Prevalence rates for any pain, any daily pain, pain every day interfering with routine activities, and daily pain at rest were significantly lower in those subjects with dementia (43%, 23%, 19% and 4%, respectively) compared to those subjects without dementia (69%, 40%, 36% and 13%, respectively). The subjects with dementia were less likely to use analgesics (33%) than the non-demented (47%).
Dementia was related to a lower prevalence of reported pain and analgesic use among home-dwelling elderly people.
Notes
Comment In: Age Ageing. 2004 Sep;33(5):432-415315914
PubMed ID
15271639 View in PubMed
Less detail

Far from easy and accurate - detection of metabolic syndrome by general practitioners.

https://arctichealth.org/en/permalink/ahliterature147067
Source
BMC Fam Pract. 2009;10:76
Publication Type
Article
Date
2009
Author
Eeva-Eerika Helminen
Pekka Mäntyselkä
Irma Nykänen
Esko Kumpusalo
Author Affiliation
Kuopio Health Centre, Kuopio, Finland. eeva-eerika.helminen@fimnet.fi
Source
BMC Fam Pract. 2009;10:76
Date
2009
Language
English
Publication Type
Article
Keywords
Aged
Attitude of Health Personnel
Attitude to Health
Clinical Competence
Comorbidity
Coronary Disease - diagnosis - epidemiology - psychology
Female
Finland - epidemiology
Health status
Humans
Male
Metabolic Syndrome X - diagnosis - epidemiology
Middle Aged
Physician-Patient Relations
Physicians, Family - psychology - standards - statistics & numerical data
Questionnaires
Risk factors
Sensitivity and specificity
Abstract
Metabolic syndrome (MetS) is a major public health challenge. General practitioners (GPs) could play a key role in its recognition. However, it often remains undiagnosed in primary care. This study assesses how well GPs and patients recognise MetS among patients with coronary heart disease or at least one of its risk factors.
Twenty-six health centres around Finland were randomly selected for the purpose of identifying, over a two-week period in April 2005, patients meeting the inclusion criteria of coronary heart disease or one of its risk factors. GPs and identified patients (n = 1880) were asked to complete surveys that included a question about the patient's MetS status. A trained nurse conducted health checks (n = 1180) of the identified patients, utilising criteria of MetS modified from the National Cholesterol Program. Data from the GPs' survey were compared with those from the health check to establish the extent of congruence of identification of MetS.
Almost half (49.4%) of the patients met the criteria of MetS as established by objective measures. However, in the GPs' survey responses, only 28.5% of the patients were identified as having MetS. Additionally, these groups of MetS patients were not congruent. The sensitivity of the GPs' diagnosis of MetS was 0.31 with a specificity of 0.73. Only 7.1% of the study patients stated that they were suffering from MetS.
Detection of MetS is inaccurate among GPs in Finland. Most patients were not aware of having MetS. The practical relevance of MetS in primary care should be reconsidered.
Notes
Cites: JAMA. 2001 May 16;285(19):2486-9711368702
Cites: JAMA. 2001 Jul 11;286(2):180-711448281
Cites: Nature. 2001 Dec 13;414(6865):782-711742409
Cites: Ann Intern Med. 2002 Apr 16;136(8):575-8111955025
Cites: Diabetes Care. 2003 Mar;26(3):725-3112610029
Cites: Diabetes Care. 2003 Mar;26(3):758-6312610034
Cites: Diabetes Care. 2004 Sep;27(9):2135-4015333474
Cites: Clin Chem. 2005 Jun;51(6):931-815746300
Cites: Diabetes Care. 2005 Jul;28(7):1808-915983344
Cites: Diabetologia. 2005 Sep;48(9):1684-9916079964
Cites: Lancet. 2005 Sep 24-30;366(9491):1059-6216182882
Cites: Ann Med. 2006;38(1):32-316448986
Cites: Diabetes Res Clin Pract. 2007 Mar;75(3):362-516930757
Cites: BMJ. 2008 Mar 22;336(7645):64018356231
Cites: BMJ. 2008 Mar 22;336(7645):64118356232
Cites: Eur J Cardiovasc Prev Rehabil. 2008 Oct;15(5):562-618756178
Cites: N Engl J Med. 2008 Nov 13;359(20):2105-2019005195
Cites: Cardiology. 2009;113(1):35-4918971578
PubMed ID
19948040 View in PubMed
Less detail

Financial satisfaction and its relationship to depressive symptoms in middle-aged and older adults: results from the FIN-D2D survey.

https://arctichealth.org/en/permalink/ahliterature128097
Source
Int J Soc Psychiatry. 2013 May;59(3):239-46
Publication Type
Article
Date
May-2013
Author
Nina Rautio
Hannu Kautiainen
Hannu Koponen
Pekka Mäntyselkä
Markku Timonen
Leo Niskanen
Timo Saaristo
Heikki Oksa
Markku Peltonen
Hannu Puolijoki
Mauno Vanhala
Sirkka Keinänen-Kiukaanniemi
Author Affiliation
Pirkanmaa Hospital District, Tampere, Finland. nina.rautio@oulu.fi
Source
Int J Soc Psychiatry. 2013 May;59(3):239-46
Date
May-2013
Language
English
Publication Type
Article
Keywords
Aged
Cross-Sectional Studies
Depression - epidemiology - psychology
Female
Finland - epidemiology
Health Surveys - methods - statistics & numerical data
Humans
Income - statistics & numerical data
Male
Middle Aged
Personal Satisfaction
Questionnaires
Socioeconomic Factors
Abstract
Studies using traditional measures of socio-economic position, such as education, income and occupation, have found inequalities in depressive symptoms, but less is known about the association between financial satisfaction and depressive symptoms.
To examine the association of depressive symptoms with financial satisfaction in Finnish adults in a population-based cross-sectional FIN-D2D survey.
Four thousand, five hundred randomly selected individuals aged 45-74 years were invited to the study. Participation rate for health examinations was 64%. Complete information on depressive symptoms and financial satisfaction was available for 2,819 individuals. Financial satisfaction was asked using a questionnaire. Depressive symptoms were measured by Beck Depression Inventory (= 10) and/or use of antidepressants.
Altogether 11.6% of individuals who were satisfied with their financial situation had depressive symptoms. Corresponding figures for individuals who were somewhat satisfied or dissatisfied were 20.6% and 42.6%, respectively. Individuals who were less satisfied with their financial situation were more likely to suffer from depressive symptoms even after adjusting for gender, age, marital status, number of chronic diseases, smoking, binge drinking, physical activity, education and household income.
Instead of more traditional measures of socio-economic position, financial dissatisfaction seems to be associated with depressive symptoms in Finnish adults.
PubMed ID
22234975 View in PubMed
Less detail

23 records – page 1 of 3.