52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men
Background Knowledge of pneumonia incidence and risk factors in adults is mainly based on clinical studies of selected patient data and registers with ageing populations. Prospective population-based investigations, such as birth cohort studies, are needed to understand pneumonia incidence and risk...
Published in: | ERJ Open Research |
---|---|
Main Authors: | , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
European Respiratory Society
2022
|
Subjects: | |
Online Access: | https://doi.org/10.1183/23120541.00707-2021 https://doaj.org/article/aa3feda70b5148e9966963ebf15e513e |
id |
ftdoajarticles:oai:doaj.org/article:aa3feda70b5148e9966963ebf15e513e |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:aa3feda70b5148e9966963ebf15e513e 2023-07-02T03:33:13+02:00 52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men Pia Holma Paula Pesonen Olli Mustonen Marjo-Riitta Järvelin Heikki Kauma Juha Auvinen Timo Hautala 2022-06-01T00:00:00Z https://doi.org/10.1183/23120541.00707-2021 https://doaj.org/article/aa3feda70b5148e9966963ebf15e513e EN eng European Respiratory Society http://openres.ersjournals.com/content/8/2/00707-2021.full https://doaj.org/toc/2312-0541 2312-0541 doi:10.1183/23120541.00707-2021 https://doaj.org/article/aa3feda70b5148e9966963ebf15e513e ERJ Open Research, Vol 8, Iss 2 (2022) Medicine R article 2022 ftdoajarticles https://doi.org/10.1183/23120541.00707-2021 2023-06-11T00:35:35Z Background Knowledge of pneumonia incidence and risk factors in adults is mainly based on clinical studies of selected patient data and registers with ageing populations. Prospective population-based investigations, such as birth cohort studies, are needed to understand pneumonia incidence and risk factors among young and working-age populations. Methods Northern Finland Birth Cohort (NFBC) 1966 data (n=6750) were analysed for pneumonia incidence and risk factors. Incidence analysis was replicated using data from an independent NFBC 1986 cohort (n=9207). Pneumonia in relation to chronic conditions and lifestyle factors was analysed. Results A peak with a maximum of 227 pneumonia episodes per 10 000 among men between the ages of 19 and 21 years was found in two independent cohorts. Pneumonia was associated with male sex (relative risk 1.72, 95% CI 1.45–2.04; p<0.001), low educational level (relative risk 2.30, 95% CI 1.72–3.09; p<0.001), smoking (relative risk 1.55, 95% CI 1.31–1.84; p<0.001), asthma (relative risk 2.19, 95% CI 1.73–2.75; p<0.001), cardiovascular diseases (relative risk 2.50, 95% CI 2.04–3.07; p=0.001), kidney diseases (relative risk 4.14, 95% CI 2.81–6.10; p<0.001), rheumatoid arthritis (relative risk 2.69, 95% CI 1.80–4.01; p<0.001), psoriasis (relative risk 2.91, 95% CI 1.92–4.41; p<0.001) and type II diabetes (relative risk 1.80, 95% CI 1.34–2.42; p<0.001). Men with excessive alcohol consumption at age 31 years were at risk of future pneumonia (relative risk 2.40, 95% CI 1.58–3.64; p<0.001). Conclusions Birth cohort data can reveal novel high-risk subpopulations, such as young males. Our study provides understanding of pneumonia incidence and risk factors among young and working age populations. Article in Journal/Newspaper Northern Finland Directory of Open Access Journals: DOAJ Articles ERJ Open Research 8 2 00707-2021 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Medicine R |
spellingShingle |
Medicine R Pia Holma Paula Pesonen Olli Mustonen Marjo-Riitta Järvelin Heikki Kauma Juha Auvinen Timo Hautala 52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men |
topic_facet |
Medicine R |
description |
Background Knowledge of pneumonia incidence and risk factors in adults is mainly based on clinical studies of selected patient data and registers with ageing populations. Prospective population-based investigations, such as birth cohort studies, are needed to understand pneumonia incidence and risk factors among young and working-age populations. Methods Northern Finland Birth Cohort (NFBC) 1966 data (n=6750) were analysed for pneumonia incidence and risk factors. Incidence analysis was replicated using data from an independent NFBC 1986 cohort (n=9207). Pneumonia in relation to chronic conditions and lifestyle factors was analysed. Results A peak with a maximum of 227 pneumonia episodes per 10 000 among men between the ages of 19 and 21 years was found in two independent cohorts. Pneumonia was associated with male sex (relative risk 1.72, 95% CI 1.45–2.04; p<0.001), low educational level (relative risk 2.30, 95% CI 1.72–3.09; p<0.001), smoking (relative risk 1.55, 95% CI 1.31–1.84; p<0.001), asthma (relative risk 2.19, 95% CI 1.73–2.75; p<0.001), cardiovascular diseases (relative risk 2.50, 95% CI 2.04–3.07; p=0.001), kidney diseases (relative risk 4.14, 95% CI 2.81–6.10; p<0.001), rheumatoid arthritis (relative risk 2.69, 95% CI 1.80–4.01; p<0.001), psoriasis (relative risk 2.91, 95% CI 1.92–4.41; p<0.001) and type II diabetes (relative risk 1.80, 95% CI 1.34–2.42; p<0.001). Men with excessive alcohol consumption at age 31 years were at risk of future pneumonia (relative risk 2.40, 95% CI 1.58–3.64; p<0.001). Conclusions Birth cohort data can reveal novel high-risk subpopulations, such as young males. Our study provides understanding of pneumonia incidence and risk factors among young and working age populations. |
format |
Article in Journal/Newspaper |
author |
Pia Holma Paula Pesonen Olli Mustonen Marjo-Riitta Järvelin Heikki Kauma Juha Auvinen Timo Hautala |
author_facet |
Pia Holma Paula Pesonen Olli Mustonen Marjo-Riitta Järvelin Heikki Kauma Juha Auvinen Timo Hautala |
author_sort |
Pia Holma |
title |
52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men |
title_short |
52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men |
title_full |
52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men |
title_fullStr |
52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men |
title_full_unstemmed |
52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men |
title_sort |
52-year follow-up of a birth cohort reveals a high pneumonia incidence among young men |
publisher |
European Respiratory Society |
publishDate |
2022 |
url |
https://doi.org/10.1183/23120541.00707-2021 https://doaj.org/article/aa3feda70b5148e9966963ebf15e513e |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_source |
ERJ Open Research, Vol 8, Iss 2 (2022) |
op_relation |
http://openres.ersjournals.com/content/8/2/00707-2021.full https://doaj.org/toc/2312-0541 2312-0541 doi:10.1183/23120541.00707-2021 https://doaj.org/article/aa3feda70b5148e9966963ebf15e513e |
op_doi |
https://doi.org/10.1183/23120541.00707-2021 |
container_title |
ERJ Open Research |
container_volume |
8 |
container_issue |
2 |
container_start_page |
00707-2021 |
_version_ |
1770273073987059712 |