Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up
The Finnish population has a long life expectancy but ranks high in unnatural deaths on the European scale. Mortality has historical regional discrepancy in Finland, as Northern Finns are overrepresented in both natural and unnatural deaths. This study aimed to characterize the age- and sex-related...
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ftunivhelsihelda:oai:helda.helsinki.fi:10138/333492 2024-01-07T09:45:27+01:00 Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up Junno, Juho-Antti Pakanen, Lasse Oura, Petteri Department of Forensic Medicine University of Helsinki 2021-08-24T12:30:01Z 8 application/pdf http://hdl.handle.net/10138/333492 eng eng Elsevier 10.1016/j.pmedr.2021.101337 Junno , J-A , Pakanen , L & Oura , P 2021 , ' Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up ' , Preventive Medicine Reports , vol. 22 , 101337 . https://doi.org/10.1016/j.pmedr.2021.101337 ORCID: /0000-0001-5637-3971/work/133139930 06ad7ee2-43fa-4bdf-bdc8-06d2d32deba6 http://hdl.handle.net/10138/333492 000659961900063 cc_by openAccess info:eu-repo/semantics/openAccess COSTS Cohort studies DEATH CERTIFICATION Death EPIDEMIOLOGY Forensic medicine LUCKNOW Mortality Northern Finland Birth Cohort 1966 SUICIDE 3142 Public health care science environmental and occupational health 319 Forensic science and other medical sciences Article publishedVersion 2021 ftunivhelsihelda 2023-12-14T00:09:11Z The Finnish population has a long life expectancy but ranks high in unnatural deaths on the European scale. Mortality has historical regional discrepancy in Finland, as Northern Finns are overrepresented in both natural and unnatural deaths. This study aimed to characterize the age- and sex-related trends in unnatural mortality among Northern Finns. Altogether 12 143 individuals, constituting >95% of births in Northern Finland in 1966, were followed up for a median of 52 years. The mortality patterns of this population were studied using death record data. Crude annual mortality rates were calculated and graphed for 10-year age strata (all-cause, natural-cause, and unnatural-cause mortality, as well as accident, suicide, and homicide mortality). Cox regression was used to analyze the sex discrepancy in mortality. A total of 874 deaths (7.2%) occurred during the follow-up period. Women had 47% and 73% lower risks of any death and unnatural death than men, respectively. From the second decade of life onwards, the unnatural mortality of men was 3–5 times that of women. Accident and suicide mortality rates of men were 2–13 and 2–3 times those of women, respectively. Homicides were rare among either sex. We conclude that Northern Finnish women have a substantially lower risk of all-cause mortality and unnatural mortality than men. To aid the development of preventive strategies, future studies should aim to identify the underlying factors behind unnatural mortality. Primarily, emphasis should be placed on the increased mortality of men from the second decade of life onwards. Peer reviewed Article in Journal/Newspaper Northern Finland HELDA – University of Helsinki Open Repository Preventive Medicine Reports 22 101337 |
institution |
Open Polar |
collection |
HELDA – University of Helsinki Open Repository |
op_collection_id |
ftunivhelsihelda |
language |
English |
topic |
COSTS Cohort studies DEATH CERTIFICATION Death EPIDEMIOLOGY Forensic medicine LUCKNOW Mortality Northern Finland Birth Cohort 1966 SUICIDE 3142 Public health care science environmental and occupational health 319 Forensic science and other medical sciences |
spellingShingle |
COSTS Cohort studies DEATH CERTIFICATION Death EPIDEMIOLOGY Forensic medicine LUCKNOW Mortality Northern Finland Birth Cohort 1966 SUICIDE 3142 Public health care science environmental and occupational health 319 Forensic science and other medical sciences Junno, Juho-Antti Pakanen, Lasse Oura, Petteri Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up |
topic_facet |
COSTS Cohort studies DEATH CERTIFICATION Death EPIDEMIOLOGY Forensic medicine LUCKNOW Mortality Northern Finland Birth Cohort 1966 SUICIDE 3142 Public health care science environmental and occupational health 319 Forensic science and other medical sciences |
description |
The Finnish population has a long life expectancy but ranks high in unnatural deaths on the European scale. Mortality has historical regional discrepancy in Finland, as Northern Finns are overrepresented in both natural and unnatural deaths. This study aimed to characterize the age- and sex-related trends in unnatural mortality among Northern Finns. Altogether 12 143 individuals, constituting >95% of births in Northern Finland in 1966, were followed up for a median of 52 years. The mortality patterns of this population were studied using death record data. Crude annual mortality rates were calculated and graphed for 10-year age strata (all-cause, natural-cause, and unnatural-cause mortality, as well as accident, suicide, and homicide mortality). Cox regression was used to analyze the sex discrepancy in mortality. A total of 874 deaths (7.2%) occurred during the follow-up period. Women had 47% and 73% lower risks of any death and unnatural death than men, respectively. From the second decade of life onwards, the unnatural mortality of men was 3–5 times that of women. Accident and suicide mortality rates of men were 2–13 and 2–3 times those of women, respectively. Homicides were rare among either sex. We conclude that Northern Finnish women have a substantially lower risk of all-cause mortality and unnatural mortality than men. To aid the development of preventive strategies, future studies should aim to identify the underlying factors behind unnatural mortality. Primarily, emphasis should be placed on the increased mortality of men from the second decade of life onwards. Peer reviewed |
author2 |
Department of Forensic Medicine University of Helsinki |
format |
Article in Journal/Newspaper |
author |
Junno, Juho-Antti Pakanen, Lasse Oura, Petteri |
author_facet |
Junno, Juho-Antti Pakanen, Lasse Oura, Petteri |
author_sort |
Junno, Juho-Antti |
title |
Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up |
title_short |
Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up |
title_full |
Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up |
title_fullStr |
Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up |
title_full_unstemmed |
Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up |
title_sort |
unnatural-cause mortality patterns of northern finnish men and women diverge in adolescence – a 52-year follow-up |
publisher |
Elsevier |
publishDate |
2021 |
url |
http://hdl.handle.net/10138/333492 |
genre |
Northern Finland |
genre_facet |
Northern Finland |
op_relation |
10.1016/j.pmedr.2021.101337 Junno , J-A , Pakanen , L & Oura , P 2021 , ' Unnatural-cause mortality patterns of Northern Finnish men and women diverge in adolescence – A 52-year follow-up ' , Preventive Medicine Reports , vol. 22 , 101337 . https://doi.org/10.1016/j.pmedr.2021.101337 ORCID: /0000-0001-5637-3971/work/133139930 06ad7ee2-43fa-4bdf-bdc8-06d2d32deba6 http://hdl.handle.net/10138/333492 000659961900063 |
op_rights |
cc_by openAccess info:eu-repo/semantics/openAccess |
container_title |
Preventive Medicine Reports |
container_volume |
22 |
container_start_page |
101337 |
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1787426985427861504 |