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623 results on '"Lahelma, E."'

31. Educational Differences in Smoking: International Comparison

Author

Cavelaars, A. E. J. M., Kunst, A. E., Geurts, J. J. M., Crialesi, R., Grötvedt, L., Helmert, U., Lahelma, E., Lundberg, O., Matheson, J., Mielck, A., Rasmussen, N. Kr, Regidor, E., Rosário-Giraldes, M. do, Spuhler, Th, and MacKenbach, J. P.

Published
2000

35. Physical working conditions and subsequent disability retirement due to any cause, mental disorders and musculoskeletal diseases:does the risk vary by common mental disorders?

Author

Halonen, J. (Jaana I.), Mänty, M. (Minna), Pietiläinen, O. (Olli), Kujanpää, T. (Tero), Kanerva, N. (Noora), Lahti, J. (Jouni), Lahelma, E. (Eero), Rahkonen, O. (Ossi), Lallukka, T. (Tea), Halonen, J. (Jaana I.), Mänty, M. (Minna), Pietiläinen, O. (Olli), Kujanpää, T. (Tero), Kanerva, N. (Noora), Lahti, J. (Jouni), Lahelma, E. (Eero), Rahkonen, O. (Ossi), and Lallukka, T. (Tea)

Abstract

Purpose: Physical work exposures and common mental disorders (CMD) have been linked to increased risk of work disability, but their joint associations with disability retirement due to any cause, mental disorders or musculoskeletal diseases have not been examined. Methods: The data for exposures and covariates were from the Finnish Helsinki Health Study occupational cohort surveys in 2000–2002, 2007 and 2012. We used 12,458 observations from 6159 employees, who were 40–60 years old at baseline. CMD were measured by the General Health Questionnaire (GHQ-12, cut-off point 3+). Four self-reported work exposures (hazardous exposures, physical workload, computer and shift work) were combined with CMD and categorized as “neither”, “work exposure only”, “CMD only”, and “both”. Associations with register-based disability retirement were assessed with Cox proportional hazards models for sample survey data adjusting for confounders over 5-year follow-up. Additionally, synergy indices were calculated for the combined effects. Results: Those reporting CMD and high physical workload had a greater risk of disability retirement due to any cause (HR 4.26, 95% CI 3.60–5.03), mental disorders (HR 5.41, 95% CI 3.87–7.56), and musculoskeletal diseases (HR 4.46, 95% CI 3.49–5.71) when compared to those with neither. Synergy indices indicated that these associations were synergistic. Similar associations were observed for CMD and hazardous exposures, but not for combined exposures to CMD and computer or shift work. Conclusions: Identification of mental health problems among employees in physically demanding jobs is important to support work ability and reduce the risk of premature exit from work due to disability.

Published
2020

42. Modern and healthy?: socioeconomic differences in the quality of diet

Author

Roos, E., Prattala, R., Lahelma, E., Kleemola, P., and Pietinen, P.

Subjects
Nutrition -- Social aspects, Social status -- Health aspects, Diet -- Surveys, Food consumption -- Social aspects
Abstract

A study was conducted to describe variations in nutrient intake and food consumption according to education and household income in men and women. The design was a random dietary survey using a three-day estimated food record and a self-administered questionnaire. The results indicate that the diets of both the higher and lower socioeconomic groups did not follow national dietary guidelines. The higher socioeconomic groups also consumed more of the modern recommended foods such as vegetables and fruits but less of the traditional recommended foods, such as bread and potatoes.

Published
1996

43. Within-individual analysis of pain and sickness absence among employees from low and high occupational classes: a record linkage study

Author

Hiilamo, A, Butterworth, P, Shiri, R, Ropponen, A, Pietilainen, O, Manty, M, Kouvonen, A, Lahelma, E, Rahkonen, O, Lallukka, T, Hiilamo, A, Butterworth, P, Shiri, R, Ropponen, A, Pietilainen, O, Manty, M, Kouvonen, A, Lahelma, E, Rahkonen, O, and Lallukka, T

Abstract

Objectives Pain is linked to an increased risk of sickness absence (SA); however, the extent to which unmeasured time-invariant differences explain this association is yet unknown. Therefore, we determined the within-individual associations between pain and short-term (in the survey year) and long-term (2 years following the survey years) SA risk in high and low occupational classes while controlling for the potential bias due to unobservable time-invariant characteristics. Methods The Helsinki Health Study data consisting of midlife public sector employees with mailed surveys from up to four time points, and SA record linkage were used (3983 persons). The within-individual estimates were calculated using hybrid negative binomial regression models. Results Acute/subacute pain was associated with a 13% increase in the rate of short-term SA days (incidence rate ratio 1.13 [95% CI 1.01 to 1.27]), while the association was somewhat stronger for chronic pain (1.32 [1.19–1.47]). For the employees in the low occupational class, these associations were robust (1.29 [1.10–1.50] for acute/subacute and 1.43 [1.23–1.66] for chronic pain), whereas only chronic pain was associated with SA among those in the high occupational class (1.25 [1.08–1.46]). Chronic pain was also associated with SA days in the long term without occupational class differences. Similar results were obtained for multisite pain (pain in several locations). Conclusions These results indicate that particularly chronic and multisite pain have a within-individual link to SA but ignoring unobservable differences between those reporting pain and those not might yield overstated effect sizes. Pain might have a different relation to SA in low and high occupational classes.

Published
2019

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