- Health Promotion and Cardiovascular Prevention
- Health disparities and outcomes
- Nutritional Studies and Diet
- Blood Pressure and Hypertension Studies
- Health, Environment, Cognitive Aging
- Primary Care and Health Outcomes
- Survey Methodology and Nonresponse
- Effects and risks of endocrine disrupting chemicals
- Global Public Health Policies and Epidemiology
- Global Health Care Issues
- Cardiovascular Health and Risk Factors
- Healthcare Policy and Management
- Food Security and Health in Diverse Populations
- Obesity, Physical Activity, Diet
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Health and Medical Studies
- Global Cancer Incidence and Screening
- Data-Driven Disease Surveillance
- Data Quality and Management
- Research in Social Sciences
- Advanced Causal Inference Techniques
- Physical Activity and Health
- Air Quality and Health Impacts
Finnish Institute for Health and Welfare
2016-2025
European Union Satellite Centre
2023
University of Oulu
2022
Oulu University Hospital
2022
National Institute for Public Health and the Environment
2021
Public Health Solutions
2018
Laboratory of Molecular Genetics
2018
Public Health Institute
1999-2017
National Institutes of Health
2011-2015
Center for Clinical Research and Prevention
2013
To help adapt cardiovascular disease risk prediction approaches to low-income and middle-income countries, WHO has convened an effort develop, evaluate, illustrate revised models. Here, we report the derivation, validation, illustration of charts that have been adapted circumstances 21 global regions.
Health examination surveys (HESs), carried out in Europe since the 1950's, provide valuable information about general population's health for monitoring, policy making, and research. Survey participation rates, important representativeness, have been falling. International comparisons are hampered by differing exclusion criteria definitions non-response.Information was collected seven national HESs conducted 2007-2012. These can be classified into household individual-based surveys,...
The prevalence of type 2 diabetes is increasing rapidly, particularly among younger age groups. Estimates suggest that people with die, on average, 6 years earlier than without diabetes. We aimed to provide reliable estimates the associations between at diagnosis and all-cause mortality, cause-specific reductions in life expectancy.
The aim of this study was to determine whether the office white-coat effect tail (OWCET), defined as decreasing SBP ≥10 mmHg in multiple systolic blood pressure measures, predicts major long-term fatal events nearly extinct European cohorts Seven Country Study (ECSCS). In present analysis, 4,937 men (49 ± 5 years) were included. All-cause mortality and specific mortalities [cardiovascular (CVD) including stroke, coronary heart disease (CHD) death well uncertain aetiology (HDUE)] considered...
Administrative registers, like hospital discharge registers and causes of death are used for the monitoring disease incidences in follow-up studies. Obtaining reliable results requires that diagnoses these correct coverage is high. The purpose this study was to evaluate validity Finnish stroke against population-based FINSTROKE register. All first events from areas covered by register were obtained years 1993-1998 linked sensitivity positive predictive values calculated. A total 3633 events,...
Human biomonitoring has become a pivotal tool for supporting chemicals’ policies. It provides information on real-life human exposures and is increasingly used to prioritize chemicals of health concern evaluate the success chemical Europe launched ambitious REACH program in 2007 improve protection environment. In October 2020 EU commission published its new strategy sustainability towards toxic-free The European Parliament called upon collect data support chemical’s risk assessment...
BACKGROUND: The World Health Organization (WHO) MONICA Project was established to determine how trends in event rates for coronary heart disease (CHD) and, optionally, stroke were related classic risk factors. Risk factors therefore monitored over ten years across 38 populations from 21 countries four continents (overall period covered: 1979-1996). METHODS: A standard protocol applied participating centres, at least two, and usually three, independent surveys conducted on random samples of...
Coronary heart disease (CHD) and stroke are leading causes of death disability. Because they share major common risk factors, it would be expected that trends in mortality incidence these 2 cardiovascular diseases similar.Data from the World Health Organization (WHO) Multinational Monitoring Trends Determinants Cardiovascular Disease (MONICA) Project were used to compare 10-year mortality, event rates, case fatality both CHD stroke. Fifteen populations WHO MONICA provided data on (60 763...
Background and Purpose— Mortality from stroke has been declining over recent decades in most countries, except Eastern Europe. In this analysis, based on the World Health Organization Monitoring Trends Determinants Cardiovascular Disease (WHO MONICA) Project, we explored to what extent these trends are due changes event rate case fatality. Methods— The WHO MONICA Project collected standardized data 14 populations 9 countries. All acute strokes occurring men women 35 64 years of age were...
Aims: In the 1980s, participation rates in health interview and examination surveys were around 80% while now they are 50–60%. There is also evidence that non-participation selective. Low selective may cause bias to our survey results based on participants alone. We aim increase knowledge cultural differences acceptance feasibility of different recruitment methods. Methods: The European Health Examination Survey Pilot Project, conducted 2009–2012, included pilot 12 countries among people...
Accurate blood pressure measurements are needed in clinical practice, intervention studies and health examination surveys. Blood sensitive: their accuracy can be affected by measurement environment, behaviour of the subject, procedures, devices used for observer. To minimize errors measurement, a standardized protocol is needed.The European Health Examination Survey (EHES) Pilot project was conducted 2009-2012. A pilot survey 12 countries using protocol. The protocols each survey, training...
Declining participation rates in health examination surveys may impair the representativeness of and introduce bias into comparison results between population groups if differ them. Changes characteristics non-participants over time also limit comparability with earlier surveys.We studied association socio-economic position participation, its changes past 25 years. Occupational class educational level are used as indicators position. Data from six cross-sectional FINRISK conducted 1987 2012...
We present a systematic approach to the practical and comprehensive handling of missing data motivated by our experiences analyzing longitudinal survey data. consider Health 2000 2011 Surveys (BRIF8901) where increased non-response non-participation from was major issue. The model assumptions involved in complex sampling design, repeated measurements mechanisms associations are presented graphically using methodology previously defined as causal with i.e. functional extended study design....
<h3>Abstract</h3> <b>Objective</b> Declining mean systolic and diastolic blood pressures were observed in most populations of the World Health Organization MONICA (monitoring trends determinants cardiovascular disease) project from mid-1980s to mid-1990s. We tested whether pooled results would show change associated with decline high readings only, resulting better antihypertensive medication, or similar falls low, middle, readings, implying other causes. <b>Design</b> Independent, random...