Multiple complications among people with diabetes from Finland: an 18-year follow-up in 1994-2011.

Objective: In this study, we examined trends in severe diabetes-related complications (acute myocardial infarction, stroke, lower extremity amputation, and end-stage renal disease) and prevalence of multiple complications in a total population with diabetes in Finland during an 18-year period.

Research Design And Methods: The total population with diabetes aged 30 years or older in 1994-2011 was obtained from several Finnish health registers. Only the first episode of each end point was included in the analysis.

Increased cancer mortality in diabetic people treated with insulin: a register-based follow-up study.

Background: The national 10-year Development Programme for the Prevention and Care of Diabetes (DEHKO) was launched in Finland in 2000. The program focused on improving early diagnosis of type 2 diabetes and preventing diabetes-related complications. The FinDM database was established for epidemiological monitoring of diabetes and its complications.

Socio-economic predictors of mortality among diabetic people.

Background: The present study examines the role of six aspects of socio-economic status (income, occupational position, education, unemployment, living alone and type of residential area) in mortality among types 1 and 2 diabetic people in Finland. All-cause mortality and causes of deaths (for example, alcohol diseases) are assessed.

Methods: People with diabetes aged 30-79 years in 2000-03 were identified from national registers.

Socioeconomic differences in mortality among diabetic people in Finland.

Aims: A clear socioeconomic gradient in mortality emerged among diabetic people in Finland from the early 1980s to the early 1990s. The present study examines whether this development continued between 1991 and 2003.

Methods: People with diabetes aged 30-79 in 1991-2002 were identified in the national registers, and followed up for mortality until 31 December 2003.

Coronary heart disease among diabetic and nondiabetic people - socioeconomic differences in incidence, prognosis and mortality.

Objective: To investigate coronary heart disease (CHD) morbidity and mortality and their patterning by socioeconomic status among diabetic and nondiabetic individuals in Finland.

Methods: All diabetic persons aged 35-74 years entitled to free anti-diabetic medication were drawn from the 1991-1996 national health insurance files along with nondiabetic referents. Outcome events for up to 6 years of follow-up, corresponding to 418,987 and 867,813 person-years in diabetic and nondiabetic people, respectively, were identified from national health insurance, hospital discharge and causes of death registers using personal identification codes.

Widening socioeconomic mortality disparity among diabetic people in Finland.

Background: A clear social class gradient in mortality has been consistently reported among western populations. However, in the early 1980s in Finland, no major socioeconomic differences in mortality were found among people with diabetes. The present study examines whether this exceptional finding persisted in the 1990s.

Epidemiology of miscarriage and its relation to other reproductive events in Finland.

Objective: This study investigates the occurrence of miscarriages over the reproductive life span of women in a population-based study.

Study Design: A questionnaire was sent in 1994 to a random sample of 3000 Finnish women aged 18 to 44 years (73% response rate). Age-adjusted percentages of women having had miscarriages, and age- and other pregnancy event-adjusted odds ratios were calculated.

Maternal predictors of perinatal mortality: the role of birthweight.

Background: Many maternal characteristics increase the risk for perinatal death. To locate potential sites for intervention, it is important to identify these risk factors and examine how much of the excess mortality is explained by infants' low birthweight.

Methods: Data on all newborns in Finland born between 1991 and 1993 (N = 199,291, of which 1461 were perinatal deaths) were obtained from the Medical Birth Register.

The role of gynaecologists in women's health care--women's views.

Objective: Reproductive matters are common reasons to use health services, and both primary care providers (general practitioners and public health nurses) and specialists (gynaecologists) can be consulted. The purpose of this study was to find out how Finnish women think about and use specialist care in reproductive matters; gynaecological health checks, contraception, and prenatal care served as examples.

Methods: The data come from a questionnaire survey sent in 1994 to a representative sample (74% response rate) of 18-44-year-old Finnish women (n=2189).

Declining perinatal mortality in Finland between 1987 and 1994: contribution of different subgroups.

Objective: To examine the extent to which the decline in perinatal mortality is attributable to some subgroups, especially to certain birthweight or gestation groups.

Study Design: A register study using the Finnish Medical Birth Register for years 1987 to 1994.

Results: Of the overall reduction in perinatal mortality from 8.

Sterilization in Finland: from eugenics to contraception.

The purpose of this paper was to describe the transition of sterilization in Finland from an eugenic tool to a contraceptive. Historical data were drawn from earlier reports in Finnish. Numbers of and reasons for sterilizations since 1950 were collected from nationwide sterilization statistics.