National trends in main causes of hospitalization: A multi-cohort register study of the finnish working-age population, 1976-2010

Anne Kouvonen, Aki Koskinen, Pekka Varje, Lauri Kokkinen, Roberto De Vogli, Ari Väänänen

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Principal Findings: Over the period of 35 years, the risk of hospitalization for cardiovascular diseases and respiratory diseases decreased. Hospitalization for musculoskeletal diseases increased whereas mental and behavioral hospitalizations slightly decreased. The risk of cancer hospitalization decreased marginally in men, whereas in women an upward trend was observed.

Conclusions/Significance: A considerable health transition related to hospitalizations and a shift in the utilization of health care services of working-age men and women took place in Finland between 1976 and 2010.

Background: The health transition theory argues that societal changes produce proportional changes in causes of disability and death. The aim of this study was to identify long-term changes in main causes of hospitalization in working-age population within a nation that has experienced considerable societal change.

Methodology: National trends in all-cause hospitalization and hospitalizations for the five main diagnostic categories were investigated in the data obtained from the Finnish Hospital Discharge Register. The seven-cohort sample covered the period from 1976 to 2010 and consisted of 3,769,356 randomly selected Finnish residents, each cohort representing 25% sample of population aged 18 to 64 years.

Original languageEnglish (US)
JournalPLoS One
Volume9
Issue number11
DOIs
StatePublished - Nov 7 2014

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cohort studies
Hospitalization
Cohort Studies
Health
musculoskeletal diseases
Pulmonary diseases
Health care
respiratory tract diseases
health services
Population
cardiovascular diseases
Finland
Health Transition
death
sampling
neoplasms
Musculoskeletal Diseases
methodology
Health Services
Cause of Death

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

National trends in main causes of hospitalization : A multi-cohort register study of the finnish working-age population, 1976-2010. / Kouvonen, Anne; Koskinen, Aki; Varje, Pekka; Kokkinen, Lauri; De Vogli, Roberto; Väänänen, Ari.

In: PLoS One, Vol. 9, No. 11, 07.11.2014.

Research output: Contribution to journalArticle

Kouvonen, Anne ; Koskinen, Aki ; Varje, Pekka ; Kokkinen, Lauri ; De Vogli, Roberto ; Väänänen, Ari. / National trends in main causes of hospitalization : A multi-cohort register study of the finnish working-age population, 1976-2010. In: PLoS One. 2014 ; Vol. 9, No. 11.
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