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Health in Finland

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Prof. Seppo Koskinen, 4.3.2016, Seminars 2015-2016 for asylum seeker and refugee health care professionals

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Health in Finland

  1. 1. Health in Finland Seminar on Primary Health Care in Finland 3 March 2016, Helsinki, THL Seppo Koskinen, MD, PhD, Professor, Head of Unit Health Monitoring Unit + working group: Anu Castaneda, Päivikki Koponen, Shadia Rask, Natalia Skogberg et al.
  2. 2. CONTENTS • Population • Health: mortality, diseases, functioning – in the whole Finnish population – among immigrants 4.3.2016 2Health in Finland
  3. 3. The population is ageing Age structure in 2011 and 2050 Source: Statistics Finland 2011 2050 18 % 27 % 5 % 11 % 4.3.2016 3Health in Finland
  4. 4. Increasing immigration to Finland • Migration to Finland has steadily accelerated since the 1990s • Migrants 0.5% of total population in 1990  5.5% by 2013 • Projections made in 2013: migrants will constitute 10% of the total population by 2020 44.3.2016 Health in Finland
  5. 5. MORTALITY 4.3.2016 5Health in Finland
  6. 6. 6 Mortality is declining Survival among 100 000 newborns by age and sex according to life tables for 2011, 1971-75 and 1901-10 0 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000 0 50 100 Alive AGE WOMEN 1901-10 1971-75 2011 0 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000 0 50 100 Alive AGE MEN 1901-10 1971-75 2011 4.3.2016 Sources: Kannisto and Nieminen 1996, Statistics Finland Health in Finland
  7. 7. 7 Life expectancy at the ages 0, 65 and 80 years in Finland in 1881-2011 0 10 20 30 40 50 60 70 80 90 1870 1920 1970 2020 years Year MEN 0-vuotiaat 65-vuotiaat 80-vuotiaat 0 10 20 30 40 50 60 70 80 90 1870 1920 1970 2020 years Year WOMEN 0-vuotiaat 65-vuotiaat 80-vuotiaat 4.3.2016 Health in Finland
  8. 8. SELF-RATED HEALTH 4.3.2016 8Health in Finland
  9. 9. Self-rated health good or rather good (%) in 2000 and 2011 94.3.2016
  10. 10. FUNCTIONING 4.3.2016 10Health in Finland
  11. 11. Completely fit for work according to self- assessment (%), Finland 2000 and 2011 Source: Gould R, Koskinen S, Sainio P et al. Work ability. In: Koskinen S, Lundqvist A, Ristiluoma N, ed. Health, functional capacity and welfare in Finland in 2011. THL, Report 68/2012, Helsinki 2012, p. 141–144 (in Finnish). www.Health2011.info 4.3.2016 11Health in Finland
  12. 12. HEALTHY LIFE EXPECTANCY 4.3.2016 12Health in Finland
  13. 13. 13 Life expectancy at age 65 divided into healthy and unhealthy years in 2000 and 2011 4.3.2016 Self-rated health average or better Health in Finland
  14. 14. DESPITE THE POSITIVE TIME TRENDS, MANY HEALTH PROBLEMS CONTINUE TO BE VERY COMMON 4.3.2016 14Health in Finland
  15. 15. 4.3.2016 Prevalence (%) of selected health problems by age group 0 10 20 30 40 50 Diabetes Mental disorder Dementia Ischaemic heart disease Hypertension Allergy Asthma Chronic bronchitis Low back disorder Osteoarthrosis of knee No own teeth (edentulousness) Injury due to accident or violence Daily need of help due to disability Age group 0-17 years Age group 18-64 years Age group 65+ 15Health in Finland
  16. 16. 4.3.2016 The most expensive disease groups 16 DIRECT COSTS (TREATMENT ETC.) Circulatory diseases 17 % Mental disorders 13 % Respiratory disorders 11 % Musculoskeletal disorders 11 % COSTS DUE TO WORK DISABILITY Mental disorders 26 % Musculoskeletal disorders 21 % Injuries 16 % Circulatory diseases 12 % Health in Finland
  17. 17. 4.3.2016 The main disease groups causing deaths at ages 15–64 years and reduction in quality of life 17 DEATHS IN AGE GROUP 15–64 YEARS Cancers 29 % Circulatory diseases 23 % Alcohol-related causes 15 % REDUCTION IN QUALITY OF LIFE Musculoskeletal disorders 33 % Mental disorders 30 % Sources: Statistics Finland and Saarni et al. 2006 Health in Finland
  18. 18. HEALTH IN THE POPULATION OF FOREIGN ORIGIN 4.3.2016 18Health in Finland
  19. 19. Self-rated health good or rather good (%) age group 20–64 years 194.3.2016 Finnish general population Middle East an North Africa Estonia Russia and Soviet Union Southern and central Africa Asia EU, EFTA, North Anerica Latin America, East Europe at al. Foreign origin population, total Health in Finland
  20. 20. Prevalence of severe depression and anxiety symptoms, past 7 days 204.3.2016 Source: Castaneda et a. 2012 Health in Finland
  21. 21. CONCLUSIONS • Health and functioning in the Finnish population have improved – Due to improvements in health behaviour, treatment of health problems, living and working conditions and level of education • Many health problems remain very common, e.g. mental disorders, musculoskeletal disorders and circulatory diseases • Challenges include increasing obesity, alcohol and drug related harm, economic recession, wide socioeconomic inequalities and ageing of the population 214.3.2016 Health in Finland
  22. 22. 22 DATA SOURCES 1) Vital statistics, causes of death, census data (Statistics Finland) 2) Disease registers – e.g. infectious diseases and cancer (THL) 3) Services and benefits related with health - drug purchases, entitlements to specially reimbursed medication, sickness benefits etc. (Social Insurance Institution SII) - hospital care (THL) - work disability pensions etc. (Finnish Centre for Pensions ETK) 4) Other registers (e.g. unemployment etc., Ministry of Employment and Economy) 5) Interview surveys and questionnaire surveys www.thl.fi/ath, http://tilastokeskus.fi/keruu/uth/index_en.html ... 6) Health examination surveys www.health2011.info, www.thl.fi/maamu ... Health in Finland 4.3.2016
  23. 23. Thank you! 4.3.2016 23Health in Finland

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