Use of health services by Finnish employees in regard to health-related factors: the population-based Health 2000 study
Objectives The aims of this study were to describe the use of occupational health services and other health care of Finnish employees and to examine associations between health problems and risks, and primary care visits to occupational health nurses and physicians and other health care. Methods A n...
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| Veröffentlicht in: | International archives of occupational and environmental health 2013-05, Vol.86 (4), p.451-462 |
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| container_title | International archives of occupational and environmental health |
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| creator | Ikonen, Annukka Räsänen, Kimmo Manninen, Pirjo Rautio, Maria Husman, Päivi Ojajärvi, Anneli Alha, Pirkko Husman, Kaj |
| description | Objectives
The aims of this study were to describe the use of occupational health services and other health care of Finnish employees and to examine associations between health problems and risks, and primary care visits to occupational health nurses and physicians and other health care.
Methods
A nationally representative sample of 3,126 employees aged 30–64 participated in the Health 2000 study, which consisted of a health interview, questionnaires, a clinical health examination, and the Composite International Diagnostic Interview. The use of health services was measured by self-reported visits.
Results
During the previous 12 months, 74 % of the employees visited occupational health services or municipal health centers, 52 % visited only occupational health services. From a third to a half of employees with lifestyle risks, depressive disorders or other health problems visited occupational health professionals. Obesity, burnout, insomnia, depressive mood, chronic impairing illnesses, and poor work ability were associated with visits to occupational health nurses. Among women, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to occupational health physicians. Lower educational level, smoking, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to health center physicians.
Conclusions
This study showed the importance of occupational health services in the primary health care of Finnish employees. However, a considerable proportion of employees with lifestyle risks, depressive mood, and other health problems did not use health services. Occupational health professionals are in an advantageous position to detect health risks in primary care visits. |
| doi_str_mv | 10.1007/s00420-012-0778-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1352289516</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2953239161</sourcerecordid><originalsourceid>FETCH-LOGICAL-c435t-122b184f941ccbb8053898fb8e28d390f5646344177390ac87563236054767903</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVpabZpf0AvRVAKubgdfVlybyUkTSCQS3I2sjzOOngtV2On7L-vFm8_KOQkNO8zM-_wMvZewGcBYL8QgJZQgJAFWOsKeME2QitZCKnLl2wDSh9UJU7YG6JHAGFLq16zEylNKY0UG_bznpDHjm_RD_OWE6anPiDxZs8v-3HsactxNw1xj7nYjzzhg08tn-Oxo0g4-Blb3vkwx0Rf-bxFPsVpyeU-jkXjKatX63gJAJzmpd2_Za86PxC-O76n7P7y4u78qri5_X59_u2mCFqZOR8iG-F0V2kRQtM4MMpVrmscSteqCjpT6lJpLazNPx-cNaWSqgSj86kVqFN2ts6dUvyxIM31rqeAw-BHjAvVQhkpXWVEmdGP_6GPcUljdpcprUFU2uhMiZUKKRIl7Oop9Tuf9rWA-pBKvaZS51TqQyr1wcSH4-Sl2WH7p-N3DBn4dAQ8BT90yY-hp7-cNU5VVmVOrhxlaXzA9I_FZ7f_AmsPoXQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1344019454</pqid></control><display><type>article</type><title>Use of health services by Finnish employees in regard to health-related factors: the population-based Health 2000 study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Ikonen, Annukka ; Räsänen, Kimmo ; Manninen, Pirjo ; Rautio, Maria ; Husman, Päivi ; Ojajärvi, Anneli ; Alha, Pirkko ; Husman, Kaj</creator><creatorcontrib>Ikonen, Annukka ; Räsänen, Kimmo ; Manninen, Pirjo ; Rautio, Maria ; Husman, Päivi ; Ojajärvi, Anneli ; Alha, Pirkko ; Husman, Kaj</creatorcontrib><description>Objectives
The aims of this study were to describe the use of occupational health services and other health care of Finnish employees and to examine associations between health problems and risks, and primary care visits to occupational health nurses and physicians and other health care.
Methods
A nationally representative sample of 3,126 employees aged 30–64 participated in the Health 2000 study, which consisted of a health interview, questionnaires, a clinical health examination, and the Composite International Diagnostic Interview. The use of health services was measured by self-reported visits.
Results
During the previous 12 months, 74 % of the employees visited occupational health services or municipal health centers, 52 % visited only occupational health services. From a third to a half of employees with lifestyle risks, depressive disorders or other health problems visited occupational health professionals. Obesity, burnout, insomnia, depressive mood, chronic impairing illnesses, and poor work ability were associated with visits to occupational health nurses. Among women, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to occupational health physicians. Lower educational level, smoking, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to health center physicians.
Conclusions
This study showed the importance of occupational health services in the primary health care of Finnish employees. However, a considerable proportion of employees with lifestyle risks, depressive mood, and other health problems did not use health services. Occupational health professionals are in an advantageous position to detect health risks in primary care visits.</description><identifier>ISSN: 0340-0131</identifier><identifier>EISSN: 1432-1246</identifier><identifier>DOI: 10.1007/s00420-012-0778-0</identifier><identifier>PMID: 22562521</identifier><identifier>CODEN: IAEHDW</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Age Factors ; Biological and medical sciences ; Burnout ; Burnout, Professional ; Chronic Disease ; Community Health Centers - utilization ; Cross-Sectional Studies ; Depression ; Earth and Environmental Science ; Educational Status ; Environment ; Environmental Health ; Female ; Finland ; Health care ; Health participants ; Health problems ; Health risks ; Health services ; Health services utilization ; Humans ; Life Style ; Male ; Medical personnel ; Medical sciences ; Mental depression ; Middle Aged ; Musculoskeletal Diseases ; Obesity ; Occupational health ; Occupational Health Nursing - statistics & numerical data ; Occupational Health Physicians - statistics & numerical data ; Occupational Health Services - utilization ; Occupational medicine ; Occupational Medicine/Industrial Medicine ; Office Visits - statistics & numerical data ; Original Article ; Primary Health Care - utilization ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Rehabilitation ; Sex Factors ; Smoking ; Surveys and Questionnaires</subject><ispartof>International archives of occupational and environmental health, 2013-05, Vol.86 (4), p.451-462</ispartof><rights>Springer-Verlag 2012</rights><rights>2014 INIST-CNRS</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-122b184f941ccbb8053898fb8e28d390f5646344177390ac87563236054767903</citedby><cites>FETCH-LOGICAL-c435t-122b184f941ccbb8053898fb8e28d390f5646344177390ac87563236054767903</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00420-012-0778-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00420-012-0778-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27583973$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22562521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ikonen, Annukka</creatorcontrib><creatorcontrib>Räsänen, Kimmo</creatorcontrib><creatorcontrib>Manninen, Pirjo</creatorcontrib><creatorcontrib>Rautio, Maria</creatorcontrib><creatorcontrib>Husman, Päivi</creatorcontrib><creatorcontrib>Ojajärvi, Anneli</creatorcontrib><creatorcontrib>Alha, Pirkko</creatorcontrib><creatorcontrib>Husman, Kaj</creatorcontrib><title>Use of health services by Finnish employees in regard to health-related factors: the population-based Health 2000 study</title><title>International archives of occupational and environmental health</title><addtitle>Int Arch Occup Environ Health</addtitle><addtitle>Int Arch Occup Environ Health</addtitle><description>Objectives
The aims of this study were to describe the use of occupational health services and other health care of Finnish employees and to examine associations between health problems and risks, and primary care visits to occupational health nurses and physicians and other health care.
Methods
A nationally representative sample of 3,126 employees aged 30–64 participated in the Health 2000 study, which consisted of a health interview, questionnaires, a clinical health examination, and the Composite International Diagnostic Interview. The use of health services was measured by self-reported visits.
Results
During the previous 12 months, 74 % of the employees visited occupational health services or municipal health centers, 52 % visited only occupational health services. From a third to a half of employees with lifestyle risks, depressive disorders or other health problems visited occupational health professionals. Obesity, burnout, insomnia, depressive mood, chronic impairing illnesses, and poor work ability were associated with visits to occupational health nurses. Among women, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to occupational health physicians. Lower educational level, smoking, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to health center physicians.
Conclusions
This study showed the importance of occupational health services in the primary health care of Finnish employees. However, a considerable proportion of employees with lifestyle risks, depressive mood, and other health problems did not use health services. Occupational health professionals are in an advantageous position to detect health risks in primary care visits.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Burnout</subject><subject>Burnout, Professional</subject><subject>Chronic Disease</subject><subject>Community Health Centers - utilization</subject><subject>Cross-Sectional Studies</subject><subject>Depression</subject><subject>Earth and Environmental Science</subject><subject>Educational Status</subject><subject>Environment</subject><subject>Environmental Health</subject><subject>Female</subject><subject>Finland</subject><subject>Health care</subject><subject>Health participants</subject><subject>Health problems</subject><subject>Health risks</subject><subject>Health services</subject><subject>Health services utilization</subject><subject>Humans</subject><subject>Life Style</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Musculoskeletal Diseases</subject><subject>Obesity</subject><subject>Occupational health</subject><subject>Occupational Health Nursing - statistics & numerical data</subject><subject>Occupational Health Physicians - statistics & numerical data</subject><subject>Occupational Health Services - utilization</subject><subject>Occupational medicine</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Office Visits - statistics & numerical data</subject><subject>Original Article</subject><subject>Primary Health Care - utilization</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Rehabilitation</subject><subject>Sex Factors</subject><subject>Smoking</subject><subject>Surveys and Questionnaires</subject><issn>0340-0131</issn><issn>1432-1246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1r3DAQhkVpabZpf0AvRVAKubgdfVlybyUkTSCQS3I2sjzOOngtV2On7L-vFm8_KOQkNO8zM-_wMvZewGcBYL8QgJZQgJAFWOsKeME2QitZCKnLl2wDSh9UJU7YG6JHAGFLq16zEylNKY0UG_bznpDHjm_RD_OWE6anPiDxZs8v-3HsactxNw1xj7nYjzzhg08tn-Oxo0g4-Blb3vkwx0Rf-bxFPsVpyeU-jkXjKatX63gJAJzmpd2_Za86PxC-O76n7P7y4u78qri5_X59_u2mCFqZOR8iG-F0V2kRQtM4MMpVrmscSteqCjpT6lJpLazNPx-cNaWSqgSj86kVqFN2ts6dUvyxIM31rqeAw-BHjAvVQhkpXWVEmdGP_6GPcUljdpcprUFU2uhMiZUKKRIl7Oop9Tuf9rWA-pBKvaZS51TqQyr1wcSH4-Sl2WH7p-N3DBn4dAQ8BT90yY-hp7-cNU5VVmVOrhxlaXzA9I_FZ7f_AmsPoXQ</recordid><startdate>20130501</startdate><enddate>20130501</enddate><creator>Ikonen, Annukka</creator><creator>Räsänen, Kimmo</creator><creator>Manninen, Pirjo</creator><creator>Rautio, Maria</creator><creator>Husman, Päivi</creator><creator>Ojajärvi, Anneli</creator><creator>Alha, Pirkko</creator><creator>Husman, Kaj</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7T5</scope><scope>7TM</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>20130501</creationdate><title>Use of health services by Finnish employees in regard to health-related factors: the population-based Health 2000 study</title><author>Ikonen, Annukka ; Räsänen, Kimmo ; Manninen, Pirjo ; Rautio, Maria ; Husman, Päivi ; Ojajärvi, Anneli ; Alha, Pirkko ; Husman, Kaj</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-122b184f941ccbb8053898fb8e28d390f5646344177390ac87563236054767903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Burnout</topic><topic>Burnout, Professional</topic><topic>Chronic Disease</topic><topic>Community Health Centers - utilization</topic><topic>Cross-Sectional Studies</topic><topic>Depression</topic><topic>Earth and Environmental Science</topic><topic>Educational Status</topic><topic>Environment</topic><topic>Environmental Health</topic><topic>Female</topic><topic>Finland</topic><topic>Health care</topic><topic>Health participants</topic><topic>Health problems</topic><topic>Health risks</topic><topic>Health services</topic><topic>Health services utilization</topic><topic>Humans</topic><topic>Life Style</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Musculoskeletal Diseases</topic><topic>Obesity</topic><topic>Occupational health</topic><topic>Occupational Health Nursing - statistics & numerical data</topic><topic>Occupational Health Physicians - statistics & numerical data</topic><topic>Occupational Health Services - utilization</topic><topic>Occupational medicine</topic><topic>Occupational Medicine/Industrial Medicine</topic><topic>Office Visits - statistics & numerical data</topic><topic>Original Article</topic><topic>Primary Health Care - utilization</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Rehabilitation</topic><topic>Sex Factors</topic><topic>Smoking</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ikonen, Annukka</creatorcontrib><creatorcontrib>Räsänen, Kimmo</creatorcontrib><creatorcontrib>Manninen, Pirjo</creatorcontrib><creatorcontrib>Rautio, Maria</creatorcontrib><creatorcontrib>Husman, Päivi</creatorcontrib><creatorcontrib>Ojajärvi, Anneli</creatorcontrib><creatorcontrib>Alha, Pirkko</creatorcontrib><creatorcontrib>Husman, Kaj</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>International archives of occupational and environmental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ikonen, Annukka</au><au>Räsänen, Kimmo</au><au>Manninen, Pirjo</au><au>Rautio, Maria</au><au>Husman, Päivi</au><au>Ojajärvi, Anneli</au><au>Alha, Pirkko</au><au>Husman, Kaj</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of health services by Finnish employees in regard to health-related factors: the population-based Health 2000 study</atitle><jtitle>International archives of occupational and environmental health</jtitle><stitle>Int Arch Occup Environ Health</stitle><addtitle>Int Arch Occup Environ Health</addtitle><date>2013-05-01</date><risdate>2013</risdate><volume>86</volume><issue>4</issue><spage>451</spage><epage>462</epage><pages>451-462</pages><issn>0340-0131</issn><eissn>1432-1246</eissn><coden>IAEHDW</coden><abstract>Objectives
The aims of this study were to describe the use of occupational health services and other health care of Finnish employees and to examine associations between health problems and risks, and primary care visits to occupational health nurses and physicians and other health care.
Methods
A nationally representative sample of 3,126 employees aged 30–64 participated in the Health 2000 study, which consisted of a health interview, questionnaires, a clinical health examination, and the Composite International Diagnostic Interview. The use of health services was measured by self-reported visits.
Results
During the previous 12 months, 74 % of the employees visited occupational health services or municipal health centers, 52 % visited only occupational health services. From a third to a half of employees with lifestyle risks, depressive disorders or other health problems visited occupational health professionals. Obesity, burnout, insomnia, depressive mood, chronic impairing illnesses, and poor work ability were associated with visits to occupational health nurses. Among women, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to occupational health physicians. Lower educational level, smoking, musculoskeletal diseases, chronic impairing illnesses, and poor work ability were associated with visits to health center physicians.
Conclusions
This study showed the importance of occupational health services in the primary health care of Finnish employees. However, a considerable proportion of employees with lifestyle risks, depressive mood, and other health problems did not use health services. Occupational health professionals are in an advantageous position to detect health risks in primary care visits.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22562521</pmid><doi>10.1007/s00420-012-0778-0</doi><tpages>12</tpages></addata></record> |
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| subjects | Adult Age Factors Biological and medical sciences Burnout Burnout, Professional Chronic Disease Community Health Centers - utilization Cross-Sectional Studies Depression Earth and Environmental Science Educational Status Environment Environmental Health Female Finland Health care Health participants Health problems Health risks Health services Health services utilization Humans Life Style Male Medical personnel Medical sciences Mental depression Middle Aged Musculoskeletal Diseases Obesity Occupational health Occupational Health Nursing - statistics & numerical data Occupational Health Physicians - statistics & numerical data Occupational Health Services - utilization Occupational medicine Occupational Medicine/Industrial Medicine Office Visits - statistics & numerical data Original Article Primary Health Care - utilization Public health. Hygiene Public health. Hygiene-occupational medicine Rehabilitation Sex Factors Smoking Surveys and Questionnaires |
| title | Use of health services by Finnish employees in regard to health-related factors: the population-based Health 2000 study |
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