Adolescents' health and health behaviour as predictors of injury death. A prospective cohort follow-up of 652,530 person-years

TamPub

Näytä suppeat kuvailutiedot

dc.contributor.author Mattila, Ville M -
dc.contributor.author Parkkari, Jari -
dc.contributor.author Koivusilta, Leena -
dc.contributor.author Nummi, Tapio -
dc.contributor.author Kannus, Pekka -
dc.contributor.author Rimpelä, Arja -
dc.date.accessioned 2012-06-17T20:13:55Z
dc.date.available 2012-06-16 09:01:12 -
dc.date.available 2012-06-17T20:13:55Z
dc.date.issued 2008 -
dc.identifier.issn 1471-2458 -
dc.identifier.uri http://tampub.uta.fi/handle/10024/65819
dc.description BioMed Central Open access -
dc.description.abstract Background Injuries represent an important cause of mortality among young adults. Longitudinal studies on risk factors are scarce. We studied associations between adolescents' perceived health and health behaviour and injury death. Methods A prospective cohort of 57,407 Finns aged 14 to 18 years was followed for an average of 11.4 years. The end-point of study was injury death or termination of follow-up in 2001. The relationships of eight health and health behaviour characteristics with injury death were studied with adjusted Cox's proportional hazard model. Results We identified 298 (0.5%) injury deaths, 232 (0.9%) in men and 66 (0.2%) in women. The mean age at death was 23.8 years. In the models adjusted for age, sex and socioeconomic background, the strongest risk factors for injury death were recurring drunkenness (HR 2.1; 95% CI: 1.4–3.1) and daily smoking (HR 1.7; 95% CI: 1.3–2.2). Poor health did not predict injury death. Unintentional and intentional injury deaths had similar health and health behavioural risk factors. Conclusion Health compromising behaviour adopted at adolescence has a clear impact on the risk of injury death in adulthood independent from socioeconomic background. On the other hand, poor health as such is not a significant predictor of injury death. Promotion of healthy lifestyle among adolescents as part of public health programmes would seem an appropriate way to contribute to adolescent injury prevention. -
dc.language.iso en -
dc.title Adolescents' health and health behaviour as predictors of injury death. A prospective cohort follow-up of 652,530 person-years -
dc.type fi=Artikkeli aikakauslehdessä | en=Journal article| -
dc.identifier.urn urn:nbn:uta-3-583 -
dc.identifier.doi 10.1186/1471-2458-8-90 -
dc.type.version fi=Kustantajan versio | en=Publisher's version| -
dc.subject.okm fi=Terveystiede | en=Health care science| -
dc.journal.title BMC Public Health -
dc.journal.volume 8 -
dc.journal.number 90 -
dc.journal.volumepagerange 1-8 -
dc.oldstats 57 -

Viite kuuluu kokoelmiin:

Näytä suppeat kuvailutiedot