Groups In Finland Research Articles

Better perceived health among the Swedish-speaking minority as compared with the Finnish-speaking majority in Finland: a cross-sectional study with an intergenerational perspective.

Previous research has shown that the Swedish speaking minority in Finland has slightly but significantly better health compared with the Finnish speaking majority. However, a clear explanation for this is lacking. The aim of the study was to explore differences of perceived health comparing three groups: Swedish speakers with reported dominance of Swedish also in the preceding generation; contemporary Finnish speakers with reported dominance of Finnish in the preceding generation and a group with a reported mixed-language structure of Finnish and Swedish between generations. Health and Social Support is an on-going population-based survey initiated in 1998 (N = 64,797), aimed at working-age adults. The present study is based on the 2012 follow-up survey, which included a question on the dominating language (Swedish or Finnish) of the respondents and their parents. The outcome was perceived health, which in this study was dichotomized to very good/good and intermediate/poor/very poor. The statistical analysis was carried with logistic regression, using SAS software. Age, gender and occupational training were included as covariates in the multivariable analysis. This study found that the Swedish-speaking group in Finland report better perceived health compared with the Finnish-speaking group (odds ratio 1.28, 95% confidence interval 1.04-1.57, p < 0.001). The health of the mixed language-speaking group fell between the other two groups. The results gave some support to a culturally mediated mechanism for the health advantage of Swedish speakers. Cultural features of Swedish-speaking groups in Finland may also support health promotion of the Finnish-speaking majority.

Gendered Parenthood-Employment Gaps from Midlife: A Demographic Perspective Across Three Different Welfare Systems

Women’s labor force participation has increased in Western countries, but gender gaps remain, especially among parents. Using a novel comparative perspective, we assess women’s and men’s employment trajectories from midlife onward by parity and education. We provide insights into the gendered parenthood-employment gaps examining the long-term implications of parenthood beyond the core childbearing ages by decomposing years lived between ages 40–74, in years of employment, joblessness, and retirement. Using multistate incidence-based life tables, we compare different cultural and institutional contexts: Finland, Italy, and the USA. Our results document large cross-national variation, with education playing a key role. In Finland, the number of years of employment increases with parity for women and men, and the gender gap is small; in the USA, the relationship between parity and years of employment is relatively flat, although a gender gap emerges among those with two or more children; in Italy, the number of years of employment decreases sharply for women as parity increases, while it increases for men. Notably, education has a similar positive impact on years of employment across all groups in Finland. In contrast, in the USA and Italy, the gender gap is only half as large among highly educated mothers as it is among low educated mothers. The employment trajectories of childless women and men differ greatly across countries.

Incidence of ADHD medication use among Finnish children and adolescents in 2008-2019: a need for practice changes?

This study examined the incidence of attention-deficit/hyperactivity disorder medication among children and adolescents by sex and age group in Finland during 2008-2019. The data on children and adolescents aged 6-18 years receiving reimbursement for any attention-deficit/hyperactivity disorder medication was collected from the nationwide register on reimbursed purchases. The incidence was calculated as a ratio of the number of new users and the number of age and sex-matched population at risk. Negative binomial models were used to calculate rate ratios (RRs). In 2019, the incidence of attention-deficit/hyperactivity disorder medication was 13.4 per 1000 boys and 4.8 per 1000 girls. Among boys, the incidence became 3.7 times greater during the observed years (RR 95% confidence interval (CI) 2.0, 6.5, P<0.0001), whereas in girls it was 7.6 times greater (RR 95% CI 2.1, 27.4, P=0.0019). The boys had 2.8 times the incidence rate compared with the girls (RR 95% CI 2.2, 3.6, P<0.0001). The increase was associated with age only among boys (P=0.0001). The highest incidence rate 23.4 per 1000 individuals (95% CI 22.5, 24.4) was found in 2019 among 6-8-year-old boys. The incidence of attention-deficit/hyperactivity disorder medication use among children and adolescents increased significantly in Finland during the study period. Incidence was higher among boys, but the increase was greater among girls. The most common group to start attention-deficit/hyperactivity disorder medication was 6-8-year-old boys. These findings warrant critical evaluation of the diagnostic and treatment policies currently available in Finland for the treatment of attention-deficit/hyperactivity disorder and related symptoms.

Early Childhood Education and Care Teachers’ Gaze Behavior Across Pedagogical Episodes in Toddler Groups in Finland

AbstractTeacher–child interaction is central in pedagogical activities in early childhood education and care (ECEC). In these activities, teachers’ visual gaze is a valuable tool for communication, but this has received little attention in ECEC research. Recent technological advancements in eye-tracking provide an approach to take a deeper look at how teachers focus their visual gaze during activities. Our study focused on three ECEC teachers’ visual gaze behavior during pedagogical activities in a group of children under three years of age (later toddlers) in Finland, to gain understanding of how teachers use their gaze to facilitate interactions and pedagogy. The data were collected using eye-tracking glasses in two types of activities: play and guided activity. From these eye-tracking recordings, we identified pedagogical episodes (e.g., guidance). To analyze teachers’ visual gaze behavior, we also coded the fixations to the different areas of interest (e.g., teaching materials). The findings showed that the teachers’ aim for interaction with children was associated with their visual gaze behavior on teacher- and child-initiated episodes. Moreover, the activity's structure and the teacher's position also played a role in how teachers focus their visual gaze. In this article, we also discuss the potential of eye-tracking technology in reflection of practices implemented in ECEC and we argue that the use of eye-tracking technology is an area that merits further exploration.

Reducing the carbon footprint of diets across socio-demographic groups in Finland: a mathematical optimisation study.

To characterise nutritionally adequate, climate-friendly diets that are culturally acceptable across socio-demographic groups. To identify potential equity issues linked to more climate-friendly and nutritionally adequate dietary changes. An optimisation model minimises distance from observed diets subject to nutritional, greenhouse gas emissions (GHGE) and food-habit constraints. It is calibrated to socio-demographic groups differentiated by sex, education and income levels using dietary intake data. The environmental coefficients are derived from life cycle analysis and an environmentally extended input-output model. Finland. Adult population. Across all population groups, we find large synergies between improvements in nutritional adequacy and reductions in GHGE, set at one-third or half of the current level. Those reductions result mainly from the substitution of meat with cereals, potatoes and roots and the intra-category substitution of foods, such as beef with poultry in the meat category. The simulated more climate-friendly diets are thus flexitarian. Moving towards reduced-impact diets would not create major inadequacies related to protein and fatty acid intakes, but Fe could be an issue for pre-menopausal females. The initial socio-economic gradient in the GHGE of diets is small, and the patterns of adjustments to more climate-friendly diets are similar across socio-demographic groups. A one-third reduction in GHGE of diets is achievable through moderate behavioural adjustments, but achieving larger reductions may be difficult. The required changes are similar across socio-demographic groups and do not raise equity issues. A population-wide policy to promote behavioural change for diet sustainability would be appropriate.

Individuals with a migratory background can offer valuable insight to improve the treatment and prevention of gambling harms.

Migration is a risk factor for gambling-related harms. Little research has been conducted on gambling and gambling harms among migrant groups in Finland, but there are indications that gambling participation is high among migrants also in this context. Russian speakers constitute the largest migrant group in Finland. This study focuses on the experiences and views of Russian speakers in Finland on the Finnish gambling system and its relationship to gambling harms. The study is based on the results of qualitative data collected on gambling experiences among Russian-speaking residents of Finland. The data consist of an online survey directed at individuals who gamble (N = 26) and interviews conducted among family members of those gambling (N = 3). Russian speakers in Finland view gambling as highly normalised in the Finnish society. This normalisation reinforced by availability, accessibility, and state involvement. Russian speakers also have perspective on how to better prevent and treat gambling harms in Finland. Involving migrants with experience of different gambling systems can provide critical insight on established practices in gambling systems.

Learning and teaching care within the family: Experiential learning reflecting informal teaching

The present study investigated how caregivers in Finland and the US recount learning and teaching care within the family, drawing on a new educational-psychological framework for care. This study applied thematic analysis to seven focus groups in the US and five focus groups in Finland composed of caregivers ( N = 45). The results suggest one main theme for learning, Imperfect Mirroring of Past Parenting and Present Parenting Practice, and two themes for teaching: Actions Tell More Than Words (US) and Teaching Them To be Independent and Caring Citizens (Finland). For learning, the findings indicate that childhood experiences are transformed into an informal guide for how care should (or should not) be practiced, highlighting how the lack of systematization in learning care contributes to caregivers’ need for self-teaching and unlearning what they experienced. In addition, caregivers tend to reproduce their learning experiences in teaching to care, and within this process, they focus more on pragmatic aspects of care. The various elements theorized in the Psychological Processes for Care Framework used, including identifying and anticipating others’ needs and deciding on the responsibility of addressing needs, were neglected in caregivers’ reports of teaching care. Implications argue in favor of psycho-educational programs for caregivers that can systematically address two pressing issues in learning-teaching care - the complexity involved in care processes and understanding the intersubjective nature of the construction of caring relationships.

Changing inequalities in life-expectancy by income in Finland 1997-2020

Abstract Background Previous studies show that in recent decades the changes in mortality disparities between income groups in Finland have been driven by alcohol- and smoking-related causes of death. The gap between the extreme income quintiles narrowed in 2008-14 particularly due to the declining alcohol-related mortality. We analysed the most recent changes in mortality disparities and the causes of deaths behind them. Methods We used register based individual level total population data for ages 30-95+ and yearly follow-up for mortality in 1996-2020 including information on disposable household income quintile in the previous year. Preston method was used for assessing the impact of smoking on mortality. We calculated trends in life expectancy (LE) at age 30 for three-year periods in 1997-2020 and then conducted an Arriaga cause of death decomposition of the gap between highest and lowest quintiles and changes in LE for each quintile from 2015-17 to 2018-20. Results We observed an increasing gap in LE by income due to stagnating LE in the lowest income quintile from 2015 onward among both men and women. Among men the stagnation was observed even after eliminating smoking- and alcohol-related mortality and among women the LE slightly increased after accounting for smoking and alcohol but the gap to the highest quintile increased clearly. Decomposing the change in LE from 2015-17 to 2018-2020 by causes of death showed no specific causes of death behind the stagnation and the widening gap. Among both men and women mortality due to circulatory diseases showed a substantial decline in the lowest quintile whereas in all other causes mortality increased or declined only slightly. Conclusions Inequalities in LE by income are widening again in Finland due to stagnation in the lowest income quintile. Contrary to the prior decades the increasing disparities are not attributable to smoking and alcohol-related deaths but occur in the majority of causes of death. Key messages • After nearly a decade of narrowing mortality inequalities we observed an increasing gap in life expectancy by income mainly due to stagnation in the lowest income quintile. • Contrary to the prior decades the increasing disparities and stagnation of the lowest income quintile are not explained by smoking and alcohol-related deaths but occur in majority of causes of death.

The years children spent in early education in relation to their social relations and objects of attention

ABSTRACT This quantitative study examines the connection between the years that children spent in early childhood education and care (ECEC) and their social orientations and main objects of attention. The data were collected within the Progressive Feedback project by observing children: 20,457 observations of 972 six-year-olds from 360 child groups in Finland. According to the results, the years children spent in ECEC have a connection to their social orientations and main objects of attention, and differences between genders were discovered. The longer the children had attended ECEC, the less adaptive orientation was observed. The children that had attended ECEC for under a year were observed to be the least participative. Dominant orientation increased the longer the children had attended ECEC. Those that had been in ECEC for more than four years rarely paid attention to non-social objects and adults and often paid attention to several children.

The good, the bad and the advantageous: Migrants’ attitudes towards other migrants

There is a growing number of various ethnic groups in Finland. The attitudes and categorizations that host country nationals have and make regarding migrants is frequently researched. The attitudes that migrants have towards other migrants has, however, been much less researched. This paper provides an in-depth analysis that considers what factors are behind the attitudes that migrants form of other migrants and how these impact categorizations and hierarchies. The empirical research material of this study is based on 77 qualitative interviews with migrants living in Finland, carried out in 2018–2019. In the analysis, various theories of minority relations are applied.The research finds that migrants evaluate other migrants according to their perceived advantageousness and, based on these evaluations, they form hierarchies, which are to some extent ethnic. Perceived advantageousness is based on being integrated (especially in economic terms), hard-working, non-threatening, pliable, similar to Finns (or an ideal of perceived Finnishness), “white”, and not being dependent on welfare benefits. As a fear of being lumped together and then discriminated against, migrants emphasise their distinctiveness from other migrant groups in a subjugating manner. Certain characteristics tend to be ascribed to certain backgrounds and ethnicities and, thus, migrant groups become categorized according to their positions in a hierarchy. Not being advantageous is attributed to personal shortcomings and even ‘racial’ attributes. A shared commonness of the majority population is presumed and functions as the underlying assumption which guides the idea of how and what people should be like in order to fit in.

Tax on sugary drinks and trends in daily soda consumption by family affluence: an international repeated cross-sectional survey among European adolescents

BackgroundThe WHO recommends soda taxes to reduce sugar consumption, but the effect across socioeconomic groups is unclear. ObjectivesWe assessed 16-y trends in daily soda consumption among adolescents in 4 European countries with a soda tax and 5 comparison countries, by family affluence. MethodsFive rounds of the international “Health Behaviour in School-Aged Children” school-based survey were used (school years 2001/2002 to 2017/2018, repeated cross-sectional design). Finland, France, Belgium, and Portugal introduced or updated a soda tax during this period. For comparison, we selected 5 neighboring countries without such a tax. Nationally representative samples of adolescents aged 13 and 15 y (n = 165,521; 51.2% girls) completed a standardized questionnaire, including a question on soda consumption frequency. Using the family affluence scale (FAS), we categorized adolescents into lower-, middle- or higher-affluent groups. Changes in daily soda consumption were assessed in each country independently. ResultsBefore taxation, daily soda consumption was more likely among lower-affluent adolescents in France and Belgium (P < 0.001, socioeconomic inequalities) and was similar across FAS groups in Finland and Portugal (no inequalities). After the tax, daily soda consumption was reduced across all FAS groups in Finland, Belgium, and Portugal (Pinteractions ≥ 0.33). In France, a posttax decrease was observed only among lower-affluent adolescents (ORlower, 0.76; 95% CI: 0.60, 0.96; reduced inequalities). During the same periods, socioeconomic patterns remained stable in 3 comparison countries (Pinteractions ≥ 0.38), and larger reductions in daily soda consumption were observed among middle- or higher-affluent adolescents compared with lower-affluent adolescents in the remaining 2 comparison countries (Pinteractions ≤ 0.08, increased inequalities). ConclusionsSocioeconomic patterns did not change after the tax implementation in 3 out of 4 countries, and socioeconomic inequalities were reduced in France. Taxing sodas might be an effective measure to attenuate, or at least not exacerbate, socioeconomic inequalities in adolescent daily soda consumption. Am J Clin Nutr 20XX;xx:xx–xx.

Life satisfaction and social capital in different age groups in Finland: Data from the European Values Study

The aim of the study is to explore age and language group differences in social capital and life satisfaction, and their associated factors, among Finnish and Swedish speakers in Finland. Data were derived from the European Values Study (EVS), and the sample included 2514 individuals aged 18 years and older. Various regression-based methods were used in the analyses. The results indicate that there are significant differences in social capital between Finnish and Swedish speakers but not in life satisfaction. Nevertheless, a positive association between volunteering and life satisfaction was observed for Finnish speakers. The findings corroborate that structural and cognitive social capital are associated with higher life satisfaction and highlight the potential for promoting well-being in younger and older adults through being actively engaged in and feeling connected to a community. Moreover, special attention should be given to young adults who display the lowest levels of life satisfaction and social capital.

Divorce among exogamous couples: The role of language convergence

This is the first study to use longitudinal population register data to illustrate that marital stability may relate to the adoption of the spouse's language. The paper draws on theories of boundary shifting and boundary crossing to examine two main ancestral groups in Finland, Finnish speakers and Swedish speakers, between whom intermarriage is common. Administrative changes in how the question about language/ethnicity was registered between the censuses of 1975 and 1980 make it possible to distinguish between persons who are concordant or discordant on the main language used and ethnic affiliation. Using data on the entire married population, and adjusting for several individuals and couple characteristics, we estimate the couples’ divorce risk as a function of language convergence with Cox regressions. Discordance in terms of adopting the Finnish language used by the partner is associated with a higher divorce risk, as compared with couples who are exogamous in terms of both language use and ethnic affiliation. Adopting the Swedish language, on the other hand, is associated with a slightly reduced divorce risk. Thus, these data provide some evidence that marital stability may relate to language convergence.

Climate Change and Health: Consequences of High Temperatures among Vulnerable Groups in Finland.

In this article, we examine the effects of high temperatures on hospital visits and mortality in Finland. This provides new information of the topic in a context of predominantly cool temperatures. Unique, individual-level data are used to examine the relationship at the municipality-month level over a span of 20 years. Linear regression methods alongside high-dimensional fixed effects are used to minimize confounding variation. Analysis is conducted with special emphasis on the elderly population, as well as on specific elderly risk groups identified in previous literature. We show that for an additional day per month above 25°C, monthly all-cause mortality increases by 1.5 percent (95% CI: 0.4%-2.6%) and acute hospital visits increase by 1.1 percent (95% CI: 0.7%-1.6%). We also find some evidence that these effects are elevated in selected population subgroups, the low-income elderly, and people with dementia. Hospital visits also increase among younger age groups, illustrating the importance of using multiple health indicators. Such detailed evidence is important for identifying vulnerable groups as extreme heat waves are expected to become more frequent and intense in northern countries.

How can the potential harms of loot boxes be minimised?: Proposals for understanding and addressing issues at a national level.

Background and aimsLoot boxes are in-game items which distribute rewards to players via random-number generation; many games require players to make in-game payments to access their contents. The combination of financial outlay and random rewards has raised concern about similarities to gambling. This debate paper presents a series of themes identified by an inter-institutional working group in Finland, alongside suggested actions, and are presented with the intention of stimulating debate among stakeholders.MethodsThis work uses an exploratory research approach to gather data from a range of sources, including state-of-the-art reports from several fields and qualitative content analysis of invited presentations from a range of stakeholders, including affected individuals, practitioners, and field-specific experts.Results and DiscussionSeveral significant themes emerged from the work and are presented alongside a series of proposed action points. Based on this preliminary exploration we propose a series of, non-exhaustive, actions for both primary and secondary prevention. Furthermore, the group identified the potential for responsible gaming practices to be adopted which would help to minimize the harm from overspending in gaming activities. Finally, we identified the need for further research in the field, for example the use of player data and both longitudinal and qualitative studies.ConclusionsThe emergent themes are discussed in relation to both the views of the presenters and existing research in the field and are intended to promote discussion concerning the viability of context-specific approaches to an issue of global reach and significance.

Long-Term Trends in Obesity Prevalence by Socio-Economic Group in Five European Countries and the USA: The Relevance of the Diffusion of Innovations Theory

Introduction: Cross-national comparison suggests that the timing of the obesity epidemic differs across socio-economic groups (SEGs). Similar to the smoking epidemic, these differences might be described by the diffusion of innovations theory, which states that health behaviours diffuse from higher to lower SEGs. However, the applicability of the diffusion of innovations theory to long-term time trends in obesity by SEG is unknown. We studied long-term trends in the obesity prevalence by SEG in England, France, Finland, Italy, Norway, and the USA and examined whether trends are described by the diffusion of innovations theory. Methods: Obesity prevalence from 1978 to 2019 by educational level, sex, and age group (25+ years) from health surveys was harmonized, age-standardized, Loess-smoothed, and visualized. Prevalence rate differences were calculated, and segmented regression was performed to obtain annual percentage changes, which were compared over time and across SEGs. Results: Obesity prevalence among lower educated groups has exceeded that of higher educated groups, except among American men, in all countries throughout the study period. A comparable increase across educational levels was observed until approximately 2000. Recently, obesity prevalence stagnated among higher educated groups in Finland, France, Italy, and Norway and lower educated groups in England and the USA. Discussion: Recent trends in obesity prevalence by SEG are mostly in line with the diffusion of innovations theory; however, no diffusion from higher to lower SEGs at the start of the epidemic was found. The stagnation among higher SEGs but not lower SEGs suggests that the latter will likely experience the greatest future burden.

Changes in the Epidemiology of Zoonotic Infections in Children: A Nationwide Register Study in Finland.

Zoonotic infections are difficult to recognize in children. The age distributions and seasonal occurrences of these infections vary substantially, even among those transmitted by the same vectors, and their epidemiology may change over time. The aim was to report the incidences and trends of Borrelia burgdorferi, Puumala virus, Francisella tularensis and tick-borne encephalitis (TBE) virus infections in the pediatric population (age 0-19) of Finland. A nationwide survey based on the National Infectious Disease Register was conducted from 1996 to 2019 and all laboratory-confirmed cases were included. Age-stratified incidences per 100,000 person-years were calculated. Cumulative incidences were B. burgdorferi 11.2, TBE 0.4, Puumala virus 6.4 and F. tularensis 2.5 per 100,000 person-years. An increasing trend in the incidences of B. burgdorferi and TBE was observed. Borrelia expanded geographically northward and inland. Tularemia follows a 2-4-year epidemic cycle and rates are similar across age groups. Puumala incidences are highest in the older children. Borrelia infections increased most rapidly in children 5-9 years of age and overall expanded geographically in Finland. Tularemia epidemic cycles were shorter than those previously reported. These results will help clinicians to identify these infections in different geographic areas and age groups in Finland.

Differentiated Embedding and Social Relationships Among Russian Migrant Physicians in Finland: A Narrative Socio‐Analysis

Migrants’ processes of (dis)embedding in local and transnational social networks have received growing attention in recent years, but most research focuses on low‐skilled migration. This study explores the affordances and challenges that Russian physicians, as a high‐skilled migrant group in Finland, experience in these processes in work and non‐work domains. Based on semi‐structured biographical interviews with 26 Russian physicians, the study employs Bourdieu’s socio‐analysis to analyze their narratives. The results reveal that Russian migrant physicians negotiate and experience differentiated embedding across work–life domains in local and transnational contexts. They mostly develop collegial relationships with Finnish colleagues and benefit from fulfilling professional relationships in the work domain. However, alongside time and efforts needed for building social ties, various factors often impede friendship making and socialization with locals beyond the work domain. These physicians cope with individual life circumstances through their enduring and supportive relationships with their Russian relatives and colleagues–friends. These results indicate that high‐skilled migrants have a greater opportunity to connect professionally with locals than low‐skilled migrants, but experience similar challenges to the latter in building close personal relationships.

The birth of minority legislation in the newly independent Finland and Estonia (1918–1920): a comparative analysis

This article analyzes how ethnic minorities were taken into account in the Finnish and Estonian constitutions, and why account was taken precisely in a certain way. At the same time, it approaches what kinds of views were presented by different political parties and interest groups, what kind of debate was being held in Parliament and how the matter was dealt with in the leading media. The outcome of the process in both countries was that exceptionally broad linguistic and cultural rights were given to minorities if the situation was compared with the rest of Europe. There were several factors behind the process. One factor was the relationship between ethnic groups in Finland and Estonia in the historical perspective. Another factor was each country's internal debate on what kind of social order in general was to be built. The third factor was how the politics in Finland and Estonia was influenced by international trends and theories about how ethnic minorities should have been treated.

Families in flux: at the nexus of fluid family configurations and language practices

ABSTRACT Research on multilingualism in the home has approached the family as a fixed unit thus neglecting the dynamic view of the family and its intersection with family language practices. The present study aims to address this gap by focusing on Russian-speaking mothers in Finland who have raised their children bilingually in single-parent as well as in dual-parent families. Russian speakers are the largest minority language group in Finland, and their number is constantly growing. The current study is a contribution to the research on family language practices in the Finnish context. It examines the nexus of shifts in family configurations and language practices and explores how the dynamic changes in family constellations shape language practices in four families. The study reveals that creating new kinships leads to shifts in the language practices of the peripheral family members and that forming voluntary kin can expand heritage language use and enable an overhearer and bystander role for children. Non-residential family members expand the family's linguistic repertoire and support the legitimacy of already established practices. Being sole caretakers enables mothers to encourage language practices that they consider beneficial for their children without encountering any resistance from other family members.