Näyhä S, Järvelin M R
Oulu Regional Institute of Occupational Health, University of Oulu, Finland.
Int J Circumpolar Health. 1998 Jul;57(2-3):94-103.
Along with the process of the epidemiological transition, northern Finland has experienced an increase of cardiovascular diseases, some types of cancer, and accidental and suicidal deaths, particularly in the male population, while the females of northern Finland have shown rather favourable trends during the post-war period. Northern Finland shows a clustering of severe health problems such as coronary heart disease, accidents and suicides in smaller areas, e.g. in north-central Lapland, which records mortality rates 2-3 times higher than areas of lowest mortality. There is some indication of a high prevalence of smoking, increased serum lipids, blood pressure, body weight and alcohol consumption in the areas of highest morbidity and mortality, but evidence based on representative population samples is missing. Accidents and suicides are also common in the Sâmi (Lapp) area but coronary heart disease is rare, despite the unfavourable risk factor patterns.
随着流行病学转变进程，芬兰北部心血管疾病、某些类型癌症以及意外和自杀死亡人数有所增加，男性人群尤为明显，而芬兰北部女性在战后时期呈现出较为有利的趋势。芬兰北部在较小区域存在严重健康问题聚集现象，如冠心病、事故和自杀，例如在拉普兰中北部，该地区死亡率比死亡率最低的地区高出2至3倍。有迹象表明，发病率和死亡率最高的地区吸烟率高、血脂升高、血压升高、体重增加且饮酒量增加，但缺乏基于代表性人群样本的证据。在萨米（拉普）地区，事故和自杀也很常见，但尽管存在不利的风险因素模式，冠心病却很少见。
