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.
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References
Ahola K, Honkonen T, Isometsä E et al (2005) The relationship between job-related burnout and depressive disorders—results from the Finnish health 2000 study. J Affect Disord 88(1):55–62
Ahola K, Honkonen T, Virtanen M et al (2007) Interventions in relation to occupational burnout: the population-based health 2000 study. J Occup Environ Med 49(9):943–952
Ahola K, Gould R, Virtanen M, Honkonen T, Aromaa A, Lönnqvist J (2009) Occupational burnout as a predictor of disability pension: a population-based cohort study. Occup Environ Med 66(5):284–290
Alavinia SM, de Boer AG, van Duivenbooden JC, Frings-Dresen MH, Burdorf A (2009) Determinants of work ability and its predictive value for disability. Occup Med (Lond) 59(1):32–37
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington (DC)
Aromaa A, Koskinen S (eds) (2004) Health and functional capacity in Finland. Baseline results of the health 2000 examination survey. National Public Health Institute, Helsinki
Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J (1961) An inventory for measuring depression. Arch Gen Psychiatry 4:561–571
Beck AT, Steer RA, Garbin M (1988) Psychometric properties of the Beck depression inventory: twenty years of evaluation. Clin Psychol Rev 8:77–100
Bijl RV, Ravelli A (2000) Psychiatric morbidity, service use, and need for care in the general population: results of The Netherlands mental health survey and incidence study. Am J Public Health 90(4):602–607
Halme JT, Seppä K, Alho H et al (2008) Hazardous drinking: prevalence and associations in the Finnish general population. Alcohol Clin Exp Res 32(9):1615–1622
Halonen P, Vehviläinen A, Mäntyselkä P et al. (2006) Lääkäripalvelujen laatu väestön arvioimana (Patient satisfaction with the quality of physician services) (abstract in English) Suom Lääkäril 61:1739–1744
Hämäläinen J, Isometsä E, Laukkala T et al (2004) Use of health services for major depressive episode in Finland. J Affect Disord 79(1–3):105–112
Hämäläinen J, Isometsä E, Sihvo S, Pirkola S, Kiviruusu O (2008) Use of health services for major depressive and anxiety disorders in Finland. Depress Anxiety 25(1):27–37
Heistaro S (ed) (2008) Methodology report, health 2000 survey. Publications of National Public Health Institute, Helsinki
Honkonen T, Virtanen M, Ahola K et al (2007) Employment status, mental disorders and service use in the working age population. Scand J Work Environ Health 33(1):29–36
IJzelenberg W, Burdorf A (2004) Patterns of care for low back pain in a working population. Spine 29(12):1362–1368
Ilmarinen J, Tuomi K, Klockars M (1997) Changes in the work ability of active employees over an 11-year period. Scand J Work Environ Health 23(Suppl 1):49–57
Jordanova V, Wickramesinghe C, Gerada C, Prince M (2004) Validation of two survey diagnostic interviews among primary care attendees: a comparison of CIS-R and CIDI with SCAN ICD-10 diagnostic categories. Psychol Med 34(6):1013–1024
Kalimo R, Toppinen S (1997) Työuupumus Suomen työikäisellä väestöllä (Burnout in the Finnish working population). Finnish Institute of Occupational Health, Helsinki
Kalimo R, Hakanen J, Toppinen-Tanner S (2006) Maslachin yleinen työuupumuksen arviointimenetelmä MBI-GS. Finnish Institute of Occupational Health, Helsinki
Kauppinen T, Hanhela R, Kandolin I et al (eds) (2010) Työ ja terveys Suomessa 2009 (Work and Health in Finland 2009) (in Finnish). Finnish Institute of Occupational Health, Helsinki
Kimanen A, Manninen P, Räsänen K, Rautio M, Husman P, Husman K (2010) Factors associated with visits to occupational health physicians in Finland. Occup Med (Lond) 60(1):29–35
Kimanen A, Rautio M, Manninen P, Räsänen K, Husman P, Husman K (2011) Primary care visits to occupational health physicians and nurses in Finland. Scand J Pub Health 39:525–532
Laukkala T, Isometsä E, Hämäläinen J, Heikkinen M, Lindeman S, Aro H (2001) Antidepressant treatment of depression in the Finnish general population. Am J Psychiatry 158(12):2077–2079
Manocchia M, Keller S, Ware JE (2001) Sleep problems, health-related quality of life, work functioning and health care utilization among the chronically ill. Qual Life Res 10(4):331–345
Maslach C, Jackson SE (1981) The measurement of experienced burn-out. J Occup Behav 2:99–113
Maslach C, Jackson SE, Leiter MP (1996) Maslach burnout inventory manual, 3rd edn. Consulting Psychologist Press, Palo Alto
McDowell MA, Hughes JP, Borrud LG (2006) Health characteristics of U.S. adults by body mass index category: results from NHANES 1999–2002. Public Health Rep 121(1):67–73
Molano SM, Burdorf A, Elders LA (2001) Factors associated with medical care-seeking due to low-back pain in scaffolders. Am J Ind Med 40(3):275–281
Parikh SV, Lin E, Lesage AD (1997) Mental health treatment in Ontario: selected comparisons between the primary care and specialty sectors. Can J Psychiatry 42(9):929–934
Piirainen H, Elo A, Hirvonen M et al (2000) Työ ja terveys-haastattelututkimus 2000, Taulukkoraportti (Work and Health Survey 2000) (in Finnish). Finnish Institute of Occupational Health, Helsinki
Pronk NP, Goodman MJ, O’Connor PJ, Martinson BC (1999) Relationship between modifiable health risks and short-term health care charges. JAMA 282(23):2235–2239
Salaspuro M, Alho H, Autti-Rämö I et al. (2005) Alkoholiongelmaisen hoito. Käypä hoito -suositus (Treatment of alcohol abuse. Current Care Guideline). Duodecim 121(7):788–803
Siemiatycki J (1979) A comparison of mail, telephone, and home interview strategies for household health surveys. Am J Public Health 69(3):238–245
Sivertsen B, Overland S, Neckelmann D et al (2006) The long-term effect of insomnia on work disability: the HUNT-2 historical cohort study. Am J Epidemiol 163(11):1018–1024
Statistical Yearbook of the Social Insurance Institution 2010 (2011) Official statistics of Finland. http://www.kela.fi/it/kelasto/kelasto.nsf/alias/Vk_10_pdf/$File/Vk_10.pdf?OpenElement. Accessed 08.03.2012
Taimela S, Mäkelä K, Justén S, Schugk J (2007) Masennusoireiden seulonta ja oireisten työntekijöiden hoitoonohjaus työterveyshuollossa (Screening for depressive symptoms in occupational health care and referral of symptomatic employees for treatment) (abstract in English). Suom Lääkäril 62:4203–4207
Tuomi K, Ilmarinen J, Seitsamo J et al (1997) Summary of the Finnish research project (1981–1992) to promote the health and work ability of aging workers. Scand J Work Environ Health 23(Suppl 1):66–71
Tuomi K, Ilmarinen J, Jahkola A, Katajarinne L, Tulkki A (1998) Work ability index, 2nd revised edition. Finnish Institute of Occupational Health, Helsinki
Virtanen P, Mattila K, Suominen S (2006) Väestövastuu ja työikäisten lääkärissäkäynnit eri kokoisissa kunnissa. (Visits to a physician by people of working age, according to whether or not they belong to the personal doctor system and the size of the municipality) (abstract in English). Suom Lääkäril 61:4485–4490
Wetzler HP, Cruess DF (1985) Self-reported physical health practices and health care utilization: findings from the national health interview survey. Am J Public Health 75(11):1329–1330
Wittchen HU, Lachner G, Wunderlich U, Pfister H (1998) Test-retest reliability of the computerized DSM-IV version of the Munich-composte international diagnostic interview (M-CIDI). Soc Psychiatry Psychiatr Epidemiol 33(11):568–578
Acknowledgments
We would like to thank the staff of the National Institute of Health and Welfare for data collection and processing.
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The authors declare that they have no conflict of interest.
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Ikonen, A., Räsänen, K., Manninen, P. et al. Use of health services by Finnish employees in regard to health-related factors: the population-based Health 2000 study. Int Arch Occup Environ Health 86, 451–462 (2013). https://doi.org/10.1007/s00420-012-0778-0
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DOI: https://doi.org/10.1007/s00420-012-0778-0