National trends in main causes of hospitalization: a multi-cohort register study of the finnish working-age population, 1976-2010.
BACKGROUND
The health transition theory argues that societal changes produce proportional changes in causes of disability and death. The aim of this study was to identify long-term changes in main causes of hospitalization in working-age population within a nation that has experienced considerable societal change.


METHODS
National trends in all-cause hospitalization and hospitalizations for the five main diagnostic categories were investigated in the data obtained from the Finnish Hospital Discharge Register. The seven-cohort sample covered the period from 1976 to 2010 and consisted of 3,769,356 randomly selected Finnish residents, each cohort representing 25% sample of population aged 18 to 64 years.


RESULTS
Over the period of 35 years, the risk of hospitalization for cardiovascular diseases and respiratory diseases decreased. Hospitalization for musculoskeletal diseases increased whereas mental and behavioral hospitalizations slightly decreased. The risk of cancer hospitalization decreased marginally in men, whereas in women an upward trend was observed.


CONCLUSIONS
A considerable health transition related to hospitalizations and a shift in the utilization of health care services of working-age men and women took place in Finland between 1976 and 2010.
Department of Social Research, University of Helsinki, Helsinki, Finland; University of Social Sciences and Humanities, Faculty in Wroclaw, Wroclaw, Poland; UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University Belfast, Belfast, United Kingdom.
Anne
A
Kouvonen
Finnish Institute of Occupational Health, Helsinki and Tampere, Finland.
Aki
A
Koskinen
Finnish Institute of Occupational Health, Helsinki and Tampere, Finland; Department of Philosophy, History, Culture and Art Studies, University of Helsinki, Helsinki, Finland.
Pekka
P
Varje
Finnish Institute of Occupational Health, Helsinki and Tampere, Finland.
Lauri
L
Kokkinen
Department of Public Health Sciences, School of Medicine, University of California Davis, Davis, United States of America; Department of Epidemiology and Public Health, University College London, London, United Kingdom.
Roberto
R
De Vogli
Finnish Institute of Occupational Health, Helsinki and Tampere, Finland.
Ari
A
Väänänen
D000293:Adolescent; D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology; D015331:Cohort Studies; D005260:Female; D005387:Finland / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000453:epidemiology; D009369:Neoplasms / Q000453:epidemiology; D012042:Registries; D012120:Respiration Disorders / Q000453:epidemiology; D012306:Risk; D055815:Young Adult