Epidemiology and Health

Original Articles

Association of participation in the Northern Finland Birth Cohort 1986 with mental disorders and suicidal behaviour: Martta Kerkelä, Mika Gissler, Juha Veijola; Epidemiol Health. 2022;44:e2022005. Published online January 3, 2022; DOI: https://doi.org/10.4178/epih.e2022005

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Abstract Summary PDF Supplementary Material

Abstract

OBJECTIVES
In prospective follow-up studies, participants are normally contacted during the follow-up period. Even though the idea is not to intervene, the studies conducted during follow-up may affect the target population. Our hypotheses were that participation in the prospective Northern Finland Birth Cohort 1986 study (NFBC 1986) increased the use of mental health services and reduced suicidal behaviour due to participation in follow-up studies.

METHODS

The NFBC 1986 study covered people with an expected date of birth between July 1985 and June 1986 in northern Finland (n=9,396). The participants of the NFBC 1986 were followed since the antenatal period with follow-ups including clinical examinations. The comparison cohort comprised people born in the same area in 1987 (n=8,959), who were not contacted. Registry data on psychiatric treatment, suicide attempts, and suicides were available. Crude risk ratios (RRs) and adjusted (for marital status and education) Mantel-Haenszel RRs were reported.

RESULTS

No increase in mental disorders were found in NFBC 1986 compared to comparison cohort. In the crude RR analysis of female participants, a lower risk for suicide attempts was found (RR, 0.67; 95% confidence interval, 0.49 to 0.92; p=0.011).

CONCLUSIONS

The results did not support our first hypothesis regarding the increased use of mental health services in the NFBC 1986 cohort. However, our second hypothesis gained some support as female participants of the NFBC 1986 had a lower risk of suicide attempts, although it was not due to a higher number of participants receiving psychiatric treatment.

Summary

Key Message
Female members of the longitudinal Northern Finland Birth Cohort 1986 study did have less psychiatric diagnosis in several diagnosis classes than comparison cohort, which may indicate that different follow-up studies conducted in the prospective birth cohort studies may affect to the study population.

Citations

Citations to this article as recorded by

Association between participation in the Northern Finland Birth Cohort 1966 study and use of psychiatric care services
Martta Kerkelä, Mika Gissler, Tanja Nordström, Juha Veijola, Silva Ibrahimi
PLOS ONE.2023; 18(3): e0282714. CrossRef
Association between participation in the Northern Finland Birth Cohorts and cardiometabolic disorders
Martta Kerkelä, Mika Gissler, Tanja Nordström, Olavi Ukkola, Juha Veijola
Annals of Medicine.2023; 55(1): 1123. CrossRef

Effect of antiretroviral therapy on changes in the fertility intentions of human immunodeficiency virus-positive women in Addis Ababa, Ethiopia: a prospective follow-up study: Hussen Mekonnen, Fikre Enquselassie; Epidemiol Health. 2017;39:e2017028. Published online July 16, 2017; DOI: https://doi.org/10.4178/epih.e2017028

11,972 View
183 Download
8 Web of Science
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Abstract PDF

Abstract

OBJECTIVES
With access to antiretroviral therapy (ART), people living with human immunodeficiency virus (HIV) are able to consider childbearing to a greater extent than previously. In many cases, ART has transformed their intentions to have children. The present study aimed to assess changes in fertility intentions 12 months after ART initiation among HIV-positive women in Addis Ababa, Ethiopia.

METHODS

An institution-based follow-up study was conducted among 360 HIV-positive women in Addis Ababa. A logistic regression model was used to assess the influence of socio-demographic, reproductive health, and clinical characteristics on changes in the fertility intentions of women.

RESULTS

Overall, 40.8% (147 of 360) of the women reported that they desired to have a child in the future at the baseline visit, while 48.3% (174 of 360) did so at the 12-month follow-up. The proportion of women who reported that they desired to have a child 12 months after ART initiation was higher among ART-initiated women (55.8%, 106 of 190) than ART-naïve women (40.0%, 68 of 170). The adjusted analysis indicated that a change in fertility intentions between baseline and the follow-up visit was significantly associated with ART use (adjusted odds ratio [aOR], 2.47; 95% confidence interval [CI], 1.20 to 5.20) and marital status, with single (aOR, 5.33; 95% CI, 1.10 to 25.92) and married (aOR, 6.35; 95% CI, 1.44 to 27.99) women being more likely to report fertility intentions than divorced/widowed women.

CONCLUSIONS

ART use was a significant predictor of change in fertility intentions between the baseline and follow-up visit, which suggests that additional efforts are necessary to integrate family planning and HIV services to address the safe fertility goals of women in the study area.

Summary

Citations

Citations to this article as recorded by

Factors associated with pregnancy uptake decisions among seropositive HIV people receiving antiretroviral therapy in sub‐Saharan Africa: A systematic review
Abdul Razak Doat, Roberta Mensima Amoah, Kennedy Diema Konlan, Kennedy Dodam Konlan, Juliana Asibi Abdulai, Margaret W. Kukeba, Iddrisu Mohammed, Joel Afram Saah
Nursing Open.2022; 9(5): 2239. CrossRef
Factors Affecting Fertility Intention Among People Living with HIV in Kunming, China
Yingwu Guo, Yingrong Du, Sanguan Lerkiatbundit, Jun Liu, Jingsong Bai, Yongrui Yang, Yin Yang, Aihui Wu, Virasakdi Chongsuvivatwong
HIV/AIDS - Research and Palliative Care.2022; Volume 14: 265. CrossRef
Prevalence and factors associated with fertility desire among people living with HIV: A systematic review and meta-analysis
Xiang Yan, Jie Du, GuoPing Ji, Joseph K.B. Matovu
PLOS ONE.2021; 16(3): e0248872. CrossRef
Motivations to use hormonal contraceptive methods and condoms among HIV-positive and negative women randomized to a progestin contraceptive in Malawi: a qualitative study
Agatha K. Bula, Kendra Hatfield-Timajchy, John Chapola, L. Chinula, Stacey A. Hurst, Athena P. Kourtis, J. H. Tang
BMC Women's Health.2021;[Epub] CrossRef
Human immunodeficiency virus and infertility treatment: an Ethics Committee opinion

Fertility and Sterility.2021; 115(4): 860. CrossRef
Societal and individual drivers of fertility desires and intentions among people living with HIV: a cross sectional study of HIV clinic attendees in Soweto, South Africa
Penelope Chirambira, Sphiwe Madiba, Busisiwe Ntuli
AIMS Public Health.2021; 9(1): 173. CrossRef
Effect of HIV Infection and Antiretroviral Treatment on Pregnancy Rates in the Western Cape Province of South Africa
Leigh F Johnson, Themba Mutemaringa, Alexa Heekes, Andrew Boulle
The Journal of Infectious Diseases.2020; 221(12): 1953. CrossRef
Determinants of Fertility Desire among Women Living with HIV in the Childbearing Age Attending Antiretroviral Therapy Clinic at Jimma University Medical Center, Southwest Ethiopia: A Facility-Based Case-Control Study
Nigusie Shifera Aylie, Lelisa Sena Dadi, Eshetu Alemayehu, Mengistu Ayenew Mekonn
International Journal of Reproductive Medicine.2020; 2020: 1. CrossRef
Risky Sexual Practice and Associated Factors Among Women Living with HIV/AIDS Receiving Antiretroviral Therapy at a PMTCT Clinic in Western Oromia, Ethiopia

Bikila Balis
HIV/AIDS - Research and Palliative Care.2020; Volume 12: 739. CrossRef
Health workers’ knowledge of safer conception and attitudes toward reproductive rights of HIV-infected couples in Kano, Nigeria
Zubairu Iliyasu, Hadiza S Galadanci, Ahmad A Zubairu, Taiwo G Amole, Nadia A Sam-Agudu, Muktar H Aliyu
International Health.2019; 11(6): 536. CrossRef

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