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Total and cause-specific mortality of Finnish military personnel following service in international peacekeeping operations 1990-2010: a comprehensive register-based cohort study.
BMJ Open. 2016 10 31; 6(10):e012146.BO

Abstract

OBJECTIVES

To estimate total and cause-specific mortality after international peacekeeping deployments among the Finnish military peacekeeping personnel in comparison to the general population of similar age and sex.

DESIGN

A register-based study of a cohort of military peacekeeping personnel in 1990-2010 followed for mortality until the end of 2013. Causes of death were obtained from the national Causes of Death Register. The standardised mortality ratio (SMR) for total and cause-specific mortality was calculated as the ratio of observed and expected number of deaths.

SETTING

Finland (peacekeeping operations in different countries in Africa, Asia and in an area of former Yugoslavia in Europe).

PARTICIPANTS

14 584 men and 418 women who had participated in international military peacekeeping operations ending between 1990 and 2010.

INTERVENTIONS

Participation in military peacekeeping operations.

MAIN OUTCOME

Total and cause-specific mortality.

RESULTS

209 men and 3 women died after their peacekeeping service. The SMR for all-cause mortality was 0.55 (95% CI 0.48 to 0.62). For the male peacekeeping personnel, the SMR for all diseases was 0.44 (95% CI 0.35 to 0.53) and for accidental and violent deaths 0.69 (95% CI 0.57 to 0.82). The SMR for suicides was 0.71 (95% CI 0.53 to 0.92).

CONCLUSIONS

Even though military peacekeeping personnel are working in unique and often stressful conditions, their mortality after their service is lower compared with the general population. Military peacekeeping personnel appear to be a selected population group with low general mortality and no excess risk of any cause of death after peacekeeping service.

Authors+Show Affiliations

Centre for Military Medicine, Finnish Defence Forces, Helsinki, Finland.School of Medicine, University of Tampere, Tampere, Finland.National Supervisory Authority for Welfare and Health, Helsinki, Finland. Centre for Military Medicine, Finnish Defence Forces, Helsinki, Finland.School of Health Sciences, University of Tampere, and Tampere University Hospital, Tampere, Finland.Centre for Military Medicine, Finnish Defence Forces, Helsinki, Finland.School of Health Sciences, University of Tampere, Tampere Finland and the Finnish Cancer Registry, Helsinki, Finland.National Institute for Health and Welfare, Helsinki, Finland.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27799241

Citation

Laukkala, T, et al. "Total and Cause-specific Mortality of Finnish Military Personnel Following Service in International Peacekeeping Operations 1990-2010: a Comprehensive Register-based Cohort Study." BMJ Open, vol. 6, no. 10, 2016, pp. e012146.
Laukkala T, Parkkola K, Henriksson M, et al. Total and cause-specific mortality of Finnish military personnel following service in international peacekeeping operations 1990-2010: a comprehensive register-based cohort study. BMJ Open. 2016;6(10):e012146.
Laukkala, T., Parkkola, K., Henriksson, M., Pirkola, S., Kaikkonen, N., Pukkala, E., & Jousilahti, P. (2016). Total and cause-specific mortality of Finnish military personnel following service in international peacekeeping operations 1990-2010: a comprehensive register-based cohort study. BMJ Open, 6(10), e012146. https://doi.org/10.1136/bmjopen-2016-012146
Laukkala T, et al. Total and Cause-specific Mortality of Finnish Military Personnel Following Service in International Peacekeeping Operations 1990-2010: a Comprehensive Register-based Cohort Study. BMJ Open. 2016 10 31;6(10):e012146. PubMed PMID: 27799241.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Total and cause-specific mortality of Finnish military personnel following service in international peacekeeping operations 1990-2010: a comprehensive register-based cohort study. AU - Laukkala,T, AU - Parkkola,K, AU - Henriksson,M, AU - Pirkola,S, AU - Kaikkonen,N, AU - Pukkala,E, AU - Jousilahti,P, Y1 - 2016/10/31/ PY - 2016/11/2/pubmed PY - 2018/1/19/medline PY - 2016/11/2/entrez KW - All-cause mortality KW - Cause-specific mortality KW - Finland KW - Peacekeeper SP - e012146 EP - e012146 JF - BMJ open JO - BMJ Open VL - 6 IS - 10 N2 - OBJECTIVES: To estimate total and cause-specific mortality after international peacekeeping deployments among the Finnish military peacekeeping personnel in comparison to the general population of similar age and sex. DESIGN: A register-based study of a cohort of military peacekeeping personnel in 1990-2010 followed for mortality until the end of 2013. Causes of death were obtained from the national Causes of Death Register. The standardised mortality ratio (SMR) for total and cause-specific mortality was calculated as the ratio of observed and expected number of deaths. SETTING: Finland (peacekeeping operations in different countries in Africa, Asia and in an area of former Yugoslavia in Europe). PARTICIPANTS: 14 584 men and 418 women who had participated in international military peacekeeping operations ending between 1990 and 2010. INTERVENTIONS: Participation in military peacekeeping operations. MAIN OUTCOME: Total and cause-specific mortality. RESULTS: 209 men and 3 women died after their peacekeeping service. The SMR for all-cause mortality was 0.55 (95% CI 0.48 to 0.62). For the male peacekeeping personnel, the SMR for all diseases was 0.44 (95% CI 0.35 to 0.53) and for accidental and violent deaths 0.69 (95% CI 0.57 to 0.82). The SMR for suicides was 0.71 (95% CI 0.53 to 0.92). CONCLUSIONS: Even though military peacekeeping personnel are working in unique and often stressful conditions, their mortality after their service is lower compared with the general population. Military peacekeeping personnel appear to be a selected population group with low general mortality and no excess risk of any cause of death after peacekeeping service. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/27799241/Total_and_cause_specific_mortality_of_Finnish_military_personnel_following_service_in_international_peacekeeping_operations_1990_2010:_a_comprehensive_register_based_cohort_study_ DB - PRIME DP - Unbound Medicine ER -