Late-life coronary heart disease mortality of Finnish war veterans in the TAMRISK study, a 28-year follow-up

BMC Public Health. 2011 Feb 1;11(1):71. doi: 10.1186/1471-2458-11-71.

Abstract

Background: Wartime stress has been associated with increased late-life mortality of all causes of death. We evaluated whether wounded Finnish World War II veterans who were alive at the age of 55 have increased long-term coronary heart disease (CHD) mortality.

Methods: Health survey data were recorded in 1980 from 667 men, aged 55 years. Of them 102 had been wounded or injured in action during 1939-1945. The remaining participants served as the comparison group. The death certificates during a 28-year follow-up were obtained from the national statistics centre. Statistical comparisons were done by Cox proportional hazard regression model.

Results: There were altogether 140 deaths from CHD. In men who had been wounded or injured in action the crude CHD mortality rate per 10,000 population was 2843, while in the comparison group the corresponding figure was 1961. Men who had been wounded or injured in action were 1.7 times (95% CI 1.1-2.5; p = 0.01) more likely to die from CHD than the comparison group.

Conclusions: Physical trauma at young adulthood may extend to lifelong effects on health. This study suggests that being physically wounded or injured in war may lead to increased CHD mortality in late adulthood in a Finnish population.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Cause of Death / trends
  • Coronary Disease / epidemiology
  • Coronary Disease / etiology
  • Coronary Disease / mortality*
  • Educational Status
  • Finland / epidemiology
  • Follow-Up Studies
  • Hospitals, University
  • Humans
  • International Classification of Diseases
  • Interviews as Topic
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Prospective Studies
  • Risk Assessment
  • Surveys and Questionnaires
  • Time Factors
  • Urban Population
  • Veterans / psychology*
  • Veterans / statistics & numerical data
  • Warfare*
  • Whites
  • Wounds and Injuries / complications
  • Wounds and Injuries / epidemiology
  • Wounds and Injuries / mortality*