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Authors
Selinheimo, Sanna https://orcid.org/0000-0003-0563-9017
Kurkela, Olli https://orcid.org/0000-0003-3600-5842
Järnefelt, Heli https://orcid.org/0000-0002-3574-1453
Vuokko, Aki https://orcid.org/0009-0004-8057-3235
Heinonen, Erkki https://orcid.org/0000-0001-8846-8983
Väänänen, Ari https://orcid.org/0000-0003-1107-5799
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Funding
Funding for this research was provided by:
Kela (4/26/2022)
the Finnish Research Impact Foundation (557)
Strategic Research Council at the Research Council of Finland (364414)
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Article History
Received: 7 October 2025
Accepted: 18 December 2025
First Online: 12 January 2026
Declarations
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: The ethics committee of the Finnish Institute of Occupational Health has approved the study 07/2022. The study adheres to the Helsinki Declaration. No patients were involved in this study, which was register-based and used no identifiable individual´s material or data. The data was used according to Act on the Secondary Use of Health and Social Data (552/2019), meaning that the customer and register data created during health and social service sector activities are used for scientific research purposes, other than the primary reason for which the data was originally saved. Following this national legislation, informed consent was not obtained. More information: , legislation (only in Finnish or Swedish) .
: Not applicable.
: The authors declare no competing interests.
