School of Educational Sciences and Psychology, University of Eastern Finland, Joensuu, Finland (Dr Virtanen, Dr Myllyntausta, and Dr Karkkola); Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska institutet, Stockholm, Sweden (Dr Virtanen and Dr Ropponen); Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland (Dr Myllyntausta, Pentti, Dr Vahtera, and Dr Stenholm); Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland (Dr Myllyntausta, Pentti, Dr Vahtera, and Dr Stenholm); Clinicum, Faculty of Medicine, University of Helsinki, Finland (Pentti); and Finnish institute of Occupational Health, Helsinki, Finland (Dr Ropponen).
Address correspondence to: Marianna Virtanen, PhD, School of Educational Sciences and Psychology, University of Eastern Finland, Fi-80101 Joensuu, Finland ([email protected]).
Funding provided by the Finnish Work Environment Fund (#190172), Academy of Finland, and Juho Vainio Foundation.
Ethical considerations and disclosures: The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the Hospital District of Southwest Finland.
The authors report no conflict of interest.
Supplemental digital contents are available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.joem.org).