Luule Sakkeus

Tallinn University | TLU · Estonian Institute for Population Studies

Background Socioeconomic status (SES) is strongly associated with perinatal health outcomes, perpetuating intergenerational health inequalities. Our aim was to assess the utility of population data in Europe to monitor social inequalities in key perinatal health indicators. Methods Using the PHIRI federated analysis protocol to aggregate routine b...

Background Stillbirth is a major public health problem, but measurement remains a challenge even in high-income countries. We compared routine stillbirth statistics in Europe reported by Eurostat with data from the Euro-Peristat research network. Methods We used data on stillbirths in 2015 from both sources for 31 European countries. Stillbirth ra...

Background To inform the on-going debate about the use of universal prescriptive versus national intrauterine growth charts, we compared perinatal mortality for small and large-for-gestational-age (SGA/LGA) infants according to international and national charts in Europe. Methods We classified singleton births from 33 to 42 weeks of gestation in 2...

Material deprivation is a key aspect of social exclusion, and the domain of economic exclusion, for the older population. In this chapter we utilised cross-sectional data from Wave 5 (2013) of the Survey of Health and Retirement in Europe (SHARE) and logistic regression analysis to assess the variation in material deprivation of the population aged...

Competing hypotheses—modernization and disadvanta- ged position—have been used to explain the emergence of alternative family and fertility behaviors. We analyze parity-specific fertility patterns in marital and non-marital unions, comparing Russian migrants and des- cendants in Estonia to origin populations in Estonia and Russia. Women born in 192...

This chapter provides a survey of the political, socio-economic and demographic development of the Baltic countries. It is meant to give readers a general understanding of the setting in which large urban housing estates were built from the 1960s to the 1980s. The chapter begins with an account of the history of the Baltic countries, including thei...

Over the next decades the Estonian state and society will have to adapt to population ageing, which will be the most significant demographic change with far-reaching implications across several domains of social life. General principles of population policy 2035 define the aim of ageing policy as the adjustment of individuals, families, communities...

Background: International comparisons of stillbirth allow assessment of variations in clinical practice to reduce mortality. Currently, such comparisons include only stillbirths from 28 or more completed weeks of gestational age, which underestimates the true burden of stillbirth. With increased registration of early stillbirths in high-income cou...

BACKGROUND Ethnically mixed partnerships are often regarded as the ultimate evidence of the integration of migrants and their descendants into their host society. A common finding in the literature is an increase in the occurrence of mixed partnerships across migrant generations. OBJECTIVE This study investigates the formation of minority–majority...

BACKGROUND An expanding literature documents the childbearing patterns of migrants and their descendants in contemporary Europe. The existing evidence pertains mainly to the northern, western, and southern regions of the continent, while less is known about the fertility of migrants who have moved between the countries of Eastern Europe. OBJECTIVE...

The collapse of the USSR and structural changes in society gave rise to family and marriage transformations in Russia and other post-Soviet countries of Eastern Europe. Estonia is among the examples of rapid marriage transformation and the spread of cohabitations and extramarital births. At the same time, throughout the post-war era Estonia accepte...

Objective: Concerns about differences in registration practices across countries have limited the use of routine data for international very preterm birth (VPT) rate comparisons. Design: Population-based study. Setting: Twenty-seven European countries, the United States, Canada and Japan in 2010. Population: A total of 9 376 252 singleton bi...

Rahvastikuvananemine Luule Sakkeus Rahvastiku vananemisest räägitakse viimasel ajal kõikjal, tihtipeale esitades seda probleemina. Teadaolevalt on selline protsess esmakordne inimkonna ajaloos ning uues olukorras on just Euroopa riikidel teed näitav roll, kuidas ühiskonna tasemel sellega kohanduda. Arvestades viimase rohkem kui 100 aasta jooksul to...

Analysing causes of death provides a betterunderstanding of long-term mortality trends. InFrance, the death certificates completed by physiciansgenerally mention several causes of death (2.4 onaverage in 2011). As a general rule, just one of them,the so-called underlying cause, is taken into account.As a result, the contribution of certain diseases...

p>This paper examines fertility and family policies in 15 Central and East European (CEE) countries to establish firstly, likely directions of cohort fertility trends for the coming decade; and secondly, to provide an overview and analysis of family policies in CEE countries, and to assess their impact on cohort fertility trends. Demographic analys...

Artikkel heidab tagasipilgu iseseisvuse taastanud Eestis läbiviidud tähtsamatele demograafilistele küsitlusuuringutele. Eesti Pere- ja Sündimusuuringu (PSU) nime all tuntud ettevõtmise esimene voor toimus aastatel 1994/1997 ja teine voor aastatel 2004/2005. PSU küsitluste on olnud tegemist riigiesinduslike uuringutega, mis moodustasid osa ulatuslik...

This chapter investigates the characteristics of the parental home among the 1924–1983 birth cohorts in Estonia. From the macro-social perspective , these generations were born in the periods of prewar independence, World War II, Hitler's and Stalin's rule, and the eras of Khrushchev, Brezhnev, and Gorbachev. The aim of the study is to examine the...

Kogumik koondab SHARE (Survey on Health, Ageing and Retirement in Europe) e. Euroopa tervise, vananemise ja tööjätu uuringu või 50+ rahvastiku uuringu esmaseid kokkuvõtteid kahe laine läbiviimisest Eestis. Kogumikus keskendutakse seekord kahele suuremale teemalõigule, mis aitavad paremini fookusesse seada meie ühiskonna kitsaskohad ning leida neile...

Peatükk annab ülevaate rahvastikuvananemisest demograafiliste protsesside tulemina, vaatleb vananemise dünaamilisi näitajaid Eesti kontekstis ning seoses SHARE uuringust tuleneva teabega. Samuti antakse ülevaade SHARE uuringu sisust, valimist ja selle esinduslikkusest sooti ning vanuseti.

Background: International comparisons of perinatal health indicators are complicated by the heterogeneity of data sources on pregnancy, maternal and neonatal outcomes. Record linkage can extend the range of data items available and thus can improve the validity and quality of routine data. We sought to assess the extent to which data are linked ro...

Background: Extensive scholarly literature documents the decline in marriage and increase in non-marital cohabitation and divorce across regions and countries of Europe, but we know less about the extent to which these new family behaviours that have emerged in host societies are adopted by migrants. Objective: The aim of this study is to examine p...

The aim of this publication is to promote, defend and monitor the implementation of the UN Convention on the Rights of Persons with Disabilities. Various surveys are used as the basis to give an overview of the social integration of persons with disabilities in Estonia, including the health of persons with activity limitations, welfare measures, so...

BACKGROUND Previous research has shown considerable variation in the relationship between women‘s educational attainment and second births in contemporary Europe. A negative association is found in some countries, while a positive or non-negative relationship is reported in others. Existing studies come mainly from single-country perspectives, w...

Background While international variations in overall cesarean delivery rates are well documented, less information is available for clinical sub-groups. Cesarean data presented by subgroups can be used to evaluate uptake of cesarean reduction policies or to monitor delivery practices for high and low risk pregnancies based on new scientific evidenc...

BACKGROUND Entering employment and achieving a stable position in the labour market are considered important preconditions for childbearing. Existing studies addressing the relationship between work experience and the timing of parenthood focus exclusively on Western Europe and North America. By adding an Eastern European context before and after s...

The national communication describes Estonia´s vulnerability and the actions taken with regard to adapting to climate change. https://unfccc.int/files/national_reports/non-annex_i_natcom/application/pdf/est_nc6.pdf.

Objective To investigate time trends in preterm birth in Europe by multiplicity, gestational age, and onset of delivery. DesignAnalysis of aggregate data from routine sources. SettingNineteen European countries. PopulationLive births in 1996, 2000, 2004, and 2008. Methods Annual risk ratios of preterm birth in each country were estimated with year...

Mixed evidence exists about social networks’ effect on older people’s disability outcomes. New emerging family patterns and relationships can have impact on old-age coping. Literature comparing native and foreign populations from the aspect of limitations and social networks among elderly has been rare. This study looks at the limitations in everyd...

Evidence about the health and quality-of-life outcomes of injuries is obtained mainly from follow-up studies of surviving trauma patients; population-based studies are rarer, in particular for countries in Eastern Europe. This study examines the incidence, prevalence and social variation in non-fatal injuries resulting in activity limitations and o...

Appendix S1. Data sources.

Figure S1. Annual percentage changes of preterm birth by year, 2000–2008.

Background: Tabulating annual national health indicators sorted by outcome may be misleading for two reasons. The implied rank order is largely a result of heterogeneous population sizes. Distinctions between geographically adjacent regions are not visible. Methods: Regional data are plotted in a geographical map shaded in terms of percentiles o...

Estonia, with a total population of slightly more than 1.3 million in 2010, offers an interesting opportunity to investigate the health transition and its determinants. On one hand, Estonia has been among the forerunners of the demographic transition (Coale et al. 1979; Katus 1994). This implies that the so-called epidemiological transition follows...

Demographic research has drawn attention to the multiple ways in which changes in mortality and childbearing have produced major shifts in intergenerational family structures. The aim of this article is to contribute to this body of research by analysing the data from the Generations and Gender Surveys for nine European countries. In the study, dat...

Along with population ageing, limitations in activities of daily living constitute a rising health-related burden in demographically advanced countries. The present study aims to assess the prevalence of self-reported activity limitations derived from chronic conditions and social variation of limitations in the subgroups of the population aged 20-...

n this policy brief we illustrate the advantages of the GGS by focusing on diversity in partnerships, childlessness among women and men, and the generational structure of kin networks. The analyses reported here are from seven countries for which harmonized wave 1 data (~2004) were available: Bulgaria, Estonia, France, Georgia, Germany, Hungary, an...

Eesmärk. Analüüsida toimetulekupiiranguid põhjustanud (TTPP) vigastuste kumulatiivset levimust Eestis, nende liiki, raskusastet ja toimetulekupiirangute (TTP) kestust ning leida seoseid rahvastiku sotsiaal-demograafiliste teguritega. Materjal ja meetodid. Töö põhineb Eesti pere-ja sündimusuuringu (EPSU) II etapi tervisemooduli andmetel. Uuringu sih...

Data about deliveries, births, mothers and newborn babies are collected extensively to monitor the health and care of mothers and babies during pregnancy, delivery and the post-partum period, but there is no common approach in Europe. We analysed the problems related to using the European data for international comparisons of perinatal health. We m...

The importance of one’s family in times of need is unquestionable. Young children rely on their parents for proper living conditions, who in turn receive help from their aging parents in raising and caring for their children. There also comes a time when elderly parents themselves require assistance with household tasks or arranging nursing help. T...

The Network of Competent Authorities (NCA) is one of the implementing structures of the Health Information and Knowledge Strand of the EU Public Health Programme 2003–08.1 The NCA became aware of problems in the field of European public health monitoring related to data protection legislation, and established in 2005, on a voluntary basis, a Work G...

The article addresses the transformation of fertility patterns in the Baltic countries since the turn of the 1990s, in the context of long-term trends. The purpose of the study is to compare the change in fertility level, parity distribution, timing of childbearing, and the connection between marriage and childbearing in Estonia, Latvia and Lith...

This article examines the transformation of nuptiality patterns in the Baltic countries since the late 1960s, in the context of long-term trends. The aim of the study is to compare the entry into first conjugal union in Estonia, Latvia and Lithuania, and analyze the position of the Baltic countries in a broader European perspective. The analyses em...

Eesti terviseuuring 2006 on üks tähtsamaid allikaid, mis võimaldab välispäritolurahvastiku tervisega seonduvat süstemaatiliselt jälgida, vastates Euroopas esile kerkinud vajadusele. Oma rohkem kui 30% välispäritolurahvastiku osakaalu tõttu, mis on Euroopas üks suuremaid, on selle rahvastikurühma käitumise mõju eriti suur Eesti tervisenäitajatele. V...

Ülevaade Eesti rahvastiku tervisest on taustaks Eesti terviseuuringu (2006) andmete süvakäsitlusele. Lähtudes tervise ülemineku kontseptsioonist, läbivad rahvastikud oma tervisearengus erinevaid etappe, mille läbimise kiirus ning ajastus on eri rahvastikel erinev. Uude etappi sisenemine toob tavapäraselt kaasa tervisenäitajate kiire muutuse. Uue et...

This article examines the transformation of first union formation in the Baltic countries between the late 1960s and early 1990s, in the context of societal and family-level gender relations. The analyses employ microdata from the European Family and Fertility Surveys program. Our results on the trends indicate that in Estonia and Latvia the shift...

CONTENTS Page Contents ii List of Tables iii List of Figures iii Foreword iv Acknowledgements v Summary vi 1. CONTEXT 1 2. INTERNAL MIGRATION AND POPULATION CHANGE REVIEWED 3 3. DATA AND METHODS USED 6 3.1 Data availability and registration system 6 3.2 Quality of migration data 8 3.3 Variables 17 3.4 Geographic units 17 3.5 Mapping methods 21 4. P...

Estonia, the northernmost of the three Baltic countries, has an area of 45,215 square kilometres and a population of 1,565.7 thousand (census 1989) (EKDK, 1996–1999). Estonian people have lived on the present territory for more than 5,000 years, so Estonia may be considered one of the oldest nations in Europe in that respect. At the beginning of th...