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Objective: Finland is known for a sharp decrease in the intake of saturated fat and cardiovascular mortality. Since 2000, however, the consumption of butter-containing spreads -- an important source of saturated fats -- has increased. We examined social and health-related predictors of the increase among Finnish men and women. Design: An 11-year population follow-up. Setting: A representative random sample of adult Finns, invited to a health survey in 2000. Subjects: Altogether 5414 persons aged 30-64 years at baseline in 2000 were re-invited in 2011. Of men 1529 (59 %) and of women 1853 (66 %) answered the questions on bread spreads at both time points. Respondents reported the use of bread spreads by choosing one of the following alternatives: no fat, soft margarine, butter--vegetable oil mixture and butter, which were later categorized into margarine/no spread and butter/butter--vegetable oil mixture (= butter). The predictors included gender, age, marital status, education, employment status, place of residence, health behaviours, BMI and health. Multinomial regression models were fitted. Results: Of the 2582 baseline margarine/no spread users, 24.6% shifted to butter. Only a few of the baseline sociodemographic or health-related determinants predicted the change. Finnish women were more likely to change to butter than men. Living with a spouse predicted the change among men. Conclusions: The change from margarine to butter between 2000 and 2011 seemed not to be a matter of compliance with official nutrition recommendations. Further longitudinal studies on social, behavioural and motivational predictors of dietary changes are needed. [ABSTRACT FROM AUTHOR]

Background. The risk factors underlying coronary heart disease (CHD) are well known.Objective. The purpose of this study was to evaluate risk factors related to secondary prevention of working-age CHD patients.Methods. CHD patients with (n = 139) and without (n = 203) myocardial infarction were selected from a postal questionnaire study (n = 21 101) of randomly selected Finns aged 20–54 years (HeSSup study). Four age- and sex-matched controls were chosen for every patient.Results. CHD patients still smoke, are obese and suffer hangovers more frequently than the control population.Conclusion. The health care system has not succeeded in the secondary prevention of CHD. [ABSTRACT FROM AUTHOR]