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In the retrospective cohort study based on record linkage, the authors studied a cohort of persons born in 1900-1930 (n = 144,627), who had lived in the same rural location at least from 1967 to 1980. Estimates for fluoride concentrations (median, 0.1 mg/liter; maximum, 2.4 mg/liter) in well water in each member of the cohort were obtained by a weighted median smoothing method based on ground water measurements. Information on hip fractures was obtained from the Hospital Discharge Registry for 1981-1994. No association was observed between hip fractures and estimated fluoride concentration in the well water in either men or women when all age groups were analyzed together. However, the association was modified by age and sex so that among younger women, those aged 50-64 years, higher fluoride levels increased the risk of hip fractures. Among older men and women and younger men, no consistent association was seen. The adjusted rate ratio was 2.09 (95% confidence interval: 1.16, 3.76) for younger women who were the most exposed (>1.5 mg/liter) when compared with those who were the least exposed (< or =0.1 mg/liter). The results suggest that fluoride increases the risk of hip fractures only among women.

To focus conservation efforts into forest areas with high biodiversity, more information is needed about soil-vegetation dependencies in Finnish Lapland. We studied understory vegetation and soil variables along a transect across a felsic-mafic lithological sequence in central Finnish Lapland. At 119 northern boreal forest sites, coverages of understory vegetation, several mineral soil chemical elements, soil electrical conductivity, pH, and dielectric permittivity, as a measure of soil volumetric water content, were measured. We found that soil Ca concentration and Ca:Al ratio were the main variables determining vegetation composition and diversity. Ca-rich soils were characterised by high electrical conductivity, pH, and Mg concentration, and by low concentration of Al, S, Zn, and low C:N ratio. Soil Ca concentration is a diagnostic measure of plant diversity as concentration higher than 100 mg kg -1 resulted in a considerable increase in plant diversity. Sites with Ca concentration this high were rare, and probably important in maintaining high biodiversity. The median soil Ca:Al ratio was only 0.02, suggesting, according to general theory, a considerable risk for aluminium stress. We found Geranium sylvaticum and Rubus saxatilis to be good indicators for Ca-rich regimes and high plant diversity.

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