Our results suggest that the epidemiology of distal radius fractures in elderly women in Finland has changed compared with a previous study. Weather analysis showed that the slipperiness of the pavement could partly explain the wintertime excess of distal radius fractures.

The extent of outdoor exposure during winter and factors affecting it were examined in a cross-sectional population study in Finland. Men and women aged 25-74 years from the National FINRISK 2002 sub-study (n=6,591) were queried about their average weekly occupational, leisure-time and total cold exposure during the past winter. The effects of gender, age, area of residence, occupation, ambient temperature, self-rated health, physical activity and education on cold exposure were analysed. The self-reported median total cold exposure time was 7 h/week (8 h men, 6 h women),<1 h/week (2 h men, 0 h women) at work, 4 h/week (5 h men, 4 h women) during leisure time and 1 h/week (1 h men, 1.5 h women) while commuting to work. Factors associated with increased occupational cold exposure among men were: being employed in agriculture, forestry and industry/mining/construction or related occupations, being less educated and being aged 55-64 years. Factors associated with increased leisure-time cold exposure among men were: employment in industry/mining/construction or related occupations, being a pensioner or unemployed, reporting at least average health, being physically active and having college or vocational education. Among women, being a housewife, pensioner or unemployed and engaged in physical activity increased leisure-time cold exposure, and young women were more exposed than older ones. Self-rated health was positively associated with leisure time cold exposure in men and only to a minor extent in women. In conclusion, the subjects reported spending 4% of their total time under cold exposure, most of it (71%) during leisure time. Both occupational and leisure-time cold exposure is greater among men than women.

Elderly people are known to be more vulnerable than the general population to a range of weatherrelated hazards such as heat waves, icy conditions and cold periods. In the Nordic region, some of these hazards are projected to change their frequency and intensity in the future, while at the same time strong increases are projected in the proportion of elderly in the population. This paper reports results from three projects studying the potential impacts of climate change on elderly people in the Nordic region. An interactive web-based tool has been developed for mapping and combining indicators of climate change vulnerability of the elderly, by municipality, across three Nordic countries: Finland, Norway and Sweden. The tool can also be used for projecting temperaturerelated mortality in Finland under different projections of future climate. The approach to vulnerability mapping differs from most previous studies in which researchers selected the indicators to combine into an index. Here, while researchers compile data on indicators that can be accessed in the mapping tool, the onus is on the users of the tool to decide which indicators are of interest and whether to map them individually or as combined indices.Electronic supplementary material The online version of this article (doi:10.1007/s10113-014-0688-7) contains supplementary material, which is available to authorized users. 123Reg Environ Change (2016) 16:43-58 DOI 10.1007 Stakeholders with responsibility for the care and welfare of the elderly were engaged in the study through interviews and a workshop. They affirmed the usefulness of the prototype mapping tool for raising awareness about climate change as a potential risk factor for the elderly and offered suggestions on potential refinements, which have now been implemented. These included adding background information on possible adaptation measures for ameliorating the impacts of extreme temperatures, and improved representation of uncertainties in projections of future exposure and adaptive capacity.

Seasonal patterns of death from suicide are well-documented and have been attributed to climatic factors such as solar radiation and ambient temperature. However, studies on the impact of weather and climate on suicide are not consistent, and conflicting data have been reported. In this study, we performed a correlation analysis between nationwide suicide rates and weather variables in Finland during the period 1971-2003. The weather parameters studied were global solar radiation, temperature and precipitation, and a range of time spans from 1 month to 1 year were used in order to elucidate the dose-response relationship, if any, between weather variables and suicide. Single and multiple linear regression models show weak associations using 1-month and 3-month time spans, but robust associations using a 12-month time span. Cumulative global solar radiation had the best explanatory power, while average temperature and cumulative precipitation had only a minor impact on suicide rates. Our results demonstrate that winters with low global radiation may increase the risk of suicide. The best correlation found was for the 5-month period from November to March; the inter-annual variability in the cumulative global radiation for that period explained 40 % of the variation in the male suicide rate and 14 % of the variation in the female suicide rate, both at a statistically significant level. Long-term variations in global radiation may also explain, in part, the observed increasing trend in the suicide rate until 1990 and the decreasing trend since then in Finland.

The number and intensity of individual hot days affecting Finland in the current and future climate is investigated together with the circulation patterns associated with the hot days. In addition, the number, length and intensity of heat waves lasting at least 3 days is also considered. ERA‐Interim reanalysis data and both direct model output and bias‐corrected data for historical and future climate [representative concentration pathway 4.5 (RCP4.5) scenario] simulations from 17 global climate models are analysed. Three intensities of heat waves and hot days are defined based on daily mean temperature thresholds of 20, 24 and 28 °C. The percentage of summertime days which exceed these temperature thresholds is shown to increase in the future. In ERA‐Interim, 24% of summertime days in southern Finland exceed the lowest temperature threshold while none exceed the highest temperature threshold. Under the RCP4.5 scenario these values increase to 47 and 1%, respectively. Larger relative changes occur in northern Finland. Heat waves are also longer in the RCP4.5 simulations than in the historical simulations. In southern Finland, the mean length of a heat wave where the 20 °C daily mean temperature is exceeded is 6.1 days in the historical simulations but increases to 9.4 days in the RCP4.5 simulations. The hot days in both northern and southern Finland are associated with a statistically significant positive pressure anomaly over Finland and to the east to Finland and a statistically significant negative pressure anomaly over Russia between 90 and 120°E. These pressure anomalies were evident for all intensities of hot days in the current climate and the future climate. The magnitude of the pressure anomalies increases as the daily mean temperature threshold increases. However, for hot days which exceed the same daily mean temperature threshold, the pressure anomalies are weaker in the RCP4.5 simulations than in the historical or ERA‐Interim data.