1. From the Department of Health Promotion and Chronic Diseases Prevention, National Public Health Institute, Helsinki, Finland (GH, PJ, AN, SB, and JT); the Department of Public Health, University of Helsinki, Helsinki, Finland (GH, SB, and JT); the Tampere School of Public Health, University of Tampere, Tampere, Finland (PJ); Oulu City Hospital and Department of Internal Medicine, Oulu University,