1. Anna-Maija Pietilä, Department of Nursing, University of Oulu, Oulu, Finland, Correspondence: Anna-Maija Pietilä, RN, Lic. (Nursing) University of Oulu Department of Nursing 90220 Oulu Finland
2. Paula Rantakallio, Department of Public Health Science and General Practice, University of Oulu, Oulu, Finland.
3. Esa Läärä, Department of Public Health Science and General Practice, University of Oulu, Oulu, Finland