Thursday, August 27, 2026

 

University of Eastern Finland contributes to the development of a new international measure for assessing productivity-adjusted life years




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For the first time in Finland, population-level norm values have been established for estimating life expectancy adjusted for health-related functional capacity and productivity. The new study provides Finnish norm values for both everyday functioning and work ability, as well as for a newly developed measure, productivity-adjusted life expectancy.

 

The study is part of an international effort to develop standardised measures that enable comparisons across countries. Similar population-level norm values have previously been reported in Australia and Canada.

“Our goal is to develop an internationally comparable measure that considers not only how long people live, but also how well they are able to participate in society, working life, household activities, and other daily functions. The Finnish results are an important addition to this work,” says Professor Janne Martikainen, the scientific lead of the study, from the University of Eastern Finland.

Functional capacity and work ability assessed across the adult population

The data were derived from a population survey conducted in summer 2024, including 3,644 Finnish adults aged 20 to 79 years. The sample was representative of the Finnish adult population in terms of both geographic distribution and demographic characteristics.

The researchers developed a weighted productivity index ranging from 0 to 1, where 1 represents perfect functioning and work ability, and 0 represents complete inability to perform daily activities or work. For example, a coefficient of 0.80 indicates that a person functions, on average, at approximately 80% of full capacity because of illnesses or health conditions.

The average weighted productivity index for the Finnish adult population was 0.77. The index was 0.78 for men and 0.76 for women.

“In health economic evaluations, the consequences of ill health are usually considered primarily from the perspective of paid employment. We wanted to also account for household work, caregiving, and other unpaid activities, which form a substantial part of people’s daily lives and contribute significantly to societal functioning. However, their value often remains invisible in economic assessments and is not reflected, for example, in gross domestic product,” explains Senior Researcher Piia Lavikainen, the principal investigator of the study.

A new measure combining life expectancy with functional capacity and productivity

The study also estimated Productivity-Adjusted Life Expectancy (PALE), a measure that combines population life expectancy with information on losses in functioning and productivity caused by health conditions.

Although a 20-year-old Finnish man can be expected to live to approximately 80 years of age, and a 20-year-old Finnish woman to approximately 85 years of age, productivity-adjusted life expectancy was estimated at 42.9 years for men and 46.1 years for women.

This measure reflects the number of years individuals can expect to participate in daily activities and work without limitations in functioning or productivity attributable to health problems.

“Traditional life expectancy tells us how long people live. This measure additionally indicates how many years of their remaining lives people can expect to live with good functioning and productivity, considering both paid and unpaid productive activities and the reductions caused by health conditions,” says Martikainen.

A new tool for assessing the societal impact of diseases

According to the researchers, the new norm values provide an important benchmark for evaluating the impact of diseases and health problems on functioning and productivity at the population level. The reference values can be used for assessing the economic burden of diseases, comparing differences between population groups, evaluating the effectiveness of health and welfare policies, and quantifying losses in functioning and productivity associated with specific diseases. The age- and sex-specific norm values make it possible to compare disease-related losses in functioning and productivity against the expected levels in the general population. Furthermore, the findings support international collaborative efforts aimed at developing and harmonising measures such as productivity-adjusted life expectancy to better assess the broader societal impacts of health.

The data were collected within the PREcision promotion of positive mental WELLbeing among high-risk adult population (PREWELL): Capabilities, gamification, and digital intervention consortium, funded by the Next Generation EU programme.

Chronic illness climbs closer to a former nuclear site in California


Residents within five miles of the Santa Susana Field Laboratory report elevated autoimmune and endocrine disorders, new research in Risk Analysis finds




Society for Risk Analysis

SSFL and surrounding areas 

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SSFL and surrounding areas

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Credit: Dane Lazarus Science, Research, and Policy Specialist with USC Sea Grant






August 26, 2026 (Herndon, VA) -- Superfund sites typically cluster in low-income communities, where 62% of households earn less than $50,000 annually. But near the Santa Susana Field Laboratory in the hills northwest of Los Angeles people are much wealthier. This anomaly gave University of Southern California researchers an opportunity to study how wealthy residents respond when money cannot buy their protection from an environmental hazard. 

Rocket testing (1949–2006) and nuclear reactor operations (1953–1980) left radioactive and chemical waste in the soil and groundwater at SSFL. A 1959 partial meltdown, considered the worst in U.S. history, contaminated both on- and off-site areas. And despite Superfund eligibility since 2007, the site remains un-listed on the National Priorities List, which means that any form of remediation is managed at the state and local levels.  

Early investigations at SSFL found no significant increases in most cancers of concern, though bladder, blood and thyroid cancers were linked to living closer to the facility. Although there were significant data limitations, a 1992 state health report found cancer rates inconsistent with community-wide exposure. Despite the absence of definitive epidemiological evidence, many residents and advocacy organizations remain convinced that SSFL contamination has adversely affected community health. 

This forthcoming research, published in Risk Analysis, aimed to answer three questions previous research had left unanswered. First, does health risk extend beyond the cancers typically studied, and does it scale with proximity to the site? Second, how do wealthier groups perceive and respond to environmental health risks? Third, do the residents in this sample area perceive and respond to contamination risk as predicted by Protection Motivation Theory, or do their responses differ? 

In this study, researchers at USC surveyed 475 residents living within 15 miles (24 kilometers) of SSFL. Of the population sampled, 56% earned $100,00 or more annually.   

“We expected to see wealthier people take more actions to protect themselves given their greater capacity to cope and affect change,” said lead author Jenna Blyler of the USC Wrigley Institute for Environment and Sustainability. “Instead, fear of the contamination was what motivated protective action, rather than their perceived ability to manage the risks.” 

Key Findings 

  • Illness tracked with proximity. Autoimmune disorders were reported by 18% of residents living within five miles of SSFL, compared with 4% of those 11 to 15 miles out. Metabolic and endocrine disorders followed the same pattern, 15% versus 2%. 

  • More than a third of residents reported at least one chronic diagnosis since moving in. That is on par with the national rate of 38%, even though chronic illness is normally far less common in high-income communities. 

  • Fear drove action more than confidence did. Residents who saw the contamination as severe and felt personally vulnerable were the most likely to take precautions, such as filtering tap water, leaving shoes at the door, skipping garden produce or staying inside on windy days. Usually, one’s confidence in their ability to effectively manage its risk also creates a powerful motivation to act. 

  • Health anxiety helped explain the pattern. Residents reporting higher health anxiety took more precautions, and anxiety accounted for part of the link between existing illnesses and protective behavior. 

  • The more expensive residents believed protection would be, the more of it they took. That runs counter to decades of risk research. It may reflect a community that can absorb the cost, or one that reads a higher price tag as a sign that something is effective.  

The study is based on self-reported diagnoses collected at a single point in time and does not establish that SSFL contamination caused the health conditions residents reported. 

Authors Available for Interview:

Jenna Blyler, corresponding author, Wrigley Institute for Environment and Sustainability and Department of Psychology, University of Southern California. 

Joseph Árvai, Wrigley Institute for Environment and Sustainability, Department of Psychology, University of Southern California, and Decision Research. 

"Silver spoons in toxic soups: Predictors of protective action in affluent neighborhoods near a contaminated research facility," Risk Analysis 

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About Risk Analysis 

Risk Analysis is a peer-reviewed journal publishing original research on the assessment and management of risks across disciplines including public health, engineering, environmental science, social science and policy. Risk Analysis, founded in 1980, is published by Wiley on behalf of the Society for Risk Analysis. 

 

Why bigger bank networks may not be better?






KeAi Communications Co., Ltd.
An illustration of a bank’s balance sheet in the reserve x (a), survive (b) and bankrupt (c) when facing liquidity withdraws ω. 

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An illustration of a bank's balance sheet in the reserve x (a), survive (b) and bankrupt (c) when facing liquidity withdraws ω.

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Credit: Yu, T., He, X.-Z. (Tony), & Zhang, N.






Interbank lending can help banks manage unexpected withdrawals by allowing connected institutions to share liquidity. However, such connections can also create vulnerabilities: if one bank relies too heavily on its partners' reserves, stress may spread through the network.

In a new study published in Risk Sciences, researchers developed a model to examine why banks choose to form interbank credit networks and what network size may best support market efficiency.

The model considers two linked decisions. First, each bank chooses how much money to hold in reserve, balancing the profitability of lending against the need to survive liquidity shocks. Second, banks decide whether joining an interbank network would leave them better off than operating alone.

The analysis showed that banks may cooperate to share liquidity risk while simultaneously competing to reduce their own reserves and rely on others. The researchers described this strategic behaviour as a free-riding effect. While risk-sharing can make connections attractive, free-riding can lower reserves, weaken survival prospects, and reduce expected profits.

For smaller networks, the benefits of risk-sharing dominate. As more banks join, however, free-riding becomes increasingly important. This produces a rise-and-fall relationship between expected profits and network size, indicating that relatively small interbank networks can be Pareto optimal—meaning no participating bank can be made better off without making another worse off.

The study also examines networks involving banks of different sizes. It suggests that, under some conditions, smaller and larger banks can have incentives to connect even when their deposit sizes differ substantially. These findings provide a theoretical perspective on core-periphery banking structures, in which a small number of highly connected institutions interact with many smaller banks.

The authors note that implicit government guarantees may encourage banks to take greater risks and become excessively interconnected. Their results suggest that appropriately designed capital requirements could help limit the effects of free-riding and support market efficiency in larger networks.

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Contact the author:

Xue-Zhong (Tony) He

International Business School Suzhou, Xi' an Jiaotong-Liverpool University Suzhou, China

xuezhong.he@xjtlu.edu.cn

The publisher KeAi was established by Elsevier and China Science Publishing & Media Ltd to unfold quality research globally. In 2013, our focus shifted to open access publishing. We now proudly publish more than 200 world-class, open access, English language journals, spanning all scientific disciplines. Many of these are titles we publish in partnership with prestigious societies and academic institutions, such as the National Natural Science Foundation of China (NSFC).