scholarly journals Can a sustainable community intervention reduce the health gap? -10-Year evaluation of a Swedish community intervention program for the prevention of cardiovascular disease

2001 ◽  
Vol 29 (56_suppl) ◽  
pp. 59-68 ◽  
Author(s):  
Lars Weinehall ◽  
Gideon Hellsten ◽  
Kurt Boman ◽  
Göran Hallmans ◽  
Kjell Asplund ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Prevention Program ◽  
Intervention Program ◽  
Community Intervention ◽  
Total Cholesterol Level ◽  
Reference Area ◽  
Northern Sweden ◽  
Health Gap ◽  
Community Intervention Program ◽  
Prevention Of Cardiovascular Disease

Objectives: This paper evaluates the 10-year outcomes of a Northern Sweden community intervention program for the prevention of cardiovascular disease (CVD), with special reference to the social patterning of risk development. Methods: Using a quasi-experimental design, trends in risk factors and predicted mortality in an intervention area (Norsjö municipality) are compared with those in a reference area (Northern Sweden region) by repeated independent cross-sectional surveys. Results: There were significant differences in changes in total cholesterol level and systolic blood pressure between the intervention and reference populations. The predicted coronary heart disease mortality (based on the North Karelia risk equation), after adjustment for age and education, was reduced by 36% in the interventionarea and by 1 % in the reference area. Conclusions: We conclude that a long-term community-based CVD prevention program which combines population and individual strategies can substantially promote a health shift in CVD risk in a high risk rural population. When evaluated for different social strata, we found no signs of an increasing health gap between socially privileged and less privileged groups. Socially less-privileged groups benefited the most from the present prevention program.

scholarly journals Delusional procreation syndrome: Report from TURUVECARE community intervention program

2013 ◽  
Vol 35 (2) ◽  
pp. 214 ◽  
Author(s):  
Narayana Manjunatha ◽  
ShanivaramK Reddy ◽  
NR Renuka Devi ◽  
Vikram Rawat ◽  
Somashekar Bijjal ◽  
...  
Keyword(s):  
Intervention Program ◽  
Community Intervention ◽  
Community Intervention Program ◽  
Syndrome Report

scholarly journals The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256872
Author(s):  
Elin Spege ◽  
Kristina Ek ◽  
Stefan Söderberg ◽  
Mats Eliasson
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Disease ◽  
Intervention Program ◽  
University Education ◽  
Health Promotion Program ◽  
Northern Sweden ◽  
Health Trends ◽  
Positive Effects ◽  
The Impact

Background The Västerbotten intervention program (VIP), is a public health promotion program in northern Sweden with the aim of preventing cardiovascular disease. Positive effects have been reported although the evidence is not unequivocal. Since only historical controls have been used, effects from other sources than the program have largely been uncontrolled for and health related quality of life (HRQoL) has not been evaluated. Purpose By using the neighbouring county of Norrbotten (NB) as the reference population, we compare HRQoL in Västerbotten (VB) and in NB. Methods In 2014 the Northern Sweden survey, Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA), examined a random sample from the two counties. HRQoL was measured with the EQ-5D-3L. In total, 1112 subjects aged 40–74 years participated, 516 in VB and 594 in NB. Differences in mean QoL between VB and NB were analysed via Student’s t-test and the Pearson chi-square test. Results Average HRQoL measured by the EQ-5D-index was 0.798 in VB and 0.811 in NB, a difference of 0.013 (p = 0.2, CI -0.009 to 0.036). For subjects aged 45–54 years, the HRQoL was lower in VB than in NB, a difference of 0.048 (p = 0.041; CI 0.002 to 0.0094). Men had higher HRQoL than women, and university educated had higher HRQoL than those without university education. EQ-VAS showed similar results. Subjects from NB and from VB did not differ regarding age, gender and level of education. In NB, HRQoL decrease with age, a pattern not seen in VB. Conclusions We found similar levels of HRQoL in VB and in NB.

scholarly journals The Otsego-Schoharie healthy heart program: prevention of cardiovascular disease in the rural US

2001 ◽  
Vol 29 (56_suppl) ◽  
pp. 21-32 ◽  
Author(s):  
A.N. Nafziger ◽  
T.A. Erb ◽  
P.L. Jenkins ◽  
C. Lewis ◽  
T.A. Pearson
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Risk Reduction ◽  
Rural Population ◽  
Intervention Program ◽  
Community Intervention ◽  
Panel Study ◽  
New York State ◽  
Cross Sectional ◽  
Cross Sectional Studies

Objectives: To describe a rural, hospital-based public health intervention program and to evaluate its effectiveness in cardiovascular disease (CVD) risk reduction using cross-sectional studies and a panel study. Methods: A rural population of 158,000 located in New York state comprised the intervention population. A similar but separate population was used for reference. A multifaceted, multimedia 5-year program provided health promotion and education initiatives to increase physical activity, decrease smoking, improve nutrition, and identify hypercholesterolemia and hypertension. To evaluate the effectiveness of the intervention, surveys were conducted at baseline in 1989 (cross-sectional) and at follow-up in 1994- 95 (cross-sectional and panel). For cross-sectional studies, a random sample of adults was obtained using a three-stage cluster design. Self-reported and objective risk factor measurements were obtained. Comparison of pre- to post- changes in intervention versus reference populations was done using 2× 2randomized block ANOVA, 2 × 2 mixed ANOVA, and extension of the McNemar test. Results: Smoking prevalence declined (from 27.9% to 17.6%) in the intervention population. Significant adverse trends were observed for high-density lipoprotein cholesterol and triglycerides. Systolic blood pressure was reduced while diastolic blood pressure remained stable. Body mass index increased significantly in both populations. Conclusions: This rural, 5-year CVD community intervention program decreased smoking. The risk reduction may be attributable to tailoring of a multifaceted approach (multiple risk factors, multiple messages, and multiple population subgroups) to a target rural population. The study period was too short to identify changes in CVD morbidity and mortality.

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