To determine the effectiveness of health checks, performed by nurses in primary care, in reducing risk factors for cardiovascular disease and cancer.
Setting-Five urban general practices in Bedford-shire.
Subjects-2205 men and women who were randomly allocated a first health check in 1989-90 and a re-examination in 1992-3 (the intervention group) ; 1916 men and women who were randomly allocated an initial health check in 1992-3 (the control group).
All subjects were aged 35-64 at recruitment in 1989.
Main outcome measures-Serum total cholesterol concentration, blood pressure, body mass index, and smoking prevalence (with biochemical validation of cessation) ; self reported dietary, exercise, and alcohol habits.
Mean serum total cholesterol was 3.1% lower in the intervention group than controls (difference 0.19 mmol/l (95% confidence interval 0.12 to 0.26)) ; in women it was 4.5% lower (P<0.0001) and in men 1.6% (P<0.05), a significant difference between the sexes (P<0.01).
Annual rechecks were no more effective than a single recheck at three years, but health checks led to a significant increase in visits to the nurse according to patients'degree of cardiovascular risk.
Conclusions-The benefits of health checks were sustained over three years.
The main effects were to promote dietary change and reduce cholesterol concentrations ; small di.
Mots-clés Pascal : Dépistage, Infirmier, Personnel sanitaire, Soin santé primaire, Facteur risque, Prévention, Education sanitaire, Appareil circulatoire pathologie, Efficacité, Evaluation performance, Angleterre, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Medical screening, Nurse, Health staff, Primary health care, Risk factor, Prevention, Health education, Cardiovascular disease, Efficiency, Performance evaluation, England, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0336721
Code Inist : 002B30A03A. Création : 01/03/1996.