Shifting the distribution of risk : results of a community intervention in a Swedish programme for the prevention of cardiovascular disease.
Study objective-To examine the impact of a systematic risk factor screening and counselling carried out by family physicians and family nurses within the larger framework of a community intervention programme for the prevention of cardiovascular disease (CVD).
Design-Quasi-experimental study comparing trends in an intervention area with those in a reference area.
Setting-A Northern Sweden municipality (5500 inhabitants) constituted the intervention area while the Northern Sweden region (510 000 inhabitants) served as the reference area.
Participants-All 30,40,50, and 60 year old inhabitants were invited each year from 1985 to 1992.
Among 2046 eligible 1893 participated (92.5%), which formed eight independent cross sections.
One cross section, 1986, was re-surveyed forming a panel.
Main results-In the cross sections, mean total cholesterol was reduced from 7.09 to 6.27 mmolll for men (p<0.001) and from 7.13 to 5.89 mmolll for women (p<0.001) and mean systolic blood pressure from 132.2 to 123.7 mm Hg for men (p<0.05) and from 129.2 to 122.0 mm Hg for women (p<0.001) during the eight years.
Body mass index (BMI) increased from 25.6 to 26.2 for men (p<0.05) and from 25.0 to 25.5 for women (NS).
A corresponding reduction in cholesterol and blood pressure (for women) occurred in the panel, while BMI was unchanged.
The risk for CVD, using the Framingham equation, was estimated to be reduced overall by 19% (p=0. (...)
Mots-clés Pascal : Cardiopathie, Homme, Milieu rural, Dépistage, Programme sanitaire, Surveillance sanitaire, Suède, Europe, Epidémiologie, Tendance, Facteur risque, Evolution, Long terme, Etude multicentrique, Etude transversale, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Heart disease, Human, Rural environment, Medical screening, Sanitary program, Sanitary surveillance, Sweden, Europe, Epidemiology, Trend, Risk factor, Evolution, Long term, Multicenter study, Cross sectional study, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0192108
Code Inist : 002B30A01A2. Création : 16/11/1999.