No abstract

This paper analyzes the preferences for reducing the negative impacts of landslides. Negative consequences of landslides include impacts on transport infrastructure, humans, the environment and important societal services. We apply a choice experiment. The analysis is based on 6048 observations from 504 participants in a web panel. The overall finding is that reducing the risk of landslides would have a positive impact on individuals’ utility, and that individuals prioritize preventing negative consequences on human health and safety over maintaining societal services, environmental status, and preventing damages to transport infrastructure, which seems to be least pressing. Results indicate that prioritizations of citizens differ from the prioritizations of public authorities, whose risk assessment model for evaluating the consequences of landslides gives equal weight to the different impacts.

Background: The Västerbotten Intervention Programme (VIP) is a public health promotion programme in northern Sweden aimed at preventing cardiovascular diseases. Its positive effects on disease risk factors and on the risk of coronary heart disease itself have been reported, although the evidence is not unequivocal. Since only historical controls have been used, effects from sources other than the programme have largely been uncontrolled for and health-related quality of life (QoL) has not been evaluated.Methods: By using the neighbouring county of Norrbotten (NB) as a reference population, we compare QoL in Västerbotten (VB) and NB. In 2014, the World Health Organization’s Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA) Study was implemented in northern Sweden, where random samples from VB and NB were examined. In total, 1112 participants between the ages of 40 to 74 participated: 516 in VB, and 594 in NB. Their QoL was measured with the three-level EuroQol 5-dimension (EQ-5D-3L) questionnaire. Differences in mean QoL between VB and NB were analysed via the Student’s t-test and the Pearson chi-square test.Results: Average QoL measured by the EQ-5D index was 0.798 in VB and 0.811 in NB, i.e. a difference of 0.013 (p = 0.2; confidence interval/CI -0.009 to 0.036). For participants aged 45–54, the QoL was lower in VB than in NB, showing a difference of 0.048 (p = 0.041; CI 0.002 to 0.0094). In NB, QoL decreased with age – a pattern not seen in VB. Men had higher QoL than women, and participants with a university education had higher QoL than those without one. The vertical visual analogue scale (EQ VAS) showed similar results. Participants from NB and from VB did not differ regarding age, gender or level of education.Conclusions: We found similar levels of health-related QoL in VB and NB.Trial registration: Not applicable

Background: The Västerbotten intervention program (VIP), is a public health promotion program in northern Sweden with the aim of preventing cardiovascular disease. Positive effects on risk factors and risk of coronary heart disease 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 (QoL) has not been evaluated. Aim: By using the neighbouring county of Norrbotten (NB) as the reference population, we compare QoL in Västerbotten (VB) and in NB. Method: The Northern Sweden MONICA survey in 2014 examined a random sample from the two counties. QoL was measured with the EQ-5D-3L. In total, 1112 subjects participated aged 40-74 years, 516 in VB and 594 in NB. Results: Average QoL 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 QoL was lower in VB than in NB, a difference of 0.048 (p=0.041; CI 0.002 to 0.0094). In NB, QoL decreased with age, a pattern not seen in VB. Men had higher QoL than women, and university educated had higher QoL 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. Conclusion: We found similar levels of QoL in VB and in NB.