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

Weinehall, Lars; Hellsten, Gideon; Boman, Kurt; Hallmans, Göran; Asplund, Kjell; Wall, Stig

doi:10.1080/140349401316898144

Cited by 32 publications

(41 citation statements)

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“…Other studies have evaluated the risk factor reduction in the Norsjö intervention area compared to a reference area up to 1992/94 [29,30]. Our present study confirmed a risk factor load reduction between 1986 and 1996.…”

Section: Resultssupporting

confidence: 87%

To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme

et al. 2007

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BackgroundPublic health interventions are directed towards social systems and it is difficult to foresee all consequences. While targeted outcomes may be positively influenced, interventions may at worst be counterproductive. To include self-reported health in an evaluation is one way of addressing possible side-effects. This study is based on a 10 year follow-up of a cardiovascular community intervention programme in northern Sweden.MethodsBoth quantitative and qualitative approaches were used to address the interaction between changes in self-rated health and risk factor load. Qualitative interviews contributed to an analysis of how the outcome was influenced by health related norms and attitudes.ResultsMost people maintained a low risk factor load and a positive perception of health. However, more people improved than deteriorated their situation regarding both perceived health and risk factor load. "Ideal types" of attitude sets towards the programme, generated from the interviews, helped to interpret an observed polarisation for men and the lower educated.ConclusionOur observation of a socially and gender differentiated intervention effect suggests a need to test new intervention strategies. Future community interventions may benefit from targeting more directly those who in combination with high risk factor load perceive their health as bad and to make all participants feel seen, confirmed and involved.

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Section: Resultssupporting

confidence: 87%

To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme

et al. 2007

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“…A brief description of the variables included in these analyses is given below. Sociodemography: Information on age, occupation, employment, sick leave, marital and household status, and education were obtained from an extensive questionnaire developed by the County Council of Väster-botten in order to enable longitudinal evaluations of a regional intervention program for the prevention of cardiovascular diseases and diabetes (16,17). In addition to sociodemographic data, the questionnaire covered items related to disease heredity, life-style and risk behaviour (see below).…”

Section: Variables Included In the Regression Analysesmentioning

confidence: 99%

Quality of life in relation to physical, psychosocial and socioeconomic conditions among reindeer-herding Sami

Daerga

Edin-Liljegren²,

Sjölander

2008

International Journal of Circumpolar Health

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Objectives. To analyse different aspects of health-related quality of life factors among members of reindeer-herding families. Study design. Cross-sectional study based on data from a comprehensive survey. Methods. The health-related quality of life (SF-6) factors were analysed on 99 (6 men, women) adult members of reindeer-herding families. Comparisons were made between the reindeer-herding family members and a Swedish reference population. Associations between mental and physical component summary measures and a number of sociodemographic, biomedical, physical, psychosocial and socio-economic variables were analysed with multivariate regression statistics. Results. Men scored higher than women on physical and social function and vitality. The average scores on the subscales for the reindeer-herding family members were similar to those of the Swedish reference population, except for reindeer-herding men who scored higher on physical function and lower on bodily pain. For women, the quality of life was related to age, sense of coherence, lifestyle and behavioural variables, as well as to issues such as diseases among close relatives, social networks and the economy of their business. For men, it was mainly related to musculoskeletal pain conditions, age, sense of coherence and physical and psychosocial working conditions. Conclusions. Men and women of the reindeer-herding families need partly different conditions to enjoy a high quality of life. From the results, it might be predicted that poor somatic and psychosocial health, increased intrusion from exploiters on the grazing land and declining profit in reindeer husbandry constitute important threats to a good quality of life among members of reindeer-herding families. (Int J Circumpolar Health 2008; 67(1):8-26)

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“…Ten studies chose a community and individual strategy 16,17,18,19,20,21,22,23,24,25 based on social learning, diffusion of innovation, social development, persuasive communication, and models involving community leaders and institutions. These studies shared similar hypotheses, although with distinct characteristics, about the roles of individuals, communities, and the physical and social environment.…”

Section: Resultsmentioning

confidence: 99%

Primordial and primary prevention programs for cardiovascular diseases: from risk assessment through risk communication to risk reduction. A review of the literature

Lancarotte

Nobre

2016

Clinics

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The aim of this study was to identify and reflect on the methods employed by studies focusing on intervention programs for the primordial and primary prevention of cardiovascular diseases. The PubMed, EMBASE, SciVerse Hub-Scopus, and Cochrane Library electronic databases were searched using the terms ‘effectiveness AND primary prevention AND risk factors AND cardiovascular diseases’ for systematic reviews, meta-analyses, randomized clinical trials, and controlled clinical trials in the English language. A descriptive analysis of the employed strategies, theories, frameworks, applied activities, and measurement of the variables was conducted. Nineteen primary studies were analyzed. Heterogeneity was observed in the outcome evaluations, not only in the selected domains but also in the indicators used to measure the variables. There was also a predominance of repeated cross-sectional survey design, differences in community settings, and variability related to the randomization unit when randomization was implemented as part of the sample selection criteria; furthermore, particularities related to measures, limitations, and confounding factors were observed. The employed strategies, including their advantages and limitations, and the employed theories and frameworks are discussed, and risk communication, as the key element of the interventions, is emphasized. A methodological process of selecting and presenting the information to be communicated is recommended, and a systematic theoretical perspective to guide the communication of information is advised. The risk assessment concept, its essential elements, and the relevant role of risk perception are highlighted. It is fundamental for communication that statements targeting other people’s understanding be prepared using systematic data.

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

Cited by 32 publications

References 0 publications

To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme

To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme

Quality of life in relation to physical, psychosocial and socioeconomic conditions among reindeer-herding Sami

Primordial and primary prevention programs for cardiovascular diseases: from risk assessment through risk communication to risk reduction. A review of the literature

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