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Background and development of the Västerbotten Intervention Programme (VIP)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. (Arcum)
2017 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no Suppl_3, p. 204-204Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

During the 1950's, knowledge grow of the role of life style habits for cardiovascular disease (CVD) development. With increasing mortality, preventive actions were expected in the Western World. In Sweden, however, this interest was modest. Researchers were far more keen to study the natural process of CVD, why major cohort studies were conducted in Malmö and Gothenburg.

Not until the beginning of the 1980s, did Swedish scientists seriously start discussing the possibilities to prevent CVD, using population efforts. One inspiration source was regional data on dramatically increased death rates in cardiovascular disease, especially in the North, presented by researchers from Umeå University. The Northern Sweden public was seriously concerned.

In 1982, the Swedish Parliament adopted a new Health and Medical Services Act, stating that the health care mission both was to provide good medical care and good health for the entire population.

Based on this, the Västerbotten County Council decided to go from talk to action and developed the first large-scale population-oriented CVD intervention program ever in Sweden. National experts were invited to give their input. In 1984 a program was decided combining individual-oriented initiatives (a health survey at 30, 40, 50 and 60 years of age and an individual health dialogue) and community oriented health promoting components. As a first step, a pilot study was developed locally in close collaboration between primary care, municipality boards, NGOs, health planers and researchers.

During the second step, the upscaling phase, local responsibility and ownership were of major importance. Once the model was implemented in all municipalities, the project was transformed into an operational phase. Thus, the VIP health survey/health dialogue was decided to be a part of the primary care's regular assignment, with similar content regardless of health centre, while local community-oriented activities could vary based on local context.

Place, publisher, year, edition, pages
OXFORD UNIV PRESS , 2017. Vol. 27, no Suppl_3, p. 204-204
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-143144DOI: 10.1093/eurpub/ckx187.528ISI: 000414389802053OAI: oai:DiVA.org:umu-143144DiVA, id: diva2:1168478
Conference
10th European Public Health Conference Sustaining resilient and healthy communities Stockholm, Sweden 1–4 November 2017
Available from: 2017-12-20 Created: 2017-12-20 Last updated: 2018-06-09Bibliographically approved

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Weinehall, Lars

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