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Partnership for health: on the role of primary health care in a community intervention programme
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Public Health Sciences. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.ORCID iD: 0000-0003-3025-2690
1997 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet , 1997. , 61 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 531
Keyword [en]
Community intervention, primaiy health care, prevention of cardiovascular disease, selection bias, social factors, perceived health, Lp(a)
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-7534ISBN: 91-7191-388-2 (print)OAI: oai:DiVA.org:umu-7534DiVA: diva2:147205
Public defence
1997-12-05, Aulan, sjukhusadministrationen, Norrlands Universitetssjukhus i Umeå, Umeå universitet, Umeå, 09:30
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digitalisering@umu
Note

Härtill 6 uppsatser

Available from: 2008-01-10 Created: 2008-01-10 Last updated: 2015-04-29Bibliographically approved
List of papers
1. Changing social patterns of risk factors for cardiovascular disease in a Swedish community intervention programme
Open this publication in new window or tab >>Changing social patterns of risk factors for cardiovascular disease in a Swedish community intervention programme
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1993 (English)In: International Journal of Epidemiology, ISSN 0300-5771, E-ISSN 1464-3685, Vol. 22, no 6, 1026-1037 p.Article in journal (Refereed) Published
Abstract [en]

Since 1985 a small-scale community-based cardiovascular disease (CVD) preventive programme has been in operation in an inland municipality, Norsjö, in Northern Sweden. The aim of this study was to assess the development of the relationship between social position and CVD risk factors in repeated cross-sectional surveys (1985-1990) among all men and women aged 30, 40, 50 and 60 years in the study area, using an age-stratified random sample from the Northern Sweden MONICA Study of 1986 and 1990 as reference population. These multiple cross-sectional surveys comprised a self-administered questionnaire and a health examination. Of the study population 95% (n = 1499) and 80% of those in the reference area (n = 3208) participated. Subjects were classified with regard to demographic, structural and social characteristics in relation to CVD risk factors and self-reported health status. Time trends in classical risk factor occurrence were assessed in terms of age- and sex- adjusted odds ratios using Mantel-Haenszel procedures. When simultaneously adjusting for several potential confounders we used a logistic regression analysis. Initially, more than half of the study population, both males and females, had and elevated (> or = 6.5 mmol/l) serum cholesterol level. After adjustments had been made for age and social factors it was found that the relative risk of hypercholesterolaemia dropped substantially and significantly among both sexes during the 6 years of CVD intervention in the study area. However, the probability of being a smoker was significantly reduced only in highly educated groups. Among other risk factors no single statistically significant change over time could be found. In the reference area there were no changes over time for the selected CVD risk factors. People in the study area had a less favourable perception of their health than those in the reference area. Social differences were found when perceived good health was measured, especially in variables indicating emotional and social support. When sex, age and social factors had been accounted for there was not clear change over the years in perceived good health.

Place, publisher, year, edition, pages
Oxford University Press, 1993
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-64713 (URN)10.1093/ije/22.6.1026 (DOI)8144283 (PubMedID)
Available from: 2013-02-01 Created: 2013-02-01 Last updated: 2017-12-06Bibliographically approved

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Weinehall, Lars

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