Impact of a combined community and primary care prevention strategy on all-cause and cardiovascular mortality: A cohort analysis based on 1 million person-years of follow-up in Västerbotten County, Sweden, during 1990a-2006

BMJ Open

Volumn 5, Issue 12, 2015, Pages

  Blomstedt, Yulia ^a   Norberg, Margareta ^a   Stenlund, Hans ^a   Nyström, Lennarth ^a   Lönnberg, Göran ^a   Boman, Kurt ^a,b   Wall, Stig ^a   Weinehall, Lars ^a  

^a UMEÅ UNIVERSITY   (Sweden)

^b Skelleftea County Hospital   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; CARDIOVASCULAR DISEASE; CARDIOVASCULAR MORTALITY; CAUSE OF DEATH; COHORT ANALYSIS; COMMUNITY CARE; EDUCATION; FEMALE; FOLLOW UP; HEALTH STATUS; HUMAN; INTENTION TO TREAT ANALYSIS; MAJOR CLINICAL STUDY; MALE; MEDICAL EXAMINATION; MIDDLE AGED; PHYSICAL EXAMINATION; PREVENTIVE HEALTH SERVICE; PRIMARY MEDICAL CARE; REVIEW; STANDARDIZED MORTALITY RATIO; SWEDEN; ADOLESCENT; AGE DISTRIBUTION; CARDIOVASCULAR DISEASES; EPIDEMIOLOGY; MORTALITY; PRIMARY HEALTH CARE; PRIMARY PREVENTION; QUESTIONNAIRE; RETROSPECTIVE STUDY; RISK FACTOR; SEX RATIO; SOCIOECONOMICS; STATISTICS AND NUMERICAL DATA; TRENDS; YOUNG ADULT;

ADOLESCENT; ADULT; AGE DISTRIBUTION; AGED; CARDIOVASCULAR DISEASES; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; MORTALITY; PRIMARY HEALTH CARE; PRIMARY PREVENTION; RETROSPECTIVE STUDIES; RISK FACTORS; SEX DISTRIBUTION; SOCIOECONOMIC FACTORS; SURVEYS AND QUESTIONNAIRES; SWEDEN; YOUNG ADULT;

EID: 84960429941     PISSN: None     EISSN: 20446055     Source Type: Journal    
DOI: 10.1136/bmjopen-2015-009651     Document Type: Review

References (44)

1. WHO. The top 10 causes of death. Fact sheet #310, 2014. http://www.who.int/mediacentre/factsheets/fs310/en/(accessed 2015).
2. WHO. Global status report on non-communicable diseases 2010. Geneva, 2011.
3. Gaziano TA, Bitton A, Anand S, et al. Growing epidemic of coronary heart disease in low-and middle-income countries. Curr Probl Cardiol 2010;35:72-115.
4. World Health Organization. Package of essential noncommunicable (PEN) disease interventions for primary health care in low-resourse settings. Geneva: WHO, 2010.
5. Vartiainen E, Puska P, Jousilahti P, et al. Twenty-year trends in coronary risk factors in north Karelia and in other areas of Finland. Int J Epidemiol 1994;23:495-504.
6. Krogsboll LT, Jorgensen KJ, Gronhoj Larsen C, et al. General health checks in adults for reducing morbidity and mortality from disease. Cochrane Database Syst Rev 2012;(10):CD009009.
7. Jorgensen T, Jacobsen RK, Toft U, et al. Effect of screening and lifestyle counselling on incidence of ischaemic heart disease in general population: Inter99 randomised trial. BMJ 2014;348:g3617.
8. Weinehall L. The emerging epidemic of cardiovascular disease. Scand J Public Health Suppl 2003;61:5-8.
9. Wall S, Rosen M, Nystrom L. The Swedish mortality pattern: A basis for health planning?. Int J Epidemiol 1985;14:285-92.
10. Protocol from the Västerbotten County Council board meeting, § 470, December 17 (in Swedish). Umeå: Västerbottens Läns Landsting, 1984.
11. Norberg M, Boman K, Weinehall L. The Västerbotten Intervention Programme: Background, design and implications. Glob Health Action 2010;3.
12. Weinehall L, Hellsten G, Boman K, et al. Can a sustainable community intervention reduce the health gap?-10-year evaluation of a Swedish community intervention program for the prevention of cardiovascular disease. Scand J Public Health Suppl 2001;56:59-68.
13. Weinehall L, Hallgren CG, Westman G, et al. Reduction of selection bias in primary prevention of cardiovascular disease through involvement of primary health care. Scand J Prim Health Care 1998;16:171-6.
14. Norberg M, Blomstedt Y, Lönnberg G, et al. Community participation and sustainability-evidence over 25 years in the Vasterbotten Intervention Programme. Glob Health Action 2012;5:1-9.
15. Manual 2015, Västerbotten Intervention Program. (In Swedish). ed. Umeå: Västerbotten County Council, 2015.
16. Lenner P, Hallmans G, Weinehall L, et al. [Population-based biological test bank. New possibilities for epidemiologic cancer research]. Lakartidningen 1991;88:4447-9.
17. Malmberg G, Nilsson LG, Weinehall L. Longitudinal data for interdisciplinary ageing research. Design of the Linnaeus Database. Scand J Public Health 2010;38:761-7.
18. Statistical databases-cause of death statistics. http://www. socialstyrelsen.se/statistik/statistikdatabas. Socialstyrelsen [National Board of Health and Welfare].
19. Statistical databases. http://www.ssd.scb.se/databaser/makro/start. asp. Statistics Sweden.
20. Norberg M, Lundqvist G, Nilsson M, et al. Changing patterns of tobacco use in a middle-aged population-the role of snus, gender, age, and education. Glob Health Action 2011;4.
21. Norberg M, Lindvall K, Stenlund H, et al. The obesity epidemic slows among the middle-aged population in Sweden while the socioeconomic gap widens. Glob Health Action 2010;3.
22. Ng N, Johnson O, Lindahl B, et al. A reversal of decreasing trends in population cholesterol levels in Vasterbotten County, Sweden. Glob Health Action 2012;5.
23. Ng N, Carlberg B, Weinehall L, et al. Trends of blood pressure levels and management in Vasterbotten County, Sweden, during 1990-2010. Glob Health Action 2012;5.
24. Ng N, Soderman K, Norberg M, et al. Increasing physical activity, but persisting social gaps among middle-aged people: Trends in Northern Sweden from 1990 to 2007. Glob Health Action 2011;4:6347.
25. Blomstedt Y, Emmelin M, Weinehall L. What about healthy participants? The improvement and deterioration of self-reported health at a 10-year follow-up of the Vasterbotten Intervention Programme. Glob Health Action 2011;4:5435.
26. Lindahl B, Stenlund H, Norberg M. Increasing glucose concentrations and prevalence of diabetes mellitus in northern Sweden, 1990-2007. Glob Health Action 2010;3.
27. Aleksandrova K, Pischon T, Jenab M, et al. Combined impact of healthy lifestyle factors on colorectal cancer: A large European cohort study. BMC Med 2014;12:168.
28. Hoggart C, Brennan P, Tjonneland A, et al. A risk model for lung cancer incidence. Cancer Prev Res (Phila) 2012;5: 834-46.
29. Brenner DR. Cancer incidence due to excess body weight and leisure-time physical inactivity in Canada: Implications for prevention. Prev Med 2014;66:131-9.
30. Labarthe DR, Stamler J. Improving cardiovascular health in a rural population: Can other communities do the same?. JAMA 2015;313:139-40.
31. Nissinen A, Tuomilehto J, Salonen JT, et al. The influence of socioeconomic factors on blood pressure control during a community-based hypertension control programme. Acta Cardiol 1986;41:99-109.
32. Kaplan GA, Salonen JT. Socioeconomic conditions in childhood and ischaemic heart disease during middle age. BMJ 1990;301:1121-3.
33. Greiser E. Closing the social gap? Midterm results of the German Cardiovascular Prevention Study in Bremen City. Circulation 1992;85:868.
34. Fortmann SP, Williams PT, Hulley SB, et al. Does dietary health education reach only the privileged? The Stanford Three Community Study. Circulation 1982;66:77-82.
35. Winkleby MA, Fortmann SP, Rockhill B. Trend in cardiovascular disease risk factors by educational level: The Stanford Five-City Project. Prev Med 1992;21:592-601.
36. Long GH, Simmons RK, Norberg M, et al. Temporal shifts in cardiovascular risk factor distribution. Am J Prev Med 2014;46:112-21.
37. WHO. Commission on Social Determinants of Health (CSDH) IER/EQH. Geneva, 2007.
38. Lindholm L, Rosen M, Weinehall L, et al. Cost effectiveness and equity of a community based cardiovascular disease prevention programme in Norsjo, Sweden. J Epidemiol Community Health 1996;50:190-5.
39. Record NB, Onion DK, Prior RE, et al. Community-wide cardiovascular disease prevention programs and health outcomes in a rural county, 1970-2010. JAMA 2015;313:147-55.
40. Mittelmark MB, Hunt MK, Heath GW, et al. Realistic outcomes: Lessons from community-based research and demonstration programs for the prevention of cardiovascular diseases. Public Health Policy 1993;14:438-62.
41. Weinehall L. Partnership for health: On the role of primary health care in a community intervention programme. [Doctoral thesis]. Umeå University, 1997.
42. Lingfors H, Persson LG, Lindstrom K, et al. Effects of a global health and risk assessment tool for prevention of ischemic heart disease in an individual health dialogue compared with a community health strategy only results from the Live for Life health promotion programme. Prev Med 2009;48:20-4.
43. Lingfors H, Persson LG, Lindstrom K, et al. Time for a "vision zero" concerning premature death from ischaemic heart disease?. Scand J Prim Health Care 2002;20:28-32.
44. Administrative Report. Umeå: Västerbotten County Council, 2002.