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Changing Lifestyle: Who Benefits and How? Prevention in Primary Health Care Within the Female Population in a Swedish Community

Published online by Cambridge University Press:  06 October 2014

Cecilia Björkelund  and
Calle Bengtsson
Cecilia Björkelund*
Affiliation:
Göteborg University
Calle Bengtsson
Affiliation:
Göteborg University
*
Department of Primary Health Care, Göteborg University, Vasa Sjukhus, S-41133 Göteborg, Sweden
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Abstract

A primary health care community intervention program was offered to the middle-aged female population in a Swedish community aiming at reducing risk factors for cardiovascular disease. Around 30% of women with risk factors took active part in an intervention course program inspiring to lifestyle changes. Analysis showed few background differences between the group of women who participated and who did not participate in the intervention program. Most women with risk factors benefited from lifestyle changes, those with multiple risk factors to as large an extent as those with few risk factors for cardiovascular disease. Also women with risk factors who did not take part in the intervention course program changed their lifestyle habits to some extent.The pedagogics of the intervention program described in this paper are shown to be of value when addressed to middle-aged women with risk factors for cardiovascular disease.

Type
Research Article
Information
Behaviour Change , Volume 11 , Issue 3 , September 1994 , pp. 145 - 152
Copyright
Copyright © The Author(s) 1994

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References

REFERENCES

Bengtsson, C. (1973). Physical activity in a population sample of women and in women with ischaemic heart disease. Acta Medica Scandinavica (Suppl. 549), 97–105.Google Scholar
Bengtsson, C., Blohmé, G., Hallberg, L., Hällström, T., Isaksson, B., Korsan-Bengtsen, K., Rybo, G., Tibblin, E., Tibblin, G., & Westerberg, H. (1973). The study of women in Gothenburg 1968–69 — a population study. General design, purpose and sampling results. Acta Medica Scandinavica, 193, 311–318.CrossRefGoogle Scholar
Bengtsson, C., Björkelund, G., Lapidus, L., & Lissner, L. (1993). Associations of serum lipid concentrations and obesity with mortality in women. 20 year follow up of participants in prospective population study in Gothenburg, Sweden. British Medical Journal, 307, 1385–1388.CrossRefGoogle ScholarPubMed
Björkelund, C., & Bengtsson, C. (1991). Feasibility of a Primary Health Care Programme aiming at reducing cardiovascular and cerebrovascular risk factors among women in a Swedish community, Strömstad. Scandinavian Journal of Primary Health Care, 9, 89–95.CrossRefGoogle Scholar
Björkelund, C., Bengtsson, C., Carazo, B., Palm, L., Tarschys, G., & Wassén, A. (1991). Effects of a community risk factor reducing programme on weight, body fat distribution, and lipids in obese women. International Journal of Obesity, 15, 251–258.Google ScholarPubMed
Björkelund, C., Ekman, H., Persson, M., & Bengtsson, C. (1988). Mortality from stroke among women in a Swedish community, Strömstad. Scandinavian Journal of Primary Health Care, 6, 213–218.CrossRefGoogle Scholar
Castelli, W.P. (1986). The triglyceride issue: A view from Framingham. American Heart Journal, 112, 432–437.CrossRefGoogle ScholarPubMed
Farquhar, J.W., Fortmann, S.P., Flora, J.A., Barr Taylor, C., Haskell, W.L., Williams, P.T., Maccoby, N., & Woods, P.D. (1990). Effects of communitywide education on cardiovascular disease risk factors. The Stanford Five-City project. The Journal of the American Medical Association, 264, 359–365.CrossRefGoogle ScholarPubMed
Hjermann, I., Velve Byre, K., Holme, I., & Leren, P. (1981). Effect of diet and smoking intervention on the incidence of coronary heart disease. Lancet, 2, 1303–1310.CrossRefGoogle ScholarPubMed
Imperial Cancer Research Fund OXCHECK Study Group. (1991). Prevalence of risk factors for heart disease in OXCHECK trial: Implications for screening in primary care. British Medical Journal, 302, 1057–1061CrossRefGoogle Scholar
Kannel, W.B. (1987). Metabolic risk factors for coronary heart disease in women: Perspective from the Framingham Study. American Heart Journal, 114, 413–420.CrossRefGoogle ScholarPubMed
Lapidus, L. (1986). Ischaemic heart disease, stroke and total mortality in women — results from a prospective population study in Gothenburg, Sweden. Acta Medica Scandinavica (Suppl 705), 1–42.Google Scholar
Lefebvre, R.C., Lasater, T.M., Assaf, A.R., & Carleton, R.A. (1988). Pawtucket Heart Health Program: The process of stimulating community change. Scandinavian Journal of Primary Health Care (Suppl 1), 31–37.Google Scholar
Lerner, D., & Kannel, W.B. (1986). Patterns of coronary heart disease morbidity and mortality in the sexes: A 20-year follow-up of the Framingham population. American Heart Journal, 111, 383–390.CrossRefGoogle Scholar
McGee, H.M., & Horgan, J. H. (1992). Cardiac rehabilitation programmes: Are women less likely to attend? British Medical Journal, 305, 283–284.CrossRefGoogle ScholarPubMed
Mittelmark, M.B., Luepker, R.V., Jacobs, D.R., Bracht, N.F., Carlaw, R.W., Crow, R.S., Finnegan, J., Grimm, R.H., Jeffrey, R. W., Kline, F.G., Mullis, R.M., Muttay, D.M., Pechacek, T.F., Perry, C.L., Pirie, P.L., & Blackburn, H. (1986). Community-wide prevention of cardiovascular disease: Education strategies of the Minnesota Heart Health Program. Preventive Medicine, 15, 1–17.CrossRefGoogle ScholarPubMed
Rosén, M. (1989). On randomized controlled trials and lifestyle interventions. International Journal of Epidemiology, 18, 993–994CrossRefGoogle ScholarPubMed
Salonen, J.T., Puska, P., & Mustaniemi, H. (1979). Changes in morbidity and mortality during comprehensive community programme to control cardiovascular disease during 1972–7 in North Karelia. British Medical Journal, 2, 1178–1183.CrossRefGoogle ScholarPubMed
Shewry, M.C., Smith, W.C.S., Woodward, M., & Tunstall-Pedoe, H. (1992). Variations in coronary risk factors by social status: Results from the Scottish heart health study. British Journal of General Practitioners, 42, 406–410.Google ScholarPubMed
Stensvold, I., Tverdal, A., Urdal, P., & Graff-Iversen, S. (1993). Non-fasting serum triglyceride concentration and mortality from coronary heart disease and any cause in middle aged Norwegian women. British Medical Journal, 307, 1318–1322.CrossRefGoogle ScholarPubMed
Winkleby, A.M., Jatulis, D.E., Frank, E., & Fortman, S.P.(1992). Socioeconomic status and health: How education, income and occupation contribute to risk factors for cardiovascular disease. American Journal of Public Health, 82, 816–820.CrossRefGoogle Scholar
World Health Organization. (1982). Prevention of coronary heart disease. Report of a WHO expert committee, Technical Report Series 678. Geneva: World Health Organization.Google Scholar