Health problems in a Swedish county—what can we learn from official sources?

Eriksson, Cecilia; Granvik, Madeleine; Kindblad, I.; Lindgren, G; Nyström, Lennarth; Rosén, Måns; Wall, Stig

doi:10.1016/0160-7995(81)90029-0

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…Ways that people who suffers from heart diseases understand and make sense of their disease has been reported in medical anthropological research [ 45 ]. Another good preventive example is the "Västerbotten Intervention Program" aiming to reduce cardiovascular risks in northern Sweden [ 46 - 48 ]. Using an upstream perspective through collaboration between politicians, healthcare providers, primary care and the public, a stable community-based intervention program was launched in the mid-1980s.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular disease occurrence in two close but different social environments

et al. 2011

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BackgroundCardiovascular diseases estimate to be the leading cause of death and loss of disability-adjusted life years globally. Conventional risk factors for cardiovascular diseases only partly account for the social gradient. The purpose of this study was to compare the occurrence of the most frequent cardiovascular diseases and cardiovascular mortality in two close cities, the Twin cities.MethodsWe focused on the total population in two neighbour and equally sized cities with a population of around 135 000 inhabitants each. These twin cities represent two different social environments in the same Swedish county. According to their social history they could be labelled a "blue-collar" and a "white-collar" city. Morbidity data for the two cities was derived from an administrative health care register based on medical records assigned by the physicians at both hospitals and primary care. The morbidity data presented are cumulative incidence rates and the data on mortality for ischemic heart diseases is based on official Swedish statistics.ResultsThe cumulative incidence of different cardiovascular diagnoses for younger and also elderly men and women revealed significantly differences for studied cardiovascular diagnoses. The occurrence rates were in all aspects highest in the population of the "blue-collar" twin city for both sexes.ConclusionsThis study revealed that there are significant differences in risk for cardiovascular morbidity and mortality between the populations in the studied different social environments. These differences seem to be profound and stable over time and thereby give implication for public health policy to initiate a community intervention program in the "blue-collar" twin city.

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Section: Discussionmentioning

confidence: 99%

Cardiovascular disease occurrence in two close but different social environments

et al. 2011

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“…Public health surveys have been carried out by Swedish county councils since the 1970s [12]. Similar surveys are in use in other countries, for example in the rest of Scandinavia and in the United Kingdom and the USA.…”

Section: Introductionmentioning

confidence: 99%

Dermatology in public health - a model for surveillance of common skin diseases

Stenberg

Meding

Svensson³

2010

Scand J Public Health

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Questionnaires can be used for epidemiologic surveillance so long as the questions are validated and that the validity is taken into account when estimating the occurrence of the conditions. Public health surveys such as this one lay the basis for future epidemiological surveillance of skin conditions that can be subject to interventions. We propose that these, or similar, questions should be used regularly in population surveys and supplemented by questions on skin exposure.

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“…The two programmes are based on societal conditions at each site. The programmes There were also pronounced diVerences within Va È sterbotten County, with the municipality of Norsjo È have diVerent components, but they are similar with regard to the idea of mobilizing the local community having the highest mortality (8). This provided the rationale for launching a CVD intervention pro-towards better cardiovascular health.…”

Section: Introductionmentioning

confidence: 97%

Different outcomes for different interventions with different focus!--A cross-country comparison of community interventions in rural Swedish and US populations

Weinehall¹,

Lewis²,

Nafziger³

et al. 2001

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Scand J Public Health 2001; 29 (suppl 56): 46± 58Objectives: There is a need among healthcare providers to acquire more knowledge about small-scale and low budget community intervention programmes. This paper compares risk factor outcomes in Swedish and US intervention programmes for the prevention of cardiovascular disease (CVD). The aim was to explore how diVerent intervention programme pro® les aVect outcome. Methods: Using a quasi-experimental design, trends in risk factors and estimated CVD risk in two intervention areas (Norsjo È , Sweden and Otsego± Schoharie County, New York state) are compared with those in reference areas (Northern Sweden region and Herkimer County, New York state) using serial cross-sectional studies and panel studies. Results: The programmes were able to achieve signi® cant changes in CVD risk factors that the local communities recognized as major concerns: changing eating habits in the Swedish population and reducing smoking in the US population. For the Swedish cross-sectional follow-up study cholesterol reduction was 12 % , compared to 5 % in the reference population ( p for trend diVerences < 0.000). The signi® cantly higher estimated CVD risk (as assessed by risk scores) at baseline in the intervention population was below that of the Swedish reference population after 5 years of intervention. The Swedish panel study provided the same results. In the US, both the serial cross-sectional and panel studies showed a > 10 % decline in smoking prevalence in the intervention population, while it increased slightly in the reference population. When pooling the serial cross-sectional studies the estimated risk reduction (using the Framingham risk equation) was signi® cantly greater in the intervention populations compared to the reference populations. Conclusions: The overall pattern of risk reduction is consistent and suggests that the two diVerent models of rural county intervention can contribute to signi® cant risk reduction. The Swedish programme had its greatest eVect on reduction of serum cholesterol levels whereas the US programme had its greatest eVect on smoking prevention and cessation. These outcomes are consistent with programmatic emphases. Socially less privileged groups in these rural areas bene® ted as much or more from the interventions as those with greater social resources.

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Health problems in a Swedish county—what can we learn from official sources?

Cited by 6 publications

References 10 publications

Cardiovascular disease occurrence in two close but different social environments

Cardiovascular disease occurrence in two close but different social environments

Dermatology in public health - a model for surveillance of common skin diseases

Different outcomes for different interventions with different focus!--A cross-country comparison of community interventions in rural Swedish and US populations

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