The long‐term effect of a population‐based life‐style intervention on smoking and alcohol consumption. The Inter99 Study—a randomized controlled trial

Baumann, Sophie; Toft, Ulla; Aadahl, Mette; Jørgensen, Torben; Pisinger, Charlotta

doi:10.1111/add.13052

Cited by 34 publications

(21 citation statements)

References 37 publications

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“…As depicted in Table 5, the multivariate analysis revealed that the number of HRFs was significantly increased in males (incident rate ratio, IRR = 1.18), [35][36][37][38][39][40][41][42][43][44][45][46][47][48][49] year olds (IRR = 1.13), 50-64 year olds (IRR = 1.07), persons with the lowest (IRR = 1.39) or medium (IRR = 1.23) level of school education, and unemployed persons (IRR = 1.12).…”

Section: Multivariate Analysis On the Number Of Hrfsmentioning

confidence: 98%

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Behavioral health risk factor profiles in general hospital patients: identifying the need for screening and brief intervention

et al. 2019

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Background:Little is known about the clustering of behavioral health risk factors (HRFs), namely the occurrence of 16 specific combinations of tobacco smoking, at-risk alcohol use, overweight and physical inactivity in general hospital patients. Furthermore, social inequalities in HRFs, health and life expectancy are a major concern in public health. In order to establish the need for screening and intervention in general hospital care, the study aimed to determine the co-occurrence of HRFs in patients in four medical departments, and to investigate differences by gender, age and socio-economic characteristics. Methods: Over 17 months, a systematic multiple HRF screening was conducted at one general hospital in northeastern Germany. In total, 6251 18-64 year old patients (92% of eligibles) participated. Proportions and confidence intervals were calculated for all 16 HRF profiles stratified by department, gender, age group, school education, and employment status. Results: In total, 92.2% of the participants (58.6% male) reported ≥1 HRF, and 65.7% ≥2 HRFs. Men (71.2%), patients aged 35-49 (67.9%) and 50-64 years (69.5%), lower educated (79.0%), and unemployed (77.8%) patients had larger proportions of ≥2 HRFs than their counterparts. In all departments, the most common HRF profiles included overweight. HRF profiles that included alcohol and/ or smoking were more common in ear-nose-throat and trauma surgery than in internal medicine and general surgery patients. Men had higher rates concerning almost all HRF profiles including ≥2 HRFs and alcohol; women concerning profiles that included ≤2 HRFs and inactivity. In older patients, profiles with ≥2 HRFs including overweight; and in younger patients, profiles with smoking and/or alcohol were more common. In lower educated patients, profiles with ≥2 HRFs including inactivity; and in higher educated patients profiles with ≤2 HRFs including alcohol were more common. Compared to others, unemployed patients had higher rates of profiles with ≥3 HRFs including smoking. Conclusions: Two in three patients require interventions targeting two or more HRFs. The findings help to develop screening and brief intervention for patients with specific health risk profiles, that can reach most patients, including those most in need and those most hard to reach, with socio-economically disadvantaged people in particular. Registry: clinicaltrials.gov: NCT01291693.

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Section: Multivariate Analysis On the Number Of Hrfsmentioning

confidence: 98%

“…[19,39]). Encouraging findings on the efficacy of such interventions applied in the general population and general practice setting have been reported [40][41][42][43].…”

Section: Introductionmentioning

confidence: 99%

Behavioral health risk factor profiles in general hospital patients: identifying the need for screening and brief intervention

et al. 2019

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“…Worse, there are not enough resources and time to care for unhealthy behaviors, given that long-term multiprofessional intervention is required but is not provided. (9)…”

Section: Industrial Epidemics and The Livermentioning

confidence: 99%

Adding care to cure for patients with liver disease: A cultural shift

Braillon

2018

Hepatology

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“…Similarly, people attending cancer screening programs too rarely benefit from multidisciplinary lifestyle interventions by trained professionals to treat major obvious risk factors (smoking, alcohol use, obesity, physical inactivity, etc.) .…”

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Care for Smoking Cessation Must Be Proactive and Based on a Combination of Pharmacology and Psychology

Braillon

2019

The Oncologist

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The long‐term effect of a population‐based life‐style intervention on smoking and alcohol consumption. The Inter99 Study—a randomized controlled trial

Abstract: A population-based multi-factorial life-style intervention of 5 years' duration in Denmark had sustained beneficial effects on smoking abstinence and binge drinking 5 years after its discontinuation.

Cited by 34 publications

References 37 publications

Behavioral health risk factor profiles in general hospital patients: identifying the need for screening and brief intervention

Behavioral health risk factor profiles in general hospital patients: identifying the need for screening and brief intervention

Adding care to cure for patients with liver disease: A cultural shift

Care for Smoking Cessation Must Be Proactive and Based on a Combination of Pharmacology and Psychology

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