The Finnmark Intervention Study: is it possible to change CVD risk factors by community-based intervention in an Arctic village in crisis?

The Finnmark Intervention Study: is it possible to change CVD risk factors by community-based intervention in an Arctic village in crisis?
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DOI:
10.1080/14034940210134077
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发表时间:
2003-01-01
影响因子:
3.4
通讯作者:
Sogaard, AJ
Sogaard, AJ
中科院分区:
医学3区
文献类型:
--
作者:
Lupton, BS;Fonnebo, V;Sogaard, AJ

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目的:由于心血管疾病死亡率高,挪威政府于1988年推出了“芬兰的健康和不平等”方案。该方案中的一个项目旨在通过在挪威北极的一个渔业社区进行社区干预来改变心血管危险因素。方法:在同一沿海地区选择干预社区Batsfjord和3个对照社区。干预基于准实验设计,并通过发明前(1987)和后(1993)的人口调查进行评估。对主治者队列进行了分析。干预方法是基于不同组织之间的赋权与合作,以及初级医疗保健系统。结果:1987~1993年,巴茨峡湾男性队列有较好的发展。与对照社区相比,体力活动增加了8.6%(p=0.047),收缩压下降了0.01毫米汞柱(p=0.002),舒张压下降了2.1毫米汞(p
Aims: Owing to high cardiovascular mortality, the Norwegian Government introduced the programme "Health and Inequalities in Finnmark" in 1988. One of the projects in this programme was aimed at changing cardiovascular risk factors through community-based intervention in a fishing community in the Norwegian Arctic. Methods: The intervention community Batsfjord and the three control communities were selected from the same coastal area. The intervention was based on a quasi-experimental design, and evaluated by population surveys before (1987) and after (1993) the invention. The attending cohort was analysed. The intervention method was based on empowerment and cooperation between different organizations, and the primary healthcare system. Results: From 1987-93, the male cohort in Batsfjord had a more favourable development. when compared with changes in the control communities regarding the 8.6% increase in physical activity (p=0.047), the reduction in systolic blood pressure by 0.01 mmHg (p=0.002), and the reduction in diastolic blood pressure by 2.1 mmHg (p