The Västerbotten Intervention Programme: background, design and implications.
The Västerbotten Intervention Programme: background, design and implications.
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DOI：
10.3402/gha.v3i0.4643
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发表时间：
2010-03-22
影响因子：
2.6
通讯作者：
Weinehall L
中科院分区：
文献类型：
--
作者：
Norberg M;Wall S;Boman K;Weinehall L
在瑞典，心血管疾病（CVD）的死亡率在世纪稳步上升，在20世纪80年代中期，Västerbotten县的死亡率最高。因此，启动了一项社区干预方案-西博滕干预方案，目的是降低心血管疾病和糖尿病的发病率和死亡率。VIP于1985年在小城市Norsjö首次开发。随后，它在全国各地相继实施，现在已纳入普通初级保健常规。一项面向公众的人口战略与一项针对40岁、50岁和60岁的所有中年人的战略相结合，邀请他们参加系统的风险因素筛查和关于健康生活习惯的个人咨询。用于研究目的的血液样本储存在Umeguide大学医学生物库。总的来说，在VIP中进行了113 203次健康检查，每年进行6 500 - 7 000次检查。近27，000名受试者参加了两次。参与率在48%至67%之间。1998年对辍学率的分析表明，社会选择偏差很小。横断面、巢式病例对照研究和前瞻性研究均基于VIP数据。VIP与地方，区域和国家数据库之间的联系为跨学科研究以及国家和国际合作提供了机会。大量出版物是基于在VIP中收集的数据，其中许多还使用了分析储存的血液样本的结果。20多篇博士论文主要基于VIP数据。作为政治家和卫生保健提供者与作为运作机制的初级保健和公众之间的合作而确立的VIP概念，构成了有效执行和长期持久的基础。经过20多年的VIP，有一个大型的综合人口数据库，一个稳定的组织进行健康调查和收集数据，以及一个坚实的结构，使广泛的多学科和科学合作。
In Sweden, mortality from cardiovascular diseases (CVD) increased steadily during the 20th century and in the mid-1980s it was highest in the county of Västerbotten. Therefore, a community intervention programme was launched – the Västerbotten Intervention Programme (VIP) – with the aim of reducing morbidity and mortality from CVD and diabetes. The VIP was first developed in the small municipality of Norsjö in 1985. Subsequently, it was successively implemented across the county and is now integrated into ordinary primary care routines. A population-based strategy directed towards the public is combined with a strategy to reach all middle-aged persons individually at ages 40, 50 and 60 years, by inviting them to participate in systematic risk factor screening and individual counselling about healthy lifestyle habits. Blood samples for research purposes are stored at the Umeå University Medical Biobank. Overall, 113,203 health examinations have been conducted in the VIP and 6,500–7,000 examinations take place each year. Almost 27,000 subjects have participated twice. Participation rates have ranged between 48 and 67%. A dropout rate analysis in 1998 indicated only a small social selection bias. Cross-sectional, nested case-control studies and prospective studies have been based on the VIP data. Linkages between the VIP and local, regional and national databases provide opportunities for interdisciplinary research, as well as national and international collaborations on a wide range of disease outcomes. A large number of publications are based on data that are collected in the VIP, many of which also use results from analysed stored blood samples. More than 20 PhD theses have been based primarily on the VIP data. The concept of the VIP, established as a collaboration between politicians and health care providers on the one hand and primary care, functioning as the operating machinery, and the public on the other, forms the basis for effective implementation and endurance over time. After more than 20 years of the VIP, there is a large comprehensive population-based database, a stable organisation to conduct health surveys and collect data, and a solid structure to enable widespread multidisciplinary and scientific collaborations.
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影响因子：
7.2
作者：
Aertgeerts, B;Buntinx, F;Kester, A
通讯作者：
Kester, A
DOI：
10.1016/0160-7995(81)90029-0
发表时间：
1981-01-01
期刊：
SOCIAL SCIENCE & MEDICINE PART C-MEDICAL ECONOMICS
影响因子：
--
作者：
ERIKSSON, CG;GRANVIK, M;WALL, S
通讯作者：
WALL, S
影响因子：
6.9
作者：
HENDERSON, S;DUNCANJONES, P;SCOTT, R
通讯作者：
SCOTT, R
影响因子：
12.7
作者：
CARLETON, RA;LASATER, TM;MCKINLAY, S
通讯作者：
MCKINLAY, S
影响因子：
3.2
作者：
Johansson, I;Hallmans, G;Kaaks, R
通讯作者：
Kaaks, R