The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014
Background The Västerbotten intervention program (VIP), is a public health promotion program in northern Sweden with the aim of preventing cardiovascular disease. Positive effects have been reported although the evidence is not unequivocal. Since only historical controls have been used, effects from...
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crplos:10.1371/journal.pone.0256872 2024-05-19T07:46:05+00:00 The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014 Spege, Elin Ek, Kristina Söderberg, Stefan Eliasson, Mats Devleesschauwer, Brecht Norrbottens Läns Landsting 2021 http://dx.doi.org/10.1371/journal.pone.0256872 https://dx.plos.org/10.1371/journal.pone.0256872 en eng Public Library of Science (PLoS) http://creativecommons.org/licenses/by/4.0/ PLOS ONE volume 16, issue 9, page e0256872 ISSN 1932-6203 journal-article 2021 crplos https://doi.org/10.1371/journal.pone.0256872 2024-05-01T06:58:59Z Background The Västerbotten intervention program (VIP), is a public health promotion program in northern Sweden with the aim of preventing cardiovascular disease. Positive effects have been reported although the evidence is not unequivocal. Since only historical controls have been used, effects from other sources than the program have largely been uncontrolled for and health related quality of life (HRQoL) has not been evaluated. Purpose By using the neighbouring county of Norrbotten (NB) as the reference population, we compare HRQoL in Västerbotten (VB) and in NB. Methods In 2014 the Northern Sweden survey, Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA), examined a random sample from the two counties. HRQoL was measured with the EQ-5D-3L. In total, 1112 subjects aged 40–74 years participated, 516 in VB and 594 in NB. Differences in mean QoL between VB and NB were analysed via Student’s t-test and the Pearson chi-square test. Results Average HRQoL measured by the EQ-5D-index was 0.798 in VB and 0.811 in NB, a difference of 0.013 (p = 0.2, CI -0.009 to 0.036). For subjects aged 45–54 years, the HRQoL was lower in VB than in NB, a difference of 0.048 ( p = 0.041; CI 0.002 to 0.0094). Men had higher HRQoL than women, and university educated had higher HRQoL than those without university education. EQ-VAS showed similar results. Subjects from NB and from VB did not differ regarding age, gender and level of education. In NB, HRQoL decrease with age, a pattern not seen in VB. Conclusions We found similar levels of HRQoL in VB and in NB. Article in Journal/Newspaper Northern Sweden Norrbotten PLOS PLOS ONE 16 9 e0256872 |
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English |
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Background The Västerbotten intervention program (VIP), is a public health promotion program in northern Sweden with the aim of preventing cardiovascular disease. Positive effects have been reported although the evidence is not unequivocal. Since only historical controls have been used, effects from other sources than the program have largely been uncontrolled for and health related quality of life (HRQoL) has not been evaluated. Purpose By using the neighbouring county of Norrbotten (NB) as the reference population, we compare HRQoL in Västerbotten (VB) and in NB. Methods In 2014 the Northern Sweden survey, Monitoring of Trends and Determinants in Cardiovascular Disease (MONICA), examined a random sample from the two counties. HRQoL was measured with the EQ-5D-3L. In total, 1112 subjects aged 40–74 years participated, 516 in VB and 594 in NB. Differences in mean QoL between VB and NB were analysed via Student’s t-test and the Pearson chi-square test. Results Average HRQoL measured by the EQ-5D-index was 0.798 in VB and 0.811 in NB, a difference of 0.013 (p = 0.2, CI -0.009 to 0.036). For subjects aged 45–54 years, the HRQoL was lower in VB than in NB, a difference of 0.048 ( p = 0.041; CI 0.002 to 0.0094). Men had higher HRQoL than women, and university educated had higher HRQoL than those without university education. EQ-VAS showed similar results. Subjects from NB and from VB did not differ regarding age, gender and level of education. In NB, HRQoL decrease with age, a pattern not seen in VB. Conclusions We found similar levels of HRQoL in VB and in NB. |
author2 |
Devleesschauwer, Brecht Norrbottens Läns Landsting |
format |
Article in Journal/Newspaper |
author |
Spege, Elin Ek, Kristina Söderberg, Stefan Eliasson, Mats |
spellingShingle |
Spege, Elin Ek, Kristina Söderberg, Stefan Eliasson, Mats The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014 |
author_facet |
Spege, Elin Ek, Kristina Söderberg, Stefan Eliasson, Mats |
author_sort |
Spege, Elin |
title |
The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014 |
title_short |
The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014 |
title_full |
The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014 |
title_fullStr |
The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014 |
title_full_unstemmed |
The impact of community-based prevention on quality of life—The necessity to control for general health trends the Northern Sweden MONICA study in 2014 |
title_sort |
impact of community-based prevention on quality of life—the necessity to control for general health trends the northern sweden monica study in 2014 |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
http://dx.doi.org/10.1371/journal.pone.0256872 https://dx.plos.org/10.1371/journal.pone.0256872 |
genre |
Northern Sweden Norrbotten |
genre_facet |
Northern Sweden Norrbotten |
op_source |
PLOS ONE volume 16, issue 9, page e0256872 ISSN 1932-6203 |
op_rights |
http://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.1371/journal.pone.0256872 |
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PLOS ONE |
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16 |
container_issue |
9 |
container_start_page |
e0256872 |
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