Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme
Background: Selection bias and declining participation rates are of concern in many long-term epidemiological studies. The Västerbotten Intervention Programme (VIP) was launched in 1985 as a response to alarming reports on elevated cardiovascular disease (CVD) mortality in Väst...
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ftdoajarticles:oai:doaj.org/article:6fe763ebaa124b0080e5937f6e84fe49 2023-05-15T17:45:04+02:00 Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme Margareta Norberg Yulia Blomstedt Göran Lönnberg Lennarth Nyström Hans Stenlund Stig Wall Lars Weinehall 2012-12-01T00:00:00Z https://doi.org/10.3402/gha.v5i0.19166 https://doaj.org/article/6fe763ebaa124b0080e5937f6e84fe49 EN eng Taylor & Francis Group http://www.globalhealthaction.net/index.php/gha/article/view/19166/pdf_1 https://doaj.org/toc/1654-9880 doi:10.3402/gha.v5i0.19166 1654-9880 https://doaj.org/article/6fe763ebaa124b0080e5937f6e84fe49 Global Health Action, Vol 5, Iss 0, Pp 1-9 (2012) health surveys intervention community participation primary health care selection bias Public aspects of medicine RA1-1270 article 2012 ftdoajarticles https://doi.org/10.3402/gha.v5i0.19166 2022-12-31T00:27:06Z Background: Selection bias and declining participation rates are of concern in many long-term epidemiological studies. The Västerbotten Intervention Programme (VIP) was launched in 1985 as a response to alarming reports on elevated cardiovascular disease (CVD) mortality in Västerbotten County in Northern Sweden. The VIP invites women and men to a health examination and health counselling during the year of their 40th, 50th, and 60th birthdays. Objective: To evaluate trends in participation rates and determinants of participation in the VIP from 1990 to 2006. Design: Registry data on socio-economic status from Statistics Sweden, and mortality and hospitalisation data from the National Board of Health and Welfare, both covering the whole Swedish population, were linked to the VIP and analysed for participants and non-participants. Results: During 1990–2006, 117,710 individuals were eligible to participate in the VIP, and 40,472 of them were eligible to participate twice. There were 96,560 observations for participants and 61,622 for non-participants. The overall participation rate increased from 56 to 65%. Participants and non-participants had minimal differences in education and age. Initial small differences by sex and degree of urban residence decreased over time. Despite an increasing participation rate in all groups, those with low income or who were single had an approximately 10% lower participation rate than those with high or medium-income or who were married or cohabitating. Conclusion: Sustainability of the VIP is based on organisational integration into primary health care services and targeting of the entire middle-aged population. This enables the programme to meet population expectations of health promotion and to identify high-risk individuals who are then entered into routine preventive health care services. This has the potential to increase participation rates, to minimise social selection bias, and to reinforce other community-based interventions. Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles Global Health Action 5 1 19166 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
health surveys intervention community participation primary health care selection bias Public aspects of medicine RA1-1270 |
spellingShingle |
health surveys intervention community participation primary health care selection bias Public aspects of medicine RA1-1270 Margareta Norberg Yulia Blomstedt Göran Lönnberg Lennarth Nyström Hans Stenlund Stig Wall Lars Weinehall Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme |
topic_facet |
health surveys intervention community participation primary health care selection bias Public aspects of medicine RA1-1270 |
description |
Background: Selection bias and declining participation rates are of concern in many long-term epidemiological studies. The Västerbotten Intervention Programme (VIP) was launched in 1985 as a response to alarming reports on elevated cardiovascular disease (CVD) mortality in Västerbotten County in Northern Sweden. The VIP invites women and men to a health examination and health counselling during the year of their 40th, 50th, and 60th birthdays. Objective: To evaluate trends in participation rates and determinants of participation in the VIP from 1990 to 2006. Design: Registry data on socio-economic status from Statistics Sweden, and mortality and hospitalisation data from the National Board of Health and Welfare, both covering the whole Swedish population, were linked to the VIP and analysed for participants and non-participants. Results: During 1990–2006, 117,710 individuals were eligible to participate in the VIP, and 40,472 of them were eligible to participate twice. There were 96,560 observations for participants and 61,622 for non-participants. The overall participation rate increased from 56 to 65%. Participants and non-participants had minimal differences in education and age. Initial small differences by sex and degree of urban residence decreased over time. Despite an increasing participation rate in all groups, those with low income or who were single had an approximately 10% lower participation rate than those with high or medium-income or who were married or cohabitating. Conclusion: Sustainability of the VIP is based on organisational integration into primary health care services and targeting of the entire middle-aged population. This enables the programme to meet population expectations of health promotion and to identify high-risk individuals who are then entered into routine preventive health care services. This has the potential to increase participation rates, to minimise social selection bias, and to reinforce other community-based interventions. |
format |
Article in Journal/Newspaper |
author |
Margareta Norberg Yulia Blomstedt Göran Lönnberg Lennarth Nyström Hans Stenlund Stig Wall Lars Weinehall |
author_facet |
Margareta Norberg Yulia Blomstedt Göran Lönnberg Lennarth Nyström Hans Stenlund Stig Wall Lars Weinehall |
author_sort |
Margareta Norberg |
title |
Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme |
title_short |
Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme |
title_full |
Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme |
title_fullStr |
Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme |
title_full_unstemmed |
Community participation and sustainability – evidence over 25 years in the Västerbotten Intervention Programme |
title_sort |
community participation and sustainability – evidence over 25 years in the västerbotten intervention programme |
publisher |
Taylor & Francis Group |
publishDate |
2012 |
url |
https://doi.org/10.3402/gha.v5i0.19166 https://doaj.org/article/6fe763ebaa124b0080e5937f6e84fe49 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Global Health Action, Vol 5, Iss 0, Pp 1-9 (2012) |
op_relation |
http://www.globalhealthaction.net/index.php/gha/article/view/19166/pdf_1 https://doaj.org/toc/1654-9880 doi:10.3402/gha.v5i0.19166 1654-9880 https://doaj.org/article/6fe763ebaa124b0080e5937f6e84fe49 |
op_doi |
https://doi.org/10.3402/gha.v5i0.19166 |
container_title |
Global Health Action |
container_volume |
5 |
container_issue |
1 |
container_start_page |
19166 |
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