To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme
Abstract Background Public health interventions are directed towards social systems and it is difficult to foresee all consequences. While targeted outcomes may be positively influenced, interventions may at worst be counterproductive. To include self-reported health in an evaluation is one way of a...
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ftdoajarticles:oai:doaj.org/article:7eacf07333e84c1f89bf86f0d542ebc8 2023-05-15T17:44:47+02:00 To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme Wall Stig Stenlund Hans Weinehall Lars Emmelin Maria Dahlgren Lars 2007-07-01T00:00:00Z https://doi.org/10.1186/1471-2458-7-190 https://doaj.org/article/7eacf07333e84c1f89bf86f0d542ebc8 EN eng BMC http://www.biomedcentral.com/1471-2458/7/190 https://doaj.org/toc/1471-2458 doi:10.1186/1471-2458-7-190 1471-2458 https://doaj.org/article/7eacf07333e84c1f89bf86f0d542ebc8 BMC Public Health, Vol 7, Iss 1, p 190 (2007) Public aspects of medicine RA1-1270 article 2007 ftdoajarticles https://doi.org/10.1186/1471-2458-7-190 2022-12-30T23:37:16Z Abstract Background Public health interventions are directed towards social systems and it is difficult to foresee all consequences. While targeted outcomes may be positively influenced, interventions may at worst be counterproductive. To include self-reported health in an evaluation is one way of addressing possible side-effects. This study is based on a 10 year follow-up of a cardiovascular community intervention programme in northern Sweden. Methods Both quantitative and qualitative approaches were used to address the interaction between changes in self-rated health and risk factor load. Qualitative interviews contributed to an analysis of how the outcome was influenced by health related norms and attitudes. Results Most people maintained a low risk factor load and a positive perception of health. However, more people improved than deteriorated their situation regarding both perceived health and risk factor load. "Ideal types" of attitude sets towards the programme, generated from the interviews, helped to interpret an observed polarisation for men and the lower educated. Conclusion Our observation of a socially and gender differentiated intervention effect suggests a need to test new intervention strategies. Future community interventions may benefit from targeting more directly those who in combination with high risk factor load perceive their health as bad and to make all participants feel seen, confirmed and involved. Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles BMC Public Health 7 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Public aspects of medicine RA1-1270 |
spellingShingle |
Public aspects of medicine RA1-1270 Wall Stig Stenlund Hans Weinehall Lars Emmelin Maria Dahlgren Lars To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme |
topic_facet |
Public aspects of medicine RA1-1270 |
description |
Abstract Background Public health interventions are directed towards social systems and it is difficult to foresee all consequences. While targeted outcomes may be positively influenced, interventions may at worst be counterproductive. To include self-reported health in an evaluation is one way of addressing possible side-effects. This study is based on a 10 year follow-up of a cardiovascular community intervention programme in northern Sweden. Methods Both quantitative and qualitative approaches were used to address the interaction between changes in self-rated health and risk factor load. Qualitative interviews contributed to an analysis of how the outcome was influenced by health related norms and attitudes. Results Most people maintained a low risk factor load and a positive perception of health. However, more people improved than deteriorated their situation regarding both perceived health and risk factor load. "Ideal types" of attitude sets towards the programme, generated from the interviews, helped to interpret an observed polarisation for men and the lower educated. Conclusion Our observation of a socially and gender differentiated intervention effect suggests a need to test new intervention strategies. Future community interventions may benefit from targeting more directly those who in combination with high risk factor load perceive their health as bad and to make all participants feel seen, confirmed and involved. |
format |
Article in Journal/Newspaper |
author |
Wall Stig Stenlund Hans Weinehall Lars Emmelin Maria Dahlgren Lars |
author_facet |
Wall Stig Stenlund Hans Weinehall Lars Emmelin Maria Dahlgren Lars |
author_sort |
Wall Stig |
title |
To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme |
title_short |
To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme |
title_full |
To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme |
title_fullStr |
To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme |
title_full_unstemmed |
To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme |
title_sort |
to be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a swedish community intervention programme |
publisher |
BMC |
publishDate |
2007 |
url |
https://doi.org/10.1186/1471-2458-7-190 https://doaj.org/article/7eacf07333e84c1f89bf86f0d542ebc8 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMC Public Health, Vol 7, Iss 1, p 190 (2007) |
op_relation |
http://www.biomedcentral.com/1471-2458/7/190 https://doaj.org/toc/1471-2458 doi:10.1186/1471-2458-7-190 1471-2458 https://doaj.org/article/7eacf07333e84c1f89bf86f0d542ebc8 |
op_doi |
https://doi.org/10.1186/1471-2458-7-190 |
container_title |
BMC Public Health |
container_volume |
7 |
container_issue |
1 |
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1766147074899836928 |