Community participation and sustainability : evidence over 25 years in the Vasterbotten Intervention Programme
Background: Selection bias and declining participation rates are of concern in many long-term epidemiological studies. The Vasterbotten Intervention Programme (VIP) was launched in 1985 as a response to alarming reports on elevated cardiovascular disease (CVD) mortality in Vasterbotten County in Nor...
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Umeå universitet, Institutionen för folkhälsa och klinisk medicin
2012
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-64974 https://doi.org/10.3402/gha.v5i0.19166 |
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ftumeauniv:oai:DiVA.org:umu-64974 2023-10-09T21:54:37+02:00 Community participation and sustainability : evidence over 25 years in the Vasterbotten Intervention Programme Norberg, Margareta Blomstedt, Yulia Lonnberg, Goran Nystrom, Lennarth Stenlund, Hans Wall, Stig Weinehall, Lars 2012 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-64974 https://doi.org/10.3402/gha.v5i0.19166 eng eng Umeå universitet, Institutionen för folkhälsa och klinisk medicin Global Health Action, 1654-9716, 2012, 5, s. 1-9 orcid:0000-0003-2475-7131 orcid:0000-0002-5095-3454 orcid:0000-0003-3025-2690 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-64974 doi:10.3402/gha.v5i0.19166 ISI:000312933200001 Scopus 2-s2.0-84878459613 info:eu-repo/semantics/openAccess health surveys intervention community participation primary health care selection bias Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2012 ftumeauniv https://doi.org/10.3402/gha.v5i0.19166 2023-09-22T13:58:03Z Background: Selection bias and declining participation rates are of concern in many long-term epidemiological studies. The Vasterbotten Intervention Programme (VIP) was launched in 1985 as a response to alarming reports on elevated cardiovascular disease (CVD) mortality in Vasterbotten 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 Umeå University: Publications (DiVA) Global Health Action 5 1 19166 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
health surveys intervention community participation primary health care selection bias Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
health surveys intervention community participation primary health care selection bias Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Norberg, Margareta Blomstedt, Yulia Lonnberg, Goran Nystrom, Lennarth Stenlund, Hans Wall, Stig Weinehall, Lars Community participation and sustainability : evidence over 25 years in the Vasterbotten Intervention Programme |
topic_facet |
health surveys intervention community participation primary health care selection bias Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
Background: Selection bias and declining participation rates are of concern in many long-term epidemiological studies. The Vasterbotten Intervention Programme (VIP) was launched in 1985 as a response to alarming reports on elevated cardiovascular disease (CVD) mortality in Vasterbotten 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 |
Norberg, Margareta Blomstedt, Yulia Lonnberg, Goran Nystrom, Lennarth Stenlund, Hans Wall, Stig Weinehall, Lars |
author_facet |
Norberg, Margareta Blomstedt, Yulia Lonnberg, Goran Nystrom, Lennarth Stenlund, Hans Wall, Stig Weinehall, Lars |
author_sort |
Norberg, Margareta |
title |
Community participation and sustainability : evidence over 25 years in the Vasterbotten Intervention Programme |
title_short |
Community participation and sustainability : evidence over 25 years in the Vasterbotten Intervention Programme |
title_full |
Community participation and sustainability : evidence over 25 years in the Vasterbotten Intervention Programme |
title_fullStr |
Community participation and sustainability : evidence over 25 years in the Vasterbotten Intervention Programme |
title_full_unstemmed |
Community participation and sustainability : evidence over 25 years in the Vasterbotten Intervention Programme |
title_sort |
community participation and sustainability : evidence over 25 years in the vasterbotten intervention programme |
publisher |
Umeå universitet, Institutionen för folkhälsa och klinisk medicin |
publishDate |
2012 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-64974 https://doi.org/10.3402/gha.v5i0.19166 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Global Health Action, 1654-9716, 2012, 5, s. 1-9 orcid:0000-0003-2475-7131 orcid:0000-0002-5095-3454 orcid:0000-0003-3025-2690 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-64974 doi:10.3402/gha.v5i0.19166 ISI:000312933200001 Scopus 2-s2.0-84878459613 |
op_rights |
info:eu-repo/semantics/openAccess |
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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1779318280802009088 |