Cargando…

To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme

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 addressin...

Descripción completa

Detalles Bibliográficos
Autores principales: Emmelin, Maria, Weinehall, Lars, Stenlund, Hans, Wall, Stig, Dahlgren, Lars
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950499/
https://www.ncbi.nlm.nih.gov/pubmed/17672911
http://dx.doi.org/10.1186/1471-2458-7-190
_version_ 1782134549336031232
author Emmelin, Maria
Weinehall, Lars
Stenlund, Hans
Wall, Stig
Dahlgren, Lars
author_facet Emmelin, Maria
Weinehall, Lars
Stenlund, Hans
Wall, Stig
Dahlgren, Lars
author_sort Emmelin, Maria
collection PubMed
description 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 Text
id pubmed-1950499
institution National Center for Biotechnology Information
language English
publishDate 2007
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-19504992007-08-22 To be seen, confirmed and involved - a ten year follow-up of perceived health and cardiovascular risk factors in a Swedish community intervention programme Emmelin, Maria Weinehall, Lars Stenlund, Hans Wall, Stig Dahlgren, Lars BMC Public Health Research Article 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. BioMed Central 2007-07-31 /pmc/articles/PMC1950499/ /pubmed/17672911 http://dx.doi.org/10.1186/1471-2458-7-190 Text en Copyright © 2007 Emmelin et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Emmelin, Maria
Weinehall, Lars
Stenlund, Hans
Wall, Stig
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
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_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_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_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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950499/
https://www.ncbi.nlm.nih.gov/pubmed/17672911
http://dx.doi.org/10.1186/1471-2458-7-190
work_keys_str_mv AT emmelinmaria tobeseenconfirmedandinvolvedatenyearfollowupofperceivedhealthandcardiovascularriskfactorsinaswedishcommunityinterventionprogramme
AT weinehalllars tobeseenconfirmedandinvolvedatenyearfollowupofperceivedhealthandcardiovascularriskfactorsinaswedishcommunityinterventionprogramme
AT stenlundhans tobeseenconfirmedandinvolvedatenyearfollowupofperceivedhealthandcardiovascularriskfactorsinaswedishcommunityinterventionprogramme
AT wallstig tobeseenconfirmedandinvolvedatenyearfollowupofperceivedhealthandcardiovascularriskfactorsinaswedishcommunityinterventionprogramme
AT dahlgrenlars tobeseenconfirmedandinvolvedatenyearfollowupofperceivedhealthandcardiovascularriskfactorsinaswedishcommunityinterventionprogramme