| 1. |
- Andersson, H. Ingemar, 1950-, et al.
(författare)
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Musculoskeletal chronic pain in general practice : studies of health care utilisation in comparison with pain prevalence
- 1999
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Ingår i: Scandinavian Journal of Primary Health Care. - 0281-3432 .- 1502-7724. ; 17:2, s. 87-92
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To study the relations between population prevalence of chronic pain and pain-related diagnoses (musculoskeletal and headaches) in primary health care (PHC) and to examine longitudinal variations in these diagnoses. DESIGN: A population-based mailed survey to catch prevalence data and continuous computerised diagnosis registration in PHC. SETTING: General population in a well-defined Swedish PHC district. SUBJECTS: A random sample of 15% of the population aged 25-74, n = 1101. Annual visitors to district physicians at the health centre. MAIN OUTCOME MEASURES: Rates of pain-related diagnoses in PHC in relation to population prevalence of chronic pain. Comparisons of the number of individuals (annual visiting rates) with pain-related diagnoses 1987-1996. RESULTS: Population pain prevalence and pain-related diagnoses in PHC corresponded as regards the magnitude and distribution of chronic pain by age and partly by pain location. Compared to low-back and widespread pain, neck-shoulder pain and headaches were less frequent in PHC in relation to reported prevalence. From 1987 to 1996 we found an increasing number of individuals seeking primary care with pain-related diagnoses. The increase was mainly assigned to the groups of fibrositis/myalgia and headache. CONCLUSION: Pain-related diagnoses in PHC reflect partly the occurrence of self-reported chronic pain symptoms in the population. The observed increase in visits with pain-related diagnoses in the last 10 years is due to an increased number of individuals with soft-tissue rheumatism and headaches. Future studies will have to elucidate whether these findings are due to an increase in morbidity or changes in care-seeking and social conditions.
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| 2. |
- Andersson, H. Ingemar, et al.
(författare)
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Musculoskeletal chronic pain in general practice : studies of health care utilisation in comparison with pain prevalence
- 1999
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa Healthcare. - 0281-3432 .- 1502-7724. ; 17:2, s. 87-92
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To study the relations between population prevalence of chronic pain and pain-related diagnoses (musculoskeletal and headaches) in primary health care (PHC) and to examine longitudinal variations in these diagnoses. DESIGN: A population-based mailed survey to catch prevalence data and continuous computerised diagnosis registration in PHC. SETTING: General population in a well-defined Swedish PHC district. SUBJECTS: A random sample of 15% of the population aged 25-74, n = 1101. Annual visitors to district physicians at the health centre. MAIN OUTCOME MEASURES: Rates of pain-related diagnoses in PHC in relation to population prevalence of chronic pain. Comparisons of the number of individuals (annual visiting rates) with pain-related diagnoses 1987-1996. RESULTS: Population pain prevalence and pain-related diagnoses in PHC corresponded as regards the magnitude and distribution of chronic pain by age and partly by pain location. Compared to low-back and widespread pain, neck-shoulder pain and headaches were less frequent in PHC in relation to reported prevalence. From 1987 to 1996 we found an increasing number of individuals seeking primary care with pain-related diagnoses. The increase was mainly assigned to the groups of fibrositis/myalgia and headache. CONCLUSION: Pain-related diagnoses in PHC reflect partly the occurrence of self-reported chronic pain symptoms in the population. The observed increase in visits with pain-related diagnoses in the last 10 years is due to an increased number of individuals with soft-tissue rheumatism and headaches. Future studies will have to elucidate whether these findings are due to an increase in morbidity or changes in care-seeking and social conditions.
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| 3. |
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| 4. |
- Bodlund, Owe, et al.
(författare)
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Effects of consulting psychiatrist in primary care. 1-year follow-up of diagnosing and treating anxiety and depression.
- 1999
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Ingår i: Scandinavian Journal of Primary Health Care. - 0281-3432 .- 1502-7724. ; 17:3, s. 153-7
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Epidemiological screening of anxiety and depressive disorders in primary care and evaluation of how these patients are identified and treated. Follow-up after 1 year of psychiatric consultation/liaison (C/L) and educational activities. SUBJECTS AND DESIGN: In the baseline study 374 unselected and consecutive patients, and in the follow-up study 254 patients (response rate 94.5% and 90.3%, respectively) answered the screening instrument HAD scale (Hospital Anxiety and Depression scale). The HAD results were compared to clinical diagnosis and treatment according to the medical records. Differences after 1 year were analysed. RESULTS: At follow-up the prevalence of anxiety had increased from 11.8% to 16.5% (p < 0.05), and of depression from 3.7% to 4.7% (NS) according to HAD. Also, at the follow-up more cases of anxiety disorders were clinically diagnosed--13% vs 8%--as well as an increased number of cases of depressive disorders--7.9% vs 4.0%. The agreement between HAD diagnosis and clinical judgement had increased significantly (p < 0.001) for anxiety disorders from 37% to 70%, and for depression from 20% to 45%. Treatment prevalence had also improved (p < 0.001) at the follow-up for anxiety disorders from 33% to 55% and for depression from 47% to 80%. In total, 4.0% of the baseline and 11.4% of the follow-up population were treated for anxiety and/or depression. CONCLUSIONS: Anxiety and depressive disorders are prevalent in primary care. However, only a minority of these patients are identified and treated. Psychiatric consultant support seems to be effective in improving GP's diagnostic and therapeutic skills thus enabling these widespread disorders to be identified at an early stage and properly treated.
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| 5. |
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| 6. |
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| 7. |
- Edén, Lena, et al.
(författare)
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Health and health care utilization among early retirement pensioners with musculoskeletal disorders
- 1995
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Ingår i: Scandinavian Journal of Primary Health Care. - 0281-3432 .- 1502-7724. ; 13:3, s. 211-216
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE--To estimate subjective health status among early retired individuals pensioned due to disorders of the musculoskeletal system. DESIGN--A survey of self-reported health status and health care utilization by means of a mailed questionnaire. SETTING--Early retirees (cases) and a random sample (controls) of individuals from the municipality of Kristianstad, Sweden. SUBJECTS--Cases: all individuals aged 25-59 years granted a full-time early retirement pension during the period 1986-1990 due to disorders of the musculoskeletal system (n = 450). The response rate was 83.6%. CONTROLS--An age- and sex-matched sample (n = 450). The response rate was 82.7%. MAIN OUTCOME MEASURES--Self-reported health status and health care utilization. RESULTS--Early retirement entailed a deterioration in self-reported health status among men, all ages, and women aged 25-54 years. Female retirees aged 55-64 reported an improvement in health status since retirement. Early retired female immigrants were less satisfied with their health status than the Swedish ones. Early retirees reported higher health care utilization than controls, but with a reduction since retirement. Drug consumption was high. CONCLUSION--The beneficial effects of early retirement were evident among old women. Men and young and middle-aged women may need support to adjust to life as a retiree. Special attention should be given to the female immigrant retiree.
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| 8. |
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| 9. |
- Gunnarsson, Ronny K, 1955, et al.
(författare)
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The prevalence of beta-haemolytic streptococci in throat specimens from healthy children and adults. Implications for the clinical value of throat cultures
- 1997
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Ingår i: Scand J Prim Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 15:3, s. 149-55
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To examine the influence of age and season of the year on the carrier rate of beta-haemolytic streptococci (BHS) in healthy individuals and patients with throat pain. DESIGN: The prevalence of BHS in throat specimens from healthy individuals was compared with that from patients with throat pain of the same age in a defined geographical area, collected during the same mid-winter and late summer periods. RESULTS: The prevalence of BHS in healthy individuals was low before the age of 3 years (1.9-7.1%) and in adults > or = 16 years (2.4-3.7%) and highest in the age group 3-15 years (5.0-21.2%). The difference in prevalence of BHS between healthy individuals and patients with throat pain was small during the late summer season and large during the mid-winter season. CONCLUSION: Prevalence of BHS varies with age and season in healthy individuals and patients with throat pain. During the summer, it is much more difficult to interpret the result of a throat culture in individuals aged < 16 years.
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| 10. |
- Gunnarsson, Ronny K, 1955, et al.
(författare)
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The prevalence of potential pathogenic bacteria in nasopharyngeal samples from healthy children and adults
- 1998
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Ingår i: Scand J Prim Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 16:1, s. 13-7
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To elucidate the prevalence of potential pathogenic bacteria in nasopharyngeal samples from healthy individuals, and the influence on the carrier rate of age, season of the year, and type of child day care. DESIGN: Nasopharyngeal swab samples obtained in routine medical care from individuals with no sign of infection were studied in 159 pre-school children aged below 7 years, 198 schoolchildren aged 7-15 years, and 261 adults (.16 years). RESULTS: The prevalence of pathogenic bacteria in healthy individuals decreased with age. The overall isolation frequencies for pre-schoolchildren, schoolchildren, and adults, respectively, were: Moraxella catarrhalis (27%, 4% and 2%); Streptococcus pneumoniae (19%, 6% and 0.8%); Haemophilus influenzae (13%, 6% and 3%). The prevalence of S. pneumoniae in children 7-15 years was higher during the summer than in the winter. We could not confirm any variation in the carrier rate due to the type of child day care. CONCLUSION: Potentially pathogenic bacteria are often present in nasopharyngeal samples taken from healthy pre-school children, but rarely from people > or = 16 years of age. This means that the use of nasopharyngeal samples to discriminate between bacterial and viral respiratory tract infection needs to be evaluated further in patients < 16 years. The importance of the seasonal variation in the prevalence of potential pathogenic bacteria in the nasopharynx needs further study.
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| 11. |
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| 12. |
- Hellström, Olle, 1940-, et al.
(författare)
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A phenomenological study of fibromyalgia : Patient perspectives
- 1999
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Ingår i: Scandinavian Journal of Primary Health Care. - : Taylor & Francis. - 0281-3432 .- 1502-7724. ; 17:1, s. 11-16
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To describe the way in which the fibromyalgia patients understand the meaning of their illness. DESIGN: Qualitative, empirical phenomenological psychological method. SETTING: A collaborative transdisciplinary interview study of patients' described experiences of living with fibromyalgia. No therapeutic relationships existed between patients and researchers. SUBJECTS: Eighteen patients with fibromyalgia were interviewed. Ten of the 18 taped interviews were transcribed and analysed. MAIN OUTCOME MEASURES: Patients' narratives, described experiences of living with fibromyalgia. RESULTS: The patients were intensively involved in efforts to get their self-images as ill persons confirmed. Their experience was that the disease started dramatically, with a variety of capriciously appearing symptoms of unknown cause that gave rise to the suffering. The fibromyalgia patients seemed to develop strategies to cope with a precarious self-image and find ways to manage the thought of what the future would bring. CONCLUSION: The meaning structures revealed in the patients' ways of describing their experiences of living with fibromyalgia seemed to be partially constituted by their efforts to stand forth as afflicted with a disease, which could be a way to help them to manage the demands that they placed upon themselves.
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| 13. |
- Johansson, Eva, et al.
(författare)
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"How could I even think of a job?" : ambiguities in working life in a group of female patients with undefined musculoskeletal pain
- 1997
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Ingår i: Scandinavian Journal of Primary Health Care. - : Taylor & Francis. - 0281-3432 .- 1502-7724. ; 15:4, s. 169-174
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Tidskriftsartikel (refereegranskat)abstract
- Objective - To explore the meaning of working life for a group of women sick-listed because of undefined, musculoskeletal pain disorders.Design - Repeated thematic interviews, analysed qualitatively according to grounded theory.Setting and participants - Twenty female patients, impaired by biomedically undefined pain and musculoskeletal disorders, were successively recruited at an urban primary health care centre in northern Sweden.Main findings - There were discrepancies between work aspirations and work experiences concerning economic maintenance, social interaction, and personal recognition. The women had low-income jobs in fields threatened by redundancy, such as cleaning, care, and service. Family considerations had a strong impact on organization and priorities in paid work. In a situation of pain and sick leave, family orientation strengthened and work aspirations declined. Social and personal recognition was sought in the unpaid ’duties at home, and economic refuge in ‘the state as supporter’.Implications - To understand women with undefined musculoskeletal pain as patients, we must also understand their aspirations and experiences as workers, mothers, and spouses. ‘Family considerations’, ’diminishing paid work’, and ’the state as supporter’ are important concepts for understanding the women’s sick role process.
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| 14. |
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| 15. |
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| 16. |
- Lindström, Kjell, et al.
(författare)
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A model for quality assessment in primary health care using the tracer condition technique with insulin treated diabetes as one of the tracers
- 1997
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa Healthcare. - 0281-3432 .- 1502-7724. ; 15:2, s. 92-96
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Tidskriftsartikel (refereegranskat)abstract
- Objective-To find a method for quality assessment in primary health care and to apply this method on a defined disease.Design-General practitioners and hospital doctors worked out a programme for evaluating the quality of outpatient care of patients with insulin treated diabetes as one of five tracers. An expert committee comprising experienced general practitioners and hospital doctors compared two health centres with one outpatient medical department Data were collected during a defined period combined with a one-year retrospective view, official statistics on medical care, and a questionnaire completed by the patients.Setting-Two primary health care centres and one outpatient medical department in southwestern Sweden.Patients-243 insulin treated diabetic patients attending the hospital and 87 insulin treated patients attending the health centres.Main results-There were no difficulties for the expert panel to agree on which indicators were to be studied. The expert panel concluded that there was no difference between the quality of the two levels of care studied.Conclusions-Medical audit was a useful method for evaluating medical quality. Co-operation between hospital doctors and general practitioners was of great value for evaluation of the quality of primary health care.
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| 17. |
- Lindström, Kjell, et al.
(författare)
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Medical audit used for estimation of optimum level of outpatient care
- 1995
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa Healthcare. - 0281-3432 .- 1502-7724. ; 13:3, s. 175-181
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Tidskriftsartikel (refereegranskat)abstract
- Objective - To create a model for determining the optimum level of outpatient medical care and to determine this level.Design - Expert committees were established comprising one or two hospital physicians and two general practitioners who checked medical records for all outpatient visits to doctors made by a defined population during a defined period of time. the determination of optimum level was made blindly by each member of the expert committee.Setting and participants - the study comprised all visits to physicians during 10 weeks, in total more than 4000, made by the people in a Swedish community, of which 2084 were randomized.Results - Total agreement between the members of the committee was initially reached for 84% of the visits and, after a common discussion between the committee members, for 99%. A general practitioner was considered to be the optimum level of care for 76% of the patients in the total series, in the upper ages (above 80) for about 85%.Conclusion - This method seemed suitable for determining the optimum level of care in a population and may be of value when planning for an optimum health care service. Based on the results from our study it seems reasonable to assume that general practitioners whose training corresponds to that of Swedish ones are competent to treat about 75% of all consultations.
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| 18. |
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| 19. |
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| 20. |
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| 21. |
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| 22. |
- Nihlén, Ulf, et al.
(författare)
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Detection of chronic obstructive pulmonary disease (COPD) in primary health care: role of spirometry and respiratory symptoms
- 1999
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 17:4, s. 232-237
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Tidskriftsartikel (refereegranskat)abstract
- Objective - To evaluate the role of spirometry and respiratory symptoms in the detection of chronic obstructive pulmonary disease (COPD) in primary health care. Design - A cross-sectional study. Setting - A primary health centre in Landskrona, southern Sweden. Subjects - 164 subjects who in 1992 had answered a postal questionnaire concerning obstructive pulmonary diseases and respiratory symptoms. They were aged 45-64 years, with a mean of 55 years. Main outcome measures - In 1997, the subjects were invited to perform a spirometry and a medical examination and to answer the same questionnaire as in 1992. Subjects with a forced expiratory volume in 1 second (FEV1) <85% of the predicted normal value performed reversibility tests. Results - 131 subjects participated in the examinations. 15 subjects (11.5%) were diagnosed as having COPD. Only three of them had been previously diagnosed as having a respiratory disease. Many commonly occurring respiratory symptoms were associated with a reduction in FEV1. Conclusions - Spirometry examinations in primary health care improve the probability of detecting COPD. A spirometry examination should be considered for patients with respiratory symptoms. It should also be considered for middle-aged smokers, even if they are symptom-free.
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| 23. |
- Närhinen, Maria, et al.
(författare)
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Salt and Public Health - Policies for Dietary salt in the Nordic Countries
- 1995
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 13:4, s. 300-306
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Tidskriftsartikel (refereegranskat)abstract
- Objective - To review current knowledge about excess dietary salt as a risk factor for diseases and to compare and discuss the national policies for dietary salt in the Nordic countries. Design - Literature review, questionnaire and interviews. Nordic comparative study. Setting - the Medline bibliographic system and authorities responsible for the national nutritional policies in the Nordic countries. Subjects - Scientific articles published since 1988 concerning the impact of excess dietary salt on health and key persons with responsibilities for the formulation of national recommendations about dietary salt in each of the five Nordic countries. Main outcome measures - Articles dealing with (i) epidemiological observations, (ii) sensitive groups, (iii) underlying biological mechanisms concerning the contents of the latest national recommendations and the wording of legislation and decrees about salt in food-stuffs in the Nordic countries. Results - the impact of excess dietary salt on health mainly concerns hypertension, gastric cancer, osteoporosis and bronchial hyperreactivity. the national policy for dietary salt in Finland differs from the other Nordic countries. in Finland salt is a food additive and a variety of special regulations exist. Finland has chosen a more active way to achieve the existing Nordic recommendation of 5 g salt per day. the daily intake is about 10 g per day in all the Nordic countries. Conclusions - There is need for further epidemiological studies of the relationship between excess dietary salt and gastric cancer, osteoporosis, and bronchial hyperreactivity. the knowledge of the relationship between dietary salt and raised blood pressure is sufficient to put force behind the implementation of existing Nordic recommendations.
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| 24. |
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| 25. |
- Ovhed, Ingvar, et al.
(författare)
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Awareness and treatment of cardiovascular disease risk factors among middle-aged Swedish men and women
- 1998
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 16:3, s. 165-170
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To study awareness and treatment of risk factors for cardiovascular disease in a primary care district where a screening program for hypercholesterolaemia involving one third of the population had been conducted 7 years earlier. DESIGN: A semi-structured telephone survey on four risk factors; blood pressure, serum cholesterol, blood sugar, and smoking habits. SETTING: The study was performed in a defined area in Blekinge county in Sweden. SUBJECTS: A random sample of the general population aged 40-49 years, in total 356 people. MAIN OUTCOME MEASURES: Awareness of individual risk factors, for cardiovascular diseases, on-going medication, and lifestyle changes in order to lower individual risks. RESULTS: A total of 95% had had their blood pressure measured at least once, compared with 69% for serum cholesterol. Twenty-two per cent had at some time been told that they had high blood pressure, and, of these, almost half (44%) received pharmacological treatment. Among the 62 subjects who were informed about hyperlipidaemia only 5% were taking a lipid-reducing drug. Among present smokers, 38% had had at least one quitting episode during the previous 2 years with a median duration of 60 days. CONCLUSION: In a general population there is a difference between blood pressure and cholesterol check-up and medicalization. Screening activities seem to raise the awareness of cardiovascular risk factors in a population, but when evaluating the tendency to change lifestyle the contagious effects of screening activities might be taken into account. Finding quick-relapsing former smokers among current non-smokers may be of importance when planning smoking cessation activities.
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| 26. |
- Peterson, Stefan, et al.
(författare)
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Practice variation in Swedish primary care
- 1997
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 15:2, s. 68-75
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Tidskriftsartikel (refereegranskat)abstract
- Objective - To study individual practice patterns of physicians working in primary health care for standardized simulated cases on their first visit, and relate them to resource consumption for diagnostic tests, drugs and sick leave from a combined perspective of the health care and social security systems. Design - Postal questionnaire presenting six hypothetical working-age cases with symptoms of ailments common in primary care asking physicians to order diagnostic tests and procedures, drugs, follow-up appointments and sick pay. Setting - Swedish primary health care centres. Subjects - Two hundred randomly selected physicians. Main outcome measures - Activities taken by the physician - diagnostic and laboratory tests ordered, drugs prescribed, length of sick leave and the cost of these actions. Results - Practice patterns varied considerably, corresponding to a six-fold difference in total cost between the “cheapest” and “most expensive” physician. The largest share was loss of production as estimated by the cost of prescribed sick leave. Physicians who practised further away from hospitals and those who had worked more years tended to prescribe more measures. However, this only explained a small portion of the observed variation, which may be due to different physician attitudes to taking risks. Conclusion - ‘Paper’ cases of common medical ailments presented to primary care physicians revealed considerable differences in practice style, resulting in six-fold differences in cost of measures prescribed at first visits.
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| 27. |
- Reigo, Tomas, et al.
(författare)
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The epidemiology of back pain in vocational age groups
- 1999
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 17:1, s. 17-21
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: To investigate the prevalence of back pain in a general population aged between 20 and 59 years.POPULATION: A representative sample of 2000 individuals from Ostergotland County, Sweden (population 400,000).STUDY DESIGN: Cross-sectional study using a questionnaire including the pain drawing.RESULTS: The observed point prevalence was 28% (95% confidence interval 26-31%). The adjusted prevalence taking into account the non-responders was 23% (21-25%). Lumbar pain with radiation was reported by 40%, while 4% had only cervical pain with radiation. Twelve per cent were on sick-leave due to back pain. Activity of daily life was affected mainly in the group of men aged 40-59 and only in household tasks. The back problems did not affect social activity.CONCLUSIONS: The prevalence of back problems in the vocational ages was found to be 23%. Only small parts of a pain population are on sick-leave or have changed working tasks because of back problems. The distribution of pain in most cases is combined with radiation to extremities and not isolated to a single region. The combination of different localisations shows the pain problem to be more than just a "low back" problem.
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| 28. |
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| 29. |
- Stefansdottir, Anna, et al.
(författare)
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Epidemiology of childhood injuries in Reykjavik 1974-1991
- 1997
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 15:1, s. 30-34
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To determine and analyse the incidence of childhood injuries in Reykjavik 1974-1991. DESIGN: Descriptive, retrospective study. SETTING: Reykjavik City district with a mean number of 88700 inhabitants, of which 23.4% were children under 15 years of age. SUBJECTS: All children 0-14 years old who came to the emergency department at Reykjavik City Hospital because of an injury. MAIN OUTCOME MEASURES: Number of injured children per 1000 children per year. RESULTS: 111726 cases were studied. The total incidence of injuries increased from 275 per 1000 children per year in 1974-76 to 327 in 1980-82, but it then decreased to 275 in 1989-91. The injury incidence for 0-4 years old decreased from 353 in 1980-82 to 259 in 1989-91. The injury incidence for children 5-9 years old was 249 in 1989-91. The injury incidence for children 10-14 years old increased from 235 in 1974-76 to 336 in 1980-82, and in 1989-91 it was 321. The incidence of hospital admissions was 7.6 per 1000 children per year, or 2.6%. The child accident mortality rate in Reykjavik from 1987-1991 was 6.5 per 100000 children per year. CONCLUSION: Childhood injuries in Reykjavik are far too many, and a major effort is needed to reduce their number.
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| 44. |
- Kjellgren, Karin I, 1950, et al.
(författare)
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Hypertensive patients' knowledge of high blood pressure.
- 1997
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Ingår i: Scandinavian journal of primary health care. - 0281-3432. ; 15:4, s. 188-92
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate hypertensive patients' understanding of the circulatory system, in particular high blood pressure. DESIGN: Semi-structured audio-taped interviews of patients immediately after a regular follow-up appointment with their physician. SETTING: A primary health care centre and a specialist clinic (hypertension unit) in southern Sweden. PATIENTS: 33 hypertensive patients, consecutively selected. MAIN OUTCOME MEASURE: Focus was set on the exploration of patients' understanding/knowledge. RESULTS: In spite of a long history of hypertensive care, on average ten years, patients had a less than satisfactory understanding of their condition. Most patients knew their blood pressure values, but very few were able to give an account of what high blood pressure implies in functional terms. Knowledge of high blood pressure seems mainly to be derived from sources other than the health care system, in particular from the mass media. Knowledge of the risks associated with hypertension was quite good, as was the insight into how these risks could be managed. CONCLUSION: An assessment of patient knowledge of high blood pressure ought to be a starting point for educational strategies that aim to deepen patients' understanding of their state of health.
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| 45. |
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| 48. |
- Troein, Margareta, et al.
(författare)
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Health beliefs and heart disease risk among middle-aged Swedish men. Results from screening in an urban primary care district
- 1997
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Ingår i: Scandinavian Journal of Primary Health Care. - 0281-3432. ; 15:4, s. 198-202
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To study the relationship between individual health beliefs and risk factors for coronary heart disease. DESIGN: Health beliefs indices, formed by factorial analysis of ratings of statements on health related matters in a questionnaire, were related to risk factors for coronary heart disease, assessed with physical examinations and self reports of medical history and habits. SETTING: An urban primary care district in Malmo, Sweden. SUBJECTS: A random sample of middle-aged men, invited to a health check-up. RESULTS: The participation rate was 453/705 (64%). "Perceived threat to health caused by illness" was positively related to previous information on high blood pressure, high plasma cholesterol, and/or diabetes (p = 0.01). In a model of logistic regression, adjusted for age, cohabitation, and previous medical history, health belief index on "threat to health" was related to low exercise habits (RR = 1.06, CI 1.01, 1.12). "Perceived control over illness" was related to high alcohol consumption (RR = 0.86, CI 0.75, 0.97), smoking (RR = 0.89, CI 0.79, 0.99), and high diastolic blood pressure (RR = 0.84, CI 0.75, 0.95). CONCLUSION: This cross-sectional study demonstrates relations between health beliefs, previous health-related experiences, and risk behaviour. To explore the causality of the former, longitudinal studies of changes in health beliefs after medical information are required.
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| 49. |
- Westerberg, L, et al.
(författare)
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Untitled - Reply
- 1998
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Ingår i: SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE. - 0281-3432. ; 80A:9, s. 1396-1396
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 50. |
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