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Understanding and m...
Understanding and managing cardiovascular disease risk factors in Vietnam : integrating clinical and public health perspectives
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- Nguyen, Quang Ngoc, 1976- (författare)
- Umeå universitet,Epidemiologi och global hälsa
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- Byass, Peter, Professor (preses)
- Umeå universitet,Epidemiologi och global hälsa
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- Nguyen, Lan-Viet, Professor (preses)
- Department of Cardiology, Hanoi Medical University, Vietnam
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- Wall, Stig, Professor (preses)
- Umeå universitet,Epidemiologi och global hälsa
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- Weinehall, Lars, Professor (preses)
- Umeå universitet,Epidemiologi och global hälsa
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- Bonita, Ruth, Professor (preses)
- School of Population Health, University of Auckland, New Zealand
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- Bondjers, Göran, Professor (opponent)
- Sahlgrenska Akademin, Göteborgs Universitet, Sweden
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(creator_code:org_t)
- ISBN 9789174594201
- Umeå : Umeå universitet, 2012
- Engelska 62 s.
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Serie: Umeå University medical dissertations, 0346-6612 ; 1498
- Relaterad länk:
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Vietnam, like other low-income countries, is facing an epidemic burden of cardiovascular disease risk factors (CVDRFs). The magnitude and directions of CVDRF progression are matters of uncertainty. Objectives: To describe the epidemiological progression of CVDRFs and the preventive effects of community lifestyle interventions, with reference to the differences in progression of CVDRF patterns between men and women. Methods: The study was conducted during 2001-2009 in nationally representative samples and in a local setting of rural areas of Ba-Vi district, Ha-Tay province. Both epidemiological and interventional approaches were applied: (i) a population-based cross-sectional survey of 2,130 people aged ≥25 years in Thai-Binh and Hanoi; (ii) an individual participant-level meta analysis of 23,563 people aged 24-74 years from multiple similar surveys in 9 provinces around Vietnam; (iii) a 17-month cohort study of 497 patients in a hypertension management programme; (iv) a quasi-experimental trial on community lifestyle promotion integrated with a hypertension management programme, evaluated by surveys of 4,645 people in both intervention and reference communes before and after a 3-year intervention. Main findings: (i) in the general adult population ≥25 years, CVDRFs were common, often clustered within individuals, and increased with age; (ii) the Vietnamese population is facing a growing epidemic of CVDRFs, which are generally not well managed; (iii) it is possible to launch a community intervention in low-resource settings within the scope of a commune-based patient-targeted programme on hypertension management; (iv) community health intervention with comprehensive healthy lifestyle promotion improves blood pressure and some behavioural CVDRFs. Conclusion: Alarming increases in CVDRFs in the general population need comprehensive multi-level prevention strategies, which combine both individual high-risk and population health approaches. The commune-based hypertension-centred management programmes integrated with community health promotion are the initial but essential steps towards comprehensive and effective management of CVDRFs and should be part of an integrated and co-ordinated national program on the prevention and control of chronic diseases in low-resource settings like Vietnam.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- cardiovascular disease risk factors
- epidemiology
- prevention
- hypertension
- Vietnam
- yếu tố nguy cơ bệnh tim mạch
- dịch tễ học
- dự phòng
- tăng huyết áp
- Việt Nam
- Cardiology
- kardiologi
Publikations- och innehållstyp
- vet (ämneskategori)
- dok (ämneskategori)
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Nguyen, Quang Ng ...
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Byass, Peter, Pr ...
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Nguyen, Lan-Viet ...
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Wall, Stig, Prof ...
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Weinehall, Lars, ...
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Bonita, Ruth, Pr ...
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Bondjers, Göran, ...
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