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  • Nguyen, Quang Ngoc,1976-Umeå universitet,Epidemiologi och global hälsa (författare)

Understanding and managing cardiovascular disease risk factors in Vietnam : integrating clinical and public health perspectives

  • BokEngelska2012

Förlag, utgivningsår, omfång ...

  • Umeå :Umeå universitet,2012
  • 62 s.
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:umu-55132
  • ISBN:9789174594201
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-55132URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:vet swepub-contenttype
  • Ämneskategori:dok swepub-publicationtype

Serie

  • Umeå University medical dissertations,0346-6612 ;1498

Anmärkningar

  • 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 och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Byass, Peter,ProfessorUmeå universitet,Epidemiologi och global hälsa(Swepub:umu)peby0002 (preses)
  • Nguyen, Lan-Viet,ProfessorDepartment of Cardiology, Hanoi Medical University, Vietnam (preses)
  • Wall, Stig,ProfessorUmeå universitet,Epidemiologi och global hälsa(Swepub:umu)stwa0001 (preses)
  • Weinehall, Lars,ProfessorUmeå universitet,Epidemiologi och global hälsa(Swepub:umu)lawe0001 (preses)
  • Bonita, Ruth,ProfessorSchool of Population Health, University of Auckland, New Zealand (preses)
  • Bondjers, Göran,ProfessorSahlgrenska Akademin, Göteborgs Universitet, Sweden (opponent)
  • Umeå universitetEpidemiologi och global hälsa (creator_code:org_t)

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