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Understanding and m...
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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
Förlag, utgivningsår, omfång ...
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Umeå :Umeå universitet,2012
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62 s.
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-55132
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ISBN:9789174594201
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-55132URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:vet swepub-contenttype
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Ämneskategori:dok swepub-publicationtype
Serie
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Umeå University medical dissertations,0346-6612 ;1498
Anmärkningar
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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 ...)
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Byass, Peter,ProfessorUmeå universitet,Epidemiologi och global hälsa(Swepub:umu)peby0002
(preses)
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Nguyen, Lan-Viet,ProfessorDepartment of Cardiology, Hanoi Medical University, Vietnam
(preses)
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Wall, Stig,ProfessorUmeå universitet,Epidemiologi och global hälsa(Swepub:umu)stwa0001
(preses)
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Weinehall, Lars,ProfessorUmeå universitet,Epidemiologi och global hälsa(Swepub:umu)lawe0001
(preses)
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Bonita, Ruth,ProfessorSchool of Population Health, University of Auckland, New Zealand
(preses)
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Bondjers, Göran,ProfessorSahlgrenska Akademin, Göteborgs Universitet, Sweden
(opponent)
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Umeå universitetEpidemiologi och global hälsa
(creator_code:org_t)
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