Ovhed I, Odeberg H, Troein M, Råstam L
Lyckeby Primary Health Care Centre, Sweden.
Scand J Prim Health Care. 1998 Sep;16(3):165-70. doi: 10.1080/028134398750003124.
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.
A semi-structured telephone survey on four risk factors; blood pressure, serum cholesterol, blood sugar, and smoking habits.
The study was performed in a defined area in Blekinge county in Sweden.
A random sample of the general population aged 40-49 years, in total 356 people.
Awareness of individual risk factors, for cardiovascular diseases, on-going medication, and lifestyle changes in order to lower individual risks.
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.
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.
在一个初级保健地区研究心血管疾病危险因素的知晓情况及治疗情况，该地区7年前曾开展一项涉及三分之一人口的高胆固醇血症筛查项目。
一项关于四个危险因素的半结构式电话调查；血压、血清胆固醇、血糖和吸烟习惯。
研究在瑞典布莱金厄省的一个特定区域进行。
40 - 49岁普通人群的随机样本，共356人。
对心血管疾病个体危险因素的知晓情况、正在进行的药物治疗以及为降低个体风险而做出的生活方式改变。
共有95%的人至少测量过一次血压，而血清胆固醇检测率为69%。22%的人曾在某个时候被告知患有高血压，其中近一半（44%）接受了药物治疗。在62名被告知患有高脂血症的受试者中，只有5%正在服用降脂药物。在目前的吸烟者中，38%在过去2年中至少有过一次戒烟经历，中位持续时间为60天。
在普通人群中，血压和胆固醇检查及医疗处理存在差异。筛查活动似乎提高了人群对心血管危险因素的认识，但在评估生活方式改变的趋势时，可能需要考虑筛查活动的传染效应。在规划戒烟活动时，在当前非吸烟者中发现快速复吸的前吸烟者可能很重要。
