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SUMMARY:The Swedish model for CVD prevention: Public Health cultivation co
 mbined with individual health dialogues in Primary Care - Prof Lars Weineh
 all\, Umeå University\, Sweden
DTSTART:20170407T120000Z
DTEND:20170407T130000Z
UID:TALK71757@talks.cam.ac.uk
CONTACT:Katja Kivinen
DESCRIPTION:Mortality from cardiovascular diseases (CVD) increased steadil
 y in Sweden during the 20th century. The county of Västerbotten had the h
 ighest mortality\, leading to a community intervention programme called V
 ästerbotten Intervention Programme (VIP). \n\nThe programme combines a po
 pulation-based strategy directed towards the public and an invitation to a
 ll individuals (40\, 50\, 60 years) to a systematic risk factor screening 
 and a health dialogue about lifestyle habits. VIP is one of few ongoing CV
 D prevention programs globally that are integrated into primary care routi
 nes\, target selected age groups in middle age\, and combine preventative 
 strategies for population and high-risk individuals.\n\nTo evaluate the im
 pact of VIP during the first 17 years of the programme\, all eligible indi
 viduals and VIP participants were compared with the general Swedish popula
 tion in a dynamic cohort study. All individuals aged 40\, 50\, or 60\, res
 iding in Västerbotten County between 1990 and 2006 (N=101\,918) were foll
 owed from their first opportunity to participate in VIP until age 75\, stu
 dy end-point\, or prior death. Primary outcomes were all-cause and CVD mor
 tality.\n\nThere is strong evidence that the VIP has brought about a subst
 antial reduction on premature mortality. We conclude that the VIP model of
  CVD prevention is able to impact on all-cause and cardiovascular mortalit
 y when evaluated according to the intention-to-treat principle.
LOCATION:Large  Seminar Room\, 1st Floor\, Institute of Public Health\, Ro
 binson Way
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