title: [Intervention in a high-risk group for cardiovascular disease in Selfjord and Kviteseid. National ambitions transferred to municipal reality].
abstract: In 1989 the National Health Screening Service conducted cardiovascular risk factor screening of all men and women aged 40-42 in two small rural municipalities, Seljord and Kviteseid. The local health authorities launched a 3-year follow up programme directed at a group of 38 otherwise healthy persons with elevated risk scores. The programme included individual medical checkups and group sessions to promote smoking cessation, improvements to diet and more physical activity. Only three persons joined any of the groups, while 34 persons attended one medical check-up or more. After three years there were little or no changes in smoking habits or serum cholesterol level in the high risk group. The health benefits of mass screening and individual intervention against cardiovascular risk factors are questioned both from an ethical and a cost-benefit perspective. Active case finding and follow-up based on local knowledge of families or persons at high risk may be an alternative in small communities.
authors.affiliation: Kommunehelsetjenesten i Seljord.
authors.forename: E
authors.initials: E
authors.lastname: Swensen
authors.forename: T
authors.initials: T
authors.lastname: Reiten
authors.forename: O
authors.initials: O
authors.lastname: Eriksen
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000097:blood / Q000453:epidemiology / Q000517:prevention & control*; D002784:Cholesterol / Q000097:blood; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening; D009664:Norway / Q000453:epidemiology; D010353:Patient Education as Topic; D011322:Primary Prevention; D012041:Regional Medical Programs; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects
chemical_list: D002784:Cholesterol
vernacular_title: Intervensjon i en risikogruppe for hjerteog karsykdommer i Seljord og Kviteseid. Statlige ambisjoner omsatt til kommunal virkelighet.