Did a health dialogue matter? Self-reported cardiovascular disease and diabetes 11 years after health screening.
OBJECTIVE
To study the potential impact of health screening, with or without a motivational health dialogue, on the risk and morbidity of cardiovascular diseases (CVD) and diabetes (DM).


METHODS
Two cross-sectional studies with an interval of 11 years.


METHODS
The community of Härnösand, Sweden.


METHODS
In the first study, 402 men born in 1934, 1944, or 1954 underwent health screening for CVD prevention in 1989. In the second study, 415 men (of the same ages) completed a questionnaire in 2000 (11 years later).


METHODS
Odds ratio (OR) for self-reported CVD and DM.


RESULTS
The odds ratio of self-reported CVD and DM was more than doubled among participants in the health screening without a health dialogue (OR 2.5; 95% CI 0.8-7.4) and threefold for those not participating (OR 3.0; 95% CI 1.0-8.8) compared with those who reported participation in health screening that included a structured health dialogue.


CONCLUSIONS
Health screening for the prevention of CVD and DM benefits from inclusion of a structured, motivational health dialogue.
Färnkvist
Lisbeth
L
Department of Public Health and Research, Härnösand-Medelpad Medical Service, Sundsvall, Sweden. lisbeth.farnkvist@telia.com
Olofsson
Niclas
N
Weinehall
Lars
L
D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control*; D003376:Counseling; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000517:prevention & control*; D005500:Follow-Up Studies; D006266:Health Education; D006293:Health Promotion; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D012307:Risk Factors; D012649:Self Concept; D011795:Surveys and Questionnaires; D013548:Sweden / Q000453:epidemiology