Abstract:
OBJECTIVE:To investigate if the lower mortality among participants of a health check followed by lifestyle intervention of high risk persons is explained by self-selection. METHODS:All persons residing in the study area (Copenhagen; Denmark) were randomized to intervention (n=11,629) or control group (n=47,987). Persons in the intervention group were invited for a health check and individual lifestyle counselling. At baseline, 52.5% participated. Differences between participants and control group in 10-year all-cause and disease specific mortality was assessed. In survival analyses we controlled for socio-demography and mental and physical health. RESULTS:Mortality rates were highest among non-participants and lowest among participants in the intervention group, whereas mortality rates of controls were approximately the average of those of participants and non-participants. In adjusted analyses the difference in both all-cause mortality (HR 0.73, 95% CI 0.62-0.85) and disease specific mortality was diminished between participants and controls, and turning insignificant as regard cancer mortality. In total, 39% of the lower mortality among participants in the intervention group was explained by self-selection according to socio-demography and health. CONCLUSION:A substantial part of the lower mortality among participants in a preventive health check can be explained by confounding. The remaining lower mortality is most probably due to residual confounding, as the lower mortality was seen both for lifestyle related and non-lifestyle related diseases.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Bender AM,Jørgensen T,Pisinger Cdoi
10.1016/j.ypmed.2015.07.004subject
Has Abstractpub_date
2015-12-01 00:00:00pages
42-8eissn
0091-7435issn
1096-0260pii
S0091-7435(15)00220-0journal_volume
81pub_type
杂志文章,随机对照试验abstract::We described the prevalence of overweight and obesity among low-income women in rural West Virginia (WV) and urban Los Angeles County (LA County). Both communities participated in the national Communities Putting Prevention to Work program during 2010-2012. In each community, we completed health assessments on adult w...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.02.016
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:Central obesity is an independent risk factor of mortality. Change in waist circumference after smoking cessation has not been previously reported in a population-based prospective study of both sexes. METHODS:Population-based study, Inter99, 1999-2001 in Copenhagen, Denmark. 2408 daily smokers completed que...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2006.11.015
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:We evaluated the associations between putative occupational and epidemiologic determinants and influenza vaccine acceptance among health care workers during two consecutive seasons. METHODS:Multiple logistic regression models were developed to identify predictors of vaccine acceptance during 1991-1992, then...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.9991
更新日期:1997-01-01 00:00:00
abstract::Neighborhood characteristics have been associated with obesity, but less is known whether relationships vary by race/ethnicity. This study examined the relationship between soda consumption - a behavior strongly associated with obesity - and weight status with neighborhood sociodemographic, social, and built environme...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.11.029
更新日期:2018-06-01 00:00:00
abstract::A meta-analysis on Active Video Games (AVG) as a rehabilitative tool does not appear to be available. This meta-analytic review synthesizes the effectiveness of AVGs on patients' rehabilitative outcomes. Ninety-eight published studies on AVGs and rehabilitation were obtained in late 2015 with 14 meeting the following ...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ypmed.2016.12.003
更新日期:2017-02-01 00:00:00
abstract::Patterns of cigarette smoking in Switzerland were analyzed on the basis of sales data (available since 1924) and national health surveys conducted in the last decade. There was a steady and substantial increase in cigarettes sales up to the early 1970s. Thereafter, the curve tended to level off around an average value...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(88)90090-4
更新日期:1988-11-01 00:00:00
abstract:BACKGROUND:Recognition that early sun exposure is an important risk factor for cutaneous melanoma in white populations has led to efforts to reduce children's sun exposure. 'Kidskin' was a non-randomized, school-based sun protection intervention trial in Perth, Western Australia (1995-1999). Its aim was to determine th...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2005.11.002
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Knowledge about the prevalence, co-occurrence, and correlates of lifestyle related behaviors of overweight women is needed to inform the design of health promotion interventions for weight loss. METHODS:Cross-sectional study involves 394 overweight and obese women, aged 18 to 55 (mean age=41.26), 39% from m...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.10.005
更新日期:2008-03-01 00:00:00
abstract::Human papillomavirus (HPV) is highly prevalent in men and there is an interest in further understanding the relationship between HPV infection and disease in men, including the development of genital warts, penile intraepithelial neoplasia and invasive penile carcinomas. Genital warts are caused by HPV 6/11 and are th...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2011.08.002
更新日期:2011-10-01 00:00:00
abstract::In a cross-sectional study carried out in El Salvador between February 2016 and July 2017, self-sampling and human papillomavirus (HPV) testing was found to be highly acceptable among 2019 women who had not attended a cervical cancer screening in at least 3 years. Within this population, HPV positivity rates differed ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.06.017
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:High-risk types of HPV are the primary cause of cervical cancer. OBJECTIVES:This article reports HPV screening and diagnosis from a survey evaluating community-based physicians' screening, testing, and clinical practices for sexually transmitted diseases. METHODS:Surveys mailed to physicians (n = 7,300) ob...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/s0091-7435(02)00021-x
更新日期:2003-02-01 00:00:00
abstract::Social inequities compromise health-related quality of life (HR-QoL) among women living with HIV (WLWH). Little is known about health impacts of intersecting stigma based on HIV status, race and gender among WLWH or potential mechanisms to promote HR-QoL. We tested pathways from multiple types of stigma (HIV-related, ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.12.018
更新日期:2018-02-01 00:00:00
abstract::Use of five early disease detection tests was examined in relation to history of specific chronic disease and other health habits, as part of a cohort study including 11,888 residents of a retirement community in Southern California. Self-reported utilization rates by residents in the year preceding study entry were a...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(87)90053-3
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVE:It is unknown how much previous reviews on promoting physical activity (PA) for children and adolescents (aged 6-18years) take into account studies from low- and middle-income countries (LMIC, based on the World Bank definition) and the level of evidence of the effect of PA interventions in this population. T...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2016.03.025
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:The benefits of childhood physical activity include fitness, weight control, and exercise habits that may carry over into adulthood. School physical education is the primary program responsible for training the nation's youth to be physically active and national objectives call for students to be engaged in ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1994.1059
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:To determine what health behaviors patients choose to change in response to medical advice when they are given the potential net-present value (reduction in biological age) of modifying a behavior. METHODS:Baseline data for multiple health-risk behaviors that were recommended for change among 660 coronary an...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.ypmed.2007.09.007
更新日期:2008-03-01 00:00:00
abstract::New research has identified specific intestinal colonizing microbes that can have significant influence on health and disease. Evidence is reviewed supporting an association between Fusobacterium nucleatum and colon cancer and for a protective role of Faecalibacterium prausnitzii in inflammatory bowel disease, of Esch...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.05.010
更新日期:2014-08-01 00:00:00
abstract::In 1960 the meat-consumption habits of 25,153 California Seventh-Day Adventists were assessed by questionnaire. Between 1960 and 1980 ischemic heart disease deaths were identified. Meat consumption was positively associated with fatal ischemic heart disease in both men and women. This association was apparently not du...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(84)90017-3
更新日期:1984-09-01 00:00:00
abstract::Tobacco smoking and obesity are leading causes of preventable morbidity and mortality in the US, and primary care physicians are the main source of preventive care. However, it is not known whether access for new patients is affected by an expression of interest in preventive care. In a 2015 audit, we called US primar...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.04.031
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:From a preventive point of view, it is especially important to investigate the life style risk factors connected to cardiovascular disease (CVD) biological risk factors clustering. The purposes of this study were (I) to determine in pediatric population the coexistence of biological cardiovascular disease ri...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.02.023
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:This paper examines the prevalence of household and car smoking restrictions, factors associated with these restrictions, and children's exposure to secondhand smoke in homes with varying levels of household smoking restrictions in rural Native American and White families. METHODS:In-person interviews were ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2002.1091
更新日期:2002-10-01 00:00:00
abstract::Pregnant women are vaccinated against influenza less frequently than other high-risk groups. To design effective vaccination strategies, we must understand how decisions regarding vaccination may vary by trimester and over vaccination campaigns. We used a Cox model indexed by calendar time to estimate the effect of ge...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.02.010
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Amid current changes in health care access across the United States, the importance of health insurance status and insurance type relative to demographic, actual, and perceived health variables as determinants of screening for breast, colorectal, and cervical cancer is uncertain. This analysis evaluates the ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0697
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:In order to understand the factors that differentiate adolescents who have tried smoking from those who have become established smokers, this study examined which student- and school-level factors differentiated current smokers from experimental smokers among a nationally representative sample of Canadian sec...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.04.022
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:The associations among cigarette smoking and alcohol consumption with recent screening mammograms were evaluated among women ages 50 years and older. METHODS:The sample included 946 white and African-American women ages 50 years and older from the 1995 Maryland Behavioral Risk Factor Survey. Bivariate and l...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0445
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVE:The objective of this study is to examine depressive symptom trajectories during adolescence as predictors of physical activity (PA) in young adulthood. METHODS:Adolescents residing in Montreal, Canada (n=860) reported their depressive symptoms every 3-4 months during high school in 20 data collections. Thre...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.11.013
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:Regular physical activity provides young people with important physical, mental, and social health benefits. This study aimed to evaluate the relationship of family income and parents' level of education with physical activity in Finnish adolescents. METHOD:The study population consisted of the Northern Finl...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.01.008
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:To investigate geographic differences in obesity related metabolic abnormalities in middle-aged and older Chinese people with different levels of adiposity. METHOD:Data from 3289 individuals aged 50-70 years who participated in a cross-sectional survey in 2005 (1641 from northern [Beijing] and 1648 from sout...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.01.004
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:5 a Day for Better Health is a simple message encouraging people to eat more fruits and vegetables. The Seattle 5 a Day worksite investigators designed and evaluated an intervention, organized on stages of behavioral change, to increase worksitewide fruit and vegetable consumption. METHODS:We recruited 28 w...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2000.0806
更新日期:2001-03-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to examine the duration of physical activity (PA) bouts in prepubertal children with high-frequency accelerometry monitoring. METHODS:Thirteen boys and thirteen girls (aged 8-10 years) from one school in North of France had their PA recorded during 7 days using a uniaxial Actigraph ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2006.10.004
更新日期:2007-02-01 00:00:00