Abstract:
BACKGROUND:The prescription of statins is an evidence-based treatment to reduce the risk of cardiovascular events in patients with elevated cardiovascular risk or with a cardiovascular disorder (CVD). In spite of this, many of these patients do not receive statins. METHODS:We evaluated the impact of a brief educational intervention in cardiovascular prevention in primary care physicians' prescribing behaviour regarding statins beyond their participation in a randomised controlled trial (RCT). For this, prescribing data of all patients > 35 years who were counselled before and after the study period were analysed (each n > 75,000). Outcome measure was prescription of Hydroxymethylglutaryl-CoA Reductase Inhibitors (statins) corresponding to patients' overall risk for CVD. Appropriateness of prescribing was examined according to different risk groups based on the Anatomical Therapeutic Chemical Classification System (ATC codes). RESULTS:There was no consistent association between group allocation and statin prescription controlling for risk status in each risk group before and after study participation. However, we found a change to more significant drug configurations predicting the prescription of statins in the intervention group, which can be regarded as a small intervention effect. CONCLUSION:Our results suggest that an active implementation of a brief evidence-based educational intervention does not lead to prescription modifications in everyday practice. Physician's prescribing behaviour is affected by an established health care system, which is not easy to change. TRIAL REGISTRATION:ISRCTN71348772.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Keller H,Hirsch O,Kaufmann-Kolle P,Krones T,Becker A,Sönnichsen AC,Baum E,Donner-Banzhoff Ndoi
10.1186/1471-2458-13-623subject
Has Abstractpub_date
2013-07-02 00:00:00pages
623issn
1471-2458pii
1471-2458-13-623journal_volume
13pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Assuming a higher risk of latent tuberculosis (TB) infection in the population of Rio de Janeiro, Brazil, in October of 1998 the TB Control Program of Clementino Fraga Filho Hospital (CFFH) routinely started to recommend a two-step tuberculin skin test (TST) in contacts of pulmonary TB cases in order to dist...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-38
更新日期:2007-03-19 00:00:00
abstract:BACKGROUND:This study examined two main hypotheses: a) Polish immigrants' smoking estimates are greater than their Irish counterparts (b) Polish immigrants purchasing cigarettes from Poland smoke "heavier" (>/= 20 cigarettes a day) when compared to those purchasing cigarettes from Ireland. The study also set out to ide...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-428
更新日期:2008-12-31 00:00:00
abstract:BACKGROUND:Despite substantial improvements in accessibility of Anti-Retroviral Treatment (ART), death of children on ART remains a prevailing challenge in sub-Saharan African (SSA) countries. However, the pooled magnitude of mortality at different ART follow-up periods remains unknown for the region. We estimated the ...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/s12889-019-6482-1
更新日期:2019-02-04 00:00:00
abstract:BACKGROUND:Toxoplasmosis is among the most widespread and prevalent zoonosis in the world. People can become infected through ingestion of oocysts shed by felids or of tissue cysts contained in meat from infected animals. Acute infection can result in a wide spectrum of consequences, including flu-like illness and reti...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-837
更新日期:2013-09-11 00:00:00
abstract:BACKGROUND:Sickness absence is a problem in many Western countries. Physicians have an essential role in sickness certification of patients, which is often recommended in health care but may have side effects. Despite the potentially harming impact of sickness absence, physicians have very limited training in insurance...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-61
更新日期:2010-02-09 00:00:00
abstract:BACKGROUND:School-based smoking prevention programs have been shown to increase knowledge of the negative effects of smoking and prevent tobacco smoking. The majority of evidence on effectiveness comes from Western countries. This study investigated the impact of school-based smoking prevention programs on adolescents'...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-13-367
更新日期:2013-04-19 00:00:00
abstract:OBJECTIVE:The Table Talk tool is an observational assessment of early care and education teacher (ECET) mealtime practices. The Table Talk Revised (TT-R) tool incorporates new constructs that emerged from qualitative research and teases apart existing categories to improve nuance of data capture. The objective of this ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-10087-8
更新日期:2021-01-07 00:00:00
abstract:BACKGROUND:Employment is recognised as facilitating the personal and clinical recovery of people with psychosocial disability. Yet this group continue to experience considerable barriers to work, and, constitute a significant proportion of individuals engaged with Disability Employment Services (DES). Recognition of th...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-8452-z
更新日期:2020-03-12 00:00:00
abstract:BACKGROUND:Cervical cancer is an important public health problem worldwide, which comprises approximately 12% of all cancers in women. In Tanzania, the estimated incidence rate is 30 to 40 per 100,000 women, indicating a high disease burden. Cervical cancer screening is acknowledged as currently the most effective appr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-22
更新日期:2012-01-10 00:00:00
abstract:BACKGROUND:Saturated fatty acids (SFA) have been reported to promote inflammation. Nevertheless, evidence linking dietary SFA and low-grade inflammation in adolescents is scarce and inconsistent. The modulatory role of physical activity (PA) on fat metabolism and inflammation may provide a potential explanation. Thus, ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7113-6
更新日期:2019-06-25 00:00:00
abstract:BACKGROUND:A number of studies have shown a range of negative psychological symptoms (e.g. depression) after exposure to natural disasters. The aim of this study was to determine risk factors for depression in both children and adults who have survived natural disasters. METHODS:Four electronic databases (PubMed, Emba...
journal_title:BMC public health
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1471-2458-14-623
更新日期:2014-06-19 00:00:00
abstract:BACKGROUND:Violence against women by intimate partners is still a public health problem. The study aims at finding out the prevalence of violence among women residing in Erbil city (Muslim culture) and in Ankawa sub-district (Christian culture), finding out the role of religion and culture on the prevalence, and findin...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-800
更新日期:2012-09-17 00:00:00
abstract:BACKGROUND:Parents are widely recognized as playing a central role in the development of child behaviors such as physical activity. As there is little agreement as to the dimensions of physical activity-related parenting practices that should be measured or how they should be operationalized, this study engaged experts...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4487-1
更新日期:2017-06-14 00:00:00
abstract:BACKGROUND:Parental support interventions have shown some effectiveness in improving children's dietary and physical activity habits and preventing overweight and obesity. To date, there is limited research on barriers and facilitators of school-based parental support interventions targeting overweight and obesity. Thi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-2701-1
更新日期:2016-01-14 00:00:00
abstract:BACKGROUND:Data on Non-Communicable Diseases (NCDs) among indigenous populations are needed for interventions to improve health care. We conducted a survey in 2013 among rural indigenous Mbororo, Fulbe and other ethnic groups to determine the distribution of risk factors of NCDs in Cameroon. METHODS:We selected seven ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3837-8
更新日期:2016-11-24 00:00:00
abstract:BACKGROUND:Prior studies on social capital and health have assessed social capital in residential neighbourhoods and communities, but the question whether the concept should also be applicable in workplaces has been raised. The present study reports on the psychometric properties of an 8-item measure of social capital ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-251
更新日期:2006-10-13 00:00:00
abstract:BACKGROUND:A gender gap exists in knowledge regarding persons living with HIV/AIDS in Ghana. Women living with HIV/AIDS (WLHIV) greatly outnumber males living with HIV/AIDS (MLHIV) in Ghana and Sub-Saharan Africa generally. This necessitates more gender-nuanced evidence-based information on HIV/AIDS to guide individual...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08702-9
更新日期:2020-05-24 00:00:00
abstract:BACKGROUND:The prevalence and correlates of mood disorders among people who self-identify as lesbian, gay or bisexual (LGB) are not well understood. Therefore, the current analysis was undertaken to estimate the prevalence and correlates of self-reported mood disorders among a nationally representative sample of Canadi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-209
更新日期:2013-03-08 00:00:00
abstract:BACKGROUND:Family planning is an integral component of maternal and child health services in Ghana. Although knowledge on contraception is universal and most women attend maternal and child health services, contraceptive use remains low among women after delivery. This study aimed to determine factors influencing curre...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4641-9
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:High-risk strategies would only have a modest effect on suicide prevention within a population. It is best to incorporate both high-risk and population-based strategies to prevent suicide. This study aims to compare the effectiveness of suicide prevention between high-risk and population-based strategies. M...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-625
更新日期:2014-06-19 00:00:00
abstract:BACKGROUND:Knowledge exchange portals are emerging as web tools that can help facilitate knowledge management in public health. We conducted a review to better understand the nature of these portals and their contribution to knowledge management in public health, with the aim of informing future development of portals ...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-14-443
更新日期:2014-05-12 00:00:00
abstract:BACKGROUND:Ethiopia was among the 15 countries that, together accounted for 64% of the world's severe episodes of pneumonia among children below the age of 5 in 2011. To reduce this burden, the 10-valent pneumococcal conjugate vaccine (PCV 10) was introduced into the general childhood national immunization program in E...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7423-8
更新日期:2019-08-09 00:00:00
abstract:BACKGROUND:In the last thirty years, major shifts in immigrant policy at national and state levels has heightened boundaries among citizens, permanent residents, and those with other statuses. While there is mounting evidence that citizenship influences immigrant health care inequities, there has been less focus on how...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09525-4
更新日期:2020-10-15 00:00:00
abstract:BACKGROUND:While there are increasing data implicating poor recognition of physical inactivity as a potential barrier to healthy behaviour change, the efficacy of feedback to promote physical activity is uncertain. Using a randomised controlled trial nested within a population-based cohort study, we plan to test three ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-144
更新日期:2010-03-18 00:00:00
abstract:BACKGROUND:The seroprevalence of human cytomegalovirus (HCMV) infection ranges from 30 to 90 % in developed countries. Reliable estimates of HCMV seroprevalence are not available for Pakistan. This study determined the seroprevalence and sociodemographic factors associated with HCMV infection in adult populations of Ka...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3772-8
更新日期:2016-10-22 00:00:00
abstract:BACKGROUND:Social inequalities in labor force participation are well established, but the causes of these inequalities are not fully understood. The present study aims to investigate the association between educational qualification and labor market marginalization (LMM) among mature-aged working men and to examine to ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09899-5
更新日期:2020-11-25 00:00:00
abstract:BACKGROUND:South Africa (SA) is undergoing multiple transitions with an increasing burden of non-communicable diseases and high levels of overweight and obesity in adolescent girls and women. Adolescence is key to addressing trans-generational risk and a window of opportunity to intervene and positively impact on indiv...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-S2-S5
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Preventive counselling is an effective approach to reducing the prevalence of non-communicable diseases. Studies have shown that there is a positive association between healthy behaviors of Colombian medical students and favorable attitudes towards preventive counselling. However, there is limited research t...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2458-y
更新日期:2015-11-14 00:00:00
abstract:BACKGROUND:Soil-transmitted helminths (STHs) are widespread in underdeveloped countries. In Ethiopia, the prevalence and distribution of helminth infection varies by different exposing risk factors. We therefore investigated the prevalence of and risk factors of STHs infection in school children living in Ambo town, we...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4809-3
更新日期:2017-10-10 00:00:00
abstract:BACKGROUND:As with many Indigenous peoples, smoking rates among Aboriginal Australians are considerably higher than those of the non-Indigenous population. Approximately 50% of Indigenous women smoke during pregnancy, a time when women are more motivated to quit. Antenatal care providers are potentially important chang...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-165
更新日期:2012-03-07 00:00:00