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Missed opportunities for the prevention of cardiovascular disease among British hypertensives in primary care
Author(s)F A Foss, E Dickinson, M Hills
Journal titleBritish Journal of General Practice, vol 46, October 1996
Pagespp 571-575
KeywordsHypertension ; General practice ; Preventative medicine ; At risk ; Cardiovascular diseases ; Social surveys.
AnnotationRelationships between patients' knowledge of cardiovascular disease (CVD) risk factors, their perception of personal risk and health behaviours, and use of lifestyle interventions are explored. A survey of 2676 men and women with mild to moderate hypertension and their general practitioners (GPs), recruited from 1044 general practices throughout the UK was conducted. Levels of modifiable risk factors were high. A lower standard of living was associated with a higher prevalence of "unhealthy" behaviours. Of those with a current lifestyle problem, 85% of obese patients, 59% of smokers, 47% of excess drinkers, 49% of those with dietary risk factors and 32% of inactive patients claimed to have adopted healthier behaviours within the past 3 months. Older subjects and those with a lower standard of living were less likely to acknowledge risks, and those who did were less likely to report improving lifestyles. While 71% recalled receiving lifestyle advice, the coverage and targeting was poor. 60% had received advice on weight control, 47% on diet, 38% on exercise, 38% on smoking, and 36% on alcohol. Women and older people as less likely to receive relevant counselling; and there is poor targeting of those at greatest risk. (RH).
Accession NumberCPA-991223010 A
ClassmarkCQQ: L5: LK2: CA3: CQ: 3F *

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