Margareta Norberg|Stig Wall|Kurt Boman|Lars Weinehall
The Västerbotten Intervention Programme: background, design and implications
Umeå University|Umeå University|Umeå University|Skellefteå Hospital|Umeå University
sweden mortality cardiovascular diseases cvd increased steadily 20th century mid1980s highest county vsterbotten therefore community intervention programme launched vsterbotten intervention programme vip aim reducing morbidity mortality cvd diabetesthe vip first developed small municipality norsj 1985 subsequently successively implemented across county integrated ordinary primary care routines populationbased strategy directed towards public combined strategy reach middleaged persons individually ages 40 50 60 years inviting participate systematic risk factor screening individual counselling healthy lifestyle habits blood samples research purposes stored ume university medical biobankoverall 113203 health examinations conducted vip 65007000 examinations take place year almost 27000 subjects participated twice participation rates ranged 48 67 dropout rate analysis 1998 indicated small social selection bias crosssectional nested casecontrol studies prospective studies based vip data linkages vip local regional national databases provide opportunities interdisciplinary research well national international collaborations wide range disease outcomes large number publications based data collected vip many also use results analysed stored blood samples 20 phd theses based primarily vip datathe concept vip established collaboration politicians health care providers one hand primary care functioning operating machinery public forms basis effective implementation endurance time 20 years vip large comprehensive populationbased database stable organisation conduct health surveys collect data solid structure enable widespread multidisciplinary scientific collaborations