Health Promotion Priorities for General Practice: Constructing and Using "indicative Prevalences"

Overview

Journal BMJ

Specialty General Medicine

Date 1994 Apr 16

PMID 8167515

Citations 11

Authors

B G Charlton

N Calvert

M White

G P Rye

W Conrad

T Van Zwanenberg

Affiliations

Soon will be listed here.

Abstract

Objective: To construct indicative prevalences for a range of diseases and risk markers and use them in planning health promotion interventions in primary health care.

Design: Indicative prevalences comprised point prevalence, incidence, and mortality measures. Use of data from Office of Population Censuses and Surveys, Northern Regional Health Authority, and Newcastle health and lifestyle survey 1991, and research papers to determine prevalence adjusted for age and sex in a hypothetical practice with a list of 10,000 patients.

Setting: Newcastle upon Tyne, England.

Results: Indicative prevalences were highest for common risk markers such as failure to achieve exercise targets (6871), moderate to extreme obesity (2785), and smoking (2689); moderate for overt disease such as angina (175) and stroke (20/year); and low for events such as suicide (1/year) and deaths from malignant melanoma (2/10 years).

Conclusions: Given limited time and resources, brief interventions to reduce smoking and the systematic case finding and management of patients with hypertension, angina, and previous myocardial infarction are likely to be the highest priorities for health promotion in primary care.

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References

Hart J, Edwards C, Hart M, Jones J, Jones M, Haines A . Screen detected high blood pressure under 40: a general practice population followed up for 21 years. BMJ. 1993; 306(6875):437-40. PMC: 1676534. DOI: 10.1136/bmj.306.6875.437. View

Juul-Moller S, Edvardsson N, Jahnmatz B, Rosen A, Sorensen S, Omblus R . Double-blind trial of aspirin in primary prevention of myocardial infarction in patients with stable chronic angina pectoris. The Swedish Angina Pectoris Aspirin Trial (SAPAT) Group. Lancet. 1992; 340(8833):1421-5. DOI: 10.1016/0140-6736(92)92619-q. View

Irvine D . General practice in the 1990s: a personal view on future developments. Br J Gen Pract. 1993; 43(368):121-5. PMC: 1372334. View

Hannay D . Primary care and public health. BMJ. 1993; 307(6903):516-7. PMC: 1678597. DOI: 10.1136/bmj.307.6903.516. View

Underwood M, More R . The aspirin papers. BMJ. 1994; 308(6921):71-2. PMC: 2539221. DOI: 10.1136/bmj.308.6921.71. View

McManus I . Science in schools: decline and fall?. BMJ. 1994; 308(6924):284-5. PMC: 2539268. DOI: 10.1136/bmj.308.6924.284. View

Mant D . Health checks--time to check out?. Br J Gen Pract. 1994; 44(379):51-2. PMC: 1238782. View

Ronne T . Measles virus infection without rash in childhood is related to disease in adult life. Lancet. 1985; 1(8419):1-5. DOI: 10.1016/s0140-6736(85)90961-4. View

Cannon P, Connell P, Stockley I, Garner S, Hampton J . Prevalence of angina as assessed by a survey of prescriptions for nitrates. Lancet. 1988; 1(8592):979-81. DOI: 10.1016/s0140-6736(88)91790-4. View

10.

Dennis M, Bamford J, Sandercock P, Warlow C . Incidence of transient ischemic attacks in Oxfordshire, England. Stroke. 1989; 20(3):333-9. DOI: 10.1161/01.str.20.3.333. View

11.

Bamford J, Sandercock P, Dennis M, Warlow C, Jones L, McPherson K . A prospective study of acute cerebrovascular disease in the community: the Oxfordshire Community Stroke Project 1981-86. 1. Methodology, demography and incident cases of first-ever stroke. J Neurol Neurosurg Psychiatry. 1988; 51(11):1373-80. PMC: 1032805. DOI: 10.1136/jnnp.51.11.1373. View

12.

Simpson I, Camm A . Colour Doppler flow mapping. BMJ. 1990; 300(6716):1-2. PMC: 1661871. DOI: 10.1136/bmj.300.6716.1. View

13.

Chisholm J . The 1990 contract: its history and its content. BMJ. 1990; 300(6728):853-6. PMC: 1662580. DOI: 10.1136/bmj.300.6728.853. View

14.

Smith W, Lee A, Crombie I, Tunstall-Pedoe H . Control of blood pressure in Scotland: the rule of halves. BMJ. 1990; 300(6730):981-3. PMC: 1662684. DOI: 10.1136/bmj.300.6730.981. View

15.

Fowler G, Mant D . Health checks for adults. BMJ. 1990; 300(6735):1318-20. PMC: 1663063. DOI: 10.1136/bmj.300.6735.1318. View

16.

Eccles M, Bradshaw C . Use of secondary prophylaxis against myocardial infarction in the north of England. BMJ. 1991; 302(6768):91-2. PMC: 1668878. DOI: 10.1136/bmj.302.6768.91. View

17.

Hart J, Thomas C, Gibbons B, Edwards C, Hart M, Jones J . Twenty five years of case finding and audit in a socially deprived community. BMJ. 1991; 302(6791):1509-13. PMC: 1670219. DOI: 10.1136/bmj.302.6791.1509. View

18.

Paris J, Wakeman A, Griffiths R . General practitioners and public health. Public Health. 1992; 106(5):357-66. DOI: 10.1016/s0033-3506(05)80184-2. View

19.

Kelly M, Charlton B . Health promotion: time for a new philosophy?. Br J Gen Pract. 1992; 42(359):223-4. PMC: 1372056. View

20.

Fowler G . James Mackenzie Lecture 1992. The Indians' revenge. Br J Gen Pract. 1993; 43(367):78-81. PMC: 1372304. View