Biomedical subjects

Beate Søholt Lupton

Publications and source records attributed to Beate Søholt Lupton.

3 recordsLinked to original sources

PubMed2005

The Finnmark Intervention Study: do community-based intervention programmes threaten self-rated health and well-being? Experiences from Båtsfjord, a fishing village in North Norway.

AIM: Examine negative side-effects on self-rated health and well-being of a community-based intervention in a fishing community in the Norwegian Arctic. METHOD: A cohort study with quasi-experimental design with one intervention community and three control communities from the same area. There was a baseline screening (1987), three years intervention (1988-1991) and a rescreening (1993). Of the invited (aged 20-62 years in 1987), 668 (64%) males and 656 (72%) females met at both screenings. The main outcome variables were self-rated health, mental health variables, and preoccupation with health. Those answering the relevant questions at both screenings were analysed. High-risk and low-risk males were analysed separately. There were too few females in the high-risk group to do separate analyses. RESULTS: The main findings among the low-risk group were: Males in Batsfjord did not differ from males in the control communities. Among females, there was a reduction in the proportion depressed of 20.4% points in Batsfjord and 9.6% in the control communities (p adjusted=0.060). There was also a decrease in the proportion lonely of 19.2% points and 5.8% respectively (p adjusted=0.005). In the male high-risk group there was a decrease in the proportion lonely by 14.7% points in Batsfjord and an increase by 5.9% in the control communities (p adjusted=0.004). CONCLUSION: We have not found that an intervention programme using local empowerment, mass strategies, and intervention on high-risk cases has serious negative side effects on self-rated health, well-being or preoccupation with health.

Adult↗

PubMed2003

The Finnmark Intervention Study: is it possible to change CVD risk factors by community-based intervention in an Arctic village in crisis?

AIMS: Owing to high cardiovascular mortality, the Norwegian Government introduced the programme "Health and Inequalities in Finnmark" in 1988. One of the projects in this programme was aimed at changing cardiovascular risk factors through community-based intervention in a fishing community in the Norwegian Arctic. METHODS: The intervention community Båtsfjord and the three control communities were selected from the same coastal area. The intervention was based on a quasi-experimental design, and evaluated by population surveys before (1987) and after (1993) the invention. The attending cohort was analysed. The intervention method was based on empowerment and cooperation between different organizations, and the primary healthcare system. RESULTS: From 1987 - 93, the male cohort in Båtsfjord had a more favourable development when compared with changes in the control communities regarding the 8.6% increase in physical activity (p = 0.047), the reduction in systolic blood pressure by 0.01 mmHg (p = 0.002), and the reduction in diastolic blood pressure by 2.1 mmHg (p < 0.001). The female cohort in Båtsfjord had a more favourable development when compared with changes in the control communities regarding the 11.2% increase in use of low-fat milk (p = 0.046), the increase in systolic blood pressure by 2.1 mmHg (p = 0.024), and the reduction in diastolic blood pressure by 2.1 mmHg (p < 0.001). CONCLUSION: Despite a difficult economic situation for the Arctic coastal communities, the study found it possible for voluntary organizations, local public administration, and local health personnel to promote change in lifestyle and blood pressure using a community intervention approach.

Adult↗

PubMed2002

The Finnmark Intervention Study. Better health for the fishery population in an Arctic village in North Norway.

OBJECTIVE: To evaluate the lifestyle and cardiovascular risk factor changes after 6 years of intervention in the North Cape community. DESIGN: Longitudinal cohort study with a quasi-experimental design with one intervention and three control communities selected from the same coastal area with a baseline screening (1987), 6-year intervention, and re-screening (1993). SETTING: Fishing communities on the coast of Finnmark in the Norwegian Arctic area. PARTICIPANTS: 1685 (70%) of the invited in both screenings, aged between 20 and 62 years in 1987. INTERVENTION: Community-intervention based on empowerment and cooperation between voluntary organisations and local health services. MAIN OUTCOME MEASURES: Change in cardiovascular risk factors. RESULTS: Compared to the control communities, the main findings in North Cape were among men: 21.3% less drinking boiled coffee (p < 0.05), 10.5% more drinking low fat milk (p < 0.01), 0.3 mmol/l reduction in cholesterol (p < 0.01) and 0.2 kg/m2 reduction in BMI (p < 0.001). Among women, there were 5.9% fewer smokers (p < 0.01), 21% less drinking boiled coffee (p < 0.05), 1 kg/m2 less increase in BMI (p < 0.001) and 0.5 less increase in MI risk score (p < 0.05). CONCLUSIONS: Small close-knit communities are suitable for community-based interventions where it is easier to obtain close interaction between health service, voluntary organisations and the public at large.

Adult↗