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Cardiovascular diseases prevention in Poland: results of WOBASZ and WOBASZ II studies.
Kardiol Pol. 2018; 76(11):1534-1541.KP

Abstract

BACKGROUND

Cardiovascular diseases are the main cause of morbidity and an important cause of disability and premature death in European countries. Current guidelines recommend prevention delivery by physicians during medical consultations.

AIM

We sought to evaluate the prevention support offered by Polish physicians in 2013-2014 compared to 2003-2005, and its determinants.

METHODS

The data from two population surveys were analysed: WOBASZ (6392 men and 7153 women, aged 20-74 years, screened in 2003-2005) and WOBASZ II (2751 men and 3418 women, aged ≥ 20 years, screened in 2013-2014). For comparison analysis, the population of WOBASZ II was restricted to persons aged 20-74 years. Prevention delivery was assessed using a questionnaire.

RESULTS

Overall, 64% of men and 75% of women screened in 2003-2005 consulted their physicians at least once in the preceding year; 10 years later these rates were 70% and 82%, respectively. In both studies, 70% of respondents recalled having received one piece of prevention advice during a medical consultation. One-third of participants neither received any prevention advice nor had their blood pressure or cholesterol level measured. In WOBASZ II we observed a significant increase in the frequency of counselling regarding smoking cessation, nutrition, and increased physical activity, as well as in the frequency of cholesterol measurements, compared to WOBASZ. The prevention support was related to the health status.

CONCLUSIONS

The prevention support in the years 2013-2014 was better than in 2003-2005, but was still insufficient. About one-third of participants did not receive any preventive advice. The prevention support was offered more often to patients with worse health status.

Authors+Show Affiliations

Department of Epidemiology, Cardiovascular Disease Prevention, and Health Promotion, The Cardinal Stafan Wyszynski Institute of Cardiology, Warsaw, POland, Alpejska 42, 04-628 Warssw, Poland. apiwonska@ikard.pl.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

30251243

Citation

Piwońska, Aleksandra, et al. "Cardiovascular Diseases Prevention in Poland: Results of WOBASZ and WOBASZ II Studies." Kardiologia Polska, vol. 76, no. 11, 2018, pp. 1534-1541.
Piwońska A, Piotrowski W, Kozela M, et al. Cardiovascular diseases prevention in Poland: results of WOBASZ and WOBASZ II studies. Kardiol Pol. 2018;76(11):1534-1541.
Piwońska, A., Piotrowski, W., Kozela, M., Pająk, A., Nadrowski, P., Kozakiewicz, K., Tykarski, A., Bielecki, W., Puch-Walczak, A., Zdrojewski, T., & Drygas, W. (2018). Cardiovascular diseases prevention in Poland: results of WOBASZ and WOBASZ II studies. Kardiologia Polska, 76(11), 1534-1541. https://doi.org/10.5603/KP.a2018.0154
Piwońska A, et al. Cardiovascular Diseases Prevention in Poland: Results of WOBASZ and WOBASZ II Studies. Kardiol Pol. 2018;76(11):1534-1541. PubMed PMID: 30251243.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cardiovascular diseases prevention in Poland: results of WOBASZ and WOBASZ II studies. AU - Piwońska,Aleksandra, AU - Piotrowski,Walerian, AU - Kozela,Magdalena, AU - Pająk,Andrzej, AU - Nadrowski,Paweł, AU - Kozakiewicz,Krystyna, AU - Tykarski,Andrzej, AU - Bielecki,Wojciech, AU - Puch-Walczak,Aleksandra, AU - Zdrojewski,Tomasz, AU - Drygas,Wojciech, Y1 - 2018/09/25/ PY - 2018/05/09/received PY - 2018/07/27/accepted PY - 2018/07/13/revised PY - 2018/9/27/pubmed PY - 2019/3/22/medline PY - 2018/9/26/entrez KW - cardiovascular diseases prevention KW - health survey SP - 1534 EP - 1541 JF - Kardiologia polska JO - Kardiol Pol VL - 76 IS - 11 N2 - BACKGROUND: Cardiovascular diseases are the main cause of morbidity and an important cause of disability and premature death in European countries. Current guidelines recommend prevention delivery by physicians during medical consultations. AIM: We sought to evaluate the prevention support offered by Polish physicians in 2013-2014 compared to 2003-2005, and its determinants. METHODS: The data from two population surveys were analysed: WOBASZ (6392 men and 7153 women, aged 20-74 years, screened in 2003-2005) and WOBASZ II (2751 men and 3418 women, aged ≥ 20 years, screened in 2013-2014). For comparison analysis, the population of WOBASZ II was restricted to persons aged 20-74 years. Prevention delivery was assessed using a questionnaire. RESULTS: Overall, 64% of men and 75% of women screened in 2003-2005 consulted their physicians at least once in the preceding year; 10 years later these rates were 70% and 82%, respectively. In both studies, 70% of respondents recalled having received one piece of prevention advice during a medical consultation. One-third of participants neither received any prevention advice nor had their blood pressure or cholesterol level measured. In WOBASZ II we observed a significant increase in the frequency of counselling regarding smoking cessation, nutrition, and increased physical activity, as well as in the frequency of cholesterol measurements, compared to WOBASZ. The prevention support was related to the health status. CONCLUSIONS: The prevention support in the years 2013-2014 was better than in 2003-2005, but was still insufficient. About one-third of participants did not receive any preventive advice. The prevention support was offered more often to patients with worse health status. SN - 1897-4279 UR - https://www.unboundmedicine.com/medline/citation/30251243/Cardiovascular_diseases_prevention_in_Poland:_results_of_WOBASZ_and_WOBASZ_II_studies_ L2 - https://doi.org/10.5603/KP.a2018.0154 DB - PRIME DP - Unbound Medicine ER -