Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old Danes

BMC Cardiovascular Disorders

Research Article

Dort e Gyrd-Hansen¹  Pia Veldt Larsen²  Jesper Bo Nielsen³  Dorte Ejg Jarbøl³  Jens Søndergaard³  Anja Leppin⁴ 

[1] COHERE, Department of Public Health, University of Southern Denmark, J.B.Winsløwvej 9, DK-5000, Odense, Denmark;Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, J.B.Winsløwvej 9, DK-5000, Odense, Denmark;Research Unit for General Practice, Department of Public Health, University of Southern Denmark, J.B.Winsløwvej 9, DK-5000, Odense, Denmark;Unit for Health Promotion Research, Department of Public Health, University of Southern Denmark, Niels Bohrs Vej 9, DK-6700, Esbjerg, Denmark;

关键词: Cardiovascular disease;    Prevention;    Survey;    Lifestyle;    Barriers;   

DOI  :  10.1186/s12872-017-0677-0

 received in 2016-12-22, accepted in 2017-09-04,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundElimination of modifiable risk factors including unhealthy lifestyle has the potential for prevention of 80% of cardiovascular disease cases. The present study focuses on disclosing barriers for maintaining specific lifestyle changes by exploring associations between perceiving these barriers and various sociodemographic and health-related characteristics.MethodsData were collected through a web-based questionnaire survey and included 962 respondents who initially accepted treatment for a hypothetical cardiovascular risk, and who subsequently stated that they preferred lifestyle changes to medication. Logistic regression was used to analyse associations between barriers to lifestyle changes and relevant covariates.ResultsA total of 45% of respondents were identified with at least one barrier to introducing 30 min extra exercise daily, 30% of respondents reported at least one barrier to dietary change, and among smokers at least one barrier to smoking cessation was reported by 62% of the respondents. The perception of specific barriers to lifestyle change depended on sociodemographic and health-related characteristics.ConclusionWe observed a considerable heterogeneity between different social groups in the population regarding a number of barriers to lifestyle change. Our study demonstrates that social inequality exists in the ability to take appropriate preventive measures through lifestyle changes to stay healthy. This finding underlines the challenge of social inequality even in populations with equal and cost-free access to health care. Our study suggests supplementing traditional public campaigns to counter cardiovascular disease by using individualized and targeted initiatives.

【 授权许可】

CC BY   
© The Author(s). 2017