1. Attitudes toward preventive services and lifestyle: The views of primary care patients in Europe. the EUROPREVIEW patient study
- Author
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Maciek Godycki-Cwirko, Didier Duhot, Claire Collins, Pilar Kloppe, Mateja Bulc, Eva Jurgova, Jasna Vuchak, Carlos Martins, Mario R. Sammut, Donatella Sghedoni, Sirkka Keinanen-Kiukkanniemi, Carlos Brotons, Leo Pas, Irene Moral, Péter Kotányi, Ramon Ciurana, Süleyman Görpelioglui, Artur Mierzecki, Revaz Tataradze, Leonas Valius, Eleftherios Thireos, Antonius J M Drenthen, Esther Cornelis, Mary Sheehan, Achim Mortsiefer, Ingrid Pichler, Cecilia Björkelund, Kakha Nadaraia, and Valia Markou
- Subjects
Counseling ,Male ,Chronic diseases -- Europe ,Health Behavior ,Primary health care -- Europe ,cholesterol blood level ,cigarette smoking ,physical activity ,cancer risk ,Preventive Health Services ,glucose ,general practice ,Diseases Prevention -- Research -- Europe ,hypercholesterolemia ,Physicians (General practice) -- Europe ,adult ,article ,drinking behavior ,blood pressure ,eating habit ,Middle Aged ,Patient study ,Test (assessment) ,Europe ,aged ,female ,diabetes mellitus ,uterine cervix cytology ,Female ,Family Practice ,Alcohol consumption ,Attitude to Health ,Patients -- Attitudes ,Adult ,cardiovascular risk ,medicine.medical_specialty ,lifestyle ,hypertension ,Patients ,alcohol consumption ,mammography ,Cardiovascular risk factors ,Physical activity ,Primary care ,General Practitioners ,Diabetes mellitus ,medicine ,Medicine, Preventive ,cross-sectional study ,Humans ,human ,Physician's Role ,Life Style ,Physician-Patient Relations ,Primary Health Care ,business.industry ,cholesterol ,Patient Acceptance of Health Care ,medicine.disease ,vaccination ,major clinical study ,Lifestyles -- Health aspects -- Europe ,Blood pressure ,glucose blood level ,Cross-Sectional Studies ,cancer screening ,Family medicine ,general practitioner ,Physical therapy ,preventive health service ,business - Abstract
Background: For preventive interventions in general practice to succeed, patients' points of view must be taken into account in addition to those of GPs. Objective: To explore patients' views and beliefs about the importance of lifestyle and preventive interventions, to assess their readiness to make changes to their lifestyle and their willingness to receive support from GPs. Methods: Cross-sectional survey conducted by EUROPREV in primary care practices in 22 European countries. Patients were consecutively selected and interviewed from September 2008 to September 2009. Results: Seven thousand nine hundred and forty-seven participants, 52.2% females. Only 30.5% of risky drinkers think they need to change, as opposed to 64% of smokers, 73.5% of patients with unhealthy eating habits and 73% with lack of physical activity. Risky drinkers reported that GPs initiated a discussion on alcohol consumption less often (42%) than on smoking (63%), eating habits (59%) or physical activity (55%). Seventy-five per cent, 66% and 63% of patients without hypertension, diabetes or hypercholesterolaemia, respectively, think blood pressure, blood sugar and serum cholesterol should be checked yearly. Women (80%) think they should be screened with the cervical smear test and 72.8% of women aged 30-49 years with mammography, yearly or every 2 years. Conclusions: A high proportion of patients attending primary care with unhealthy lifestyles (especially risky drinkers) do not perceive the need to change their habits, and about half the patients reported not having had any discussion on healthy lifestyles with their GPs. Patients overestimate their need to be screened for cardiovascular risk factors and for cancer., peer-reviewed
- Published
- 2012