한국보건사회연구원 전자도서관

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한국보건사회연구원 전자도서관

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기사

Coronary heart disease risk screening: the community pharmacy Healthy Heart Assessment Service /

개인저자
Donyai, Parastou ;, Van den Berg, Melandi
수록페이지
643-647 p.
발행일자
2009.12.10
출판사
Springer Netherlands
초록
[영문]Abstract Objectives We examined the characteristics and CHD risks of people who accessed the free Healthy Heart Assessment (HHA) service operated by a large UK pharmacy chain from August 2004 to April 2006. Methods Associations between participants’ gender, age, and socioeconomics were explored in relation to calculated 10-year CHD risks by cross-tabulation of the data. Specific associations were tested by forming contingency tables and using Pearson chi-square (?2). Results Data from 8,287 records were analysable; 5,377 were at low and 2,910 at moderate-to-high CHD risk. The likelihood of moderate-to-high risk for a male versus female participant was significantly higher with a relative risk ratio (RRR) 1.72 (P qqqlt; 0.001). A higher percentage of those in socioeconomic categories ‘constrained by circumstances’ (RRR 1.15; P qqqlt; 0.05) and ‘blue collar communities’ (RRR 1.13; P qqqlt; 0.05) were assessed with moderate-to-high risk compared to those in ‘prospering suburbs’. Conclusions People from ‘hard-to-reach’ sectors of the population, men and people from less advantaged communities, accessed the HHA service and were more likely to return moderate-to-high CHD risk. Pharmacists prioritised provision of lifestyle information above the sale of a product. Our study supports the notion that pharmacies can serve as suitable environments for the delivery of similar screening services.