Uptake of atrial fibrillation screening aiming at stroke prevention: geo-mapping of target population and non-participation
(2013) In BMC Public Health 13.- Abstract
- Background: In a screening study for silent atrial fibrillation (AF), which is a frequent source of cardiac emboli with ischemic stroke, the proportion of non-participants was considerable and their clinical profile differed from the participants' profile. We intended to geo-map the target population and non-participation in an attempt to understand factors related to screening uptake and, thereby, obtain useful information needed to intervene for improved uptake. Method: In the municipality of Halmstad, Sweden, all residents born in 1934-1935 were invited to the screening study during April 2010 to February 2012. The total study group included 848 participants and 367 non-participants from 12 parishes. Geo-maps displaying participation,... (More)
- Background: In a screening study for silent atrial fibrillation (AF), which is a frequent source of cardiac emboli with ischemic stroke, the proportion of non-participants was considerable and their clinical profile differed from the participants' profile. We intended to geo-map the target population and non-participation in an attempt to understand factors related to screening uptake and, thereby, obtain useful information needed to intervene for improved uptake. Method: In the municipality of Halmstad, Sweden, all residents born in 1934-1935 were invited to the screening study during April 2010 to February 2012. The total study group included 848 participants and 367 non-participants from 12 parishes. Geo-maps displaying participation, along with target-population-based geo-maps displaying proportion of immigrants and ischemic stroke incidence, were used. Results: Smoothed non-participation ratios (SmNPR) varied from 0.81 to 1.24 across different parishes (SmNRP = 1 corresponds to the expected participation based on the total study group). Among high risk individuals, the geographical variation was more pronounced (SmNPR range 0.75-1.51). Two parishes with higher share of immigrants and elevated population-based ischemic stroke incidence showed markedly lower participation, particularly among high-risk individuals. Conclusion: AF screening uptake varied evidently between parishes, particularly among high-risk individuals. Geo-mapping of target population and non-participation yielded useful information needed to intervene for improved screening uptake. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4042701
- author
- Engdahl, Johan ; Holmen, Anders ; Rosenqvist, Marten and Strömberg, Ulf LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Atrial fibrillation, Screening, Participation, Stroke prevention
- in
- BMC Public Health
- volume
- 13
- article number
- 715
- publisher
- BioMed Central (BMC)
- external identifiers
-
- wos:000322835600001
- scopus:84880933599
- pmid:23914772
- ISSN
- 1471-2458
- DOI
- 10.1186/1471-2458-13-715
- language
- English
- LU publication?
- yes
- id
- b2fc4bfd-045b-4b0d-9c93-532f083e4a2b (old id 4042701)
- date added to LUP
- 2016-04-01 14:19:58
- date last changed
- 2022-01-28 00:02:06
@article{b2fc4bfd-045b-4b0d-9c93-532f083e4a2b,
abstract = {{Background: In a screening study for silent atrial fibrillation (AF), which is a frequent source of cardiac emboli with ischemic stroke, the proportion of non-participants was considerable and their clinical profile differed from the participants' profile. We intended to geo-map the target population and non-participation in an attempt to understand factors related to screening uptake and, thereby, obtain useful information needed to intervene for improved uptake. Method: In the municipality of Halmstad, Sweden, all residents born in 1934-1935 were invited to the screening study during April 2010 to February 2012. The total study group included 848 participants and 367 non-participants from 12 parishes. Geo-maps displaying participation, along with target-population-based geo-maps displaying proportion of immigrants and ischemic stroke incidence, were used. Results: Smoothed non-participation ratios (SmNPR) varied from 0.81 to 1.24 across different parishes (SmNRP = 1 corresponds to the expected participation based on the total study group). Among high risk individuals, the geographical variation was more pronounced (SmNPR range 0.75-1.51). Two parishes with higher share of immigrants and elevated population-based ischemic stroke incidence showed markedly lower participation, particularly among high-risk individuals. Conclusion: AF screening uptake varied evidently between parishes, particularly among high-risk individuals. Geo-mapping of target population and non-participation yielded useful information needed to intervene for improved screening uptake.}},
author = {{Engdahl, Johan and Holmen, Anders and Rosenqvist, Marten and Strömberg, Ulf}},
issn = {{1471-2458}},
keywords = {{Atrial fibrillation; Screening; Participation; Stroke prevention}},
language = {{eng}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Public Health}},
title = {{Uptake of atrial fibrillation screening aiming at stroke prevention: geo-mapping of target population and non-participation}},
url = {{https://lup.lub.lu.se/search/files/3913978/4331870.pdf}},
doi = {{10.1186/1471-2458-13-715}},
volume = {{13}},
year = {{2013}},
}