Attitudes toward preventive services and lifestyle: the views of primary care patients in Europe. The EUROPREVIEW patient study

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 readin...

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Published in:	Family practice Vol. 29; no. suppl_1; pp. i168 - i176
Main Authors:	Brotons, Carlos, Bulc, Mateja, Sammut, Mario R, Sheehan, Mary, Manuel da Silva Martins, Carlos, Björkelund, Cecilia, Drenthen, Antonius J M, Duhot, Didier, Görpelioglui, Süleyman, Jurgova, Eva, Keinanen-Kiukkanniemi, Sirkka, Kotányi, Péter, Markou, Valia, Moral, Irene, Mortsiefer, Achim, Pas, Leo, Pichler, Ingrid, Sghedoni, Donatella, Tataradze, Revaz, Thireos, Eleftherios, Valius, Leonas, Vuchak, Jasna, Collins, Claire, Cornelis, Esther, Ciurana, Ramon, Kloppe, Pilar, Mierzecki, Artur, Nadaraia, Kakha, Godycki-Cwirko, Maciek
Format:	Journal Article
Language:	English
Published:	England Oxford University Press 01-04-2012
Subjects:	Adult Attitude to Health Attitudes Counseling Cross-Sectional Studies Europe Female General Practitioners GPs health promotion lifestyle patients risk reduction behaviour Habits Health Behavior Health Care Service and Management, Health Policy and Services and Health Economy Humans Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi Interventions Life Style Lifestyle Male Middle Aged Patient Acceptance of Health Care - statistics & numerical data Patient satisfaction Patients - psychology Physician's Role Physician-Patient Relations Preventive Health Services Primary Health Care Europe health promotion GPs patients lifestyle risk reduction behaviour
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0263-2136 1460-2229 1460-2229
DOI:	10.1093/fampra/cmr102