ArticleBMJ open2019
All-cause mortality among young men 24-26 years after a lifestyle health dialogue in a Swedish primary care setting: a longitudinal follow-up register study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
HEAlth Dialogues for Patients With Mental Illness in Primary Care
Improving Lifestyle Habits and Metabolic Health in Forensic Psychiatric Patients
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Swedish model of health dialogues, a combined individual- and community-based primary preventive program for cardiovascular disease, is associated with reduced mortality: a systematic review.BMC public health · 2025Pooled it
- Structured assessment of modifiable lifestyle habits among patients with mental illnesses in primary care.Scientific reports · 2022Trial
- Poor self-rated health in individuals with irritable bowel syndrome but no increased 10-year cardiovascular risk: results from a Swedish population-based screening program.Frontiers in cardiovascular medicine · 2026Article
- Health determinants among participants in targeted health dialogues offered to all 40-year-old individuals in a metropolitan region of 1.4 million people.Scandinavian journal of primary health care · 2025Observational
- Exploring the link between self-rated poor oral health and cardiovascular risk: a cross-sectional study using SCORE2.BMC oral health · 2025Observational
- Aggregation of cardiovascular risk factors in a cohort of 40-year-olds participating in a population-based health screening program in Sweden.Archives of public health = Archives belges de sante publique · 2024Article
- Article
- Obesity and its association with self-efficacy and metabolic risk factors by region of birth among 40-year-olds participating in the Swedish targeted health dialogues.Preventive medicine reports · 2024Article
- Unleashing the potential of Health Promotion in primary care-a scoping literature review.Health promotion international · 2024Article
- Lifestyle and cardiovascular risk factors in a Swedish primary care population with self-reported psychiatric symptoms.Preventive medicine reports · 2024Article
- HEAD-MIP-(HEAlth Dialogues for patients with Mental Illness in Primary care)-a feasibility study.Pilot and feasibility studies · 2023Article
- Health care professionals' experiences and perceptions of health promotion through the health dialogue intervention in the scania region, Sweden: a qualitative interview study.BMC primary care · 2023Article
- Agreement between questions about physical activity and sitting time, and device-based measures, used in Swedish targeted health dialogues in the context of primary health care.BMC sports science, medicine & rehabilitation · 2023Article
- The Mediating Role of Healthy Lifestyle Behaviours on the Association between Perceived Stress and Self-Rated Health in People with Non-Communicable Disease.International journal of environmental research and public health · 2022Article
- Physical activity in established rheumatoid arthritis and variables associated with maintenance of physical activity over a seven-year period - a longitudinal observational study.BMC rheumatology · 2020Article
- Flawed conclusions on the Västerbotten Intervention Program by San Sebastian et .al.BMC public health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare mortality and socioeconomic status among men invited to a health dialogue with men from all of Sweden approximately 24 years after the start of the study, and to analyse the associations between lifestyle and all-cause mortality, incidence of cardiovascular disease (CVD) and cancer.
designLongitudinal follow-up register study of men 33-42 years old at baseline.
settingPrimary care in a community in Sweden. SUBJECTS: All 757 men aged 33-42 years old in a community in southern Sweden, and 652 of these men who participated in a health examination between 1985 and 1987.
interventionsHealth examination, lifestyle-directed health dialogue and group activities in primary care in cooperation with local associations. PRIMARY AND SECONDARY OUTCOME MEASURES: All-cause mortality, income and educational level, and associations between lifestyle at baseline and all-cause mortality, incidence of CVD and cancer.
resultsAt follow-up, all-cause mortality was 29% lower (OR=0.71, 95% CI 0.53 to 0.95) among all men invited to the health dialogue compared with all men from the same age cohort in all of Sweden (intention-to-treat) and 43% lower (OR=0.57, 95% CI 0.40 to 0.81) among participating men (on-treatment). A healthy lifestyle was associated with lower mortality (OR=0.16, 95% CI 0.07 to 0.36), with the strongest association for no smoking (OR=0.38, 95% CI 0.21 to 0.68) and a healthy diet (OR=0.37, 95% CI 0.20 to 0.68). A healthy lifestyle was also associated with a decreased incidence of CVD and cancer. There was a significantly higher proportion with short education among invited men compared with men from the same age cohort in all of Sweden.
conclusionsThis study indicates that a combination of low-risk and high-risk strategies, combining a health examination with a lifestyle-directed health dialogue conducted in an ordinary primary care setting in cooperation with local associations, may have contributed to reduced premature mortality. However, we cannot exclude that there may be other factors explaining the lower mortality.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.