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Biomedical subjects

R Grignon

Publications and source records attributed to R Grignon.

4 recordsLinked to original sources

Behavioral diagnosis of 30 to 60 year-old men in the Fabreville Heart Health Program.

To develop effective interventions in the Fabreville Heart Health Program, a behavioral diagnosis was conducted on a sample of 1,600 men 30 to 60 years of age residing in the Fabreville district of Laval, Quebec's second most populous city. The response rate of the self-administered postal questionnaire was 73.5%. The results indicate that dietary fat consumption, smoking and a sedentary lifestyle were more prevalent among the younger respondents, particularly those less-educated. The results underline the importance of segmenting the target population so that heart health interventions can respond to the specific needs of each sub-population. Furthermore, the data seem to suggest the need to adapt educational messages to the target lifestyle habits. The results showed that in terms of diet, consumption of meat and dairy products contributed the most to fat intake. Of the 30% who were smokers, a large proportion would be reluctant to stop the habit; 20% smoked 26 cigarettes or more a day, and more than half had already tried once or more to stop. Although 60% of respondents indicated they engaged in physical activity, only 37.0% did it regularly. These results demonstrate the need to clearly target specific behaviours and subgroups in our promotion messages for a healthy heart.

Adult↗

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Guatemala↗

The prevalence, awareness and control of hypertension in Laval, Quebec, 1986.

The prevalence, awareness and control of hypertension were assessed in a representative sample (n = 1,374) of the Laval population (aged 30-69 years). The study was designed to identify people at increased risk for cardiovascular disease because of elevated blood pressure levels rather than to establish a strict clinical prevalence. Defining hypertension as systolic pressure greater than or equal to 140 mm Hg and/or diastolic pressure greater than or equal to 90 mm Hg and/or on anti-hypertensive medication, the study found a prevalence of 25% (32% in men, 19% in women). Two thirds (67%) of the male hypertensives and 41% of the female hypertensives were previously unaware of their condition. One in three hypertensives were on medication, and less than half of these were under control. As observed in other studies, control was better in women. The study suggests the continuing need for high blood pressure education and detection in the Laval population, particularly among men.

Age Factors↗

Hypertension follow-up survey Laval, Quebec, 1988.

In 1988, a follow-up study of a group of hypertensives (n = 278), identified two years earlier in a prevalence survey (1986), was conducted. Blood pressure (BP) levels, treatment and control status and medical follow-up were assessed. Subjects were classified as either known hypertensives or newly identified hypertensives. There was a moderate increase in blood pressure control over the two-year period in known hypertensives. Approximately half of newly identified hypertensives remained untreated, uncontrolled; half became ex-hypertensives. One third of the ex-hypertensives, however, still had high-normal diastolic readings (85-89 mm Hg). Newly identified hypertensives reported less frequent medical visits and fewer non-pharmacological recommendations from their physicians than known hypertensives. The study suggests that follow-up and counselling on modifiable risk factors in borderline and mild hypertensives might not be up to recent Canadian and American guidelines.

Adult↗