Shekelle R B, Liu S C
JAMA. 1978 Aug 25;240(8):756-8.
Interviews with a probability sample of 617 adults in the Chicago area indicated widespread lack of information about major probable causes of heart attacks in persons younger than 60 years: 28% named cigarette smoking, 21% named high blood pressure, and 13% named cholesterol or fat in the diet or blood. Half did not name any of these risk factors, and only 1% named all three. Although three fourths believed that heart attacks are preventable, few named specific behaviors that would effectively reduce risk factors other than smoking. Sustained community-wide educational programs about reducing coronary risk factors are clearly needed and can be effective.
对芝加哥地区617名成年人进行的概率抽样访谈表明,60岁以下人群普遍缺乏有关心脏病主要可能病因的信息:28%的人提到吸烟,21%的人提到高血压,13%的人提到饮食或血液中的胆固醇或脂肪。一半的人没有说出任何这些风险因素,只有1%的人说出了全部三个因素。尽管四分之三的人认为心脏病是可以预防的,但很少有人说出除吸烟外能有效降低风险因素的具体行为。显然需要开展全社区范围的持续教育项目来降低冠心病风险因素,而且这些项目会有效果。