Abramson J H, Gofin R, Hopp C, Gofin J, Donchin M, Habib J
Isr J Med Sci. 1981 Feb-Mar;17(2-3):201-12.
A community-focused program for the control of cardiovascular risk factors, the CHAD program, was instituted in a family practice in western Jerusalem in 1971. Its effectiveness was evaluated by comparing the changes detected by surveys conducted in 1970 and 1975 with those observed in an adjacent control neighborhood. Hypertension decreased in prevalence by 33%, hypercholesterolemia by 31%, cigarette smoking by 23% (among men), and overweight by 13%. Allowing for the reductions observed in the control population, the net percent reductions in prevalence were 20% for hypertension, 15% for hypercholesterolemia, 11% for cigarette smoking (men) and 13% for overweight. The net reductions in hypertension, smoking and overweight were statistically significant. The net reductions in mean systolic and diastolic pressures and weight were also significant. The results suggest that intervention centered in primary health care can have an appreciable effect on cardiovascular risk factors in the population.
1971年，在耶路撒冷西部的一家家庭诊所开展了一项以社区为重点的心血管危险因素控制项目，即CHAD项目。通过比较1970年和1975年调查发现的变化与在相邻对照社区观察到的变化，对该项目的效果进行了评估。高血压患病率下降了33%，高胆固醇血症下降了31%，吸烟率（男性）下降了23%，超重率下降了13%。考虑到对照人群中观察到的减少情况，高血压患病率的净下降百分比为20%，高胆固醇血症为15%，吸烟（男性）为11%，超重为13%。高血压、吸烟和超重的净下降具有统计学意义。平均收缩压和舒张压以及体重的净下降也很显著。结果表明，以初级卫生保健为中心的干预措施可以对人群中的心血管危险因素产生显著影响。
