Lando H A, Pechacek T F, Pirie P L, Murray D M, Mittelmark M B, Lichtenstein E, Nothwehr F, Gray C
Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454-1015.
Am J Public Health. 1995 Feb;85(2):201-8.
The Minnesota Heart Health Program was a research and demonstration project designed to reduce risk factors for heart disease in whole communities. This paper describes smoking-specific interventions and outcomes.
Three pairs of matched communities were included in the study. After baseline surveys, one community in each pair received a 5-year education program, while both cross-sectional and cohort surveys continued in all sites. Adult education programs for smoking cessation included Quit and Win contests, classes, self-help materials, telephone support, and home correspondence programs.
Encouraging short-term results were obtained for several adult education programs. Overall long-term outcomes were mixed, with evidence of an intervention effect only for women in cross-sectional survey data. Unexpectedly strong secular declines in smoking prevalence were observed in comparison communities.
The findings suggest that community education may be unlikely to exceed dramatic secular reductions in smoking prevalence. The success of several key interventions and the incorporation of Minnesota Heart Health Program interventions by education communities are encouraging, however.
明尼苏达心脏健康项目是一个研究与示范项目，旨在降低整个社区中心脏病的风险因素。本文描述了针对吸烟的干预措施及结果。
研究纳入了三对匹配的社区。在基线调查之后，每对社区中的一个社区接受了为期5年的教育项目，而所有地点均继续进行横断面调查和队列调查。成人戒烟教育项目包括“戒烟赢大奖”竞赛、课程、自助材料、电话支持和家庭函授项目。
几个成人教育项目取得了令人鼓舞的短期效果。总体长期结果好坏参半，只有横断面调查数据显示对女性有干预效果。与对照社区相比，观察到吸烟率出现了意外的大幅长期下降。
研究结果表明，社区教育可能不太可能超过吸烟率显著的长期下降。然而，几个关键干预措施的成功以及教育社区采用明尼苏达心脏健康项目的干预措施是令人鼓舞的。
