通过基于社区的风险降低措施预防心血管疾病：布思希尔心脏健康项目。
Preventing cardiovascular disease through community-based risk reduction: the Bootheel Heart Health Project.
作者信息
Brownson R C, Smith C A, Pratt M, Mack N E, Jackson-Thompson J, Dean C G, Dabney S, Wilkerson J C
机构信息
Department of Community Health, Saint Louis University, Mo., USA.
出版信息
Am J Public Health. 1996 Feb;86(2):206-13. doi: 10.2105/ajph.86.2.206.
OBJECTIVES
The purpose of this study was to determine whether a community-based risk reduction project affected behavioral risk factors for cardiovascular disease.
METHODS
Community-based activities (e.g., exercise groups, healthy cooking demonstrations, blood pressure and cholesterol screenings, and cardiovascular disease education) were conducted in six southeastern Missouri counties. Evaluation involved population-based, cross-sectional samples of adult residents of the state and the intervention region. Weighted prevalence estimates were calculated for self-reported physical inactivity, cigarette smoking, consumption of fruits and vegetables, overweight, and cholesterol screening.
RESULTS
Physical inactivity decreased within the intervention region, that is, in communities where heart health coalitions were developed and among respondents who were aware of these coalitions. In addition, the prevalence rates for reports of cholesterol screening within the past 2 years were higher for respondents in areas with coalitions and among persons who were aware of the coalitions.
CONCLUSIONS
Even with modest resources, community-based interventions show promise in reducing self-reported risk for cardiovascular disease within a relatively brief period.
目的
本研究旨在确定一项基于社区的风险降低项目是否会影响心血管疾病的行为风险因素。
方法
在密苏里州东南部的六个县开展了基于社区的活动（如运动小组、健康烹饪示范、血压和胆固醇筛查以及心血管疾病教育）。评估涉及该州和干预地区成年居民的基于人群的横断面样本。计算了自我报告的身体活动不足、吸烟、水果和蔬菜摄入量、超重以及胆固醇筛查的加权患病率估计值。
结果
干预地区内，即已建立心脏健康联盟的社区以及知晓这些联盟的受访者中，身体活动不足的情况有所减少。此外，在有联盟的地区以及知晓联盟的人群中，过去两年内报告进行胆固醇筛查的患病率更高。
结论
即使资源有限，基于社区的干预措施在相对较短的时间内降低自我报告的心血管疾病风险方面也显示出前景。
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