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Titolo:
COMMUNITY EDUCATION FOR CARDIOVASCULAR-DISEASE PREVENTION - MORBIDITYAND MORTALITY RESULTS FROM THE MINNESOTA HEART HEALTH-PROGRAM
Autore:
LUEPKER RV; RASTAM L; HANNAN PJ; MURRAY DM; GRAY C; BAKER WL; CROW R; JACOBS DR; PIRIE PL; MASCIOLI SR; MITTELMARK MB; BLACKBURN H;
Indirizzi:
UNIV MINNESOTA,SCH PUBL HLTH,DIV EPIDEMIOL,1300 S 2ND ST,SUITE 300 MINNEAPOLIS MN 55454
Titolo Testata:
American journal of epidemiology
fascicolo: 4, volume: 144, anno: 1996,
pagine: 351 - 362
SICI:
0002-9262(1996)144:4<351:CEFCP->2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
NORTH-KARELIA PROJECT; STANFORD 5-CITY PROJECT; WIDE PREVENTION; RISK-FACTORS; INTERVENTION PROGRAM; DESIGN; DECLINE; STROKE; CHOLESTEROL; STRATEGIES;
Keywords:
CARDIOVASCULAR DISEASES; HEALTH EDUCATION; HEALTH PROMOTION; MORBIDITY; MORTALITY; PRIMARY PREVENTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
53
Recensione:
Indirizzi per estratti:
Citazione:
R.V. Luepker et al., "COMMUNITY EDUCATION FOR CARDIOVASCULAR-DISEASE PREVENTION - MORBIDITYAND MORTALITY RESULTS FROM THE MINNESOTA HEART HEALTH-PROGRAM", American journal of epidemiology, 144(4), 1996, pp. 351-362

Abstract

The Minnesota Heart Health Program was a community trial of cardiovascular disease prevention methods that was conducted from 1980 to 1990 in three Upper Midwestern communities with three matched comparison communities. A 5- to 6-year intervention program used community-wide andindividual health education in an attempt to decrease population risk. A major hypothesis was that the incidence of validated fatal and nonfatal coronary heart disease and stroke in 30- to 74-year-old men and women would decline differentially in the education communities after the health promotion program was introduced. This hypothesis was investigated using mixed-model regression. The intervention effect was modeled as a series of annual departures from a linear secular trend aftera 2-year lag from the start of the intervention program. In the education communities, 2,394 cases of coronary heart disease and 818 cases of stroke occurred, with 2,526 and 739 cases, respectively, being seenin the comparison communities, The overall decline in coronary heart disease incidence was 1.8 percent per year in men (p=0.03) and 3.6 percent per year in women (p=0.007). For stroke, there were no significant secular trends, The authors recently published findings showing minimal effects of sustained intervention on risk factor levels, In the current report, there was no evidence of a significant intervention effect on morbidity or mortality, either for coronary heart disease or forstroke.

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Documento generato il 25/11/20 alle ore 18:39:28