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Titolo:
The Otsego-Schoharie healthy heart program: prevention of cardiovascular disease in the rural US
Autore:
Nafziger, AN; Erb, TA; Jenkins, PL; Lewis, C; Pearson, TA;
Indirizzi:
Bassett Healthcare, Clin Pharmacol Res Ctr, Cooperstown, NY 13326 USA Bassett Healthcare Cooperstown NY USA 13326 tr, Cooperstown, NY 13326 USA Bassett Healthcare, Dept Med, Cooperstown, NY 13326 USA Bassett Healthcare Cooperstown NY USA 13326 ed, Cooperstown, NY 13326 USA Mary Imogene Bassett Res Inst, Cooperstown, NY USA Mary Imogene Bassett Res Inst Cooperstown NY USA st, Cooperstown, NY USA Univ Rochester, Med Ctr, Dept Community & Prevent Med, Rochester, NY 14642USA Univ Rochester Rochester NY USA 14642 Prevent Med, Rochester, NY 14642USA
Titolo Testata:
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH
, , anno: 2001, supplemento:, 56
pagine: 21 - 32
SICI:
1403-4948(2001):<21:TOHHPP>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMMUNITY-WIDE PREVENTION; STANFORD 5-CITY PROJECT; RISK; EDUCATION; STRATEGIES; PROMOTION;
Keywords:
cardiovascular diseases; community health education; health survey; public health; rural health; smoking cessation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Nafziger, AN Bassett Healthcare, Clin Pharmacol Res Ctr, 1 Atwell Rd, Cooperstown, NY 13326 USA Bassett Healthcare 1 Atwell Rd Cooperstown NY USA 13326 6 USA
Citazione:
A.N. Nafziger et al., "The Otsego-Schoharie healthy heart program: prevention of cardiovascular disease in the rural US", SCAND J P H, 2001, pp. 21-32

Abstract

Objectives: To describe a rural, hospital-based public health interventionprogram and to evaluate its effectiveness in cardiovascular disease (CVD) risk reduction using cross-sectional studies and a panel study. Methods: A rural population of 158,000 located in New York state comprisedthe intervention population. A similar but separate population was used for reference. A multifaceted, multimedia 5-year program provided health promotion and education initiatives to increase physical activity, decrease smoking, improve nutrition. and identify hypercholesterolemia and hypertension. To evaluate the effectiveness of the intervention, surveys were conductedat baseline in 1989 (cross-sectional) and at follow-up in 1994-95 (cross-sectional and panel). For cross-sectional studies. a random sample of adultswas obtained using a three-stage cluster design. Self-reported and objective risk factor measurements were obtained. Comparison of pre- to post- changes in intervention versus reference populations was done using 2 x 2 randomized block ANOVA, 2 x 2 mixed ANOVA, and extension of the McNemar test. Results: Smoking prevalence declined (from 27.9% to 17.6%) in the intervention population. Significant adverse trends were observed for high-density lipoprotein cholesterol and triglycerides. Systolic blood pressure was reduced while diastolic blood pressure remained stable. Body mass index increased significantly in both populations,Conclusions: This rural. 5-year CVD community intervention program decreased smoking. The risk reduction may be attributable to tailoring of a multifaceted approach (multiple risk factors, multiple messages, and multiple population subgroups) to a target rural population. The study period was too short to identify changes in CVD morbidity and mortality.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/01/20 alle ore 21:08:53