EFFECTS OF COMMUNITY-WIDE EDUCATION ON CARDIOVASCULAR-DISEASE RISK-FACTORS - THE STANFORD 5-CITY PROJECT
EFFECTS OF COMMUNITY-WIDE EDUCATION ON CARDIOVASCULAR-DISEASE RISK-FACTORS - THE STANFORD 5-CITY PROJECT
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DOI：
10.1001/jama.264.3.359
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发表时间：
1990-07-18
影响因子：
120.7
通讯作者：
WOOD, PD
中科院分区：
文献类型：
--
作者：
FARQUHAR, JW;FORTMANN, SP;WOOD, PD
为了检验社区健康教育是否可以减少中风和冠心病，我们比较了两个治疗城市（N = 122,800）和两个对照城市（N = 197,500）在危险因素、血压、血浆胆固醇水平、吸烟率、体重和静息脉搏率方面的知识变化。接受治疗的城市接受了一项为期5年的低成本综合计划，该计划采用了社会学习理论、沟通-行为改变模型、社区组织原则和社会营销方法，结果导致大约26小时的多渠道和多因素教育。在基线和随后的三次调查中，通过代表性队列调查和横断面调查评估危险因素。在接受30 ~ 64个月的教育后，群体样本的血浆胆固醇水平（2%）、血压（4%）、静息脉搏率（3%）和吸烟率（13%）显著净下降。这些危险因素的改变导致综合总死亡风险评分（15%）和冠心病风险评分（16%）显著下降。因此，这种低成本的项目可以对广泛人群的风险因素产生影响。
To test whether communitywide health education can reduce stroke and coronary heart disease, we compared two treatment cities (N = 122,800) and two control cities (N = 197,500) for changes in knowledge of risk factors, blood pressure, plasma cholesterol level, smoking rate, body weight, and resting pulse rate. Treatment cities received a 5-year, low-cost, comprehensive program using social learning theory, a communication-behavior change model, community organization principles, and social marketing methods that resulted in about 26 hours of exposure to multichannel and multifactor education. Risk factors were assessed in representative cohort and cross-sectional surveys at baseline and in three later surveys. After 30 to 64 months of education, significant net reductions in community averages favoring treatment occurred in plasma cholesterol level (2%), blood pressure (4%), resting pulse rate (3%), and smoking rate (13%) of the cohort sample. These risk factor changes resulted in important decreases in composite total mortality risk scores (15%) and coronary heart disease risk scores (16%). Thus, such low-cost programs can have an impact on risk factors in broad population groups.