Evaluation for primary prevention of cardiovascular disease in a community.

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Aim of the study was to examine the effect of primary prevention in the area where a long-term epidemiological survey was conducted. Incidence of coronary heart disease and cerebrovascular disease was declined during 1999-20011 in men and women. Similar mortality trends were also declined more than the incidence ones. Impact of hypertension, diabetes, and smoking on cardiovascular events was large; on the other hand, that of obesity and hyperlipidemia was little. Population attributable risk of hypertension, diabetes, and smoking for cardiovascular disease was 16.9%, 5.9%, and 5.5%, respectively. During the periods, a level of blood pressure was level off in men and was decreased in women. Smoking rate was decreased by 10% in men. Declined level of blood pressure and smoking rate were contributed to the favorable trends of cardiovascular disease in the population.