STANFORD FIVE CITY MULTIFACTOR RISK REDUCTION STUDY

拟议的工作是斯坦福五城项目的延续， 它有以下三个方面：1.示范项目： 制定和实施社区健康教育计划，结合 面向普通受众并通过大众媒体提供的材料 通过研讨会提供针对特定受众的材料， 类，以及在斯坦福大学和 地方社区组织，旨在降低 萨利纳斯和蒙特利所有人口的心血管风险。2. 实地试验：测试这种全社区教育的效果 控制心血管危险因素的方案，使用周期性的 对居住在随机选择的家庭中的12-74岁的人进行的调查，如 以及不引人注目的技术，来对比相关的态度，知识， 萨利纳斯和蒙特利的行为和危险因素水平 B.心血管疾病事件，使用 持续监测系统，以对比特定原因的比率 萨利纳斯和蒙特利的发病率和死亡率与旧金山莫德斯托的发病率和死亡率 路易斯·奥比斯波和圣玛丽亚。3.自然历史研究：考察 致命性和非致命性心血管疾病发病率的长期趋势，以及 使用调查系统评估这些趋势的可能决定因素 上面指定的。这项研究设计需要六年的教育 干预措施和八年的调查和监测评估； 最初的拨款是在1978年授予的，为期五年。这项建议是为了 继续为该项目提供资金，直至按计划在1986年完成，外加1 用于数据分析和出版的额外资金年度。

The proposed work is a continuation of the Stanford Five City Project, which has the following three aspects: 1. A demonstration project: to develop and implement a community health education program, combining materials directed at general audiences and delivered via the mass media with materials directed at specific audiences delivered via workshops, classes, and similar methods under the combined auspices of Stanford and local community organizations, which is directed at lowering the cardiovascular risk of the entire populations of Salinas and Monterey. 2. A field trial: to test the efficacy of this community-wide education program in the control of a. cardiovascular risk factors, using periodic surveys of persons aged 12-74 residing in randomly selected households, as well as unobtrusive techniques, to contrast relevant attitudes, knowledge, behavior, and risk factor levels in Salinas and Monterey with those in Modesto and San Luis Obispo; and b. cardiovascular disease events, using a continuous surveillance system to contrast rates of cause-specific morbidity and mortality in Salinas and Monterey with those in Modesto, San Luis Obispo, and Santa Maria. 3. A natural history study: to examine secular trends in rates of fatal and nonfatal cardiovascular disease, and to assess possible determinants of these trends using the survey system specified above. The study design calls for six years of educational intervention and eight years of survey and surveillance evaluation; the original grant was awarded in 1978 for five years. This proposal is to continue funding of the project to its planned completion in 1986 plus one year of additional funding for data analysis and publication.