STANFORD FIVE CITY MULTIFACTOR RISK REDUCTION STUDY

拟议中的工作是斯坦福大学五城项目的延续， 主要有以下三个方面：1. 示范项目： 制定和实施社区健康教育计划， 通过大众媒体提供的面向普通受众的材料 通过讲习班提供针对特定受众的材料， 类，并在斯坦福大学和 当地社区组织，旨在降低 萨利纳斯和蒙特雷的整个人口的心血管风险。 2. 实地试验：测试这种社区教育的效果 控制的程序。 心血管危险因素，使用定期 对随机选择的住户中12至74岁的人进行的调查， 以及不引人注目的技术，来对比相关的态度，知识， 行为，以及萨利纳斯和蒙特雷的风险因素水平， 莫德斯托和圣路易斯奥比斯波;和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 发病率和死亡率在萨利纳斯和蒙特雷与那些在莫德斯托，圣 路易斯·奥比斯波和圣玛利亚。 3. 自然历史研究：检查 致死性和非致死性心血管疾病发生率的长期趋势，以及 利用调查系统评估这些趋势的可能决定因素 上面指定的。 研究设计要求六年的教育 干预和八年的调查和监测评估; 最初的补助金是在1978年颁发的，为期五年。 这项建议是为了 继续为该项目提供资金，直至计划在1986年加一年完成。 为数据分析和出版提供额外资金。

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.