The Pawtucket Heart Health Program
Community changes in cardiovascular risk factors and projected disease risk
Bibliographic Data
| ID | 11026794 |
|---|---|
| Authors | Richard A Carleton (Memorial Hospital of Rhode Island), Thomas M Lasater (Memorial Hospital of Rhode Island), Annlouise R Assaf (Memorial Hospital of Rhode Island), Henry A Feldman (0000-0002-1748-0894, Memorial Hospital of Rhode Island), Sonja M Mckinlay (Memorial Hospital of Rhode Island), S McKinlay |
| Year | 1995 |
| Volume | 85 |
| Issue | 6 |
| Pages | 777-785 |
| Publication date | 1995-06-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.85.6.777 |
| PMID | 7762709 |
| OpenAlex | W1975496922 |
| Language | EN |
| Citations received | 44 |
| References cited | 32 |
OBJECTIVES. Whether community-wide education changed cardiovascular risk factors and disease risk in Pawtucket, RI, relative to a comparison community was assessed. METHODS. Random-sample, cross-sectional surveys were done of people aged 18 through 64 years at baseline, during, and after education. Baseline cohorts were reexamined. Pawtucket citizens of all ages participated in multilevel education, screening, and counseling programs. RESULTS. The downward trend in smoking was slightly greater in the comparison city. Small, insignificant differences favored Pawtucket in blood cholesterol and blood pressure. In the cross-sectional surveys, body mass index increased significantly in the comparison community; a similar change was not seen in cohort surveys. Projected cardiovascular disease rates were significantly (16%) less in Pawtucket during the education program. This difference lessened to 8% posteducation. CONCLUSIONS. The hypothesis that projected cardiovascular disease risk can be altered by community-based education gains limited support from these data. Achieving cardiovascular risk reduction at the community level was feasible, but maintaining statistically significant differences between cities was not. Accelerating risk factor changes will likely require a sustained community effort with reinforcement from state, regional, and national policies and programs
Blood pressure · Body mass index · Cohort · Cohort study · Disease · Environmental health · Health education · Public health · Risk factor · Cardiovascular Health and Risk Factors · Demography · Health disparities and outcomes · Health Promotion and Cardiovascular Prevention · Internal Medicine · Medicine · Gerontology
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| Unique citing works | 44 |
|---|---|
| Citations per year | 1,42 |
| Citation span | 1995 - 2016 (22) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 40 |