A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework
Major community-based cardiovascular disease prevention programs have been conducted in North Karelia, Finland; the state of Minnesota; Pawtucket, Rhode Island; and in three communities and more recently in five cities near Stanford, California. These primary prevention programs aim to reduce cardio...
Published in: | American Journal of Health Promotion |
---|---|
Main Authors: | , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
SAGE Publications
1990
|
Subjects: | |
Online Access: | http://dx.doi.org/10.4278/0890-1171-4.3.203 http://journals.sagepub.com/doi/pdf/10.4278/0890-1171-4.3.203 |
id |
crsagepubl:10.4278/0890-1171-4.3.203 |
---|---|
record_format |
openpolar |
spelling |
crsagepubl:10.4278/0890-1171-4.3.203 2024-05-12T08:06:22+00:00 A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework Shea, Steven Basch, Charles E. 1990 http://dx.doi.org/10.4278/0890-1171-4.3.203 http://journals.sagepub.com/doi/pdf/10.4278/0890-1171-4.3.203 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license American Journal of Health Promotion volume 4, issue 3, page 203-213 ISSN 0890-1171 2168-6602 Public Health, Environmental and Occupational Health Health (social science) journal-article 1990 crsagepubl https://doi.org/10.4278/0890-1171-4.3.203 2024-04-18T08:32:33Z Major community-based cardiovascular disease prevention programs have been conducted in North Karelia, Finland; the state of Minnesota; Pawtucket, Rhode Island; and in three communities and more recently in five cities near Stanford, California. These primary prevention programs aim to reduce cardiovascular disease incidence by reducing risk factors in whole communities. These risk factors are smoking, high blood cholesterol, diet high in cholesterol and saturated fat, hypertension, sedentary lifestyle, and obesity. This strategy may be contrasted with secondary prevention programs directed at patients who already have symptomatic cardiovascular disease and “high risk” primary prevention programs directed at individuals found through screening to have one or more risk factors. The design of the five major programs is similar in that intervention communities are matched for purposes of evaluation with nearby comparision communities. Underlying these programs are theories of community health education, social learning, communication, social marketing, and community activation, as well as more traditional biomedical and public health disciplines. This is Part I of a two-part article. Article in Journal/Newspaper karelia* SAGE Publications American Journal of Health Promotion 4 3 203 213 |
institution |
Open Polar |
collection |
SAGE Publications |
op_collection_id |
crsagepubl |
language |
English |
topic |
Public Health, Environmental and Occupational Health Health (social science) |
spellingShingle |
Public Health, Environmental and Occupational Health Health (social science) Shea, Steven Basch, Charles E. A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework |
topic_facet |
Public Health, Environmental and Occupational Health Health (social science) |
description |
Major community-based cardiovascular disease prevention programs have been conducted in North Karelia, Finland; the state of Minnesota; Pawtucket, Rhode Island; and in three communities and more recently in five cities near Stanford, California. These primary prevention programs aim to reduce cardiovascular disease incidence by reducing risk factors in whole communities. These risk factors are smoking, high blood cholesterol, diet high in cholesterol and saturated fat, hypertension, sedentary lifestyle, and obesity. This strategy may be contrasted with secondary prevention programs directed at patients who already have symptomatic cardiovascular disease and “high risk” primary prevention programs directed at individuals found through screening to have one or more risk factors. The design of the five major programs is similar in that intervention communities are matched for purposes of evaluation with nearby comparision communities. Underlying these programs are theories of community health education, social learning, communication, social marketing, and community activation, as well as more traditional biomedical and public health disciplines. This is Part I of a two-part article. |
format |
Article in Journal/Newspaper |
author |
Shea, Steven Basch, Charles E. |
author_facet |
Shea, Steven Basch, Charles E. |
author_sort |
Shea, Steven |
title |
A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework |
title_short |
A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework |
title_full |
A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework |
title_fullStr |
A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework |
title_full_unstemmed |
A Review of Five Major Community-Based Cardiovascular Disease Prevention Programs. Part I: Rationale, Design, and Theoretical Framework |
title_sort |
review of five major community-based cardiovascular disease prevention programs. part i: rationale, design, and theoretical framework |
publisher |
SAGE Publications |
publishDate |
1990 |
url |
http://dx.doi.org/10.4278/0890-1171-4.3.203 http://journals.sagepub.com/doi/pdf/10.4278/0890-1171-4.3.203 |
genre |
karelia* |
genre_facet |
karelia* |
op_source |
American Journal of Health Promotion volume 4, issue 3, page 203-213 ISSN 0890-1171 2168-6602 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.4278/0890-1171-4.3.203 |
container_title |
American Journal of Health Promotion |
container_volume |
4 |
container_issue |
3 |
container_start_page |
203 |
op_container_end_page |
213 |
_version_ |
1798848865963606016 |