The North Karelia Project (1972–1997) and the Origins of the Community Approach to Cardiovascular Disease Prevention
Community-based risk factor modification is today an established approach to chronic disease control and public health practice. This article analyzes the shaping of the North Karelia Project (NKP), an early and influential formulation of the community approach that focused on coronary heart disease...
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8034030/ http://www.ncbi.nlm.nih.gov/pubmed/33734841 https://doi.org/10.2105/AJPH.2020.306016 |
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ftpubmed:oai:pubmedcentral.nih.gov:8034030 2023-06-11T04:13:36+02:00 The North Karelia Project (1972–1997) and the Origins of the Community Approach to Cardiovascular Disease Prevention Jauho, Mikko 2021-05 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8034030/ http://www.ncbi.nlm.nih.gov/pubmed/33734841 https://doi.org/10.2105/AJPH.2020.306016 en eng American Public Health Association http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8034030/ http://www.ncbi.nlm.nih.gov/pubmed/33734841 http://dx.doi.org/10.2105/AJPH.2020.306016 © American Public Health Association 2021 Am J Public Health Research & Analysis Text 2021 ftpubmed https://doi.org/10.2105/AJPH.2020.306016 2023-05-07T00:37:30Z Community-based risk factor modification is today an established approach to chronic disease control and public health practice. This article analyzes the shaping of the North Karelia Project (NKP), an early and influential formulation of the community approach that focused on coronary heart disease prevention in Finland. Instead of targeting only high-risk individuals, NKP aimed to change the culture of the local community. On the basis of archival material and interviews, I first trace the multiple origins of the notion of community in NKP, which combined “internal” factors (local risk factor distribution, the role given to the social environment in chronic disease prevention) and “external” influences (regional origin of the initiative, World Health Organization and national policy concepts of community control and primary health care). Second, I describe the shape of the community intervention in NKP. The project foregrounded social relationships as a way to educate the public and influence norms guiding individual behaviors while subordinating environmental changes of a more structural nature. Text karelia* PubMed Central (PMC) American Journal of Public Health 111 5 890 895 |
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English |
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Research & Analysis |
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Research & Analysis Jauho, Mikko The North Karelia Project (1972–1997) and the Origins of the Community Approach to Cardiovascular Disease Prevention |
topic_facet |
Research & Analysis |
description |
Community-based risk factor modification is today an established approach to chronic disease control and public health practice. This article analyzes the shaping of the North Karelia Project (NKP), an early and influential formulation of the community approach that focused on coronary heart disease prevention in Finland. Instead of targeting only high-risk individuals, NKP aimed to change the culture of the local community. On the basis of archival material and interviews, I first trace the multiple origins of the notion of community in NKP, which combined “internal” factors (local risk factor distribution, the role given to the social environment in chronic disease prevention) and “external” influences (regional origin of the initiative, World Health Organization and national policy concepts of community control and primary health care). Second, I describe the shape of the community intervention in NKP. The project foregrounded social relationships as a way to educate the public and influence norms guiding individual behaviors while subordinating environmental changes of a more structural nature. |
format |
Text |
author |
Jauho, Mikko |
author_facet |
Jauho, Mikko |
author_sort |
Jauho, Mikko |
title |
The North Karelia Project (1972–1997) and the Origins of the Community Approach to Cardiovascular Disease Prevention |
title_short |
The North Karelia Project (1972–1997) and the Origins of the Community Approach to Cardiovascular Disease Prevention |
title_full |
The North Karelia Project (1972–1997) and the Origins of the Community Approach to Cardiovascular Disease Prevention |
title_fullStr |
The North Karelia Project (1972–1997) and the Origins of the Community Approach to Cardiovascular Disease Prevention |
title_full_unstemmed |
The North Karelia Project (1972–1997) and the Origins of the Community Approach to Cardiovascular Disease Prevention |
title_sort |
north karelia project (1972–1997) and the origins of the community approach to cardiovascular disease prevention |
publisher |
American Public Health Association |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8034030/ http://www.ncbi.nlm.nih.gov/pubmed/33734841 https://doi.org/10.2105/AJPH.2020.306016 |
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karelia* |
genre_facet |
karelia* |
op_source |
Am J Public Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8034030/ http://www.ncbi.nlm.nih.gov/pubmed/33734841 http://dx.doi.org/10.2105/AJPH.2020.306016 |
op_rights |
© American Public Health Association 2021 |
op_doi |
https://doi.org/10.2105/AJPH.2020.306016 |
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American Journal of Public Health |
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111 |
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5 |
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890 |
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895 |
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1768390817094828032 |