Community education for cardiovascular disease prevention: Morbidity and mortality results from the Minnesota Heart Health Program

American Journal of Epidemiology

Volumn 144, Issue 4, 1996, Pages 351-362

  Luepker, Russell V ^a   Råstam, Lennart ^a,b   Hannan, Peter J ^a   Murray, David M ^a   Gray, Clifton ^a   Baker, William L ^a   Crow, Richard ^a   Jacobs Jr , David R ^a   Pirie, Phyllis L ^a   Mascioli, Steven R ^a,c   Mittelmark, Maurice B ^a,d   Blackburn, Henry ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

^b LUND UNIVERSITY   (Sweden)

^c American Medical Systems   (United States)

^d UNIVERSITY OF BERGEN   (Norway)

Author keywords

cardiovascular diseases; health education; health promotion; morbidity; mortality; primary prevention

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOVASCULAR DISEASE; CLINICAL TRIAL; CORONARY RISK; FEMALE; HEALTH EDUCATION; HEALTH PROMOTION; HUMAN; INCIDENCE; ISCHEMIC HEART DISEASE; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; PRIMARY PREVENTION; STROKE;

EID: 9344244698     PISSN: 00029262     EISSN: None     Source Type: Journal    
DOI: 10.1093/oxfordjournals.aje.a008936     Document Type: Article

References (53)

1. Keys A, ed. Coronary heart disease in seven countries. Dallas, TX: American Heart Association, 1970. (American Heart Association monograph no. 29).
2. World Health Organization. World health statistics annual. Geneva, Switzerland: World Health Organization, 1990.
3. Stamler J. The marked decline in coronary heart disease mortality rates in the United States, 1968-1981: summary of findings and possible explanations. Cardiology 1985;72: 11-22.
4. Whisnant JP. The decline of stroke. Stroke 1984;15:160-8.
5. Burke GL, Sprafka JM, Folsom AR, et al. Trends in CHD mortality, morbidity and risk factor levels from 1960 to 1986: The Minnesota Heart Survey. Int J Epidemiol 1989;18(suppl 1):S73-S81.
6. Vartiainen E, Puska P, Pekkanen J, et al. Changes in risk factors explain changes in mortality from ischaemic heart disease in Finland. BMJ 1994;309:23-7.
7. McGovern PG, Burke GL, Sprafka M, et al. Trends in mortality, morbidity, and risk factor levels for stroke from 1960 through 1990: The Minnesota Heart Survey. JAMA 1992;268: 753-9.
8. Farquhar JW, Maccoby N, Wood PD, et al. Community education for cardiovascular health. Lancet 1977;1:1192-5.
9. Puska P, Toumilehto J, Salonen J, et al. The North Karelia Project: community control of cardiovascular disease. Evaluation of a comprehensive community programme for control of cardiovascular diseases in 1972-1977 in North Karelia, Finland. Copenhagen, Denmark: World Health Organization, 1981.
10. Gutzwiller F, Nater B, Martin J. Community-based primary prevention of cardiovascular disease in Switzerland: methods and results of the National Research Program (NRP 1A). Prev Med 1985;14:482-91.
11. Farquhar JW, Fortmann SP, Maccoby N, et al. The Stanford Five-City Project: design and methods. Am J Epidemiol 1985; 122:323-34.
12. Mittelmark MB, Luepker RV, Jacobs DR, et al. Community-wide prevention of cardiovascular disease: education strategies of the Minnesota Heart Health Program. Prev Med 1986; 15:1-17.
13. Elder JP, McGraw SA, Abrams DB, et al. Organizational and community approaches to community-wide prevention of heart disease: the first two years of the Pawtucket Heart Health Program. Prev Med 1986;15:107-17.
14. GCP Study Group. The German Cardiovascular Prevention Study (GCP): design and methods. Eur Heart J 1988;9: 1058-66.
15. Nutbeam D, Catford J. The Welsh Heart Health Programme evaluation strategy: progress, plans and possibilities. Health Promotion 1987;2:5-18.
16. Salonen JT, Puska P, Kottke TE, et al. Changes in smoking, serum cholesterol and blood pressure levels during a community-based cardiovascular disease prevention program: The North Karelia Project. Am J Epidemiol 1981;114:81-94.
17. Puska P, Salonen JT, Nissinen A, et al. Change in risk factors for coronary heart disease during 10 years of a community intervention programme (North Karelia Project). Br Med J 1983;287:1840-4.
18. Puska P, Toumilehto J, Nissinen A, et al. The North Karelia Project: 15 years of community-based prevention of coronary heart disease. Ann Med 1989;21:169-73.
19. Farquhar JW, Fortmann SP, Flora JA, et al. Effects of communitywide education on cardiovascular disease risk factors: The Stanford Five-City Project. JAMA 1990;264:359-65.
20. Luepker RV, Murray DM, Jacobs DR Jr, et al. Community education for cardiovascular disease prevention: risk factor changes in the Minnesota Heart Health Program. Am J Public Health 1994;84:1383-93.
21. Carleton R, Lasater TM, Assaf AR, et al. The Pawtucket Heart Health Program: cross-sectional results from a community intervention trial. (Abstract). Circulation 1994;89:932.
22. Greiser E, Hoffmeister H, Hoeltz J, et al. Final risk factor changes after 7 years of a multicenter community intervention program: The German Cardiovascular Prevention Study (GCP). (Abstract). Circulation 1994;89:933.
23. Salonen JT, Puska P, Mustaniemi H. Changes in morbidity and mortality during comprehensive community programme to control cardiovascular diseases during 1972-7 in North Karelia. Br Med J 1979;2:1178-83.
24. Tuomilehto J, Geboers J, Salonen JT, et al. Decline in cardiovascular mortality in North Karelia and other parts of Finland. Br Med J 1986;293:1068-71.
25. Bandura A. Social learning theory. Englewood Cliffs, NJ: Prentice-Hall, Inc, 1977.
26. Hovland CI, Janis IL, Kelley HH. Communication and persuasion: psychological studies of opinion change. New Haven, CT: Yale University Press, 1953.
27. McGuire WJ. Persuasion, resistance and attitude change. In: DeSola I, Schramm W, eds. Handbook of communication. Chicago, IL: Rand-McNally and Company, 1973:216-52.
28. Rothman J. Three models of community organization practice. In: Cox FM, Erlich JL, Rothman J, et al, eds. Strategies of community organization: a book of readings. Itasca, IL: FE Peacock Publishers, 1970:20-36.
29. Viswanath K, Finnegan JR, Hannan P, et al. Health and knowledge gaps: some lessons from the Minnesota Heart Health Program. Am Behav Scientist 1991;34:712-26.
30. Murray DM, Luepker RV, Pirie PL, et al. Systematic risk factor screening and education: a community-wide approach to prevention of coronary heart disease. Prev Med 1986;15: 661-72.
31. Glantz K, Mullis RM. Environmental interventions to promote healthy eating: a review of models, programs and evidence. Health Educ Q 1988;15:395-415.
32. Perry CL, Klepp KI, Sillers C. Community-wide strategies for cardiovascular health: the Minnesota Heart Health Program youth program. Health Educ Res 1989;4:87-101.
33. Mittelmark MB, Luepker RV, Grimm R Jr, et al. The role of physicians in a community-wide program for prevention of cardiovascular disease: The Minnesota Heart Health Program. Public Health Rep 1988;103:360-5.
34. Jacobs DR Jr, Luepker RV, Mittelmark M, et al. Community-wide prevention strategies: evaluation design of the Minnesota Heart Health Program. J Chronic Dis 1986;39:775-88.
35. World Health Organization. International classification of diseases. Manual of the international statistical classification of diseases, injuries, and causes of death. Ninth Revision. Vol 1. Geneva, Switzerland: World Health Organization, 1977.
36. Rose GA, Blackburn H. Cardiovascular survey methods. Geneva, Switzerland: World Health Organization, 1968. (WHO Monograph Series no. 56).
37. Mascioli SR, Jacobs DR Jr, Kottke TE. Diagnostic criteria for hospitalized acute myocardial infarction: the Minnesota experience. Int J Epidemiol 1989;18:76-83.
38. Murray DM, Hannan PJ, Jacobs DR, et al. Assessing intervention effects in the Minnesota Heart Health Program. Am J Epidemiol 1994;139:91-103.
39. Truett J, Cornfield J, Kannel W. A multivariate analysis of the risk of coronary heart disease in Framingham. J Chronic Dis 1967;20:511-24.
40. Leaverton PE, Sorlie PD, Kleinman JC, et al. Representativeness of the Framingham risk model for coronary heart disease mortality: a comparison with a national cohort study. J Chronic Dis 1987;40:775-84.
41. Råstam L, Hannan PJ, Jacobs DR Jr, et al. Population and physician behavior and blood pressure trends: The Minnesota Heart Health Program (MHHP). (Abstract). Circulation 1994; 89:993.
42. Salonen JT. Did the North Karelia project reduce coronary mortality? (Letter). Lancet 1987;2:269.
43. US National Heart and Lung Institute. National Conference on High Blood Pressure Education. Bethesda, MD: National Heart and Lung Institute, 1973. (DHEW publication no. (NIH) 73-486).
44. Lenfant C. A new challenge for America: The National Cholesterol Education Program. Circulation 1986;73:855-6.
45. Lindblad U, Råstam L, Rydén L, et al. Reduced stroke incidence with structured hypertension care: The Skaraborg Hypertension Project. J Hypertens 1990;8:1147-53.
46. Zucker DM. An analysis of variance pitfall: the fixed effects analysis in a nested design. Educ Psychol Meas 1990;50: 731-8.
47. Koepsell TD, Martin DC, Diehr PH, et al. Data analysis and sample size issues in evaluations of community-based health promotion and disease prevention programs: a mixed-model analysis of variance approach. J Clin Epidemiol 1991;44: 701-13.
48. Murray DM, McKinlay SM, Martin D, et al. Design and analysis issues in community trials. Eval Rev 1994;18: 493-514.
49. Donner A, Klar N. Cluster randomization trials in epidemiology: theory and application. J Stat Plann Inference (in press).
50. Murray DM. Design and analysis of community trials: lessons from the Minnesota Heart Health Program. Am J Epidemiol 1995;142:569-75.
51. Gail MH, Byar DP, Pechacek TF, et al. Aspects of statistical design for the Community Intervention Trial for Smoking Cessation (COMMIT). Controlled Clin Trials 1992;13:6-21.
52. Blackburn H. Community programs in coronary heart disease prevention and health promotion: changing community behavior. In: Marmot MG, Elliott P, eds. Coronary heart disease epidemiology: from aetiology to public health. New York, NY: Oxford University Press, 1992:495-514.
53. Winkleby MA. The future of community-based cardiovascular disease intervention studies. (Editorial). Am J Public Health 1994;84:1369-72.