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

Luepker, Russell V.; Råstam, Lennart LU ; Hannan, Peter J.; Murray, David M.; Gray, Clifton; Baker, William L.; Crow, Richard; Jacobs, David R.; Pirie, Phyllis L. and Mascioli, Steven R., et al. (1996) In American Journal of Epidemiology 144(4). p.351-362
Abstract
The Minnesota Heart Health Program was a community trial of cardiovascular disease prevention methods that was conducted from 1980 to 1990 in three Upper Midwestern communities with three matched comparison communities. A 5- to 6-year intervention program used community-wide and individual health education in an attempt to decrease population risk. A major hypothesis was that the incidence of validated fatal and nonfatal coronary heart disease and stroke in 30- to 74-year-old men and women would decline differentially in the education communities after the health promotion program was introduced. This hypothesis was investigated using mixed-model regression. The intervention effect was modeled as a series of annual departures from a linear... (More)
The Minnesota Heart Health Program was a community trial of cardiovascular disease prevention methods that was conducted from 1980 to 1990 in three Upper Midwestern communities with three matched comparison communities. A 5- to 6-year intervention program used community-wide and individual health education in an attempt to decrease population risk. A major hypothesis was that the incidence of validated fatal and nonfatal coronary heart disease and stroke in 30- to 74-year-old men and women would decline differentially in the education communities after the health promotion program was introduced. This hypothesis was investigated using mixed-model regression. The intervention effect was modeled as a series of annual departures from a linear secular trend after a 2-year lag from the start of the intervention program. In the education communities, 2,394 cases of coronary heart disease and 818 cases of stroke occurred, with 2,526 and 739 cases, respectively, being seen in the comparison communities. The overall decline in coronary heart disease incidence was 1.8 percent per year in men (p = 0.03) and 3.6 percent per year in women (p = 0.007). For stroke, there were no significant secular trends. The authors recently published findings showing minimal effects of sustained intervention on risk factor levels. In the current report, there was no evidence of a significant intervention effect on morbidity or mortality, either for coronary heart disease or for stroke. (Less)
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published
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keywords
cardiovascular diseases, health education, health promotion, morbidity, mortality, primary prevention
in
American Journal of Epidemiology
volume
144
issue
4
pages
351 - 362
publisher
Oxford University Press
external identifiers
  • pmid:8712192
  • scopus:9344244698
ISSN
0002-9262
language
English
LU publication?
yes
id
2dcc6d2d-4e0f-4ced-92de-7181955ceaed (old id 1110895)
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http://aje.oxfordjournals.org/cgi/reprint/144/4/351
date added to LUP
2008-07-25 16:43:47
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2017-03-19 03:22:31
@article{2dcc6d2d-4e0f-4ced-92de-7181955ceaed,
  abstract     = {The Minnesota Heart Health Program was a community trial of cardiovascular disease prevention methods that was conducted from 1980 to 1990 in three Upper Midwestern communities with three matched comparison communities. A 5- to 6-year intervention program used community-wide and individual health education in an attempt to decrease population risk. A major hypothesis was that the incidence of validated fatal and nonfatal coronary heart disease and stroke in 30- to 74-year-old men and women would decline differentially in the education communities after the health promotion program was introduced. This hypothesis was investigated using mixed-model regression. The intervention effect was modeled as a series of annual departures from a linear secular trend after a 2-year lag from the start of the intervention program. In the education communities, 2,394 cases of coronary heart disease and 818 cases of stroke occurred, with 2,526 and 739 cases, respectively, being seen in the comparison communities. The overall decline in coronary heart disease incidence was 1.8 percent per year in men (p = 0.03) and 3.6 percent per year in women (p = 0.007). For stroke, there were no significant secular trends. The authors recently published findings showing minimal effects of sustained intervention on risk factor levels. In the current report, there was no evidence of a significant intervention effect on morbidity or mortality, either for coronary heart disease or for stroke.},
  author       = {Luepker, Russell V. and Råstam, Lennart and Hannan, Peter J. and Murray, David M. and Gray, Clifton and Baker, William L. and Crow, Richard and Jacobs, David R. and Pirie, Phyllis L. and Mascioli, Steven R. and Mittelmark, Maurice B. and Blackburn, Henry},
  issn         = {0002-9262},
  keyword      = {cardiovascular diseases,health education,health promotion,morbidity,mortality,primary prevention},
  language     = {eng},
  number       = {4},
  pages        = {351--362},
  publisher    = {Oxford University Press},
  series       = {American Journal of Epidemiology},
  title        = {Community education for cardiovascular disease prevention. Morbidity and mortality results from the Minnesota Heart Health Program},
  volume       = {144},
  year         = {1996},
}