Community-wide education in Pawtucket resulted in projected cardiovascular disease rates that were 16% lower during the program compared to a control community, lessening to 8% post-education.
Observational
Yes
Does community-wide education reduce cardiovascular risk factors and projected disease risk in the general population?
Community-based education can achieve temporary reductions in projected cardiovascular disease risk, but maintaining these differences requires sustained effort.
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.
Carleton et al. (1995) conducted an observational in Cardiovascular disease risk. Community-wide education, screening, and counseling programs vs. Comparison community was evaluated on Projected cardiovascular disease rates and cardiovascular risk factors. Community-wide education in Pawtucket resulted in projected cardiovascular disease rates that were 16% lower during the program compared to a control community, lessening to 8% post-education.