Cited by 105Health Promotion and Cardiovascular PreventionCardiovascular Health and Risk FactorsHealthcare Systems and Public Health

The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.

Community Education for Cardiovascular Disease Prevention: Morbidity and Mortality Results from the Minnesota Heart Health Program

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.

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Crossref · 10.1093/oxfordjournals.aje.a008936

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Metadata

Authors
Luepker, R. V., Rastam, L., Hannan, P. J., Murray, D. M., Gray, C., Baker, W. L., Crow, R., Jacobs, D. R., Pirie, P. L., Mascioli, S. R., Mittelmark, M. B., & Blackburn, H.
Affiliations
University of Minnesota (US)
Venue
American Journal of Epidemiology
Published
1996-08-15
Volume
144
Issue
4
Pages
351-362
ISSN
  • 0002-9262 (ISSN-L)
  • 1476-6256
OpenAlex
W2071078087
Cited by
105
References
41
Citations by year
2025: 3 · 2024: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2015: 3 · 2013: 5 · 2012: 3
FWCI
5.04
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
  • Lund University Publications (Lund University) (submittedVersion)
Funders
  • Vetenskapsrådet
  • National Institutes of Health (5r01hl025523-13)
  • National Heart, Lung, and Blood Institute (R01-HL 25523)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
  • Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
Keywords
cardiovascular disease prevention, community health education, coronary heart disease incidence, stroke incidence, health promotion interventions, secular trends, intervention effects, risk factor reduction, community-based trial
MeSH terms
Adult, Aged, Cardiovascular Diseases, Community Health Services, Female, Health Education, Humans, Male, Middle Aged, Minnesota, Population Surveillance, Risk Factors, Rural Health, Urban Health, Incidence, Linear Models

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