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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In the citing paper
“In contrast, similar media and education strategies in the Minnesota Heart Health Program and the Pawtucket Heart Health Program did not lead to significant improvements in cardiovascular risk factors or events when compared with control communities.61–63”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [61]
In the citing paper
“In the latter studies, secular improvements in risk factors were also seen in the control communities, perhaps in response to similar national campaigns targeting these risk factors; these trends may have limited detection of any added effects of the community-level interventions.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [61]
In the citing paper
“These interventions produced mixed results, with benefits on risk factors seen in 1 study49 but without clear benefits in the other 2 studies, as compared with secular trends.61,62”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [61]
Citations
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A multivariate analysis of the risk of coronary heart disease in Framingham
Truett, J., Cornfield, J., & Kannel, W. (1967) · Journal of Chronic Diseases · doi:10.1016/0021-9681(67)90082-3 · Cited by 958
COMMUNITY EDUCATION FOR CARDIOVASCULAR HEALTH
Farquhar, J., Wood, P. D., Breitrose, H., Haskell, W. L., Meyer, A. J., Maccoby, N., Alexander, J., Brown, B., Mcalister, A., Nash, J. D., et al. (1977) · The Lancet · doi:10.1016/s0140-6736(77)92727-1 · Cited by 573
Luepker, R. V., Murray, D. M., Jacobs, D. R., Mittelmark, M. B., Bracht, N. F., Carlaw, R. W., Crow, R. A., Elmer, P. J., Finnegan, J. R., & Folsom, A. R. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.9.1383 · Cited by 527
Self-citationFarquhar, J. W. (1990) · JAMA · doi:10.1001/jama.1990.03450030083037 · Cited by 448
Changes in risk factors explain changes in mortality from ischaemic heart disease in Finland
Vartiainen, E. A., Puska, P., Pekkanen, J., Toumilehto, J., & Jousilahti, P. (1994) · BMJ · doi:10.1136/bmj.309.6946.23 · Cited by 438
THE STANFORD FIVE-CITY PROJECT: DESIGN AND METHODS
Farquhar, J. W., Fortmann, S. P., Maccoby, N., Haskell, W. L., Williams, P. T., Flora, J. A., Taylor, C. B., Brown, B. W., Solomon, D. S., & Sb, H. (1985) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114104 · Cited by 360
Puska, P., SALONEN, J. T., Nissinen, A., Tuomilehto, J., Vartiainen, E. A., KORHONEN, H. J., Tanskanen, A. J., Rönnqvist, P., Koskela, K., & Huttunen, J. K. (1983) · BMJ · doi:10.1136/bmj.287.6408.1840 · Cited by 240
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Anderson, T. R., Qureshi, K., Farooq, M. U., & Gorelick, P. B. (2024) · Expert Review of Cardiovascular Therapy · doi:10.1080/14779072.2024.2372447
“Follow-up analysis in 1996 did not identify any sustained risk factor modification effects related to the intervention, nor did it demonstrate an effect on stroke or coronary heart disease morbidity or mortality [18].”
Hälsovårdsenheten som förebild eller inspiration
Jansson, B. R. (2025) · Socialmedicinsk tidskrift · doi:10.62607/smt.v101i4-6.32419
Iftikhar, N., & Aalam, A. A. (2025) · Cureus · doi:10.7759/cureus.97503
“Public health efforts targeting lifestyle modification, early detection of metabolic disease, and primary prevention remain important for reducing the overlapping burdens of chronic liver disease and its comorbidities [48-49].”
La place des biomarqueurs dans les essais de prévention de la maladie d'Alzheimer
Delrieu, J. (2021) · theses.fr (ABES) · doi:10.70675/2b5f4719z01f9z4376z9dabzd5a185dc4d79
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
- Publisher
- Oxford University Press (OUP)
- 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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