The Community-Based Strategy to Prevent Coronary Heart Disease: Conclusions from the Ten Years of the North Karelia Project
Annual Review of Public HealthPublished 1 May 1985
Pekka Puska, Aulikki Nissinen, Jaakko Tuomilehto, Jukka T. Salonen, Kaj Koskela, Alfred L. McAlister
Citations466
SJR quartileQ1
SJR score8.29
SNIP8.48
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
In recent decades, there has been remarkable growth in scientific research examining the multiple ways in which racism can adversely affect health. This interest has been driven in part by the striking persistence of racial/ethnic inequities in health and ...Read More
Keywords
MedicineHealth ProfessionsBusiness, Management and Accounting
Understanding Attitudes and Predicting Social Behavior
26,054 Citations1980Icek Ajzen, Martin Fishbein
Contemporary Sociology A Journal of ReviewsSocial Learning Theory.
25,678 Citations1978Jackson Kytle, Albert Bandura
Medical Entomology and ZoologyExperimental and Quasi-Experimental Designs for Research
15,238 Citations1963Donald T. Campbell, Julian C. Stanley +1 more
The American Catholic Sociological ReviewPersonal Influence: The Part Played by People in the Flow of Mass Communications
2,201 Citations1956Walter L. Willigan, Elihu Katz +1 more
American Journal of Public Health and the Nations HealthEpidemiological Approaches to Heart Disease: The Framingham Study
2,129 Citations1951Thomas R. Dawber, Gilcin F. Meadors +1 more
The LancetEFFECT OF DIET AND SMOKING INTERVENTION ON THE INCIDENCE OF CORONARY HEART DISEASE
1,039 Citations1981Ingvar Hjermann, Ingar Holme +2 more
It is concluded that in healthy middle-aged men at high risk of CHD advice to change eating habits and to stop smoking significantly reduced the incidence of the first event of myocardial infarction and sudden death.
BMJMortality in Relation to Smoking: Ten Years' Observations of British Doctors
680 Citations1964Richard Doll, A. B. Hill
Evidence supports the claim that cigarette smoking is one of the causes of coronary thrombosis under age 75 and continued smoking may prevent or delay the healing of a chronic gastric ulcer and thereby it may increase the mortality rate.
The LancetCOMMUNITY EDUCATION FOR CARDIOVASCULAR HEALTH
580 Citations1977JohnW. Farquhar, PeterD. Wood +9 more
The results strongly suggest that mass-media education campaigns directed at entire communities may be very effective in reducing the risk of cardiovascular disease.
American Journal of EpidemiologySYMPOSIUM ON CHD PREVENTION TRIALS: DESIGN ISSUES IN TESTING LIFE STYLE INTERVENTION
540 Citations1978Jerome Cornfield
Journal of Community HealthReducing the risk of cardiovascular disease
263 Citations1977Nathan Maccoby, John W. Farquhar +2 more
Results of a sample survey indicate that substantial gains in knowledge, in behavioral modification, and in the estimated risk of cardiovascular disease can be produced by both methods of intervention.
American Journal of EpidemiologyPHYSICAL ACTIVITY AND RISK OF MYOCARDIAL INFARCTION, CEREBRAL STROKE AND DEATH
252 Citations1982JukkaT. Salonen, Pekka Puska +1 more
Low physical activity at work was associated with an increased risk of AMI, cerebral stroke and death due to any disease in both men and women, even when controlling for age, serum total cholesterol, diastolic blood pressure, height, weight and smoking in a multiple logistic model.
New England Journal of MedicineEffect of Diet on Serum Lipoproteins in a Population with a High Risk of Coronary Heart Disease
214 Citations1982Christian Ehnholm, Jussi K. Huttunen +8 more
The results suggest that the hypercholesterolemia characteristic of this population of North Karelia is due at least in part to dietary factors.
American Journal of Public HealthTheory and action for health promotion illustrations from the North Karelia Project.
184 Citations1982Alfred L. McAlister, Pekka Puska +3 more
The North Karelia Project in Finland illustrates the fundamental goals of health promotion and serves as examples of how concepts from the social and behavioral sciences can be applied to achieve estimated reductions in predicted risk of disease.
The LancetBELGIAN HEART DISEASE PREVENTION PROJECT: INCIDENCE AND MORTALITY RESULTS
147 Citations1983Marcel Kornitzer, M. Dramaix +5 more
The coronary risk profile was reduced in the intervention group, compared with that in the control group, especially during the first 4 yr, by effects on serum cholesterol, number of cigarettes smoked daily, and arterial blood-pressure.
CirculationEffect of cholesterol-lowering diet on mortality from coronary heart disease and other causes.
141 Citations1979Osmo Turpeinen
International statistics indicate that there is a close correlation between the consumption of saturated fats and the mortality from coronary heart disease (CHD), and this conception has been confirmed by many epidemiological studies, but such studies alone cannot prove the existence of a cause-and-effect relationship between these two variables; dietary intervention trials are needed.
The LancetUK HEART DISEASE PREVENTION PROJECT: INCIDENCE AND MORTALITY RESULTS
124 Citations1983Geoffrey Rose, H.D. Tunstall-Pedoe +1 more
BMJIncubation period of coronary heart disease.
108 Citations1982G Rose
The correlations between serum cholesterol concentrations and blood pressure and national mortality from coronary heart disease in the periods 1959-61, 1964-6, 1969-71, and 1974-6 suggest that the "incubation period" between exposure to major coronary risk factors and the maximum effects on mortality may be 10 years or more.
BMJResults of large scale media antismoking campaign in Australia: North Coast "Quit for Life" programme.
100 Citations1983Garry Egger, Winifred M. Fitzgerald +5 more
There was a significant decline in the prevalence of smoking in both test towns, ranging from 16% in younger men to 6% in older women, and the declines were more sustained over the two year period in the town subjected to media plus community programmes.
BMJDecline in mortality from coronary heart disease in Finland from 1969 to 1979.
99 Citations1983Jukka T. Salonen, Pekka Puska +3 more
The changes in coronary mortality in North Karelia suggest that the preventive programme has been effective, and that difference exceeded random variation, with over 95% likelihood for both sexes.
American Journal of Clinical NutritionEffect of health education on dietary behavior: the Stanford Three Community Study
88 Citations1981Stephen P. Fortmann, Paul T. Williams +3 more
It is suggested that mass media health education can achieve lasting changes in diet, obesity, and plasma cholesterol on a community level.
PubMedTrends of mortality from ischaemic heart disease and other cardiovascular diseases in 27 countries, 1968-1977.
88 Citations1982Z Písa, K Uemura
Ischemic heart disease mortality trends in the 27 developed countries for which reasonably reliable statistical data are available in the World Health Organizations data base are reviewed and analysis of these data is presented in relation to mortality from all causes all cardiovascular diseases and cerebrovascular disease.
PubMedUse of lay opinion leaders to promote diffusion of health innovations in a community programme: lessons learned from the North Karelia project.
60 Citations1986Pekka Puska, K Koskela +7 more
The overall evaluation of the project interventions in North Karelia from 1972-82 showed a major impact on behaviors and risk factors related to cardiovascular disease, i.e., a 28% reduction in smoking when adjusted for simultaneous changes in a matched reference area and a significant reduction in coronary mortality rates in contrast to the rest of the country.
Journal of Chronic DiseasesA comparison of statistical methods for evaluating risk factor changes in community-based studies: An example from the Stanford Three-Community Study
43 Citations1981Paul T. Williams, Stephen P. Fortmann +3 more
A regression analysis is employed which fits a linear trend to the mean values of the four annual surveys in each community, contrasted with standard methodology which ignores the nonrandom allocation of people to communities and, therefore, produces exaggerated significance levels.
Preventive MedicineA survey of local health personnel and decision makers concerning the North Karelia project: A community program for control of cardiovascular diseases
31 Citations1981Pekka Puska, Liisa Neittaanmäki +1 more
The results generally confirmed the effectiveness of the more active work in CVD control of the health personnel in NK compared with the reference area, and the decision makers in NK had not personally initiated more CVD Control activities, but had been more frequently subjected to them.
Scandinavian Journal of Social MedicineThe Role of Lay Workers in Community Health Education: Experiences of the North Karelia Project
26 Citations1980Liisa Neittaanmäki, Kaj Koskela +2 more
Initial data from studies of the lay health workers and their intervention work support the concept that carefully select community health workers who are to varying degrees representative of their local populations, can well act as intermediaries in preventive health care strategies.
PubMedImplementation of a hypertension control program in the county of North Karelia, Finland.
18 Citations1982Aulikki Nissinen, Jaakko Tuomilehto +3 more
The hypertension control program was integrated into the comprehensive cardiovascular disease control program, and hypertensives received advice concerning smoking and dietary changes as well as about high blood pressure to prevent severe cardiovascular diseases as a whole.
CirculationPrevention of cardiovascular disease and risk-factor intervention trials.
13 Citations1980Lewis H. Kuller
The geneticist and lipid biochemist identified several types of familial hyperlipoproteinemias that are clearly related to atherosclerosis.
International Journal of EpidemiologyChange in Health Behaviour in Relation to Estimated Coronary Heart Disease Risk During a Community-Based Cardiovascular Disease Prevention Programme
10 Citations1981Jukka T. Salonen, Olli P. Heinonen +2 more
It was concluded that health behaviour change in the population was based on common lifestyle changes in th intervention community, and that either face-to-face counselling or new techniques of mass communication are needed to induce high-risk individuals to do more to change their risk-inducing behaviours.
PubMedA psychosocial model of health behavior: implications for nutrition education, research and policy.
5 Citations1983Kar Sb, Margot Schmitz +1 more
The model is tested on contraceptive behavior and it is argued that the determinants and basic processes of this risk-taking behavior are similar to those involved in other health risk behaviors and that the five basic factors identified affect nutritional behaviors as well.
PubMed[The control of hypertension in 2 communities. An interim evaluation].
4 Citations1981Rossouw Je, Jooste Pl +2 more
The hypertension programme was three times more successful in the HII town, where the results suggest that hypertension in a community can be effectively controlled in the short term, using for the most part locally available health personnel and facilities.
The Stanford Five City Project: A Description
1 Citations1985June A. Flora, John W. Farquhar +2 more
The Stanford Five City Project is a major community-based experiment being carried out by the Stanfort Heart Disease Prevention Program (SHDPP), a natural outgrowth of the previous work and the TCS.