This report summarizes 6 years of experience in a large community-based cardiovascular disease prevention program in a predominately minority, urban setting.
The program seeks to reduce cardiovascular disease risk factors in an area of approximately 240 000 people in New York, NY ; this population includes many Latino immigrants of flow educational attaintment and socioeconomic status.
All program materials were in Spanish and English and at a low literacy level.
Major elements that achieved high levels of reach and support were a marketing campaign promoting low-fat milk, exercise clubs, and a Spanish-language smoking cessation video.
Program elements that did not meet expectations or were abandoned were schoolbased smoking prevention initiatives, cholesterol screening, and efforts to involve local physicians.
At he end of 6 years, the program was transferred to a local community organization.
Conclusions are that it is feasible to implement a complex cardiovascular disease prevention program in a socially disadvantaged urban community ; that additional evaluation research is needed ; that such programs can be transferred from an academic center to a community organization ; and that such programs are unlikely to be sustained effectively without external resources.
Mots-clés Pascal : Politique sanitaire, Programme sanitaire, Prévention, Education sanitaire, Homme, Statut socioéconomique, Faible, Niveau étude, Milieu urbain, Appareil circulatoire pathologie, Evaluation, Pauvreté, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Health policy, Sanitary program, Prevention, Health education, Human, Socioeconomic status, Low, Education level, Urban environment, Cardiovascular disease, Evaluation, Poverty, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0275083
Code Inist : 002B30A01C. Création : 199608.