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  1. A cost effective, community based heart health promotion project in England : prospective comparative study.

    Article - En anglais

    Objective 

    To determine whether a community based coronary heart disease health promotion project, undertaken over four years, was associated with changes in the prevalence in adults of lifestyle risk factors known to affect the development of coronary heart disease, and to estimate whether such an approach was cost effective.

    Design 

    Prospective, comparative study of the effects of a health promotion intervention on coronary heart disease lifestyle risk factors, assessed by postal questionnaire sent to a randomly chosen sample, both at baseline and after four years.

    Subjects 

    Intervention and control populations of adults aged 18-64 in Rotherham, both from areas with a high incidence of coronary heart disease and similar socioeconomic composition.

    Main outcome measures 

    Changes in prevalence of lifestyle risk factors between the control and intervention communities from 1991 to 1995.

    The effect of the intervention on certain lifestyle behaviours was evaluated using multiple logistic regression to model the proportion with a particular behaviour in the study communities as a function of age (18-40 or 41-64 years), sex, the year of observation (1991 or 1995), and area (intervention or control).

    Results 

    6.9% fewer people smoked and 8.7% more drank low fat milk in the intervention area, but no other statistically significant changes between the areas were detected.

    The estimated cost per life year gained was £31. (...)

    Mots-clés Pascal : Cardiopathie coronaire, Prévention, Education, Campagne de masse, Mode de vie, Facteur risque, Analyse coût efficacité, Homme, Grande Bretagne, Royaume Uni, Europe, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Coronary heart disease, Prevention, Education, Mass campaign, Life habit, Risk factor, Cost efficiency analysis, Human, Great Britain, United Kingdom, Europe, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0461244

    Code Inist : 002B30A03A. Création : 03/02/1998.