PREVENTING CARDIOVASCULAR-DISEASE THROUGH COMMUNITY-BASED RISK REDUCTION - THE BOOTHEEL HEART HEALTH PROJECT

Objectives. The purpose of this study was to determine whether a commu nity-based risk reduction project affected behavioral risk factors for cardiovascular disease. Methods. Community-based activities (e.g., ex ercise groups, healthy cooking demonstrations, blood pressure and chol esterol screenings, and cardiovascular disease education) were conduct ed in six southeastern Missouri counties. Evaluation involved populati on-based, cross-sectional samples of adult residents of the state and the intervention region. Weighted prevalence estimates were calculated for self-reported physical inactivity, cigarette smoking, consumption of fruits and vegetables, overweight, and cholesterol screening. Resu lts. Physical inactivity decreased within the intervention region, tha t is, in communities where heart health coalitions were developed and among respondents who were aware of these coalitions. In addition, the prevalence rates for reports of cholesterol screening within the past 2 years were higher for respondents in areas with coalitions and amon g persons who were aware of the coalitions. Conclusions. Even with mod est resources, community-based interventions show promise in reducing self-reported risk for cardiovascular disease within a relatively brie f period.