Public understanding of cardiovascular disease (CVD) risk factors and
primary prevention has increased, due in part to community prevention
efforts. However, many segments of society are difficult to reach. Suc
h groups still need public education to acquire the knowledge that can
lead to behavior change. Community intervention programs in rural are
as face the challenge of disseminating health information to widely sc
attered populations isolated by difficult terrain and weather, and res
tricted by the sparsity of channels for mass communication. School.hea
lth promotion programs, because of the special role schools play in ru
ral communities, can help reach rural populations. During a five-year
period, the Otsego-Schoharie Healthy Heart Program, a state-funded com
munity intervention program, provided presentations to 18% of the comb
ined total population of two rural counties through its school-based c
omponent. It also helped promote other program initiatives by establis
hing linkages in the community. Schools provide an effective channel f
or health promotion efforts to reach rural populations.