Objectives: To determine whether cardiovascular-disease risk-factor pr
ofiles of majority-church members differ from those of non-church memb
ers we examined a large population-based random sample. Methods: Data
from the two cross-sectional surveys of the Pawtucket Heart Health Pro
gram conducted in 1981-82 (n=2442) and 1983-84 (n=2799) were evaluated
. Trained interviewers collected physiological measures including heig
ht, weight, systolic and diastolic blood pressure, and a small blood s
ample (for total cholesterol and high-density lipoprotein). Smoking, e
xercise, sociodemographics, and church membership were determined by s
elf-report. Results: Church members were older, more likely to be fema
le, Portuguese, married, have more people living in their households,
and were also more likely to be greater than 20% overweight. Forty-eig
ht percent of church members reported never having smoked cigarettes c
ompared to 35.4% of non-church members. Differences in systolic blood
pressure and total cholesterol were attributable to age, sex, and ethn
icity. Conclusions: Aside from cigarette-smoking status and body-mass
index, the risk profile of the two groups was not different, indicatin
g that health-promotion interventions geared to the general population
may not need to be tailored too extensively for members of religious
organizations based on health status. On the other hand, the demograph
ic differences and easy access to entire families may require more att
ention.