| Titre : | Reducing coronary heart disease in the Australian Coalfields : evaluation of a 10-year community intervention. (1999) |
| Auteurs : | N. HIGGINBOTHAM ; A. DOBSON ; G. HEADING ; R. HELLER ; P. MCELDUFF ; Centre for Clinical Epidemiology and Biostatistics. University of Newcastle. Callaghan. AUS ; Faculty of Economics and Commerce. University of Newcastle. Callaghan. AUS |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 48, n° 5, 1999) |
| Pagination : | 683-692 |
| Langues: | Anglais |
| Mots-clés : | Cardiopathie coronaire ; Prévention santé ; Education santé ; Evaluation ; Prévalence ; Facteur risque ; Homme ; Santé communautaire ; Promotion santé ; Australie ; Océanie ; Appareil circulatoire [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST Z4R0xb8c. Diffusion soumise à autorisation]. Coronary heart disease is a leading cause of death in Australia with the Coalfields district of New South Wales having one of the country's highest rates. Identification of the Coalfields epidemic in the 1970's led to the formation of a community awareness program in the late 1980's (the healthy heart support group) followed by a more intense community action program in 1990, the Coalfields Healthy Heartbeat (CHHB). CHHB is a coalition of community members, local government officers, health workers and University researchers. We evaluate the CHHB program, examining both the nature and sustainability of heart health activities undertaken, as well as trends in risk factor levels and rates of coronary events in the Coalfields in comparison with nearby local government areas. Process data reveal difficulties mobilising the community as a whole : activities had to be selected for interested subgroups such as families of heart disease patients, school children, retired people and women concerned with family nutrition and body maintenance. Outcome data show a significantly larger reduction in case fatality for Coalfields men (although nonfatal heart attacks did not decline) while changes in risk factors levels were comparable with surrounding areas. (...) |
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